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An Educational Resource for Women and Their Families
FREE ~ Please Take One THERE’S HELP FOR SUMMER SKIN CANCER The good news is that skin cancer is almost 100 percent curable if found early and treated promptly. Page 11
HYDRASOLVE IS A SMOOTH NEW APPROACH TO AESTHETIC BODY CONTOURING The first liposuction device FDA cleared is now available. It provides gentle and effective body contouring. Page 71
NATURAL HORMONE REPLACEMENT THERAPY Natural hormone replacement therapy uses hormones that have the same molecular structure as hormones made by the human body. Page 12
Dr. Robert Chickara and his multi-specialty team at REHABILITY are offering a new Neuropathy treatment program for optimum results. See pages 2, 3 & 6.
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Featured Featuredononthethe Cover Cover
Dr. Chickara Offers an Integrated Treatment Approach To Help You Resume & Maintain an Active Lifestyle Robert Chickara, DC and his multi-specialty team at REHABILITY combine the benefits of chiropractic, physical therapy and acupuncture for optimum results.With a strong focus on manual “hands-on”
techniques, they offer integrated treatment options based on your condition and tailored to your individual needs.“Our collaborative efforts are always patient-centered, from reducing pain and restoring function, to correcting causes and achieving goals,” Dr. Chickara adds. Besides their comprehensive approach to patient care and the advanced treatments they offer, REHABILITY stands out because of the relationships they have with one another as well as with their patients. The warm atmosphere of their practice is noticed upon your first visit. MCW: Tell us about the new Neuropathy treatment you offer your patients. Dr. Chickara: Peripheral Neuropathy is always one of the most challenging conditions to treat with conservative management. Most cases are chronic and the result of impaired circulation to the extremities due to an underlying medical condition. This often results in damage to the peripheral nervous system. The new vascular treatment system we have implemented is called MicroVas Therapy. The technology behind this sophisticated electro-magnetic nerve stimulator lies in its powerful, deeply penetrating waveform, allowing blood to pump and circulate more efficiently through the extremities. This process is geared to significantly raise oxygen levels of nerve tissue, accelerating the healing process. MCW: What are some of the positive effects of MicroVas Therapy? Dr. Chickara: While the therapeutic effects of MicroVas Therapy are often remarkable in restoring sensation and symptomatic relief, our care plans also include extensive manual therapy techniques on the affected extremities that are invaluable in your recovery. Basic conditioning activities are then incorporated to improve any associated impaired functions like balance or difficulty walking. We set realistic goals from the start, focused on enhancing your quality of life. MCW: Tell us about your spinal traction and decompression therapies. Dr. Chickara: The concepts of “traction” and “decompression” are centered on a primary goal of relieving pressure. Many of the spinal conditions we see in our practice such as disc herniations, degenerated discs, spinal stenosis, and pinching of spinal nerves all involve some element of increased spinal pressure that often results in back, neck, leg, or arm pain. We specialize in non-surgical mechanical traction techniques including flexion-distraction and spinal decompression therapies, both of which are performed on highly specialized treatment tables. These innovative devices allow us to specifically target the root-cause of the condition, relieving pressure on the affected neural structures and any spinal joints that may be compressed. In most cases, this relaxing process provides substantial symptomatic relief, while complementing the other techniques we provide to attain the best outcome.
In addition to providing the necessary corrective care at each office visit, we teach our patients the ideal posture positions for their everyday life, as well as those to avoid. These helpful tips are essential for optimal spinal health. MCW: How has life changed since welcoming your new baby girl? Dr. Chickara: Having lost my father to pancreatic cancer last year, the birth of my daughter Alexa was the best thing that could have happened for us. We feel blessed to have such a wonderful baby and are enjoying every minute watching her grow. The biggest change has been not having my wife, Irene at the practice full-time Robert Chickara, DC anymore. She has been my Front Office Assistant for several years and vital to our growth with all the tasks she managed on a daily basis. Fortunately, it’s been convenient for her to come by with Alexa since so many of our patients and friends have been anxious to meet her.
Dr. Chickara is a chiropractor and the clinic director of REHABILITY, LLC. After receiving a Doctorate of Chiropractic from New York Chiropractic College in December 2001, he joined forces with a team of medical doctors and physical therapists in a multi-specialty rehabilitation clinic in Scarsdale, NY. The experience he gained
in developing a patient-centered, comprehensive treatment approach and the knowledge acquired in the management of a multi-disciplinary health care office, enabled him to establish his own practice in Freehold, NJ since 2007. Dr. Chickara truly enjoys the rapport he maintains with each of his patients and is committed to helping them achieve their health goals.
83 South St., Suite 204, Freehold, NJ 732-780-6230
MCW: What can patients do at home to have improved spinal health? Dr. Chickara: One of the most important aspects of any treatment plan is educating patients about ways they can facilitate their own response to care, whether at home or work. We are always recommending useful stretches and stress the importance of postural awareness in their daily routines. With the extent of all the mobile technology in our lives today, the repetitive strains that work against proper posture and our spinal alignment are significant and have a compounding effect over time.
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July/August 2016 July/August 2016
Featured on the Cover
3
The REHABILITY Team Provides A Comprehensive Treatment Approach To Ensure Better Health
Jessie Ganon, PT, CKTP
Pictured L-R: Ellen Policastri, LAc, Erika Petillo, PTA, Jessie Ganon, PT, Karen Ngai, Rehab Technician, and Clinic Director, Robert Chickara, DC
Ellen Policastri, M.S., L. Ac., Dipl. Ac. (NCCAOM)
Ellen Policastri is a board certified Diplomat of Acupuncture and a Licensed Acupuncturist in the state of New Jersey as well as Florida. A graduate from the University of South Florida in Tampa and East West College of Natural Medicine in Sarasota, Ellen holds Bachelor Degrees in Biology and Professional Health Sciences, as well as a Master’s Degree in Acupuncture and Oriental Medicine. Growing up in Florida and throughout her studies, Ellen has always maintained an interest in human health and physiology, nutrition and wellness. She has had extensive training in the art of Oriental Medicine with a special focus on acupuncture and herbal therapies as well as Asian bodywork modalities. With over seven years of clinical experience, Ellen has helped many patients of all ages with a variety of conditions such as stress, pain conditions (arthritis, joint pain, muscle aches, TMJ), digestive troubles, emotional problems (anxiety/depression), migraines/headaches, EENT issues, reproductive problems, allergies, insomnia, fatigue and more. Come in for a consultation today to see if acupuncture is right for you.
Jessie Ganon is the head Physical Therapist at REHABILITY since 2009. Born and raised in the Philippines, his extensive studies included dual degrees in five years, a Bachelor of Science and Physical Therapy. Licensed and registered in both NY and NJ since 2002, Jessie has developed a vast knowledge in all aspects of a physical therapy-based practice, in addition to being a certified kinesio-tape practitioner. He has clinical experience in several medical in and outpatient facilities, using a wide array of therapeutic techniques in successfully rehabilitating various orthopedic, neuromuscular and geriatric cases. Jessie’s intense hands-on skills greatly contribute to a level of confidence that each patient can sense from the onset of treatment.
Erika Petillo, PTA
Erika Petillo is a licensed Physical Therapist Assistant and board-certified in the State of New Jersey since 2014. Erika graduated from Sacred Heart University in 2012 and Union County College in 2014, earning both a Bachelor of Science in Exercise Science and an Associate in Applied Science. Born and raised on the Jersey Shore, Erika has always considered being in the medical field to improve people’s quality of life. Being a passionate and competitive dancer for 18 years, Erika was often a physical therapy patient herself and fell in love with the profession, the dedication, and the passion required to practice in such a rewarding field of health care. Erika has a strong focus on manual soft tissue mobilization skills combined with passive stretching, strengthening, and stabilization exercises to restore functional mobility, assisting in a quick recovery process. “Don’t let pain keep you from life. Here at REHABILITY, we provide quality care from people who care.” – Erika Petillo, PTA
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Karen Ngai, Rehab Technician
Karen Ngai is a rehab technician at REHABILITY. Born in New York City and raised in New Jersey, she graduated from Rutgers University in 2014 with a Bachelor of Biological Sciences, with aspirations of becoming a physical therapist. At REHABILITY, she found a place where she can learn from a team of individuals who are very knowledgeable and experienced in their professions. The state-of-the-art facility provides an environment where Karen facilitates the healing process while reinforcing the advice from the therapists at REHABILITY. Being a part of the REHABILITY family has been and continues to be a very rewarding experience.
July/August 2016
Publisher’s Note
4 Monmouth County Woman Since 2008
Publisher.......................................................... Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Public Relations Executive .........................Lauren Shover Marketing Production Executive ..........Jessica Sochocky staff@thecountywoman.com • 856-885-8066 Graphic Designers................................................................. Laura Golden • Stephanie Wolfgang • Kelly Meissner For advertising inquiries, please call:
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Welcome to the July/August 2016 Issue Of The Monmouth County Woman! The Jersey shore is the perfect setting for all your summer fun - family gatherings, early morning bike rides on the boardwalk, boogie boarding in the surf, or relaxing on the beach with a good book. When you head to the beach with your summer reading, don’t forget to include the Monmouth County Woman magazine, where top professionals share their expertise in the areas of health, finance, law, fashion and much more. Don’t forget to enter the many giveaways, either on-line or in print. Readers of all ages have told me how valuable they have found the articles in Monmouth County Woman. If any of the articles you have read in these pages has enhanced your life, I would love to hear your story. But more importantly, please email, call or Facebook the professionals who wrote the articles and let them know as well! We hope your summer is blessed with moments of laughter and fun with your family and friends. Thank you for your continued support of the Monmouth County Woman magazine. Here are a couple of summer quotes I would like to share with you. “This summer, put your phone away for a few days. Make some memories that no one knows about. Make some memories that are just yours.” www.hplyrikz.com “At the beach, life is different. Time doesn’t move hour to hour, but moves moment to moment. We live by the currents, plan by the tides, and follow the sun.” www.boardwalksandboulevards.blogspot.com Best, Lynn K. Wolf and the staff at the Monmouth County Woman Publication
Featured on the Cover The Owner & Staff at REHABILITY Pictured L-R: Ellen Policastri, LAc, Erika Petillo, PTA, Jessie Ganon, PT, Karen Ngai, Rehab Technician, and Clinic Director, Robert Chickara, DC. The staff at Rehability strives to achieve maximum results by creating customized treatment plans to fit the needs of each individual patient. Read more about their services and dedication to optimizing patient care on pages 2, 3, & 6.
Cover photo by Annette Jenkins Photography.
Schedule your studio and location headshots with Annette Jenkins Photography at 732-936-1416. See page 36.
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July/August 2016
Contents
^ Featured on the Cover
^ Divorce Financial Analyst
^ Interior Design
^ Salon
REHABILITY............................................................2, 3, 6 Bellissima Designs, LLC..................................................5
^ Medical Professionals
Quality Dermatology....................................................... 7 Atlantic Neurosurgical Specialists...................................8 High Performance Foot + Ankle......................................9 Institute for Advanced Radiation Oncology..................11 Juvenate........................................................................13 Pain Management at Garden State Medical Center.....15 University Urology Associates of New Jersey...............17 Kessler Rehabilitation Center........................................23 Ocean Hematology & Oncology....................................24 Professional Hearing Center.........................................27 Medimorphosis..............................................................28 Gastroenterologists of Ocean County...........................29 Panoessa Colon and Rectal Surgery, PC.................32,33 Allen Morgan Fertility and Reproductive Medicine.. 38, 39 Barnabas Medical Group: Ocean Gynecological and Obstetrical Associates....40 Memory Enhancement Center......................................43 Vein Center For Women................................................45 Toms River X- Ray, CT & MRI Center............................47 Advocare Stafford Orthopedics.....................................49 Acuity Specialty Hospital of New Jersey.................50, 51 Personal Enhancement Center................................70, 71
^ Pediatric Dentistry
Tender Smiles 4 Kids.....................................................10
^ Health & Wellness
The Natural Pharmacy...................................................12 Brain Health Center.......................................................16 Princeton Behavioral Health..........................................19 Freehold Yoga Center..............................................34, 35 Bella Derma Skin Care..................................................70
5 ^ Memory Care
John P. Cito, CDFA........................................................14
Millenium Memory Care................................................44
Hair & Company............................................................18
Onora.............................................................................46
^ Math Learning Center
Mathnasium...................................................................19
^ Fashion & Beauty
Lynne’s Fashion Boutique, Inc......................................20
^ Specialized Reading Program
Learning Press, LLC......................................................21
^ Assisted Living
Spring Oak of Toms River..............................................21
^ Orthodontics
Holmdel Orthodontics ................................................. 22
^ Law
Law Office of Laura M D’Orsi, Esq................................25 The Matus Law Group...................................................26 Straffi & Straffi, Attorneys at Law..................................30 Kathleen Dotoli, Esq......................................................48
^ Adult Day Care
^ Residential Health ^ Acupuncture
Koehler Acupuncture.....................................................46
^ Adult Community
Fountainhead.................................................................52
^ Garden & Local Honey
From the Garden, Inc....................................................53
^ Specialty Cakes & Chocolate Novelties Chocolate Carousel.......................................................54
^ Theatre & Entertainment
Two River Theater..........................................................60 Cape May Stage............................................................63 Fuerza Bruta..................................................................64 Cagney..........................................................................64 One Funny Mother.........................................................65 Gazillion Bubble Show..................................................65 Iluminate........................................................................65
We Care Adult Care, Inc................................................30
^ Travel
Amara Dental.................................................................31
^ Women’s History
^ Cosmetic & General Dentistry ^ Fine Art Photography
Annette Jenkins Photography.......................................36
^ Permanent Hair Removal
AMP Electrolysis............................................................37
^ Reverse Mortgage Lending
Ken Sawan, Homebridge Financial...............................41
^ PACE Program
Beacon of Life...............................................................42
Vagabond Travel............................................................61
Charley Parkhurst..........................................................67 ^ Women of Monmouth County ..........58, 59 ^ Community....................55, 56, 57,62, 66, 68, 69
Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook!
Interior Design
Bellissima Designs, LLC 908-872-1183 Bellissma Designs is a Full Service Interior Design Firm Offering:
• Custom Window Treatments • Plantation Shutters • Blinds and Shades • Color Consultations • PegRail Closet Systems • Kitchen and Bath Design
Maria Pulice Owner/Designer
mariaa.pulice@gmail.com
SUMMER SALE 25% OFF WINDOW TREATMENTS
www.bellissima-designs.com
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
6
Medical Professionals
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July/August 2016
10
Medical Professionals Medical Professional
7
Understanding Acne The Second Most Common Form of Skin Cancer:
Written by The American Academy of Dermatology
Acne is the most common skin condition in the United States. It is most common in teenagers but a growing number of women and men have acne in their 30s, 40s, 50s, and beyond.
Acne: Diagnosis and Treatment
Your dermatologist may prescribe one or more of these:
NONMELANOMA SKIN CANCERS How do dermatologists diagnose acne?
• Antibiotics (help to kill bacteria and reduce inflammation). To diagnose acne, a dermatologist will first examine your skin to make sure you have acne. • Other medicine that works on Other skin conditions can look like acne. hormones (can be helpful for women Nonmelanoma skin cancer (NMSC) is the most common cancer in the Actinic Keratosis (AK), and teens). Why treat acne? United States, accounting for more than one million new cases annually. Precancer • Isotretinoin, formerly known as How do dermatologists treat acne? Squamous carcinoma and basal cell carcinoma (BCC) constitute Treated timely with simple freezing • Withoutcell treatment, dark(SCC) spots and Accutane (if all spray, other treatments fail and nearly all NMSC, incidence of these tumors continues to increase. AKs are highly curable. If not treated, theycandidate). permanent scarsand can the appear on the skin patient is a good Today, there are many effective acne treatments.
N
Presented by Dr. Renata Flaks
Oneasofacne the clears. major, preventable risk factors for nonmelanoma skin cancers is eventually This does not mean that every acnewill treatment worksturn into SCC. overexposure to the sun’s UV rays. In Ocean County, nonmelanoma skin Waiting for acne to clear on its own can be • Treating acne often boosts a person’s for everyone who has acne. But it does mean that Nonmelanoma skin cancer isWithout mainlytreatment, acne can cause cancers are on the rise because of close proximity to the shore. At least 75 frustrating. self-esteem. virtually every case of acne can be controlled. Despite by cumulativepermanent ultravioletscars, (UV)low self-esteem, depression, and percent of effective NMSCtreatments arises in the and neck but canacne be treatment found on does notcaused the they claims, work overnight. • Many arehead available. exposure over the course of a lifetime; daily anxiety. Once acne clears, you must continue to treat the skin any sun exposed area of the body. year-round exposure to the light, to prevent breakouts. Tosun’s avoidUV these possible outcomes, dermatologists Acne can appear on the back, chest, neck, shoulders, Most NMSC cases are controlled successfully by treatment or complete intense exposure in the summer months, andtreat acne. When the skin recommend that people upper arms and buttocks. excision done in a dermatology office. However,When nonmelanoma cancers the UV produced by tanning to see a skin dermatologist beds all add clears, treatment shouldto the damage that can lead to are associated with a lifelong risk of developing second primary skin cancers continue. Treatment NMSC. Typically, nonmelanoma skin cancer can be treated with a relativeWhat acne looks like prevents breakouts. If you haveCompared acne, cysts, or nodules, a medicine requiring periodic skin cancer screenings by a dermatologist. ly simple surgery. If the cancernew is very small or in its precancer stage (AK), Your dermatologist can tell cauterization (burning), that you can and buy be without a prescription may not with skin BCCs, skin SCCs are more likely to metastasize, a cause medicated creams prescribed by a dermatologist, • Blackheads • Pustules you when you no longer work. If you want to see clearer skin, you should see of mortality. To avoid deadly consequences of nonmelanoma skin cancer or the cryosurgery treat • Whiteheads • Cysts needistoused treattoacne to them. a dermatologist. Dermatologists offer following (freezing) a regular, full body check-ups by a dermatologisttypes are of recommended. prevent breakouts. treatment: • Papules • Nodules
Basal Cell Carcinoma (BCC)
thatthan you apply to the skin: BCC is the most frequently occurring formAcne of all treatment cancers. More Acne one causes: out of every three new cancers is a skin cancer, and the vast majority
At Quality Dermatology, owned by CallRenata us for an appointment Flaks, DNP, we place a great or emphasis your comprehensive on early skin detection of cancer screening today. skin cancer.
Most acne treatments are applied to the skin. are BCCs. In 2010, an estimated 2.8 million cases of BCC were diagnosed Low self-esteem/depression: The depression Your dermatologist may call this topical treatment. incan thebe US, and that the people figuresthink have about continued It often look like open Call us for an appointment or your Flaks Dr. Renata so bad what itto climb. There are many topical acne treatments. Some topicals sores, pink growths, shiny bumps, or scars; sometimes BCC can look like a comprehensive skin cancer screening today. would be like to commit suicide. Many help kill the bacteria. Others work on reducing the dry patchhave andfound oftenthat mistaken for believe eczema. studies teens who oil. The topical medicine may contain a retinoid, 732-244-2666. We accept most We accept most that they have “bad” acne were likely to think prescription-strength benzoyl peroxide, antibiotic, or insurance plans. Dr. determine Renata Flaks about committing suicide. even salicylic acid. Your dermatologist will insurance plans. what you need. • Dark spots on the skin: These spots appear Visit www.qualityderm.com when the acne heals. It can take months or Acne treatment that works throughout the Visit www.qualityderm.com years for dark spots to disappear. body: Medicine that works • Scars (permanent): People who get acne cysts throughout the body may be and nodules often see scars when the acne necessary when you have red, clears. You can prevent these scars. Be sure to swollen types of acne. This type of see a dermatologist for treatment if you get treatment is usually necessary to acne early — between 8 and 12 years old. If Squamous Cell Carcinoma (SCC) acneelevated cysts andgrowths nodules. someone in your family had acne cysts and SCCs often look like scaly red patches, opentreat sores, nodules, you also should see a dermatologist with a central depression, or warts; they may crust, itch or bleed. They can if you get acne. Treating acne before cysts and Dr. Renata Flaks, DNP become sometimes nodulesdisfiguring appear can and prevent scars. deadly if allowed to grow. An estimated 700,000 cases of SCC are diagnosed each year in the US, and between 3,900 and 8,800 people have died from the disease in the US in 2012. Incidence of the disease has increased up to 200 % in the past three 707 Main Street • Toms River decades in the US. •
732-244-2666
QUALITY DERMATOLOGY 732-244-2666
www.qualityderm.com Open Monday - Friday
Same Day Emergency Appointments Available
Accepts most insurance plans Accepting New Patients
Nina Paonessa, DO, FACOS
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July/August 2016 May/June 2016
Medical Professionals
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Paralyzed Brother of Famed Shark Tank Star Walks Again After Life-Altering Spine Surgery John Corcoran, Barbara Corcoran’s brother, became paralyzed after a horrific motorcycle accident last fall and is now getting back to life as he always knew it. It was Labor Day weekend … a beautiful Saturday afternoon. John Corcoran, owner of Statewide Roofing and Siding in Edgewater, NJ and brother of Shark Tank millionaire, Barbara Corcoran, headed out to do what he loves most – take a ride on his motorcycle. An experienced rider, John had driven through Morris County hundreds of times … but this time was different. He was on a side road when he came up to a turn too fast. His bike hit a curve and jumped across the road. John was thrown across the road where he landed atop giant concrete blocks. It wasn’t until seven hours later that his family located him unconscious in the hospital because his friend – a member of the Edgewater Police Department – pinged his phone. “John was rushed to Morristown Medical Center,” Barbara explains. “He had suffered five crushed vertebrae, 18 broken ribs and lungs that were filled with blood. Worst of all, when he arrived at the hospital, he was paralyzed, having lost all function in his legs and bladder control.” As luck would have it, Dr. Yaron Moshel, a neurosurgeon at Atlantic NeuroSurgical Specialists (ANS), was on call in the trauma center that night. While most physicians would have considered the damage to John’s spinal cord irreversible and would not have immediately performed surgery to remove crushed vertebral fragments off of his spinal cord, Dr. Moshel set on a mission to have John walking again. “Although no one would have expected this amazing outcome, I thought we should give John the benefit of the doubt,” Dr. Moshel notes. “We rushed him
MCW/OCW Connections Spine #630_r4.indd 1
into surgery to reconstruct his spine and relieve pressure from his spinal cord. It was a risky decision considering his other systemic injuries, but we had the full support of a great trauma team and were able to offer him the surgery within hours of arriving to the hospital instead of days later. When it comes to spinal cord injury, early protection of the spinal cord and not wasting precious time is critical.” John received specialized care directed by the trauma and neurosurgery teams in the ICU for one month and came out of a month-long sedation moving all of his limbs. After a seven-week hospital stay and a two-week stay in a rehabilitation center, John returned home and began resuming his normal activities. “I’m driving again – although I have not yet gotten back on my motorcycle … it’s in the repair shop,” John quipped. “I do plan to get back on it … I plan to ski again and do everything else I enjoy. All thanks to the fabulous team of doctors who spent hours, days and almost two months focusing on me. Without them, I wouldn’t be here today.” Dr. Moshel added, “I was truly thankful and somewhat surprised that John emerged from his long recovery walking around as if nothing had happened! Traumatic spine injuries can be devastating and to have such a positive outcome in such an upbeat patient keeps us aware of why prompt and high-level care is so important.” “Our whole family feels our brother’s recovery is nothing short of a miracle!” Barbara concludes. “We all waited anxiously knowing full well that his chances of walking again were next to zero if not
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for the quick thinking of Dr. Moshel and the expert care he received. It is truly amazing to see John today. “We just returned from a short vacation to Utah where, believe it or not, he would have skied had Dr. Moshel not asked him not to,” she continues. “John has nine siblings who adore him, and our mom always said John would be a big success because he is such a hard worker. It may have been the habit of working hard that helped put him on the road to recovery. He is an inspiration to us all.”
For more information on traumatic spinal cord injury and ANS, visit ansdocs.com or call 732.455.8225.
6/8/16 12:00 PM
July/August 2016
Medical Professionals
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Welcome To Our Practice Our goal at High Performance is not only to get you better, but to educate our patients in a comfortable, pleasant environment. We say that we are ‘one-stop shopping’ and it’s true.
Diabetic care, wound care, athletic injuries, trauma, and routine care… we do it all here. We treat patients of all ages. We always try conservative treatment methods first, before Dr. Stacey Paukovitz any surgery is discussed. We pride ourselves on being friendly and efficient. When a patient calls with an emergency or for a same-day appointment, we will see them immediately. We also don’t have to send patients out for x-rays, orthotics, or casting; that’s all done on-premises. I have an extensive sports background, playing Division I women’s basketball at Fordham University, therefore I understand the psyche of an injured athlete and what it takes to get them back to their activity physically and emotionally. We see a lot of local youth athletes and adults of all ages. At High Performance, we are dedicated to providing the best and most current care for our patients. This is accomplished by being familiar with the latest technology and treatments available. Unique to our office is the
the most current class IV (MLS) laser to treat injuries noninvasively. Our orthotics are made from a unique pressure analysis of your foot during the gait cycle with Footmaxx scanning. 20/20 Digital X-rays are also available on the premises to aid in an immediate diagnosis. New advances in foot and ankle surgery are constantly evolving. Local and national meetings, professional periodicals, surgical representatives, and discussion with colleagues helps our practice stay current. Our profession has become the ‘go-to’ for ANY foot and ankle issues. Years ago, podiatry was viewed as routine care only. We are trained SPECIFICALLY in foot and ankle surgery and are the experts. Our training includes rotations in all fields of medicine, with a concentration on the lower extremity. We are certified by the American Board of Foot and Ankle Surgery. In my 17 years of practice, I had a vision of the type of practice I would be proud to call my own. We are very dedicated to our patients. I am lucky to have Tania as my office manager who also has 15 years of experience in the field. Patients often comment on how friendly and comfortable it is in the office. That’s huge for our practice – the atmosphere is important to a practice’s success. I am also closer to home, so that is huge for me and my two daughters. They motivate me every day to be the best I can be.
Visit www.highperformancefootandankle.com
Our mantra is “Compassion… Comfort… Convenience…”
1903 Atlantic Ave., Suite 3 • Manasquan, NJ 08736
(732) 528-2218 www.highperformancefootandankle.com
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
10
Pediatric Dentistry
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Medical Professionals
11
There’s Help For Summer Skin Cancer
The good news is that skin cancer is almost 100 percent curable if found early and treated promptly! What is skin cancer?
I nstitute F or A dvanced R adiation O ncology
Cancer is a disease in which cells become abnormal and form more cells in an uncontrolled way. With skin cancer, the cancer begins in cells that make up the skin. The skin is the body’s largest organ. It protects us against heat, light, injury, and infection. It regulates body temperature and stores water, fat, and vitamin D. With skin cancer, new cells form when the skin does not need them, and old cells do not die when they should. These extra cells form a mass of tissue called tumors. Not all tumors are cancer! Tumors that are cancer can invade and damage nearby tissues and organs, and sometimes can spread to other parts of the body. Skin cancers are named for the types of cells where the cancer starts.
We Specialize In:
At the Institute for Advanced Radiation Oncology, we are committed to making your cancer treatment a comfortable and successful experience. We offer individualized High Dose Rate (HDR) Brachytherapy for skin cancer, which minimizes the amount of radiation and side effects on nearby healthy tissues.
• Gamma Knife Radiosurgery • Tomotherapy
What is Skin HDR Brachytherapy?
• Image Guided Radiation Therapy (IGRT)
Skin HDR (high dose rate) Brachytherapy is a radiotherapy technique, which is performed for certain types of basal cell or squamous cell skin cancers. It is a non-invasive curative treatment for skin cancers, which allows direct placement of the radiation over the lesion and provides maximize treatment results with little to no effects on the surrounding areas. It provides an effective alternative treatment with minimal side effects for selected patients and those who cannot be treated surgically.
• Stereotactic Body Radiosurgery Squamous cancer nose
Three months after HDR radiation
What is the treatment time?
HDR Brachytherpy is typically delivered in 3-5 minutes sessions over the course of six visits over a two week period of time. Skin cancer is effectively eliminated over 90 percent of the time. The treatment is completely painless.
• Intensity Modulated Radiation • Radioactive Seed Implantation (Brachytherapy)
Benefit of HDR Brachytherapy on skin cancer
With this technique, a skin cancer is eliminated without surgery and therefore, without the potential disfiguring effects of removing lesions along the face, ears, and other areas where cosmetic appearance is important to you. The reduction in normal tissue injury means more rapid and complete functional recovery. HDR provides shorter overall treatment times than external therapy beam radiation. Each fraction (session) of treatment can be completed in a matter of minutes.
732-923-6890
300 Second Ave., Long Branch, NJ
For an immediate consultation or a second opinion, please call us @ 732-923-6890. Mitchell F. Weiss, MD
Board Certified Radiation Oncologist Chairman, Monmouth Medical Center Radiation Oncology Training at Memorial Sloan Kettering Cancer Center Former Chief Resident, Memorial Sloan Kettering Cancer Center NJ Monthly “Top Docs” 2011, 2012, 2013, 2015 Member, American Society for Therapeutic Radiology and Oncology
Sang E. Sim, MD
Board Certified Radiation Oncologist Co-Medical Director, GammaKnife at Monmouth Medical Center Training at Memorial Sloan Kettering Cancer Center Former Chief Resident, Memorial Sloan Kettering Cancer Center Previous Chief of Radiation Oncology at Memorial Sloan Kettering Cancer Center, Basking Ridge, NJ NJ Monthly “Top Docs” 2011 and 2015 Member, American Society for Therapeutic Radiology and Oncology
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Health
12
&Wellness
Natural Hormone Replacement Therapy
“Beauty From The Inside Out”
By Eric Sauer, R.Ph, NMD, DHPh Customized natural hormone replacement therapy (NHRT) uses hormones that have the same molecular structure as hormones that are made by the human body. The molecular or chemical structure is key to the actions or side effects that a hormone will have in the body. In order for a replacement hormone to fully replicate the function of human hormones which are produced by the human body, the chemical structure must exactly match the original.
Scientific research has proven through the years that there is a significant difference between human hormones and synthetic or animal-derived preparations. Natural yambased hormone NHRT has been around for over 85 years and was FDA approved in 1934. People should be aware that yams are alkaline and exit the body through a 2-hydroxy-metabolite pathway, which is a pathway without side effects. Laurie Lombardi, CDN Soybean hormone replacement and using synthetic (artificial) hormones or animaland derived preparations does have side effects which can lead to certain types of hormonal cancers. Harvard research studies go back 20 years on the side effects of synthetic Eric Sauer, hormones and suggest that synthetic hormones should not be taken for more than three R.Ph., NMD, DHPh years. I’m a Pharmacist and agree with their research. NHRT (yam)-based hormones, on the other hand, can be taken for a lifetime without side effects. The key to a true reading of your hormones is best found by doing a saliva test. You want to get your normal level of hormones back up to your normal range. I’ve been compounding for close to 30 years and have seen tremendous improvement in women’s bladder control, bone growth, anxiety, cognitive thinking, dry eye syndrome, and many other symptoms which occur when our hormones are off. I say “our” because many men take NHRT since testosterone levels decline with age. I compound and prefer lozenges instead of creams because everyone’s absorption through the skin is different. Remember to get a baseline before starting any hormone therapy. I work with a network of physicians in the Monmouth County area who are fantastic and ready to work with you.
Visit www.ericsnaturalpharmacy.com
By Laurie Lombardi, CDN Laurie is a leading expert on nutrition, ParaMedical Skincare, and a licensed Permanent Makeup Artist. She is a Clinical Dietician, Nutritionist, and incorporated her knowledge on health into formulating a Organic Skincare line. Laurie began her career as a Makeup Artist where she won two Emmy Awards from the David Letterman Show.
Laurie’s successful skin treatment method, microdermaplanning, is a non-invasive procedure that helps to exfoliate the skin, and to re-generate new skin cells. Dermaplanning will leave your skin look radiant and more youthful. Laurie most recently developed an Organic Skincare line. All of her products are compounded on the premises, and are RX grade formulas. “If you want great results a little homecare goes a long way. I have a wonderful Oatmeal and Lecithin Scrub, 20% Vitamin C Cream, 5% DMAE (a sking tightening agent), and an Organic Face and Eye Serum, which is a blend of Organic Oils including Green Tea Oil.” Laurie believes that beauty starts from within. “I had a sense of who ate well, exercised, and was well hydrated by a person’s skin. They always needed less cover up and therefore it was all about enhancing their face with make up as opposed to covering their skin with heavy foundation.”
Call 732-695-0277 to schedule an appointment.
Visit www.laurielombardi.com
The Natural Pharmacy
Prescriptions delivered to your home or office
“Custom Compounding For Internal and External Beauty!” 851 West Park Avenue Ocean, NJ 07712
(732) 695-0277
Natural Hormone Replacement Therapy (NHRT)*
Veterinary Medicine
Pain Medication
Permanent Make-Up
Natural Skin Care Products
Microderma Plane with various types of peels
Fax: (732) 695-1522
E-Mail: info@enzymes.com
www.laurielombardi.com www.ericsnaturalpharmacy.com
Enter To Win An Exclusive Monmouth County Woman Offer!
Enter to Win a $50 Gift Certificate For Microdermaplanning or the hCG Diet
Just clip & return to: The County Woman, P.O. Box 619, Turnersville, NJ 08012
Name:_________________________________________ Address:_______________________________________ City:________________State:________Zip:___________ Microdermaplanning
Integrating Natural Alternatives With Traditional Medicine
hCG Diet
Winner will receive a $50 gift certificate, good for one year, to the Natural Pharmacy for Microdermaplanning or the hCG Diet. One entry per person. Entries will be accepted through August 31, 2016. Company does not provide any personally identifiable information in third party ad servers without your consent.
The Natural Pharmacy
The County Woman Magazine www.TheCountyWoman.com
851 West Park Avenue Ocean, NJ 07712 (732) 695-0277 Fax: (732) 695-1522 E-Mail: info@enzymes.com July/August 2016
Medical Professionals
13
Feeling irritable and having trouble maintaining a normal weight? You may have a hormone imbalance. What causes hormone imbalances? As some women enter their 40s and 50s, they may face a difficult dilemma. Their bodies’ production of estrogen, progesterone, testosterone and other hormones needed to maintain youthful vitality rapidly declines. While individual effects of menopause vary widely, many women suffer because they no longer produce enough sex hormones to allow their bodies to function optimally. Depression, fatigue, irritability, and short-term memory lapses are common menopausal complaints, along with hot flashes, night sweats, insomnia, and weight gain. Health problems that occur in the perimenopausal period and during menopause can adversely affect a woman for the rest of her life if she doesn’t have adequate hormones in her body and doesn’t receive hormone replacement if needed. Yet many women are told by their doctors to limit prolonged use of hormone drugs, only long enough to get relief from those bothersome symptoms, and then stop them. Unfortunately, this advice fails to recognize the critical differences between synthetic hormone drugs and those hormones that are identical to the ones normally produced by their bodies.
with comprehensive stool testing. I also look at nutrient deficiencies with advanced functional medicine lab tests. A very significant factor in perimenopausal women’s symptoms is adrenal dysfunction so I assess the adrenal glands with 24 hour testing. I look at other hormonal imbalances, including insulin which is so important in glucose control and weight management. I address thyroid There is good scientific evidence that hormone imbalances and finally take a natural progesterone and the natural estriol good look at sex hormone imbalances. I form of estrogen may help protect against the very same diseases caused by synthetic do specialized 24-hour urinary testing to look at how a woman metabolizes her sex hormone drugs. hormones, which help to determine if she is Because bioidentical hormones have a good candidate for bioidentical hormone the same exact structure as the hormones replacement therapy. With this approach, produced naturally within the body, the not everyone who comes in with symptoms hormones can be properly utilized and needs bioidentical hormone replacement are then able to be naturally metabolized because their symptoms may be addressed and excreted by the body. The use of appropriately with lifestyle, nutrition and by bioidentical Hormones has increased addressing any other deficiencies they may during the last several years as women have sought out a more natural approach to have. There are also many herbal compounds restoring hormonal balance. that can help with perimenopausal So what is the functional medicine symptoms if a woman does not want to approach to treating menopausal take hormones or is not a good candidate symptoms? based on her test results. The answer depends on the individual As you can see, the assessment of patient. In my practice, I consider 7 perimenopausal and menopausal symptoms main factors when assessing overall is not always straightforward and requires health. I begin with my core assessment a complete and personalized evaluation which includes a complete nutritional and plan. At Juvenate Medical Wellness evaluation, and a close look at lifestyle, & Rejuvenation, we use an integrative stress, sleep, exercise and environment. functional medicine approach to look at the I then focus on Gut Health and look for root cause of your symptoms and help you evidence of gastrointestinal dysfunction get your health and your life back. The understandable concern expressed to women by many doctors is that that the FDA-approved estrogen-progestin (synthetic) hormone drugs have been shown to increase the risk of cancer and cardiovascular disease. The dilemma facing women as they age is that their bodies may still benefit from hormones but their doctors say “no”.
Call today to find out how functional medicine can help you.
Sunita Mann, MD
732.202.3000
100 State Route 36, Suite 2G • West Long Branch, NJ 07764 www.juvenatemedical.org
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Divorce Financial Analyst
14
Master Your Divorce Series Written by John P. Cito, CDFA
Gray Divorce: How to Avoid Financial Losses After 50 Financial health in the throes of retirement is a growing concern for aging populations. As if that weren’t enough, many are now finding themselves divorced late in life. This baby boomer trend, known as “gray divorce,” has been getting more attention over the past two decades. For women, the effects can be devastating physically, emotionally and financially. With the right information and expert help, you can avoid financial losses and embrace your newfound freedom.
Gray Divorce: Who It Hits The concept of gray divorce isn’t anything new, but it didn’t become known to the public until 2004. At that time, the American Association of Retired People (AARP) released a report on divorce in aging populations. Divorce has stabilized for all ages except baby boomers. For those 50 and older, divorce has doubled; 1 out of 4 end up divorced. Divorce for those over 64 has more than doubled, and 1 out of 10 divorce.
Gray Divorce: Why It’s Happening There are many theories as to why gray divorce has been on the rise. Based on the Divorce Echo Effect, because many baby boomers have remarried, they are at higher risk for divorce. Even after 20-year-long marriages, more than 55% of elderly couples still opt for divorce. This could be because aging populations live longer and healthier; people have higher standards for marriage; less stigma for divorce exists; more women are financially independent; and it’s easy to find mates through Internet dating.
Enter to Win
Gray Divorce: What’s Its Effect Divorce affects most aspects of life, including adult children, retirement plans, real estate, business ownership, health insurance, social security, taxes and more. Women facing divorce have unique issues because they live longer than men and earn less than men. Also, many older women have been out of the workforce and don’t have enough time to make up for financial losses. Gray divorce women have 20% less wealth than older married women and 50% less than widows. Women can expect less than $14,000 per year in social security. Retirement costs for single people can be 40-50% higher than for married couples. It’s no wonder that many gray women are forced to postpone retirement, return to work or cash out retirement savings with hefty penalties.
Gray Divorce: How to Avoid Losses While facing a divorce can be a daunting affair, taking time to assess your situation will put you in a better position to make the best financial decisions. Poor choices can lead to financial losses and hardships that you may not have anticipated. Before agreeing to a divorce settlement, be sure to follow these steps:
1. Establish short-term and long-term goals. 2. Develop a workable budget.
Gaining a clear understanding of your financial picture is vital before, during and after a gray divorce. A Certified Divorce Financial Analyst specializes in handling the many financial aspects of divorce and can guide you in ways that a lawyer and accountant can’t. Be prepared by taking steps to avoid financial losses.
For more information visit:
WWW.DIVORCEPLAN.COM for your FREE report “40 Tips for Surviving Your Divorce” or call
(877) B4U-FILE (877-248-3453) or email me at jcito@divorceplan.com `John P. Cito, CDFA, has been a CDFA since 2004, obtained Collaborative and Divorce Mediation training and been active in many matrimonial cases. He is a member of the IDFA, ADFP and FDA. He has appeared on the Real Estate and Money Show, as well as Real Life with Mary Amoroso segment “Rebuilding Your Life After Divorce.” Mr. Cito has written numerous articles on financial issues pertaining to pre- and post-divorce planning and has been listed in the Peer Recommended Professionals of Divorce Magazine.
John P. Cito, CDFA helps you plan and secure a divorce settlement so you can life your life your way
3. Determine affordability of assets. 4. Figure out how best to manage debt. 5. Work to maximize savings and investments. 6. Take a close look at insurance needs. 7. Update beneficiaries and power of attorney.
1540 Rt. 138, Suite 203 Wall, NJ 07719 877-248-3453 www.divorceplan.com Remember, your marriage may be ending, but the rest of your life lies ahead.
Enterto to Win Win a a Pair Pair of of Tickets Tickets to to See See The The whipping whipping man! man! Enter 405Lafayette Lafayette St. St. 405 Cape May, May, NJ NJ Cape
Name:_________________________________________________________________________ _________________________________________________________________________ Name: Address:_______________________________________________________________________ _______________________________________________________________________ Address: City:_________________________________________ _________________________________________ State: State: _________ _________ Zip: Zip: _______________ _______________ City: Phone:__________________________ __________________________ Email: Email: _________________________________________ _________________________________________ Phone:
MailTo: To: The TheCounty CountyWoman Woman •• P.O. P.O. Box Box 619 619 •• Turnersville, Turnersville, NJ NJ 08012 08012 Mail
Or Visit Visit www.Facebook.com/TheCountyWoman www.Facebook.com/TheCountyWoman to to Enter Enter Online! Online! Or
One entry per person. Multiple entries will be disqualified. Entrants may enter for tickets to multiple shows. Entries will be accepted through June 30, 2016. Some shows will be drawn sooner One entry perrun person. will be disqualified. Entrants mayNoenter for tickets to multiple shows. Entries will bewill accepted through August 31, does 2016.not Some showsany willpersonally be drawnidentifisooner based upon date. Multiple Winners entries are responsible to redeem their tickets. refunds or exchanges. Transportation or meals not be provided. Company provide based upon run date. Winners responsible to redeem their tickets. Noyour refunds or exchanges. Transportation or meals will not be provided. Company does not provide any personally identifiable information to these thirdareparty ad servers or ad networks without consent. able information to these third party ad servers or ad networks without your consent.
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Medical Professionals
15
Advancements
Brought to you by
IN PAIN RELIEF
Finally finding relief after 6 years of back pain NEW FDA-approved, drug-free, same-day procedure relieves acute and chronic pain inflammatory medicine into the irritated area.
the brain. The device is proven to provide significant long term Last year, Jane was Jane Crognale, 82, referred by her Orthopedic pain relief and reduce or from Whiting New Jersey Surgeon to Dharam eliminate the need for began struggling with pain medications. As an Mann, MD at Garden low back pain in 2010. A State Medical Center.Dr. intervention for chronic combination of an injury Mann is a board certified back and/or leg pain, and degenerative disease Pain Management spinal cord stimulation can left her with debilitating Specialist who specializes be an effective alternative pain that quickly or adjunct treatment to in minimally-invasive worsened over the years other therapies that have interventional treatment to the point where she failed to manage pain on options. Seeking an could not walk more than alternative to high doses their own.” a few feet or drive. of pain medication and “I was surprised to “The pain was off the surgery, Dr. Mann offered hear about this treatment charts... It started at my her a permanent solution option, because I had waist and went down my to manage her pain never considered it. side down to the knee. that she never thought And I just had so much It was unbearable at she would qualify for. confidence in everything times if I didn’t take pain He suggested that she they did, so when Dr. medication,” said Jane. might be an appropriate Mann recommended it “You are alive, but you candidate for spinal cord the decision to try it was don’t enjoy it when people stimulation. easy,” says Jane. have to wait on you.” “A spinal cord stimulator A temporary spinal Jane’s pain was kept in is an implantable system cord stimulator was check with a combination that delivers electrical externally implanted on of daily medication and impulses to nerves in Mrs. Crognale in Garden steroid injections that the spinal cord,” says Dr. State Medical Center’s were given several times Mann. “These impulses out-patient surgery a year. The injections are able to mask pain center as the first step deposit long-acting, anti- signals before they reach to confirm a successful
By Dharam Mann, M.D., D.A.B.A., D.A.B.P.M.
Dharam Mann, MD is Medical Director of Garden State Medical Center, a unique multi-specialty, out-patient medical facility serving the health and well-being of patients and their families in the Tri-State Area. Founded in 2004, the practice has grown into one of the leading pain management centers in the area. Focusing on state-of-the-art clinical practices and a culture of compassion and discovery and new expanded services including medical imaging, out-patient surgery, and functional medicine, the group at GSMC has developed second-to-none expertise in the diagnosis, treatment, and care for a wide variety of medical conditions.
Jane Crognale (pictured above) is successfully managing her back pain with the help of spinal cord stimulation, a minimally invasive relief treatment offered by Dr. Mann at Garden State Medical Center. Watch her video testimonial online: www.gsmedicalcenter.org/stories
response. The results were very encouraging and a permanent device was soon implanted. The procedure itself is minimally-invasive, requiring just a few stitches and no cutting of bone, ligaments or tendons. That means there is no hospital stay, as patients are discharged
from the out-patient surgery center within an hour and then require no post-op rehabilitation. “This has completely changed my life. I sleep now almost all night without pain and was able to cut back on most of my medication,” says Jane. “Nobody else had been able to help me.”
FREE CONSULTATION Limited to first 20 patients
Do you suffer from back, neck, or joint pain? We can help!
Call Today: 732-202-3000
Offices in Toms River, Brick, West Long Branch, Manahawkin, Marlboro, and Whiting
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Health
16
&Wellness
Have You Met “Hamper”?
H
amper lives in the heads of many people; famous people like Oprah Winfrey, John Mayer, Emma Stone, and David Beckham. Hamper caused Graham DeLaet, one of Canada’s best professional golfers, to pull out of a tournament in June of this year. Hamper lives with 40 million Americans. Perhaps Hamper lives with you.
You know Hamper has come for a visit if you find some of its signs: worry, indecision, self-consciousness, perfectionism, or irrational fears. You know Hamper has been around for a while if you are having flashbacks, panic attacks, or compulsivity. Your body might react to Hamper with sleep problems, weight problems, muscle tension, high blood pressure, chronic indigestion or irritable bowel syndrome. There is a better chance that Hamper will visit you if it has visited a close relative of yours. If Hamper lives with you, chances are you have tried many ways to get it to leave you alone. You may have tried to ignore it, yell at it, avoid it, drink it away, drug it away or work it away…and alas, Hamper returns like a pesky fly. Hamper often leaves when you visit a counselor or take certain medications. Hamper has another name: it is called anxiety and its cousins are called obsessive compulsive disorder and panic attacks. At the Brain Health Center we help people to make their head and hearts “Hamper Free Zones” with a combination of compassionate counseling and biofeedback that improves the way the brain works. Clients learn new brain habits that drive Hamper away without medication. There is • Sharpened Attention no need to live any longer with Hamper.
Brain Health Center
Call us for more information at 848-404-9111.
Visit www.brainhealthcenter.com
• Emotional Regulation • Improved Sleep • Sharpened Thinking • Better Balance
Sharon Moleski, LPC, LCADC, CCMHC
Offices of: Dr. Richard Ponton LPC NJ 37PC00087400 LMHC NY –18-000614
Sharon Moleski, MA, LPC, LCADC LPC NJ 37PC00371300 LCADC NJ 3700150500
3100 Rte 138 West, Wall, NJ 07719 Close to Pkwy Exit 98, I195, Rte. 18 & 34
Brain Sharpening for a competitive edge in work, sports, school & life!
Call: 848-404-9111
www.brainhealthcenter.com Brain science helping people of all ages to be their best!
Enter To Win ANNOUNCING OUR 2016/17 SEASON
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August Wilson’s MA RAINEY’S BLACK BOTTOM SEPT 10 – OCT 9/2016
Directed by Ruben SantiagoHudson RECHNITZ THEATER
ERIC TUCKER
THE LION IN WINTER NOV 12 – DEC 4/2016
By James Goldman Directed by Tyne Rafaeli Starring Michael Cumpsty RECHNITZ THEATER
KATE CORDARO
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A VERY ELECTRIC CHRISTMAS* DEC 27-30/2016
Produced by Lightwire Theater Eleanor B. Carney; Executive Director, Lightwire Theater
HURRICANE DIANE JAN 14 – FEB 12/2017
By Madeleine George Directed by Leigh Silverman MARION HUBER THEATER
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SUBSCRIPTIONS ON SALE NOW AT THE BOX OFFICE: 732.345.1400 or 21 BRIDGE AVENUE, RED BANK, NJ
One entry per person. Entries will be accepted through August 31, 2016. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be included. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.
Name: _________________________________________________________ Address: _______________________________________________________ City: _________________________ State: _________ Zip: _______________ Phone: ____________________ Email: _______________________________ Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012
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*Not included in subscription packages. Tickets are $20 for Adults & $15 for Children 12 and Under. Titles, artists, dates and pricing are subject to change.
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Medical Professionals
17
UROLOGY GROUP OF CHOICE Treating patients with compassion, dignity, mutual respect, and trust.
At University Urology Associates, we specialize in: • Adult Urology • Pediatric Urology • Urologic Oncology • Male Infertility • Sexual Dysfunction • Urodynamics • Stone Disease • Incontinence • Female Urology • Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology (Left to Right) P. Jadeja, MD I Alexander Gotesman, MD I Linda Mahmood I Mukaram Gazi, MD, FACS Parvez Mahmood, MD, FACS & Not Pictured Robert Peterson, DC, PA-C & Imani Rosario, MD
For the fourth consecutive year, the doctors of University Urology Associates
of New Jersey have been recognized by fellow medical pracitioners to be among the best urologists in the Garden State. We continually strive to provide comprehensive state-of-the-art urological services with emphasis on patient education and shared decision making. Treating patients with compassion, dignity, mutual respect, and trust remains our steadfast goal.
To set up an appointment, please contact:
(732) 928-5300 | (609) 581-5900 | www.UUANJ.com HOWELL
2364 Route 9 South Howell, NJ 07731
HAMILTON
1374 Whitehorse Hamilton Sq. Rd. Hamilton, NJ 08690
TOMS RIVER
20 Hospital Drive Toms River, NJ 08755
The County Woman Magazine www.TheCountyWoman.com
University Urology Associates of New Jersey was established in 2003 and is proud to be serving Mercer, Monmouth, and Ocean counties. Our mission is to be a solution solutions-based practice, maximizing the value of the service we deliver our patients with commitment to excellence, integrity, innovation, and treatment.
NEW EXTENDED HOURS!
SCAN HERE TO VISIT OUR WEBSITE:
July/August 2016
Salon
18
Hair & Company: Full Service Salon For Him Or Her 3 Michele Lawson, New Owner
T
he seven professional hair stylists at Hair and Company would love to give you an individualized, fabulous look. Ombre is the “Style”
Ombre is the actual style. It is the transition of a lighter shade from a darker shade. Ombre is kind of like color blocking, there are no dark pieces left on the bottom to help keep it natural, just a nice transition between the colors. While the Ombre is a beautiful look, it is also something that needs to be done right! At Hair & Company, we do the Ombres right!
Balayage is the “Technique”
Ombre and Balayage are very similar but there are very obvious distinctions between the two. When applying the color for a Balayage, you sweep the color through small triangle sections of the hair onto a board or foil, giving it the natural transition down into the lighter color. In Balayage, there are
dark pieces left on the bottom to create dimension and a more natural look. This technique looks like natural sun-kissed highlights throughout the hair. Balayage is hair painting that creates dimension and a more natural look.
Before
Brazilian Blowout is a “Smoothing Treatment”
Brazilian Blowout, the only smoothing treatment that can be customized, instantly repairs, seals and protects ends. Known for significantly reducing drying and styling time for up to 12 weeks, a major benefit of this treatment is that there is no “down” time. This means you can leave the salon and immediately wash your hair, exercise, put it in a stylish ponytail or clip without having to wait days to do so. Lastly, the Brazilian Blowout works wonderful for clients with curly hair that want to minimize frizz but keep the appearance of the natural wave/curl.
After
To schedule an appointment with one of these professionals, call 732-747-6983.
Summer Blowout Specials Four Blowouts For $100 ($40 Savings)
New Clients Only
FREE Face Frame With Foils With A Haircut And Blowout
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The County Woman Magazine www.TheCountyWoman.com
Eat Dessert First! July/August 2016
Health
&Wellness
The road to recovery starts with Hope. 6
Contents
gram
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Dentistry
Introducing Princeton House Behavioral Health’s outpatient center at 615 Hope Road, Eatontown.
Women’s ToTrauma complement
3 ^ Fine Jewelry
The Jewelry Link...........................................................41
^ Rehabilitation & Long-Term Living
ura M. D’Orsi ....................................17 orneys at Law ..................................17 aron, PC ..........................................23 oup ..................................................36
From the Garden, Inc. ..................................................43
^ Learnin earnin earnin gggC C Center enter enter
^ Garden & Local Honey
^ Specialty Cakes & Chocolate Novelties Chocolate Carousel ......................................................44
Fountainhead................................................................45 Math Learning Center LC .....................................................19 ^ Women of Monmouth County ................47 Care ^ SCAN...................................................................50 re, Inc. ..............................................19 ^ 180 Turning Lives Around, Inc .............. 51 l Health
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ntics ..................................................24
anning
n Services .........................................24
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Beauty
outique ............................................26
n the Cover
Wellness & Rejuvenation ............32, 33
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& Finance
Adult Community
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and enrich any Women’s Trauma and Addiction student’s regular school year studies, Women’s Dialectical Behavior Therapy (DBT) we offer one–on-one academic Women’s Emotion Regulation support, enrichment and tutoring for students in grades 1 through 12. Mathnasium values true understanding above memorization For more information or to make a referral, please call of facts and formulas. A personalized 888.437.1610 or visit princetonhouse.org. curriculum is designed for each student, with activities that strengthen core command of math concepts as well as balancing homework assistance and test preparation.
A Stronger Future Ahead
To ToTo complement complement complement and and and enrich enrich enrich any any any student’s student’s student’s regular regular regular school school school year year year studies, studies, studies, Featured on the Cover Mathnasium’s individualized we we we offer offer offer one–on-one one–on-one one–on-one academic academic academic With Strength In Numbers! Juvenate Medical Wellness & Rejuvenation curriculum overcomes one of the support, support, support, enrichment enrichment enrichment and and and tutoring tutoring tutoring for for for Dr. Mann basic pitfalls of group instruction: theloss and AtSunita Mathnasium, summer programs are all about preventing summer learning students students students ininin grades grades grades 11through 1through through 12. 12. 12. places a heavystudents prepare for what liesneed helping ahead. will benefit a review of to Students teach a roomful of from learners
emphasis eating prior on and a preview of upcoming topics. at the same speed, leaving some foods and healthy Mathnasium Mathnasium Mathnasium values values values true true true We also offer programs to help students prepare and for high school and college entrance perplexed others bored. By seeks to reveal exams. into a Monmouth County Vocational School the root causeOver of 25% of all students admitted understanding understanding understanding above above above memorization memorization memorization focusing specifically on each (Allied, Biotech, Communications, High Tech and MAST) in 2016 attended one of our chronic health issues student’s individual learning needs ofofof facts facts facts and and and formulas. formulas. formulas. AApersonalized Apersonalized personalized programs. Call for details. by looking at the patient’s entire body and their we are able to help students of all curriculum curriculum curriculum designed designed designed for for for each each each environment.isisis Our summer program for students who plan to take the fall ACT or SAT is exceptional. abilities. Readwith more on pages 32 & 33. student, student, student, with with activities activities activities that that that Students enjoy the Mathnasium experience, parents enjoy the results. Call us to find we can position your child for a lifetime of math success! strengthen strengthen strengthen core core core command command command ofofhow of math math math Cover photo by Tracy Harman out Photography.
O W N TH E N E W YEAR!
Learning Center Media, LLC .....................................38
ir Replacement
The Women’s Program is sensitive to the special needs of women facing acute behavioral health crises involving trauma, trauma and addiction, or life transitions. Our multidisciplinary team of board-certified psychiatrists and highly qualified counseling professionals use evidence-based practices to provide comprehensive, compassionate care in a healing, comfortable environment. Treatment options include a partial hospital program (five days per week) and an intensive outpatient program (three days per week). Treatment programs include:
CareOne at King James ...............................................42
.........................................................22
Princeton House Behavioral Health, a unit of Princeton HealthCare System, is a regional leader in behavioral healthcare. Our Women’s Program — the premier service of its kind in New Jersey — is now available at our new outpatient center in Eatontown.
Math Learning Center
.........................................................13
d Reading Program
Tracy can be contacted for appointments at 732-797-0377. concepts concepts concepts as asas well well well as asas balancing balancing balancing Towards our school FREE ASSESSMENT! 00 year plus programs. homework homework homework assistance assistance assistance and and and test test test $100 Call For Details Call For Details Must present card to receive discount Must present card to receive discount preparation. preparation. preparation.
19
Please call us to learn more about how we can position your student for Visit for details. a lifetime of SumMath.com critical thinking success.
Three Convenient Locations Three Convenient Locations Mathnasium’s Mathnasium’s Mathnasium’s individualized individualized individualized Middletown Ocean MatawnMatawan Middletown Ocean curriculum curriculum curriculum overcomes overcomes overcomes one one one ofofof the the the 500 Rt. 35 1460 Rt. 35 1016 Rt. 34 500 Rt. 35 1460 Rt. 35 1016 Rt. 34 732-842-6284 732-493-6284 732-758-6284 basic basic basic pitfalls pitfalls pitfalls ofofof group group group instruction: instruction: instruction: the the the 732-842-6284 732-493-6284 (Union Square) (Kohl’s Plaza) (Pine Crest732-758-6284 Plaza) (Kohl’s Plaza) (Pine Crest Plaza) need need need tototo teach teach teach aaroomful aroomful roomful ofofof learners learners learners (Union Square) o complement andat enrich any student’s regular leaving school year some studies, we at at the the the same same same speed, speed, speed, leaving leaving some some Health & Wellness offer one–on-one academic support,and enrichment and bored. tutoring forwww.TheCountyWoman.com students The County Woman Magazine July/August 2016 perplexed perplexed perplexed and and others others others bored. bored. By By By
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in grades 1 through 12. Mathnasium values true understanding above
20
Fashion & Beauty
What To Wear As The Temperatures Rise This summer the trends are all in the details! From tailored dresses with unique details, to patterns and embellishments, the trend this summer is pretty and feminine. If you go for color and prints, you can take advantage of this by wearing bold patterns in bright colors or even black and white. Prints can range from floral to bold geometrics. Another hot trend is sparkle, embellishment and fringe. You can achieve this with a wardrobe that glitters with sequins and crystals on the garment. If buying a sparkly top is intimidating to you, you can also dress up your basics from our huge selection of accessories. From simple medallions that twinkle to ornate collars and cuffs, jewelry is a great way to update your wardrobe. At Lynne’s, we carry a large selection of unique, hand made jewelry that you cannot find at the department stores.
Pictured above is a one-piece top with an attached cape from Charlie B Fashions.
We carry a variety of gorgeous statement jewelry as shown above.
Here at Lynne’s, we personally help you find what looks best for your body type and size – we do not try to steer you into something just because it is trendy. Our objective is to make you look and feel beautiful. Many people think of our store as just having special occasion attire, but we are so much more! During these hot summer days, it’s tough to think about fall, but Lynne’s starts receiving our transitional pieces in July and our fall fashions arrive in August. That will give you plenty of time to stay in front of the fashion curve this fall. So be sure to come in early in the season to get the best selections!
Pictured above is a beaded lace gown by Feriani Couture.
Whether you need a dress to attend a daytime destination wedding or are the Mother-of-the-Bride or Groom and need a formal gown, we have an enormous selection to choose from. Our selections include off the rack fashions to custom orders. Our huge selections will make your shopping experience easy, but don’t forget, many of our dresses need to be ordered Add some instant glam to your wardrobe with our well in advance, so give yourself plenty of time to avoid being rushed and dazzling jewelry selections. allow plenty of time for your alterations. So don’t wait to start your shopping– start early and your experience will be more pleasurable, Lynne Goldberg, Owner of easy and fun. Plus, the personalized attention you receive from our Lynne's Fashion Boutique,has been in the women's retail experienced staff will leave you feeling very special.
732-530-5443
Summer Hours: Sunday and Monday CLOSED Tues-Fri 10:30 am - 6:00 pm Sat 10:30 am - 5:00 pm
31 Church Street, Little Silver, NJ www.lynnesfashionboutique.com
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.
Radio Show
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
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25 21
What’s WithOfThe HairsInOn My Chinny-Chin-Chin? Results A Gap Summer Reading Instruction
Submitted by Lorraine Fetherman, L.E., C.P.E. problem big. Our treatment will help PCOS (polycystic ovary syndrome). of these issues up While Some your child was catching on lost is too small or tooEmail Effect: Your child to the inability tobegrasp certain usand at uninhibited. can addressed through medication and a doctor’s Licensed and Certified Electrologist you feelskills clean, carefree, self-confident skills, your child did not learn the new loses some of the information. advice. However, that doesn’t mean info@learningpressllc.com your hair issue will needed to be a proficient reader. Take advantage of the free consultation. o, you information noticed alearned few hairs Cause: Information end. Wethat canwas help you inwith that. stored for more We will explain in detail how theinformation. process works for teamindividual again growing on your chin, cheeks during the school year. Removal memory during Hair the school year wasAreas not at a Analogy: An athlete joins theyour needs. Everyone is unique in his or her a long-term injury. The team membersbut we are all the same when it comes to the Electrolysis be applied to most facial and body mastery level. Therefore, much ofcan it was lost. after and/orA upper lip. memory situation, Cause: child’s working who continued working are already waywe want: permanent hair removal. results isWHY!? not being utilized, which prevents Analogy: Anparts, athleteincluding: was ready to break Get a • ahead. Abdomen • but Eyebrows certain information from reaching longa personal record took some time off. And maybe the hair on your head is thinning, too? • Chin 75% OFF COUPON •ABikini line of learning during Call 732-477-9040 today! term memory. Mastery occurs only when few hours Nowit’sthe athlete has to rebuild the skills he The entertainment is endless with our bodies; just • Legs for assessment and diagnosis • Upper lip information long-term memory. the summer will enrich yourthis or she originally worked hard to build. Mention not all goodreaches entertainment. ($195 value for $48.75) • Jawline & sides of face article Permanent Hair Removal Analogy: Athletes need answer to continue child’s experiences during the Hormones are the Effect: Your •child will&score lower SUBSTANTIAL POSITIVE Breasts underarms and receive PRODUCING BENEFITS ON READING ACHIEVEMENT developing their skills ora decline they willor an off-balance, school year. Whether it isathletic an increase, on standardizedAs tests the parts of wellduring as the ears, the nose, fingers, Monmouth/Brick lose potential. it is their your full hormones doing the trick. As you know, school year. toes, feet, etc. ELECTROLYSIS your first treatment, We have success with: men and women, many times throughout our lives, go Learning Press, LLC PATHWAYS TO Effect: When your child returns We understand the embarrassment, selfwith a free through “changes” such as puberty, childbirth,Cause: breast- Your child needed catch-up time THE 21502 Locations: Hwy 35, Ste. 250 •and Dyslexics consultation. consciousness discomfort to school, your child menopause, will start simple aging, feeding, perimenopause, duringetc. the beginning of the school year due that comes with 2510 Belmar Blvd. 522 Brick Blvd. Cannot be combined Sea Girt, NJ 08750 unwanted hair. If summer. it is just cleaning up your •theADD/ADHD Also,with therea are medications hairinformation off lowcountless self-esteem due that affect to the lost during with any other offer. By Wall, NJ 07719 Brick, NJ 08723 appointment only. Either eyebrows or • clearing a beard, we can help. No hair growth and hair loss as well, and health issues such as CAPD location. Exp. 2/29/16 PRODUCING SUBSTANTIAL POSITIVE BENEFITS ON READING ACHIEVEMENT Mary Beth D’Antoni
S
PATHWAYS TO THE
MIND
50% off
MIND
every year in the United States, keeping up with the I am Lorraine Fetherman, L.E.,•C.P.E. Undiagnosed challenged readers
Business owner of Learning Press LLC, of excited “Pathways thecelebrated Mind,”myEducator, Speaker constant changes in the health and beauty world. I amAuthor proud and to say Itojust 20th
We have success with: WHOis ARE WE?expert who Mary Beth D’Antoni a reading been active in in theMarch field of education for thirty years. She yearhas as an Electrologist 2015. I love what I • L.E., Dyslexics do. I ama one of the of lucky who looks forwardandinformation, holds a NJ K-12l-rteaching certificate. She earned Bachelor Artspeople Degree inFor Psychology a Master’s Debbie Matusas, C.P.E. more please visit: Lorraine Fetherman, • ADD/ADHD to going to work. I get to help people feel better about One of my two associates, she has been an Electrologist Degree in Education. She worked as a seventh grade Language Arts Teacher, Reading Teacher, Adjunct more confident and less I for over 17 years. She is a great asset to our practice and C.P.E. to the Mind,themselves, • CAPD Professor of Reading and is authorL.E., of “Pathways “a readingfeelprogram for students whoinhibited. have difficulty learning am passionate about what I doinand the people I help. her hear wonderful feedback all the from traditional methods. Her educational experience has involved concentrated work remedial, developmental andclients love her.•I Undiagnosed challenged readers I am always looking to learn more. I will be attending Debbie Matusas, time. She is very accommodating to our clients’ needs, enrichment areas for kindergarten through college level students. Ms. D’Antoni has done extensive independent research a 3-day Electrolysis Symposium in Quebec City this offering her services days, nights and weekends at our L.E., C.P.E. related to students with learning disabilities. Her program “Pathways the Mind “isand based on her in experience, and more information, please For also please visit: visit: August fortomany lectures workshops our field. findings Brick location. Debbie continues her education, research on the development of reading skills and has beenIrecognized throughout Monmouth counties.attending workshops, seminars and lectures every year. also attend several lectures, workshopsand andOcean seminars Learning Press LLC provides comprehensive reading instruction to students in grades K-6 who are struggling with reading.
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Licensed & Certified Electrologists:
Lorraine Fetherman
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Barbara Stoll
L.E., C.P.E.
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The County Woman Magazine www.TheCountyWoman.com Magazine www.TheCountyWoman.com
January/February July/August 2016
Orthodontics
22
Braces At Any Age? Despite the general myth that braces are just for kids, teeth can be straightened at any time throughout your life, provided that your bones, teeth and gums are healthy. After a consult with Dr. Olcay at Holmdel Orthodontics, you will come away with a thorough understanding of the type of braces that are right for you. Have you seen more interest in braces among adults in recent years? If so, why do you think that is? Yes, these days more adults are interested in having a beautiful smile. Research shows people with straight teeth score higher in the areas of leadership, popularity and sports ability. This is mostly due to the fact that straight teeth increase self-esteem and confidence. Sometimes braces are on the bucket list. After the kids’ teeth, college tuition and other expenses of raising a family, it finally becomes the parent’s turn. Also, more adults have insurance with adult orthodontic coverage that will help finance the treatment. What are the reasons for adults to consider braces? The most important reason is to improve general oral health; straight teeth are easier to brush and floss, and thus less prone to cavities and gum disease. Sometimes braces are also needed to prepare teeth for bridge work or implants. I had braces as a teen, why do I need braces again? Just because the teeth are straight today (whether you had braces or not) does not mean the teeth will stay straight forever. Teeth, like everything else in the body, move throughout a lifetime. Once teeth are straight, retainers should be worn forever to maintain their position. After adult orthodontic treatment, I recommend fixed lingual retainers, which is a wire that is attached to the tongue side of the teeth.
What are the options? There are conventional braces, which could be metal or ceramic, and there are aligner systems like Invisalign or Clear Correct. Technological advances, such as smaller, stain-resistant ceramic braces and computer-generated clear aligners, have made both these options more comfortable and convenient. A third option is Lingual Braces, which are braces against the tongue side of the teeth. According to Dr. Olcay, adults make great orthodontic patients; they are so much more appreciative of the treatment and more compliant than younger patients. Initially they tend to be a little more hesitant and self-conscious, but there are never regrets! Thanks to the amazing technology in the field of orthodontics, patients now have more options when it comes to wearing braces. You can be assured that Dr. Olcay and her caring staff will guide you in making the right decision.
For more information or any concerns, call 732-847-3065 for a free consultation. Visit www.HolmdelOrtho.com
What does adult orthodontic treatment involve? Depending on the teeth and bite, it may entail “full treatment,” which generally takes about two years, or it might involve limited treatment to align a few teeth, close spaces, or prepare for bridge work or an implant.
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DeGraff Cremation Services Sherry DeGraff
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Arrangements Available In Your Home, Removal From Place of Death, Alternative Container, Transfer To Crematory
The County Woman Magazine www.TheCountyWoman.com
Call: 732-657-7868 July/August 2016
Medical Professionals
M
23
The Runner’s Foot: Plantar Fasciitis
any runners have a love-hate relationship with their feet. The foot is an incredibly complex network of bones, tendons, ligaments and muscles that work in harmony to generate speed. In an ideal world, every step of every mile would be 100 percent pain free, with no aches or soreness from the previous day’s work-out . However, the reality of the sport is dealing with a variety of minor injuries, from black or missing toenails to blistering and callouses caused by repetitive pounding. While these nagging issues usually are not serious enough to warrant a time out, they are annoying and can lead to more significant conditions, such as neuromas, stress fractures and plantar fasciitis. Plantar fasciitis is a condition that may require you to take time off from your running activities. The plantar fascia is the connective tissue that runs from the heel to the base of the toes. It looks like a series of rubber bands and is made of collagen, a rigid protein that is not very stretchy. Tiny tears can develop in this tissue, causing pain and inflammation in the foot. Plantar fasciitis tends to affect those who over-train, neglect to stretch their calf muscles or overdo hill and speed work. Additional contributing factors are running on hard surfaces, suddenly increasing mileage or wearing worn or inappropriate running shoes. It can also be caused by biomechanical flaws of the foot and ankle, such as a flat foot, a high arch, excessive pronation or a tight Achilles tendon. Individuals with plantar fasciitis usually feel a sharp stab or deep ache in the middle of the heel or along the arch. They typically have pain in the morning as the plantar fascia has been in a contracted state overnight. Taking the first step causes sudden strain on the bottom of the foot as the plantar fascia is asked to elongate. The pain can reoccur after long spells of sitting or inactivity, but tends to fade during a run once the area is warmed up. If left untreated, this condition can worsen, becoming more difficult to treat the longer it persists. Therefore, if pain presents for more than three weeks, seek the help of a medical professional. To prevent plantar fasciitis, run on soft surfaces, keep mileage increases to less than 10 percent per week and visit a specialty running store to make sure you are wearing the proper shoes. Physical Therapists are experts in the evaluation of functional mobility and movement patterns. In the event of injury, a physical therapist can assess your overall strength, flexibility and running mechanics and then develop an individualized routine, specific to your needs. Consider consulting a physical therapist to help enhance your running performance.
Charles Hendricks, P.T., MSPT
Center Manager - Kessler Rehabilitation Center, Tinton Falls Chuck Hendricks, who holds a bachelor’s degree in exercise physiology and a master’s degree in physical therapy, has been working in the healthcare field for 30 years. A member of the Kessler team for more than 15 years, he has been the manager of the Tinton Falls Center for the past 8 years. Chuck focuses on the treatment of individuals with sports and orthopedic injuries, including conditions related to the foot/ankle, knee, hip, shoulder and spine. As a college athlete playing soccer and hockey, and continuing in adult leagues for many years, Chuck recognizes the importance of preparation and knowledge as it pertains to sports and the athlete. He looks forward to sharing his knowledge with his involvement in Kessler’s ACL and concussion special interest groups, working to advance patient care and awareness. Raised in Colts Neck, Chuck has lived in Monmouth Beach for 20 years with his wife and two daughters. He coaches local sports teams and works with students, parents and coaches on injury prevention.
For additional information on runner’s foot, contact Chuck Hendricks at 732.450.8000 or chendricks@kessler-rehab.com, or visit him at Kessler Rehabilitation Center, 33 Newman Springs Road, Tinton Falls.
PHYSICAL THERAPY HAND THERAPY OCCUPATIONAL THERAPY Specializing in the treatment of:
Orthopedic Conditions Sports & Work-Related Injuries Arthritis Balance Disorders …and more
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The County Woman Magazine www.TheCountyWoman.com
http://www.balloonfestival.com July/August 2016
Medical Professionals
24
Women and Cancer
U
Part II
Cancer of the Uterus
terine cancer, also known as endometrial cancer is the most common cancer of the reproductive organs among women in the US. It is estimated that about 52,000 women will be diagnosed with endometrial cancer this year. Uterine cancer is rare in women 45 and under. Most cases are diagnosed in women over 55.
Risk Factors: Hormonal factors: Prolonged exposure to the female hormone estrogen is directly linked to developing endometrial cancer. Women who had more menstrual cycles during their lifetime have an increased risk of getting cancer of the uterus. For example, if you started your period before age 12, and you have your menopause in the late fifties, you have an increased risk of endometrial cancer. Women who take estrogen alone as hormone replacement therapy also have a high risk. The number of pregnancies a woman had plays a protective role. In women who never had children, the risk of uterine cancer is high. Tamoxifen, a drug used in the treatment of breast cancer, may lead to endometrial cancer in a minority of patients. Obesity: Endometrial cancer is common among overweight women than those who are lean. Estrogen, the female hormone produced in the ovaries, is also made from fat cells. Having more fat tissue increases the amount of estrogen in the body and thus increases the risk of endometrial cancer.
Diet and exercise: Diets high in fat will increase the risk of uterine cancer. Exercise has a protective effect. Women who exercise regularly are less likely to develop endometrial cancer than those with sedentary habits. Diabetes: Uterine cancer is four times more common in women who have diabetes; this is true for those who are obese as well as those with normal body weight. Family History: Some genetic mutations, which are hereditary, can lead to endometrial cancer and colon cancer.
Signs and Symptoms of Endometrial Cancer
Bleeding: Most patients diagnosed with endometrial cancer have abnormal vaginal bleeding. It could be a change in their periods or bleeding between periods or after menopause. It is important to seek medical attention for any irregular bleeding immediately. If you have gone through menopause, it is especially important to report any vaginal bleeding, spotting, or abnormal discharge to your doctor. Non-bloody vaginal discharge may also be a sign of endometrial cancer. Even if you cannot see blood in the discharge, it does not mean there is no cancer. In about 10 percent of cases, the discharge associated with endometrial cancer is not bloody. Any abnormal discharge should be checked out by your doctor. Lower abdominal pain, pressure sensation, feeling a mass or lump in the lower abdomen and unexpected weight loss are some of the other symptoms of uterine cancer.
Diagnosis is made by doing a biopsy of the lining of the uterus. Before doing a biopsy, an ultrasound of the pelvis can be done to evaluate the size of the uterus and the thickness of the endometrial lining.
Treatment
Hysterectomy is the main treatment for cancer of the uterus. In addition to removing the uterus, both ovaries and surrounding lymph nodes will be removed. Depending on the stage of the cancer and a few other factors, some women may require Radiation Therapy and/or Chemotherapy after surgery. As with any other cancer, prevention, early detection and treatment are three important steps in reducing the fatality of uterine cancer. Lifestyle modifications, including eating a low fat diet, and daily exercise are key in lowering your risk. Awareness of the symptoms and seeking prompt attention is equally essential.
For details about treatment of endometrial cancer or for any other cancer-related questions, contact Dr. Sarah J. Easaw at 732-961-0010.
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www.OceanHemOnc.com Accepts Most Insurances. Affiliated with Kimball Medical Center and Community Hospital Access to Clinical Trials.
We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner. Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions. We have a highly qualified, experienced and compassionate staff.
Sarah J. Easaw MD, FACP Diplomate of the American Board of Hematology, Oncology & Internal Medicine
Compassionate Care, Close to Home
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Law
25
How to Restart Your Life After Your Divorce If you are recently divorced, you may be recovering from the shell shock of what you just went through over the past months or years. The following is a guide to steps that can be taken to restart your life after your divorce. A. Review your divorce agreement and make sure you are in compliance with what is required, make sure that you have received all of the assets you are to receive in the divorce and that the appropriate Qualified Domestic Relations Orders (“QDROs”) are being drafted, that the life insurance is in place and that all deeds have been prepared, car title has been transferred and accounts have been transferred/ closed.
Mrs. D’Orsi practices matrimonial law in Red Bank, New Jersey, at the 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.
B. Have your accountant review your divorce agreement to ensure that you are properly withholding for your taxes, if you are receiving or paying alimony. If you do not withhold taxes and you are receiving alimony, you will have to pay a significant sum on April 15 the year after you receive your first alimony payment. C. Review your expenses and come up with a budget. Make sure that you require all of the regular expenses that you pay. If you require more funds, consider increasing deductibles so that you have more expendable income. Review your cellular phone and home internet/ cable bill, and other bills, and determine if you need all of the services provided. Cut back where appropriate. D. Obtain new health insurance, car insurance and life insurance immediately after your divorce, if you no longer have these types of insurances. E. Meet with a financial planner to review the assets that you own and the liabilities that you have. Be aware of what you have, what you owe and what you are entitled to under your divorce agreement. F. Meet with an attorney and have a new will, Power of Attorney and Living Will prepared on your behalf. G. Review your employment situation. If you are not employed, consider obtaining employment to supplement any alimony/child support that you might receive. Again, review your divorce agreement to ensure that the fact that you are working will not impact the terms of the agreement. H. Make sure you have changed all beneficiaries for your life insurance, pensions, annuities, accounts, and 401K plans, if you are not required to maintain your former spouse as the beneficiary of these policies/ plans.
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.
I. Make sure all of the utility bills are in your own name, and remove your former spouses from the utility bills. Make sure all joint credit cards are closed and remove former spouse from same. You also may want to obtain a credit report to verify that all joint accounts are closed. J. Change passwords for accounts and email accounts, including Facebook, Instagram, and Twitter. K. Plan a day out where you can enjoy your new found life. This could be a day at the beach, a spa day or a day in the city or at a ball game.
The County Woman Magazine
www.TheCountyWoman.com
July/August 2016
Law
26
Top Three Reasons Why You Should Have A Revocable Living Trust 3. Privacy
Many of us have heard that having a revocable living trust is important. A lot of it is centered on the fact that it avoids probate. And that is true. But there’s a lot more to having a revocable living trust than just avoiding probate.
1. Managing property upon incapacity A major concern that many of us face is what happens if we are unable to make our own decisions? Who will pay bills or who will protect assets? Unfortunately, if all of your property is only in your name, your loved ones are powerless. Without prior planning, your only recourse is for your loved ones to petition the Court for an application for a guardianship. The experience is stressful because financial and personal information are discussed in Court in order to a determine that a person is declared incapacitated. Some persons choose to have durable power of attorney, which is a better option. This document allows you to designate another person to help you with your financial affairs. There are, however, some downsides: some financial institutions do not recognize durable powers of attorney. Or they will recognize them after some review, which can cause delays. Also, a power of attorney may not give your agent all the powers necessary to help you.
2. Avoiding a will contest
When a Last Will and Testament is probated, it becomes a public document. Anyone can go into the probate court when a person dies and look at the estate file. They are able to obtain a copy of the will, find out who the relatives and beneficiaries are, and look at the claims of creditors, a list of assets, as well as information about each of the beneficiaries. A revocable living trust is private. It is not filed with the probate court and no one has a right to look at it unless the grantor or the trustee allows it. Many people place a high value on privacy while some others may not. In my practice, most clients know whether they’ll have a problem with a family member or some other person regarding the estate. In those cases, privacy is very important and it should be addressed with a revocable living trust. There are many other reasons why a revocable living trust is important. A professional concentrating in this area of law should be sought to discuss this further.
For more information, call 732-281-0060 or visit www.MatusLaw.com.
Reports and data confirm that a will is far more likely to be contested than a revocable living trust. That’s because a will goes into effect only when a person dies, whereas a revocable living trust goes into effect as soon as one is created. Contesting a revocable living trust is intricate. There are a number of things that need to be proved, such as whether the grantor was incompetent when the trust was created.
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July/August 2016
Medical Professionals
27
Hearing Health And Heart Health, An Important Connection Healthy Heart-Healthy Hearing Research from the Ear Nose and Throat Institute suggests a possible link between cardiovascular disease and hearing loss. Both medical professionals and the general population unanimously agree that having a healthy heart, veins, and arteries are essential to good health. However, recent research also shows that a healthy heart can have a positive impact on one’s hearing as well. Cardiovascular disease are directly related to overall blood flow. The cochlea, the snail shaped, fluid-filled organ responsible for hearing, is highly vascularized, and thus can be negatively affected by lack of blood flow from vascular disease. If the cochlea becomes damaged by a degenerative cardiovascular disease, one’s hearing capacity can become greatly diminished or even lost altogether.
Diseases Associated With Hearing Loss Other aspects of cardiovascular disease such as coronary heart disease, hypertension, high cholesterol, diabetes, stroke and even previous open heart surgery have also been associated with hearing loss. According to a study conducted by the Epidemiology of Hearing Loss in Beaver Dam, Wisconsin, participants with a history of cardiovascular disease are on average 54 percent more likely to have impaired cochlear function. Make Hearing Tests Part Of Your Medical Routine If you or your loved one has been diagnosed with a form of heart disease or have found out that you are at risk for developing heart disease, it is wise not to forget your hearing health as well. According to the Centers for Disease Control and Prevention, an American
will have a coronary event every 25 seconds. Also, the American Heart Association asserts that cardiovascular disease accounts for more than a third of all deaths each year. Since hearing can be affected by many different diseases in addition to cardiovascular disease, it is imperative to have an updated hearing test that becomes part of one’s medical record as well as a routine part of a physician’s medical check-up. If you have a history of heart disease, it is essential to have a baseline hearing evaluation to monitor changes in your hearing throughout the course of the disease. Maintaining a healthy heart can lead to a better hearing and an improved quality of life.
For more information, please contact Professional Hearing Center at 732-303-9660 or visit our website www.drjillgordon.com.
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Faces Of The Elderly
For a book on the perils and pleasures of aging, Long Branch photographer
Hal Kahn is seeking men and women whose faces reflect their triumphs and struggles. All volunteers will be photographed and receive electronic copies of their images at no charge. Kahn believes older people are too often ignored in today’s culture. Every face has a story to tell, he says, and he wants to document and honor those accounts of the trials and tribulations of aging in America.
For more information or to make an appointment, please call Kahn at 505-795-9585 or write to FacesoftheElderly@gmail.com
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
MedicalProfessionals Professionals Medical
28 28
So You’ve Gotten the Weight Off, Now What? As a board certified physician I am in theboth Certified family and bariatric medicine (non-surgical Behavioral Counselor/ weight management), Dr. Program ClaudiaCoordinator Huegel of Medimorphosis Physician Assisted Weight at Medimorphosis Loss has helped hundreds navigate weight Physician Assisted maintenance, this most important step in the Weight Loss. Not weight loss journey. She states, “for many it is only the am Iweight” trained and even more difficult than losing and experienced in she explains here some of the reasons why.
Written by Lisa Kaplan, Certified Weight Loss Behavioral Counselor
cognitive therapies, behavioral techniques, and problem-solving, I too am continuing on my own weight management journey.
As a teenager, I struggled with my own weight. While in college, I put myself on a
weight-loss plan. I lost 45 pounds, but what’s more important is that I have kept it off for over 33 years. Every meal must be a thought process for me. Weight management is like a lifelong train ride in which First of all, many people who reach their goal of you never arrive at weight the destination. I useconfident the sameand successfully getting off, are overly behavioral tools teach to way patients feel that they canand nowstrategies return tothat theirI previous of eating. don’t realizeoff. theAimportance support to keepMany my own weight healthy fearofof gaining and having a clearI and outto plan for thealmost future. is a good thing!! also thought make time exercise They enter this most challenging phase, both every day. I knowitshow important exercise underestimating difficulty and with little isorfor no maintaining knowledge ofmy theweight. body’s complex physiology as it relates to their new body. In the words of accomplished bariatrician and author, Dr. Barbara “you are When meeting a patient for theBerkeley, first time, I see a rookie of weight maintenance for at least the next 1-2 the and uncertainty in them. Theymake usually are yearsfear after reaching your goal. You will mistakes.” “professional” dieters who have tried everything According to several published studies, 80-90% ofto thoseweight who lose weight, most orI all of the weight reassure lose by the timeregain I see them. back within three years. In fact, one has a greaterthan them that this program is different likelihood of successfully climbing Mount Everest than others because it is medically monitored and maintaining lost pounds. So, if it’s so difficult, then concentrates on counseling to permanently change why even attempt it?
Community
Well, withand the habits. right tools, possible. old behaviors I alsosuccess teach ishow to navigate Dr. Huegel uses only the most current research-based through life’s social events without gaining weight. methods in her practice where her patients enjoy a high rate of success. It is important to stay within a narrow Ourrange, state-of-the-art body scale is a weight for example, 3-5composition lbs., and weigh oneself fabulous showing health regularly. way Haveofanphysically upper weight limithow that,one’s if reached I always tellthe food is week by week. orimproving exceeded, one should immediately resume plan that resulted thefirst initialtime weightthey loss. Continue patients that in the get on until back to the middle of the range. the scale is not so exciting, but after that
it gets veryofexciting and empowering. In terms moderation, Dr. Huegel tells her
There is to nothing rewarding me than to see patients alwaysmore recognize that theforoccasional indulgencelife maychange come with consequences. The scale someone’s so dramatically, medically, with let you know, but it can be reversible if physically & emotionally. I look forward tomanaged helping effectively. In addition, she tells patients to always have our future patients with the best care in weight loss/ a healthy dose of fear of weight regain. Many of her management. Let’s get & stay healthy together!!!! patients feel that this thinking is essential in keeping them at their new weight.
Dr. Huegel is a Board Certified Family Doctor and Board Certified Bariatric Medicine Doctor with ten years experience in weight loss medicine. She is the winner of the Compassionate Doctor Award, Patient’s Choice Award, and Vitals Top 10 Doctor.
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Community Middletown High School South’s Spanish Honor Society’s Generous Donation Funds Red Bank Resource Network’s English asMonmouth a Second Language ClassFair 42nd Annual County
The class that is supported by this donation is a new, free include: eight week ESL programHighlights for Red Bank Regional High School ty (MHA) has received a timely donation Presented byand the generous Monmouth County Parkstudents, System and will take •Animal Shows & Exhibits2016. place weekly from March-May from the Middletown High School Spanish County 4-H Association In cooperation withSouth’s the Monmouth •Free Stage Entertainment It is being hosted in partnership with The Source at Red Bank Honor Society in support of a new English as a SecLocation: Regional High School to •Robinson’s provide a safe, supportive environment Racing Pigs ond Language (ESL) Class initiative at its Red Bank in the community to practice East Freehold Showgrounds, Kozloski Road, Freehold, NJ for students •Climbing Wall communication and Resource Network (RBRN). Valerie Barney, World support the development•Mutts of English language skills during after Date: Gone Nuts Languages Teacher and Advisor to the Spanish Honor school hours. Two community volunteers are leading the class, Wednesday-Sunday, July 27-31 •High Flying Pages Society at Middletown South, coordinated the efforts with lead teacher Gianna Cusanelli, and assistant teacher, Luke Hours: •Bwana Jim Reptile Show Roskowinski donating their time and expertise. to meet the needs of RBRN and the community. The Mental Health Association of Monmouth Coun-
Wednesday-Friday, July 27-29 from 5-11 p.m.
•Little Rollo
Sunday, July 31 from 11 a.m.-6 p.m. www.TheCountyWoman.com
•Crafters & Commercial Vendors May/June 2016 •And so much more!
For more information about MHA RBRN’s programming 732-383-5135, Monday through Friday from 9:00 to 5:00. Saturday, July call: 30 from 3-11 p.m. •Scott's Crazy Coedy Magic Show
The County Woman Magazine
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Medical Professionals
29
The Importance of Colorectal Cancer Screening What are protective factors for colorectal cancer? Written by Jai Mirchandani, MD Gastroenterologists of Ocean County
What is Cancer Screening?
A
screening test is a recommended medical test to examine for precancerous lesions prior to the development of cancer. Examples of these kinds of tests include: Mammography- to detect early breast cancer; Pap Smearsto detect cervical cancer; and a Prostate Exam- which examines for early prostate cancer. Colonoscopy is a screening test to detect and prevent colorectal cancer. What is the colon and rectum?
The colon is a six foot long tube, which absorbs excess water and salt into the blood, and converts waste into stool. The rectum is the end of the colon, where waste/ stool is stored until it leaves the body during a bowel movement.
What is a polyp and why are they important?
A polyp is a growth out of the wall of the colon. Polyps are either benign (non-cancerous), or pre-malignant (pre-cancerous). Polyps are important because certain polyps can grow large over time into colon cancer. Usually patients have NO SYMPTOMS, if they have a polyp. Polyps are caused by genetic and hereditary factors, as well as dietary and environmental factors.
How common is Colorectal Cancer, and do I have to worry about it?
Colorectal cancer is the 3rd most common cause of Cancer in both men and women. The lifetime probability of developing colorectal cancer is approximately 1 in 20 for both men and women, making it very common.
What are some potential symptoms of Colorectal Cancer?
Symptoms of Colorectal cancer include blood in the stool, anemia (low blood counts), changes in bowel habits, abdominal pain, and weight loss. Often, however, patients have no symptoms at all.
What are risk factors for developing colorectal cancer?
Family history and genetic factors are one of the biggest predisposing factors to the development of colorectal cancer. If you have a close family member who had either colorectal cancer or colon polyps, you are at an increased risk for developing colorectal cancer. Environmental or dietary factors, such as diets high in red meats, alcohol or tobacco use can predispose patients to colorectal cancer. Also patients who are overweight or have advanced diabetes are also at an increased risk for developing colorectal cancer.
Diets high in fruits, vegetables and fiber are protective for colorectal cancer. Also a diet high in calcium has also been seen to be protective for colon cancer as well. Exercise has been seen to be a protective factor as well to prevent colon cancer.
Who should be screened for colorectal cancer?
Any man or woman over the age of 50 years old should be screened for colorectal cancer. Patients with family members with a history of colorectal cancer, or colon polyps, as well as certain symptoms may need to be screened at an earlier age.
How do patients get screened?
A patient can get screened by stool tests to check for blood, X-ray or CT scan tests, as well as certain blood tests that can assess if patients are at risk for developing colorectal cancer. The best test for screening for colorectal cancer is a colonoscopy, as this test can visualize precancerous polyps, as well as remove these polyps before they have a chance to grow and become colorectal cancer.
patients, including men and women are susceptible to developing colon cancer. Most types of colorectal cancer are preventable however, with appropriate screening. Colonoscopy is covered as a screening tool by Medicare and most insurances. Make sure to talk to your doctor to see if you should be screened for colon cancer.
Call to schedule your appointment at Gastroenterologists of Ocean County.
What is a colonoscopy?
A colonoscopy is a test where a flexible tube is inserted into the rectum. Through this tube, a gastroenterologist can visualize the inside of a patient’s colon. Using a colonoscope the gastroenterologist can identify small polyps, and remove them internally. The procedure takes approximately 30 minutes. Patients are given sedation to make them comfortable throughout the entire procedure. The day before the procedure patients must drink a solution to clean their intestines prior to the procedure. If a patient’s colonoscopy is normal, they most likely will not need another procedure for 10 years.
The Endoscopy Center of Ocean County • The Endoscopy Center of Toms River
What happens to patients who develop colorectal cancer?
Patients who develop colorectal cancer must undergo further treatments, including possible surgery, chemotherapy and radiation. Ultimately they have a shorter life expectancy.
What is the most important thing to know about colorectal cancer? The most important things to know about colorectal cancer is that is a common form of cancer, and all
The County Woman Magazine www.TheCountyWoman.com
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July/August 2016
Adult Day Care
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We Care Adult Care Proudly Supports the efforts of Alzheimer’s NJ
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Last Year over 200 people attended. We are hoping to grow that number to keep up with the increase of Alzheimer’s Diagnosis! Currently, as many as 5.4 million Americans are living with Alzheimer’s disease, and millions more are faced with the financial and emotional challenges of caring for a loved one with the disease. If current trends continue, Alzheimer’s will bankrupt families, communities and our healthcare system. We plan to raise money to support Alzheimer’s New Jersey, which provides consultation, information, education, financial grants, referral, and support programs to our community. Sincerely,
Eleanor Dolan-Chairperson • Kelli Desmond-Team Captain • Tracey L. Wolfman-Co-Chair
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July/August 2016
Medical Professionals
32
Defining And Dealing With Diverticulitis 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 fre-
quently explains to her patients that “just because I am a surgeon, doesn’t mean everyone needs a surgery. There are other options I can offer you.” Dr. Paonessa has been named Proctologist of the Year by the American College of Osteopathic Proctologists, awarded the Patient’s Choice Award and the Compassionate Doctor’s Award by Vitals.com for six consecutive years, and is on the HealthGrades Honor Roll. What is Diverticulitis? Diverticulitis is a common condition of the colon that afflicts about 50 percent of Americans by age 60 and nearly all by age 80. It occurs when diverticula (pockets that develop in the colon wall) become inflamed or develop various complications. When this occurs, it becomes necessary for your physician or surgeon to take action to prevent the diverticulitis from worsening. Mild cases of diverticulitis are usually not associated with symptoms, but in some cases there is bleeding from the colon. Other symptoms may include pain in the lower abdomen (usually left sided, but not always), change in bowel habits as well as bloating, nausea, vomiting and anorexia due to a small or large bowel obstruction. How is diverticulitis diagnosed? Always consult your doctor for a diagnosis because diverticulitis symptoms resemble other medical conditions. Your physician will perform an extensive medical history and physical examination prior to any action taken. Generally, doctors perform an abdominal examination, and may order blood work and/or a CT (computed tomography) scan of the abdomen and pelvis.
Who is at risk? This disease tends to affect men and women equally, but the prevalence of the disorder increases with age. Studies show that individuals with low fiber diets are more at risk than those with high or normal fiber diets. What are treatment options? Most mild cases of diverticulitis can be treated with a course of oral antibiotics, dietary restrictions and possibly stool softeners. Surgery becomes necessary if patients develop recurrent episodes or complications, such as abscess, perforation or obstruction. What type of surgery is available? Two approaches are available: traditional (open surgery) and minimally invasive laparoscopic surgery. Open surgery requires larger incisions while laparoscopic surgery uses several small incisions. Using laparoscopic surgery, many of the same operations performed via open surgery can be completed with smaller incisions. Benefits of laparoscopic surgery include less pain and scarring, and shorter recovery. When possible, Dr. Paonessa performs less invasive, laparoscopic surgery for her patients. In dealing with surgery for diverticulitis, her goal is to “restore bowel continuity and for her patients to be free of permanent colostomy bags.” What happens if it’s determined that surgery is recommended? Following the initial examination, Dr. Paonessa will arrange for a consultation with the patient and their family members, as she feels it is important for every patient to have a strong support system when he/she is facing a difficult medical issue. Dr. Paonessa will explain the surgery in detail and draw a diagram to help the patient understand exactly what the surgery will entail. She and her office staff guide the patient and his/her family throughout the entire surgical process.
Testimonials: “I was praying for a miracle, then Dr. Paonessa came along…. She saved my life. I was truly blessed to have someone impact my life. She is a gift to the medical profession. The #1 doctor in my book.” -Julia F. , Long Beach Township, NJ. “Dr. Paonessa is what all doctors should be. She’s a great person, not only in the treatment of her patients; she is warm, understanding. Her follow up after surgery is excellent. I would send anyone to her that might have need of her services.” -Eugene A., Barnegat, NJ
2101 Route 34 South, Suite H Manahawkin, NJ 08050 1172 Beacon Avenue, Suite B Wall, NJ 07719
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July/August 2016
Business Spotlight
33
Interview with Dr. Nina Paonessa
An Expert in Offering Concentrated Expertise in All Areas of Colon and Rectal Surgery As a board certified general surgeon and proctologist, Dr. Nina Paonessa believes in patient-centered care and preserving each patient’s independence, well-being and dignity. Specializing in colon and rectal surgery, Dr. Paonessa has been in practice for over 12 years. She completed her undergraduate education at Siena College in Loudonville, NY with a Bachelor of Science in Biology, Magna Cum Laude, and as a member of the honor Nina Paonessa, society, Alpha Kappa Alpha. After DO, FACOS completing her undergraduate studies, Dr. Paonessa completed medical school at Lake Erie College of Osteopathic Medicine in Erie, PA and completed her colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA.
CW:When did you first decide to become a surgeon? Dr. Paonessa: I discovered my love for the specialty during my second year of general surgery residency. I began to notice how patient outcomes varied based upon the training/skill of the surgeon. Colorectal surgery is a field in which specialized training truly impacts patient outcome. For example, in certain cases, the difference between patients having a permanent colostomy versus bowel continuity after colorectal resection is dependent upon the skill/training of the surgeon. Additionally, I had the privilege of doing a one-month rotation on the colorectal surgery service of Dr. Douglas Wong at Memorial Sloan Kettering Cancer Center in New York City. It was here that I truly fell in love with the specialty of colorectal surgery.
CW:What do you like the most about being a colorectal surgeon? Dr. Paonessa: For me, the most rewarding part is when I can make a positive impact on a patient’s quality of life and well-being, whether it be curing a patient of colon or rectal cancer and restoring bowel continuity, to ridding a patient of their hemorrhoid symptoms, to freeing a patient from the social isolation caused by their symptoms of fecal incontinence. A fringe benefit of my specialty is that I have the privilege of meeting so many wonderful and unique individuals. It is truly rewarding working with each of my patients.
CW:What is the most difficult part of being a colorectal surgeon?
CW: How would you describe your practice’s philosophy? Dr. Paonessa: In my practice, my staff and I share the same philosophy of “the patient comes first.” No matter if it is benign or malignant disease for which a patient is coming to the office, we understand that it is a stressful and oftentimes an embarrassing situation for them. In my office, each patient’s privacy and dignity is preserved and respected to the utmost degree. We realize that just because we take care of colorectal problems every day, does not mean that patients are used to dealing with these issues.
CW:What are the most common reasons why a patient would schedule an appointment at your practice? Dr. Paonessa: Men and women of all ages schedule appointments at my office for many reasons. These include hemorrhoids, fissures, colorectal cancer screenings via colonoscopy, treatment of colorectal cancers \including laparoscopic surgery, squamous cell carcinoma of the anus, fecal incontinence and pelvic floor dysfunction.
CW:Tell us a success story that you have experienced over the years. Dr. Paonessa: We have had many success stories over the last 12 years. One of my favorite success stories is that of a woman who was hospitalized for perforated sigmoid diverticulitis with a large intra-abdominal abscess. I was requested to see her as a second opinion as the first surgeon proposed immediate surgery consisting of sigmoid colon resection and end colostomy. After careful history and physical exam and review of her CT scans, I proposed a plan of bowel rest, IV antibiotics and percutaneous drainage of the abscess. This allowed for the abscess to reduce in size to merely a small cavity. The patient was eventually taken to surgery, during which she had a sigmoid colon resection and colorectal anastomosis, without even a temporary stoma (bag). She recovered uneventfully and was able to return to work.
CW: Describe some of your favorite leisure activities. Dr. Paonessa: Outside of being a surgeon, I enjoy spending my free time with my family. I also enjoy cooking and trying new recipes, reading, dancing and spending time at the beach. Visit www.paonessacrs.com
Dr. Paonessa: Explaining to a patient about their diagnosis of cancer is the most difficult part of being a colorectal surgeon. Even in many cases in which the cancer can be cured, dealing with a diagnosis of cancer is stressful and at times, life-altering. I truly feel for the patients and try to make the difficult road ahead of them a bit easier.
The County Woman Magazine
www.TheCountyWoman.com
July/August 2016
Health
34
&
Wellness
Yoga Teacher Training Certification The Teachers Training program is designed to give each student a direct, inner personally transformative experience of the essence of yoga. This will allow each trainee to teach yoga with integrity, sensitivity and understanding. This course is open to all regardless of creed, belief or religion as Yoga is a universal, all-embracing, transcultural, spiritual practice. Freehold Yoga Center Teacher Training is a complete immersion into the universal practices of Yoga in all of its aspects; physical, mental, ethical and spiritual.
Our program follows in the tradition of Swami Sivananda and Swami Vishnudevananda and the following 5 points of Yoga: Asana - Proper Exercise Pranayama - Proper Breathing Savasana - Deep Relaxation Proper Diet - Vegetarian Vedanta - Meditation & Mantra See our Website Teacher Training Page for more detailed course information www.freeholdyogacenter.com Cost $2850.00 for 6 month certification course Early sign up discount of 10% if paid in full by August 15th Early sign up discount of 5% if paid in full by September 15th
Check the website for dates and time.
New Beginners class Starting Wednesday July 6th & July 18th, $85.00 6 weeks! Register online!
Intergrative Yoga with Dharmini one Friday a month See website for dates!
Pre Natal Yoga coming to FYC! Look online or call for dates!
Teacher Training Open House Friday, July 15th, from 7-9pm
Meet teachers and students past and present and learn about our program!
Come see why we have been here 30 years! www.freeholdyogacenter.com • 732-462-YOGA OPEN CLASSES Mon-Thurs 9am to 10:30 and 7pm to 8:30 Sat & Sun 9am-10:30 Friday 9:45 -11:15
BEGINNERS CLASSES Mon, Weds 7pm-830
RESTORATIVE YOGA EVERY Thursday at 5:15 -6:45
TUESDAY YOGA WITH DHARMINI 11:00am - 12:15pm TUESDAY NIGHTS KUNDALINI YOGA WITH RISHI 7-9pm MEDITATION Sat 8:30-8:50 Sunday 2nd and 4th 8:30 – 8:50 Tuesday and Thursday 8:30 to 8:50
SATSANG 1st and 3rd Sunday 7:30am-8:50
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FREEHOLD YOGA CENTER 3 West Main Street Freehold, NJ 07728 www.freeholdyogacenter.com
732-462-YOGA July/August 2016
Refresh Yourself With The Talented Instructors At Freehold Yoga
82 36
Fine Art Photography
Fine Art Photography
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May/June 2016 2016 July/August
Permanent Hair Removal
37
Hair Free Beautiful Skin…
A
Electrolysis Is The Permanent Solution
After a session with AMP ELECTROLYSIS owner Ann Marie Preston you can’t help but sense Did You Ever Wonder... the passion she has for her job. Her Q Why Do Women Get Facial Hair? Some facial hair is perfectly normal, but it can energy is simply contagious. If you feel self conscious about your unwanted hair, be assured that you can achieve permanent hair-free skin with Electrolysis. It has been estimated that 80% of women experience unwanted hair growth some time in their lives. The cause of excess hair growth can come from hormonal imbalance, medication, heredity, or stress. Electrolysis is the only method of hair removal that is approved for all skin types. Your hair will be permanently and safely removed. Electrolysis works on women, men and teens, all pigmentation from light to dark, and on all hair textures from fine to coarse. How does electrolysis work? Electrolysis employs chemical and heat energy to destroy the hair’s germ cell. Each treatment is personalized to meet your individual needs. Let your outward appearance complement your inner beauty with smooth, hair-free skin. Call AMP ELECTROLYSIS to schedule your complimentary consultation.
make women feel less confident about their appearance. About 10% of women experience excess facial hair, a condition known as hirsutism. The cause may be genetic, but sometimes a medical problem exists that should be investigated. Excessive hormone levels contribute to an unusual amount of facial hair. Excess hair at puberty may be the result of polycystic ovarian disease, or a malfunction of the adrenal gland. With a sudden onset of facial hair, women should seek a medical exam to rule out the presence of ovarian, endometrial or adrenal cancer. Other medical causes include obesity, diabetes and insulin resistance. Certain medications and anabolic steroids can cause excess hair growth. If you have a concern about facial hair, seek a complete medical exam including hormone testing and a medical review of your medications. Electrolysis eliminates hair permanently; however, it’s recommended that you check with your doctor to rule out any medical issues contributing to the problem.
Q What Are Commonly Treated Areas?
Electrolysis is used to remove unwanted hair anywhere on the body. Commonly treated areas are the face, breasts, stomach, bikini area, arms, legs, fingers and toes. Hair should never be removed from inside the nostrils.
Q Who Can Have Electrolysis?
AMP ELECTROLYSIS treats men and women who want smooth, hair-free skin. Teens must be accompanied by a parent.
Ann Marie Preston, LE, CPE
Visit www.AMPELECTROLYSIS.com
Celebrating 20 Years! AMP ELECTROLYSIS
Ann Marie Preston, LE, CPE
Permanent Hair Removal • Electrolysis Treatment *complimentary consultations
Labor Day
New Location!
No more stairs ~ street level!
732-389-9141 • 265 E. Main Street, Oceanport, NJ. 07757 www.ampelectrolysis.com
Labor Day is annually held on the first Monday of September. It was originally organized to celebrate various labor associations’ strengths and contributions to the United States economy. It is largely a day of rest in modern times. Many people mark Labor Day as the end of the summer season and a last chance to make trips or hold outdoor events. The first Labor Day was held in 1882. Its origins stem from the desire of the Central Labor Union to create a holiday for workers. It became a federal holiday in 1894. It was originally intended that the day would be filled with a street parade to allow the public to appreciate the work of the trade and labor organizations. After the parade, a festival was to be held to amuse local workers and their families. In later years, prominent men and women gave speeches. This is less common now, but is sometimes seen in election years.
Ann Marie Preston, owner of AMP ELECTROLYSIS, has been helping her clients look and feel their best for more than 20 years. In her spare time, she can be found spending time with her husband and their “fur” children, three adorable toy poodles.
The County Woman Magazine www.TheCountyWoman.com
Monday, September 5 July/August 2016
38
Medical Professionals
New IVF Statistics Cause for Celebration at Local Fertility Clinic
Morgan Fertility and Reproductive Medicine Announces Exceptional In Vitro Fertilization Success Rates by Dr. Allen Morgan Allen Morgan Fertility and Reproductive Medicine, NJ
F
or over 20 years Dr. Allen Morgan of Morgan Fertility and Reproductive Medicine has helped individuals and couples overcome infertility. His clinical approach to in vitro fertilization (IVF) is distinguished by minimal use of fertility drugs whenever possible (minimal stimulation), saving many patients thousands of dollars and producing the same if not higher success rates, as demonstrated by the latest statistics recently published the Society for Assisted Reproductive Technologies (SART). Live Birth Rates 18% Above National Average in Women under Age 35* Since 1992 reproductive endocrinologists have been required to report IVF delivery rates to the Centers for Disease Control and Prevention (CDC) and the Society for Assisted Reproductive Technology (SART). The data is analyzed then released to the public 18 months later in order to provide patients with a comprehensive overview of IVF treatment and illustrate individual fertility centers’ success in the field.
According to the latest annual data just released by SART, the primary outcome per intended retrieval for women under age 35 using their own eggs to complete IVF treatment cycles at Morgan Fertility and Reproductive Medicine (formerly Shore Institute for Reproductive Medicine) in 2014 had a live birth rate of 60%, a full 18% above the national average of 42.6%. “We’re very excited to share the latest IVF success rates with the public. Behind every statistic is a person or couple struggling for parenthood”, states Dr. Allen Morgan. “Exceptionally high IVF success rates means we’ve helped more patients overcome their struggle with infertility.” SART’s new yearly report structure now includes genetic testing, egg and embryo cryopreservation and elective single embryo transfer (eSET). These procedures have improved live birth rates over the past decade and drastically reduced the occurrence of high-order multiple gestations. “This new reporting structure incorporates more aspects of treatment and is much easier to understand, empowering the public to make more informed decisions,” says Dr Morgan.
Statistics vs Treatment Experience
Dr Morgan advises potential patients to also consider proximity to home or work, reputation for individualized care and ample financial assistance options when selecting a reproductive endocrinologist since the annual SART report numbers reflect varied patient selection criteria, treatment approaches, and cycle reporting practices that may inflate or lower pregnancy rates. Many potential patients are also carrying out research on the Internet when considering infertility practices. There are now online physician directories like Vitals. com and Healthgrades.com, which offer patients the opportunity to rate and review practices. Even social media sites like Facebook and Twitter offer potential patients real insight into a practice’s personality. “We have a very active community on Facebook, for instance. Veterans offer newcomers encouragement. People ask questions. And, we’re happy to provide answers.” Dr. Morgan adds, “We feel an engaged community fosters understanding, leads to better decision making and an overall better treatment experience. So, we incorporate social media into the overall patient experience. And, our patients appreciate it.”
For more information on the most recent IVF success rates, how to interpret them against the national average, or to book an appointment, please call (732) 363-4777 or visit MorganFertility.com. *reported to and published by Society for Assisted Reproductive Technology (SART) for the year 2014
Visit www.MorganFertility.com Concierge Fertility Care
MorganFertility.com
(732) 3612252
Lakewood . Ocean . Old Bridge
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Business Spotlight
39
Dr. Allen Morgan Continues To
Make Miracles Happen D
Doctor, Director of Medicine and father of four young women, Dr. Allen Morgan has helped women and men become parents for over 20 years. Under his sole direction, Morgan Fertility and Reproductive Medicine has thrived immensely, evolving to become a highly successful boutique-style fertility practice on the East Coast. His great success is partly due to exceptionally high success Allen Morgan, MD rates achieved through In Vitro Fertilization (IVF). The practice is also well known for costing less than big-medicine fertility clinics on average, minimal use of fertility drugs when appropriate, and a smaller and more personal staff.
MCW: Tell us about your educational background.
Dr. Morgan: After completing my bachelor’s degree at Columbia University, I attended medical school at Far Eastern University in Manila while a Captain in the U.S. Army Reserves. I then did my residency in Obstetrics and Gynecology, both at Long Island Jewish Medical Center, New York, and Jersey City Medical Center. Finally, I completed my Fellowship in Reproductive Endocrinology and Infertility at The University of Kentucky.
MCW: What is the best part about working in this specialty? What do you find the most rewarding?
Dr. Morgan: Working with my team of nurses, embryologist, and technical staff to help my patients carry a pregnancy they thought would never happen is amazing. We all work together with one goal in mind: that couples’ future baby. The joy and happiness my patients experience is the best part. I love what I do from start to finish.
MCW: What is the most difficult part?
Dr. Morgan: The most difficult part of being a fertility specialist is to witness the frustration some couples experience. It seems unfair for these young healthy couples to go through something that is supposed to be natural. The truth is, science is not perfect and we can’t help everyone, but we’re getting better all the time. Also, stories of couples being pushed into expensive or “cookie-cutter” treatment options right away are difficult to hear. I believe each patient should be treated as a unique individual with unique circumstances. My staff and I are motivated by the opportunity to turn patients into parents, nothing else.
MCW: Why do you think fertility testing is more common these days?
Dr. Morgan: For one, the percentage of couples experiencing infertility has increased substantially in recent years. Today, 1 in 8 couples report requiring assistance to start a family. Many experts believe that number is actually higher since many couples don’t report such issues due to the stigma surrounding infertility. Of those couples, 90 percent report they wish they had started the fertility process sooner, since the sooner treatment gets underway, the higher the likelihood of success becomes. Also, many young women are now choosing to freeze their eggs while they are young and healthy in order to pursue careers and become pregnant at a later time. So, there is a buzz out there about that.
MCW: How has your profession changed over the past 20 years?
Dr. Morgan: Assisted Reproductive Technologies (ART) have improved dramatically. We now have a safer and more effective egg retrieval process, a new and better embryo culture and freezing technique, and a process called ICSI, which revolutionized treatment for male factor infertility. This allows fertilization to take place even in cases of severe male factor infertility. Also, access to treatment for infertility has broadened dramatically, though we still have a ways to go. There used to be no insurance coverage at all for treatment. Then, several states recognized infertility as a disease and a disability, creating laws requiring insurance coverage. One of those states is New Jersey. Increased insurance coverage equals increased access to necessary care. I quite actively advocate for broader access to insurance coverage for infertility. It’s one of our most basic human needs.
MCW: Who is a good candidate for fertility testing and why?
Dr. Morgan: Since the health of a woman’s eggs deteriorates over time, testing sooner rather than later can mean the difference between successfully becoming pregnant or not. The Society for Assisted Reproductive Technologies (SART) recommends a woman who is under 30 and has been trying to conceive for more than 12 months or over 30 trying for more than six months should schedule a consultation with an infertility specialist to discuss fertility testing. Testing is fast and relatively inexpensive. Additionally, any couple with a background or family history of reproductive system issues should be tested as soon as they decide to have children. Many issues can be greatly minimized the earlier the problem is identified.
MCW: What are some suggestions for couples that are trying to conceive?
Dr. Morgan: Most fertility problems are easy to fix and do not require expensive treatments. It’s important to understand the female cycle and know when it’s best to conceive. There are lots of smartphone APPS for that now. Men and women should stop smoking cigarettes, which is linked to low sperm counts and sluggish motility as well as double miscarriages rates, and it is toxic to eggs. Decrease your drinking, as alcohol can reduce the production of normally formed sperm needed for a successful pregnancy. Watch your weight. Both overweight and underweight men and women can have fertility problems. In women, it can cause ovulation problems. Exercise at least three to five hours a week.
Call Today 732-363-4777 • www.AllenMorganMD.com Three Convenient Locations: Old Bridge, Ocean Township and Lakewood/Brick
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Medical Professionals
40
Trend: Delayed Childbearing on the Rise
Dr. Eric Lehnes Answers Common Questions About Having Babies at 35+ 35+ have perfectly normal pregnancies, perfectly normal deliveries, and perfectly healthy children,” says Dr. Lehnes.
Q: What are the risks of women having a baby at a later age?
Eric G. Lehnes, MD
Women over 35 have a higher risk for gestational diabetes, hypertension and miscarriage. There’s also a greater risk of genetic abnormalities and increased risk for stillbirth. Additionally, it may take longer to get pregnant.
Now, more than ever, women in the U.S. are waiting until they’re older to start having children.
Q: What advice do you offer to women of advanced maternal age who want to have a baby?
According to the National Vital Statistic System, from 2000 to 2014, the proportion of first births to women aged 30–34 rose 28% (from 16.5% to 21.1%), and first births to women aged 35 and over rose 23% (from 7.4% to 9.1%). Eric Lehnes, MD, a board-certified ob/gyn specializing in minimally invasive and laparoscopic surgery at Ocean Gynecological and Obstetrical Associates, part of Barnabas Health Medical Group sees firsthand how many women are choosing to delay childbearing. Dr. Lehnes offers perspective on what it means to have a baby at “advanced maternal age.” “Although there are increased risks associated with delayed childbearing, the fact of the matter is, most women
The healthier you are going into a pregnancy, the higher the likelihood you will have an uneventful pregnancy and childbirth. It’s important to optimize your health prior to becoming pregnant. Be sure to see your doctor for a preconception checkup. Women should take folic acid for a month before becoming pregnant as well as prenatal vitamins. If you’re a smoker – stop! This includes refraining from a vape. Stop drinking and lose weight if you’re overweight. Also, women who delayed childbearing to an older age are more likely to be on medication for chronic health issues. It’s very important to make sure all medications they are taking are safe for pregnancy and conception.
Ocean Gynecological and Obstetrical Associates has two convenient office locations: For more than 50 years, women in Ocean County have trusted Ocean Gynecological and Obstetrical Associates (OGOA) to provide comprehensive obstetric and gynecological care. In 2012, OGOA took the bold step of expanding to include a team of experienced, board-certified nurse-midwives to join its seasoned group of board-certified physicians. Today, OGOA is one of the only practices in the region that offers daily appointments with a midwife for in-office gynecological or prenatal care and around-the-clock midwifery coverage for pregnant women in the hospital. OGOA has one of the lowest C-section rates for obstetrical practices in the region.
Toms River Office 368 Lakehurst Road, Suite 303 Toms River, NJ 08755 732.349.0485
Lakewood Office 475 Route 70, Suite 101 Lakewood, NJ 08701 732.364.8000
Office Hours Monday through Friday: 8:30 a.m. to 5 p.m.
About Barnabas Health Medical Group Barnabas Health Medical Group is a multi-specialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of Barnabas Health, the largest not-for profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. To learn more, visit barnabashealthmedicalgroup.org.
Q: What do I need to know about prenatal testing? Prenatal testing provides information about your baby’s health before he or she is born. Throughout your pregnancy, your health care provider may suggest a number of other tests, such as screenings for gestational diabetes, Down syndrome, and HIV. In the past, the gold standard of genetic prenatal testing for women over 35 was an amniocentesis. “The reason that age became associated with ‘high-risk’ stemmed from the fact that the risk of a 35-year-old woman having a genetically abnormal baby was 1 in 200, and research in the ‘80s showed that the risk of an amniocentesis was also 1 in 200, making that age the ‘cut-off.” Today, with so many women choosing to delay childbearing, we have a lot of pregnant women over 35, yet very few amnios. Instead, women may opt for highly accurate noninvasive tests.”
Cell–free DNA test This test uses a simple blood sample from an expectant mother to analyze bits of fetal DNA that have leaked into her bloodstream to test for XY abnormalities and trisomy 18 and 13 and trisomy 21 (Down syndrome). The cell-free DNA test will screen for only the common trisomies and, if requested, sex chromosome composition. Testing can be performed starting as early as 10 weeks and anytime during pregnancy.
Nuchal translucency test The nuchal translucency test measures the nuchal fold thickness, an area of tissue at the back of an unborn baby’s neck. Measuring this thickness helps assess the risk of Down syndrome and other genetic problems in the baby. Testing can be performed at 12 weeks.
Maternal Serum (Penta) Screening The Penta test involves a blood test from the mother typically performed around
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16 weeks which looks for five different proteins and hormones that come from the pregnancy through the placenta into the maternal bloodstream. Levels of these proteins and hormones are combined with other factors, such as maternal age, weight and race to determine the baby’s risk for a chromosomal abnormality or neural tube defect such as spina bifida. If these tests come back abnormal, women may undergo further testing for a more definitive diagnosis, including: Amniocentesis This medical procedure – performed between 14-16 weeks gestation – is used in prenatal diagnosis of chromosomal abnormalities and fetal infections, as well as for sex determination. Through an “amnio,” a small amount of amniotic fluid, which contains fetal tissues, is sampled from the amniotic sac surrounding a developing fetus, and the fetal DNA is examined for genetic abnormalities. The most common reason to have an “amnio” is to determine whether a baby has certain genetic disorders or a chromosomal abnormality. Chorionic villus sampling (CVS) entails sampling of the chorionic villus (placental tissue) and testing it for chromosomal abnormalities. CVS usually takes place at 10-12 weeks’ gestation.
Summary Despite the trend to delayed childbearing, women beyond the age of 35 tend to conceive spontaneously, carry normal pregnancies, and deliver beautiful, healthy babies. The multitude of options for non-invasive prenatal testing has all but eliminated the need for amniocentesis and CVS along with their associated risks. The most important underlying factor related to good outcomes is for women to be in optimum health prior to conception, regardless of age.
July/August 2016
Reverse Mortgage Lending
41
TOP
Revers Mortgag
MYTHS MYTH 1 A Reverse Mortgage will cause me to lose my home.
X
FALSE
MYTH 2
X
FALSE
A reverse mortgage is a lien; you still own your home. You will have to continue to pay your property taxes and insurance on the home.
The income I receive from my Reverse Mortgage will affect my Social Security and other benets. This is a wonderful benet of a Reverse Mortgage. It is a loan, and therefore is not considered taxable income. It will not lower important Social Security and Medicare benets.
My children will be responsible for the repayment
MYTH 3 of the Reverse Mortgage loan.
X
FALSE
If a borrower or their estate wants to retain ownership of the property, the balance of the loan must be paid off. However, the owner can sell the home, and any equity in the home at the time of sale will go to the estate, not the bank.
MYTH 4 If I get a Reverse Mortgage, the bank will own my home.
X
FALSE
You will always retain ownership of your home. You can sell your home at any time, and your home will not be foreclosed on as long as you can continue to live in your home and maintain your property taxes and insurance.
Call me today and let’s see if a Reverse Mortgage is right for you! Ken Sawan
Reverse Lending Area Manager Mortgage Loan Originator NMLS # 1098567 Office: 732-738-7100 Ext.442 Cell: 330-515-0413 ksawan@homebridge.com www.HomeBridge.com/KenSawan HomeBridge Financial Services, Inc. Corporate NMLS ID #6521 (www.nmlsconsumeraccess.org). 194 Wood Ave South, 9th Floor, Iselin, NJ 08830. New Jersey Residential Mortgage Lender License 9200151. Connecticut Mortgage Lender License 10642.
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
PACE Program
42
Dr. Indria Kanouka:
A Doctor Who Treats the Aged with Dignity As an Internist specializing in geriatric care, Dr. Indira Kanouka always considers the patient first. In these days of heavily regulated Dr. Indira Kanouka insurance policies and a medical climate where treatment is protocolized and standardized, that is a rare commodity for a physician. She adds, “When working as an internist you quickly get used to that. Yet, what do you prescribe for the 80-year-old woman with postural hypotension, falls, chronic kidney disease, and a previous GI bleed.”? She has learned from treating this diverse population that standard protocols are not always the best solution. “You have to make a unique decision for each individual patient, especially when there may not be a clear answer as to what to do,” she says.
MCW: What is the most challenging part about your profession? Dr. Kanouka: One of the challenges we face is dealing with the poor communication between everyone involved in caring for the patient, including but not limited to hospital staff, the sub-specialist, case manager, social worker, their family, pharmacy, and home care nurses. MCW: Tell us what makes the Beacon of Life programs so special. Dr. Kanouka: The key difference with the Beacon of LIFE programs compared to current healthcare models is that we do not have any “silos” or barriers for communication. Total transparency is key in developing a successful relationship (and partnership) with our participants and their families. Educating families involved with the care giving is a major factor in reversing certain modalities when done correctly. We strive to do this daily in our center and in our practice.
MCW: What are the most common issues you see in your profession? Dr. Kanouka: I see a great deal of new patients with a polypharmacy issue (defined as the use of multiple drugs or more than are medically necessary). This happens as patients see multiple specialists who are treating them for a different diagnosis and patients end up with a long list of medications that start to interact with each other. This can lead to toxic side effects as they age. For instance, when a patient complains of side effects, they end up with more medications to treat these side effects. When I ask the patient why they are taking this medicine, they are not sure. They are simply following the doctor’s orders. Another common issue is the use of over the counter, expensive supplements. The geriatric population consumes large portions of these medications and they are not FDA regulated. They can easily interact with their other prescribed medications.
MCW: Tell us a little bit about your background. Dr. Kanouka: I came to the United States 22 years ago from Syria and after taking my board exams; I started my Internal Medicine residency at Monmouth Medical Center. The challenge was to learn the language, gauge the cultural relevance, and understand the nuances of the United States healthcare system. After completion of my residency program and after passing The American Board of Internal Medicine, I began working as a staff physician in a federally qualified clinic for two years. Later, I furthered my practice as a staff physician and became the Medical Director at the Specialty Hospital of Central Jersey. Last January, an exciting new opportunity came up that will change the way healthcare will be practiced. I became the Medical Director at Beacon of LIFE, the new PACE program located in Fort Monmouth, Oceanport.
Dr. Kanouka is constantly striving to improve the quality of life for her patients. She adds, “Trying to make the best decisions is at the heart of geriatric medicine. Making such decisions and discussing these issues with patients and relatives, keeping in mind their goal of care is what I enjoy the most about my profession.” Dr. Kanouka is married and has three wonderful children.
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2510 Belmar Blvd., Colfax Plaza Wall, NJ
Life’s Short... Eat Dessert First!
732.280.0606
PACE Stats: • The first PACE site opened in 1971 in San Francisco • 116 PACE organizations operate across the country in 31 states • PACE serves 28, 255 nationwide • The average age of a participant is 80-years-old “My mother and I attended the grand opening on October 15th. Beacon of LIFE offers excellent care to senior citizens of Monmouth County, my mother included!” - M.K.
Susan M. Skola, sskola@beaconhss.com Executive Director Beacon Health and Social Services
732-503-7339
Ivan Solero, isolero@beaconhss.com Director of Marketing and Enrollment
732-592-3404
1075 Stephenson Ave., Suite B, Oceanport, NJ 07757
Beacon of LIF E – www.beaconhss.com
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July/August 2016
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Medical Professionals
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The Only Center in NJ that specializes in MCI, Alzheimer’s disease and Related Conditions!
T
The Memory Enhancement Center of America provides unmatched excellence in the accurate diagnosis and proper treatment of individuals age 45 and older who have concerns about their memory. Individuals come to the center from the Tri-State area.Why? They receive in our state of the facility a comprehensive and confidential consultation at no cost to them or their insurance. Is it just simple forgetfulness or something more? Dr. Ross has the best and newest approaches to highly and accurately diagnose the cause of memory loss in all that come to the Center. It is hoped soon the center might offer a program to prevent or delay MCI/AD. We are the only center in NJ that specializes in MCI, Alzheimer’s Disease and related conditions. All dementia starts with what is called Mild Cognitive Impairment or MCI. Most doctors have heard the term MCI but don’t know how to properly apply it to the appropriate patient with memory loss. It is quite simple: The world renowned physician/neurologist, Dr. Ron Peterson, MD who literally wrote the book called Mild Cognitive Impairment has the following criteria that need to be in place to diagnose MCI: 1. Memory concern corroborated preferably by a close friend/family member. 2. Objective memory impairment for the age and education of the subject (we administer these simple tests of memory at the center to determine is this criteria is satisfied. 3. Largely intact general cognitive function (meaning to most people who meet and talk with you there would not be anything noticeable). 4. Generally preserved activities of daily living (this simply means you can still drive, prepare meals, shop, change appointments by phone, renew medications by phone with the pharmacy or prescription benefits plan manager, and care for all your daily basic needs. 5. Not demented (this means no dementia which essentially refers to your loss of such abilities noted in number 4). If you have MCI, it is critical you have a thorough evaluation. There is no better place qualified to have the proper testing than at the Memory Enhancement Center with Dr. Ross and his staff. The evaluation requires often less than 90 minutes in our office. Our staff is most courteous, caring and compassionate to the needs of all individuals seeking answers to why their memory is failing. The County Woman Magazine
Common questions patients we ask of you at the Memory Enhancement Centers of America: • Do you repeat questions about the events of the day? • Do you avoid driving to unfamiliar locations? • Do you rely more on reminders, post its or calendars more than before? • Do you have trouble recalling conversations the next day or several days later? • Do you seem confused while doing familiar things in or outside the home? • Do you have trouble paying the bills? • Do you get confused about the day, date or month of the year? • Do you get lost or confused while driving or walking in a familiar place? • Do you have pauses in your speech? • Do you have problems finding even common words or using familiar names? • Do you sometimes forget what you wanted to say in the middle of a conversation? • Do you walk into a room and forget what you came in their to do or get? If you answered positively to two or more of these questions then call The Memory Enhancement Center of America today for a free consultation. You have nothing to lose except more of your memory if you wait a minute longer. After memory tests at your office, what else is done to help explain the cause? Dr. Ross provides a detailed consultation to you and your current physicians so they can also help you decide upon the next course of action. This may be a prescription of an FDA approved drug for dementia/Alzheimer’s Disease. In some cases, a suggestion to reduce or eliminate possible medication(s) that can be contributing to your memory loss as well as offer you an opportunity to participate in a pharmaceutical sponsored clinical research trial. An abnormal level of B12 in your blood may also be a factor along with thyroid conditions and many more possible causes.
SYMPTOMS OF ALZHEIMER’S DISEASE
Repeat questions n Misplace possessions n Are at a loss for words n Forget recent events, conversations and names of friends or relatives n Confused sense of direction and time and become lost in familiar places n Have difficulty performing chores or using appliances and tools n Have difficulty handling finances n Show changes in mood and/or personality n
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Dr. Ross received his medical degree from the State University of New York Downstate Medical Center in Brooklyn. He then completed an internship and residency in Internal Medicine at Nassau County Medical Center in East Meadow, New York, where he was Chief Resident, and a fellowship in the Department of Geriatrics and Adult Development at Mount Sinai Medical Center in New York, New York. Dr. Ross is a Diplomate of the National Board of Medical Examiners and of the American Board of Internal Medicine with added qualification in Geriatric Medicine. Dr. Ross' Achievements • Alzheimer's Caregiver Humanitarian of the Year (2011) • Academy of Physicians in Clinical Research Board of Trustees (2011-2012) • Certified Physician Investigator • Second followship trained Geriatrician in NJ Dr. Ornstein has a great deal of experience caring for patients with cognitive impairment including mild, moderate and severe Alzheimer’s disease. This includes the areas of primary care and as a principal investigator providing compassionate care to those most in need of his services. He has been an investigator on many important studies testing the safety and efficacy of the latest compounds battling diseases such as mild cognitive impairment and Alzheimer’s Disease/Dementia. “I have been a practicing internist for over thirty years and have an intimate knowledge of the overwhelming health issues confronting the seniors of today. For the past five years it has been my medical mission in life and definitely my distinct pleasure to offer hope and reassurance by way of clinical research to those unfortunate individuals diagnosed with Alzheimer’s disease.”
Memory Issues?
Taking action today may lead to tomorrow's answers. To learn more please contact:
Memory Enhancment Center 732-263-0101 Dr. Ross will personally respond to your phone call. 4 Industrial Way West, 2nd Floor Eatontown, NJ 07724
www.memorycenternj.com May/June 2016
July/August 2016
Memory Care
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www.millenniummemorycare.com
Connecting To Dementia Patients Through Music
Music is an important part of all our lives. We often link particular songs with significant events and personal milestones. A familiar piece of music can stir up vivid recollections and emotions.
For general info call:
(732)361-2777
That’s because we are all musical beings. Our brain’s auditory functioning is the first to develop, so music is one of the earliest impressions we have in life. Researchers think that this is why music can be so effective in reaching dementia patients. Music can stimulate parts of the brain that other forms of communication cannot, and while general memory may decline, music memory remains deeply held. This power of music to spark a patient’s memory helps engage their focus and attention and can lead to unlocking emotions and memories, influencing mood, alleviating stress and enhancing cognitive functioning. Responding to music does not require a great deal of cognitive effort, which means patients can engage with sounds, rhythms, singing and playing even late into dementia progression. Family members can help caregivers choose music that is personally meaningful, and music from the individual’s youth may evoke strong responses. Upbeat selections are appropriate for active times whereas slower pieces are good for relaxation and bedtimes. Music therapy has been shown to benefit even the most advanced dementia patients. Music can unlock emotions and memories, and new associations can be formed by pairing music with daily activities, improving overall cognitive ability. Responding to music, especially through singing, dancing or playing an instrument, is engaging and stimulating, activating more of the brain than usual. Music can boost mood, relieve stress and stimulate motor and cognitive functioning. And finally, music helps dementia patients connect with their memories, their past selves, their loved ones and the wider world around them.
111 Bowne Road • Ocean, NJ
732-922-9844
Community
This type of music therapy represents just one component of multi-sensory dementia care programs available which are designed to engage all the senses, including touch, taste, smell, sight and hearing. Sensory stimulation programs have been shown to decrease agitation, reduce restlessness and even improve sleep. Dementia care experts agree that involvement in a good sensory stimulation program can greatly improve a patient’s quality of life experience by providing meaningful, memorable activities in a socially engaging setting. Millennium Memory Care (MMC), with four New Jersey locations, offers Holistic Alzheimer’s and Dementia Care, including an innovative Six Senses Program tailored for the specific needs of each individual resident. This program reflects MMC’s individualized holistic care approach, which is designed to address and care for the whole person, and not just the disease.
To learn more about the benefits of sensory stimulation programs for individuals with dementia and also about Millennium Memory Care’s Six Senses Program, please visit MMC’s website at: http://www.millenniummemorycare.com/.
Millennium Memory Care (MMC), in four New Jersey locations (Matawan, Monroe, Ocean and Holmdel coming soon) offers Alzheimer’s and Dementia Care with an individualized, holistic approach in an intimate homelike atmosphere, providing personalized care plans tailored for the “whole” person. Even the most challenging cases are welcome at MMC.
Visit the MMC website at: www.millenniummemorycare.com
310 Buckelew Ave. • Monroe, NJ
609-521-8855
447 Matawan Ave • Matawan, NJ
732-290-1912
Annual Clam Festival with succulent seafood, HFD BBQ tent, novelty food, beer and wine/sangria garden, live entertainment, specialty vendors, thrill rides, games and more.
The Clam Festival will feature a Beer and Wine Garden on the corner of Waterwitch and Bay Avenues sponsored by Shore Point Distributing Company. HOURS Thursday 6PM -10PM Saturday Noon -11PM Sunday Noon- 8PM Friday 6PM-11PM
AUGUST 4, 5, 6 & 7 2016 Rain or Shine Admission & Parking Are FREE
The County Woman Magazine www.TheCountyWoman.com
LOCATION Huddy Park, 301 Shore Drive, Highlands, NJ
July/August 2016
Medical Professionals
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High heels, Gait, and Venous Dysfunction Chronic venous insufficiency (CVI), a medical condition where the veins cannot pump v enough blood back to the heart, is a common problem but there are many ways to treat it. In addition to surgical procedures, there are more conservative measures such as compression stockings, weight loss, leg elevation, and local treatment of venous ulcers. Since an individual’s gait (manner of walking) plays an important role in the function of leg veins, patients with painful venous ulcers should also be assessed to make sure that their gait pattern strikes a good balance between mobility and stability. Some common causes of abnormal gait patterns include weakness of different muscle groups, any condition that affects balance, and improper footwear such as open-backed sandals that cause the wearer to shuffle. There have been no studies showing how extremely high heels affect varicose veins, but since they do affect the gait of the wearer, that would suggest a link between high heels and CVI. Gait testing can detect which of these is at the root of the problem, allowing for appropriate treatment. Treatment may include gait training and strengthening of the lower extremities. Providing a patient can participate in an exercise program, exercise should be done with compression garments in place. This helps to improve venous return by assisting the calf muscle. Comfortable, well-fitting shoes should be worn that will allow for a heel-to-toe walking pattern. The simple way to help a patient achieve this is to have them take the longest steps they can safely take. Obviously this recommendation is for patients who can balance and have the ability to maintain single limb stance. Some patients will require more exercises to strengthen muscle, improve their balance, and increase their range of motion. It is crucial that patients maintain proper form while walking and exercising. Once the proper heel-to-toe gait is learned, it is important that adequate walking occurs for at least 30 minutes a day to maximize the benefit. As an added bonus, this will also improve overall health.
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Please call Vein Center for Women 732-254-0500 to schedule an appointment.
Love Your Legs Love Legs Again!! VeinCenter Center Vein for Women for appointments Women Schedule “24/7”
Schedule appointments “24/7” @www.VeinCenterForWomen.com Girija Surya, @www.VeinCenterForWomen.com M.D.
Board Certified Thoracic & Cardiovascular Surgery Girija Surya, in M.D.
Board Certified in Thoracic & Cardiovascular Surgery Princeton Old Bridge New Satellite Offices 21 Jefferson Place, Raymond Rd. 2 Hospital Plaza, suite# 330 Princeton East Brunswick Princeton, NJ 08540 Bridge 21 Jefferson Place, Raymond Rd. Plaza HillOld • 646 Rte.NJ 1808857. Bldg. A #101 Princeton, NJ 08540 East Brunswick, NJ 08816 Metuchen Holmdel 205 Bridge St. Colonial Commons • 670 N. Beers St. Holmdel Metuchen, NJ 08840 Bldg. 2, •Ste. Metuchen Colonial Commons 6704N. Beers St. Holmdel, NJ 07733 205 Bridge St. Bldg. 2, Ste. 4 Metuchen, NJ 08840 Holmdel, NJ 07733
732-254-0500 732-254-0500 msgs@VeinCenterFor Women.com
Contact@VeinCenterForWomen.com admin@VeinCenterForWomen.com
ConservativeTherapy: Therapy: Conservative
Thepatients patientsare areadvised advised about about Leg The Leg Elevation Elevationand anduse useofof Compression Stockings. Compression Stockings.
Non-InvasiveVascular VascularUltra Ultra Sound: Non-Invasive Sound:
Diagnosticultrasound ultrasound studies studies are and Diagnostic are performed performedtotodiagnose diagnose and customize treatment plans customize treatment plans
SurgicalTreatment: Treatment: Surgical
- RadiofrequencyAblation Ablation –– For - Radiofrequency For superficial superficiallarge largeveins veinswith withreflux reflux Micro-phlebectomy – For small bulging veins - Micro-phlebectomy – For small bulging veins - Sclerotherapy––For For small small veins veins a.k.a. - Sclerotherapy a.k.a. Spider Spiderveins. veins.We Weuse use ® in different strengths for the injectable veins. Asclera Asclera® in® different strengths for the injectable veins. - ClariVein a.k.a. MOCA! (mechanical chemical ablation) - ClariVein® a.k.a. MOCA! (mechanical chemical ablation) for superficial large veins with reflux. Saves time and for superficial large veins with reflux. Saves time and discomfort. discomfort.
Cosmetic Treatment:
Cosmetic Treatment: - Botox® , Juvederm™ Ultra
- Botox® , Juvederm™ Ultra - Non invasive face lift with ULTHERAPY,and cool sculpting ,where you can get rid of the belly fat without incision,without anesthesia.
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Residential Health
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“ “If Our Parents Don’t Deserve Better Care, Then Who Does?” - Christiana Foglio, Founder of ONORA Health
A
fter my own family’s frustrating experience trying to find qualified, compassionate memory care support for our parents, I created ONORA Health so every family can have what we all deserve: Our DAY PROGRAM is designed to provide a safe and innovative environment within our new memory care home seven days per week. Each client participates in a creative enrichment program customized for a unique experience that optimizes brain function, fosters confidence, and increases happiness.
High-quality healthy meals are homemade by our chef according to the latest nutritional findings for cognitive improvement.
SPEND THE DAY WITH OUR FAMILY! Please join us for the day to see our program at work! Caregivers are always welcome. Call 732-695-0269 or email info@onorahealth.com to schedule a day. Limited Openings Available. 1213 West Park Ave Ocean Twp., NJ 07712
ONORAHEALTH.COM
Acupuncture High-quality healthy meals are homemade by our chef according to the latest
Understanding The Value Of Acupuncture How does it work?
What is acupuncture?
Acupuncture is a treatment involving the insertion of fine needles into the skin to relieve symptoms (such as pain), strengthen the body’s immune system and balance the body to facilitate healthy body function. Conditions Commonly Treated By Acupuncture Allergies & Asthma Anxiety & Depression Arthritis Autoimmune Disorders Back Pain & Sciatica Chronic Fatigue Genitourinary Disorders Gynecological Disorders Headache & Migraine Hypertension Infertility
We Feature Complementary Techniques Moxa Insomnia Tui Na Massage Menopause Cupping Nausea & Digestive Disorders Gua Sha Neuropathy Skin Disorders Electro–Acupuncture Smoking Cessation Strains & Sprains Stress Tendonitis Weight Management Whiplash
Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723
732.262.0637
www.koehleracupuncture.com
Acupuncture works by stimulating the body’s qi (pronounced chee). Qi is the body’s life energy. It flows throughout the body in a series of channels. Each channel is connected with a specific organ and has specific physiological functions, as well as emotional and spiritual components. When the qi flow is disrupted, the body can experience dysfunction, ill health and/or pain. When the qi is flowing freely through the channels, all body functions, such as Sleep, Digestion, Energy, Immunity, Concentration, and Mobility, are enhanced.
Does it hurt?
The insertion of the needle is generally painless. Many patients do not even realize when the needle has been inserted. This is because acupuncture needles are solid and hair-fine, unlike a medical hypodermic needle, which is thick and hollow. Once all of the needles are in place, the patient usually becomes very relaxed. The lights are dimmed and gentle music is played. Many patients fall asleep during the treatment.
For more information or to schedule an appointment, call 732- 262-0637.
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Medical Professionals Medical Professionals
Lung Cancer Screening Diagnosing Alzheimer’s Disease
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Many of my close friends’ parents and grandparents smoked cigarettes. In their generations, smoking was a part of the culture. Although the dangers of cigarette smoking were known, smoking was still widely accepted in society. It was not too long ago when we could smoke cigarettes at work, on planes, andtoeven hospitals! Longtime smokers dementia are predisposed to develop lung cancer it is now common to screen high-risk patientsover usingthe CT Due our in growing elderly population, has become a major publicand health issue. Dementia affects 5% of people scans. age of 65 and is estimated to affect 4 million Americans. There are many different types of dementia including vascular dementia, Lewy According drug to thetoxicity, Centers for Disease Control and Prevention, who smoke are 10 to 20 times more likely todementia. develop lung cancer orfar die from body dementia, thyroid disease, excessive alcoholpeople use, vitamin deficiencies, and frontotemporal However, and lung cancer than people who do not smoke. The longer a person smokes and the more cigarettes smoked each day, the more that risk increases. Let us put away the most common form of dementia is Alzheimer’s disease, which accounts for 50-75% of all cases. Those suffering Alzheimer’s this in perspective: in the United States, about 90% of lung cancermemory deaths inloss, mendifficulty and almost 80% of lungfamiliar cancer deaths in women solving are caused by smoking. disease show a progressive loss of mental ability including completing tasks, difficultly problems, This year 157,000 people are expected to die from lung cancer, which is more than the deaths from colorectal, breast, pancreatic, and prostate cancers personality and mood changes, mental instability, and displaying poor judgment. There is currently no cure for Alzheimer’s disease but combined. As with all cancers, early detection is key to survival.
early detection and treatment can slow the progression of disease and improve the quality of life.
Q: What is lung cancer screening? Q: What causes Alzheimer’s disease? A: There are many screening tests in medicine. Breast cancerA:screening is performed yearly using mammograms. Patients with Alzheimer’s disease create a Colon cancer screening is performed using colonoscopy. protein intests the brain calledcancer Beta Amyloid. The goal that of alldeposits screening is to detect at a very This stage. protein disrupts thepatient connection between normal early This gives the the highest chance for abrain 100%cells cureand rate. are performed is Screening believed totests be the cause of thebefore mental symptoms ofsa cancer begin. In lung cancer screening, decline.who It is have believed that this begins patients a high risk of protein developing lungaccumucancer lating inathe a decade more before the onset of undergo lowbrain radiation dose or computed tomography (CT) scan ofThe the chest. symptoms. proteins disrupt functions in specific Q: What is abrain. computed tomography scanforms of the parts of the It is not understood what chest? these proteins. A lot of research is currently underway A: Computed scan (or CTand scan) is a to create a drug totomography remove these proteins restore machine that uses x-rays and advanced computer normal brain function. processing to create multiple images of the body in exquisite detail. Low radiation dose CT scan can decrease the of you radiation a patientAlzheimer’s receives by up to 60%. Q: amount How do diagnose
Q: Why can’t we use chest x-rays for lung cancer
Q: Are there tests that can show the activity screening? of the brain? A: Chest x-rays are fantastic to examine the heart,
lungs, bones of the test chest. x-rays A:and PET/CT is the of Unfortunately, choice to detectchest cancer are not sensitive enough to detect signs of early lung in the body. However PET/CT is also the best test cancer. CT scans are able to find cancers that are as small available to show brain as 2-3 millimeters. Earlyactivity. cancers PET/CT this small stands cannotfor be Positron Emission Tomography/ Computerized reliably detected on chest x-rays. Tomography and uses“high radiolabeled to measure Q: Who is considered risk” forsugar developing lung brain metabolism. This is how it works: (1) Active cancer? brainA:cells burn the sugarlung glucose; Patients Risknormally factors for developing cancer(2) include: to be• scanned are given an injection of radiolabeled Smoking tobacco glucose that the PET can detect; (3)such The as • Contact withscanner cancer-causing agents patient waits one and hourradon for the sugar to be taken up asbestos by the and (4)history areas of which • brain; A personal of the lungbrain cancer fromare not smoking functioning properly will eat less of the sugar than the • normally A familyfunctioning history of lung cancer rest of brain. • Various chronic lung diseases Q: What do the different types of dementia look Q: Does my health insurance cover lung cancer like on PET/CT? screenings? A: Each type of dementia has a unique appearance A: Medicare and many insurances will cover low radiation on PET/CT. In Alzheimer’s disease, the temporal lobes dose lung cancer screening if a person has the following and parietal lobes are the most affected and therefore criteria: show little uptake. In contrast, Pick’s disease dementia • decreased Ages 55-77 and is either current smoker features metabolism in athe frontal lobes or and have quit smoking within the last 15 years temporal lobes. • Tobacco smoking history of at least 30 Q: Are there “packnew years”test on the horizon? A: There has been a recently approved test called Q: What is a “pack year”? Florbetapir. Instead using radiolabeled sugarthe and A: A pack year isofcalculated by multiplying numberwhich of cigarette a person hasdecreased smoked per day seeing parts ofpacks the brain show funcby the number of years that person has smoked.For tion, Flobetapir binds directly to beta amyloid plaques example, smoking one pack per day for 30 years equals 30 (the that cause Using packproteins years. Smoking twoAlzheimer’s packs a day disease). for 15 years equals
disease?
A: It is important to distinguish Alzheimer’s disease from other forms of treatable dementia. Testing includes performing a physical and neurologic exam, taking a thorough medical history, mental status testing and radiological tests such as an MRI of the brain. The MRI is used to determine whether the cause of mental decline is related to a cancer, strokes, or tiny bleeds in the brain all of which can mimic the symptoms of dementia. However, for a which majority of small patient’s 5 millimeter lung nodule is too to bewith seen on a traditional chest X-ray. This proved to be cancer. Alzheimer’s disease, the MRI of the brain is normal. The MRI is fantastic at showing detailed pictures of the brain but it does not show the decreased activity of the brain, which is the cause of Alzheimer’s disease.
Q: How often do I need to be screened? What ahappens PET/CT ifmachine, one can detect whether something is detected on mybeta exam? amyloid is present in the brain. This can improve the A: Patients who are high risk for lung cancer should specificity ofusing detecting Alzheimer’s by 90%. be screened CT scan once perdisease year. Many small nodules detected on are CTstill screening are benign These amyloid scans underexams investigation and(i.e., not cancerous). Your doctor will recommend following are not reimbursed by insurance companies. Currently these medical nodules with serialcenters CT scans over the course of many research are conducting studies several years. If these nodules do not grow or change in investigating thisconcluded cutting edge appearance, itthe canuses be of safely thattechnology these nodules including several neurologists in Toms are benign. If a discovered nodule looksRiver. suspicious or is seen growing over several CT exams, the patient should undergowww.TomsRiverXray.com additional testing (such as a PET/CT scan) or be Visit biopsied. Q: How much radiation does one receive from a screening CT scan?
30 pack years.
A: The latest technology has significantly decreased the amount of radiation emitted from CT screening. Low dose CT chest scan has close to the same radiation dose as a mammogram. A yearly CT scan in an older population has a negligible risk of contracting and dying Normal brain from radiation induced cancer. The benefits of screening without decreased metabolism. this high risk population certainly outweigh the risks of modest radiation exposure. Q: How much does CT lung cancer screening cost? A: All CT lung cancer screening tests require a prescription from your doctor. Medicare and many insurance plans will cover lung cancer screening. Some patients do not fit the strict criteria for screening. Perhaps they have a 25 pack year smoking history instead of a 30 pack year smoking history. Some patients want to have a loved one checked for possible cancer. The cost of a CT scan can be over $1000. As a community service, in Decreased metabolism Brain MRI of a patient initially Toms to River CT, and MRI Center offering low specific areas ofisthe brain shown thought have X-ray, dementia shows in green (arrows) consistent a slow growing radiation dosetumor CT causing lung cancer screening for $200. gradual mental decline.
Visit www.TomsRiverXray.com
As always, contact our office where our staff will be more than happy to assist you.
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.
732-244-0777 • 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 Cyrus Khorrami, M.D.
Tel: 732-244-0777 • Fax: 732-244-1428
www.TomsRiverXray.com5
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The County County Woman Magazine Magazine The The CountyWoman Woman Magazine
with Alzheimer’s disease.
www.TheCountyWoman.com
www.TheCountyWoman.com www.TheCountyWoman.com
PARVIZ KHORRAMI, M.D. Founder CYRUS KHORRAMI, M.D. Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.
EXPERIENCE & EXPERTISE you can count on. July/August2016 2016 July/August May/June 2016
Law
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On the Job Summer Skin Hazards Workers’ Compensation Has You Covered! When you think of workers’ compensation injuries, I bet the first thing that comes to mind is a sprained back or a sore neck. But if you’re a landscaper, utility worker, or employed in any field where you spend a lot of time working outside during the hot summer months in New Jersey, you know it’s not unusual to occasionally run into a creepy crawly spider, bloodthirsty tick, venomous snake, wasp nest or other potentially harmful critter while doing your job. No matter how careful we are trying to protect ourselves, we can’t always find a way to guard against dangerous insects and wildlife camouflaged in leaf mounds and rotted wood piles. Luckily, a bite or unexpected encounter with nature is usually a minor event. But when a bite comes from the deadly brown recluse spider, a tick, snake, raccoon, or even an unknown source, medical attention should be sought immediately to avoid complications. Ticks are of special concern because they can cause rash, fever, chills or headache even if you don’t see a tick on your body. Workers’ Compensation covers employees who experience these types of injuries and they are not as unusual as you may think. Our office has represented
many workers who have suffered from the side effects of Lyme Disease, ehrlichiosis, babesiosis (another debilitating tick related illness often associated with the Pine Barrens), allergic reaction from multiple bee stings, cysts developed from bug bites requiring surgery and more. We make sure our clients receive the medical care to which they are entitled under the law, receive wage replacement if they cannot work, and receive a cash settlement to address permanent injuries if appropriate. The steps for getting medical treatment for this type of work injury are the same as with any other type of injury. If time permits, notify your employer and obtain instructions as to where to go for medical care. If it is a true emergency, head to your nearest hospital emergency room or urgent care center. It’s so important to make that your employer’s workers’ compensation policy is used to pay for the costs associated with your treatment. Why? Because you should not have to pay for any copays, deductibles, or prescriptions. That includes emergency room care, blood work, MRIs, x-rays, exams and surgery. Those items are covered by workers’ compensation 100%.
I hope you or a family member never experience a work injury, but if you do and need questions answered about workers’ compensation benefits, please don’t hesitate to contact me. If you need guidance, call 732-228-7534 today for a free consultation.
Call 732-228-7534 Today! Your consultation is free! 225 Washington St. The Cottage, Toms River, NJ 08753 Kathleen M. Dotoli, Esq. has lived and worked in the shore area for over 30 years. She says: “This is where my heart is and where I was meant to live, practice law, and help others.”
National Grandparent’s Day
National Grandparent’s Day
Sunday, September 11th, 2016
National Grandparents Day has more than one origin story, but most people believe Marian Lucille Herndon McQuade, a housewife in West Virginia, to have been the main driver for the day of observance. Throughout the 1970s, McQuade worked hard to educate the people about the important contributions senior citizens made and the contributions that they would be willing to make if asked. She also urged people to adopt a grandparent, not for one day a year and not for material giving, but for a lifetime of experience. The holiday was finally signed into law by President Jimmy Carter in 1978. A presidential proclamation on September 6, 1979, made this day official – it designated Sunday, September 9, 1979 as being the first National Grandparents Day. Each year thereafter, the holiday would be celebrated on the first Sunday in September after Labor Day.
How do people celebrate?
About four million greeting cards are sent within the United States each year on National Grandparents Day. Many school students take part in story-telling activities that relate to their grandparents, as well as art or poster competitions where children often use a story about their grandparents in their artwork. This day is also an opportunity for people to appreciate and express their love to their grandparents through kind actions such as making a phone call or inviting their grandparents for dinner. Source: http://www.timeanddate.com/holidays/us/national-grandparents-day
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Medical Professionals
49
Finding The Right Running Shoe Selecting a running shoe isn’t easy. With so many different brands and styles to choose from, finding the right shoe can be difficult for both the novice and the veteran runner alike. Here are some important things to keep in mind the next time you shoe shop:
Before you throw away that old pair of running shoes, examine the wear pattern on the sole to discover the type of runner that you are. Runners with flat feet generally “overpronate,” demonstrating increased wear pattern along the inside sole, and most often benefit from motion control shoes. Those with high arches generally “oversupinate,” demonstrating increased wear patterns along the outside of the sole, and most often benefit from shoes with increased cushioning. Consider the terrain and activity you enjoy. Shoes crafted for road and track running tend to be lighter with thinner soles, whereas shoes constructed for trail running are heavier with a thicker sole. These are different than cross-trainers, which can look similar but are better suited for gym-based activities such as elliptical machines, weighttraining, yoga, or Zumba. Once you’re ready to buy, avoid the temptation of online shoe shopping. Improperly fitted shoes can lead to pain or injury. When shopping, plan to wear the socks you would normally run with and try shoes on both feet; then stand and walk If you use orthotics, make sure to try out pairs of shoes with the orthotics inside. Always try on multiple brands styles, and categories before making your selection.
Dr. James Morrow
Now that you’ve got that great new pair of running shoes, keep track of your mileage. Most shoes should be replaced between 300400 miles and most running injuries occur through overtraining; running too far, too soon. Free apps such as Mapmyrun and Strava are excellent tools to record distance.
Have fun, and stay safe.
1169 Beacon Avenue • Manahawkin, NJ (609) 597-6092 • advocarestaffordortho.com
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
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Medical Professionals
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Medical Professionals
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“Tough Times Never Last, But Tough People Do.” ~Dr. Robert Schuller
Written by Claire Brown, BSN, RN, Director of Provider Relations 74-year-old Catherine Ryan was visiting Harrah’s casino in Atlantic City in late March of this year. She had travelled down from Point Pleasant, in Ocean County, New Jersey, and was hoping to enjoy her mini vacation.
with a tracheostomy collar which delivered a small percentage of oxygen via a tube. The hope was that she would return to spontaneous breathing without the use of the oxygen in the future and possibly removal of the tracheostomy tube. Catherine was also able to eat a chopped diet when the Passy Muir valve was utilized. Catherine was discharged to Care One Rehabilitation Center, an acute rehabilitation center in Wall Township. This facility was closer to the family, and was her first choice. The plan would be for Catherine to follow up with an ear, nose and throat physician while she was there. She would also receive further physical therapy and treatment since she was still very weak and frail from her ordeal.
On April 1st, during the middle of the night, Catherine got up to go to the bathroom, then slipped and fell on the floor. Unfortunately, she had badly injured the right side of her chest. When the Catherine Ryan and Suzanne Emergency Medical Team in Atlantic City arrived, they found Catherine face down on the bathroom floor. Although she had not lost The patient and family were so happy that she had been cared for at Acuity consciousness, she was in severe pain and short of breath. and especially since she was able to be liberated from the ventilator at Acuity after Catherine was taken immediately to the AtlantiCare Regional Medical many weaning attempts. Center’s Emergency Department for evaluation and treatment. X-rays in the Catherine’s daughter, Margie, who is a practicing RN, commented on the emergency department revealed several rib fractures on the right side of her chest. staff at Acuity, saying, “Acuity Specialty Hospital staff never gave up and I am so She was also found to have blood in her lungs and a right scapula fracture. pleased that there was so much compassion for my mother’s success and speedy On April 6, 2016, during her stay in the Trauma Unit, her respiratory status recovery from each and every one of them.” She thanked all the staff, including declined, necessitating oral intubation and mechanical ventilation. Catherine Monica Titus, CEO of Acuity, for their kindness and dedication. She especially was then transferred to Acuity Specialty Hospital on April 11th for aggressive thanked Theresa Leary and Niesha Mosley, both Respiratory Therapists, RN Case ventilator weaning. She received a tracheostomy during her stay at Acuity in order Manager Tracey McNally, and Suzanne McGettigan, APN. to stabilize her respiratory status and a percutaneous gastronomy tube (PEG tube) I visited Catherine on the day of her discharge from Acuity Specialty Hospital. for nutritional needs on April 14th. She was sitting in a chair, smiling and relaxed. I asked her if there was a particular During her stay she was able to be removed from the ventilator successfully staff member she remembered the most during her stay at Acuity. Catherine said without complications. Upon discharge, on May 25th, she was breathing well that she felt a special bond with a physical therapist named Suzanne Manganelli. Suzanne said, “Mrs. Ryan desperately wanted to get better. She worked incredibly hard and never turned down an opportunity to do physical therapy. Acuity Specialty Hospital of New Many mornings I would arrive on the nursing floor and before l could get Jersey is a long term acute care started, a patient care technician or a nurse would stop me to say, ‘Mrs. Ryan For Information or Referrals, hospital located inside AtlantiCare was asking for you. She wants to be your first patient of the day to receive Call 609-441-8123 physical therapy.’ In addition to the amazing respiratory and nursing care she Regional Medical Center in A Simple Choice for Complex Patients received, and the great family support she has, I am convinced that Mrs. Ryan Atlantic City. Our recently ‘walked herself ’ off of the ventilator. No one worked harder than she. She renovated hospital-within-aOur achievements speak for themselves: encouraged me to help her every day. I truly feel that we at Acuity can make a • First hospital in New Jersey to achieve ISO 9001:2008 hospital provides 30 private huge difference in the lives of our patients and their families when we all work certification, maintained since 2012 rooms equipped with state of the • New Jersey Hospital Association Excellence in Quality together.” Improvement Award- 2016 The staff at Acuity are passionate art monitoring to the medically • American Association for Respiratory Care Center of Excellence 2012-present about the patients they care complex and critically ill. Patients • Current ventilator weaning rate over 80% for. A staff member recently • Wound healing rate over 80% are seen by physician specialists commented, “When a patient has daily and typically discharged to Our team specializes in the following a devastating illness or injury, even needs of our patients: acute and sub-acute the toughest of times don’t last • Ventilator weaning forever. Although this is not always rehabilitation centers, skilled • Complex wounds • Infectious diseases the case, depending on a person’s nursing facilities or their homes. • Medically or surgically complex care illness, if the person remains • Multi-system organ dysfunction strong, they will make it through and be able to weather whatever storms come their way. The human spirit has shown that it is capable of making it through tough times, and getting to the end of the tunnel. Sometimes the best part of dealing with adversity is that it can toughen you up for the next trial in your life. Knowing that you are only getting better with each new Jennifer Brown, BSN, RN, Employee of struggle can be an inspiration during those times when you feel like giving up. the Year 2015 and Kathy Kerstetter, MSN, Mrs. Catherine Ryan is a prime example of that.” RN, ACNP-C, Leader of the Year 2015 www.acuityatlanticcity.com
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
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Adult Community
Adult Community
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Fountainhead: The Best Kept Secret In Jackson Staying Close To Be Independent. Home Choices For 55+ Spectacular Home Savings!
by NJ and federal building standards for crawl-space homes cost effectiveness in a land lease community. Efficiently from weather disasters, Fountainhead was fortunate not to combining home more financing landduring use costs experiencethe anything than costs powerand outage “theinto big storm.” All winter, Fountainhead roadsbefore are kept a combination that isthe fixed and reachesprivate maturity a open andwould. the private power. mortgage This utility addedsystems savingsfeature of lessauxiliary interest over the People love living where the costs are comfortable, where amortization period is often a very significant soft savings, theoften location excellent, by where people areshopper. friendly, where and notiscalculated the the comparison With the right size yard, a limited amount of home best-served 55-plus population, is that because of its central the office is welcominghomes, and caring, and where the neighbors New manufactured averaging just under maintenance, andexcellent an easy growth to maintain interior, location and planning. No these one knows keep up their property. Fountainhead is a place to love $100,000 and “ready-for-residents” can be the right answer advantages are offered atreally Fountainhead and they what tomorrow will hold for them; mostdeserve people have living. for people who realize land ownership is the most costly serious as the perfect solution. to consideration rely on the best-guess. Once that part of the equation is Fountainhead looks and feels like a traditional element of single-family home ownership. Especially in set, gathering the facts takes footwork and travel. To Land lease communities offertime, valuable independence residential neighborhood with ample off-the-street parking, the later years, a lot of the expense can be eliminated preserve andrelief growfrom thosesome relationships that matter most, and immediate of the stressful aspects of a wide streets and right-size lots. Mature trees help keep the with downside. experienced housing geographical The choice thatdiscloses keeps it all simple is often the best yardnocool and offerFountainhead’s opportunities for autumn/spring exercise homeownership. lease financial elements, consultants can offer insights and information in a stresssolution. when the leaves fall. Right-sizing includes homesite-care taxes are included, and are disclosed a year in advancefree environment. beand overlooked. Sayimpartial home options. For the freedom-devoted 55+ couple, most find allowingNo theopportunity homeownershould to plan budget. An Quality construction, efficiency andand a vast ownership is preferable to renting. This is a place it comforting to know thatenergy the service is optional not municipal board regulates all annual increases providing cost where Fountainhead, a land-lease community with new selection options toare personalize newsatisfaction, home make “forced.”ofAnd, as pets a large partyour of home protection for homeowners. Many people 55+ are choosing and pre-loved homes, can be the right move to right-size they accepted within limits and pershould the usual good-pet this anareopportunity home shoppers look into. to lease land and buy their home rather than re-investing the the home and lot, and keep the costs in line for the citizen behavior agreements. Couple that with an Ocean County location just 8 miles sale oflong-term. the familyBecause home into another mortgage. the land is usually the largest to location: Jackson 100 square miles, from Back Freehold, 10 miles to SixTownship Flags, 15ismiles to Toms The cost of owning theownership home andopportunity, leasing the lot a investment in a home theisleasing almost largest municipality in area in all of NJ. Located River andthe Arneytown (Brig. Gen’l Doyle Cemetery), 20 viableoflong-terms solution as the Fountainhead history the land takes that concern and the ever-increasing 10 miles from Six Flags, Fountainhead is literally around miles to Seaside and Point Pleasant and you’ve found your demonstrates. costs remain well below ownership The taxesownership out of the concern. Of course there the are theofcorner pot gold. from all the services and easy access to Exit 22 of taxes as partor of cost the land-leasing scenario, fully disclosed rate of inflation of living increase percentages. For I-195. This makes the shore, the Parkway and the Turnpike Land leasing offers less expensive costs for utilities, taxes, separately identified the lease. until While lease most and people the desire to be in self-reliant thetheend of can days very easy to access. and home maintenance. At Fountainhead, the average on a limited basis due to “rent” control, thethe taxes are trash,Without is veryincrease important. A right-size home decision that fits a clubhouse, expenses are more controllable, increase over ten years has been around 1.25%. Customers exempt as they can change based on the municipal budget. retirement finances now can result in a healthy cushion later. social opportunities are self-directed, and duplicate In these times where there has been very low/no inflation cannot comparearethis to anything experienced in owning memberships avoided. Specifically, 1 mile away from the Result: stay independent. over the past 15-16 years, the lease increases have been their present single-family home or Health apartment rental. Fountainhead door is the Meridian Village where 18 There are so many options for a new home. It can be under 1% of the lease after taxes are subtracted. For a more Jackson is there a community of about 55,000 people, 25¼ hours a day is something for every age and ability; customized the choice of sites available to the color detailedfrom explanation, begin the friendly relationship with a miles east of Trenton, 50 miles to NYC and Philadelphia, mile away opening soon will be the CentraState all-inclusive of theFountainhead handles on the cabinets. Adequate size samples and home ownership consultant. offering. Buthour for those want a little help breaking the just under an fromwho Staten Island and is the digital imagery provide a clear andatexciting look at55+ what will New and pre-loved homes Fountainhead ice, Fountainhead opportunities during geographical centeroffers of New Jersey. I-195 linksthe thespring, Garden be your new home. Most shorefootage people from are aware community range in square aboutmodular 900 summer and autumn. State Parkway to the NJ Turnpike and I-295. Fountainhead homes are the solution to storm of the 2 square feetbest to approximately 1,300rebuilding. square feet,Part all featuring financing buying “cash,” Fountainhead is lessWhether than 2 miles fromorI-195, Exit 22. The location is easy samebedrooms “family”, and manufactured can be a solution at least 1.5 homes bathrooms. New homes, as well, offers experience-based information on navigating for the family to access from all parts of NJ and NY. builtbuilt to the HUD/manufactured they are to strict go either on a foundationhome or forconstruction land lease the home-buying, process in America’s revised When it’s time closing for a change, visit the Viviano standards, offer all energy-efficiency gas heating, windows community placement. The subtle differences in construction home-buying financing environment after Dodd-Frank. Family, who are the owners and developers of anddetectable appliancesafter pluscompletion. ample choicesManufactured of quality extrashomes and are not There is ample financing for Fountainhead homes, there Fountainhead and change your life for the better. upgrades to personalize are most cost efficient whenyour in a home. land lease setting as land are no more “no doc” home financing options in any home Today’s is situated on an space purchase, there are no more “no money down” loans for acquisition and home development costs areinsulated the mostcrawl significant For buyers. directions thehassales center at 1 Rose over a concrete foundation system. Protected as required home There to is and been very little default in the variable in home ownership. Once again, the long term Drive, Jackson, NJ 08527 call 732-928-3100 or NJ manufactured home loan portfolio as compared with the visit www.njfountainheadhomes.com . overall home mortgage experience. Buying at Fountainhead is a credit transaction and prospects will expect to provide income, debt and general background information for any purchase. You Luv’ Em, The caring and professional Fountainhead office and You Em Luv’ Em, property staff remain committed to building and offering We Luv’ the best of new manufactured homes in a comfortable, We Luv’ Em Too! convenient location. Jim Viviano’s family is carrying on with him his dream of an affordable, well-designed, wellkept, long-time home ownership community for people at least 55 years of age. Relationships that matter most are so important in the
Fountainhead Adult Community Jacksoncost, retirement, right-sizing home decisions.inLocation, and costOcean control County, make up the set of decisions.secret F Township, NJnext is the best-kept Balancing all of it togetherand takes family communication, around for empty nesters seniors who wish couple communication and a careful personal assessment to own a home with less work and expense while of the financial considerations. remaining close to family. Ocean County, the one county with the largest and
www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com
The “Madison” • Quality Constructed Homes • Central Air & Gas Heat • Deluxe Appliances • Energy Efficient Insulation • 2 and 3 Bedrooms • Beautiful Kitchens • Land Leasing • Off-Street Parking • 25 min. to Trenton • 20 min. to the Shore • New and Pre-owned Homes
1 Rose Drive, Jackson, NJ 08527 For directions call
732-928-3100
or visit our website
njfountainheadhomes.com
May/June 2016 July/August 2016
Garden & Local Honey
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Spend The Summer With From The Garden Local Raw Honey Raw honey is full of enzymes, minerals, vitamins and proteins. In order to take advantage of all of honeys benefits, it is important not to heat your honey above 140F. Doing so can destroy the enzymes that are beneficial to your health. Pasteurizing is an unnecessary step in honey production, since it kills the elements of honey that are the healthiest and most important. Due to its low water content, honey rarely grows bacteria. Pure honey can last indefinitely without refrigeration.
Benefits of Raw Honey Consuming honey daily is becoming an increasingly popular natural alternative to allergy medications. Honey works like a vaccine against local seasonal allergens; eating honey harvested within 50 miles of your home prior to and during an allergy season can fight allergies and irritating sinus issues. We typically associate seasonal allergies with the spring and fall months, but did you know honey can benefit you throughout the winter as well? Honey is a fantastic cough suppressant, working better than most over the counter medications. Honey also offers incredible immune system support, which becomes especially important during the cold winter months when the body is more susceptible to illness. Taking your vitamins can be as easy as taking some honey, as raw honey contains healthy amounts of B vitamins and vitamin C. Honey is also a source of calcium, iron, potassium, and zinc. When supplemented in apple cider vinegar or tea with ginger, honey can help relieve nausea and at 64 calories per tablespoon, it is one of the healthiest sweeteners you can find.
For more information, call 732-866-1745.
Visit www.fromthegarden.com
Flowers From The Garden Our Flowers from the farm are grown and cut on location. We have custom bouquets and grab-n-gos. The flowers are picked daily to ensure that you are getting the freshest available options.
Interesting Honey Facts •Two thirds of the food we eat is pollinated by bees or another pollinator. • To make one pound of honey, the colony must visit 2 million flowers. A typical trip is 50,100 flowers. An average beehive in NJ produces 50 to 400 pounds of honey annually. • A single bee will make approximately just 1/12th of a teaspoon of honey in her lifetime! Bees have produced honey for 150 million years. • Honey has been found in tombs beneath the earth, and because of its low moisture content, can still be consumed! • Bees make everything from royal jelly to bee venom. The bee venom is used for therapy (BVT) to relieve chronic pain and to help patients who have MS.
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July/August2016 2016 July/August
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Specialty Cakes & Chocolate Novelties
Hot Wedding Cake Trends For 2016 The world of cake design is constantly changing and evolving. Like many industries, todays tech savy world is just a click away from the latest and greatest ideas in cake decorating. At Chocolate Carousel, we make it our business to stay on top of the latest decorating trends and ideas in order to bring those to life for our customers. We are even taking it a step further with the introduction of our new CC Design Studio, opening summer 2016. Our design studio will be a place to work one on one with a cake designer to create the perfect cake for any ocassion. In addition, we will offer fun cake design classes, candy making classes and team building events as well as tasting nights and sweet tooth Saturdays.
The following are some of the hot cake trends for 2016 which are sure to be a hit at your next event: Drippy Deconstructed Cakes are bright and colorful, they use elements such as candy or sugar flowers to decorate the cake and are marked by their signature dripping ganache frosting. Watercolor Cakes are soft and pretty, perfect for bridal showers or even weddings. These cakes are typically fondant covered and painted with soft hues in food coloring to look like watercolor paintings. Textured Buttercream are perfect for birthdays, anniversaries, baby and bridal showers, engagement parties and weddings alike. In soft styles like rosettes, lined textures or stucco these cakes are so pretty and incredibly appetizing.
Naked Cakes are still holding on to a spot in the most popular cake trends this year. By naked, we mean they have no outside icing. These cakes have a beautiful rustic feel and are usually decorated with fresh fruit or fresh flowers.
Shiny Metallic Cakes are sleek and modern
Life's Short...Eat Dessert First! We Won Best Bakery 6 Years in a Row! • • • •
and are certainly very popular this season in silvers and golds these cakes make a statement at any event. Some people even choose to add 24 gold leaf to their cake, an expensive but very beautiful and edible option.
If you get as excited as I do about these cake ideas and trends, don’t settle for a boring sheet cake with a couple of buttercream roses for your next event. Remember your cake is a centerpiece/showpiece for your event. Give it the thought it deserves and our team of cake designers are here to help!
VISIT www.chocolatecarousel.com
• • • •
Specialty Cakes Wedding Cakes Dessert Tonight Gourmet Stuffed Cupcakes Pastries, Pies & Cookies Hand-Dipped Chocolate Novelty Candy Gifts, Gift Baskets & Favors
2510 Belmar Blvd., Colfax Plaza Wall, NJ
732-280-0606
www.chocolatecarousel.com Lisa Porada, Owner
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Community
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Why Executive Women of New Jersey Is Calling on Male CEOs
to Pledge to Advance Gender Diversity Recently, Barry H. Ostrowsky, President and CEO of RWJBarnabas Health, publicly acknowledged the role that men must play in ensuring that women have equal access to leadership and board positions in New Jersey’s corporations. As the President of Executive Women of New Jersey (EWNJ), the leading seniorlevel executive women’s advocacy organization in the state, I would like to commend Mr. Ostrowsky for his allyship. Given that he is the CEO of the largest healthcare system in the state, his advocacy on this issue is important and needed. In October 2015, EWNJ released its biennial report on the state of gender diversity in the top leadership of New Jersey’s publicly traded
companies. This report, the only one of its kind in the state, highlighted the persistent underrepresentation of women in the boardroom and in the upper echelons of corporate governance. It found that out of 942 board seats in 99 New Jersey companies, only 141, or 15%, were held by women. In terms of executive positions, only 143 of 902 executive seats, or 16%, were held by women. This reality is particularly troubling given the abundance of well-qualified women executives and the fact that companies with more women on their boards outperform their counterparts. One of the seldom-discussed barriers to women’s advancement is the fact that decisions about potential board members are often made in uniquely male spaces such as the men’s locker room of golf clubs. This dynamic underscores why male leaders must step up to address this inequity. The bottom-line is that the majority of decision-makers at most companies are men and therefore, it is essential that male CEOs and board directors make a genuine commitment to advancing gender diversity and inclusion. The responsibility to establish and maintain gender diversity should be an institutionalized responsibility. As a result, EWNJ is calling on more male CEOs to join Barry H. Ostrowsky and pledge to advance greater gender inclusion in senior leadership and on the boards by adhering to the recommendations in the EWNJ 2015 report. Further, we are asking other women’s organizations to join this effort. We will release our next corporate gender diversity report next year, and it is our goal to make significant progress in ensuring that women gain more seats at the table.
To learn more about EWNJ and its programs and impact, visit www.ewnj.org. To read EWNJ’s groundbreaking 2015 report on corporate gender diversity, visit www.ewnj.org/research.
About EWNJ: Founded in 1980, EWNJ is the leading senior-level executive women’s organization that is committed to increasing the presence of women serving on corporate boards and in the top leadership of New Jersey companies. To this end, we publish a biennial report, in partnership with PwC, on the number of women on boards and in the senior governance of publicly traded companies in New Jersey. This report is the only one of its kind in the state.
Maureen Schneider, Ph.D., MBA President, Executive Women of New Jersey Maureen Schneider is the Chief Nurse Officer and Director of Operations at Chilton Medical Center-Atlantic Health Systems. She and her family reside in Holmdel where she has lived for 25 years.
We also host an array of events designed to offer women executives prime networking opportunities, to bolster and amplify our gender diversity advocacy efforts, and to raise funds for our Non-Traditional Graduate Student Scholarship program, which is focused on establishing a pipeline of future leaders. As the largest provider of scholarships to non-traditional women graduate students in New Jersey, we are proud to have awarded over $1.2 million to deserving candidates over the last 30 years.
For more information, visit our website at www.ewnj.org.
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Community
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SOCIAL COMMUNITY ACTIVITIES NETWORK … Where Active Adults Meet To Be Informed, Empowered And Inspired SCAN (Social Community Activities Network) is a non-profit
adult social education and resource center founded in 1988 and conveniently located in the Monmouth Mall and our satellite location in Freehold Borough. 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.
Successful Aging & Technology Program Kicks Off in Long Branch
SCAN brought its Successful Aging and Technology program to the Bucky James Community Center in Long Branch this spring. Above, participants show off their new tablets (funding provided by the Affordable Housing Alliance) as they prepared to embark on the 13-week program. In addition to the tablets, participants are provided internet access and weekly coaching and mentoring sessions while also attending classes on healthy aging.
Freehold Successful Aging and Technology Class Graduates
After completing their 13 weeks of instruction and coaching, fifteen Freehold Successful Aging and Technology participants graduated from the program on April 28th. They will continue to meet monthly through December to ensure they retain the valuable lessons learned. Above, the participants receive some final instruction from SCAN volunteer instructor Frank Remski.
SCAN Holds First Ocean County Brain Health Fair
In conjunction with Meals on Wheels of Ocean County, SCAN hosted our first Brain Health Fair in Ocean County on May 6th at St. Andrew United Methodist Church in Toms River. The Brain Health Fair was an opportunity to experience fun and creative interactive activities designed especially to promote brain health. Keynote speaker Shira Goldberg, MD, of Monmouth Medical Center Geriatric Services gave a lively presentation of “Give Your Memory an A+ As You
Age” and Mike Schatzki, MPA, CSP, presented “The Recovering Couch Potato” and discussed the importance of staying fit to help prevent illness and slow aging. The Brain Health Fair also featured 20 interactive brain teaser stations including puzzles and games, meditation, blood pressure screening, medication management & more. Due to the success of the event, SCAN is definitely planning on returning to Ocean County for many future events. Here, attendees focus on Dr. Goldberg’s presentation.
Fencing for Seniors Comes to SCAN
One of the exciting new programs offered at SCAN during the spring semester was Fencing for Seniors. Fencing increases mental agility by focusing, concentrating and building strategies, and the no-impact movements are easy on the body. The instructors are professionals and all protective gear is provided. It’s never too late to take up a new sport while improving balance, coordination and fine motor skills, so look for this class to be offered again during upcoming semesters!
Take Control of Your Health Fair Held in June
SCAN held a successful Take Control of Your Health Fair at the Monmouth Mall on June 8th. United Healthcare was the event sponsor. Monmouth Medical Center provided free health screenings, and there were 26 vendors who provided information about healthcare, wellness, fitness, nutrition and many other aspects of successful aging. The Fair concluded with numerous Table Drawings, give-aways and prizes.
Please Mark Your Calendars • JULY/AUGUST - SCAN has again been asked by the Monmouth County Freeholders and Office on Aging to produce the 2016 Senior Art Show. Applications are available until July 8th. The artwork will be hung in the Monmouth County Library Headquarters in Manalapan from August 5th through 30th. The Senior Art Show Reception and Award Ceremony (open to the public) will be held on August 17th. • SEPTEMBER 12 – Fall semester classes begin. Class listings will be available in early August at www.scannj.com. • OCTOBER 25 – SCAN Annual Awards luncheon at Seabrook in Tinton Falls • DECEMBER 2 – Brain Health Fair at Monmouth Mall
180 Route 35 Eatontown
(basement level of Monmouth Mall)
732-542-1326 www.scannj.com
The County Woman Magazine www.TheCountyWoman.com
Pat Bohse
Executive Director
July/August 2016
Independent Brand Consultant
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Do YOU Need Any Of These?
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Community
What Is The THRIVE Experience?
The THRIVE Experience is an 8-week premium lifestyle plan, to help individuals experience and reach peak physical and mental levels. You’re going to live, look, and feel Ultra Premium like never before! Results from the THRIVE Experience are high impact, and can slightly differ for everyone-depending on which areas of your lifestyle need to helped the most-and depending on your 8-week goal. Whether your goal is to lose weight, get in the best shape of your life, or simple be the best you can be, we know the THRIVE 8-week Experience will get you THRIVIN’ in all areas of your life! 24 hour information call: 641-715-3658
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732 610 1567 • www.jacberman.le-vel.com
Testimonials: facebook.com/levelbrands
“A Mommy’s Promise” “My Mommy wrote this book for me so I always know how much she loves me,”
explains 7-year-old Skylar when asked about her mother’s children’s book, A Mommy’s Promise. She is extremely aware that she is the inspiration behind this unique interactive keepsake book that also doubles as a bedtime story about a mother’s love for her child. The story originated when the author/illustrator was diagnosed with cancer when her daughter was just an infant. She wanted to ensure that the important life lessons that she would want to pass onto her would forever be spoken through her art. “Follow your true heart’s bliss,” “Always be a good friend” and “Appreciate the beauties that surround you every day” are just a few of the illustrated mantras that can be seen through this journey of love. Through fun rhyming messages, kids will learn key lessons about life, from the importance of using their imaginations to the value of cherishing the simple joys of every day. Interspersed between the verses and illustrations, you will find questions with memory boxes for you and your child to fill with your own photos, drawings and experiences. A great gift for new moms or moms with several children, A Mommy’s Promise takes the stress out of storing memories and turns it into a fun activity you can do together. Even more remarkable, the artist offers the option of requesting a personalized story featuring illustrations and words created specifically for your son or daughter.
For further information on purchasing a book or having one created for your own child, please contact Connie Cabrina at 732.670.1623 or visit her website at www.ConnieCabrinaArt.com.
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Women Of Monmouth County
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Barbara Sica, Director of Reverse Lending, Homebridge Financial Born and raised in Ocean County, Barbara Sica has been a trusted source in the local mortgage and real estate community for 30 years. As HomeBridge’s Director of Reverse Lending, not only has Barbara helped thousands of local residents finance their own homes, she has also assisted countless New Jersey seniors maintain their quality of life by explaining to them how to utilize reverse mortgages for their own benefit. Modern reverse mortgages are not the deceptive loans many thought them to be decades ago. Today, reverse mortgages allow seniors to leverage the equity in their home so they can live the life they’ve become accustomed to, in addition to financing unplanned medical expenses, vacation travel, as well as for other things of interest to themselves and their families. Barbara considers her approach in the mortgage industry “old school” and takes pride in the information sessions she provides potential customers, as well as being there for them every step of the way during these incredibly important financial transactions. HomeBridge itself is one of the faster growing, mortgage specific lenders in the country, licensed in 49 states, as well as Washington, D.C.
For more information or to schedule an appointment, call 732-569-4830, email bsica@homebridge.com, or visit www.homebridge.com/barbarasica.com.
Liya Ostrow, DMD, TenderSmiles4Kids
Known as Dr. Liya, emigrated from Russia in 1991 at the age of ten. She was a Summa Cum Laude graduate in 2003 from Hunter College in New York. That same year she relocated to Philadelphia to attend the University of Pennsylvania Dental School where she earned her Doctor of Dental Medicine Degree, Cum Laude. While at UPSDM she was keenly involved in programs and visits providing underprivileged children and adults with much needed dental care and education. Advanced studies in her field of Pediatric Dentistry took place at Lutheran Medical Center in Brooklyn, New York. There she served as Chief Resident. Dr. Liya takes pride in providing exceptional dental care with a warm sense of humor and gentle style which helps the children and parents relax during their visits. Caring for children and their dental needs is paramount to everything she does. Dr. Liya is Board Certified by the American Board of Pediatric Dentistry and is a standing member of AAPD (American Academy of Pediatric Dentistry), the NJDA, NJDPA, and the ADA. Dr. Liya is surrounded by medical professionals in her family. She resides in Morganville with her husband Vlady, who is a pediatrician and their two children, Julian (9 yrs.) and Kayla (5 yrs.) plus an11 yr. old Pekingese named Archie. Dr. Liya enjoys entertaining at home and traveling.
For more information or to contact Dr. Liya, please call 732-625-8080 or visit www.tendersmiles4kids.com. Photo by Annette Jenkins Photography
Laurie Lombardi, CDN, The Natural Pharmacy
Laurie is a renowned expert on “Beauty From The Inside Out.” Boasting more than 25 years of experience, Laurie’s meteoric career began at the NBC Studios where she served as a make-up artist for the Today Show, Saturday Night Live, Inside the Actors’ Studio, feature films, and reached its zenith during Late Night with David Letterman, where she won two Emmy Awards (in 2001 and 2002) from the Academy of Television and Sciences. Laurie knows “Beauty starts from within.” Her belief that diet, exercise and other lifestyle issues influence one’s appearance led her to earn a degree in Clinical Nutrition and pursue a Masters/Internship at New York Hospital. In addition to nutrition and Para-Medical Skincare, Ms. Lombardi is also skilled in state-of-the-art Micro-Dermaplanning (as she has demonstrated Twice on the television show NY Housewives), and permanent makeup. Microdermaplanning is an excellent procedure for exfoliating dead skin cells, reducing fine lines, and lightening age and sun spots. Laurie recently partnered with Eric Sauer, RPh, NMD,DHPh at The Natural Pharmacy in Ocean Township. Together they formulated a RX Grade Natural Skincare line, and compound it on the premise. Their products are effective and do not contain any chemicals, hormones, GMO’s, or perfumes.
For more information, call 732-695-0277 or visit www.laurielombardi.com. Photo by Annette Jenkins Photography
Barbara Andres, Actress, Two River Theater
Monmouth County resident Barbara Andres stars in I Remember Mama at Two River Theater in Red Bank. Born-in-a-trunk to the musical comedy team, Masters and Rollins, she began touring with them at three weeks of age. Her Broadway career started in the 1969 musical, Jimmy, followed by The Boy Friend (Hortense), Rodgers & Hart (Barbara), Rex (Catherine of Aragon), On Golden Pond (Chelsea), Doonesbury (Joanie Caucus), Kiss of the Spider Woman (Mama Molina), A Delicate Balance (Edna), and Cabaret (Fraulein Schneider). She continued as Fraulein Schneider in the National Tour of Cabaret (L.A. Ovation and Joseph Jefferson Award nominations for Best Featured Actress), giving her final performances in Tokyo. Off-Broadway she has been featured at Roundabout, Lincoln Center, Manhattan Theatre Club, Signature Theatre, Public Theater, Naked Angels, and Transport Group, where she starred as Emily in their innovative production of Our Town, also directed by Jack Cummings III. Across America from The Guthrie Theater to Arena Stage, from American Repertory Theatre to The Coconut Grove, she has appeared in a wide range of roles from Sister Aloysius in Doubt to Martha in Who’s Afraid of Virginia Woolf?. Other favorite ladies are: Linda (Death of a Salesman), Lyubov Ranevskaya (The Cherry Orchard), Mama Rose (Gypsy), Desiree (A Little Night Music), Candida (Candida), Goneril (King Lear), and Joanne (Company). Ms. Andres has guest-starred on all three Law & Orders, as well as Gossip Girl, Damages, Rescue Me, Third Watch, All My Children, As the World Turns, and The Sopranos. Her films include What About Bob?, After the Storm, Random Hearts, and Thirteen Conversations About One Thing. The sometime mother of Glenn Close, Jodie Foster, Annette Bening, Kate Burton, John Rubinstein, Laila Robins, Howard McGillan, Grant Shaud, Roma Downey, and Barbara Barrie. Barbara is the real-life grandmother of Maddie, Keala, Aubree, Daniel, Annie Rose, Lily, Griffin, and Gracie. She and her husband Andy will soon celebrate their 57th wedding anniversary.
For more information on Two River Theater’s productions, visit www.tworivertheater.org or call 732-345-1400.
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Women Of Monmouth County
59
Mary Beth D’Antoni, Owner, Learning Press LLC Mary Beth D’Antoni is a reading expert who has been active in the field of education for thirty years. She holds a NJ K-12 teaching certificate. She earned a Bachelor of Arts Degree in Psychology and a Master’s Degree in Education. She worked as a seventh grade Language Arts Teacher, Reading Teacher, Adjunct Professor of Reading and is author of “Pathways to the Mind, “a reading program for students who have difficulty learning from traditional methods. Her educational experience has involved concentrated work in remedial, developmental and enrichment areas for kindergarten through college level students. Ms. D’Antoni has done extensive independent research related to students with learning disabilities. Her program “Pathways to the Mind “is based on her experience, findings and research on the development of reading skills and has been recognized throughout Monmouth and Ocean counties. She has designed and published four volumes of “Pathways to the Mind:” Volume I focuses on prevention and early intervention of learning difficulties using a wide range of options; Volume II continues to focus on intervention and teaches language patterns; Volume III involves intensive instruction in the area of reading and writing; Volume IV focuses on pattern processing. In Volume IV the student is taught phoneme segmentation of words, their order and their connection to letters. Ms. D’Antoni’s teaching materials have proven to be highly successful in the development of essential learning skills. Learning Press LLC provides comprehensive reading instruction to students in grades K-6 who are struggling with reading.
For more information, visit www.LearningPressLLC.com.
Photo by Annette Jenkins Photography
Tania McShaffrey, Office Manager, High Performance Foot + Ankle Tania McShaffrey is the Office Manager at High Performance Foot + Ankle. She received her business administration degree from the University of Delaware and minored in marketing. She found she loved a small office environment, and once she began working in the medical field, it became her perfect match. For the last 20 years, 10 of those being in podiatry, she has gained experience in every facet of the offices she has worked in. The most enjoyable portion for Tania is caring for the patients. She focuses on learning about the many options of care and helping the patients navigate how those choices will work with their time schedules and insurance. Outside of the office, Tania is the Mother of two amazing children. She loves spending time with them, being active, hiking, reading, and enjoying new experiences and adventures with family and friends. A couple of her favorite adventures were training and completing a triathlon with her son, a mud run with her daughter, and an 8 day trip to Alaska with friends, complete with glacier hiking and kayaking with sea lions. Tania loves talking with patients and hearing about their life experiences as well!
For more information, call 732-528-2218 or visit www.highperformancefootandankle.com.
Photo by Annette Jenkins Photography
Real Estate
As a full-time agent and a life long resident of northern Ocean County I’m intimately familiar with the area. The bulk of my business is by referral and with that said; I’m truly Paul Curatolo interested in satisfying every client. I’m humbled by the opportunity to serve you and will do everything in my power to make this a smooth and stress free transaction. I have strategically aligned myself with the finest professionals through the entire process and can recommend someone for every phase of the buying and selling process. This is a one stop shop! I have spent the last 16 years in luxury sales and look forward to providing you with the luxury experience you deserve.
Paul Curatolo REALTOR ASSOCIATE
Office: 732-914-0074 Cell: 732-300-7034
curatolo140@gmail.com www.jerseyshorehomesbypaul.com
• Buyers Agent • Listing Agent • Short Sales • Foreclosures • Relocation • Retirement Communities
Your Jersey Shore Real Estate Authority
AT BARNEGAT BAY
The County Woman Magazine www.TheCountyWoman.com
July/August 2016
Theater & Entertainment
60
ANNOUNCING OUR 2016/17 SEASON
RUBEN SANTIAGO-HUDSON
MICHAEL CUMPSTY
ELEANOR B. CARNEY
MADELEINE GEORGE
August Wilson’s MA RAINEY’S BLACK BOTTOM SEPT 10 – OCT 9/2016
THE LION IN WINTER NOV 12 – DEC 4/2016
A VERY ELECTRIC CHRISTMAS* DEC 27-30/2016
RECHNITZ THEATER
RECHNITZ THEATER
RECHNITZ THEATER
By James Goldman Directed by Tyne Rafaeli Starring Michael Cumpsty
Directed by Ruben SantiagoHudson
ERIC TUCKER
KATE CORDARO
THE MERRY WIVES OF WINDSOR FEB 25 – MARCH 26/2017
TONY MENESES
A LITTLE SHAKESPEARE: THE MERRY WIVES OF WINDSOR* MARCH 7 – 12/2017
By William Shakespeare Directed by Eric Tucker
Kate Cordaro; Director of Education, Two River Theater Adaped and Directed by Nicole A. Watson
MARION HUBER THEATER
Produced by Lightwire Theater Eleanor B. Carney; Executive Director, Lightwire Theater
THE WOMEN OF PADILLA APRIL 8 – 30/2017
RECHNITZ THEATER
SUBSCRIBE TODAY!
6 PLAY PACKAGES START AT $180 –
THAT’S JUST $30 A TICKET! The County Woman Magazine
www.TheCountyWoman.com
By Madeleine George Directed by Leigh Silverman MARION HUBER THEATER
JOHN DIAS
By Tony Meneses Directed by Ken Rus Schmoll RECHNITZ THEATER
HURRICANE DIANE JAN 14 – FEB 12/2017
THE BALLAD OF LITTLE JO JUNE 3 – 25/2017
Music by Mike Reid Lyrics by Sarah Schlesinger Book by Sarah Schlesinger, Mike Reid, and John Dias Based on the film The Ballad of Little Jo by Maggie Greenwald Directed by John Dias
RECHNITZ THEATER
SUBSCRIPTIONS ON SALE NOW AT THE BOX OFFICE: 732.345.1400 or 21 BRIDGE AVENUE, RED BANK, NJ *Not included in subscription packages. Tickets are $20 for Adults & $15 for Children 12 and Under. Titles, artists, dates and pricing are subject to change.
July/August 2016
Travel
00
57 T ravel 61 T ravel FAMILY VACATIONS STARRING THE “KIDS” ROMANCE TRAVEL
Travel ravel “Create Lasting Memories” River Cruising: An Extraordinary “Create Lasting Memories” Taking With A Packing More fun, more memories! PartIt of raising a family You: is making memories that
55 63
Experience Primer
your children will cherish Whether you’re dreaming of a romantic escape or celebrating an anniversary or wedding, forever. A family vacation is part of those memories. Today’s opportunities a travel expert can create a carefully tailored itinerary to suit your desires. Discover a tropical to travel as a family arebooked as wideyour open as your imaginaYou’ve iver cruising may be the hottest cruising tion. From warm paradise and surround yourself with remarkable sunsets, fine dining, and world class accommodations. beaches to excitinglong adventures, destination offers a new awaitedevery vacation trend around in 2015 -- even though river A sample of some withRomantic your Traveldestinations will let you dream of your next escape. experience. cruises have been operating for decades.
R
Professional andand you’re We have some suggested kid’s focused resorts destinations with
ready to pack your Six Hawaiian Islands , each with its own personality,
special activities andhave amenities thatgame the entire family will enjoy: Cruise lines upped their with expanded
suitcase. surrounded by blue waters, and where happiness is a way of life. Top choices
amenities and intriguing itineraries to the places Now big ocean-going question is: are Kauai, Maui, and Big Island. ✿ CURTAIN BLUFF, ANTIGUA feels both country-club and cozy at the same vessels can’t reach. River cruises are luring experienced What do you take ocean cruisers off the mega-ships andyou? onto intimate time. This charming resort with an Alain Ducasse-trained chef for wonderful dining has Ocean views with If you’re cruising in the Caribbean riverboat, with focus on current themes. from every room, Watersports including With so many new fees and diving and waterskiing, a game room and the Ceebee Kids
Greece
• Add a few more tee shirts and another pair of shorts , think Santorini or Mykonos with small fishing restrictions the airlines have Club. The beach is beautiful leading to a Caribbean Sea.poncho, and zippered plastic bags The river cruising destinations, like a 12 day Bordeaux • turquoise Lightweight sweater, rain villages, stunning beaches, accentuated by whitewashed buildings. imposed for baggage, youorwill haveDanube, to consider leaving your entirethe closet River cruise, 7 day offer cruise guests local for wet suits. at home from now on. Some airlines are charging for carry-on bags now, experience without the long tour bus rides. From April’s • Whatever you forget you can purchase on board or at the and other airlines let you board first if you have no carry-on bags. So was what to be the ultimate get tulips to December’s Christmas Markets, hundreds of created ports or resorts. are the essentials to pack? together riverboats getaway, where everything is Included and unlimited. TheAprotected white sand and barges glide along Europe’s historic rivers few years from now whatbeaches Here is a packing primer from Carole Kaiman, Travel Professional that , with beautiful beaches and great (rated theand best in thewhich Caribbean by Travelof & miles Leisure) exciting watersports and unlimited scuba diving youExamples will remember is the total of canals, span thousands of Continental of some the best might help with the process. restaurants to rekindle your spirit and feed the soul. experience of your vacation, NOT (for certified divers).connecting North Sea to Black Sea. waterways, River CruisetoLine Themes: the things you forgot pack.and surf resorts are about children. Amazing waterparks with body slides, lazy rivers ForBEACHES a week in the Caribbean: A Europe River Cruise one of the best ways we know to • Viking River Cruises, through partnership with *Remember, your Vagabond* simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street and the XBOXoffers play Viking cruise guests • 2 swimsuits explore inland Europe, visiting cities, towns and villages PBSTravel “Downton Abby” Virtuoso Professional can where in a private chapel in Florence’s coun(put 1 in your carry-onwith so you can goand right toaccess. the beach) lounges are so popular children families. 19 Specialty restaurants dining areas provide great choices. that traditional big ships usually can’t days inchildren’s England Countryside, and special tour assist 3 you inand planning a vacation tryside you can renew your vows and have a candlelit Dinner over the Arno River. 2 cover-ups It•will be a great family vacation memory. with the mostfamous value andhouse. added of the (1 with sleeves for evenings dining on the beach & 1 Pareo) touches to make your experience a • Avalon Waterways “Austrian Highlights” from memorable one. • Yoga pants and 2 tank tops Vienna to Munich highlighting a Beer theme. ships were built with families in mind. A deluxe Ocean view , the “Jewel of the Atlantic,” Our dedication tofamily our clients before, during and after every vacation • 2 shorts and 2 tees • Tauck offers family river cruises with its Tauck stateroom with Verandah is perfect for a family of 4 or 5. There’s amakes 3 story AquaDunk body slide for kids a world of difference. enjoy beautiful weather, pink sand beaches • 3 sundresses Bridges program, including family cooking with no fearFlip onflops, deck,flat or for the younger set, there’s the AquaLab with a looping waterslide. • SHOES: sandals, wedges, sneakers and warm friendly people. Conde’ Nast Traveler lessons. Enjoy Your Travel Disney destinations vary from Caribbean cruises with Disney’s own private island orExperience. cruising Europe • Pashmina Readers have voted Bermuda “Best Island in the Caribbean” 17 times! There are several brand new Advisor River cruise lines • Sunglasses with special highlights for the kids to enjoy. Your Vagabond Travel Virtuoso market like Emerald Waterways • Packable sun foldable beach bag hat and A Travel Professional with years of expertise will work for you, Forentering over 25the years, andresorts, Scenic exciting cruises to fill the The go on to Mexican all-inclusive travel to demand. Each line • Costume jewelry, (leave the realoptions jewels home) and her only objective is to give you the best experience possible and Carole Kaiman has its highlights, like the long ships and the next and an evening purse South Africa for families, Alaska tours (Perfect forTravel summer vacation) to help you realize your romantic dreams. Vagabond generation Space-Ships. Must Haves: and fabulous Tauck tours of Europe. • Insect Repellent, Sun Protection (with at least 30 SPF) It’s a great *Check out new cruising experience! Start your unforgettable vacation by contacting Travel Advisor & Romance Specialist • Facial and body moisturizer Start your unforgettable vacation www.virtuosolife.com byContact contacting TravelKaiman AdvisoratCarole Kaiman, at Vagabond Carole Vagabond Travel • Make up Bag: waterproof eyeliner, Carolemascara, Kaiman at Vagabond Travel, a Virtuoso Agency in Little Silver, today! for our Digital Magazine Virtuoso Agency732-222-2792 latest information and amenities. or 732-842-2600. Travel, a Virtuoso Agency in Little Silver today. hair conditioner and shampoo and some amazing travel ideas.
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732-222-2792 or 732-842-2600. Create that will last a lifetime. Create memoriesmemories that will last a lifetime.
Carole Kaiman, Travel Specialist Vagabond Travel Virtuoso Agency 542 Prospect Ave. Little Silver New Jersey 07739
*Check out www.virtuosolife.com for our Digital Magazineand some amazing travel ideas.
The County Woman Magazine
Over 25 Years
732-222-2792 Direct 732-842-2600 Office
website: www.vagabondtvl.com www.TheCountyWoman.com
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July/August 2016
Women’s History O
67
Who Was Charley Parkhurst?
n a recent visit to Cape May I was sharing some history of the town with a new friend from the Midwest who had never been to New Jersey. As we were talking, my new friend shared with me a book she was reading about a female stagecoach driver. Intrigued, I decided to look into this female heroine who is known under the name of Charley Parkhurst. There is not a great deal of information about Charlene Parkhurst, who was born in 1812 in New Hampshire. However, it was reported that she was raised in an orphanage that was not very kind to her. When Charlene decided to leave the orphanage for a better life, she decided she would need a disguise in order to hide from anyone looking for her. Charlene became Charley and after cutting off her hair and taking some boys’ clothing, she fled from the orphanage. Charley had taken an interest in horses during her time at the orphanage and after her departure, she applied for a job at a ranch. Charley was trained by the stable owner on how to drive stagecoaches and was able to drive coaches and carriages that ranged from two horses up to six horses. Over time Charley remained under the disguise of being a man. Charley became known as a professional stagecoach driver and had the reputation of being the fastest driver in the business. It also only took one time for Charley to be “caught off guard” and held up before she taught herself how to use a .44 pistol. Charley originally began her stagecoach driver career in Massachusetts, then relocated with her employer to California. The market for stagecoach drivers was competitive for men, let alone a female attempting to hide under the radar. Charley lived the life of a man and was known to engage in physical altercations, chew tobacco and drink beer. Another challenge to Charley’s career was popularity. Charley was often approached by other females who were attracted to her masculine appearance. Charley had to audition for her position in line as a stagecoach driver in California. Charley’s employer was Wells Fargo, which at the time manufactured the Concord Stagecoach, which was what Charley drove. It is interesting to note that Wells Fargo employed one female, whose name was Marie Putnam, who was the only person who would do the stitching on all of the leather in the stagecoaches. Marie worked for Wells Fargo for over 30 years as the ONLY female employee.
Who knew two females would become well known for their contributions to the stagecoach arena and yet go completely unrecognized. Charley had her share of health complications that included getting kicked in the face when “shoeing” a horse, which resulted in Charley losing vision in her one eye. Charley had to wear a patch over her left eye. Although most of us now use motor vehicles as our mode of transportation, try to imagine attempting to negotiate six horses and a stagecoach full of passengers with one eye! Charley also was diagnosed with rheumatism in her hands, which led to the retirement of her stagecoach driver career in the late 1860s. Charley did not let rheumatism stop her from working. Charley went on to work at a cattle ranch and also raised chickens. Charley registered to vote under the name of Charley Parkhurst, and although it is not “confirmed,” there is information that reports she was the first female to vote in the state of California during the election of 1868. If you all recall, women were not granted the right to vote until 1920! During Charley’s tenure as a stagecoach driver, she had to negotiate severe weather, travel across rivers, endure thieves, and manage life as a woman in a man’s world. Keep in mind this was the 1800s; there was no Weather Channel or stable bridges to safely cross. In the end, Charley died from tongue cancer. The community was shocked and in disbelief when it was revealed that Charley was a full-figured, well-endowed woman. Charley’s longtime friend, who was a man, could not fathom that his confidante was a female. Charley’s obituary even noted that although Charley was believed to be male, she was biologically female. Charley lived a full but challenging life. During the 1800s women were not considered to be “similarly situated,” and yet Charley proved that being female was not at all a factor in determining one’s ability to be a successful stagecoach driver. She had the strength, intelligence and determination to succeed and she was well respected in her profession, albeit dressed as a man. References:
http://genealogytrails.com. Retrieved on July 3, 2016.Charley Parkhurst Obituary. The New York Times. January 9, 1880. www.metroactive.com/papers/cruz/03.05.03/charley-0310.html
Rita King, MSW, LCSW is a full-time mental health therapist and advocate of women’s history. During her undergraduate studies in psychology, Rita developed a strong passion for women’s history after completing classes in political science. As an activist, Rita has raised awareness of the importance of women’s history through lectures, history lessons in elementary and middle schools and creating women’s history displays at local libraries. Rita also utilizes her knowledge of women’s history to empower women and young girls in her current role as a mental health therapist.
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Community
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Health
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Purchase a Series of P roducts and Receiv ea
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July/August 2016
Medical Professionals
71
Introducing HydraSolve®, A Smooth New Approach To Aesthetic Body Contouring
deactivated, causing the fat cells to separate from one another and change from a solid to a liquid state (liquefaction). • The liquid fat is then drained through the cannula and suction tubing to the waste container.
Before
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HydraSolve® Gently And Efficiently Removes Unwanted Fat HydraSolve® is a new FDAcleared liposuction system that uses Tissue Liquefaction Technology®(TLT), a revolution in aesthetic body contouring. It uniquely removes only targeted fat tissue while preserving other vital tissues around the fat for a smooth contoured appearance.
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Here’s how it works: • A thin cannula is placed within the fatty tissues under the skin. • Suction in the cannula draws the fat inside through an opening, where it is exposed to a stream of warmed and pressurized natural saline. • After exposure to the saline stream, the proteins that normally connect fat cells together are
HydraSolve® technology is based on a technique developed for delicate eye surgery. For a decade, this technology has been used in complex eye procedures to help remove affected eye structures without damaging surrounding tissue. Now, available as HydraSolve®, it provides the gentle, effective, tissue-specific, and aesthetically pleasing body contouring you’ve been waiting for.
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Dr. Godek consistently puts his patients first. Beginning with the consultation visit, he spends quality time getting to know each of them and to better understand their goals. He adds, “I want to be sure they feel comfortable expressing their aesthetic goals to me. All of my patients are very special to me. I thoroughly enjoy getting to know each one of them on a personal basis and developing a lifelong relationship with them.” He grew up in a small town in Western Massachusetts where he met his wife, Kristen, when they were both in high school. The couple now lives in a small ocean community with their two boys. Outside of Plastic Surgery, they enjoy time at the beach paddle surfing and fishing.
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