Monmouth County Woman - 2015 July/August by The County Woman

Monmouth

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FREE ~ Please Take One MAKE THE BEST CHOICE AND KEEP YOUR INDEPENDENCE.

Many people 55+ are choosing to lease land and buy their home rather than re-investing the sale of the family home into another mortgage. Page 56

STOP THE “BRAIN DRAIN.”

Students who keep their minds active throughout the summer months by participating in programs to develop, maintain, and challenge their math skills start the school year prepared.

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Your challenge during retirement is to convert these savings into an ongoing income stream that will provide adequate income throughout your retirement years.

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Photo By Annette Jenkins Photography

The Law Offices of Laura M. D’Orsi, L.L.C. specializes in divorce, collaborative divorce and mediation. Read more on pages 28 & 29.

CONVERTING SAVINGS TO RETIREMENT INCOME.

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2015

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Medical Professionals

6 Tips to Avoid Knee Pain While Getting in Shape Planning on getting in shape this summer? Do you suﬀer from knee pain?

Summer’s finally here – the time of year people get motivated to head back to the gym, to take up a new outdoor activity, or to start exercising perhaps for the very first time. Whatever your reason for trying to get fit, we applaud you. After all, exercise is the key to good health. It is important, however, to approach any new physical activity with caution, lest you get hurt in the process. Whether you are a fitness enthusiast or entering the workout scene for the very first time, REHABILITY’s team of physical therapy specialists offers the following health tips to help you take care of your knees.

1. Stretch Properly

Before exercising, it is important to stretch and warm up. To protect your knees, stretch your thigh muscles well, in addition to your hips and glutes. A brisk walk or slow jog can also help loosen your muscles up so that they are less stiﬀ when you start to workout.

2. Switch Up Your Workout Routine

Some activities, such as running and cycling, put more strain on the knees than others. Though you don’t have to avoid these high-impact activities altogether, try to vary your routine and incorporate core strengthening exercise for the abdomen, back muscles and pelvic area.

3. Strengthen Your Knees

Weight training can prevent knee joints from aching by fortifying the surrounding muscles, particularly those in the inner thigh. When these muscles are well-toned, they can absorb stress while you walk, meaning less force is placed on the knee joints.

4. Don’t Overdo It

When the workout bug hits, it can be normal to want to exercise full-throttle. It is important, however, to remember to take things slow. If your body isn’t used to physical activity, it can be easier to get hurt. If that happens, you won’t be able to exercise for some time, and your knees will suﬀer the consequences.

5. Follow A Healthy Diet

Eating well can protect your knees by providing your body the nourishment it needs to function correctly. If you get injured, it will also be easier for your body to heal.

6. Watch Your Weight

For more health tips, visit www.rehabilitynj.com

With weight gain, more stress gets placed on the knee joints. Over time, this can lead to discomfort and even pain. If you maintain a healthy weight for your age, height and body type, you can prevent your knees from doing extra work.

Knee Pain Treatment

If you follow these health tips and still feel strain or soreness in your knees after exercising, it might be time to visit a knee pain expert. At REHABILITY, we can help you identify the source of your knee pain and treat it quickly. Our physical therapy program includes thermo-electric compression therapy and cold laser therapy, two unique advances in the successful treatment of aching knees. As an added beneﬁt, patients may also have the option to integrate acupuncture services, another eﬀective remedy for easing joint discomfort in a safe and pain-free way.

(732) 780-6230

CALL TODAY TO SCHEDULE YOUR EVALUATION WITH OUR TEAM! Most major insurances accepted, including Medicare.

Robert Chickara, DC

Ellen Policastri, LAc.

Erika Petillo, PTA

Jessie Ganon, PT

Karen Kondos, PT, DPT

Chiropractic Spine & Sports Rehab | Physical Therapy | Acupuncture 83 South St., Suite 204 | Freehold, NJ (Freehold Commons)

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical Professionals Fashion & Beauty

Featured Articles

Adult DayTherapy Care Pediatric

Rehability Pain and Injury Center. ............................................2 Lynne’s Fashion Boutique, Inc. ...............................................2 Kessler Rehabilitation Center...................................................5 Medical Professionals Liberty Pain Center.................................................................16 Rehability Pain and Injury Center ............................................3 Brick Women’s Physicians.....................................................17 Kessler Rehabilitation Center ..................................................6 Atlantic Neurosurgical Specialists....................................21, 64 Brick Women’s Physicians ....................................................15 UniversityEnhancement Urology Associates New Jersey........................23 Personal Centerof.......................................16, 42 Vein Center Women. ...................................................24, 25 Allen MorganforFertility and Reproductive Medicine ....17, 48, 49 Shore Gastroenterology PC Medicine...........26, ...............................19 Allen Morgan Fertility andAssociates, Reproductive 27 University Urology Associates of New Jersey .................20, 21 Personal Enhancement Center..............................................30 Toms River X-Ray, CT,& &Medical MRI Center ...................................26 Seaview Orthopaedic Associates..........................31 Atlantic Neurosurgical Specialists ....................................28,29 Shore Gastroenterology Associates, PC................................32 Ocean Hematology & Oncology ......................................36, 64 TomsCenter River X-Ray, CT, .........................................................37 & MRI Center....................................33 Vein for Women Ocean Hematology & Oncology.............................................36 Bogdan Interventional Pain Management .............................38 PaonessaOrthopaedic Colon and Rectal Surgery, PC..............................38 Seaview & Medical Associates .......43, 44, 45, 46 Atlantic Integrative Medical Center.........................................45

We CareStart Adult Care, Inc.........................................................10 Speech ..........................................................................12 Tender Touch Health & Occupational Wellness Therapy ....................................12

Hospice Care Gentiva Hospice ......................................................................5 Gentiva Hospice.......................................................................3

Orthodontics IT Service Holmdel Orthodontics.......................................................18, 19

Hospice Care

Nutrition & Wellness

Nutrition & Wellness Balanced Life Weight Loss Institute ........................................7 Balanced Life Weight Loss Institute.........................................6 Alzheimer’s Community

Freehold Law Yoga Center............................................................11 Jersey ShoreofPharmacy...................................................42, 43 Law Offices Laura M. D’Orsi, LLC .....................................13 Straffi & Straffi, Attorneys at Law...........................................13 Hypnosis for Women..............................................................49 Ansell, Grimm, & Aaron, P.C. ................................................24 Fashion & Beauty Matus and Connell, LLC ........................................................25 Lynne’s Fashion Boutique, Inc...............................................12 Orthodontics Younique................................................................................44 Holmdel Orthodontics ............................................................14

Math Learning Center

Hair Replacement, Wigs & Extensions Mathnasium. ...........................................................................13 Valerie’s Hair Replacement & Wigs.......................................18 Financial Management

Elder Life Management Janney Montgomery Scott, LLC.............................................14 Elder Life Management .........................................................22 Permanent Hair Removal

Cosmetic Dentistry Monmouth/Brick Electrolysis..................................................15 Amara Dental.........................................................................23 RS Technical Services, Inc....................................................24

Retractable Awnings Health &.........................................................................20 Wellness Giglio Awning. Meridian Fitness & Wellness .................................................27 Cosmetic Dentistry

3 5 WickerCorner & Rattan Book

The Wickery. ..........................................................................37 Buzzin’ With .Kindness ...........................................................40 Alzheimer’s Care The Bunny With the BasketCommunity & the Golden Egg .....................51 Brandywine Senior Living.......................................................39

Fine Jewelry

Hair....................................................................41 Replacement TheWigs Jewelry& Link Abstrax Hair Designs........................................................40, 41 Business & Finance Fine Jewelry

Pearls of Wisdom Media, LLC ...............................................51 Aurasainte Marie Jewelry.......................................................44

Women of Monmouth County.........................46, 47 ........................52, 53 Water Sports Theatre & Entertainment

Bayside Jet Drive.Show .............................................................48, 55 Gazillion Bubble ...........................................................54 It Shoulda Been ..............................................................55 Theatre & You Entertainment My Son the Waiter..................................................................52 Travel Happy 50ish. ...........................................................................53 Vagabond Travel Agency. Inc. ..............................................57 Gazillion Bubble Show............................................................53

CASA Adult Community

CASA for children ..................................................................61 Fountainhead..........................................................................56

Fine ArtDesign Photography Interior

Annette Jenkins Photography ................................................63 Decorating Den Interiors. ........................................................58

Jersey Shore Pharmacy ........................................................34 Amara Dental..........................................................................22

Fine Art Photography Community ...........10, 40, 47, 48, 50, 56, 58, 59, 60, 62 Annette Jenkins Photography...........................................62, 63

SalonCarousel & Spa ...........................................................8, 35 Chocolate Hair and Company Oasis Spa..................................................8

Manalapan Spine Care and Rehabiltation .............................30 Reliable Health Solutions.......................................................22

✤ Please Take Advantage Of Our Many

Rehabilitation & Long Term Living We Care Adult Care, Inc. .........................................................9 Care One at Holmdel................................................................9

From the Garden, Inc.M............................................................31 Law Offices of Laura D’Orsi, L.L.C..............................28, 29

Pediatric Alcoeur GardensDentistry ......................................................................8 Tender Smiles 4 Kids...............................................................7 Specialty Cakes & Chocolate Novelties Adult Day Care Salon & Spa Law

Hair and Company Oasis Spa ...............................................10 Ansell, Grimm & Aaron, PC....................................................10 Pediatric Straffi & Straffi, Dentistry Attorneys at Law............................................28 Tender Smiles 4 Kids ............................................................11

Foot Pain Insurance

Garden &on Local Featured the Honey Cover

Featured on the & Cover Specialty Cakes Chocolate Novelties

Caring Heart & Brain...............................................................34 Imaging..........................................32, 33 Chocolate Carousel.

Garden Local Honey Assisted& Living

From theSenior Garden..............................................................35 Brandywine Living ......................................................39

Hospice Hospice Care Care

Benefits Of Hospice

an you name something that everyone can respect and admire, but nobody wants? While many feel that hospice is a “place to go” for “patients with cancer,” or for those with “days left to live,” the myths surrounding hospice services are numerous. Let’s take a look at the benefit of hospice services for patients and their families.

❧ What is hospice?

Hospice is a specialized form of care to help a terminally ill patient’s physical, spiritual, and emotional needs. Based on a plan of care, hospice covers all medications, supplies, and equipment needed to keep the patient comfortable and pain free while being supported by Gentiva’s Care Team.

❧ Who’s on Gentiva’s Care Team?

Led by a Registered Nurse Case Manager, Gentiva’s Care Team is made up of Certified Home Health Aides, social workers, 24-hour on-call support, spiritual and bereavement advisors, volunteers, a Hospice Medical Director, the patient’s attending physician, and their family.

❧ Who is eligible for hospice services?

its normal course. With a physician’s order, our team of healthcare professionals will evaluate you using a multitude of tools.

❧ Who pays for hospice services?

Services are covered primarily by Medicare, although they can be covered by private insurance, managed care plans and Medicaid.

❧ Does this mean we have to discontinue all care and physician’s visits?

No, our team will review the patient’s history with the patient and/or their family and discuss the best course of care. The patient’s physician is part of that team and office visits are still available.

Celebrate with Contests the Monmouth County “Enter To Win” Throughout The Woman by submitting your celebration to the free community bulletin ✤ board. Paper And On Facebook! For more information, see pages 59 & 60.

www.TheCountyWoman.com www.TheCountyWoman.com

Cathleen Fitzpatrick, RN, BSN, CCRN

Growing up and residing in Colts Neck, New Jersey most of her life, Cathleen Fitzpatrick is the new Manager of Clinical Practice at Gentiva Hospice. She was raised in Colts Neck, NJ, graduated from Seton Hall University, NJ and has a certification in Critical Care. She has held many positions over the years dealing with end of life care with a focus on palliative and hospice care. She is excited to join the Gentiva staff and will be servicing the Monmouth County area.

❧ What can Gentiva Hospice offer?

Gentiva Hospice offers compassionate care to those we serve during the end of life’s journey through our commitment to clinical excellence and uncompromising service. With locations in 43 states, we are proud to take care of 110,000 patients across the country each day.

The hospice benefit is meant for those with a terminal illness with 6 months or less to live if the illness runs “We have experienced the best care for my wife. All the staff communicates with me regarding the care of my wife. I am a hospice believer – love it and made my life so much easier. Taken a very difficult part of our life and made it bearable” ~ Bert Abbazia “The Gentiva staff was a true blessing for my mother and my family. The staff is very compassionate and truly makes you feel like part of their family. They put your heart at ease during a very difficult time.” ~ Dawn Romano

Community........................50, 51, 54, 57, 58, 59, 60, 61

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562-8800

We can be reached 24 / 7 / 365 fax (732)

562-8686 www.gentiva.com July/August 2015 March/April

Executive Note

4 Monmouth Monmouth County County Woman Woman

Welcome to the July/August 2015 Issue Of Monmouth County Woman!

Since Since2008 2008

Publisher........................................................ Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Art & Production Executive.......................Meghan Morse staff@thecountywoman.com • 856-885-8066 Public Relations Executive ...................... Lauren Shover staff@thecountywoman.com • 856-885-8066 Feature Cover Writer..........................Gena Ansell-Lande Graphic Designer, Real Grafix Design.......... Cathy Tveici Golden Design, LLC Graphic Designer......................................... Laura Golden Graphic Designer.............................. Stephanie Wolfgang golden.design@verizon.net Graphic Designer, Designer Photos........... Paula Brewer designerphotos@rocketmail.com Website Designer.............................................P.J. Santos www.digitalartstation.com Distribution Manager..................................... Mike Dziuba For advertising inquiries, please call:

1-866-398-0898

Allcorrespondence correspondenceshould shouldbe beaddressed addressedto: to: All

After graduating in 2014 with a Bachelor’s degree from Rowan University and then earning my Master’s degree in public relations from Southern New Hampshire University, I was fortunate to land a position as Public Relations Executive for the County Woman Publications. Over the past year I have enjoyed working with Lynn and her staff as well as our many talented contributing writers. Many days, I am blessed with emails, voicemails or personal conversations with readers who have benefitted from the information we’ve published. I also frequently hear from the professionals and business owners who have enjoyed working with me and who impress me every day with their level of expertise. I hope to continue my career at the County Woman Publications and enjoying all these pleasures for years to come. Summer has begun, temperatures are rising, and the Jersey shore is in full swing. Whether you enjoy family vacations, backyard barbeques, or lounging on the beach with a good book, the shore provides a perfect setting for all of your summer fun. Being healthy and fit is one of the most critical steps toward enjoying all those summer activities. Our Medical Professional and Health & Wellness articles offer an array of information about looking and feeling your best, from the top of your head to the tip of your toes. For instance, on page 16, you will find educational information on how to live pain-free from Liberty Pain Center. Kessler Rehabilitation Center (page 5) offers key advice on how to stay hydrated on those warm, long days of summer. If you or someone you know is getting married in the coming months, consider unique and delicious cakes and favors from Chocolate Carousel, featured on page 34. Hair & Company will give you the locks you’ve longed for on your big day, page 8. In addition, Lynne’s Fashion Boutique has a dress for every mother of the bride, along with the perfect dresses for any cocktail party, business event or other special occasion (page 12). Finally, summer is the perfect time to help your kids catch up or advance in their school work. On page 13, you can read about Mathnasium and its customized learning plan for children. Summer officially launched on June 21st, bringing warmer days and longer nights. We wish you a season full of magical moments that you can treasure forever. Warmest regards, Lauren Shover

“Life is good in the summertime!”

Featured on the Cover Law Offices of Laura M. D’Orsi, L.L.C.

The County County Woman Woman The P.O.Box Box619 619 P.O. Turnersville, NJ 08012 Turnersville, NJ 08012

The County Woman’s Newspaper is published bi-monthly and is available free of charge at The County Woman’s Newspaper is published bi-monthly and is available free of charge at display stands in approved private and public establishments and authorized distributors only, display stands in approved private and public establishments and authorized distributors only, 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 this paper may be reproduced without the written permission of the publisher. this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper is not responsible for any editorial comment (other than The County Woman’s Newspaper is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any reproducits own), typographical errors from advertisements submitted as camera ready or any reproductions of advertisements submitted as camera ready. tionsIfofanadvertisements as camera ready. of acceptance, we may revise or cancel it at advertisementsubmitted does not meet our standards an advertisement doesit not standards of acceptance, may revise or cancelThe it at anyIf time, whether or not has meet been our already acknowledged and/orwe previously published. any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will advertiser assumes sole responsibility all statements contained in submitted copy and against will protect and indemnify the Woman’s for Newspaper, its owners, publishers, and employees, protect and indemnify the Woman’s Newspaper, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for libel, unfair trade names, patents, any and all liability loss or rights, expenseand arising out of claims libel,ofunfair names, patents, copyrights and propriety all violations of theforright privacytrade or other violations copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication of this newspaper or its advertising copy. resulting from the publication of this newspaper or its advertising copy. to insert an advertiseThe publisher shall be under no liability for failure, for any reason, The The publisher shallshall be under liability for failure, for any reason,and/or to insert an advertisement. publisher not benoliable by reason of error, omission failure to insert any ment. shall not liable bywill reason failure to insert any part ofThe anpublisher advertisement. Thebepublisher not of beerror, liableomission for delay and/or or failure in performance part of an advertisement. The publisher not portion be liableofforandelay failure inorperformance in publication and/or distribution if allwill or any issue or is delayed suspended for inany publication and/or distribution if all or any portion of an issue is delayed or suspended for reason. The publisher will exercise reasonable judgment in these instances and will make any reason. The will exercise reasonable judgment in these instances and will make adjustments forpublisher the advertiser where and when appropriate. adjustments for theNewspaper advertiser where appropriate. The Woman’s assumesand nowhen responsibility for unsolicited material or reproducThemade Woman’s Newspaper assumes no responsibility for unsolicited material or reproductions by advertisers. tionsThis made by advertisers. newspaper will be published by the 15th of every other month. This newspaper will by the 15th Woman, of every other month. Representations by be Thepublished Monmouth County LLC TM COPYRIGHT 2008. Representations by The Monmouth County Woman, LLC TM COPYRIGHT 2008.

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(L-R): Lauren, Lynn & Meghan

Pictured L-R: Laura M. D’Orsi, Esq. and her Office Administrator, Vicky Caputo. A law firm dedicated to the practice of divorce, mediation and collaborative divorce. Read more about Laura D’Orsi, her law firm and her professional recommendations of when the best time to start a new relationship after a divorce on pages 28 & 29. Cover photo by Annette Jenkins Photography.

Schedule your beach portraits, family portraits, weddings and event sessions with Annette Jenkins Photography, see pages 62 & 63

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July/August 2015

Medical Professionals

Physical Therapy:

Exercise Heats Up Over The Summer

By: Alan F. Morris, PT

Warm weather and long summer days make this the ideal time to go outside and exercise. The key to successful activity is preparation. According to Alan Morris, PT, and Center Manager of Kessler Rehabilitation Center in Ocean Township, taking the time to warm-up and stretch, dressing appropriately, staying hydrated, and knowing signs of heat-related issues can make the difference in a safe and healthy exercise regimen. STRETCH IT OUT. Everyone should always begin by warming up. “Cold” muscles are more prone to injury. Be sure to stretch all major muscle groups in the arms, legs, hips and back. Stretching should include full range of motion movements, and also target those muscles most likely to be used during specific activities. “We often forget that the hours we spend sitting at work or at home leads to the tightening of our lower back, hips, hamstrings and lower leg muscles,” explained Morris. “Active stretching allows the muscles to increase flexibility, and jump starts the nervous system to allow for optimal function. In fact, research has shown that active stretching prevents injuries.” It’s equally important to stretch after a game or workout. Morris suggests that holding a position of muscle stretching for 20 to 60 seconds at its peak length, which is called “passive stretching,” can help with recovery and reducing post-workout stiffness.” HYDRATE. Proper hydration is necessary not only for optimal performance, but to help prevent

heat-related issues, such as heat exhaustion and heat stroke. Drink plenty of water or sports drinks with electrolytes before, during and after exercising or participating in a sport. Keep in mind that thirst is not a reliable sign of hydration. On hot, humid days, thirst often occurs too late to ensure the body is adequately hydrated, which can lead to serious problems.

HANDLING THE HEAT. Dehydration can lead to heat cramps, which affects the muscles in the

legs, arms or midsection, and heat exhaustion, which can cause profuse sweating, vomiting, headaches, muscle spasms and an overwhelming feeling of fatigue. Most serious, however, is heat stroke. This occurs when the body is unable to adequately cool itself. It is characterized by a lack of sweating, elevated body temperature, uneven breathing, confusion and other mental changes. Heat stroke is a medical emergency and can be fatal if not treated promptly.

Morris notes that children are more susceptible to heat-related illnesses because their central nervous system, which regulates body temperature, is not yet fully developed. For individuals of all ages, however, the best way to manage the heat is to stay well-hydrated, and to be sensible about exertion in hot, humid weather. Avoid exercising or playing in the middle of the day when temperatures and the sun are at their peak.

SUMMING UP SUMMER. Whether you’re looking to enjoy a favorite recreational activity, take

up a new sport, or simply get some exercise, summer is a perfect time to get out and get active. “From the beaches and pools to the playing fields, the Jersey Shore offers unlimited possibilities for a great workout,” notes Morris. “But it’s important to be prepared and use some common sense to enjoy a safe and active summer.”

Alan Morris holds a bachelor’s degree in exercise science from Rutgers University and a master’s in physical therapy from Touro College. For more than 22 years, Alan has worked in both the hospital and outpatient settings helping hundreds of patients— from pediatric to geriatric — build their strength, skills and mobility. His interest in the care of individuals with neurologic injuries led him to establish Kessler Rehabilitation Center in Ocean Township as a leader in the management of patients with Multiple Sclerosis, Parkinson’s disease and stroke. He and his team of physical, occupational and speech therapists tailor treatment to the needs of each patient and integrate the most advanced technologies, such as LiteGait® that allows for bodyweight-supported training to optimize recovery. Alan, who shares his expertise at state and national conferences, also focuses on body mechanics and has helped individuals and athletes of all levels maximize their abilities, using a wide range of techniques and treatments, including the new TRX® training system. Contact Alan at 732.918.4848 or almorris@kessler-rehab.com.

Tips for Pre-Season Athletes: Make the most of summer training As children and teens begin pre-season camps and training for fall sports, it’s important for parents, coaches and trainers, as well as the athletes themselves to know the signs of heat-related conditions and how to minimize the risk of injury. An estimated 70 percent of high school athletes show up for practice inadequately hydrated. Heat stress to the body is preventable, but each year many young athletes experience heat-related illness that can impact their performance and health. Regardless of the level of physical conditioning, caution must be taken when exercising in hot, humid weather. Sweating occurs whether or not the athlete drinks water. And, if water or an electrolyte fluid does not replace the sweat loss over a period of several hours, dehydration will occur. Adequate fluid intake is essential before, during and after exercise. SYMPTOMS/SIGNS Thirst, nausea, chills, clammy skin, muscle pain/spasms

CONDITION

ACTION

Heat Cramps

Drink 4-8 oz. water every 15 minutes; get in the shade and remove any excess/ wet clothing

Profuse sweating, Heat dizziness, headache, Exhaustion shortness of breath, rapid Result of water pulse, pale skin, fatigue

or salt depletion.

Lack of sweating, decreased urine, dry hot flushed skin, rapid pulse, unsteady gait, confusion, fainting, loss of consciousness, shock

Heat Stroke Caused by the body’s failure to cool itself.

Stop all exercise,. Keep the athlete cool using ice packs, spray bottles and towels. Drink plenty of cold water or sports drinks.

CALL 911 Emergency Medical Treatment

REMEMBER TO DRINK PLENTY OF FLUIDS!

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Nutrition

Wellness

The Four Most Important Strategies For Successful Weight Loss

hen it comes down to achieving real and lasting weight loss, despite the preponderance of information and misinformation out there, there are only a few things you really need to know. I have narrowed it down to four main strategies. They are simple but not necessarily easy. Weight loss always begins with a decision to change. As the saying goes: “more than we are doers, we are Joy Allison deciders. Once the decision is made, the doing is effortless.” Director of Operations Often times we need help to make the decision to change, and Lead Nutritionist most times we really need help applying those changes. If all Trainer this sounds familiar, you’re not alone. The weight loss industry Balanced Life Weight Loss Institute is just that; an industry, because we, as human beings, have such a hard time consistently applying those changes. With that said, here are the four MOST Joy has over 25 years of experience as important strategies for really successful a helping professional, with a passion weight loss. For weight loss that is lasting for inspiring others to achieve their and life changing: health and weight loss goals. She holds 1. GET THE HELP YOU NEED! certifications in Nutrition and Weight Management, as well as Personal Stop making money excuses, and time Training, Stott Pilates, and Sivananda excuses! (They happen to be the most Yoga. Joy writes a bi-monthly column common two excuses, in that order). We for The Asbury Park Press on Tuesdays always find both money and time for the things about fitness and nutrition. that really matter to us. If your health and weight loss goals rise to that level of importance then the money it costs and time it takes are of little concern. Think about it.. if your car breaks down, you find the money to fix it and the time to get it repaired. If your phone breaks, you find the time and money to get it fixed. If your children want activities after school, you find the time and money  Intensive nutritional guidance to get it for them. You get the idea? Decide,  Expert one-on-one diet coaching and the doing is effortless.  Pre/post bariatric surgery follow-up 2. DON’T BELIEVE YOU HATE  Behavior modification techniques and tools EXERCISE  Focused private fitness training This can become a self-fulfilling prophecy. Eatontown, NJ www.blwli.com We all know the importance of movement 732-380-7705

❧

Call NOW for special Summer Pricing Complementary assessment with Richard Goldstein, MD

Healthy Summer Recipe

and activity in our lives we can’t deny this. So why invest in negative thoughts around it. If you’ve never liked exercise in the past then maybe you didn’t have someone to show you a more enjoyable way of doing it, a gentler way of doing it. If you believe it, you can conceive it. Change your thoughts and your reality will change accordingly. Maintaining a healthy body weight, particularly if you have gained weight already is nearly impossible without exercise, so get your mind around it and get going! 3. GET A PROPER NURTITIONAL ANALYSIS Even if you think you’re eating right you may not be. Are you “doing everything right” but still not losing weight? There may be problems with balance, proportion, timing or other issues in your diet. Age, stage of life such as menopause (pre, post or during), postnatal and other changes can effect weight loss even if you’ve been successful in the past. Supplementation may be needed or other strategies to get the weight on the minus side again. 4. THINK OUTSIDE THE BOX If you are approaching weight loss the same way every time, especially if you’ve tried before, then you need to rethink and re-tool . Our bodies are very efficient machines, and adaptation is one of the things we do best. A new and fresh approach may be needed to get the ball rolling again, both physiologically and psychologically. If you are depressed and dreading the idea of “starting again” then get a coach to help you look at it with new eyes and a fresh prospective. If you do the same thing expecting different results then guess what? Get the help you need, get moving, know how what you are eating is affecting you, and try a new approach! With these tools in place you will realize successful weight loss once and for all!

❧

For more information, call 732-380-7705 or visit www.blwli.com.

Summer Watermelon Tomato Salad

Impressive and easy to prepare, this sweet and salty salad from Marcie at Balanced Life Weight Loss Institute is refreshing and different-perfect for party guests or for you to enjoy on a warm summer day. Ingredients Makes 8 1 cup servings 4 cups watermelon (cut in about 1” pieces) 4 cups ripe tomatoes (about 5 medium cut in large dice) 1 cup thinly sliced red onion 2 Tbsp. thinly sliced fresh basil (chiffonade) basil, divided ¾ cup crumbled Low Fat Feta cheese ¼ cup extra virgin olive oil

2 Tbsp. balsamic vinegar 1 tsp. kosher salt Freshly ground pepper to taste 2Tbsp. torn fresh mint In a large bowl, combine the watermelon, tomato, onion and half of the basil. Drizzle with the oil and vinegar and season with salt and pepper. Sprinkle with mint, remaining basil and serve.

Nutritional Information Calories per serving: 132 Fat per serving: 8 Protein per serving 4g Carbohydrates per serving: 12g Fiber per serving: 2g Cholesterol per serving: 3.8mg Iron per serving: .54mg Sodium per serving: 175mg Calcium per serving: .54mg

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Pediatric Dentistry

Dentistry Solutions For Teething Babies Any parent of a toddler or child can certainly tell you that when a baby begins to get those first baby teeth it is no fun for baby or for the parent. Teething can occur at any time from about six months on. It varies wildly from baby to baby, some are born with already erupted front teeth and some seem to take forever to get those first teeth in. But most babies have some teething pain at one time or another and anything a parent can do to help is welcomed.

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Dr.Max’s “Toothfairy Mobile” is a favorite attraction for children at community events. The children get to know the other side of dentistry beyond drillings and fillings.

First, be sure to establish that teeth are really causing the reason for the crying, drooling, low-grade fevers and the fussiness. You can run your finger along the gum line and usually feel the swollen areas where teeth are trying to come through. But if there is any question at all, let the baby’s doctor tell you if it is teething or something else.

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Teething babies love to bite down on things; it seems to relieve the pressure even if just for a bit. There are water-filled teething rings you can buy, and when they are either put into the refrigerator or freezer the cold helps the discomfort a lot. You need to have several of these so that when they warm up, another cold one is ready. Another possibility is a clean, frozen washcloth to chew on. Cold foods can help quite a bit. Try feeding baby chilled applesauce or favorite baby food

fruit, and try offering it on a cold spoon. Putting some chilled water in a bottle can also help. Just make sure it is not too cold, of course. This can also help to make sure baby does not get dehydrated from all of the drooling.

There are analgesic gels that you can buy and rub on the baby’s gums. These should not be over-used but they can numb the area for a time. Just make sure you get the gels that are specifically made for babies. If all else fails, consider giving baby some Tylenol. Be careful with the dose and do not over use this, but it can be helpful at bedtime and if baby has a low-grade fever.

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Due to the excessive drooling that teething causes, baby may get a rash

on the chin or around the mouth. Do your best to keep that area dry and if a rash occurs, gently pat some baby lotion onto it.

Teething can be a trying time for both parent and baby. Just remember it

Testimonials It was definitely a pleasant experience going to the dentist for the first time for my two-year-old daughter. The rooms were geared toward kids from the moment you walked in to the back. The colors were kid friendly and the TV’s in the ceiling was a great idea. I would definitely recommend you to my friends and will keep coming back. Thanks! - Mariana Cerzon

will pass. But if it seems to last longer than you think it should, take the baby to see a pediatric dentist just to be safe.

If a wonderful feeling when we come to the office. My little boys love you guys and their happiness is what matters. Keep doing what you guys are doing, being wonderful and loving. - Noah Michaels

Call 732-625-8080 to schedule an appointment today!

I was very happy with my son’s visit. He is extremely afraid of the dentist. I usually cannot even get him in the chair. He really liked the dentist he saw and the lady who did his x-rays was very good. Trust me when I say in the past at other offices they cannot even get the x-rays done so I was very happy there. I actually referred my sister because she has the same ins and outs and could never find an office she liked. Once again, thank you for a very good visit and making my son feel comfortable. - Joseph Olivier

Dr. Max Sulla, D.D.S. and Associates

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The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Salon

Spa

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The County Woman Magazine www.TheCountyWoman.com

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July/August 2015

Rehabilitation

Long Term Living

CareOne at Holmdel Center for Congestive Heart Failure Why Our Program Is Unique Caring for patients who have had congestive heart failure warrants a specially trained team of health care professionals. At CareOne at Holmdel, we have created clinical guidelines which define best practices in congestive heart failure excellence, while focusing on each patient’s needs and goals. Because each heart patient requires a variety of medical services including physical, occupational and speech therapy, nutritional monitoring, emotional support and physician care, our program has been designed to emphasize on-going communication among the care team, physician, patient and family members.

About The Program The Congestive Heart Failure Program is physician-directed and is focused on assisting patients to achieve their highest potential for recovery. Patients will receive a treatment plan that is specific to their level of functioning and individual clinical needs. All of our treatment staff have been specially trained in Congestive Heart Failure protocols and follow the clinical guidelines established by our clinical team.

Services Provided • • • • • • •

Physical, and occupational therapies seven days a week Daily weight monitoring, scale training 24-hour-a-day nursing care Weekly physician evaluations as needed Specially designed clinical protocols for congerstive heart failure Social work and discharge planning Coordination with home care agencies

• Community/home re-entry training • Personal care (assistance with bathing, dressing and hygiene) • Two gram sodium diet available, including dietitian visits and training • Family education and training • Regularly scheduled care planning meetings • Physician-directed care plans

Admission To The Program Any patient who has had congestive heart failure is a candidate for the Congestive Heart Failure Program. We encourage patients to consult with their hospital discharge planner to make arrangements for admission to the program. Additionally, we encourage patients and family members to visit CareOne at Holmdel prior to admission to have any questions regarding their stay answered. Upon admission, an interdisciplinary team consisting of physicians, nurses, therapists, nutritionists and social services will assess each patient and develop a care plan tailored to meet their individual needs. Family members are an important part of the program and are kept informed throughout each patient’s stay. A discharge planner will assist in making the necessary arrangements for home services to ensure a smooth transition.

For additional information on The Congestive Heart Failure Program at CareOne at Holmdel or to arrange a personalized consultation, please contact our admissions office at 732-946-4200.

483351

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The County Woman Magazine www.TheCountyWoman.com

188 Highway 34, Holmdel, NJ 07733 732-946-4200

July/August 2015

Law

More than 85 years of dedication, passion, integrity and professionalism. Areas of Practice:

Bankruptcy Civil Litigation Commercial Litigation Commercial Real Estate Community Association Contract Criminal Defense

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A commitment to excellence. A commitment to people.

This is a story we hear often...

Gracie was grateful when her son and daughter-in-law offered he urban Monmouth County home after her husband, Al, passed away. 501 1500 Lawrence Avenue 365 Rifle Camp Road, 210 Carnegie Center 140 Grand St. Suite The homePrinceton, she had shared Al for five decades too much her to handle. Ocean, NJ 07712 Woodland Park, NJ 07424 NJ with 08540 Whitewas Plains, NY for 10601 But she was lonely living with son, Howard, and daughter-in-law, Sharon. They and their children tried to mak 732.922.1000 973.247.9000 609.751.5551 800.569.3886 Active Schedule Wefriends Care Care Keeps Members they had busy lives. She wantedat to make butAdult did not know how she would meet people her ageYoung who might The solution We Care Adultoften… Care, the Gracie qualitywas adult day when care center locatedoffered in Union Adult Day Care This iswas a story we hear grateful her sonconveniently and daughter-in-law her aSquare room in town, NJ. We Care Adult Care provides supervision, nursing care, meals, activities, and transportation plus County her husband, Al, passed away.Gracie The home had shared five decades was too much for her m to daughter-in-law offered This home is a after story we hear often... wasshe grateful whenwith her Al sonfor and cost per hour than home care. ing with son, Howard, and daughter-in-law, Sharon. They and their children tried to make her feel comfortable, but they h urban Monmouth County home after her husband, Al, passed away. makestaff friends but didannot know how she would meet people her and age who mightand sharea nurse her interests. “Our includes activity director to organize activities exercise, who will moniThe home she had shared with Al for five decades was too much for her to handle. tor our member’s vitals and administer medication, coordinating with the member’s physicians,” The solution was We Care Adult Care, the quality adult dayRN. care center conveniently located in Union ButWe sheCare was Adult lonely living with son, Howard, and daughter-in-law, They andCare their children tried to m said Care Administrator Tracey Wolfman, “OurSharon. We Care Adult memSquare Mall, Route 356,She in Middletown, NJ. friends We Carebut Adult Care provides supervision, nursing care, her age who mig they had busy lives. wanted to make did not know how she would meet people bers receive patience and kindness from our knowledgeable staff. The quality of life of our members activities, and transportation plus muchof more, and it isProfessionals half the cost perfocuses hour thanon home care.categories by The National Association Activity three he activity department is one of the most ismeals, enhanced stimulating activities, nutritious gourmet meals, care, physical therapy, occuThe solution was We Care Adult Care, the quality adult daynursing care center conveniently located in Union Squar pational therapy and social services. ofstaff programming: Maintenance, Supportive, and Empowerment. town, NJ. Weincludes Care Adult Care provides supervision, care, meals, activities, transportation plus important departments at We Care Adult “Our an activity director to organize activitiesnursing and exercise, and a nurse whoMaintenance willand monitor costmember’s per hour thanand home care. focus onand skills while still remaining sustaining that“While level function. Care. It is the main part of the member’s“Gracie day our administer medication, coordinating withand thenoted member’s physicians,” saidof Adminisisactivities likevitals many widows widowers of her generation,” Wolfman. living with trator Tracey Wolfman, We Care Careactivities membersand receive patience and kindness from her son’s family offered her“Our a loving home, it was isolating. And she hadand some health issues that “Our staff includes anRN. activity director toAdult organize exercise, a nurse who willourmoniSupportive activities provide comfort through sensory or spiritual programs. 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The quality of life of our members members by similar interests and cognitive abilities is aguidance good first The activity “Gracie is like many widows widowers ofsupport her generation,” noted Wolfman. living withassisstimulation. At the same time, the activity must The We Care social worker is and available for and meals, will provide forstep. financial is enhanced by stimulating activities, nutritious gourmet nursing care,“While physical therapy, occuher son’s family offered herher a loving home, itresources, was isolating. Andmembers she had some health to issues thatgroups needed through grants, access community assess and organize support groups director and staff must then categorize activities to cater these tofor be flexible enough to ensure its outcome to tance be pational therapy and social services. monitoring, but she wantoutcome. to be a burden on her can family.” caretakers. a didn’t positive Benefits be multiple andWolfman. different“While for each member. successful on all cognitive levels. Trying to find “Gracie ensure is like many widows and widowers of her generation,” noted living with largerwelcome group can to also be successful all And threeshe categories. Debbie McCarthy, the perfect balance takes the We Care activity her son’sOften family her a loving home, it was had some health issues that Youa offered are come forisolating. a in complimentary day. Each Enjoy day, group, each member, and will bewhose different We Care Adult is Care an each adult day care center pur-even Activity Director department working as a total team to promote needed monitoring, but each shelunch didn’t want to besee aCare burden on her family.” and ifInc. We isactivity for you! pose is to provide the highest quality of alternative care to all her the same persons involved. It is the role of the activity professional self worth and satisfaction to all our members.You are with welcome to come for a complimentary day. Enjoy lunch and see if We Care is for and you! 732.741.7363 seniors. We care is more than just our name—it’s our promise. ensure a positive resultfor to support promote each member’s self esteem In order to best serve our members, the staff must get to know each member The Westaff Caretosocial worker is available and willindividual provide guidance for financial assis-Every day is a Call us today for your complimentary day! and even have fun doing so. individually. Each member’s past and present leisure/recreational interests tance through grants, assess members and organize support groups for The We Care social access worker community is available forresources, support and will provide guidance for financial assistance must be identified. The Activity Director must also take the member’s cognitivethrough UPCOMIN Union Square Mall 552A 35, Redgroups Bank, NJ caretakers. UPCO grants, access community assess members andState organize support for07701 caretakers. For resource, more information, callRoute 732-741-7363!

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aptitude, physical abilities, and social skills into consideration while planning the day’s activities. Trying to tailor to the likes and dislikes of a group of individuals can be quite a challenging task. The We Care team takes pride in accomplishing this on a daily basis!

Upcoming Events at We Care Adult Care

Support Group 2nd Tuesday of Each Month @10am *9/11/15- Bowling Fundraiser for Alzheimer’s Disease-Sign Up!! *9/21-9/25- Celebrate Adult Day Services Week *9/27/15- Alzheimer’s Walk Pt. Pleasant Boardwalk

The County Woman Magazine www.TheCountyWoman.com

*SweetheartAD *Homemade We more Careabout AdultusCare Inc. is an adult day care center whose pur- *Eyeu&Swe Heart Read at www.wecareadultdaycare.com pose is tobyprovide quality of alternative care to all *Guest Speak with En Licensed the New the Jerseyhighest Department of Health and Senior Services

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July/August 2015

Health

Wellness

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Fashion

Beauty

Find The Perfect Summer Wardrobe At Lynne’s Fashion Boutique Summer is here. Vacation season. Parties are planned. Now you just need to find something to wear. This summer, comfort is key. Dresses are back in a big way. Stay cool and comfortable without sacrificing fashion. A sundress or flowing maxi dress is the perfect choice. Patterns or solids, bright and bold or simple and elegant, we have something that will be perfect for you. If you want to add a bit of style, refresh your wardrobe with some new tops. This season, there are no rules; you can wear any sleeve type that you are comfortable in – dolman, cap, short, ¾ or long. When planning your vacation wardrobe, you need to ask yourself, “Will it pack well?” Many of our fashions can be put in the suitcase, given a little shake when taken out and they are ready to wear. Separates that can be mixed and matched are the perfect items for travel. With just a few key pieces – a few bottoms and tops – pair them with a jacket and you can have a different look for every day of your trip. Accessories can also change your look from casual to dressy, by adding a bit of sparkle. We now carry Van Galz coil wrap bracelets. Using a combination of semi-precious stones, crystals, fashion pearls or Murano style fused glass with gold and silver accents, each bracelet is a unique statement piece. When shopping at Lynne’s, remember that we receive new items on a regular basis, so you will always find something different. We carry designers that you will not find in department stores and we only order one of each size, so you know that you will not match everyone else at the club. Shop early and often for the best selection. Shopping at Lynne’s is never a chore. We want your experience here to be enjoyable, so you walk out with clothes that make you feel beautiful. Appointments are not required, but if you would like to make one for special assistance, please give us a call. If you are looking for dressy or formal wear, you have come to the right place. Off the rack or custom ordered to find the right color, cut and style, we’ll make you beautiful for your special event. We specialize in Mother-of-the-Bride/Groom attire. You need to give yourself plenty of time for the garment to arrive and for your alterations. So don’t wait – start your shopping early and your experience will be more pleasurable. Plus, the personalized attention you receive from our staff will leave you feeling very special.

 We have a seamstress on premises available by appointment. Lynne Goldberg, owner of Lynne’s Fashion Boutique, has been in the women’s retail clothing business since 1989, and her boutique has evolved and changed along with the times. Specializing in Mother of the Bride or Groom attire, she also carries a wide selection of casuals, sportswear and accessories that will allow you to dress well and feel comfortable- for everyday or any occasion.

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Upcoming Events at We Care Adult Care 4 4 4 4

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For more information, visit www.wecareadultcare.com or call 732-741-7363 today!

The County Woman Magazine www.TheCountyWoman.com

Congratulations Tracey L. Wolfman, Owner, on being chosen as one of the Top 25 NJ Leading Entrepreneurs ! July/August 2015

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The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Financial Management

Converting Savings to Retirement Income During your working years, you’ve probably set aside funds in retirement accounts such as IRAs, 401(k) s, or other workplace savings plans, as well as in taxable accounts. Your challenge during retirement is to convert those savings into an ongoing income stream that will provide adequate income throughout your retirement years.

portfolio. Figuring out an appropriate initial withdrawal rate is a key issue in retirement planning and presents many challenges. Take out too much too soon, and you might run out of money in your later years. Take out too little, and you might not enjoy your retirement years as much as you could. There is no standard rule of thumb that works for everyone--your particular withdrawal rate needs to take into account many factors, including your asset allocation and projected rate of return, annual income targets and investment horizon. Past results don’t guarantee future performance.

tax-deferred accounts, and lastly, taxfree accounts. By using your tax-favored accounts last, and avoiding taxes as long as possible, you’ll keep more of your retirement dollars working for you. For retirees who intend to leave assets to beneficiaries, the analysis is more complicated. You need to coordinate your retirement planning with your estate plan. If you have appreciated or rapidly appreciating assets, it may be more advantageous for you to withdraw from tax-deferred and tax-free accounts first. This is because these accounts will not receive a step-up in basis at your death, as many of your other assets will. However, this may not always be the best strategy. If you intend to leave your entire estate to your spouse, it may make sense to withdraw from taxable accounts first. This is because spouses are given preferential tax treatment with regard to retirement plans.

Annuity Distributions

If you’ve used an annuity for part of your retirement savings, at some point you’ll need to consider your options for converting the annuity into income. You can choose to simply withdraw earnings (or earnings and principal) Which Assets Should You from the annuity. There are several ways Setting A Withdrawal Rate Draw From First? of doing this. You can withdraw all of The retirement lifestyle you can afford For retirees who don’t care about the money in the annuity in one lump will depend not only on your assets and leaving an estate to beneficiaries, the sum. You can withdraw the money over investment choices, but also on how answer is simple in theory: withdraw a period of time through regular or quickly you draw down your retirement money from taxable accounts first, then irregular withdrawals. By choosing to make withdrawals from your annuity, you Certain Distributions Are continue to have control over money you Required have invested in the annuity. However, if You can’t keep your money in taxyou systematically withdraw the principal deferred retirement accounts forever. and the earnings from the annuity, there is The law requires you to start taking no guarantee that the funds in the annuity distributions--called “required minimum will last for your entire lifetime, unless distributions” or RMDs--from traditional you have separately purchased a rider that IRAs by April 1 of the year following the provides guaranteed minimum income year you turn age 70½, whether you need payments for life (without annuitization). the money or not. For employer plans, A second distribution option is called Consider tax implications There’s no doubt about it—going through a divorce can RMDs must begin by April 1 of the year the guaranteed* income (orofannuitization) In addition to your regular salary and wages, you may have new sources income be an emotionally trying time. In addition to the emotional following the year you turn 70½ or, if option. If you select this option, your it after your divorce, such as alimony and/or child support. If you are receiving alimony, later, the year you retire. Roth IRAs aren’t impact, however, it’s important to know how your financial annuity will be “annuitized,” meaning will be considered taxable income to you. Child support, on the other hand, will not bethe subject to the lifetime RMD rules. current value of your annuity is converted considered taxable income. position will be affected. You need to assure that your It’s to will takealso RMDs into Filing status into aisstream of payments. Your taximportant filing status change. determined as of theThis lastallows day of finances are on the right track, so you can start building a account when contemplating how you’ll to receive a guaranteed* income the tax year (December 31). This means that evenyou if you were divorced on December foundation for your new financial future. withdraw your savings. If stream from the entire annuity. The annuity 31, you would,money for taxfrom purposes, be considered divorced for that year. you withdraw less than your RMD, you issuer promises to pay you an amount of Finally, if you have children, and depending on whether you are the custodial parent, Assess your current financial situation will pay a penalty tax equal to 50% of the money on a periodic basis. dependency Following a divorce, you’ll need to assess your financial situation. You may likely lose you may be eligible to claim certain credits and deductions—including amount you failed tax to withdraw. exemptions, the child credit, andThe thegood credit for child and dependent care expenses, your former spouse’s income and be solely responsible for expenses you once shared. *Guarantees are subject to the claims-paying ability news: can always withdraw thandeductions. Chances are,noyou questions. along withyou student loan interest andmore tuition Ultimately, you may find you’re longerstill able have to continue the lifestyle you had before and financial strength of the issuing insurance your RMD amount. your divorce.

Financial Management

919

Adjusting Adjusting to to Life Life Financially Financially after after aa Divorce Divorce Are all signs pointing to a comfortable retirement? • What sources of income will I rely upon in retirement? • Will my income and assets last for my lifetime? • What expenses can I expect?

Establish a budget

Focus on establishing a budget that reflects your current monthly income and expenses. In addition to Retirement your regular and wages, include other types income, of income, The Janney Testsalary Drive provides a picture of your spending, and assets projectedIfthroughout you can understand such as dividends and interest. you’ll be retirement—so receiving alimony and/or childhow support, investment and spending decisions you make today can impact your tomorrow. include these payments also. Divide expenses into two categories: fixed and discretionary. Fixed expenses CONTACT ME FOR A RETIREMENT TEST DRIVE TODAY! include things like housing, food, and transportation. Discretionary expenses include FIEDLER-SANTORO, CFA, AWMA® entertainment,TRACY vacations, etc. You may need to cut back on discretionary expenses until FIRST VICE PRESIDENT / WEALTH MANAGEMENT you adjust to living on less MARCHEL WEALTHincome. MANAGEMENT GROUP 800.346.1446 | WWW.CROESUSADVISORY-JANNEY.COM Reevaluate/reprioritize your financial goals 401 NEW ROAD | LINWOOD, NJ 08821

company. Call Janney Montgomery Scott at 609-601-2509 or 1=-800-346-1446 1-800-346-1446

Tracy Fiedler-Santoro, First Vice President/Wealth Management of Marchel Wealth Management Group of Janney Montgomery Scott LLC. Tracy offers personalized retirement and wealth management solutions to individuals, families and organizations. She takes a comprehensive approach with her clients, getting to know and understand them, and then helping define and prioritize their goals. She has been with Janney Montgomery Scott, a leading full-service wealth management, financial services, and investment banking firm, since 2008. Her areas of expertise include financial guidance, retirement solutions, estate planning, insurance, and education savings, as well as mutual funds, equities, annuities, and trust services. Tracy also specializes in investment strategies designed specifically for women.

While you were married, you may have set certain financial goals with your spouse. Now that you’re on your own, these •goals may haveSCOTT changed. Start by making a list of WWW. JANNEY.COM © 2015, JANNEY MONTGOMERY LLC • MEMBER: NYSE, FINRA, SIPC things you wish to achieve. Do you need to save more for retirement? Would you like to save for a new home? Reprioritize your financial goals as well. After your divorce, goals you had shared The County Woman Magazine www.TheCountyWoman.com with your spouse may no longer be important, while others become far more important

July/August 2015

Permanent Hair Removal

What’s With The Hairs On My Chinny-Chin-Chin? Submitted by Lorraine Fetherman, L.E., C.P.E. Licensed and Certified Electrologist

o, you noticed a few hairs growing on your chin, cheeks and/or upper lip.

WHY!?

And maybe the hair on your head is thinning, too? The entertainment is endless with our bodies; it’s just not all good entertainment. Hormones are the answer. Whether it is an increase, a decline or an off-balance, it is your hormones doing the trick. As you know, men and women, many times throughout our lives, go through “changes” such as puberty, childbirth, breastfeeding, perimenopause, menopause, simple aging, etc. Also, there are countless medications that affect hair growth and hair loss as well, and health issues such as PCOS (polycystic ovary syndrome). Some of these issues can be addressed through medication and a doctor’s advice. However, that doesn’t mean your hair issue will end. We can help you with that. Hair Removal Areas Electrolysis can be applied to most facial and body parts, including: • Abdomen • Eyebrows • Bikini line • Chin • Legs • Upper lip • Jawline & sides of face • Breasts & underarms

As well as the ears, parts of the nose, fingers, toes, feet, etc. We understand the embarrassment, selfconsciousness and discomfort that comes with unwanted hair. If it is just cleaning up your eyebrows or clearing a beard, we can help. No hair problem is too small or too big. Our treatment will help you feel clean, carefree, self-confident and uninhibited. Take advantage of the free consultation. We will explain in detail how the process works for your individual needs. Everyone is unique in his or her situation, but we are all the same when it comes to the results we want: permanent hair removal. A brief history of electrolysis and how it works. Here we are, the year 2015, and the only FDAapproved method of “permanent hair removal” still remains to be electrolysis. It was first used back in 1875 by an ophthalmologist named Dr. Charles Michel. He wanted to find a way to remove the painful ingrown eyelashes of his patients. What he came up with at that time is called galvanic electrolysis. It is a chemical method that utilized direct current to convert normal body salt and water into the compound sodium hydroxide (lye). Lye destroys the cells on a microscopic level that initiate hair growth. Then in 1923, after the discovery of radio waves and high-frequency current, a new method of electrolysis was born. This method, called thermolysis, uses highfrequency current to produce heat. The heat cauterizes and destroys the cells on a microscopic level in the follicle that cause hair growth. And then in 1945, Arthur Hinkel developed the blend method, which combines galvanic and high-frequency currents. This combination causes

destruction by both heat and chemical action at the same time on a microscopic level. What is electrolysis like today, for you? We have come a long way from the practice of 1875. We now have computerized equipment for a much more comfortable, effective treatment. We practice the highest standards of sterilization; we are recommended by physicians; we are all board certified and licensed in the state of NJ; we use state-of-the-art equipment. We are always improving and refreshing our skills and education through required and voluntary continuing education. We attend seminars, workshops, lectures, etc., several times a year. We are passionate about improving our skills, equipment and the safety of our clients, along with the changing of the times. STOP tweezing, waxing, shaving, etc.…these are all temporary hair removal attempts. We can give you permanent hair removal solutions with electrolysis.

Find us online at www.bhairfree.com We offer two convenient locations: Brick Electrolysis 522 Brick Blvd. • Brick, NJ 08723

732-477-9040 Monmouth Electrolysis 2510 Belmar Blvd. • Colfax Plaza Belmar, NJ 07719

732-280-0400 We offer appointments 7 days a week. 7 am to 9 pm most days. Call for an appointment today! Mention this article and receive

WHO ARE WE? l-r Lorraine Fetherman, L.E., C.P.E.

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ELECTROLYSIS

Debbie Matusas, L.E., C.P.E.

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2510 Belmar Blvd. Wall, NJ 07719

522 Brick Blvd. Brick, NJ 08723

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“It’s a butterfly effect...” Licensed & Certified Electrologists:

Lorraine Fetherman

L.E., C.P.E.

Debbie Matusas

L.E., C.P.E.

Barbara Stoll

L.E., C.P.E.

I am Lorraine Fetherman, L.E., C.P.E. I am proud and excited to say I just celebrated my 20th year as an Electrologist in March 2015. I love what I do. I am one of the lucky people who looks forward to going to work. I get to help people feel better about themselves, feel more confident and less inhibited. I am passionate about what I do and the people I help. I am always looking to learn more. I will be attending a 3-day Electrolysis Symposium in Quebec City this August for many lectures and workshops in our field. I also attend several lectures, workshops and seminars every year in the United States, keeping up with the constant changes in the health and beauty world. Debbie Matusas, L.E., C.P.E. One of my two associates, she has been an Electrologist for over 17 years. She is a great asset to our practice and her clients love her. I hear wonderful feedback all the time. She is very accommodating to our clients’ needs, offering her services days, nights and weekends at our Brick location. Debbie also continues her education, attending workshops, seminars and lectures every year.

The County Woman Magazine www.TheCountyWoman.com

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your first treatment, with a free consultation. Cannot be combined with any other offer. By appointment only. Either location.

Testimonials: “I let my husband touch my face for the first time in 15 years, Lorraine. I can’t express to you how much you have helped me with my self-esteem and confidence. I truly thought I would be shaving my face every day for the rest of my life. I am so grateful, I still can’t believe it is gone!!” L.S. - Bayville, NJ “I wish I knew about you years ago. I have tweezed my face every day since college. It was just part of ‘MY’ routine. NOT ANY MORE!!!! Thank you, Brick Electrolysis!! See you soon for my touch-up, I miss you, Lorraine!!” S.C. - Brick, NJ “My wife is very happy with my hairless ears. I did it for her. But, I can now say I am glad I did. She isn’t trying to pull them out anymore; she was mean. Let’s not forget the few you removed from the top of my nose. My daughters didn’t want to be seen in public with me. Once again we are a big, happy, hair-free-Dad family. Thank you.” Joe S. - Wall, NJ

July/August 2015

Medical Professionals

Living Pain-Free At Last If you are among the 50 million people in this country living with chronic pain, you may feel like all hope is lost for living an active life. However, a visit to a pain clinic may be what is necessary to get you back to a normal lifestyle. A pain clinic focuses on the diagnosis and management of chronic pain.

r. Mariam Ghobriel is the clinical director of Liberty Pain Center and the appointed chair of pain management at CentraState Medical Center. Her responsibilities include managing acute care patients, spine injuries, cancer pain and postoperative issues. By utilizing the most advanced techniques and technologies, Dr. Ghobriel and her staff are able to employ a multidisciplinary approach to treating your pain. The focus of her practice is on

Dr. Ghobriel has treated many patients dealing with joint pain in very specific areas including the shoulder and hip area and elbow and wrist. She adds, “There are different reasons for this but it is important to remember that some of these pains could be a result of neck or low back pain radiating into the shoulder or hip and misdiagnosed as the joint itself being the source of the problem.” When the patient is examined further, she finds that the joint is sometimes intact and it is only the echo of a problem that is occurring elsewhere. Most likely it is a disc or arthritis in the neck or the back with pain referring to these joints. Most joints will respond to conservative treatments like rest, medications or physical therapy. In more resistant cases, injections might be needed and in advanced cases, surgical intervention could be necessary. Before any type of treatment is implemented, Dr. Ghobriel identifies the cause of the pain. “Sometimes it is the actual joint causing the problem, but it could also be tendon inflammation like golfer’s or tennis elbow. Nerve entrapment, which is common in carpal tunnel syndrome could also be the culprit. Before treatment begins, we have to establish a diagnosis through a careful history intake, physical examination and testing such as X-rays, and possibly MRI imaging. Sometimes, we will do a blood test to rule out rheumatologic conditions,” she says.

The reason for the increase in these types of ailments is because we are living longer and seeing problems that were not as common in the past. She adds, “In younger age it’s usually the extremes, either lack of exercise all together or sports injuries due to excessive workout and trauma. For elders, it can be due to arthritis or years of wear and tear. However, thanks to these various treatments we can help patients eliminate, or at least ameliorate these conditions.” In the initial phase of injury Dr. Ghobriel will prescribe antiinflammatory medication or a muscle relaxant when necessary. If the patient fails treatment by all other means, including injections and surgery, she may resort to long -term management utilizing medication with close supervision, as they are not without side effects. It is the caring and personal approach Dr. Ghobriel takes with her patients that makes her so successful in the field of pain management. By taking into consideration how their ailments affect their daily activities, goals, and overall well

disorders of the spine and she uses a combination of conservative treatments as well as state of the art techniques for spine and joint injection and minimally invasive surgery. Most importantly, she and her staff will focus on the patient and not just their pain. If you are dealing with chronic pain, the Liberty Pain Center specialists can Testimonial: design an individualized treatment plan to put you on the road to After experiencing back pain and leg pain for six months without any relief, I went to Liberty Pain Center. Dr. recovery. Ghobriel performed shots in my back. I felt so much relief that I am now able to resume my life without any pain. Thank you Dr. Ghobriel! Johanna W.

Mariam Ghobriel

In her practice, Dr. Ghobriel treats a variety of conditions including those suffering from disc problems, sciatica, and patients that have injuries stemming from car accidents or work place injuries. She also treats non-surgical joint pains due to sprains, meniscal tears or arthritis. She also treats nonsurgical joint pains due to sprains, meniscal tears and arthritis in addition to treating early or advanced stage cancer.

The County Woman Magazine www.TheCountyWoman.com

being, she is able to effectively treat and manage their pain. After a successful treatment many of her patient’s have walked out of her office feeling like she has performed a miracle. Dr. Ghobriel is passionate about her work and takes great pleasure in sharing her knowledge of the field with the community. Throughout the year she conducts a series of community lectures to increase the public’s awareness of the latest in pain management techniques and therapies. Additionally, she devotes her time to staff teaching in the field of pain management with lectures conducted for the nursing staff and family residency physicians. Home for Dr. Ghobriel is in Monmouth County where she lives with her husband and three children. She is also an active member of several charitable organizations locally and internationally.

Liberty Pain Center Specializing in Interventional & Minimally Invasive Pain Relief

Want to feel liberated from the Pain? Dr. Mariam Ghobriel

1001 West Main Street | Suite A Freehold, NJ 07728

732-303-0102

Joint Injections = Radiofrequency Nerve Injections = Spinal Cord Stimulators Trigger Point Injections = Epidural Steroid Injections

www.libertypaincenter.com July/August 2015

Medical Professionals

What Are The Risks To You And Your Baby?

Dr. Darlene M. Morgan

What are your risks?

Ask your doctor what the risks to you and your baby might be if: • You Have Any Medical Conditions If you have a medical problem, it could cause problems for you or your baby during pregnancy. Women who have certain medical conditions should work with their doctor to get their conditions under control before they get pregnant. This includes women with diabetes, high blood pressure, asthma, thyroid conditions, seizure disorders, and other problems. If these conditions are not well controlled, they can cause problems for a mother and her baby during pregnancy. • You Or Your Partner Has A Family History Of A Medical Condition If you or your partner has a history of a condition that could

be passed on to your baby, you might need genetic counseling. Genetic counseling can help you find out what the chances are that your baby will have the condition. It will also help you sort out what your options might be if your baby does have problems. Examples of conditions that might call for genetic counseling include cystic fibrosis and muscular dystrophy. • You Might Have An Infection That You Catch Through Sex Infections that you can catch through sex, also called “sexually transmitted diseases,” or “STDs,” can make it hard to get pregnant. They can also infect and harm an unborn baby. If you think you might have 1 of these infections, tell your doctor or nurse. He or she can test for the infection and treat it. This is especially important if there is a chance of HIV infection.

What about the home and work environment?

People often have chemicals or substances in their home or work that could hurt an unborn baby. Dealing with these substances can sometimes be complicated and time consuming, so it’s important

to plan ahead. For instance, people who live in homes built before 1978 often have lead paint on their walls or woodwork. Lead in chips or dust from this paint could harm a baby. Ask your doctor or nurse how to deal with this and other harmful substances you might have around you.

What about my weight?

Women who weigh too little or too much can have problems getting pregnant and problems during pregnancy. You should try to reach a healthy weight before you try to get pregnant. The average weight gain is about 25 – 35 pounds.

What are over-thecounter medicines?

Over-the-counter (OTC) medicines are medicines that you can buy in a pharmacy or store without a doctor’s prescription. They come in different forms, including pills, creams, and eye drops. People commonly use OTC medicines to treat: • Fever • Cough and cold • Allergies • Skin rashes or hives

Part II

• Diarrhea or constipation (trouble having bowel movements) • Heartburn Some OTC medicines can cure the condition that is causing the symptoms. But many OTC medicines do not cure the condition that is causing the symptoms. Instead, they only improve symptoms for a short time.

Are OTC medicines safe to take during pregnancy?

Some are probably safe, but others aren’t. It depends on: • The Medicine Experts know that some medicines are probably safe to take during pregnancy. Experts also know that other medicines are not safe and could harm a baby or cause problems during pregnancy. But for many OTC medicines, experts don’t know the answer. That’s because studies have not been done to check the safety of most OTC medicines in pregnant women. • How Far Along The Pregnancy Is Most birth defects happen in the first few months of pregnancy. If you take an OTC medicine during that time, you can increase the chance that the medicine will harm your baby. The best way to know if an OTC medicine is safe to take during pregnancy is to ask your doctor or nurse. Call your doctor or nurse before you take any medicine during pregnancy. You can also get information about the safety of taking certain medicines during pregnancy by calling this free hotline (in the US): 1-866-626-6847.

Which pain-relieving medicine is best to take during pregnancy?

Doctors usually recommend that pregnant women use acetaminophen (brand name: Tylenol®) to treat pain. Check with your doctor before taking any other pain medicines. Doctors usually tell pregnant women to avoid taking medicines called “NSAIDs,” especially in the last 3 months of pregnancy. NSAIDs are a group of medicines that includes aspirin, ibuprofen (sample brand names: Advil®, Motrin®), and naproxen (sample brand names: Aleve®, Naprosyn®). Taking a lot of NSAIDs in the last 3 months of pregnancy could harm your baby or cause problems during labor. If your pain or headache doesn’t get better after you take a dose of acetaminophen, tell your doctor or nurse. It’s especially important to let your doctor or nurse know about these symptoms in the last half of pregnancy. These could be symptoms of a serious problem.

Call 732-202-0700 today to schedule an appointment! Dr. Darlene M. Morgan has been practicing medicine for 14 years. Dr. Morgan graduated from the University of Chicago Pritzker School of Medicine in 2000 and completed her OB/GYN residency at Wayne State University/ Detroit Medical Center. She is Board Certified in Obstetrics and Gynecology. Dr. Morgan is seeing new obstetric and gynecology patients. Evening appointments available.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Orthodontics

Kids And Braces: The Straight Facts Advanced Orthodontic Care with a Friendly Smile

urrently, nearly five million children and adults in North America are having orthodontic treatment. For many patients, especially children and teens, a healthy beautiful, smile goes beyond good health, it indicates confidence. But how do you know if your child needs braces? The American Association of Orthodontists (AAO) provides answers to this and other frequently asked questions: Does my child need braces? It’s not always easy to tell if your child has an orthodontic problem. However, some signs or habits may

indicate the need for an orthodontic examination: early or late loss of baby teeth; difficulty in chewing or biting; mouth breathing; thumb or finger sucking; crowding, misplaced or blocked out teeth; jaws that shift or make sounds; biting the cheek or roof of the mouth; teeth that meet abnormally or not at all; and jaws and teeth that are out of proportion to the rest of the face. When should my child see an orthodontist? If parents, regardless of your child’s age, note any of the problems above it is advisable to consult an orthodontist. All children should see an orthodontist no later than age seven for a simple check-up. This quick and painless exam can identify potential problems and ensure that any future treatment is timed appropriately.

Orthodontists receive an additional two-to-three years of specialized education beyond dental school to learn the proper way to align and straighten teeth. Orthodontists team with your child’s dentist to ensure that your child achieves optimal oral health. How quickly will we see results and how much will it cost? Treatment time averages 24 months. Although orthodontic treatment does not produce sameday results, some children may only require limited treatment. In addition, orthodontic treatment is affordable and is often covered by dental insurance plans. Why Select an Orthodontist? Orthodontists are dental specialists in correcting misaligned teeth and jaws.

About the American Association of Orthodontists The AAO is comprised of 16,000 member orthodontists in the United States, Canada and abroad. Founded in 1900, the AAO supports research and education leading to quality patient care and promotes increased public awareness of the need for and benefits of orthodontic treatment.

My child sees a Orthodontists receive an additional dentist for regular two to three academic years of check-ups and specialized education beyond dental Call today cleaning. Why see an school to learn the proper way to orthodontist, too? An exclusive Monmouth County Woman offer... for a align and straighten teeth. Only An exclusive Monmouth County Woman offer... Orthodontists those with this formal education may consultation, specialize in the diagnosis, call themselves “orthodontists,” and prevention and treatment 732-847-3065! only orthodontists are eligible for of dental and facial membership in the AAO. An exclusive Monmouth County Woman offer... irregularities.

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July/August 2015

Business Spotlight

~ In The Business of Smiles ~

s an orthodontist, Dr. Sezer Olcay’s goal is to provide her patients with the highest standard of orthodontic treatment. Orthodontics is the study of dentistry that is concerned with the treatment of improper bites and crooked teeth. She works diligently to improve the smiles of her patients, one person at a time. By utilizing the latest techniques and most advanced materials you can be assured your comfort and appearance are foremost on her mind. She adds, “We work hard to establish a relationship with each of our patients that is built upon mutual respect and trust.” MCW: What do you enjoy most about your profession?

Dr. Olcay: It is exhilarating to see a beautiful smile at the end of treatment. Also, during the treatment time the kids blossom into young adults. It is amazing to witness their “transformation.”

MCW: What sets Holmdel Orthodontics apart from other dental offices in the field?

Dr. Olcay: At Holmdel Orthodontics, treatment is one to one. I personally see all of my patients and we get to get to know one another really well. They can reach me anytime by phone, text, or email. I am also very flexible with scheduling and appointments.

MCW: What is the average course of treatment for a patient who needs their teeth straightened?

Dr. Olcay: We generally use braces and retainers to set the patient’s teeth. After a course of active orthodontic treatment patients will typically wear a retainer. They help to maintain the teeth in their improved positions while surrounding bone reforms around them. The retainers are generally worn full-time for a period anywhere from just a few days to a year, then on a part-time basis.

Dr. Sezer Olcay

MCW: What is the most challenging part about your profession?

Dr. Olcay: More and more insurance companies try to dictate treatment and/or coverage (just like in medicine). Even though patients (parents) think they have insurance, the coverage might be limited. Dr. Olcay graduated from the University of Pennsylvania School of Dental Medicine and also simultaneously received a Masters degree in Education, with a focus on Leadership in Professional Education. She is an active member of the American Association of Orthodontists and Northeastern Society of Orthodontists. She currently lives in Holmdel with her husband and their three children, ages 14, 11 and 6. When she is not in the office she enjoys gardening, traveling, baking, and playing tennis.

Braces for Children & Adults Advanced Orthodontic Care with a Friendly Smile! Ocean Orthodontics

Holmdel Orthodontics

Practicing in Ocean Township for 11 years

732-847-3065 www.holmdelortho.com

732-493-4747 www.oceanbraces.com

723 North Beers Street, 804 West Park Avenue, Suite 2A • Holmdel, NJ 07733 Building A • Ocean Township, NJ 07712 Fax: 732-217-3623

Email: holmdelortho@hotmail.com

Fax: 732-493-4742 Email: oceanorthodontics@hotmail.com

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July/August 2015

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July/August 2015

Medical Professionals

“What More Can Be Health &Wellness Done?” – The Critical Question That CanLawBUYING TIME FOR STROKE VICTIMS Save a Stroke Victim Elder Law

Newly proven, minimally invasive treatment removes blood clots and has patients returning home as good as new.

Theater &Entertainment

The normal response from the doctor used to be, “He suffered a stroke. There’s nothing more we could do.” Especially if the patient sought medical care after the six-hour treatment window.

Today, the response should be much different. So it’s critical the patient’s loved ones or caregiver ask the all-important question: “What more can be done?” Not every emergency room physician or neurosurgeon has the training to answer, “There is something that can be done.” But, according to Dr. Ronald P. Benitez, neurosurgeon and president of Atlantic NeuroSurgical Specialists, there is.

Education

“Using a stent retriever, we can now go into the brain within 8 to 10 hours of the stroke – in some instances even longer – remove the clot and restore blood flow to the brain,” he explains. “This minimally invasive treatment is successful in patients who have suffered ischemic strokes. An ischemic stroke – the most common type – is caused when a brain artery becomes blocked, prohibiting normal blood flow to the brain. Until recently, intravenous thrombolytic therapy (drugs to break up or dissolve clots) alone was the only proven treatment for this type of stroke.” Benitez was a pioneer of this treatment when the first device was introduced in 2004. Despite advancements that have been made since then and proven medical success, it wasn’t until just recently that results of studies confirming the effectiveness of stent retrievers were released at the International Stroke Conference 2015 in Nashville. The results showed treatment with the latest generation stent retrievers – the Trevo® by Stryker and the Solitaire™ FR by Covidien – reduced post-stroke disability and increased the proportion of patients alive and independent at three months. Four studies showed convincing evidence of benefit. “Removing a clot stuck in a blood vessel is somewhat similar to removing a cork stuck in a wine bottle,” Benitez details. “We insert the stent into the blood clot and open it to restore the blood flow. The clot attaches to the retriever and comes out when the device is removed.” Dr. Benitez does 80-100 of these procedures a year with amazing results. For more information on stroke and stent retrievers, contact Atlantic NeuroSurgical Specialists at 732.455.8225 and visit us at www.ansdocs.com.

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ANS: Pioneers in Stroke Treatments

Using a stent retriever, we can now go into the brain within 8 to 10 hours of the stroke – in some instances, even longer – remove the clot and restore blood flow to the brain. The ANS Neurovascular Center has been a pioneer of interventional stroke treatment and recent studies have confirmed what ANS has known for years: that this type of treatment reduces post-stroke disability and increases the proportion of patients independent at three months.

Business &Finance

The ANS Neurovascular Center is the busiest and most advanced in the state and has treated thousands of patients suffering from ischemic or hemorrhagic stroke and other vascular conditions. Don’t let insurance come before your health. Ask to speak with our insurance counselor. For more information, visit www.ansdocs.com or call 732.455.8225.

3700 Route 33 Neptune, NJ 07753 732.455.8225 2345 Lamington Road Suite 107 Bedminster, NJ 07921 973.285.7800

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Medical Professionals Medical Professionals Understanding Cancer Medical PProstate rofessionals

Enlarged Prostate And Urinary Tract Issues

P Live Life Dry: Treating Urinary Incontinence Q

rostate cancer is the most men and nearly 2.5 times more likely to symptoms. Some men, common non-skin cancer in die from the disease. however, will experience America, affecting 1 in 7 men. As men increase in age, their risk of frequent, of BPHhesitant, include: or My husband just turned 68 years old and is The common signs and symptoms Approximately 233,000 men will developing prostate cancer increases. burning urination, • An often recurring, sudden urge to urinate. waking with up three or four night to be diagnosed prostate cancertimes in perApproximately 10,000inunder difficulty in having an • 1Aninincrease frequency of urination - especially at night. sexual, interpersonal and professional function. People with the cause of symptoms such as blood in the t would difficult to29,000 watch an hour • A be weak or interrupted stream. urinate. He has also complained thatofheprimetime strains 2014, andbe more than men the age ofto40 will diagnosed; the urinaryerection, or pain or bladder control problems often struggle with simple everyday urine (hematuria), painful urination television today without seeingnew an advertisement forof prostate • Difficulty starting andinstopping urination. die from theprimary disease. One majority cancer is working, found stiffness in the lower back, (dysuria), urinary incontinence, urinary passwill urine. Our care physician diagnosed activities, such as shopping, or seeing a movie, for overactive bladder medication or adult diapers. • Dribbling or leaking of urine.hips or upper thighs. case occurs every 2.3 minutes and a men 65 or older. fear of embarrassing wettingempty episodes not being near a frequency or hesitancy, an inability to pass • Inability to completely theorbladder. himman with BPH (Benign Prostatic Hyperplasia). The is more thancancer 37 million United diesfact from prostate everyadults in the Men with a restroom. single first-degree Because Also, overactive bladder sufferers are these two tosymptoms three urine (retention), or a sudden and – one inAsix – us suffers fromaman overactive bladder, Diagnosing Is there any hope for to get good night’s rest times more likely to BPH regularly experience disturbed sleep, overwhelming need to urinate (urgency) and 18States minutes. non-smoking relative—father, brother, or son—with can also indicate the urinary frequency, or urgency. Unfortunately, many people Diagnosing BPH is often initially done through a overeating, and poor self-esteem. much more. is more likely to develop prostate a history of prostate cancer are twice as presence of other diseases again? ~ Sarah Q.symptoms to be a part of “getting older” dismiss such urinary routine digital rectal exam (DRE). Additionally, we he is tointervention. develop colon, to develop the disease, while those or disorders, we do a Treatment: Diagnosis: and cancer do not than seek medical The fact is,likely overactive also order a common blood test known as PSA (prostate In some instances, behavior modification may bladder, melanoma, lymphoma and with two or more relatives are nearly thorough “work-up” of Bladder control issues can be caused by a multitude of I am happy to tell you with a little medical bladder and urinary retention (the inability to completely specific antigen) to explore and rule out other causes be sufficient to deal with urinary incontinence. factors. In certain cases, pregnancy and childbirth, obesity, kidney cancers combined. In fact, four times as likely to be diagnosed. each patient to determine empty the bladder) getting are not a anormal part of the aging for these symptoms including prostatitis (infection of intervention, full night’s sleep is process, You may be asked to limit fluid intake, avoid bladder weak pelvic muscles or diabetes can contribute to overactive can the causelatest embarrassment, and can diminish the quality of daily statics reveal that a man is How curabletheisprostate) prostate the In underlying cause andcancer? prostate cancer. certain cases, weof definitely possible. We see many men with BPH irritants such as caffeine and alcohol, and do pelvic bladder. Additionally, certain medications or inactivity also living dramatically. 35% more likely to be diagnosed with Because nearly 90% of all symptoms. recommend ourprostate patients have athe cystoscopy. This floor exercises – “kegels”. There are also medication can contribute to such issues. who ultimately findarelief from procedure us to see the size of the and prostate cancer than woman is totheir be symptoms. cancer is detected in the allows local and How doprostate you screen Facts: Patient Testimonials: commonly used to treat overactive bladder In some people, bladder control problems are caused by degree Women are twice likelycancer. as men to experienceregional urinary stages,evaluate diagnosed with as breast the curetherate for of obstruction. and treat prostate (OAB) and been are sometimes treat stress miscommunication between nerves. Specifically, the brain and I have a patient atprescribed UniversitytoUrology since 2005. My incontinence. This is due to pregnancy, childbirth, menopause Understanding BPH cancer As serious as prostate prostate cancersacral is very high—nearly cancer? Treating BPH urinary incontinence. In certain cases incontinence family doctor referred me to Dr. Gaziofbecause of his good nerves, which control the bladder, do not communicate and can the structure of the most femalemen urinary tract. Older100% womenof men diagnosed at this stage be, however, We screen for prostate reputation amongst the doctors and he was right. I was suffering Men who have symptomatic BPH will eventually involving the miscommunication of nerves to the The prostate is a walnut-sized gland that produces properly, causing the nerves to tell the bladder to release urine experience urinary incontinence more often than younger day and night with urinary issues. At my worst, I was going to the require some medical intervention. BPH can be treated bladder, a neurostimulator (commonly called a Bladder diagnosed with it do not die from will be disease-free after five years. cancer by doing a prostatesemen, the fluid that transports sperm and is located at the wrong time. women. bathroom every hour and would dribble urine. I was diagnosed by taking daily medications, however, many men find Pacemaker) may be the best treatment option. step towards treatment is diagnosing the blood type of below thefact, bladder andthan surrounding the urethra (theis tube it. In more 2.5 This largely dueThe to first advancements in specific antigen Bladder control problems may million also affect younger people, with BPH. I triedisthe medications and they helped but are I did this to be a burden. Ultimately many patients often Incontinence a not a hopeless problem. There incontinence andthe then pinpointingtest the(PSA) underlying cause orfind that carries urine out of the body). BPH is a common, men in the United States who have healthcare. By contrast, in 1970s, and a digital especially women who have just given birth. In fact, a recent not feel completely better. After a flow test, the doctors recomminimally invasive treatment or surgery to be the correct many treatment options available, however, only proper causes. We ask our patients “voiding diary” non-cancerous in men where thehasprostate been with prostate cancer only 67% of men diagnosed with localto complete rectal aexam (DRE - often mended I have a procedure. After reviewing all the information, studydiagnosed found 25%condition of women over 18 years at old experienced treatment option for them. Such treatments are done diagnosis willtolead to proper treatment. Although behavior which provides great insight and aids in diagnosis. gland becomes enlarged. An enlarged prostate can conI was willing proceed. Within a few weeks after the procedure, some point are still alive today. and one-third or regional cancer were diseasereferred to as a “prostate episodes of leaking urine involuntarily, of men prostate in the office or at the same day surgery department and modification and pharmaceutical therapy work for some, they The gold standard for diagnosing urinary issues, including strict the urethra and cause a wide variety of symptoms I noticed a remarkable change. I am peeing like I was 20 again! vary from one individual to another. have experienced bladder control during their Risk Factors loss forofProstate Cancer freeadult after five years. exam”). IfUrodynamic there are any may be ineffective or poorly tolerated by other patients. rarely require any admission to the hospital. incontinence, is called Urodynamic testing or ~ S.P., North Brunswick, NJ including frequent urination or difficulty urinating. Once a patient is diagnosed, his lives. Race, age and family history all affect What are the symptoms of biopsy be Untreated BPH can lead to abnormal permanent damage toa the is definitely possible to live life dry. study. This series of tests, all done in one visit,findings, along with the Itwill The National Institutes of Health (NIH) data states Only one in eight Americans who have experienced loss of treatment can be intailored his specific I met Dr. Gotesman at the hospital July. Wetoconsider bladder kidneys. would you to take your the likelihood of50% a man being cancer? recommended to make a definitive data fromoryour voidingIdiary willurge give the physician that more thanhave of men in diagnosed their 60’s data and prostate as many ourselves blessed that he was on-call that weekend. We bladder control been diagnosed. Recent has shownas needs. husband to arelated urologist for further evaluation and tocancer treatments Types with the disease. Inofthe earliest stages,data most mentowith diagnosis. Prostate objective bladder functions. Additionally, Incontinence 90% in their 70’sand and 80’s have BPH. were very surprised that of he took the time to discuss my issues that women wait average of 6.5some years symptoms from the first time discuss theoften treatment that are best for him.the physicians performoptions a cystoscopy to further assess they African American menuntil arethey 60% prostate and answer my husband’s questions. He even took the time experience symptoms obtain a diagnosis for cancer will not experience any • Stress Urinary Incontinence (SUI) – Leakage on urinary tract. A cystoscopy is a testFor that allows the doctor to to draw a picture of the kidney and bladder and explain why I more likely to develop prostate cancer more information, their bladder control problems. effort, exertion, or (732) coughing. look at the inside of the bladder and urethra usinginformation a thin, am call having(609) issues.581-5900 He sneezing, is like an encyclopedia for Urology. We For more or 928-5300 callthe609-581-5900, compared with Caucasian Hispanic People experiencing bladderand control issues often suffer switched to UUANJ and feel– so lucky to accompanied have found suchby or lighted instrument called a cystoscope. This study helps find • Urge Incontinence Leakage (732)928-5300 or visit www.UUANJ.com diminished social lives. Even mild symptoms affect social, a caring doctor.by ~ Mary R., Toms River, NJ preceded urgency (an overwhelming need to or visit www.UUANJ.com For more information, urinate…”Gotta go, gotta go!”) call 609-581-5900, University Urology Associates of New Jersey was established in 2003 Mukaram Gazi, MD, FICS, FACS • Mixed Incontinence – Leakage associated (732)928-5300 and is proud to be serving Mercer, Monmouth and Ocean Counties. Our with Director, Robotics & Laparoscopic Surgery effort, exertion, sneezing, or coughing. Board Certified Urologist or visit iswww.UUANJ.com mission to be a solutions basedurgency practice,AND maximizing the value of the service we

Assistant Clinical Professor Rutgers/RWJ Medical School NJ Monthly Magazine Top Docs Recognition; 2012 - 2014 Consumer Research Council, America’s Top Urologist; 2008 - 2013 Consumer Research Council, Compassionate Physician Award; 2008 - 2013 Director, Robotics & Laparoscopic Surgery Board Certified Urologist Board Certified Urologist Fellow American of Surgeons Assistant ClinicalCollege Professor, Rutgers RWJ Medical School -New Brunswick Adjunct Associate Professor; Fox Chase Cancer Center NJ Monthly Top Docs In practice in Ocean County 1974 Top Urologist: 2008-2013 Consumer Research Council,since America’s AdultResearch & Pediatric Urology Consumer Council, Compassionate Physician Award: 2010-2013 Specializing in Ambulatory Urology 5 Years of Post Graduate Clinical Research Experience Member- Alpha Omega Alpha Medical Honor Society Director, Robotics & Laparoscopic Surgery Member - American Urological Association Board Certified Urologist - 2014 Compassionate Physician Award Adult Vitals & Pediatric Urology Assistant Clinical Professor, Rutgers Specializing in Ambulatory UrologyRWJ Medical School- New Brunswick NJ Monthly Top Graduate Docs: 2011-2014 5 Years of Post Clinical Research Experience Consumer Research Council, America’s Top Urologist: 2008-2013 Membner - Alpha Omega Alpha Medical Honor Society Consumer Research Council, Compassionate Physician Award: 2010-2013 Vitals - 2014 Compassionate Physician Award

Mukaram Gazi, MD, FICS, FACS Parvez Mahmood, MD, FACS Alexander Gotesman, MD

Mukaram Gazi, MD, FICS, FACS Alexander Gotesman, MD Robert Peterson, DC, PA-C Board Certified Physician Assistant

Professor - Physician Assistant Program,MD Philadelphia University Alexander Gotesman, Robert Peterson, DC, PA-C Adult & Pediatric Urology Specializing in Ambulatory Urology Board Certified Physician Assistant 5Professor Years of -Post Graduate Clinical Research ExperienceUniversity Physician Assistant Program, Philadelphia Member- Alpha Omega Alpha Medical Honor Society Vitals - 2014 Compassionate Physician Award

Dominique Etienne, PA-C

Board Certified Physician Assistant Michael Nazmy Jr., MD Howard University Physician Assistant Program Fellowship trained in Urologic Dominique Etienne, Cum LaudeOncology HonorsPA-C Fellowship trained in Minimally Invasive & Robotic Surgery College of Pharmacy, Nursing and Allied Health:

Board Certified Certified Urologist Physician Assistant Board Dean’s List,Assistant 2008-2013 Howard University Physician Program, Cum Laude Honors MemberAmerican Urological Association Trustee Scholar, 2009-2011 College ofAmerican Pharmacy, Nursing and Allied Health: MemberMedical Association Dean’s List, 2008-2013 Trustee Scholar, 2009-2011

deliver our patients with commitment to excellence, integrity, innovation Urology Associates of New Jersey wasstate established andUniversity treatment. We continually strive to provide comprehensive of the in 2003 and is proud to be serving Mercer, and making. Ocean Counties. art urological services with emphasis on patient education and Monmouth shared decision Treating Our patients with compassion, dignity, and based trust remains steadfast goal. missionmutual is to berespect, a solutions practice,out maximizing the value of the service we deliver our patients with commitment to excellence, integrity, innovation and treatment. We continually strive to provide comprehensive state of the art LOCATIONS: urological services with emphasis on patient education and shared decision making. Treating patients with Hamilton Hamilton compassion, dignity, mutual respect, and trust remains out steadfast goal. 1374 Whitehorse Whitehorse Hamilton 1374 Hamilton 11 Square Road Road Square Hamilton, NJ 2 Hamilton, NJ 08690 08690 LOCATIONS: Howell Hamilton Howell 2364 Route 9 South 2364 Route 9 SouthHamilton 1374 Whitehorse 1 Howell, NJ 07731 Howell, NJ 07731 Square Road 2 Lakewood NJ 08690 Hamilton, Toms River:70 East 3 900 Route 20 Hospital NJ Drive Lakewood, 08701 Toms River, NJ 08755 Howell Toms River: 2364 RouteDrive 9 South 20 Hospital 34 FORHowell, APPOINTMENTS: NJ 07731 Toms River, NJ 08755 3



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(609) 581-5900 Lakewood FOR APPOINTMENTS:

AdultUrology Urology••Pediatric PediatricUrology Urology •• Urologic Urologic Oncology Oncology •• Male Male Infertility Infertility Adult Sexual Dysfunction • Urodynamics • Stone Disease • Female Urology Sexual Dysfunction • Urodynamics • Stone Disease • Female Urology Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology

www.TheCountyWoman.com www.TheCountyWoman.com TheCounty County Woman Woman Magazine Magazine The Adult Urology • Pediatric Urology • Urologic Oncology • Male Infertility

(732) 900 Route 70 East (609) 581-5900 928-5300 Lakewood, NJ 08701 (732) 928-5300 UUANJ.COM

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FOR APPOINTMENTS:

September/October July/August2014 2015 (609) 581-5900

(732) 928-5300

Medical Professionals

So I Have DVT? (Deep Venous Thrombosis) Part 1

Hi Friends, Today, I am going to talk to you about prevention, and the guidelines that physicians have to practice in prescribing the various methods of prevention.

DVT is a condition where there is a clot formation in the deep veins, largely in the legs, and the pelvic veins. The arm veins are occasionally affected as well. The reasons for this vary from patients who are immobile and bedridden, temporarily immobile due to acute illness requiring hospitalization, air travel, surgery, and trauma. These situations can be aggravated when patients have coagulation abnormality, which is genetic and inherited. In such patients, DVT can be caused without any aggravating conditions. The important reason for treating this condition is the risk of Pulmonary Embolism (“PE”), which can be fatal when acute. Chronic recurrent PE can cause decreased pulmonary function and pulmonary hypertension. DVT in the deep veins of legs can also create prolonged suffering in causing swelling, venous hypertension, skin changes, and ulcer in the leg. These above reasons are why it is not only important to diagnose and treat the condition when present, but also take precautions to prevent it. There is a general push to administer prevention for every patient, regardless of risk. As a result of this, many patients receive unnecessary therapies, which not only do not provide the benefits desired, but cause complications. The guidelines provided by ACCP are evidence based, include new innovations, and provide more than 600 recommendations for prevention, diagnosis, and treatment of venous thrombosis. New evidence-based guidelines form ACCP recommends considering an individual patients’ risk of thrombosis when deciding for or against use of preventive therapy. These guidelines are published in the February 2012 issue of the Journal and focuses on risk stratification of patients, namely a patient’s risk for DVT as opposed to the patient’s risk of bleeding from prevention therapy. These recommendations consider various major clinical areas such as medical,

non-orthopedic surgery, orthopedic surgery, pregnancy, cardiovascular disease, atrial fibrillation, stroke long distance travel, and pediatrics.

✺

Long Distance Travel

There is a new surgical modality used to treat DVT. In the September/October issue, I will explain the new treatment using IVUS, Intra Vascular Ultrasound. IVUS shows a cross-section of both the interior, and the layers of the vein wall itself, which will help with the process of treating DVT.

Developing a travel related DVT is unlikely in general. Many factors increase the risk, according to the guidelines. These are: previous v DVT, known thrombophilic disorder, malignancy, recent surgery, trauma, immobility, estrogen use, pregnancy, sitting in a window seat. Recommendations for patients with increased risk include: frequent ambulation, calf muscle stretching, sitting in an isle seat if possible, and use of below-knee graduated compression stockings. There is no definitive evidence to support that dehydration, alcohol intake, or economy class seats increase the risk for DVT Schedule appointments “24/7” from long distance travel. @www.VeinCenterForWomen.com The guidelines also add new or potential therapies, such as aspirin, which was not a Girija Surya, M.D. prior recommendation. Currently aspirin, Board Certified in Thoracic & Cardiovascular Surgery New Satellite Offices though not a typical choice, can still be an Princeton East Brunswick optimal drug for prevention orthopedic surgery. 21 Jefferson Place, Raymond Rd. Plaza Hill • 646 Rte. 18 Bldg. A #101 The newer agents- direct factor XA inhibitor, Princeton, NJ 08540 East Brunswick, NJ 08816 direct thrombin inhibitor agents, and their Holmdel indications in select clinical conditions have Metuchen Colonial Commons • 670 N. Beers St. been recommended. Two important changes are 205 Bridge St. Bldg. 2, Ste. 4 the explicit and quantitative considerations of Metuchen, NJ 08840 Holmdel, NJ 07733 patient values and preferences, and restriction 732-254-0500 of outcomes to only those important for the Contact@VeinCenterForWomen.com patient. This results in different interpretations of the evidence in thrombo-prevention, Conservative Therapy: which has previously included asymptomatic The patients are advised about Leg Elevation and use of thrombosis by surveillance. Compression Stockings.

Love Your Legs Again!! Vein Center for Women

Non-Invasive Vascular Ultra Sound:

Diagnostic ultrasound studies are performed to diagnose and customize treatment plans

Surgical Treatment:

- Radiofrequency Ablation – For superficial large veins with reflux - Micro-phlebectomy – For small bulging veins - Sclerotherapy – For small veins a.k.a. Spider veins. We use Asclera® in different strengths for the injectable veins. - ClariVein® a.k.a. MOCA! (mechanical chemical ablation) for superficial large veins with reflux. Saves time and discomfort.

Cosmetic Treatment: - Botox® , Juvederm™ Ultra

Medical Professionals

Give Your Body A Makeover Without Diet, Exercise, Or Surgery

oolsculpting™is the only non-surgical body contouring treatment that freezes and eliminates stubborn fat from your body. There are no needles, no special diets, and no downtime. It’s FDA-cleared, safe and proven effective. Results and patient experience may vary. Ask us for more information. In the U.S. Coolsculpting™ for non-invasive fat reduction is clears for flank and abdomen. Coolsculpting™ is a registered trademark and the Coolsculpting™ logo and the Snowflake design are trademark of ZALTIQ Aestheitcs, Inc. © 2012. All rights reserved. IC1156-A.

Dr. Surya is board certified in Cardiovascular and Thoracic Surgery

The County Woman Magazine www.TheCountyWoman.com

Join Us For A Cool Event!

Vein Center for Women/Absolute Vein Care Hosted by Girija Surya, MD Live demonstrations • Free consultations 646 State Rt. 18 North - Bldg A Suite 103 East Brunswick, NJ Space is limited. Reserve your spot today!

July/August 2015

Business Spotlight

~ Interview With Girija Surya ~ Vein Center for Women Plaza Hill, 646 Rte. 18 Bldg. A #101 East Brunswick, NJ 08816 Colonial Commons, 670 N. Beers St. Bldg. 2, Ste 4. Holmdel, NJ 07733

(732) 254-0500 Email:

msgs@veincenterforwomen.com

Beauty Inside Out

hen Dr. Girija Surya first came to this country she thought she would become an OB-Gyn, a common specialty for women medical students in India. However, that quickly changed when she performed her first surgery and was immediately fascinated. Then, during her fourth year as a surgical resident everything became crystal clear for her. While doing her cardio vascular rotation, she participated in a cardiac surgery, holding the beating heart and doing a vascular anastomosis. She adds, “At that moment I knew where I was meant to be and it was then that I decided to become a cardio vascular surgeon. Cardiovascular physiology has always fascinated me the most. I have enjoyed the practice of this specialty immensely and continue to be challenged.” By combining her knowledge in venous diseases and a personal interest in women’s health, she started the Vein Center for Women. “Our mission statement is beauty inside out as we believe that if one’s inner health is good, the beauty would naturally be seen,” she says. The center follows a protocol in evaluating its patients as a whole, giving them information and educating them on achieving total health. Dr. Surya is a Board Certified Cardio Thoracic and Vascular surgeon and a Phlebologist for over 20 years, which means a physician who specializes in veins. Since the year 2000, she spends 80 percent of her time with venous disease and is involved with surgical treatment of leg veins, treatment of venous ulcers, and the cosmetic side of venous disease. In addition, she provides treatment of peripheral arterial disease such as atherosclerotic blockages of arteries in the neck and legs.

MCW: What is the most rewarding part about your profession?

Dr. Surya: For me the most rewarding part is when I see my patients happy after I have treated them. I also derive great satisfaction when I make a decision to operate and the procedure is successful and relieves the symptoms without any complications. Improving my precision and technique while operating is also very rewarding.

MCW: What is the most challenging part of your profession?

Dr. Surya: Sometimes the most challenging part can be the decision about whether or not to operate, or take the conservative route when treating a patient.

Dr. Girija Surya

Dr. Surya completed three years of a cardiothoracic fellowship at Newark Beth Israel Medical Center and five years of general surgery at UMDNJ. She attended college and medical school in India where she received countless awards and merits. Before she began practicing in Monmouth County, she served on the faculty of cardiac surgery at Robert Wood Johnson University Hospital in New Brunswick. When she is not busy tending to her patients, she enjoys gardening and spending time with her dogs.

MCW: What sets your practice apart from others in the area?

Dr. Surya: I believe that when a patient walks out of our office, after their initial consultation, they feel that our staff and physicians really took their time and cared about them. It is a place where the patient is truly heard. Most importantly, I believe they get excellent, quality care with their venous problem.

MCW: Discuss some of the other methods you use to treat unsightly veins.

Dr. Surya: Usually patients come in with complaints of visible veins (spider veins), bulging veins and painful veins. We treat venous reflux correction by radiofrequency venous closure. If the veins are large, they are removed with a very small incision. Sclerotherapy of smaller veins uses foam, polidocanol, glycerine, and saline. The treatment is tailored to each patient in exactly the combinations they would need for all of their veins to be treated.

MCW: What are the most common issues you see in your profession?

Dr. Surya: Medically, I see thoracic lung problems and vascularly; I see both arterial blockages in legs and varicose veins. I still do lung surgery in the hospital, but only about 20 percent of my time.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical Professionals

Planning Infertility Treatment? Why Your Doctor Needs To Be “In-Network” With Your Insurance Company. by Dr. Allen Morgan Morgan Fertility & Reproductive Medicine

re you just beginning on the road to parenthood through fertility treatment? Perhaps you don’t have coverage for fertility treatment through your insurance, you have exhausted your benefits, or just found out your fertility specialist no longer participates with your insurance company. Many larger fertility practices are making the move to stop ❧ accepting insurance companies’ payments for services due to lower compensation rates. At the same time, more fertility benefits are becoming more available to more people.

“The situation lays the groundwork for patients to become ❧ frustrated or disenchanted, leading to higher dropoff rates and

less couples realizing their dreams of becoming parents”, says Dr. Morgan, Director and Principle at Morgan Fertility and Reproductive Medicine. “It’s not good.” Dr. Morgan adds that he has always participated with most ❧ insurance companies in order to be able to help more patients become

parents. He suggests that when looking for a fertility specialist, be sure to ask whether the practice participates with your insurance and also to ask if they have a financial specialist who will inform you about what your plan will cover prior to coming in.

❧

“Most patients don’t know the specifics about their insurance policies”, says Dr. Morgan. “So, we employ a fulltime insurance

specialist whose only responsibility is to advocate on our patients’ behalf to the insurance companies. We see a higher percentage of couples successfully pursuing treatment simply by doing the footwork for them.”

Looking at Your Policy Health insurance policies fall into one of these five groups: • No fertility coverage. • Diagnosis Only. • Diagnosis and Limited Treatment. • Full Coverage. • Partial or Full Medications Coverage. If your insurance policy provides full infertility coverage, you ❧ are lucky! However, be sure to read the fine print and talk to your fertility doctor if egg freezing, preimplantation genetic diagnosis (PGD) or intracellular sperm injection (ICSI) are recommended, so you know in advance if your insurance covers those procedures.

When you’re ready to start building your family with fertility ❧ treatments, covering the cost is one of your major concerns. Your health insurance plays a role in financing fertility treatment, but how much it will cover varies greatly from state to state and policy to policy. It is best to seek out a specialist who participates with all insurances and will verify your benefits prior to your initial visit so that you are clear about what will and will not be covered.

Call 732-361-2252 for more information!

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical Professionals

Morgan Fertility’s Kerri Hurley Honored For Success Local Embryologist Achieves Top 2% In USA Morgan Fertility and Reproductive Medicine announced today that embryologist and Jersey Shore native Kerri Hurley produced fertility success rates among the top 2% in the nation in 2013 for women under age 35. “Kerri has directly and consistently contributed to Morgan Fertility and Reproductive Medicine’s success rates being counted among the top fertility practices on the East Coast,” said Dr. Allen Morgan, Principle and Director of Morgan Fertility. “We could not be more pleased. She deserves to be recognized for her Kerri Hurley achievement. And, the public should know they have access to such a successful fertility program.” While the success rates of the fertility program at Morgan Fertility and Reproductive Medicine (formerly known as Shore IVF) have been among the highest on the East Coast for over a decade, zero-ing in on the top 2% in the nation is an especially important achievement. “It is a tremendously exciting time in the infertility field. Recent advancements in techniques and protocols have majorly improved chances at success and eased some of the strains on patients as well. Staying abreast of how we can continue to improve success rates and also improve patient experience is crucial to the overall success of our practice,” says Hurley. Specifically, there have been advancements in lab environment, genetic components to treatment plans, and perhaps most importantly, techniques such as vitrification versus cryopreservation for egg and embryo freezing.

Community

Hurley holds a bachelor’s degree of science in biology from Richard Stockton College of New Jersey with a minor in psychology and is certified in andrology and embryology. She lives on the Jersey Shore with her husband and two children. With over 20 years practicing reproductive endocrinology and infertility on the Jersey Shore, Morgan Fertility and Reproductive Medicine is the East Coast’s only solo-doctor fertility practice producing such high success rates, due in part to Hurley’s commitment to maintain a state of the art lab and her passion for helping patients become parents.

Kerri Hurley holds a Bachelors degree in Science and Biology at Richard Stockton College with a minor in psychology and is certified in andrology and embryology. She began her career in 1999 as the lead embryologist at one of largest fertility centers in the United States with 17 embryologists under her direction. In 2004, she went to work for Dr. Allen Morgan as the sole embryologist at Morgan Fertility and Reproductive Medicine, bringing large clinic experience to a boutique fertility practice. With Kerri’s help Morgan Fertility has consistently produced some of the highest In Vitro Fertilization (IVF) success rates on the East Coast, recently achieving special recognition for being among the top 2% in the United States. Kerri says that while recent scientific advances in the infertility field excite her, what motivates her the most is being part of helping struggling couples become parents, herself being a proud parent of two.

For more information on fertility treatment at Morgan Fertility and Reproductive Medicine, visit MorganFertility. com, join the conversation at Facebook.com/ShoreIVF, or call 732.361.2252.

Monmouth County Fair - Freehold, NJ When: Wednesday July 22 Thursday Friday Saturday Sunday

July 23 July 24 July 25 July 26

5-11 p.m. 5-11 p.m. 5-11 p.m. 3-11 p.m. 11 a.m. to 6 p.m.

Presented by the Monmouth County Park System in cooperation with the Monmouth County 4-H Association.

2015 Sponsors!

Where: East Freehold Fairgrounds

Kozloski Road, Freehold, NJ

Monmouth County Summer Event that includes fireworks, concerts, home & garden tent, and much more!

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Law

When Is The Best Time To Start A New Relationship After A Divorce? Presented by: Law Offices of Laura M. D’Orsi, L.L.C.

ou are in the process of divorcing. You have finally gotten the courage to take the steps to end your marriage. You are excited and can’t wait to sign on to “Match.com” or “Plenty of Fish.com.” Based on years of experience as a matrimonial lawyer, I strongly recommend waiting to dip your toe into the dating scene until you can say “I am divorced.” The divorce process is an extremely stressful and emotional time; it is best if you wait until you actually are divorced before embarking on a new relationship.

The following are six steps to follow when dating after a divorce: 1. Get to Know Yourself Better. If you have been married for a long time and have always been identified as part of a couple, you will need time to figure out who you are and develop a new single lifestyle. This is the time to pursue new interests, take the cooking class you have always meant to take, travel, do anything that you feel you were not able to do in your old relationship. 2. Do Not Rush. If you are still angry or upset about the divorce and your ex, you are not ready to move on.

You may want to consult with a therapist or attend a support group to help you with the process. 3. Don’t Use Dates as Therapy. Avoid telling the new people you are meeting about your past and confiding in them about the details of your divorce. It is truly none of their business and best if you keep this private, until you are certain you are in a serious relationship. 4. Wait. Wait. Wait. Do not introduce a new girlfriend or boyfriend to your children until they have been in your life for at least one year. Your children have just survived

the trauma of the divorce; they don’t need more loss or disappointment in their lives. 5. Do Not Move In. Do not move in with a significant other until you have been on your own for at least one year. Again, learn to be independent, pay your own bills, and open your own checking account and credit card. Learn that you can be independent. 6. Remember What is Important to Your Children. Even though you are divorced and have moved on, remember that you and your ex are the parents of your children. Your children may still have expectations of you both

LAW OFFICES OF LAURA M. D’ORSI, L.L.C.

jointly. Try to be amicable and continue to participate in your children’s activities together. Attend baseball games, dance recitals, etc., and be respectful of each other. If your child wants to take a graduation photo with his “parents” in the picture, take the picture and smile. Your child’s event is not the day to make your new significant other happy, but a day to make your child happy.

If you have legal concerns, Contact the Law Offices of Laura M. D’Orsi, L.L.C.,

732-741-3121

www.lauradorsilaw.com, ldorsi@lauradorsilaw.com

Certified by the Supreme Court of New Jersey as a Matrimonial Law Attorney

Practice limited to Divorce, Collaborative Divorce and Mediation

Free Telephone Consultation!

732.741. 3121 www.lauradorsilaw.com

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52 Reckless Place Red Bank, NJ 07701 Email: ldorsi@lauradorsilaw.com Fax: 732.791.1439

A law firm dedicated to the practice of divorce, mediation & collaborative divorce.

Divorce: Mediation, Litigation, and Collaborative Divorce Post-Judgment Divorce: Enforcement of Divorce Judgments, Child Support and Alimony Modifications, Out of State Relocations with Children Post-Judgment Division of Retirement Assets General Family Law: Child Custody/Parenting Time Issues, DYFS Matters

Law

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Daniel Straffi Jr., Esq. www.straffiandstraffi.com The County Woman Magazine www.TheCountyWoman.com 670 Commons Way

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FREE CONSULTATION Payment Plans Available “We are a debt relief agency that helps people file for relief under the bankruptcy code.”

July/August 2015

Featured On The Cover

Law Offices of Laura M. D’Orsi, L.L.C.

✺

Easing the Transition of Divorce

Matrimonial attorney Laura D’Orsi knows quite instantly connected and I knew she would interact a bit about transitions. As a family law attorney she well with the clients.” The firm also has a 24-hour has assisted hundreds of clients in divorce, alimony, answering service so clients are always able to reach custody and child support matters. “Divorce is an them if necessary. emotional and painful experience. It represents the Over the last few years Laura has seen social media death of a relationship and the end of a marriage. play a critical role in many of her divorce proceedings. Because every divorce is different, our representation “People still do not realize that texts, emails, Facebook will focus on the circumstances of your particular postings and other social media interactions create case,” she adds. Laura enjoys helping people and a permanent record of things and can be used assisting them with the change in a divorce or in any litigation. that divorce brings. Unfortunately, I think people will have Divorce is a major life A typical day for her transition and Laura and to learn the hard way that social media involves meeting with clients creates a permanent record of the things her staff will help you or other attorneys. Her office amicably resolve all of the that you do, and that these interactions keeps an online calendar to issues so you can move on will continue to be attached to Court manage their days. There are documents as long as people continue with your life. some weeks she is in court to say things that they shouldn’t over and others where she is in the social media,” she adds. office meeting new clients. Having her own business Laura finds many facets of her career rewarding. gives her the independence and flexibility she needs She says, “The most rewarding part about my job is for raising her family. when I receive a letter from someone thanking me for The personalization that her firm affords their helping them and explaining how they appreciated clients is what sets them apart form others like it. Her the hard work that I did for their case.” She has been staff is as dedicated as she is and there is a positive certified by the NJ Supreme Court as a matrimonial energy that flows through her office. Her office law attorney. That is a label that only 2% of NJ administrator Vicky Caputo has been with the firm attorneys can claim. Born and raised in Monmouth for over two years and fit in immediately. Laura County, she later returned to New Jersey in the midadds, “One of my other staff members knew Vicky nineties after living in Washington, D.C. She is and suggested her for the position. When we met we married and has two children.

Vicky Caputo plays a critical role in the Law Firm of Laura D’Orsi

✺

Although Vicky Caputo began working in the law office of Laura D’Orsi just over two years ago, it feels like she has been a part of their staff for much longer. She and Laura developed an instant connection and Laura knew she would fit right in. The firm specializes in divorce, collaborative divorce and mediation. As an administrative assistant, Vicky is in charge of keeping the client’s focused, calm and alert. She is also responsible for maintaining the office calendar and managing client case records She adds, “Divorce can be a very emotional and stressful process. I find myself helpful in this profession because I went through the process myself.” Their client’s have an easy time relating to her and appreciate the fact that she has been in their shoes. Making their clients feel comfortable and at ease is their main priority. Vicky has three children and works for Laura full time. Prior to working for Laura she has worked in various jobs including the banking industry and as an administrator in a Mercedes Benz Dealership.

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July/August 2015

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The Aging Spine: A When CommonYou Cause Of Back And Leg Pain What Happens Have Scoliosis? PART TWO

n part one our article we focusedback on the features, and life. diagnosis ost of people will experience pain at somesymptoms point in their As of the most common form of scoliosis, idiopathic adolescent scoliosis. Part people age, their joints (such as hips and knees) experience wear two of our article focuses on treatment options. Treatment depends on many andas: tear. The age, spinepotential also consists of a complex set of that factors such patient for skeletal growth, size of joints curvature can degenerate. When this degeneration leads todivide a narrowing oftreatment the spinal among others. Most pediatric orthopaedic centers scoliosis canal in the lower back, it is referred to as lumbar spinal stenosis. into three parts: observation, bracing and surgery. Anatomy Observation includes periodic office visits with serial x-rays and It is important to examinations. understand some the basics x-rays of theand anatomy of the spine to understand Withofconsecutive examinations, we may compare the lumbar spinal stenosis. The spinal column consists of a series of bones connected one size of curvatures from previous visits and identify an increase of thetopatient’s another by intervening discs, joints and ligaments. The bones are referred to as vertebrae. curve. Scoliosis curves may progress during periods of rapid growth. Skeletal The vertebrae have a space within them called the spinal canal where the spinal cord and growth caninbethequite Girlshas willended typically until nerve roots travel. Generally low rapid back during region adolescence. the spinal cord andgrow there are age 14 boys 17 The first have menstrual cyclenames, for girls is nerve roots that supply theand-a-half legs. Theand sections of and-a-half. the spinal column different where the low back asection is for referred as the lumbar spine. hallmark rapid to growth and indeed, girls must be observed closely a year and two yearsages? after their first menstrual cycle. What happensbefore as the spine With aging, the normal discs joints that connect the vertebrae degenerate. This leads The size of and curves in patients with scoliosis also requires close monitoring. to narrowing of the discs and arthritic changes of the joints, which can subsequently lead to Observation is suggested for children with curves less than 20-25 degrees pain in the low back.that In addition, the ligaments overgrow and bone spurs form. All of these still have potential for growth or for curves less than 40-45 degrees in factors together cause the spinal canal to get narrower over time. Once the spinal canal naradolescents and young adults that have achieved skeletal maturity. Skeletally rows to a certain point, the nerves that travel to the legs get pinched causing lumbar spinal mature adolescents and young adults with curves in excess of 40-45 degrees require observation as stenosis. their curve maythe progress throughout adulthood. What are symptoms? Bracing is a treatment thatspinal utilizesstenosis custom-made shells helpdepending slow curveon The symptoms of lumbar includeplastic back and pain,foam which canto vary progression. cannot cure scoliosis and will not make smaller. In patients that have the severity Braces of the arthritis. There can also be pain in thecurves buttocks that can travel down the been back of the legs,aoftentimes referred as “sciatica.” can also beslow numbness or tingling indicated to wear brace, recent studiestohave shown that There use of braces helps curve progression in the buttocks legs. pressure on theScoliosis nerves braces roots worsens, weakness can occur, and may decreaseorthe needAsforthe corrective surgery. are indicated for adolescents with a especially in the foot. Patients will often times report that the pain is worse by standing up curve measuring greater than 20-25 degrees with growth potential remaining. Growth potential in an straight and walking, but gets better with sitting and leaning forward. As time progresses, adolescent may with certain x-rayonce techniques and physical on exam. patients will notbebeestimated able to walk as far they did without feeling findings pain in their legs. Some Having an adolescent consistently wear a brace as indicated can at times be challenging. patients, however, note that leaning forward on a shopping cart will allow them to walk farther Thankfully, scoliosis braces have improved over the years. They can be worn under clothing and are without pain. much less obvious. The typical scoliosis brace or Boston brace, is intended to be worn 23 hours-aHow is it treated? day.The Thetreatment brace maybegins be removed for bathing sports activities. child no longer first with seeing and a physician trained Typically, in dealingwhen with athe spine and obtaining an accurate diagnosis. The diagnosis is made based theno history physical has significant skeletal growth remaining or is skeletally mature, the on brace longerand is worn. exam, and also with X-rays MRI. Generally, treatment is started with non-surgical Alternative therapies such and as physical therapy, manipulative therapies and changing options. This includes physical therapy, medications, acupuncture and steroid injections. Oftentimes activities do not have strong scientific evidence to effect scoliosis curve progression. However, patients will feel good pain relief from these treatments. If a patient has a poor quality of life physical therapyspinal is often employed to non-surgical treat core weakness, muscle imbalance and generalized back due to lumbar stenosis, and treatments have not worked or only worked pain. Activity levels need not be curtailed and there are no specific activities or sports that are temporarily, then surgery is considered. The main stay for treating lumbar spinal stenosis is contraindicated with a diagnosis scoliosis. to remove the ligaments, bone of spurs and other compressive factors from placing pressure on theScoliosis nerve roots. This surgery processmay is referred to as in decompression, a laminectomy. The surgeon corrective be indicated some patients. or Adolescents with curves greater does not remove all of the vertebrae, only the elements in the back that are placing pressure than 40-45 degrees and adults with curve progression are indicated for surgery. There are many types on the roots. Sometimes a spinal fusion is also needed for various reasons. The laminectomy of scoliosis corrective surgery. Typically, surgery is performed from the back. Metallic implants are can be done using a traditional incision, a small “mini-open” incision or a minimally invasive inserted to stop Curve correction is alsobased achieved may improve a patient’s approach. The curve choiceprogression. of approach will be determined on which the severity of the stenosis, appearance by incidentally correcting rib protrusions and uneven shoulders. Curve correction is the individual patient and surgeon factors. Most people experience good pain relief in their maintained by the bones fusing appropriate position.lifestyle This typically occurs 6 months after the legs after surgery and are ableintothe resume their normal after recovering from surgery. However, improvement in the back is variable. operation. InPatients Conclusion . . can expect to stay in the hospital for approximately 5 days to a and their. families Lumbar spinal stenosis one cause of occurs back and legmonth. pain that people as they age. week after surgery. Return toisschool usually in one Theaffects majority of patient activities It is important to see a physician trained in treating this disease to obtain an accurate diagcan be resumed when there is evidence of fusion on x-rays. Non-contact sports and activities can nosis. Once that is achieved, there are multiple treatment options that can help improve a typically be resumed 6 months afterwards. Contact sports may be considered a year after surgery but patient’s quality of life. are usually discouraged.

Seaview Orthopaedic & Medical Associates

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

Spinal Surgery Total Joint Re STEVEN BERKOWITZ, M.D., P.A. Bone Density T ROY D. MITTMAN, M.D., P.A. Workers’ Compe ARTHUR P. VASEN, M.D., PH.D., P.A. Foot & A ■ OCEAN OFFICE KENNETH Y. CHERN, M.D., P.A.■ BRICK OFFICE 1200 Eagle Avenue 1640 Route 88 West HARALAMBOS DEMETRIADES, M.D., P.A. Ocean, NJ 07712 Brick, NJ 08724 222 ARTHUR K. MARK, M.D., P.A. Ph: (732) 458-7866 Ph: (732) 660-6200 CHRISTOPHER J. SPAGNUOLA, M.D., P.A. HOAN-VU T. NGUYEN, M.D., P.A. 120 ARON M. GREEN, M.D., P.A. B SUNIL R. THACKER, M.D., P.A. 16 KEVIN C. MCDAID, M.D. Clea PAUL T. HAYNES II, M.D. 294 Appl JOEL P. FECHISIN, M.D. Sa ROBERT P. PANNULLO, M.D. ■ MONROE OFFICE ■ FREEHOLD OFFICE 294 Applegarth Road, Suite C 222 Schanck Road D.O. ADAM M. MEYERS, Freehold,W.NJGREAVES, 07728 KEIRON M.D. Monroe Twp., NJ 08831 Ph: (609) 495-1888 Ph: (732)GARLA, 462-1700 ww SUDHA M.D.

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Seaview & Medical Medical SeaviewOrthopaedic Orthopaedic & Associates has provided the highest Associates has provided the highest quality care in Monmouth and quality of of care in Monmouth, Middlesex Ocean Counties forfor over and Ocean Counties over3030years. years.

Praveen Yalamanchili, MD. Dr. Yalamanchili is a fellowship-trained Spine Surgeon, who completed his training at Emory University in Atlanta, Georgia. Paul Haynes II MD, FAAOS PaulofHaynes completed medical school at UMDNJ/New Medical in Newark New Following ADr. native New Jersey, Dr. Yalamanchili has returned home after Jersey completion of hisSchool Fellowship training. HeJersey. attended medical medical school at school, UMDNJhe–completed Robert Wood his internship and residency at Albert Einstein College of Medicine at Montefiore Medical Center in New York. Dr Haynes went on to complete his Johnson Medical School and completed his orthopaedic residency at UMDNJ- New Jersey Medical School. He specializes in the treatment of spinal disorders fellowship in Orthopaedic Surgery as well as Pediatric Sports Medicine, Limb & Pediatric Deformity also at Albert Einstein College of Medicine. He also completed an Arthroscopic at Staten Orthopedics Sports Medicine, in Staten New York. Dr. Haynes is a general including degenerative, deformityFellowship and trauma and hasIsland particular interest in& cervical (neck) surgery as wellIsland, as minimally invasive and motion sparingorthopaedic procedures.

surgeon, specializing in Pediatric Sports Medicine, Limb & Pediatric Spine Deformity as well as General and Pediatric Orthopaedic/Surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital. www.seaviewortho.com • 732-660-6200

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www. s eav www.TheCountyWoman.com i ew or th o. com • 732- 6 6 0 - 6 2 0 November/December 0 2014

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July/August 2015

Medical Professionals

What Is Gastroesophageal Reflux Disease (GERD)? What are the causes of GERD?

Shamina Dhillon, M.D. Shore Gastroenterology Associates, PC

What is GERD?

Gastroesophageal reflux disease (GERD) is a chronic digestive disease where stomach acid flows back or refluxes into the food pipe, or the esophagus. During swallowing, the lower esophageal sphincter relaxes so that food and liquid can go into the stomach. If the valve is abnormal or weak, the acid will come back to the esophagus. The lining of the esophagus is not designed to tolerate the acidity of stomach contents. Therefore, reflux of acid into the esophagus causes symptoms. It is reported that more than 60 million Americans have heartburn at least once a month. More than 15 million people have heartburn daily.

What are the symptoms of GERD?

Symptoms include heartburn, which is a burning sensation in the chest. Patients can have acid regurgitation, which feels like a sour bitter fluid in the throat. The burning can often last for up to two hours and is often worse after eating. Other signs of GERD include chest pain, difficulty swallowing, dry cough, hoarseness or sore throat, and occasionally a sensation of a lump in the throat.

Many conditions can lead to the reflux of acid into the esophagus. A hiatal hernia can cause the lower esophageal sphincter to get weak. A hiatal hernia occurs when the upper portion of the stomach moves up into the chest cavity through a small opening in the diaphragm. While a hiatal hernia may let stomach contents to reflux more easily, many people with a hiatal hernia do not have problems with gastroesophageal reflux disease. Other conditions that can contribute to GERD are smoking, obesity, and pregnancy. Some foods and beverages can also play a role in GERD. These include chocolate, fried or fatty foods, peppermint, citrus foods, tomato products, pepper, coffee and certain alcoholic beverages.

What are the complications of GERD?

If you have heartburn more than twice a week or take over the counter reflux medications, it is important that you see your doctor. Chronic untreated reflux can lead to complications. These include esophagitis, esophageal ulcers, or narrowing of the esophagus from formation of scar tissue. These can all make swallowing difficult. Another significant complication of GERD is a precancerous change in the lining of the esophagus known as Barrett’s esophagus. In this condition, the lining of the esophagus is composed of different cells and can be associated with an increased risk of esophageal cancer.

How is GERD diagnosed?

to avoid foods and beverages that can weaken the lower esophageal sphincter. Doctors also recommend eating meals at least three hours before bedtime. Smoking cessation is also important. Many patients also find relief by elevating the head of the bed using six inch blocks or using a wedge. This allows gravity to reduce the reflux of stomach contents in the esophagus. When lifestyle changes are not enough, antacids can be used to neutralize stomach acid. Long term use of antacids can result in side effects. Medications that reduce stomach acid can also be used.

The most important part of diagnosing GERD is your history, or your signs and symptoms. Your physician may suggest additional tests as needed. These can include an x ray of the upper digestive tract known as an upper GI series. This entails drinking a barium liquids which fills the inside lining of the digestive tract and then having x rays taken of the esophagus, stomach, and small intestine. Another test is an upper endoscopy or EGD. During this procedure, a gastroenterologist will insert a thin flexible tube equipped with a light and camera into the throat while you are sedated. The doctor can then examine the stomach and esophagus and take a biopsy looking for Barrett’s if needed. In some difficult cases, patients may also need a test to monitor the amount of acid in the esophagus. This is done by using an acid measuring device. A monitor that is a clip is placed in the esophagus during the endoscopy. The probe transmits a signal to a small computer that is worn around the waist for two days, and the probe then falls off and is passed in your stool.

How is GERD treated?

These include H2 blockers such as Tagamet, Zantac, or Pepcid. Another type of drug known as the proton pump inhibitor (PPI) can block an enzyme used to produce acid in the stomach. Examples include Nexium, Prevacid, Prilosec, Dexilant, and Protonix.

If you are experiencing the symptoms of GERD, please call 732-517-0060 to schedule an appointment at Shore Gastroenterology Associates with Dr. Shamina Dhillon.

Standing: Drs. Akhtar, Maki, Schwartz and Terrany Center: Maggie and Denise, Nurse Practitioners Front: Drs. Dhillon and Turtel

Dietary and lifestyle changes are the first line of treatment for GERD. It is important

Board BoardCertified CertifiedPhysicians Physicians Our Female Physicians

Services: Adult Gastroenterology Colon Cancer Screenings Endoscopic Procedures Gastrointestinal Diseases Liver Diseases

Mitchell S.Shamina Schwartz, M.D., M.D. F.A.C.G., F.A.C.P. Dhillon, Penny Turtel, M.D.,F.A.C.G., F.A.C.G., F.A.C.P. Penny S. S. Turtel, , M.D., F.A.C.P. Our Male Physicians Ben Terrany, M.D., F.A.C.G., F.A.C.P. Reza Y. Akhtar, M.D. Shamina Dhillon, M.D. Junsuke Maki, M.D. Junsuke Maki, M.D. Mitchell S. Schwartz, M.D., F.A.C.G., F.A.C.P. Reza Y. Akhtar, M.D. F.A.C.P. Ben Terrany, , M.D., F.A.C.G., OurNurse NursePractitioners Practitioners Maggie Doherty,N.P. N.P. Denise DiPierri, Maggie DeniseDoherty, DiPierri,N.P. N.P.

BOARD CERTIFIED GASTROENTEROLOGY

1907 Highway 35 • Oakhurst ¨ 60 Highway 36 • West Long Branch ¨ 233 Middle Road • Hazlet

www.ShoreGastro.com • 732.517.0060

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical Professionals

Pros and Cons of Radiation

s a radiologist, I often receive questions about radiation. Much of the equipment in my field uses radiation to enter my patients’ bodies and create images. We all know that large levels of radiation can be dangerous, but how dangerous is the radiation one receives from an X-ray or CT scan? I am here to answer some of the more common questions that are of concern.

Law

What is my risk of being exposed to radiation?

Radiation is everywhere and we are exposed to it on a daily basis. It comes from the ground, mostly in the form of radon gas. Radiation also comes from the sky in the form of cosmic rays. An airplane flight brings us closer to the atmosphere and increases our radiation exposure. Because of Denver’s high elevation, people who live in Denver are exposed to more radiation than people in NJ. Sun exposure we receive during the summer months exposes us to ultraviolet radiation, which is why protective sunblock is important. We are always exposed to low levels of radiation, and for the most part it does not adversely affect us. When we are exposed to very high levels of radiation, it can slightly increase our risk of developing cancer in our lifetime. However, for the average person, this is not the case.

Health &Wellness Elder Law

The media talks a lot about the high levels of radiation in CT scans. Why can’t CT scans use less radiation?

Theater &Entertainment

Why is radiation dangerous?

When the cells of our body are exposed to radiation, it can create something called free radicals. Free radicals damage the DNA of that cell. Most of the damage is repaired by the cell, but if the damage is severe, two things could happen: the cell can die or the cell’s DNA is repaired incorrectly. If the cell dies, a new cell is created; however, if many cells die and the damage is severe, it could take a long time to recover. If the cell’s DNA is repaired incorrectly, that cell has the potential to become cancerous.

Education

What types of medical imaging expose us to radiation? If I need an X-ray or CT scan, how worried should I be?

Medical devices that emit radiation – including conventional X-rays, CT scans, fluoroscopy, bone density, mammograms, and nuclear medicine studies – all feature very low radiation levels, which does not significantly increase our risk of developing cancer. Imaging is a miraculous tool which provides us the ability to see inside the human body. In my opinion, the lifesaving benefits of using X-rays far outweigh the potential very low risks.

Patients who need more frequent scans, as well as young adults and children, who have a higher sensitivity to radiation, would benefit the most from the lowest possible exposure. For these patients, we recommended using imaging machines which do not use radiation, such as ultrasound and MRI. Otherwise, these patients should receive the absolute lowest levels of radiation while still obtaining the best images possible.

CT scans give extremely detailed images of the human body to detect disease, infection, trauma, and cancer. CT scans do have higher levels of radiation. The amount of radiation emitted from CT scanners can be adjusted; however, setting a CT to emit a very low level of radiation produces very poor image quality. Image quality is important for accurate diagnosis of specific diseases and cancer. As a doctor and a radiologist, it is extremely important to me to reduce the radiation exposure to my patients as low as possible while still creating high-quality images for accurate diagnosis. That is why we implement the latest techniques using our new ultra-fast, 64-slice CT scanner, which gives the highest image quality while reducing the radiation dose by up to 60%.

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In summary, radiation is all around us in low doses. Most medical imaging exposes us to low levels of radiation, which does not significantly increase our risk of developing cancer in our lifetime. As adults grow older, radiation exposure becomes less and less dangerous. Imaging is a miraculous tool which provides us the ability to see inside the human body. In my opinion, the lifesaving benefits of using X-rays far outweigh the potential risks. What is important is to limit the amount of potential radiation exposure. That includes eliminating unnecessary exams and using imaging tools which do not use radiation (such as ultrasound and MRI). Although CT scans do have higher levels of radiation, the occasional CT scan does not significantly increase our risk of developing cancer. Here at Toms River X-ray, CT, and MRI Center, we are committed to using the absolute lowest levels of radiation while still obtaining the best images possible. That is why we are very excited to introduce our brand new 64-slice CT scanner. This state-of-the-art machine uses the latest technology and computer software to dramatically reduce our patients’ radiation dose by up to 60%. I strive to provide the highest level of care and safety for my patients as if it was my own family.

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As always if you have any questions, feel free to contact our office where our staff will be more than happy to assist you. 732-244-0777.

About The Author...

Dr. Cyrus Khorrami is an Ocean County native who attended kindergarten through twelfth grade in Toms River. He is a graduate of Temple University Medical School and completed his radiology residency at Cooper University Hospital. Dr. Khorrami completed a Cross Sectional Imaging Fellowship at Johns Hopkins Medical Center. He has returned to Toms Ricer to work with his family as Medical Director of Toms River X-Ray, CT, and MRI Center.

• PET/CT • Diagnostic X-Ray • Ultrasound • Digital Mammography • CT Scan • Nuclear Medicine • High Field Open Bore MRI • Bone Densitometry

Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 Dr. Cyrus Khorrami, M.D.

Tel: 732-244-0777 • Fax: 732-244-1428

www.TomsRiverXray.com5

www.TheCountyWoman.com The Magazine County Woman Magazine www.TheCountyWoman.com The County Woman

PARVIZ KHORRAMI, M.D. Founder CYRUS KHORRAMI, M.D. Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.

EXPERIENCE & EXPERTISE you can count on.

January/Feb July/August 2015

Specialty Cakes

Lisa Porada

Chocolate Novelties

Owner, Cake Designer

Life’s Short ... Eat Dessert First!

Chocolate Carousel is an old-fashioned bakery and sweet shop featuring homemade specialty cakes for all occasions, desserts, hand-dipped chocolates and novelties located in Wall, NJ.

2510 Belmar Blvd., Colfax Plaza • Wall, NJ

www.chocolatecarousel.com • 732-280-0606

Wedding Cakes, What’s Hot in 2015

h e wedding cake may arguably be one of the most important aspects of the wedding reception. It is displayed as a centerpiece throughout the night for all the guests to enjoy and then is served as a delicious dessert at the end of the event.

I have always felt that the wedding cake should be a representation of the couples style and personality. For this reason our staff personally assists every couple design their dream cake. In doing so, it is helpful to understand some of the current trends in wedding cake design. These design elements can help you to create the perfect cake for your personality. Below are some of the hottest cake design trends for this season. We are seeing these styles used in cakes every weekend and the results are stunning. Metallic Cakes Metallic cakes are hot this season. They are being done in glamorous art deco designs and can adapt to many different wedding styles and shapes. They can be both vintage and modern so this trend is very versatile. These painted tiers must be fondant covered however to give the bride the desired effect. For a less bold statement brides are opting to sparkle dust in gold and silver to accent their cakes Ruffled Cakes The Ruffled Cake continues to be popular this season. It accomplishes a very elegant look. When done in sugar the ruffles are fine and very detailed. A similar look can be accomplished in buttercream giving the cake a softer finish. This detailing is airy and doesn’t need much embellishment, perhaps just a flower or two to complete the look. Naked Cakes Yes, I said naked. The naked cake is a deconstructed cake style where the inside of the cake becomes the design. There is no icing covering these cakes. These will be extremely popular this summer paired with fresh

berries and filled with fillings like raspberry that gently overflows the layers. These cakes are beautiful and very appetizing! White-on-White Wedding Cakes The all white wedding cake is always a wedding cake classic. However the modern style adds all white embellishments onto the traditional all white cake. Piped lace, embroidery, or pearls are an excellent way to jazz up the all white cake. Bold Statements Using Bright Colors and Geometric shapes on wedding cakes is becoming increasingly popular. These designs are usually used to develop a sleek modern feel to the cake. Lace Wedding Cakes I have seen a jump in popularity of the lace covered wedding cakes. These designs can be achieved by hand piping a lace design onto the wedding cake or by using a fondant lace overlay on the cake. These cakes look best when the base color is just one shade different from the lace color adding just a touch of contrast. It is really fun to match the lace design to the lace on the brides dress adding that subtle personal touch. Rustic Wedding Cakes Rustic, earthy weddings are all the rage in 2015. With these rustic styles we use a very neutral color pallet with a soft textured or stucco type icing and finish the cake with a touch of greenery or soft hued fresh flowers. The feel is very inviting and warm. Just as important in accomplishing the rustic feel is the way the cake is displayed so don’t forget to think about how to decorate your cake table to achieve the perfect look. Rosette Wedding Cakes The rosette trend is one of my favorites of the season. It adds texture to the cake but in a vintage and elegant way. These cakes are completely covered in

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hand piped rosettes or sugar roses. Rosettes can be done in white or ivory and can be enhanced with an occasional rosette in a color that matches your theme. The rosette design can also be reserved for just one or two tiers, alternating with smooth iced tiers for a very interesting look Ombre Wedding Cakes Both elegant and whimsical at the same time color ombre cake designs are hot in 2014. Using the color palette of your wedding in a soft fading style from dark to light on your cake makes you centerpiece a truly complimentary part of your reception. We have done these cakes in very subtle hues such as blush pink to ivory or in more bold hues like blue fading to orange and yellow to mimic a sunset. Buttercream Wedding Cakes I have been saying this for years but once again the buttercream cake is preferred to fondant in 2014. There is no need to sacrifice taste to get a beautifully finished wedding cake. Just choose a bakery experienced in buttercream cake designs and your cake can be gorgeous and delicious at the same time! Whatever your style, be creative and work with a cake professional that can help you bring your personal style to your cake. Your wedding cake is such a central part of the wedding day and will live on for years to come in pictures so it definitely deserves some time an attention during its creation. Chocolate Carousel is a family owned and operated bake shoppe in Wall, NJ. We have a staff of trained professional pastry chef ’s with expertise in cakes to help you accomplish the perfect wedding cake. Voted Best Bakery In Monmouth County For 5 Years In A Row!

Call 732-280-0606 today!

July/August 2015

Garden

Local Honey

Do You Know The Amazing Benefits Of Raw Honey? When we look at the word “raw”, we associate it with the preservation of important vitamins, minerals, and enzymes. Just as raw vegetables are preferable because of their nutritional content, the same is true of honey. Raw honey is honey that has not been heated, pasteurized or processed in any way. Raw honey is an alkaline-forming food that contains natural vitamins, enzymes, powerful antioxidants and other important natural nutrients. Listed below are the some of the many amazing facts and benefits of local raw honey. • Honey is the only food that contains every nutrient a human needs to survive including water content. • Bees are the only insects that produce food for human consumption. • Raw honey is honey that is still in the comb or has been extracted without use of high heat that would destroy its benefits. • Bees or another pollinator pollinates two-thirds of the food we eat. • Bees have produced honey for over 150 million years. Allergy Protection Historically, honey has been used to treat adults and children (over one year of age) for coughs and allergies. Some research supports that local honey obtained as close as possible to where you live may help build immunity to some seasonal allergies. Allergies are triggered by continuous exposure to the same allergen over time. Even if a particular plant is not allergenic initially, it can potentially become very allergenic if you spend much time in the same environment as the plant. Honey made by bees in the vicinity of the allergenic plant will contain tiny amounts of pollen from that plant. This honey will act as a sort of vaccine if taken in small amounts-a few several months, and can provide relief from seasonal pollen-related allergies. The Perfect Cooking Companion People are always looking for a light and fresh option to perk up their latest dish. Traditionally, honey was used in vegetarian dishes or primarily desserts. Now, new options are created every day to produce unique sauces and marinades for more common dishes. Why not add honey to your fruit salad or drop some into a sorbet mixture? It is the most natural sweetener you can find, so why wouldn’t you want to use your imagination to improve your favorite dishes with honey. With all of the great things honey brings to the table there is no reason not to pick up a bottle and try it out and see what it has to offer. Drew and Patty would love to meet you and share the benefits of real, local honey with you.

Stop by our honey farm on Fairfield Road or call 732-866-1745!

Beautiful Treats For All Occasions Farm To Vase Flowers

At From the Garden we grow many varieties of cut flowers. We have dahlias, zinnias, sunflowers, coxcomb, hydrangeas, snapdragons, and more. We can cut flowers right on the spot, and make a wonderfully fresh bouquet for you. We can also do arrangements in baskets as well. Our fresh cut flowers are a great way to liven up your day.

Delicious Seasonal Produce

During the summer, we are fully stocked with fresh fruit from our orchard, which are typically ready for picking by mid July. Apples, pears, and peaches are just a few of the varieties of fruit we have to offer as well as an array of vegetables from our garden. With all these options available to you, you can get just about anything you need for a sweet and beautiful summer.

Favors and Gift Baskets

A great idea for making either a small get together or a large scale party special is favor that your guests can take home at the end of the day. From the Garden has a unique idea that your guests will love: HONEY FAVORS! Jars of honey can be fitted with customized labels that will add a little something special to your special day. What a better way to show up to a special event with gift baskets full of treats from From the Garden Honey Shoppe. We can make gift basket of any size and fill it with just about anything you need. From soaps to candles, baked goods as well as-you guessed it-honey!

Hours: Monday - Closed • Tuesday thru Friday - 9am - 5pm Saturday 930am - 4pm • Sunday 10am - 3pm

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July/August 2015

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Femara (Letrozole) (after the collarbone. This is temporary Hormenopause). ealth &W In addition, your and can beellness removed after treat-

Diagnosed With Diagnosed WithBreast BreastCancer: Cancer:What’ What’ss Next? breast is removed surgically, there is a risk of cancer growing back in the same breast or spreading to other organs, a process called metastasis. The risk of metastasis is based on a number of factors. Age, menopause, the stage of the cancer and characteristics of the tumor cells (grade, hormone receptors called ER and PR, and Her-2) all determine the risk of relapse or metastasis.

Age

Submitted by: Dr. Sarah J. Easaw, MD, FACP Ocean Hematology & Oncology

he biopsy shows that you have breast cancer. In addition to the shock and emotional turmoil, a thousand questions go through your mind. “The surgeon said that he took everything out, so why do I need chemotherapy?” “What are my chances?” “Am I going to die from cancer?” “My friend only needed to take a pill, why am I not getting that?”

No Two Tumors Are Alike Not everyone diagnosed with breast cancer is treated the same because no two tumors are alike. Even after the lump in the

In general, young women tend to have more aggressive tumors and are more often treated with chemotherapy than older women.

Stage

ness of the cancer. Cancer cells are graded from I to III, grade I being the least aggressive and grade III being the most. The tumor cells are also tested for hormone receptors on the surface of cancer cells, called ER and PR (estrogen and progesterone). Tumor cells are also checked for a protein called Her-2. About 25-30% of all breast cancers are Her-2 positive. Her-2 positive patients are treated with a drug called Herceptin.

Law

Education

Tumor Characteristics

Certain features on the cancer cells can predict the aggressive-

Who Needs Chemotherapy?

ment is completed.

Side Effects Chemotherapy can cause nausea, fatigue, vomiting, hair loss, mouth sores, low blood counts and numbness in the extremities. These are all reversible and improve once treatment is discontinued. With the use of newer medications, nausea and vomiting can be prevented considerably.

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Breast cancer is staged from Stage 0 to Stage IV; Stage 0 is pre-cancerous and is also known as carcinoma in situ (DCIS or LCIS). Stage 0 cancer does not metastasize and does not require chemotherapy. Stage I is a small tumor (<2cm) confined to the breast; when the tumor has spread to the lymph nodes or if the tumor is >2cm it is Stage II. Stage III includes tumors that have spread to lymph nodes in the neck, have affected more than 4 lymph nodes, or have spread to the skin and chest wall. When the cancer has metastasized to other organs (commonly to the bones, lungs or liver), it is Stage IV. The higher the stage, the higher your risk is of relapsing; chemotherapy, hormonal therapy or both are recommended to reduce that risk.

To learn more about treatment of breast cancer or other cancers, contact Dr. Sarah J. Easaw, 732-961-0010

Even if the visible tumor is removed surgically, you may have cancer cells floating around in your system that can deposit in different parts of the body. This can happen a few months to several Compassionate Cancer Care, Close to Home years later, producing metastasis. Research has shown that this risk can be reduced by giving chemotherapy for a few months. In addition, hormonal therapy and Herceptin are used in appropriate patients. After surgery, your surgeon will refer you to a Medical Oncologist who will then determine the kind of treatment you may need. Women who have very early stage breast cancer may not need any treatment and should be observed periodically. Most women with ER and W We offer a full range of Hematology & Oncology services. PR positive tumors are W We are dedicated to providing state-of-the-art cancer care in a treated with Tamoxifen warm and personalized manner. (before menopause), or W Our newly renovated, spacious infusion room provides a Arimidex (Anastrazole) peaceful and friendly atmosphere to patients while they receive

We now hold Group Therapy sessions for cancer patients and caregivers, led by certified psychotherapists.

Patient Testimonials

medical oncologist may advise you to get chemotherapy based on the other factors mentioned above. The most commonly used chemotherapy drugs are Adriamycin, Cytoxan, Paclitaxel (Taxol), Docetaxel (Taxotere), and 5 Flurouracil (5 FU). The type of chemotherapy and duration used are also based on the risk of metastasis. Chemotherapy is given for approximately 4 to 6 months, starting about 3 to 4 weeks after surgery. Chemotherapy is often administered as an intravenous infusion. To minimize damage to the veins and to ensure proper administration, a device called a port-a-cath can be inserted below

thank God every day that Dr. Easaw became an oncology doctor and that I was lucky kIenough to have found her… Donna, Toms River. Easaw took the time to answer every one of my questions and guided me to make the best kDr.decision for my Mom’s care… Melissa, Howell. and her staff became an extension of my family and I feel so fortunate that she kDr.movedEasawher office to Ocean County just when I needed her the most… Dorothy, Toms River.

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chemotherapy and other infusions. W Our staff is highly qualified, experienced and compassionate.

Sarah J. Easaw MD, FACP Diplomate of the American Board of Hematology, Oncology & Internal Medicine

Ocean Hematology & Oncology 1255 Route 70, 31S Easily Accessible Location, Near Exit 88 on GSP

Lakewood, NJ 08701

732.961.0010

www.oceanhemonc.com Accepts Most Insurances Affiliated with Kimball Medical Center, Ocean Medical Center and Community Hospital Access to Clinical Trials

To Learn More, Visit www.oceanhemonc.com

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September/October 2013 January/Feb July/August 2015

Wicker

Rattan

THE WICKERY Family Owned & Operated Retailers of Wicker, Rattan & Resin Furniture Since 1986

732-286-2322 Custom WiCker | rattan Furniture | outdoor WiCker | Custom-made replaCement Cushions

SAVE 10% on all orders.

Ask about our Hurricane Sandy Recovery Discount! 8/31/2015. No minimum purchase required. Offer expires 6/30/15.

30 Flint Road, South Toms River, NJ 08757

732-286-2322 www.thewickery.com

Book Corner

hours: Closed Mondays Tues, Thurs-Fri: 10am-6pm Wednesday: 1-6pm Sunday: 11am-4pm

direCtions: GSP Exit 81. Follow signs for 527 South, RIGHT after Toms River Post Office onto Irons/166, LEFT on Herflicker, RIGHT on S. Main & LEFT onto Flint Rd.

VIP Dinner & Book Launch for Author and International Book Awards Finalist Gwen Miller’s “Echoes of Silence: Letters to a Drug Addicted Mother from the Woman Who Took Her Place” When: Thursday, August 27, 2015 Where: Algonquin Theater Manasquan VIP dinner prior to event.

Contact information: Judi@willowwindpublishing.com or the Algonquin theater in Manasquan at 732-528-9211

Time: VIP dinner will start at 6pm

Book launch & gift auction immediately following.

Gwen Miller

All proceeds will go to CASA of Monmouth County and Hope Sheds Light of Ocean County

About the Book... Gwen unfolds a story of hope and heartache as she attempts to connect with her drug addicted niece, Melissa, to help her find her way back to her babies. As time passes, more and more discoveries are made of the horrors and abuse inflicted upon her children. Hope turns to despair as Gwen is overwhelmed by the task of healing these traumatized youngsters. Her appeals to the mother fall on deaf ears as the words come tumbling back leaving nothing but Echoes of Silence.

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July/August 2015

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March Is National Colorectal Cancer Awareness Month Dealing With Anal Abscess And Anal Fistula Here’s What You Should Know: How To Prevent And Treat Colorectal Cancer alization of the insidenecessary of common is colorectal 1How What is an anal abscess? cancer and who is at risk? 1 Are antibiotics to treat anal abscess or anal H ealth &W ellness the colon and rectum. A Colorectal cancer is the second most common cancer in the H fistula? ealth &W ellness colonoscopy is a safe, painUnited States among both men and women. It affects 140,000 L Law aw

An anal abscess is an infected cavity filled with pus found near the anus or rectum.

NinaPaonessa, Paonessa,DO, DO,FACOS, FACOS, Nina ananestablished colorectal surgeon established colorectal practicing in Ocean County, surgeon practicing in answers questionsCounty about colMonmouth orectal cancer, one the leaddiscusses the basicsofregarding ing cancers in both men and Inflammatory Bowel Disease. women. Dr. Paonessa specializes in the evaluation and treatment of patients with colon and rectal conditions/ diseases and frequently performs laparoscopic surgery for her patients. She also offers conservative and minimally invasive treatment options for many common anorectal disorders. She frequently explains to her patients that “just because I am a surgeon, doesn’t mean everyone needs surgery. There are other options I can offer you.” Dr. Paonessa has been named Proctologist Board-certified in general of the Year by the American College ofand Osteopathic surgery proctology Proctologists, awarded and a fellow of the the Patient’s Choice Award American College ofand the Compassionate Doctor’s Osteopathic Surgeons, Award by Vitals.com for six Dr. Paonessa specializes consecutive years, and is on the HealthGrades in colon and Honor rectal Roll. surgery.Board-certified She has been in in generpracticeal for 10 and years. She surgery proctology and a fellow the American completed herof colon and College of Osteopathic rectal surgery fellowship Surgeons, Dr. Paonessa specialin colonValley and rectal surgery. atizesLehigh Hospital She has been in practice foris9 in Allentown, PA. She years. She completed her colon co-editor of the textbook and rectal surgery fellowship Surgical at Lehigh Treatment Valley Hospital in Allentown, PA. of Hemorrhoids, 2nd She is co-editor edition. Dr. Paonessa of the textbelieves in patientbook Surgical centered Treatment care of and Hemorrhoids, preserving each patient’s 2nd edition. independence, well being Dr. Paonessa and dignity. She provides believes in the latest, up-to-date patient-centered care andand preserving treatments tailorseach patient’s independence, well each of careShetoprovides the being plan and dignity. individual patient’s needs. the latest, up-to-date treatments and tailors each plan of care to Call 732-282-1500 the individual patient’s needs.

and causes 50,000 deaths. The average person has a 1people Whatannually is an anal fistula? one in 20 chance of developing An anal fistula is frequently the colorectal result of a cancer previousinorhis/her currentlifetime. anal This risk is increased if there is a family history of colorectal polyps abscess, occurring in up to 50% of patients with abscesses. or cancer, and is even higher still in those patients with a history of Insideuterine the anus small cancer, glands. and Sometimes, become breast, orare ovarian patients these with glands a history of extenclogged and become infected. This such leads as to ulcerative an anal abscess. anal sive inflammatory bowel disease colitis The or Crohn’s fistula is the tract or colorectal tunnel thatcancer forms may between theatclogged colitis. Although occur any age,gland moreinside than the analofcanal and the infectedwith skin/abscess outside theover anus.ageA 40 fistula 90% patients diagnosed colorectal cancerofare can present withdoubles or without abscess. causesthis of anal fistula and this risk everyanten years. Other Translated, means thatare: a Crohn’s disease, radiation, trauma and malignancy/cancer. person’s risk for developing colorectal cancer increases significantly with age.

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seen can be at this time for and anal provide the definitive diagnosis. aw 1 What is done the lder treatment fistula? lder aw

of the colon, called the cecum. Biopsies of any growths or tumors

Based upon the findings colonoscopy, colorectal Surgery is almost alwayson necessary to treatyour an anal fistula. surgeon This mayor other specialist mayorrecommend testing Colorectal such as blood work, a require a single stage multi stagedother procedure. surgeons CTspecialists scan of the and pelvic MRI ultrasound. are whoabdomen are trained to pelvis, treat anal fistula andand/or are well versed inThe the best different of surgeries to and treatearly anal fistula. Surgery forisanal way types to diagnose polyps colorectal cancers to fistula involves connecting the external opening (site of drainage on the undergo routine screening colonoscopy.

T How is colorectal cancer treated? Theater heater &E &Entertainment ntertainment Nearly all cases of colorectal cancer require surgery. Radiation and

1What Howcauses does a colorectal person develop an anal abscess or fistula? cancer?

Most abscesses are that the result acute and infection the glands It is anal generally agreed nearlyofallancolon rectalincancer begins inside of the anus. Occasionally, bacteria, fecal material or foreign in benign polyps, called adenomas. These pre-malignant polyps,to matter can clog the anal gland and create a condition for an abscess or growths, occur in the wall of the colon and/or rectum and form. Once an abscess is drained, in approximately 50% of cases,may a eventually increase in size and the become cancer, or medically speaking, tunnel (fistula) will persist under skin connecting the infected gland is known as the “adenoma-carcinoma sequence”. tocarcinoma. the outside This skin where the abscess was located. When this occurs, Several factors have been mentioned in the literature that may the patients typically experience some type of persistent drainage from increase a person’s riskhad for been developing colorectal cancer and include: site of where the abscess in the perianal skin.

What are with the symptoms ofhave colorectal cancer? A patient an abscess may pain, redness or swelling in

skin) to the internal opening (the clogged gland in the anus). There are several different types of surgical procedures to accomplish this and a colorectal surgeon would determine which procedure is best suited to chemotherapy your condition. are sometimes required in addition to surgery. If the

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age, a diet high in fat and cholesterol, an inactive/sedentary lifestyle, smoking and environmental exposures. 1obesity, What are the signs or symptoms of an abscess or fistula?

the area around the anus. common symptoms fevers,any chills, Unfortunately, polypsOther and early cancers do not are produce physifatigue andor generally not feeling well. Those patients that indicate develop an cal signs symptoms. Therefore, symptoms usually late or anal fistula frequently complain of perianalsymptoms irritation, of moisture in the advanced disease. The most common colorectal cancer perianal areableeding and/or persistent, episodic drainage the perianal area. are rectal and changes in bowel habitsinsuch as constipation Aor common complaint patients with fistula isinthe sensation they diarrhea. These of symptoms are anal common many otherthat disorders cannot keep the perianal area clean or that they feel “wet” in the perianal area. of the gastrointestinal tract so it is very important to have a thorough

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Antibiotics, alone, are NOT a wise treatment for anal abscess or less, outpatient procedure fistula. Studies have shown that for uncomplicated abscesses, the performed under a light addition of antibiotics to surgical drainage does not improve healing sedation. Most time or reduce thepatients potential for recurrences. There are, however, certain circumstances in which may be added to surgical drainage. undergo a gentle oral antibiotics bowel These would include those patients with extensive cellulitis, patients with prep/cleanse in preparation cardiac valvular disease, and those patients with altered or suppressed for a colonoscopy. A narimmune systems. determination is made by your surgeon after taking row, flexible tubeThis with a a lighted careful, camera detailed on medical andfrom performing a physical examination. its tiphistory is passed the rectum to the beginning

of the gastrointestinal tract so it is very important to have a thorough examination should you experience them. NOT ALL RECTAL IS DUE HEMORRHOIDS. It is an veryabscess important 1BLEEDING Are there any testsTO performed to diagnose or for patients to remember this and seek evaluation if they are expefistula? A majority of bleeding. anal abscesses analsymptoms fistula are such diagnosed by historypain and riencing rectal Other as abdominal physical examination additional studies suchindicate as CT and weight loss are alone. usuallyOccasionally, late symptoms and quite possibly scan or MRI can assistdisease. the surgeon with the diagnosis of deeper abscesses advanced/extensive orHow to help a deeper or complex fistula tract/tunnel. is identify colorectal cancer diagnosed?

How is colorectal cancer diagnosed?

cancer is diagnosed and treated in the earliest stages, approximately 80-90% of patients restoredfortoanal theirfistula normal health. cure The different typesare of surgery include analThe fistulotomy rate decreases or less when(clogged the cancer is diagnosed in the which connects to the50% internal opening gland) with the external opening (site of drainage on the skin). a groove thatpatients will later/advanced stages. Less than 5% This of allcreates colorectal cancer heal from the inside out. Other procedures to treat anal fistula include require a colostomy or “bag”, thanks to modern technology. Dr. filling the fistula withinabeing material the this fistula or disrupting Paonessa pridestract herself abletotoocclude maintain standard of care the tissue around the fistula in order to close the fistula. If performed in her own practice. Not only is she able to minimize the number correctly, surgery for fistula is unlikely affect bowel of colostomies/”bags” created for hertopatients, but control. she performs a majority of her colorectal cancer surgeries using laparoscopic sur1 What to expectcolorectal when recovering fistula surgery? gery. Laparoscopic surgery is a from minimally invasive surgery will be providedarepain medication to assist the This in Patients which small incisions made to perform majorwith surgery. discomfort with fistula Taking stool softeners, allows for associated shorter hospital stays,surgery. decreased incisional pain and earlier laxatives and fiberand supplement will help to avoid constipation in the return to work other activities.

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Evaluation of colorectal cancer is first begun with a complete his1tory How an anal abscess treated? andisphysical exam, including a digital rectal exam and possibly The treatment of anal abscess is surgical drainage. Oncedefinitive the testing the stool for blood. A colonoscopy is the most test overlying and surrounding skin has been numbed with local anesthetic used to diagnose colorectal cancer. A colonoscopy is performed by agents, an incision is made in thespecialist skin overinthe abscess to drain thevisupus. a colorectal surgeon or other order to get a direct

This can usually be performed in the surgeon’s office with local anesthetic and may sometimes require deeper anesthesia in the hospital setting. For patients, such as diabetics or patients with suppressed immune systems, hospitalization may be required for more significant infections.

postoperative period. Patients should plan for some time at home to Can colorectal cancer be prevented? recover. Discussing with your colorectal surgeon the anticipated time one of theSitz fewbaths cancers awayColorectal from workcancer is veryisimportant. alsothat playisapreventable. key role in the Obtaining a screening colonoscopy at regular intervals is the single postoperative care.

best way to prevent colorectal cancer. Your colorectal surgeon or Dr. Paonessa colorectal surgeon colonoscopy who is skilled specialist is ableistoa fellowship review thetrained guidelines for screening atbased treating patients with medical anal abscess and and analfamily fistulas.history. She has Although a 24 upon your age, history hour policy in herproven, office so that ifpublished you are ininpain from an anal abscess, not definitively studies the literature mention addiyou canfactors be guaranteed be seen hours. Most anal abscesses tional that maytolower yourwithin risk of24developing colorectal cancer are drained right in the officefiber, under local anesthesia. Dr. Paonessa is and include: eating a high low fat diet, maintaining a also well trained of in techniques to treat simple and complex healthy weight, in anda variety engaging regular, vigorous exercise. anal fistulas with excellent outcomes. If you are experiencing any of the Calloffice FortoAn Appointment, symptoms above, call Dr. Paonessa’s make an appointment and get on the road to feeling well. 732-282-1500

Paonessa Colon and Rectal Surgery, P.C. Nina J. Paonessa, DO, FACOS Paonessa Colon and Rectal Surgery, P.C. Colon and Rectal Surgery Board in General Surgery and Proctology NinaCertified J. Paonessa, DO, FACOS Colon and Rectal Surgery 2101 Route 34 in South, Hand • Wall, NJ 07719 Board Certified GeneralSuite Surgery Proctology

732-282-1500 Office Suite Hours: 9AM to 5PM 2101 Route 34• South, H •M-F Wall, NJ 07719 ¢ laparoscopic laparoscopic surgery surgery ¢ colonoscopy colonoscopy ¢ 732-282-1500 • Office Hours: M-F¢ 9AM to 5PM ¢ abdominal/pelvic surgery ¢ anorectal surgery ¢ abdominal/pelvic surgery laparoscopic surgery fecal incontinence incontinence fecal abdominal/pelvic surgery endoanal/rectal ultrasound ultrasound endoanal/rectal fecal incontinence anorectal manometry/physiology manometry/physiology anorectal endoanal/rectal ultrasound anorectal manometry/physiology

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Client Testimonials ...

Call 732-282-1500 for an appointment! In addition to being a skilled surClient Testimonials Client Testimonials Josephine B. B.geon, Doctor Paonessa is so caring, Josephine ”Dr.I had Paonessa has been doctor “After colonoscopy andmy found out had colon colon “After I had aa colonoscopy and found IIlike had compassionate and attentive, I out felt she for a number of years. I find her to be cancer, my primary physician recommended I see Dr. cancer, my primary physician recommended I see Dr. was my good friend. going to a extremely caringsurgeon, and very Paonessa. Notknowledgeable, only is she she Ian anconsidered excellent surgeon, but Paonessa. Not only is excellent but she’s such compassionate person as well. well. would accommodating myperson needs. She she’s such aa compassionate as would New York hospitaltountil I met Dr.IIprovides Paonessa, recommend Dr.bedside Paonessamanner... to anyone anyone and and everyone.” exceptional I highly recommend Dr. Paonessa to everyone.” but because ofher herasIadecided to stay local recommend physician.” Patricia E. glad Patricia E. and I am I did.NJ) I can’t say enough good -Michele (Mayetta, “I credit credit Dr. Dr. Paonessa Paonessa for for saving saving my my life. life. Her Her “I things about Dr. Paonessa, and I highly thoroughness and attention to detail made the recthoroughness and seen attention to detail made for the “I have been by Dr. Paonessa thelike difference for for mytorecovery. recovery. I’ve Inever never met met aa doctor doctor like difference my I’ve ommend her everyone past few years. I find her toknow. be a caring, her—so attentive and caring.” her—so attentive and caring.” ~ Marie S. thorough and conscientious physician.”

•

www.paonessacrs.com (Beach Haven, NJ) March is National Colorectal Cancer Awareness -Kathleen Month www.TheCountyWoman.com The County Woman Magazine March/April 2014

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January/Feb July/August 2015 January/Feb March/April 2015

Alzheimer’s lzheimer’sC Care areC Communit ommunity A y

If any of these symptoms become worse, make an appointment with your doctor, who may recommend medication or counseling. If your forgetfulness is a normal response to stress, a major life change, or depression, your memory should improve as you begin feeling better. Signs of a serious memory concern like Alzheimer’s or dementia may include: • • • • • •

Did You Misplace Those Car Keys – Again?

Repeatedly forgetting appointments, events, or names of family or friends. Finding it extremely difficult or impossible to complete everyday tasks that used to be easy, like driving to a familiar location. Confusion with time or place. Withdrawal from social activities and work. Difficulty having a conversation or trouble remembering the words for everyday objects. Neglecting personal safety, nutrition, and cleanliness.

If you’ve experienced some of these signs, or you have concerns about your memory, reaching out to experts in the field may be wise. “We have had inquiries from family members asking questions about mom’s forgetfulness. We encourage them to make an appointment with their doctor, but they know we are here if they even want a shoulder or just need to vent.” Says Maria Nadelstumph, Vice President of Organizational Development & Program Excellence at Brandywine Senior Living.

There’s a difference between misplacing your glasses or keys and more serious memory impairments that can disrupt your daily life.

Brandywine Senior Living offers a special memory care program called Reflections. Their philosophy is not only geared to residents but also to family Forgetfulness can be normal, and in many situations, not be a cause for concern. members. Brandywine knows from experience that providing quality care is only successful when you involve the families in all aspects of care - from care Stress, anxiety, and depression can also cause memory problems. conferences, daily communication, support groups, and family gatherings. There are some reasons for forgetfulness that shouldn’t be cause for concern: Maria encourages families to contact her even at the beginning stages when • Forgetting appointments once in a while, but remembering them later. they just want more information. “Navigating through dementia and other • Making occasional mistakes when doing an everyday task. Alzheimer’s related diseases can be overwhelming. I feel good knowing that I • Occasionally misplacing items. can help families make choices, and give them the guidance they may need.”

Brandywine Senior Living at Colts Neck Colts Neck, NJ • 732-303-3100 Brandywine Senior Living at Governor’s Crossing Englishtown, NJ • 732-786-1000 Brandywine Senior Living At Howell Howell, NJ • 732-719-0100 Brandywine Senior Living At The Sycamore Shrewsbury, NJ • 732-212-2600 Brandywine Senior Living At Wall Wall, NJ • 732-282-1910

www.Brandycare.com

“I think he’s married.”

www.TheCountyWoman.com www.TheCountyWoman.com The The County County Woman Magazine Magazine

July/August 2015 May/June 2015

Wigs

Hair Replacement

~ A Hair Salon that Makes a Difference ~

hen Gerry Hergert named her salon Abstrax Hair Designs, she was thinking of the prime listing she would receive in the telephone directory. “At that time, yellow pages advertising were a large part of our marketing, representing a hefty monthly expenditure. Our name afforded me a prime, first listing location,” she says. The salon has come a long way since those early days, weathering many changes and growth. Her business has now become one that makes a lasting impact on her customer’s lives. Abstrax specializes in hair restoration services and will custom-design your hair loss remedy. She adds, “We make you the person you were before your hair loss because we offer many solutions to this single problem.” By considering your unique pattern of hair loss, your age and your hair’s natural growing patterns and tendencies, we will develop an individualized solution, tailored to your needs and allow you to look like you again.”

✺ CW: How did you get started in this industry?

Gerry Hergert: After I graduated high school I immediately enrolled in Franklin Beauty School in Elizabeth. I worked part time while going to school and after graduation worked in a salon full time until I had my children. I resumed working part time in several salons until 1976, when I achieved my life’s dream of opening my first full service salon. We named it, A Beauty on the Mall and had ten hair stylists and two nail technicians.

What other schooling did you have? ✺ CW: Gerry Hergert: I attended Christine Valmy School in New York to study

dermatology and after receiving my certification as an Esthetician; we introduced skin care into the salon.

When did you change your location? ✺ CW: Gerry Hergert: As time progressed, our anchor store, Shop Rite, along with ten busses per day traversing the mall relocated to the other side of town. Due to the tremendous loss of businesses, The Tavern on the Mall an adjacent business was sold to an inexperienced proprietor who turned the Tavern into a Gentlemen’s Club, which was not very good for my business. This precipitated my relocating efforts. To counteract these events, I purchased my own building in 1989, which officially made me a landlord.

How did you get into the hair loss arena? ✺ CW: Gerry Hergert: After being in business for 14 years we started looking around for

Gerry Hergert

Owner & Trichology Specialist

something to enhance our business, something that we could apply our years of experience in the hair industry to. At this time, I noticed there were a number of men wearing hair that in my opinion did not match their color correctly and was not blended in right. As a cosmetologist, I thought I could do a better job. Additionally, I had a number of clients dealing with cancer who were suffering from hair loss. I was interested in helping them so I began looking into hair loss and its remedies. I received an invitation from the American Hair Loss Council to a conference pertaining to hair replacement in New Orleans. This was the same year we purchased our first hair graft and joined the American Hair Loss Council. I began networking in the industry and met several council members. I found being a council member beneficial as it allowed me to discuss many different aspects of the hair loss business. Finally, in 2012 I received my Masters Hair Replacement Specialist Certificate issued by the American Hair Loss Council.

How is Abstrax Hair Designs different today? ✺ CW: Gerry Hergert: Two years ago we made several major investments. The first was

becoming a vendor for the Government, and as such, we are certified with The Veterans

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Wigs

Hair Replacement

~ An Interview With Gerry Hergert ~ Administration to provide hair prosthetics for Veterans both male and female, in the form of hair graphs and hair extensions. I find this to be the most rewarding part of my business, being able to support our servicemen and women in their hour of need. We also support cancer patients with wigs and hair graphs while they are going through chemotherapy or radiation treatments.

Tell us about some of the different organizations ✺ CW: you are a part of.

Gerry Hergert: We belong to many different organizations such as “Children with Hair Loss” and we are considering joining the National Alopecia Areata Foundation (NAAF). This is how networking works: we met Miss Delaware, Kayla Martel who is a spokesperson for The Children with Hair Loss and NAAF. We have started networking with the local Oncology Nurses Society, which allows us access to the local hospitals and their cancer patients. We represent the Lindt Skin Care Products, which were developed specifically for cancer patients.

Tell us about your work with Trichology. ✺ CW: Gerry Hergert: Last year we became a Capilia Head First Center, one of

46 centers in the United States and the only Capilia Head First Center in New Jersey offering Trichology. Professional hairdressers often observe clients who are very concerned about their thinning hair and scalp problems. However, since hairdressers are not technically trained to identify and treat these issues, the client’s problems often go untreated. Trichology is the scientific study of

the health of the hair and scalp. This science brings together cosmetology and dermatology concepts, to allow us to identify scalp disorders and offer solutions to clients in a proven, professional way. The science of Trichology has been around for many years but has been ignored for a long time. It has helped thousands of people suffering from hair loss and scalp issues. We became aware of Trichology through our networking with the American Hair Loss Council and Capilia, which is the leading Hair Loss Professional Group in Canada. In conjunction with Novera International and Laboratoire Nature we have become Certified Scalp and Hair Specialists. This allows us to offer hairstyles and extensions, color, frostings, perms, scalp care, and hair loss solutions to a much higher standard then previously before. Abstrax Hair Designs has come a long way since their days of “prime real estate” in the yellow pages. They have recently relocated to their own professional building with additional space in order to provide increased privacy for their male and female hair replacement clientele. This new location offers a private entrance for their male clients. They are members of the Toms River and Lakewood Chamber of Commerce and interestingly enough, have recently become a Vegan Salon. All of their hair colors are Vegan and the smoothing system is also a Vegan product. It is quite obvious that Gerry Hergert has found her niche in this industry and she brings to it an enormous amount of passion.

To schedule an appointment with Gerry, call 732-255-1733.

Experiencing Hair Loss? We Have Real Solutions! Are you suffering from:

• Itching • Eczema • Flakiness • Psoriasis • Oily Hair • Flat Hair • Shedding Hair We have real solutions! Seize this unique opportunity to discuss your hair loss solution with a hair loss specialist.

FREE Confidential Consultation

Heads First Capilia Center

732-255-1733

2494 Moore Rd.Ste #1 Toms River, NJ 08753

Laura Cole

We are a Member of:

Trichology Specialist Master Certified AHLC Board Director

(In the Stone Hedge Professional Building)

www.abstraxhairdesign.com Email: gerry@abstrax.com

My hair analysis system has helped many of my clients with their hair loss problems. If you are suffering from any of the symptons described, call me for a Free Confidential Consultation.

Appointments are required. Please call for your FREE consultation!

The County Woman Magazine www.TheCountyWoman.com

Trichology Specialist on Premises

July/August 2015

Health & Wellness Health & Wellness

42 40

Sun Damage : The Dangers of Tanning – Indoors or Outdoors

A Healthier Approach To The New Year

ave you ever been mistaken for Casper the Friendly Ghost? You may still value a glowing Maybe you want tan, even if you’re not quite that Attainable. white. Many Here we to lose 50 pounds by your class people think and feel a little color gives them a go again. reunion this summer. But seriously, now, is healthier – maybe even sexier – look.

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Health

& Wellness

A Healthier Approach To The New Year

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609.927.8900 609.660.1111

“Your special order is our pleasure to fill!”

JSRX Holdings LLC on a smaller pair of pants. on a smaller pair of pants. orders, within 300 miles of the Jersey Shore measurable,Rx you can evaluchanges.aspx. Accessed Development LLCApril 18, 2012. Holdings LLC, Rx Development LLC H ormone Replacement Sources Veterniary Jay Greco, Jersey Shore Pharmacy Pain Free Jay RxJSRX Pick-Up Sources 1. American Psychological Association: "Making lifestyle changes that last." AvailablePharmacy, at: http://www.apa.org/helpcenter/lifestyleur progress and2. American know when Greco, RPh Jersey ShoreRPh Pharmacy by UPS. Council for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ changes.aspx. Accessed April 18, 2012. T herapy (HRT)* Medicine Medication 1. American Psychological Association: "Making lifestyle changes that last." Available at: http://www.apa.org/helpcenter/lifestyleand Delivery JSRX Holdings LLC, Rx Development LLC , display.aspx?itemid=2637. Accessed April 18, 2012.

delivered to 2. American Council for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ 580 St, Accessed April 18, 2012. 580 St., Barnegat, succeeded. For North example,Main if changes.aspx. JSRX Holdings LLC,Main RxPrescriptions Development , 08005 display.aspx?itemid=2637. Accessed April 18, 2012. Arrival Next Day! CallNorth 609-660-1111 580 North Main St.,LLC Barnegat, 08005 3. Hungtington Medical Foundation: "Making lifestyle changes that the stick." Available at: http://www.huntingtonmedical.com/aboutBarnegat, 08005 2. American Council for Exercise: "Reaching Your Goals SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ 3. Hungtington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/aboutoal is to lose weight, you can display.aspx?itemid=2637. Accessed April 18,Accessed your home or office! Phone: 609-660-1111 2012. hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. April 18, 2012. hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. www.jerseyshorepharmacybarnegat.net Phone: 609-660-1 580 North Mainwww.jerseyshorepharmacybarnegat.net St., Barnegat, 08005 your body mass index (BMI)3. Hungtington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/aboutWe also offer a hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. www.jerseyshorepharmacybarnegat.net Phone: 609-660-1111 if you can Competitive get the zipper up Jersey Shore Pharmacy ships Pricing! medication disposal program. prescription orders by UPS maller pair of Call pants.For Quote!

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or Fed Ex. Jay Greco, RPh Jersey Shore Pharmacy JSRX Holdings LLC, Rx Development LLC , Arrival next day! can Council for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ spx?itemid=2637. Accessed April 18, 2012. 580 Northcompounding Main St., agency. Barnegat, 08005 www.jerseyshorepharmacybarnegat.net www.jerseyshorepharmacybarnegat.net * For more information on customized hormones, call our professional ington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/aboutwww.TheCountyWoman.com -newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. The County Woman Magazine www.jerseyshorepharmacybarnegat.net Phone: 609-660-1111 January/February 2014

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can Psychological Association: "Making lifestyle changes that last." Available at: http://www.apa.org/helpcenter/lifestyleaspx. Accessed April 18, 2012.

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www.jerseyshorepharmacybarnegat.net

July/August 2015

Business Spotlight

~ Interview With Jay Greco ~ Jersey Shore Pharmacy Emphasizes a Healthy Approach

ay has been a pharmacist since 1992, after graduating from Northeastern University in Boston, MA. He moved to the Jersey Shore and then worked at the Thrift Drug in Tuckerton, NJ. After working for several different chains and small independent pharmacies he decided to open his first practice in Barnegat in 1999. After selling the franchise in 2007, Jay now owns and operates his own private retail pharmacy in Barnegat, NJ with his own compounding lab on site. Jay Greco adds, “We have everything you need for a healthier tomorrow.” CW: How would you describe your Pharmacy’s philosophy?

Jay: Our pharmacy’s philosophy is simply to provide outstanding service. We treat people with respect and kindness. We try to provide solutions to our patients’ health needs.

CW: What sets Jersey Shore Pharmacy apart from other pharmacies?

609.660.1111 580 North Main St. Barnegat, NJ 08005

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Jay: What sets us apart is the personal care we give every patient that most pharmacies don’t have the time to provide. There is always a short wait time for those people who are in a hurry. We work with patients and doctors to help them get affordable medicine if the drugs they need are not covered under their insurance. We mail out compounded medication to our patients in the New Jersey area.

CW: How do customers benefit from a Compound Pharmaceutical?

Jay: The benefit of compounding is that it can provide doses and dosage forms that are not currently available. We can customize strengths that are not commercially available or medicines not being made anymore. For people with allergies to certain fillers we can custom compound prescriptions just for them. We can help patients with hormonal imbalance, and compound for physical therapy and sports medicine. We can even provide prescription compounds to pets.

CW: What advice do you give customers that would be interested in using a compound pharmaceutical product?

Jay: I advise patients to be their own advocates and do some research. There are lots of books and websites where they can find information. They can ask also their doctors or pharmacists for help. Hospitals, doctors and pharmacies have health fairs to get information out to patients in their area.

CW: What other services do you provide?

Jay: In addition to our custom-compounding, we fill traditional medicines, and have a full line of over-thecounter medicines. We take most insurance plans, offer free local delivery and pickup of prescriptions, and provide free shipping within New Jersey.

CW: Why did you decide to become a pharmacist?

Jay: I decided to become a pharmacist because of Thomas Esposito, RPh. He was a family friend and pharmacy supervisor for Genovese drug stores. He worked his way up to the corporate offices in New York and commuted there on a regular basis from Connecticut. I was always good at math, chemistry, and biology, so Tommy thought pharmacy was a good career for me. He showed me that with hard work I could accomplish anything. I have managed and owned several drug stores and could not have asked for a better career choice for myself.

CW: What is your biggest challenge today as a pharmacist?

Jay: My biggest challenge today is insurance companies telling doctors how to practice medicine. When a patient brings in a prescription and it is not covered by their insurance plan, it is my job to tell the doctor, and that’s a hard thing to do. My other challenge is getting proper reimbursement from insurance companies. Drug costs are going up on a weekly basis and insurance reimbursement can take up to 90 days or more to catch up.

CW: How has your business changed over the past 10 years?

Jay: Over the last ten years pharmacy has changed in a big way. Pharmacists now have the respect we deserve. We are being recognized as health care professionals. We can consult with patients on their medicine and make recommendations to doctors. We can do immunizations now for most injections, including flu and pneumonia. We are a big part of the health care triangle of patient, doctor, and pharmacist.

Jay Greco, RPh

CW: What do you like to do in your leisure time?

Jay: I work six days a week so when I get a day off I like to spend it with family and friends. I have played roller hockey with the same group of guys every Sunday morning for over ten years now. I like to travel when I can, usually to a pharmacy conference for education and relaxation. Even when I get away, I am always learning and trying to improve my staff and pharmacy.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

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The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical Professionals

High Doses of INTRAVENOUS VITAMIN C & CANCER By: Sam Jonuzi N.D.

Did you know that Vitamin C:

✓ Is required for your body to make serotonin and other neurotransmitters?

✓ Is anti-inflammatory and a potent antioxidant?

✓ Supports the immune system? ✓ Helps in some neurological diseases?

✓ In Naturopathic Medicine, IV

therapy of Vitamin C is commonly used for cancer support treatment and a booster for chemotherapy fighting power.

What is high-dose vitamin C?

Vitamin C is a nutrient that humans must get from food or dietary supplements since it cannot be made in the body. It is an antioxidant, helps prevent oxidative stress, and plays a key role in making collagen.

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When taken by intravenous (IV) infusion, Vitamin C can reach much higher levels in the blood than when it is taken by mouth. Studies suggest that these higher levels of Vitamin C may cause the death of cancer cells in the laboratory. High-dose Vitamin C has been studied as a treatment for patients with cancer since the 1970s. Surveys of healthcare practitioners at United States CAM conferences in recent years have shown that high-dose IV vitamin C is frequently given to patients as a treatment for infections, fatigue, and all types of cancers. Most important of all is to know that large doses of intravenous Vitamin C have the potential to boost chemotherapy’s ability to kill cancer cells, according to new laboratory research involving human cells and mice. Most organisms make their own Vitamin C. When they are under stress, either by illness or injury, Mother Nature has provided them with a means to facilitate healing: they synthesize more ascorbic acid. As a result, they are in less pain, they remain active, they can sleep, and they have a better appetite: all being functions that promote healing. At Atlantic Integrative Medical Center we offer and specialize an Alternative High doses of IVC Therapy. Our unique protocol is the combination

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of Super Oxygen, Super Antioxidants and Super Nutrition that involves high dose of unique Vitamin C. (It is not commercial grade Vitamin C, which is mostly GMO corn.) It is Cassava Root Non-Corn Compounded formulation of Vitamin C derived from the root of the cassava (tapioca) plant. We recommend that people being treated for cancer should talk with their oncologist before taking high dosages of Vitamin C or other antioxidant supplements. As latest research shows, IV Vitamin C Boosts Chemo’s Cancer-Fighting Power. We believe that intravenous doses of Vitamin C are extremely beneficial on many levels! We have done our homework and combined the best that nature has to offer and have seen results.

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Integrative Medical Center I.V. Dept. • Pia Gardner M.D. (Medical Director) • Sam Jonuzi N.D. (Managing Director) We specialize in IV infusion, detoxification, immunity support, inflammation, hypertension, EDTA chelation, & clinical nutrition.

We specialize in high dose of IV Vitamin C, as a Cancer Fighting Therapy.

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The County Woman Magazine www.TheCountyWoman.com

Scan here to visit website: July/August 2015

Women Of Monmouth County

Cynthia Longo, PT, MPT, Cert. MDT Kessler Rehabilitation Center

Cynthia Longo combines experience and expertise to help clients with orthopedic and spine injuries, as well as balance and vestibular issues, including vertigo and post-concussion syndrome. A magna cum laude graduate of Temple University, Cynthia received a bachelor’s degree in speech-language-hearing and her master’s in physical therapy in 1993. She earned certification in the McKenzie Method of Mechanical Diagnosis and Treatment, an advanced approach to the assessment and care of spine and musculoskeletal conditions in 1999. She’s been with Kessler for almost 20 years, working at a number of centers in Monmouth County, before joining the physical, occupational and speech therapists at the Ocean Township center. Raised in East Brunswick, Cynthia moved to the Shore 18 years ago and lives in Wall Township with her husband and two sons. The family is very active in raising funds for the March of Dimes to help prevent premature births and related complications, a situation that impacted both of their sons. To speak with Cynthia and learn more about the services available, call Kessler Rehabilitation Center at 732.918.4848. To schedule an appointment at any of our centers, call 866.337.3422.

Laura Cole Abstrax Hair Designs and Hair Replacement Laura began working in the salon when she was just 14 years old shampooing clients. One year later her mother opened her first salon where she continued to work after school. She enjoyed it so much that she enrolled in beauty school prior to graduating high school. Laura has been certified in hair replacement for 20 years. She has been a member of the Professional Beauty Association for 38 years and has been elected Board Director of the American Hair Loss Council. She has recently received her certification in Trichology, the science of hair and scalp health. Trichology brings together cosmetology and dermatology concepts to enable you to identify scalp disorders and offer solutions to clients. Laura also specializes in hair extensions, vegan smoothing treatments, straighteners and coloring. In addition, she continues to attend educational seminars constantly in order to educate clients of products, techniques, and the latest styles that the industry has to offer. In addition to her fulfilling career, Laura has a wonderful husband and two beautiful children. She enjoys gardening and spending time with her family. You can contact Laura at Abstrax Hair Designs at (732) 255-1733 or visit www.abstraxhairdesign.com.

Photo by Annette Jenkins Photography

Laura D’Orsi, ESQ. Law Offices of Laura M. D’Orsi, L.L.C. Mrs. D’Orsi practices matrimonial law in Red Bank, New Jersey, at the Law Offices of Laura M. D’Orsi, L.L.C. Before opening her own law firm, Mrs. D’Orsi practiced matrimonial law with two boutique matrimonial law firms in Northern New Jersey and in Monmouth County. Mrs. D’Orsi has been a licensed attorney since 1990 and is a member of the Bars of New Jersey, New York and District of Columbia. She has practiced matrimonial law exclusively for 16 years. Mrs. D’Orsi received her Bachelors of Arts degree from Lehigh University and her Juris Doctor from Emory University School of Law. She remains active with the Lehigh University Alumni Association. She is a Certified Matrimonial Law Attorney, and has served as co-chair of the Monmouth County Bar Association Family Law Committee and has also served a as a trustee of the Monmouth County Bar Association. She is a member of the Collaborative Divorce Professionals of New Jersey, the International Association of Collaborative Professionals and is a Certified Mediator. She is also an Early Settlement Panelist volunteer in Monmouth County. She regularly assists the Court with Court ordered Mediations and with Early Settlement Panel hearings. Previously, in addition to practicing law, Mrs. D’Orsi helped run a battered women’s shelter in Essex County, New Jersey. Mrs. D’Orsi enjoys travel, skiing and cycling. She enjoys spending time with her husband and two children, ages 10 and 13. To contact Laura, call 732-741-3121 or visit www.lauradorsilaw.com

Photo by Tracy Harman Photography

Dr. Mariam Ghobriel

Photo by Annette Jenkins Photography

Clinical Director, Liberty Pain Center

Dr. Ghobriel completed her fellowship training in interventional pain management at Robert Wood Johnson University Hospital and is double board certified in anesthesiology and pain management by the American Board of Anesthesiology. She is now the Chair of the Division of Pain Management at CentraState Medical Center and heads the Liberty Pain Center as the Clinical Director. Dr. Ghobriel is the primary pain management specialist at Centrastate Hospital, responsible for managing acute care patients including but not limited to; spine injuries, cancer pain and postoperative pain. Her training and practice focuses primarily on the treatment of all disorders of the spine and joints using a combination of conservative treatments as well as state of the arts techniques for spine, joint injections and minimally invasive surgery. Dr. Ghobriel also takes a personal approach towards managing her patients with focus on how their ailments affect their daily activities, goals, and sense of well-being. Dr. Ghobriel lives in Monmouth County with her husband and three boys. She is very active in her community and enjoys running, listening to music, reading and most of all spending time with her family. To contact Dr. Ghobriel, please call 732-303-0102 or visit www.libertypaincenter.com.

The County Woman Magazine www.TheCountyWoman.com

Photo by Annette Jenkins Photography

July/August 2015

Women Of Monmouth County Marcie Adrian Seninsky

Lorraine Catalano

Certified Nuclear Medicine Technologist at Caring Heart & Brain Imaging

Diet Coach/Manager, Balanced Life Weight Loss Institute Marcie was raised in Fair Lawn, by health conscious parents, and has enjoyed spending her adult life in Monmouth County. With a B.A. in Social Work/Psychology and 14 years of experience as a helping professional, she is proud to help establish Balanced Life Weight Loss Institute in Eatontown. Her positive approach and commitment to clients’ success has helped them achieve their goals and transform from the inside out. Coaching clients one-on-one for various weight loss programs over the years reinforces the fact that there is no magic way to lose weight, and keeping it off is often more difficult. It takes three key components: nutrition, fitness training, and behavior modification and Balanced Life offers all three. Eating should be pleasurable, but if a diet is too restrictive, clients get bored, quit, and feel defeated. A supportive compassionate coach is key to staying on a program. Change your mind and lifestyle, and keep the weight off for life. Marcie enjoys her free time cooking up new creations because “eating what you like while managing your weight should not be a chore.” To contact Marcie, call 732-380-7705, or visit www.blwli.com.

Lorraine is a Nuclear Medicine Technologist. Lorraine is not only a technologist, but she and her partner, Dr. Anthony DeLuca, are the brains behind the startup and operation of CARING HEART CORONARY IMAGING. As a technologist performing Nuclear Cardiology scans for more than 15 years, Lorraine brings a technological expertise to the Caring Heart team that is unparalleled. Lorraine is dedicated to, and successful in, developing patient care resources in the Jersey Shore area. She has been active in the medical field long enough to guarantee absolute patient care without compromising imaging results. Lorraine has great compassion for her patient’s well being and comfort, often playing their favorite music, and offering them a cappuccino, latte or slice of homemade banana bread at Caring Heart’s gourmet coffee bar. Next to her patients her greatest passion is for her Cavalier King Charles Spaniel, Dillinger. As a matter of fact, she has had him certified as a therapy dog and he can often be seen at Caring Heart & Brain Imaging bringing smiles to patients and their families. To schedule an appointment with Lorraine, call 732-292-1008 or visit www.CHCI.biz.

Photo by Annette Jenkins Photography

Denise Cruz Hair stylist, Hair and Company Oasis Spa Wedding, prom, engagement, anniversary; these are all special moments that inspire imagination, creativity and the making of lifetime memories. Denise Cruz finds these slices of life the icing on the cake that makes her work at Hair and Company as a hair stylist/colorist exciting. Trained by leading professionals, such as L’Oréal, Paul Mitchell, Andis, Martin Parsons, and Schwarzkopf, she still continues to advance her education including most recently receiving her certification in Hotheads Hair Extensions. Having made Hair and Company in Red Bank, NJ her “home” for the last twenty years, Denise specializes in Hotheads Hair Extensions, bridal and formal hair, and color and cut. She loves all aspects of hair design but has a particular passion for the art of bridal and formal hair. As an avid craftsperson in her youth, Denise’s use of color in painting has also served her well in her current profession. Denise currently resides in Aberdeen, NJ with her husband and their two young daughters. In her spare time, she enjoys spending time with her family at the Jersey Shore. To schedule an appointment with Denise, call 732-747-6983, or visit www.hairandcompanyredbank.com.

Maria Pahountis Marketing Director, Rehability Pain and Injury Center

A New Jersey native, Maria grew up and currently resides in Jackson. A graduate of Monmouth University, Maria holds a Bachelor’s degree in Health Sciences and is currently studying to become a Certified Personal Trainer. She will further her career this fall at Wagner College in their Second Degree Nursing Program. Maria has over six years experience in the medical industry and is currently the Marketing Director at Rehability in Freehold, NJ. She is responsible for designing, creating, and delivering marketing programs with the goal of continued growth and expansion of the company. Traveling throughout Monmouth and Ocean Counties, Maria has met with dozens of medical practices, local schools, and local municipal districts in order to market the services and treatments available at Rehability. She also runs Rehability’s social media campaign. Maria is constantly seeking ways to benefit the practice, its’ patients, and promote overall health in the community. Her bubbly personality and continuous smile are sure to add liveliness to any environment. She enjoys exercising, cooking and baking, and spending time with her loved ones. Maria can be reached at Rehability, 732-780-6230 or email mpahountis@rehabilitynj.com. For more information visit www.RehabilityNJ.com. Photo by Annette Jenkins Photography

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

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The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Health

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

Wellness

Are Poor Social Skills Holding You Back?

ome of us easily interact with others, join in on conversations, let the words flow at meetings, etc. But there are many people who shy away from talking and sometimes even avoid situations that require social / communication skills. If you’re in the latter group, you’re probably limiting your life in many ways because of fear and selfconsciousness. Do you cringe (and maybe even feel physically ill) at the thought of . . . • • • • •

Going to an event or meeting? Having to participate in group discussions? Meeting new people? Going on dates? Giving a presentation – even a very brief one? “Selling yourself ” at interviews?

If you identify with any of the above scenarios, you’ve probably been missing out on all sorts of opportunities, socially and professionally. Chances are you’ve looked at the situation logically and realized that it doesn’t make any sense to be so fearful; yet, the mere thought of putting yourself in certain

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

situations sends you into a tailspin. It doesn’t have to stay that way. Even if you’ve been dealing with this for a long time, you can release the fear and self-consciousness, sharpen your communication skills, and boost your confidence. As you’ve probably discovered, trying to use just the logical, conscious mind to analyze this, dissect it, discuss it – usually won’t resolve it. The fearful reactions you’re experiencing lie within the deeper part of the mind – the subconscious. You’ve become conditioned to responding negatively in certain situations,- and the fear and any associated physiologic changes (like sweating, trembling, rapid heartbeat, confused thinking) happen automatically. Working with the subconscious mind (by using hypnotic techniques to neutralize negative patterns and instill better ones) and the conscious mind (through coaching) typically creates improvement within three to six sessions. While it’s not imperative to know the origin of your fear in order to release it, the fear may have developed in various ways. Fear can be “contagious.” Perhaps one of your parents was very shy and timid. The fear can be related to an incident from your past that you perceived as

Commonly Asked Questions about Hypnosis What is hypnosis? It’s a naturally occurring state, like ❀ daydreaming, becoming absorbed in a good book, or zoning out while you’re driving. Used in a clinical setting, it’s a powerful vehicle for change. You are coached into a state in which the deeper part of your mind, the subconscious, is more accessible and open to change. Diverse techniques are used, such as guided imagery, mental rehearsal, NLP, etc. As with meditation, there are many physiologic benefits when it’s practiced regularly. Do some people lose control? That only happens on TV and ❀ in the movies. People use this technique because they want to gain more control over themselves. No one can make you think, say, do, or

traumatic – one that you may or may not recall. Maybe you have a tendency to be self conscious and feel that you are being judged negatively. There are lots of potential causes. But the vast majority of people can resolve this with the right approach. Hypnosis is an efficient and gentle way to alleviate your fear and increase your comfort level. Many clients notice improvement within a short period of time, and they tend to experience a host of side benefits – a greater sense of well-being, less stress, and improved sleep quality. Are you ready to set your self free and let that more confident you emerge? Through a combination of hypnosis and coaching, you’ll be able to feel more comfortable in a wide range of settings, enjoy new people and experiences, perhaps be offered positions of responsibility within organizations, or advance your career. This highly regarded, empowering program is appropriate for those who are motivated and willing to be a partner in the process. Instead of feeling isolated and timid, you’ll feel more open to sharing yourself and your ideas with others.

Make Your Mind Work FOR You – Instead of Against You!

feel anything that runs counter to who you are and what you want. What if I’m not “hypnotize-able”? It’s rare that someone is ❀ unable to enter this state because it is a naturally occurring state. Therefore, just about anyone who wants to enter the state can do so. And, the more it’s practiced, the easier it becomes. People who would not be good candidates include those with organic brain damage, difficulty processing simple information, and severe and untreated psychiatric disorders. Is it possible to get stuck in hypnosis? No. It is possible to drift ❀ into a sleep state, however, because it’s often quite relaxing; but a good practitioner won’t let that happen. Can I use this approach instead of seeing a medical doctor ❀ or a therapist? This is not intended to take the place of licensed medical or mental health care. If you are having a significant physical or mental health problem, it needs to be appropriately handled. There are times when it is necessary for a hypnosis practitioner to request authorization before seeing certain clients, and hypnosis practitioners often work in tandem with physicians and therapists.

www.HypnoForWomen.com

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Community

October

www.LADACIN.org

/LADACIN

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@LADACIN

July/August 2015

Community

SCAN Offers Information, Empowerment, and Inspiration

CAN (Social Community Activities Network) is an adult social education and resource center founded in 1988, headquartered on the basement level of Monmouth Mall. The name reflects the action-oriented profile of its members and the vibrancy and social networking strength of the organization. The main draw of membership, which is open to anyone aged 50 and over, is the opportunity to socialize and stay healthy. SCAN is a place “where active adults meet to be Informed, Empowered and Inspired.”

Take Control of Your Health Fair Presented by

*** 2015 Event Sponsor ***

Investors Bank ** Sponsors **

Monmouth Mall Monmouth Medical Center New jersey Natural Gas/Save Green Asbury Park Press Atrium at Navesink Harbor / Beacon Health & Social Services Captel Outreach / Comfort Keepers of Central Jersey Garden Hills Residence-CIS / Healthsouth Rehab Hospital of Tinton Falls Horizon Blue Cross Blue Shield / King Manor Care Center Laurel Bay Health & Rehab / Monmouth County Division of Aging, Disabilities & Veteran’s Services / Ocean Orthopedic Associates Pharma-Care / United Health Care / VNA Health Group Williams Lift Company

King Manor Care Center, Laurel Bay Health & Rehab, Monmouth County Division of Aging, Disabilities & Veteran’s Services, Ocean Orthopedic Associates, Pharma-Care, United Health Care, VNA Health Group, and Williams Lift Company. Mark Your Calendars:

 SCAN is producing the 2015 Senior Citizen Art Contest and Exhibition and

we would like to extend an invitation to all Monmouth County Seniors to participate in this annual event. The show will be held at the Monmouth County Library Headquarters, 125 Symmes Drive, Manalapan, NJ and it will be organized by SCAN. The art show will run from August 5th to August 30th, 2015. Please call SCAN for additional details. SCAN will hold and display all 1st place winners at the SCAN campus in the Monmouth Mall from September 1st to September 18th, 2015. SCAN will host an Open House Art Reception Friday, September 11 from 1-3PM.

The Social Community Activities Network (SCAN) is located at 180 Route 35 in Eatontown (basement level of Monmouth Mall); for more information and a schedule of other upcoming events, call 732-542-1326 or visit www.scannj.com.

Take Control of Your Health  workshops will be held during the summer

so please call for details of locations and dates. TCOYH is a 6-week, evidence based workshop designed by Stanford University to help those with chronic conditions to better manage their symptoms and live life to the fullest even with their physical limitations. The workshop is facilitated by a team of trained Peer Leaders. Free computer classes are available for US Veterans every Wednesday. You must register in advance, so check the complete class listing at www.scannj.com. We are working with the Monmouth County Office on Aging Caregivers Department, and we have a free Caregivers Support Group at SCAN which is open to the public. Call for details. By popular demand, we have added a Parkinson’s Support Group with a professional facilitator which is open to the public. Join the group on 7/8, 7/22, 8/5, and 8/9. The Fall Semester of classes will begin on September 8. Details will be available at the end of August. Updates will be on our website at www.scannj.com. The Boscov’s Campus of Courses will run from September 14-October 9 and details will be available by the end of August. Updates will be on our website at www.scannj.com.

 

Pat Bohse

Executive Director

 On May 20th SCAN held its annual  Take Control of Your Health Fair at the Monmouth Mall. We had 24 vendors and

400 attendees. We want to thank our Event Sponsor, Investors Bank, and all of our Sponsors: Monmouth Mall, Monmouth Medical Center, New Jersey Natural Gas/Save Green, Asbury Park Press, Atrium at Navesink Harbor, Beacon Health & Social Services, Captel Outreach, Comfort Keepers of Central Jersey, Garden Hills Residence-CIS, Healthsouth Rehab Hospital of Tinton Falls, Horizon Blue Cross Blue Shield,



The County Woman Magazine www.TheCountyWoman.com

180 Route 35 • Eatontown (basement level of Monmouth Mall)

732-542-1326 www.scannj.com. July/August 2015

Theatre

&Entertainment

“Delicious! Distinctly Original and Powerfully Poignant. Great Comedy!” “I’VE HAD THREE GREAT OPENING ACTS IN MY LIFETIME:

BILLY CRYSTAL, GARRY SHANDLING, AND

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A J EW I SH T R AG E DY

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If you ever…longed for something, and desired it with all your heart, if you were willing to wait tables for 29 years to pursue your dream then…

“LIKE BILLY CRYSTAL’S 700 SUNDAYS!” – Jewish Week

“EASILY THE FUNNIEST SHOW TO HIT OFF-BROADWAY!” – The Forward

8TH SM ASH MONTH!

NJ COUNTY WOMEN DISCOUNT

$35 OFF OUR BEST SEATS

Must Use Code: NJCW. Not valid with previously purchased, discounted or group tickets. Subject to availability..

Mon 7pm, Fri 7pm, Sat 2 & 7pm, Sun 2pm $45 Mezzanine • $60 & $65 Orchestra • $99 VIP TWO DRINK MINIMUM (Drinks start at $6 per)

Stage 72-Triad Theatre 158 West 72

St., New York City

Box Office: 212-868-4444 • Groups (12+): 212-400-6800

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The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Theatre

&Entertainment

JULY 15 - AUGUST 30 ONLY! 90

minutes

of FUNNY !

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The musical comedy cure for everyone’s mid-life crisis! SHOW YOUR HUSBAND A GOOD TIME... It’s a surprise party and you’re invited—to Happy 50ish, the musical comedy that proves you haven’t lived until you’ve had a mid-life crisis. Meet baby boomer Bob—he’s facing the big five-o with fear, beer and a letter from the AARP. Though he may be losing his libido, he’s finding laughter at every turn—and so will you.

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Telecharge.com 212.239.6200 GazillionBubbleShow.com New World Stages, 340 W. 50th St. For groups or birthdays call 866.642.0849

PERFORMANCE SCHEDULE: Wed - Fri 8PM, Sat 2PM & 8PM, Sun 3PM

The Beckett Theatre - Theatre Row 410 W. 42nd St. NYC

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The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Community

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Water Sports

YAMAHA’S ALL-NEW 24-FOOT BOATS.

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“Uncommonly Devoted to Servicing Jet Driven Watercraft” ©2015 Yamaha Motor Corporation, U.S.A. All rights reserved. Follow instructional materials and obey all laws. Drive responsibly, wearing protective apparel. Always drive within your capabilities, allowing time and distance for maneuvers, and respect others around you. Don’t drink and drive. FOR MORE INFORMATION, VISIT OUR WEBSITE AT YAMAHABOATS.COM OR CALL 1.800.88.YAMAHA

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Adult Community

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Community

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Interior Design

DECORATING DEN INTERIORS

Debbie Hrbek

732-202-8959 • debhrbek@decoratingden.com • www. debhrbek.decoratingden.com Community

Taking Matters Into Her Own Hands

Gail Tobias Hopes to Bring Attention to the Problem of Distracted Drivers By Gena Ansell-Lande Rumson resident Gail Tobias is on a mission to bring awareness to the pervasive problem of distracted driving. Last year after getting pulled over for talking on her phone, she went to court and was charged with a $280 fine. “I had never gone to court before and I felt utterly ashamed,” she said. However, it was seeing the sheer volume of teenagers also in court that day, many of them there for texting while driving, which made a lasting impression on her. She knew right away she wanted to do her part to bring awareness to this growing problem. As a photojournalist, she decided to use her camera to show how insidious the problem of distracted driving really is.

MCW: How did your public awareness campaign start?

GT: After I got home from court I did some research on the statistics of distracted driving. I was stunned by

what I found. Children are killed every point across. I was inspired to use day by distracted drivers and it made them to portray a car accident from a me want to take action and do what passenger’s perspective, depicting the I could to combat the problem. I felt distracted driver statistics that I had passionate about making a change found so horrifying. I combined the and as a mother I wanted to be a role two and my brochure was born. model for my own kids. *Sobering Statistic: MCW: What My goal is to 11 teens die everyday as a do you hope to educate others result of distracted driving. accomplish with this immediately *http://www.distraction.gov campaign? before any other lives are GT: My hope is to get lost. the message out to every Around this time my husband and school in NJ. They teach D.A.R.E in I were driving home from dinner one school so why not make distracted night and the roads were pitch black driving part of the curriculum too? and the moon incredibly bright. I was If I can affect even one person then intrigued by the eeriness of the road and hopefully that person will touch at the same time highly aware of what it another like a domino effect. would be like if there was a distracted or intoxicated driver on the road as well. Gail Tobias is using her personal I wanted to capture the moment so I story and photographs to illustrate the took out my phone and began to take life-threatening epidemic of distracted pictures. The next day as I was looking driving. By creating awareness in our at my photographs, it dawned on me schools she hopes others will see the that I could use these images to get my devastating effects of this epidemic.

The County Woman Magazine www.TheCountyWoman.com

Her story is a reminder that sometimes the events that seem awful at first can really be the ones that make a difference in our lives and in her case, the lives of others. About Gail From an early age Gail Tobias has captured the prosaic with her photography, finding the beauty in every encounter and experience. Born and raised in Manhattan, Gail worked in the fashion world for 17 years before embracing photography full-time. She currently resides in Rumson with her husband Sam and their two children, Jacob and Isabella. For additional information on Gail’s initiative you can email her at gbain1234@gmail.com.

July/August 2015

Community

 Printerest  Congratulations, Dr. Newkirk! 34th Anniversary of Practicing Veterinary Medicine May you have many more! From the staff of Newkirk Family Veterinarians EHT office: 609 645 2120

he ening of t p O d n a r G & ine studio N a g o Y new Wellness y d o B a Buddh h, orth Beac N n i r e t Cen Ventnor! e tic Avenu n a l t A 1 530 tle ner of Lit r o c e h t n o tlantic. A d n a k c Ro

The Educational Foundation of the Brick Township Chamber of Commerce is celebrating its 25th anniversary of giving this year. To mark this special anniversary, they are awarding scholarships that total $25,000 to eighteen (18) recipients for post-secondary education. The Brick Twp. Chamber of Commerce has awarded scholarships continuously for twentyfive (25) years and in that time has made awards of close to $200,000. This year’s awards mark the greatest dollar amount given in a single year. To find out more about this program or to make a donation to this 501 © 3 charitable program, you can visit www.brickchamber.com or call them at 732.477.4949.

♥ ♥ ♥ ♥ ♥ Happy Silver ♥ Anniversary! ♥ Andy & Michelle ♥ Verbit: ♥ ♥ celebrating 25 years of marriage ♥ ♥

♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ Celebrating 65 years of ♥ marriage in August ♥ Happy Anniversary, ♥ ♥ Betty & Sam Korth! ♥ ♥

Congratulations, Jeffrey Morse! Schalick High School Class of 2015

Congratulations on Yo

Retirement, Nancy! Ann “Nancy” Kelly retire d this year after 37 yea rs working in education. Nancy work ed in ma Township, including Ol ny schools throughout Wall dM education teacher, social ill, where she was a special worker and school couns Wall Intermediate Scho elor; ol, where she worked as a social worker and school couns elor; and the Wall Prim ar School. Nancy ran the Campership Program for y 25 years, and earned nume rous awards including the NJSCA, YMCA and SC W retirement Nancy! Your . Congratulations on your family, friends and collea Retirement gues are proud of you! Party!

Good luck in your future as a firefighter and have a very happy birthday as well! Lots of Love, Meghan

Karen Brundage-Joh

nson,

Egg Harbor Townshi p Class of 2015! Congratulations in su ccessfully completing your Asso ciates Degree in the American Bar Associationapproved Paralegal Studies Program at Atlantic Cape Com munity College, with honors, and obta ining your MBA. Next, the JD!

Congratulations ♥ Ava Holly Lewis ♥ & Art Korth! ♥ To be married aboard the ♥ River Queen on July 13th ♥ after 13 years of togetherness ♥ On the 14th anniversary ♥ of meeting online, Art & Ava are ♥ ♥ finally tying the knot! ♥

The Old Mill staff Nancy in her Wall Intermediate Of fice

The County Woman Magazine www.TheCountyWoman.com

Nancy and he Peyton, at the r niece, Primary SchooWall l

July/August 2015

Community

Dante Alighieri Woman’s Society Strives To Keep Alive The Italian Culture

he Dante Alighieri Woman’s Society of Central New Jersey was established 50 years ago as a result of the vision of our founder, Joan M. Festa, a Jersey City native who moved to the suburbs and wished to create a sisterhood of women dedicated to the preservation of our Italian heritage. Still thriving today and holding high our ideals and charitable endeavors, Dante women strive to keep alive the Italian culture and instill in our children and grandchildren a love for the customs and culture of a heritage as rich and as beautiful as life itself.

Our purpose is threefold: cultural, charitable and social.

We award two $2000 scholarships annually to high school seniors, as well as merit awards. The main focus of this scholarship is an essay to be written in 500 words or less: “What My Italian Heritage Means To Me.” The winners and their families attend our Installation Dinner in June and read the winning essays to our membership. Our charitable efforts have spanned a vast spectrum from supporting the Statue of Liberty and Ellis Island to having a brick dedicated in our name on the walk to the NIAF headquarters in Washington, DC, to serious financial support of Bayshore Community Hospital in Holmdel, to Thanksgiving and Christmas local donations, to supporting Ronald McDonald House in Long Branch, NJ, and to always being open to helping individual circumstances as they come to our attention.

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Most of all, this sisterhood is a group of congenial women working together with the same ideals and expectations.

In doing so, lifetime friendships have been formed and continue to flourish. We work together lovingly and with dedication, especially for our annual Fashion Show/Luncheon in the Fall, which is our major fundraiser and of which we are so proud.

For more information, please contact Rosemarie Borgersen at 732-303-0376 or rborgersen@optonline.net.

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Celebrate With The County Woman! Mail To: The County Woman Publications, PO Box 619 Turnersville, NJ 08012-0619 Or Email Your Submission and Photo(s) to: staff@thecountywoman.com

Your Name: Name of Honoree/Business: Phone Number:

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We were instrumental many years ago in having Italian taught

in Matawan High School, have provided Italian lessons for our members, celebrate the feast of St. Joseph with our membership every March 19, have marched in the Columbus Day parade in Long Branch, NJ, and provide interesting programs at our monthly meetings. A very rewarding trip we took by chartered bus was to the Italian American Museum in Little Italy, NYC, which resulted in its founder coming to speak to us about its significance.

Dante Alighieri Woman’s Society of Central New Jersey

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Print Your Message Here (25 words):** You can include 1-2 photos as well!*

r Include on Pin Email:

DISCLAIMER: *Once photos and information are submitted, the submitter is granting The County Woman permission to use the photos, pictures, or images as deemed necessary by The County Woman. We can not guarantee the return of submitted photos. **If the publisher reasonably deems the submitted materials to be unacceptable in form and substance, then the publisher maintains the right to accept, revise, or exclude the excerpt from the page. If you’re under 18, please make sure that your parent or guardian has read and agreed to these terms before you submit photos, text, or other content or information to The County Woman.

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July/August 2015

Community

$40

FITNESS CLASS PUNCH CARDS

for

classes Valid for 1 month from date of purchase for group fitness classes only. Does not include babysitting service or full use of facility and/or equipment.

470 East Freehold Rd

•

732-462-0464

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www.ymcanj.com July/August 2015

F Fine ine A Art rt P Photography hotography

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# 00

November/December 2012 July/August 2015 November/December 2014 January/February 2015

66 #

F ine Fine ine Art rt P Photography hotography

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