Ce le br a ti ng O
ur 9th Year!
An Educational Resource for Women and Their Families
FREE ~ Please Take One THE LATEST NONINVASIVE FAT DESTRUCTION AND BODY SCULPTING TECHNOLOGY.
We all have problem areas of fat that seem to persist in spite of a healthy diet and exercise. Page 6
MENOPAUSE: WHAT TO EXPECT.
BACK TO SCHOOL TIME ALREADY? HEALTH PROBLEMS THAT SPREAD AT SCHOOL.
This time in a woman’s life is filled with fluctuating hormones and a laundry list of what can be uncomfortable symptoms.
Whether kids are packed into a classroom or messing around on the playground, they do tend to share lots of health problems in school. Page 55
Page 46
The doctors of Ocean Otolaryngology are committed to exceeding the expectations of their patients and providing the highest quality of care. Read more on pages 29, 30 & 31. Smartphones Scan Here
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Photo By Tracy Harman Photography
Sept./Oct. 2017
Please Take One
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Fine Art Photography
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Medical Professionals
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Smartphones Can Be A Pain In The Neck By: Rosemarie Daalder, DPT, for All-Care Physical Therapy Center’s Forked River Location Is My Smartphone Causing My Neck Pain? Within the last few years, more and more patients are arriving at All-Care Physical Therapy with complaints of neck pain. These patients with complaints of neck pain are also becoming younger and younger. Typically, neck pain is seen with an increase in age, which makes us wonder: why the change in the age of patients seen with neck pain, and why the increase in the number seen? “Text neck” is the term given to this increase in neck pain complaints seen in patients within the last few years. This is especially seen in the younger populations who have had no prior history of neck pain or injury. So what is ‘text neck’? Text neck is a repetitive strain injury of the neck muscles, the shoulders, and even in the lower back. This is directly related to our posture when we use our smart devices, like cell phones and tablets. On average, a person may spend 2-4 hours a day using their smartphone. The most common symptoms of text neck may be complaints of neck pain and soreness. Some other presentations of text neck may include headaches, upper back pain that ranges from chronic, nagging pain to sharp spasms, shoulder pain and tightness, and even neurological symptoms that can travel down the arm and into the hand. This is called radiculopathy and originates from a cervical nerve being pinched as it tries to exit the cervical spine. All of these possible signs and symptoms of text neck can be addressed by a Physical Therapist.
How does using my cell phone or tablet hurt my neck? Using these smart devices causes us to slouch into a poor posture, which causes extra strain on our bodies. Most of the population (79%) between the ages of 18 and 44 years old have their smartphones on them at all times. Picture yourself looking at your smartphone; maybe it is in your hand right now. Our head drops forward as we look down towards our smartphone. Our shoulders may also lift towards our ears and round forward. This posture changes the natural curve of our cervical spine. We have to admit…some of us can get so involved in our smart devices that time passes right by. An 8-18-year-old on average spends about 7.5 hours every day using some type of smart device. Staying in this position for a prolonged period of time can cause misalignment, muscle strains, and wear and tear of our joints.
Three main things occur as we drop our head down to look at our smartphone. 1. Our neck moves forward 2. Our shoulders round forward and may lift towards our ears 3. Our neck muscles and shoulder muscles then contract Our neck muscles have the job of holding up our head throughout the day against gravity. The head is a lot of weight to hold up all day, on average weighing between 10 and 12 lbs. When we move our head 1 inch forward, this can double the load on our muscles. Your chin resting on your chest when looking at your smartphone creates 60 lbs of force on your neck. You can see an example of the pounds of pressure placed on the neck as we drop our head forward in the provided picture.
The ‘slump position’ that occurs as we relax and browse the newsfeed on our smartphone not only affects our spinal position but can also have an effect on our breathing. The slump position restricts our ability to expand our lungs and take in oxygen. Decreasing our ability to take in enough oxygen forces our heart to pump harder in order to circulate our oxygen-rich blood throughout our body.
How do we fix this?
Some of the effects of text neck or a forward head posture can be addressed with proper exercises and manual techniques that can provide a patient with longlasting relief. At All-Care Physical Therapy, the Physical Therapists have the knowledge and experience to treat neck pain in all age populations. They will develop treatment programs based on that individual patient and help them to return to their previous pain-free lifestyles. To improve our neck pain from using our smartphones, there are a few steps we can take every day in conjunction with Physical Therapy. 1. Straighten up—maintaining an upright posture and proper neck alignment will decrease the load and the amount of work our neck and shoulder muscles have to do in order to keep our head up. Using a mirror can help you see your posture and see how it feels to be in a correct, upright posture. Imagine a vertical line tracing down from your ear to your shoulder. This is proper, upright posture. 2. Look forward when using your smart device. Raise your smartphone or tablet to eye level as the example shows in the picture provided. This will allow you to stay upright and in proper alignment. No more forward head and downward head posture. Same idea when sitting at your computer. Raise the monitor or lower your chair so that the screen is eye level.
For an appointment, please call the Forked River location at 609-756-5800. Rosemarie Daalder, DPT Forked River Facility Manager & Physical Therapist 
Rosemarie graduated from Delaware Valley College in 2007 Cum Laude with a Bachelor’s of Science in Animal Biotechnology and Conservation and a certification in Animal Assisted Activities and Therapy. During her undergraduate certification in Animal Assisted Activities and Therapy, she worked alongside Physical Therapists treating pediatric patients on horseback. This sparked her interest in Physical Therapy, and she therefore changed her career goal from Veterinarian to Physical Therapist. She continued into her physical therapy education at Rutgers-Camden, UMDNJ, and received her Doctorate of Physical Therapy in May 2011. Rosemarie has had clinical experiences in acute, sub-acute, and outpatient settings, as well as a 14-week pediatric affiliation with HollyDell School. Her areas of interest include sports medicine, joint replacement, manual therapy techniques, evidence based practice, and the neurological and orthopedic pediatric population. Rosemarie believes in patient centered practice by incorporating her patient’s personal goals into her treatment plans.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Publisher’s Note
Monmouth County An Educational resource for Women and Their Families Woman Since 2008
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Since 2008
Ce leb ra
r ea ting Our 9th Y
Publisher.............................................................. Chris Lam chris@thecountywoman.com • 856-885-8066 Production Manager ...................................Lauren Shover staff@thecountywoman.com • 856-885-8066 Marketing Production Executive ..........Jessica Sochocky staff@thecountywoman.com • 856-885-8066 Regional Sales Director................. Kristina Wheeler Pruitt kristina@thecountywoman.com • 609-412-1914 Billing Manager.......................................Desiree Hoover billing@thecountywoman.com • 856-885-8066 Graphic Designers.................................................................. Golden Design LLC • CCO Designs, LLC CEO.................................................................. Lynn K. Wolf For advertising inquiries, please call:
1-866-398-0898
All correspondence should be addressed to:
The County Woman P.O. Box 619 Turnersville, NJ 08012 The County Woman’s Newspaper is published bi-monthlybi-monthly and is available charge atfree display stands inat The County Woman’s Newspaper is published andfreeis ofavailable of charge approved private and public establishments and authorized distributors only, or by paid mail subscription. display stands in approved private and public establishments and authorized distributors only, Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of this paper may be or by paid mail subscription. reproduced without the written permission of the publisher. Trademark and Newspaper U.S. Copyright Laws protect Theeditorial Countycomment Woman’s Newspaper. No typographical part of The County Woman’s is not responsible for any (other than its own), may be reproduced the written permission of the publisher.submitted as camera errorsthis frompaper advertisements submitted aswithout camera ready or any reproductions of advertisements ready. The County Woman’s Newspaper is not responsible for any editorial comment (other than typographical from advertisements submitted camera ready anytime, reproduc Ifitsanown), advertisement does noterrors meet our standards of acceptance, we may as revise or cancel it atorany whether advertisements submitted as camera ready. or nottions it hasofbeen already acknowledged and/or previously published. The advertiser assumes sole responsibility for If an contained advertisement does not our protect standards acceptance, we mayNewspaper, revise or cancel it at all statements in submitted copymeet and will and of indemnify the Woman’s its owners, publishers, and employees, all liability or expense arising out previously of claims forpublished. libel, unfairThe trade any time, whether oragainst not itany hasand been alreadyloss acknowledged and/or names, patents, copyrights and responsibility propriety rights,for andallallstatements violations ofcontained the right ofinprivacy or othercopy violations resulting advertiser assumes sole submitted and will fromprotect the publication of this newspaper or its advertising copy.its owners, publishers, and employees, against and indemnify the Woman’s Newspaper, The shall be under liability for failure, reason,fortolibel, insertunfair an advertisement. anypublisher and all liability loss ornoexpense arising outforofany claims trade names, patents, The publisher shalland notpropriety be liable byrights, reasonand of error, omission and/or anyorpartother of anviolations advertisement. The copyrights all violations of thefailure right to of insert privacy publisher will not be liable for delay or failure performanceorinitspublication and/or distribution if all or any portion resulting from the publication of thisinnewspaper advertising copy. of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances The publisher shall be under no liability for failure, for any reason, to insert an advertiseand will make adjustments for the advertiser where and when appropriate. ment. The publisher notno beresponsibility liable by reason of error, omission failuremade to insert any The Woman’s Newspapershall assumes for unsolicited material orand/or reproductions by advertisers. partnewspaper of an advertisement. Thebypublisher notother be liable This will be published the 15th ofwill every month.for delay or failure in performance in publication and/or all or any portion Representations by CW Mediadistribution Group, LLC,ifCOPYRIGHT 2008. of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The Woman’s Newspaper assumes no responsibility for unsolicited material or reproducind us on the web tions made by advertisers. This newspaper will be published by the 15th of every other month. Representations by The Monmouth County Woman, LLC TM COPYRIGHT 2008.
F
!
www.TheCountyWoman.com
Hello, Readers of the Ocean County Woman! My name is Chris Lam, and I am the proud owner and Publisher of the Ocean County Woman. I wish to extend a warm welcome to our new readers and longtime readers as well. This past year, it has been truly exciting and energizing to be a part of the Ocean County Woman! Please be sure to check out our Meet the Staff section on pages 8 & 9, where you will find some useful insight on all of us here at the Ocean County Woman. I am lucky to be surrounded by such a talented, dedicated and knowledgeable team. Welcome to the September/October issue of the Ocean County Woman! We truly hope that you enjoyed all of the fantastic things that the Jersey Shore had to offer this past summer season. Now, on to fall, which means back-to-school, changing of the seasons and eventually getting ready for the holidays. But, remember to make time to take advantage of what makes Ocean County such a great part of the Jersey Shore area, as you will read in this issue. Our mission is to continue to provide you, our readers, with valuable, engaging and educational information that you have relied upon during the 9 years of the Ocean County Woman. I am looking forward to many years of serving as the publisher of the premier educational publication in Ocean County. I also welcome your feedback, so please drop me a line! I am always interested in hearing what our readers have to say about our publication. Best, Chris Lam and the staff at the Ocean County Woman Publication
Featured on the Cover -
Ocean Otolaryngology Associates, PA.
And follow us on Facebook and Twitter
Standing L-R: Jaclyn Torres, Office Manager, Dr. Kupferberg, Dr. Gillespie, Dr. Peters & Carolyn Peters, Practice Manager. Sitting L-R: Katie Samhammer, Front Desk Supervisor, Stefanie Wagenhoffer, Administrative Assistant, & Jade Dalbo, Surgical Coordinator. Read more about these dedicated physicians and their commitment to teamwork on pages 29, 30, & 31.
FIND US ON THE WEB! WWW.THECOUNTYWOMAN.COM And follow us on Facebook and Twitter @TheCountyWoman
facebook.com/TheCountyWoman
www.alwaysimmaculate.com www.alwaysimmaculatecarpets.com
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with mention of this ad • See page 33. Expires 10/31/2017
Cover photo by Tracy Harman Photography Schedule your family portraits today. See page 2.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
^ Fine Art Photography
Tracy Harman Photography................................................2
^ Medical Professionals
All-Care Physical Therapy Center, LLC...............................3 Shore Vascular & Vein Center..............................................6 Garden State Bariatrics.....................................................11 Quality Dermatology..........................................................12 Advocare Stafford Orthopedics.........................................14 Reproductive Science Center of New Jersey...................15 University Urology Associates of New Jersey.............16, 17 Ocean Plastic Surgery PA and Laser Center...............18, 19 Gastroenterologists of Ocean County...............................20 Toms River X-Ray, CT & MRI Center.................................24 Atlantic Neurosurgical Specialists.....................................32 Meridian Integrative Health & Medicine............................34 MonaLisa Touch® North Dover..........................................36 Paonessa Colon and Rectal Surgery, PC..........................37 Bella Derma Medi Spa.......................................................40 Kathy A. Banks, DMD........................................................43 Dr. Park Avenue.................................................................45 Barnabas Health Medical Group: Obstetrics Gynecology and Obstetrical Associates.......46 Institute for Complementary and Alternative Medicine.....47 Ocean Hematology & Oncology........................................48 Memory Enhancement Center..........................................50 Barnabas Health Medical Group: Dr. Sumy H. Chang......52 Garden State Medical Center............................................79
^ Health & Wellness
Spa Virtue @ The Body Wrap Shoppe................................5 Yoga Nine Mind/Body Studio............................................42 Hypnosis for Women.........................................................44 Lice Lifters.........................................................................53 Jersey Shore Pharmacy....................................................55 Freehold Yoga Center..................................................64, 65
Contents
^ Nursing & Rehabilitation Center
Tallwoods Care Center........................................................7 ^ Meet the County Woman Team.................8,9
^ Elder Law
Carluccio, Leone, Dimon, Doyle & Sacks, LLC.................10
^ Professional Dentistry
Aesthetic Dental Creations................................................13
5 ^ Funeral Planning DeGraff Funeral Home.......................................................47
^ Hair Designs & Hair Replacement
Abstrax Hair Designs.........................................................49
^ Senior Living Advisor
Connie Roberson, OASIS..................................................51
^ Pediatric Dentistry
^ Massage School
^ Financial Management
^ Apartment Living
Ocean Pediatric Dental Associates, LLC..........................21
New Jersey School of Massage........................................51
Garden State Trust Company......................................22, 23
The Woods at Blue Heron Pines.......................................53
^ Law
The Matus Law Group.......................................................25 Straffi & Straffi, Attorneys at Law......................................26 EFC Law Practice..............................................................28 Kathleen M. Dotoli, Esq.....................................................35 LevinCyphers.....................................................................58
^ Fashion & Beauty
Barbara’s Boutique............................................................27 Mrs. B’s Boutique..............................................................39
^ Featured on the Cover
Ocean Otolaryngology Associates........................29, 30, 31
^ Full-Service Cleaning
Always Immaculate, Inc.....................................................33
^ Assisted Living
Spring Oak of Forked River.........................................56, 57
^ Inn & Tea Room
600 Main Bed & Breakfast...........................................60, 61
^ Adult Community
Fountainhead.....................................................................62
^ Education
Ocean County College......................................................63
^ In-Home Care
Karing With Kindness........................................................66
^ Acupuncture
Enlightened Solutions........................................................35
Koehler Acupuncture.........................................................67 ^ Women of Ocean County.................68, 69, 70
Monmouth/Brick Electrolysis............................................38
Airship Storage..................................................................71
^ Holistic Substance Abuse Treatment ^ Permanent Hair Removal ^ Private Investigator
New Jersey Investigation..................................................39
^ Business & Finance
Copiers Plus......................................................................41 Brick Township Chamber of Commerce...........................63
^ Business & Personal Storage ^ Theatre & Entertainment
Imbible...............................................................................72 Curvy Widow.....................................................................73 ^ Community...........54, 59, 67, 71, 74, 75, 76, 77, 78
Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook! Health & Wellness
WA N T A M A Z I N G L A S H E S ? Keratin Lash Lift with Tint Longer-Thicker-Darker- Curlier-Beautiful Your Natural Lashes, not extensions or fake lashes No Maintenance, lasts 8-12 weeks Regular price $199 Promo $149 VIP $119 Call to reserve yours now 732-323-3000
Call Spa Virtue Today! 732-323-3000 • 277 Route 70, Toms River NJ www.bestpaday.com • @spavirtuebodywrapshoppe
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
6
Medical Professionals
The Latest Noninvasive Fat Destruction and Body Sculpting Technology Jeffrey Gosin, M.D., F.A.C.S.
Board Certified Vascular Surgeon We all have problem areas of fat that seem to persist in spite of a healthy diet and exercise. Perhaps it is a belly that just won’t go away no matter how many situps or crunches you do. For many people it is difficult “love-handles” or a “muffin top.” Maybe it is that last little bit of “baby weight” around the midsection. There is now a noninvasive, safe and effective laser procedure to remove these stubborn pockets of fat. The Aesthetic Laser Center at Shore Vascular & Vein Center is proud to now offer SculpSure®, the latest minimally-invasive procedure for targeted fat destruction and body contouring. With SculpSure®, up to four completely customizable laser applicators are used to deliver a specific type of laser energy to destroy targeted fat cells. The treated fat cells are then permanently eliminated through the body’s natural immune system. SculpSure® is FDA approved to remove up to 24% of unwanted fat with each treatment, without the need for painful surgery. It can be used in many different body types, and in all skin types. The SculpSure® versatile applicator system allows the treatments to be completely individualized to each person’s unique shape and areas of concern. This allows for smooth and natural-appearing body contouring. Each SculpSure® treatment takes just 25 minutes. That’s less than half of the time of other body sculpting procedures. SculpSure® treatment is extremely well tolerated, with people typically describing only mild to moderate discomfort during the procedure. Best of all, there is no down time following the procedure. Individuals can return to all of their usual activities immediately following treatment, with no restrictions. SculpSure® has been featured on “The Doctors” and recently was voted “Beauty Game Changer” in New Beauty Magazine’s Best of 2017 Best of Beauty Awards.
Special Introductory Pricing
609-927-VEIN (8346) www.GetGreatLegs.com 442 Bethel Road Somers Point, NJ 08244
• Vascular and Varicose Vein Treatment • Laser Tattoo Removal • SculpSure: Noninvasive Laser Body Sculpting • SmartLipo: Minimally Invasive, Office-Based, Laser Assisted Liposuction • And Much More!
Frequently Asked Questions: Who is a candidate for SculpSure®?
Typically people with “trouble spots” that seem resistant to diet and exercise are the best candidates for SculpSure®. Optimal results are obtained in healthy individuals with a body mass index (BMI) of 30 or less.
Is SculpSure® just for women?
No. Both men and women will benefit from SculpSure®.
What does SculpSure® treatment feel like?
People will first feel a cooling sensation. This helps to keep the skin comfortable during treatment. The laser then cycles on and off, raising the temperature of the fat cells, causing the fat destruction. During this phase of treatment people generally describe a deep warmth and/or tingling sensation during the 25-minute treatment. It is generally very well tolerated. Furthermore, the treatment can be customized as it is being performed to provide additional comfort when needed.
Is there bruising or pain following treatment?
There is typically no bruising and only minimal soreness after SculpSure® treatment. Unlike other types of body sculpting technologies that use suction and freezing to destroy fat, SculpSure® uses laser energy. When the treatment is completed, the laser is simply removed from the body and the individual goes about his or her normal activities. There is no painful massage or warming required after the treatment is completed.
How much does SculpSure® cost?
Every treatment plan is customized to each individual’s requirements and goals. Cost will depend upon the number of areas being treated and the size of each of those areas. Our physician will work with you to create a specific treatment plan to obtain the best possible results in the most cost-effective manner. Exact pricing is determined during a free initial consultation. We are also currently offering special pricing as we introduce this incredible new technology to our community.
ABOUT OUR DOCTOR
Jeffrey Gosin, M.D., F.A.C.S., is our medical director. He is Board Certified in both Surgery and Vascular Surgery. He is also an experienced laser surgeon, treating numerous vascular and other aesthetic conditions with the highest quality laser devices available. Dr. Gosin personally performs all laser procedures in our center.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Nursing & Rehabilitation Center
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Compassionate Nursing Care
t FountainView and Tallwoods Care Centers, our mission is to provide the epitome of quality care for our residents. When we think about our residents’ care, we don’t just limit it to our medical and rehabilitation care. Instead, we understand that when our residents are suffering from illness or disability, they deserve so much more than just treatment. Our medical and nursing staff is above par and our therapy is expertly provided in our state-of-the-art facility. However, we take more pride in the fact that our staff is warm and caring, ensuring that our residents are always treated with the ultimate kindness and gentleness. Additionally, we provide a stimulating environment, maintain a full recreation schedule and make sure our residents are still connected to the cultural and social dynamics of the world around them. Our goal, no matter the length of one’s stay, is to treat, cultivate and inspire body, mind and spirit so that when a resident returns home, they’ve gained so much more than a rehabilitative or nursing care. Our goal is to minimize the length of our residents’ stay with us, but at the same time, we hope that every day they’re with us is one they’ll love.
TOURS Please call Admissions Department to schedule a tour! Tallwoods Care Center 732-237-2220 Ext. 111 Fountainview Care Center 732-905-0700 Ext. 103
TESTIMONIALS: “Home-like environment and very caring staff. My mom was there for years and died there. I couldn’t have chosen a better place. Her regular caregivers came in on their day off to spend time with her when she was actively dying. I’ll strongly recommend this facility.” —Christina, Tallwoods Care Center “I’m going to tell my friends to come here because it’s a fantastic place, the nurses are great and the food is great too!” —Guy, Fountainview Care Center
Come In For A Tour And Receive A Free Umbrella
“They not only take care of (my daughter), they care about her...excellent.” —Deborah, Fountainview Care Center
UPCOMING EVENTS
Tallwoods Care Center A Premier Nursing, Rehabilitation, & Long-Term Care Center 18 Butler Blvd., Bayville, NJ 08721 www.TallwoodsCareCenter.com 732-237-2220
SEPTEMBER: 100th Birthday Party, Fountainview event - Sept. 9 Tallwoods event - Sept. 12 NOVEMBER: Nov 15 - Community Bingo Fountainview Event Nov 8 - Harvest Reunion Tallwoods Event Nov 29 - Community Bingo Tallwoods Event
The County Woman Magazine www.TheCountyWoman.com
Fountainview Care Center Discover Ocean County’s Fountain of Youth 527 River Ave., Lakewood, NJ 08701 www.FountainViewCareCenter.com 732-905-0700
September/October 2017
8
The County Woman Team
Meet The Talented Team Of Professionals There are countless reasons why the County Woman Publications Magazines have enjoyed so much success throughout the years. Besides serving as an important hub where local folks can learn about various business and health professionals, the magazine has built a sense of community among its loyal readers. As a trusted source of advice and information, the focus continues to be on high quality articles that are of interest to women and their families of all ages. Behind every issue lies a talented team of professionals who produce the magazine each month. This page gives our readers a chance to get to know them a little better.
Chris Lam, Publisher
Lauren Shover, Office Production Manager
What do you enjoy most about publishing? I derive a great deal of satisfaction from being able to partner with our clients and learn about who they are, what services they provide, and how they wish to present themselves to their audience. To me, publication media is a fantastic way to convey a message quickly while providing engaging and informative content for our readers. I am so proud of our tremendous team and the passion they have for our clients and readers.
What do you find to be the greatest challenge? I view challenges as opportunities. For the County Woman, there are opportunities for us to continue growing our coverage areas and to strengthen our online presence. We continually challenge ourselves to be the number one educational resource for our readers. What are your goals for the County Woman this year? First and foremost, my primary goal is to continue the same high standard of magazine content, client service, and sense of community that our readers deserve. Beyond that, we will be undertaking a project this year to survey our readers for their insight and feedback so that we can provide the best readership experience possible. So be sure and keep an eye out for that! Have you learned anything new about yourself since starting this new endeavor? Yes, there are so many discoveries I have made. In particular, I have enjoyed using my creative side more than ever, and have been mastering the art of time management. There are countless things that happen behind the scenes of each issue and to be able to produce and distribute the County Woman on a bi-monthly basis takes an enormous amount of work. It would not be possible without our team members performing to their full potential.
What are your goals for the magazine this year? As Production Manager, I have been able to oversee each cycle very closely. These days technology has become a huge part of everyday life. I would like to see the magazine become even more tech savvy. As a millennial, designing an app, or creating the website to become more mobile-friendly would be an ideal incentive to offer our clients. Additionally, I would like to see our social media continue to thrive. Over the past few years, the combination of print and social media is one of the most effective ways to advertise businesses. What do you enjoy most about your job? There are many things that I enjoy about working at the County Woman Publications. From the talented contributing writers, editors, and designers, whom I have learned so much from, to the clients which I have built long-lasting relationships, and lastly, the team of wonderful individuals, whose synergy results in making the publication a success. I would like to thank all of them for their commitment and dedication! If you were not in publishing, what kind of work would you be doing? When I am not in the office, I enjoy spending time with my Chocolate Lab, Bear, and my three cats. I have always had a passion for animals and my love for them continues to grow. If I were not in publishing, I would enjoy a job where animals are the focal point.
www.thecountywoman.com
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
The County Woman Team
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Behind The Pages Of The County Woman Publications Kristina Pruitt, Regional Sales Director
What are your goals for the magazine this year? My goal is to remain a quality and leadgenerating tool in our clients’ marketing plan. I would like to reach even further into the communities we serve with helpful information, especially in the areas of health, women, and children. We have exciting growth on the horizon!
What do you find to be the most challenging aspect of your role as Sales Director? Because I travel quite a bit for my work, inclement weather can really put a damper on my disposition and safety. Sometimes, it can also be challenging to educate business owners on the importance of marketing. Spending money to create public awareness can add up. Our goal is to design a marketing plan using the combination of print and online media which best fits the client’s business goals. What is the most rewarding part? I enjoy getting the opportunity to speak with community leaders and hear about their triumphs and issues. Sales in any field can be a very rewarding position when the goal sits ultimately with the success and satisfaction of your client. Our staff takes a vested interest in the outcome for our clients and in the education of our readers. What do you think makes the County Woman so unique among other publications? Our commitment to solid and helpful information creates a connection between our contributors and our readers. We have bridged the gap for many organizations to work together and for community members to learn more about what’s happening in their own backyard.
Jessica Sochocky, Production Assistant
What do you enjoy most about the Graphic Design Field? To me, graphic design is a way to express yourself and be able to create anything from your imagination. It is a wonderful feeling and highly rewarding for me to be able to create the exact image the client desires to help increase their exposure in the community. I look forward to expanding my knowledge and continue to grow with this ever-changing field.
What is the most challenging aspect of your position? Working for a publication that covers multiple counties throughout the state and the many businesses far and in between is stimulating and rewarding. With so much going on, we continually try our best to be precise in showcasing exactly what our clients want in each issue. The goal is always to make their pages fresh and exciting so that it grabs our reader’s attention. This is a fast paced position that requires high levels of customer satisfaction, working towards the same goal of making an outstanding magazine with a personal touch. What do you think makes the County Woman so unique among other publications? The magazine remains very special to our readers and writers. We offer completely custom design pages for our clients that are unlike any other publication. We don’t just list a businesss’ name and their services; rather, we give an inside look to businesses in a friendly informative format. This helps the business to get one step closer to providing the help or expertise that our readers may need. I have always cherished this about the County Woman because we do our best in getting this information to our readers in a fun and educational way.
Desiree Hoover, Billing Manager
What do you enjoy most about working for the County Woman Publications? The best part for me is the culture of our office and the dedication and personal touch that is incorporated not only into our publications, but also with our customers gives me a sense of gratification. How did you get started working for the magazine? I joined the County Woman team last March. I have a BS in Business Administration with a concentration in Finance and a MBA with a concentration in accounting. I have worked for Aramark, Thermo Fisher and Campbells in various accounting and finance roles. I jumped at the chance, when I saw the opportunity to work for a company like The County Woman publications! As the Accounting Manager, what do you enjoy most about your job? I enjoy finding ways to reduce existing costs and expenses as well as reshaping processes to be as efficient as possible. This will allow more time for strategic planning. What do you enjoy doing in your spare time? When I am not in the office, I like to spend time with my husband and four children. I am very excited about my future here at the County Woman!
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
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CLDDS - OCW full pg Sept/Oct.qxp_Layout 1 8/3/17 10:45 AM Page 1
Elder Law
Establish a plan, diffuse a crisis, or ask a question...
ANNEMARIE SCHREIBER, ESQ. Certified Elder Law Attorney* has the knowledge and experience to help you!
Estate Planning in a Digital World
W
ho will have authority to access or manage your digital assets after you die? Until recently, little was certain about how digital assets would be treated after the owner passed away. Oftentimes, no one, not even the owner’s executor, had the authority. Fortunately, lawmakers are finally catching up with the digital age, realizing that executors need access to digital assets in order to finalize the owner’s estate. A handful of states have laws that provide this authority, and many more, including New Jersey, are considering adding it to their statutes.
and Dropbox accounts. There are also numerous miscellaneous digital assets that encompass electronic subscriptions, reward programs, blogs, items stored in the cloud, gaming accounts, video sharing accounts like YouTube, movie services like Hulu or Netflix, electronic libraries like Kindle or Barnes and Noble, medical or educational records accessible through portals.
In New Jersey*, an executor still faces a formidable task of determining what accounts the decedent owned and to access those accounts. An executor’s task would be made much less onerous if the decedent left a list of access information and instructions. The executor can then easily access the accounts, address what needs to be done without the added stress of having to determine what accounts existed and figuring out how to gain access.
In today’s highly digital world, it is important that you review how your estate plan handles digital assets, and decide if an update is needed. Appropriate language may need to be included in your estate documents that authorizes your executor to access and deal with the your digital assets. * On July 31, 2017, the Assembly gave final legislative approval to A-3433, known as the “Uniform Fiduciary Access to Digital Assets Act.” The bill passed both houses of the Legislature without opposition and now goes to Gov. Chris Christie for consideration.
Digital assets are not the electronic devices such as computers, smartphones, or iPads or tablets. Rather, digital assets are the information stored on the electronic devices. There are the social media accounts, such as Facebook, Twitter, Instagram, Linked-in, Snapchat, and Shutterfly and other social sites. There are the personal accounts that include a wide range of accounts that include email accounts, financial accounts, auto-pay or paperless billing accounts, personal daily calendar, contact lists, statement information from financial institutions or credit cards, PayPal, Amazon, eBay, Sirius, Spotify, Pandora, and other digital accounts that the owner maintained his or her personal information. There are the digital business accounts that include assets such as digital customer information, databases, trademarks, trade-secrets, websites, domain names,
To schedule a consultation or for more information about how we can help you and your family...
Call Annemarie Schreiber at 732-797-1600
If you are unable to make it into the office, we are willing to visit you in your home, hospital, assisted living facility, or nursing home. Estate Planning, Probate, and Administration Wills and Trusts Powers of Attorney Advanced Medical Directives
Guardianships/ Conservatorships
Healthcare Decisions
Medicaid/Medicare Planning
Social Security
Nursing Home Issues Counseling and Document Preparation
Asset Preservation and Protection
Estate and Gift Taxes
Elder Abuse Cases
…and More.
Disability Planning
*As a Certified Elder Law Attorney (CELA) by the ABA approved National Elder Law Foundation, Annemarie Schreiber is one of only 400 or so attorneys in the entire United States who is a qualified CELA. She is certified by the ABA approved National Elder Law Foundation and has years of experience offering clients in Ocean and Monmouth counties the legal counsel they need to plan ahead for their future or the future of there loved ones work through difficult situations.
Bankruptcy
•
Business, Corporate & Commercial Law
Divorce & Family Law Landlord/Tenant
•
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Education Law
Litigation
•
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Mediation & Arbitration
Real Estate - Residential & Commercial
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732-797-1600 www.CLDDS.com 9 Robbins Street, Toms River, NJ 08753
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The County Woman Magazine www.TheCountyWoman.com
Criminal Law & Municipal Court Matters
Elder Law, Estates, Wills and Probate •
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Employment Law
Personal Injury, Auto Accidents & Wrongful Death
Property Tax Appeals facebook.com/CLDDS
@CLDDS
September/October 2017
Medical Professionals
11
Bariatric Surgery 101
Did you know that Bariatric Surgery can help resolve 80- 90% of Type II Diabetes or that bariatric surgery can reduce or eliminate many other critical illnesses that impede your ability to fully enjoy your life? Commonly referred to as “weight loss surgery”, it is so much more than just a surgery that helps our patients lose weight. TELL US ABOUT THE DOCTORS OF GARDEN STATE BARIATRICS. Dr. Michael Bilof and Dr. Basil Yurcisin, two of the top bariatric doctors in New Jersey, are senior members of the bariatric community and are trained by the top programs in the nation. With thousands of surgeries between them, Drs. Bilof and Yurcisin sit on committees and participate in research studies to keep current in their fields and utilize the safest and more proven surgical methods for their patients. Both doctors are board certified surgeons specializing in bariatric surgery. WHY CHOOSE BARIATRIC SURGERY? This surgery is not a “quick fix”. It represents a commitment to reclaiming your health. Today, more Americans are morbidly obese – meaning 100+ pounds above ideal body weight – than ever before. Many people have experienced the ravages of obesity and its related diseases like Type II Diabetes, High Blood Pressure, Sleep Apnea and Heart Disease or have witnessed the suffering of their loved ones. Drs. Bilof and Yurcisin, MBSAQIP accredited surgeons, have collectively performed more than Michael l. Bilof, Basil M. Yurcisin ll, 3,500 successful Gastric Bypass, Duodneal Switch, and Gastric Sleeve surgeries over the course of MD, FACS, FASMSBS MD, FACS, FASMSBS their career and have seen a dramatic reduction in their patients’ Type II Diabetes, Hypertension (High Blood Pressure), Coronary Artery Disease, and much more. WHAT BARIATRIC PROCEDURES DO YOU PERFORM? At Garden State Bariatrics, there are many treatment options available, depending on a persons’ medical history, weight loss goals, lifestyle and expectations. Listed below are the procedures that can be done by Garden State Bariatrics: • Duodenal Switch Surgery • Sleeve Gastrectomy • Gastric Bypass Surgery • Revisional Bariatric Surgery • ReShape Dual Balloon WHO IS ELIGIBLE FOR BARIATRIC SURGERY? The criteria for Bariatric Surgery are fairly straightforward. The same criteria apply whether you are considering the Duodenal Switch, Gastric Bypass or the Gastric Sleeve. If your Body Mass Index (or BMI – a height to weight ratio) is greater than or equal to 40, you are a candidate for weight loss surgery. If your BMI is between 35 and 39.9 you may be a candidate for surgery if you have serious medical problems related to obesity such as Type II Diabetes, Hypertension (high blood pressure), or Sleep Apnea. For those with a BMI less than 35, the ReShape Balloon is an option. Reclaim Your Health, Your Body… Renew Your Life Visit our website to calculate your BMI today www.GSBWC.com
225 MILLBURN AVE., SUITE 204 MILLBURN, NJ 07041 973-218-1990
1430 HOOPER AVENUE #203 TOMS RIVER, NJ 08753 732-269-6800 WWW.GSBWC.COM
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
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Medical Professionals
Lentigo Maligna Melanoma The incidence of melanoma has increased steadily in last decades. The American Cancer Society estimates that 76,380 new melanomas (about 46,870 in men and 29,510 in women) were diagnosed in the United States in 2016. The number of deaths from melanoma is estimated at 10,130 persons (about 6,750 men and 3,380 women). Lentigo maligna is a deadly skin cancer, a subtype of melanoma in situ. It affects women more commonly than men. Lentigo maligna melanoma is one of the subtypes of invasive melanoma that represents 5-15% of cases. Lentigo maligna melanoma most commonly occurs on sun-exposed skin, especially of the face, more so in elderly persons but might affect people of any age. It is characterized by an irregular border, more than one color, and large diameter. Lentigo maligna melanoma is most often found in the head and neck. Sometimes other areas are affected, too. The danger of this type of melanoma is that oftentimes it is mistaken for discoloration called melasma, freckle, age spot, liver spot or sun spot.
Risk factors: • Ultraviolet radiation exposure • Age • Increased number of moles/freckles • Fair skin • Sunburn or sun poisoning • Working outdoor • Genetic: about 10% of melanomas are familial The biopsy, performed by a health care professional (usually dermatologist) to diagnose lentigo maligna, does not influence patient survival or rate of metastasis. Previous concerns that incision into a melanoma promotes its dissemination have been allayed. Lentigo maligna is usually treated with surgery after biopsy has confirmed the diagnosis. Melanoma should be managed by a multidisciplinary team that includes a dermatologist, surgeon, and medical oncologist, as well as other allied health professionals. Since prevention of lentigo maligna is the best option, please do not ignore annual skin checks with your dermatology health care provider.
FOR MORE INFORMATION CALL 732-244-2666 OR VISIT WWW.QUALITYDERM.COM RENATA FLAKS, DNP (DOCTOR OF NURSING PRACTICE)
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Professional Dentistry
VENEERS
TEMPOROMANDIBULAR JOINT (TMJ)
Veneers are porcelain coverings that are bonded to the front of the teeth to create a beautiful smile. They are individually sculpted and can transform any smile. With today’s technology, these high-tech porcelains are strong, thin and natural. Veneers are great for restoring teeth discoloration, gaps and misshapen and crooked teeth. Instead of waiting one to three years for regular orthodontic treatment in as little as two appointments you can have a new smile that’s right for you.
When the temporomandibular joint (TMJ), the teeth, and the muscles of the jaw are all out of whack, it can trigger a lot of pain to the head and neck. Tension headaches are the most common form of headache, and it is often caused by muscle tension. If your muscles have to work overtime to properly align your bite, the result is likely to be pain. Neuromuscular dentistry considers the entire system that controls the positioning and function of your jaw. The neuromuscular dentist seeks to establish a jaw position based on a harmonious relationship of the teeth, muscles and jaw joints.
SIX MONTH SMILES® A revolutionary combination of proven orthodontic techniques, modern materials, and innovate thoughtsSix Month Smiles® utilizes specialized clear braces to gently straighten and align the visible teeth in the front of your mouth in an average time of just six months. Take the first step towards improving your smile, your confidence and your life.
FOUNTAIN OF YOUTH™ We are excited to offer FOY Dentures™, the Denture Fountain of Youth™ to our patients. These custom dentures provide neuromuscular support and stimulation to the bone structure, preserving the natural contours of your jaw. People will comment on your more youthful appearance, and you’ll maintain a healthier countenance for a longer period of time.
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The County Woman Magazine www.TheCountyWoman.com
INVISALIGN® Invisalign® has become one of the most discreet ways to straighten your teeth. With Invisalign®, its increasingly hard for people to tell if you are wearing trays. They are almost invisible and are great for people who need to be discreet about their treatment. Invisalign® is less painful than braces and causes less discomfort. In addition, you can actually remove the trays if absolutely required for things such as important social events or pictures.
September/October 2017
14
Medical Professionals
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Medical Professionals
15
Reproductive Science Center of New Jersey Proudly Welcomes Dr. Virginia A. Mensah To The RSCNJ Family Dr. Virginia Mensah is a specialist in Reproductive Endocrinology and Infertility. She completed her fellowship training at Women and Infants Hospital, affiliated with the Warren Alpert Medical School of Brown University in Rhode Island. Dr. Mensah received her medical degree from the University of Illinois at Chicago, College of Medicine, and went on to complete her Obstetrics and Gynecology residency at Johns Hopkins Hospital. Dr. Mensah is
currently accepting new patient appointments at our
Toms River and Eatontown locations.
Helping Small Miracles Happen • Comprehensive Fertility Care • Egg Freezing • Treatment for Recurrent • InVitro Fertilization (IVF) Pregnancy Loss • Intrauterine Insemination • Donor Egg • Intracytoplasmic Sperm • IVF/Donor Egg Refund Injection (ICSI) Program • Preimplantation Genetic • Advanced Robotic Diagnosis and Screening Reproductive Surgery
Community
Infertility Stops Here...
begin your personalized fertility treatment plan today DR. WILLIAM F. ZEIGLER DR. ALAN M. MARTINEZ DR. VIRGINIA A. MENSAH Insta
TOMS RIVER • EATONTOWN • LAWRENCEVILLE 732-240-3000 • FERTILITYNJ.COM
FREE SECOND OPINION • FREE PHONE CONSULTATION • PERSONALIZED TREATMENT PLANS
CASA of Ocean County Golf Event Monday, October 2, 2017 Sea Oaks Country Club Little Egg Harbor, NJ For more information or to register online, visit us at www.CASAofoceancounty.org.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
16
Medical Professionals
Meet The Doctors Of University Urology Associates of New Jersey Mukaram Gazi, MD, FACS Dr. Mukaram Gazi, the founding member of UUANJ, graduated from the University of Miami School of Medicine and completed his post-graduate training in urology at UMDNJ Robert Wood Johnson Medical School (now known as Rutgers RWJ Medical School) in New Brunswick, NJ. In practice since 2003, this exceptionally skilled, minimally invasive surgeon treats the full range of urinary tract and male reproductive disorders—from no-scalpel vasectomies, erectile dysfunction, and urinary incontinence to state-of-the-art robotic surgery for prostate cancer and enlarged prostate (BPH). Dr. Gazi is devoted to his patients, treating them like family in a compassionate and caring manner. He is board certified in urology, has advanced training in sub-specialties such as uro-oncology and pelvic floor reconstruction, as well as pediatric urology. He is currently an Adjunct Clinical Professor at Fox Chase Cancer Center and Clinical Assistant Professor at Rutgers Robert Wood Johnson Medical School. Dr. Gazi’s background and expertise, combined with honest communication, have earned him recognition as one of America’s Top Urologists by Consumers’ Research Council of America and Castle Connolly Medical, Ltd., and again this year as a Top Doctor by New Jersey Monthly.
Parvez Mahmood, MD, FACS Dr. Mahmood has been in practice in Ocean County since 1974. He received his training in New York City at Mount Sinai Hospital, New York University Medical Center, Bellevue Hospital Center and Memorial Sloan Kettering Cancer Center. He is currently an Adjunct Clinical Professor at Fox Chase Cancer Center and Clinical Assistant Professor at Rutgers Robert Wood Johnson Medical School. Dr. Mahmood is board certified in urology and is a Fellow of the American College of Surgeons.
AlexanderGotesman, Gotesman,MD MD Alexander Dr. Gotesman earned his medical degree from the State University of New York at Stony Brook and completed his urology residency training program at Mount Sinai Medical Center in New York in 2005. After graduation, Dr. Gotesman completed five years of clinical research in Urology and he currently specializes in adult and pediatric ambulatory urology. He maintains strong affiliations with many local and national medical societies and is a member of the prestigious Alpha Omega Alpha medical honor society. Dr. Gotesman has received several awards and recognition for his, patient-centered care philosophy. He Joined UUANJ in 2012.
WHAT IS A UROLOGIST? A urologist is a physician who has been trained to treat disorders of the male and female urinary tract (bladder, ureter, kidney, and urethra) and the male reproductive system. Urologists encounter many issues and must have knowledge of internal medicine, pediatrics, gynecology, and other specialties as they are used regularly. Urology is classified as a surgical subspecialty. A urologist with advanced qualifications in surgery may be a Fellow of the American College of Surgeons (FACS).
www.uuanj.com
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Medical Professionals
17
Meet The Doctors Of University Urology Associates of New Jersey Imani Rosario, MD Dr. Rosario earned her medical degree from the Georgetown University School of Medicine and completed her post-graduate training in urology at Rutgers New Jersey Medical School. After completing her training, Dr. Rosario was appointed Assistant Professor of Surgery in the Division of Urology at Rutgers New Jersey Medical School. In this position, she was responsible for training and teaching medical students, general surgeons and urologists in training. Dr. Rosario is Board Certified by the American Board of Urology. She joined UUANJ in 2016.
HAMILTON 1374 Whitehorse Hamilton Sq. Rd. Hamilton, NJ 08690
HOWELL 2364 Route 9 South Howell, NJ 07731
Bob Peterson, DC, PA-C Mr. Robert Peterson is a retired Chiropractor and has been a Physician Assistant for 18 years. Mr. Peterson has been working with UUANJ for the last six years. He has been an Adjunct Associate Professor at Mercer County College for 10 years, teaching Biology, Pathology and Anatomy and Physiology, and an Assistant Professor at the Philadelphia University Physician Assistant Studies Program. He has also mentored other Physician Assistants and Licensed Practical Nurses. Bob joined UUANJ in 2011.
FREEHOLD 495 Iron Bridge Rd. Freehold, NJ 07728
TOMS RIVER 20 Hospital Drive Toms River, NJ 08755
“ The staff at University Urology have helped me and my family get through the most difficult time in my life. I had a biopsy after my PSA test came back abnormal. My wife and I were devastated to hear that I had prostate cancer. The doctors and physician assistants were very caring and knowledgeable. They gave me all my options and discussed the pros and cons of each treatment option. They walked us through the entire process and care plan and provided us with all the literature so we could refer back to it when needed. I couldn’t ask for a better team.” — B.B Howell, NJ
The County Woman Magazine www.TheCountyWoman.com
For Appointments (609) 581-5900 (732) 928-5300 UUANJ.COM September/October 2017
Medical Professionals
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Add to your skin’s beauty with a PicoWay® treatment. This is a whole new way to get smooth, soft skin with a more balanced, even tone and color. No matter what your age is, your skin can be rejuvenated so you can look your best. It is truly new beauty at the speed of light. We are the first to offer this groundbreaking treatment in New Jersey and one of a few practices in New Jersey to even offer pico-technology. PicoWay® is a revolutionary picosecond laser which delivers laser light in a picosecond or one trillionth of a second. What this means for the beauty of your skin: it is a fast, effective, safe treatment, which can be used to enhance all skin colors. Traditionally, fractional treatments with a CO2 laser would be recommended and these treatments are still great for severely sun-damaged skin, but the downside of these treatments is prolonged healing, due to the disruption in the top layer of your skin, of about a week and a more painful treatment. PicoWay® works by giving you a fractional treatment but in a completely new and incredible way. The PicoWay® ultrafast pico-laser light beam is holographically fractionated (separated) to rejuvenate your skin. We call this treatment PicoResolve®. The PicoResolve® fractional skin treatments regenerate new collagen and elastin to your skin. This laser fractional treatment can target the top layer or second layer of your skin; this creates a skin-regenerating response to your skin by the laser light itself, the vibration of the laser light signaling other cells to start skin renewal, and initiates other cells to start signaling the regeneration of new, beautiful skin. It is truly amazing! We are excited to be able to offer this treatment. The best part about these treatments is that they do not affect the top layer of the skin, which means NO downtime and less discomfort. In fact, treatments can be done every 2-4 weeks with a nice improvement seen on average after 2 treatments. We recommend at least 4 treatments for optimal skin rejuvenation, but some patients look to improve further with a series of 6 treatments. The average treatment time is about 15-20 minutes. PicoResolve® fractional is the only picotreatment that can target the top layer and middle layer of the skin, and this unique combination gives us the flexibility to individualize your treatment, which will smooth fine lines, soften roughened skin texture, and even your skin tone by removing blemishes and brown spots.
Call Today For Your PicoWay® Consult! 732-255-7155 www.OPSNJ.net Artistry • Beauty • Rejuvenation Non Invasive
Botox Dysport Juvederm Juvederm Volbella Juvederm Voluma Juvederm Vollure Radiesse Restylane Silk
Body
Laser Center
Fractional Skin Rejuvenation Hair Removal Spider Vein Treatment Red Spot Removal Brown Spot Removal Face Picolaser Tattoo Removal Facelift Photofacials Cheek Lift Refresher Laser Peels Neck Lift Rosacea Treatment Eyelid Surgery Scar Treatment Fat Transfer~ Lipoaugmentation PicoResolve Rhinoplasty Chin Augmentation Otoplasty Liposuction Tummy Tuck Body Lift Arm Lift Labiaplasty
Breast
Augmentation Lift Reduction Reconstruction Revision Augmentation Revision Reconstruction
Vectra 3 D Imaging Face Breast Body
OFFICE LOCATIONS TOMS RIVER / MANAHAWKIN
Contact Us at www.OPSNJ.net or call 732-255-7155
The County Woman Magazine www.TheCountyWoman.com
September/October Specials PicoResolve Wrinkle Treatment $100 Discount ........... PicoWay Tattoo or Brown Spot Removal $50 Discount Call Today for a Complimentary Consultation Disclaimer Offer subject to change without notice. Void where prohibited by law. Can not be combined with any prior promotions. Must be 18 years of age or older. Treatments are not transferrable or divisible. Promotional discount for PicoResolve and PicoWay treatments that can be performed in the promotional period. If treatment is performed beyond the promotion period then treatments must redeemed in 6 months or forfeited. PicoResolve discount applies for a full facial treatment. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment or be reimbursed for payment for any other service, examination or treatment that is performed as result of and within 72 hours of responding to the advertisement for free, discounted fee, or reduced fee. Expires Oct 31st.
September/October 2017
Photos: David Friedman, M.D.
PICOWAY® TO WOW! Wrinkle - Tattoo - Sun Damage Removal
Business Spotlight
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Dr. Small Redefines What It Means To Be Beautiful A
staff writer at Ocean County Women had a moment to sit down with board certified plastic surgeon, Dr. Stephen Small, to discuss his career and inspirations which led him to establishing his Ocean Plastic Surgery practice in Ocean County, New Jersey. OCW: What led you into the field of plastic surgery?
Dr. Small: When I was 9-years-old, I was involved in a major accident which resulted in second and third degree burns to my right arm, shoulder, chest and face. I am thankful to be alive and because of excellent care I recovered fully. While I still have scars from that injury, I could see my progression with before and after photos of my recovery and was astounded. I thought if I could help just one person, the way that I was helped, that was what I would do with my life. The person who helped me was a plastic surgeon, Dr. Richard Dabb.
OCW: What defines beauty to you ?
Dr. Small: To me, we are all naturally beautiful. The beauty we all possess is unique and can not be defined by an arbitrary look, perception of flawlessness, a measurement, or age. My perspective of beauty and passion as a plastic surgeon has been shaped by my own life experience starting with an injury as a young child. While I have scars that will never go away I look at my appearance not as having an imperfection or flaw but, rather a small aspect that has added to my character to the person I am today. Beauty is enhanced by looking and feeling our best. As your plastic surgeon my goal is to use my expertise and life passion to help you look and feel your best.
OCW: What is your educational background?
Dr. Small: I am a Board Certified Plastic Surgeon going into my eleventh year of private practice in Ocean County. My plastic surgery residency was through Ohio University at South Pointe Hospital~ Cleveland Clinic Health System. In Cleveland, I had the opportunity to train with some of the best cosmetic and reconstructive surgeons in the country at the Cleveland Clinic, Metropolitan, Case Western, Lutheran and South Pointe Hospitals. Prior to my plastic surgery residency, I had completed a burn and plastic surgery
Dr. Stephen Small Board Certified Plastic Surgeon reconstructive fellowship at New York Medical College, Westchester Medical Center. This was an intensive one-year fellowship in burn, hand, craniomaxillofacial and microsurgery surgery at a level one trauma center. Preceding all of my plastic surgery training was the completion of a five-year general surgery residency at the University of Medicine and Dentistry of New Jersey in Stratford. My undergraduate study was in physiology at Penn State University where I was recognized as a University Scholar earning my B.S. degree. I went on to the Philadelphia College of Osteopathic Medicine to earn my medical degree and pursue my dream of becoming a plastic surgeon..
If you are interested, please give us a call at
732-255-7155 as our consults are complimentary.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
20
Medical Professionals
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Pediatric Dentistry
21
October is DENTAL HYGIENE and ORTHODONTIC AWARENESS MONTH! OCTOBER is for football, fall foliage, Halloween and DENTAL HYGIENE & ORTHODONTIC AWARENESS! As the kids go back to school, it is critical to keep dental hygiene regimens in place as you tackle school and sports schedules. A lifetime of healthy smiles starts with basic dental habits! 1) BRUSH two minutes two times a day! Brushing should begin as soon as your child’s teeth erupt into the mouth. Start your child’s day by brushing for two minutes! Ask us for a timer at your next visit or try a dental app to make brushing fun & effective! Examples of some apps are from Disney Magic Time or My Bright Smile. Keep kids engaged and get them accustomed to two minutes for brushing. 2) FLOSS all teeth that touch! Begin this habit as soon as your child has teeth! Use traditional floss or flossers with handles for ease. 3) VISIT us every six months. Dental check-ups should begin at age one! We will review hygiene, diet, cavity risk assessment and complete an orthodontic evaluation as necessary.
Our practice offers two convenient locations in Ocean County with board-certified pediatric dentists and orthodontists in both locations. We provide comprehensive preventive care, restorative dentistry, sedation and hospital dentistry and orthodontics. We are here to be your child’s dental home. Our orthodontist in our Toms River office is Dr. Ernest Wang. Our orthodontist in our Manahawkin office is Dr. Miriam Furlong. We are proud to offer Ocean Pediatric Orthodontic Associates for your family.
Do you want our staff to teach dental hygiene to your students or day care? Contact us at LORI@oceanpediatricdental.com We visit over a thousand children each year!
OCEAN PEDIATRIC DENTAL ASSOCIATES ARE SPECIALISTS DEDICATED TO INFANTS, CHILDREN & ADOLESCENTS AND OUR OFFICE HAS BEEN DESIGNED AND CREATED JUST FOR KIDS!
For a healthy smile this HALLOWEEN SEASON, avoid sticky & gummy candies! These types of treats can cause cavities & damage braces! CHOOSE wisely!
Dr. Elisa Velazquez (Dr. Lisa) is the owner of Ocean Pediatric Dental Associates. She graduated from the University of Medicine & Dentistry of New Jersey in 1999 and completed her pediatric residency program as chief resident in 2001. In 2002, she received a Master of Science degree in Oral Biology. Dr. Lisa earned her board certification in pediatric dentistry and is a Diplomate of the AAPD. Dr. Lisa is a member of the American Dental Association (ADA), American Academy of Pediatric Dentists (AAPD), & New Jersey Dental Association (NJDA). She is past president of the Monmouth-Ocean County Dental Association (MOCDS) and serves as state trustee and is the Vice-President of the NJ Academy of Pediatric Dentistry (NJAPD). She is the staff dentist for Children’s Specialized Hospital and the Ocean County chairperson for children’s dental health. Dr. Lisa is on the surgery staff at St. Barnabas’ Community Medical Center and Monmouth Medical Center. She holds a specialty permit to perform conscious sedation in the office. Dr. Lisa has been named “TOP DENTIST” by her peers for NJ Monthly magazine.
Your Child’s Dental Home
Toms River 368 Lakehurst Rd. Toms River, NJ 08755 732-473-1123
Manahawkin 1301 Rt 72 W, Suite 305 LOCNEW ATION! Manahawkin, NJ, 08050 609-597-9195
www.OceanPediatricDental.com
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Financial Management
22
Do You Have An Executor? Many years ago, when you and your spouse were younger, when your estate was smaller and your children were still young, someone probably encouraged you to have a will prepared because you were both taking your first extended vacation. You thumbed through the Yellow Pages (remember the Yellow Pages?) and chose a lawyer without finding out whether he or she specialized in the preparation of wills. Sound familiar? During the course of that meeting, the lawyer asked, “Who is going to take care of your estate (your executor) if something happens to you?” Most likely you named each other as executor with a friend or family member as the alternate executor. Now that many years have gone by, your estate is much larger, you have grandchildren, and your alternate executors are long gone, the decision to name your executor is more complicated. Here are some of the duties of an executor: • Collect and safeguard assets • Inventory all assets and obtain valuations • Pay valid debts and collect money owed • Carry out all of the terms of the last will in an unbiased manner • File all final federal and state tax returns • Maintain detailed accounting records If by chance you have those same old wills, it really is time to have new wills prepared, preferably by an elder law attorney. As a matter of fact, your will plan should be reviewed every few years, or when a life-altering experience occurs such as the loss of a beneficiary, a birth, a divorce, or a windfall inheritance, as examples. Before you ask someone or you are asked to serve as executor for a family member or friend, read what follows—
THE EXECUTOR I had a friend who died and he, On earth so loved and trusted me, That ere he quit this earthly shore, He made me his executor. He tasked me through my natural life, To guard the interests of his wife, To see that everything was done, Both for his daughter and his son. I have his money to invest, And though I try my level best, To do what wisely, I’m advised, My judgment oft is criticized. His widow once so calm and meek, Comes, hot with rage, three times a week, And rails at me, because I must, To keep my oath appear unjust. His children hate the sight of me, Although their friend I’ve tried to be, And every relative declares, I interfere with his affairs. Now when I die I’ll never ask, A friend to carry such a task, I’ll spare him all such anguish sore, And leave a hired executor. — Today and Tomorrow, Edgar A. Guest
The County Woman Magazine www.TheCountyWoman.com
As a corporate (hired) executor, Garden State Trust Company has specialized experience in settling estates with all levels of complexity, serving as trustee as well as asset management. This is what we do and all we do on a daily basis. We are always able to make impartial decisions while treating your family and other beneficiaries with dignity and respect.
For more information, call 732-255-5000 or visit www.gstrustco.com.
September/October 2017
Business Spotlight
23
Garden State Trust Company Gives Their Clients Total Peace of Mind
A
fiduciary stands in a special relationship of trust and responsibility to another. The selection of a fiduciary is a critical decision when choosing someone to provide solutions for your trustee, executor or investment management needs from generation to generation. As a premier provider of fiduciary services, Garden State Trust Company (GSTC) is known for providing their clients with a high level of peace of mind, knowing they have access to a comprehensive array of services which will continue to meet their needs. Garden State provides investment management, trust and estate services, and solutions for retired (or soon to be) retired individuals. Additionally, their talented team has decades of experience and expertise in the field. President and CEO Ira Brower adds, “We are guided by three very simple principles: communication, objectivity, and trust. My bottom line is your level of satisfaction with the services that we provide.” Ira and his Executive Vice President, Barbara Kannheiser have worked together in the industry for more than 25 years. “We understand that the relationship with each of our clients will evolve and that over time there will be a need for additional services. As our clients’ needs grow, so does our responsibility as advocate and advisor. Like family we are with you for life,” Barbara adds. GSTC is the culmination of their many years of hard work and experience in all levels of the industry.
OCW: Why would someone opt for an independent trust company? Ira: An independent trust company must undergo a high level of regulatory
oversight and must maintain policies and safeguards to avoid the misappropriation of client funds. Independent trust companies are also focused on a single business and are staffed accordingly with experienced professionals who are dedicated to building a close relationship with their clients. Additionally, they have autonomy in decision-making and flexibility to exercise their fiduciary responsibilities.
Ira Brower
Barbara Kannheiser
OCW:Tell us about your educational background. Ira: Next year will mark not only the 10th Anniversary of Garden State Trust
Company, but also my 50th Anniversary in the Trust Industry. After graduating from college, I began my career in Manhattan with Manufacturers Trust Company and moved to Ocean County in 1974. GSTC is the culmination of many years of experience in this industry.
Barbara: I have a Bachelor of Science in accounting and an MBA from
Georgian Court University. I have been in fiduciary administration and operations for more than 25 years. Befor GSTC, I was a senior manager for tax/ operations area of a Multi State Bank.
OCW: What separates Garden State Trust Company from other financial businesses in the area? Barbara: As an Independent Trust Company we have the autonomy in decision- OCW: What do you enjoy doing in your leisure time? making and the flexibility to exercise our fiduciary responsibilities without being Ira: I am an avid golfer and enjoy playing different courses throughout the state. mired in the conflict of internal corporate interests associated with larger multilayered financial institutions
Ira: Most importantly, we differentiate ourselves by our uncompromising
principles and the character of our people who deliver our services. Besides the high quality of services our team provides, the entire team is dedicated to placing your interests above their own. This is to ensure the personal success and benefit to our clientele.
I am also a grandfather and especially love spending time with my twin six-yearold granddaughters, Charlotte and Noelle..
Barbara: I enjoy golf and like to travel both for sightseeing and the opportunity it provides me in playing new courses in different states. I enjoy spending time with my family, including three children and two grandchildren.
OCW: What do you find to be the most rewarding aspect of your profession? Ira: It is the special relationship and bond we develop with our clients that is built on trust. We treat our clients as we would our family.
OCW: What is a generic piece of advice you would give to someone considering retirement? Barbara: Plan for the unexpected! Of course, you need to be concerned about the management of your retirement assets, but just as important is planning for the unexpected. For example, what happens to my finances in the event of my disability or a prolonged illness?
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
24
Medical Professionals
“Why Do You Do That?” Frequently Asked Questions During Mammography For almost 40 years, Toms River X-Ray, CT and MRI Center has been serving the community with diagnostic imaging. That includes our commitment to catch breast cancer early with screening mammograms. Our highly trained, experienced radiologists and compassionate staff as well as the latest technology has been providing this exemplary care. Over the decades we have been asked the same questions by our patients.
Q: Why do you need my old mammograms? A: Every day, we receive new patients into the Toms River X-Ray family.
t
Q: Why can’t I wear deodorant or powder? A: There are different types of calcifications in the breast. Some are benign and clearly not cancer. Some are
t
Many times these new patients have prior mammograms from another facility. It is extremely important to have the old mammograms for two reasons. First, breast cancer can be very subtle and difficult to identify. This is especially true for patients with dense breasts. The dense breast tissue can obscure the cancer, making it difficult to see. Having prior mammograms, Cyrus Khorrami, MD radiologists are able to see any subtle changes of the breast from year to year. This allows us to detect a much larger number of cancers. Second, some nodules and areas of distortion of the breast look very suspicious. However, if we have prior mammograms, we can determine whether these lesions are new. If a suspicious-appearing area draws a radiologist’s attention and we find it is unchanged in appearance for years, then the chances of being cancer are tiny. This saves a patient the expense of extra testing, the anxiety of thinking she may have cancer, and the discomfort of having a biopsy. Prior mammograms are invaluable to a radiologist when interpreting mammograms. Please make every effort to obtain old mammograms. It helps us all towards our common goal of detecting breast cancer and giving the best possible care to our patients.
This mammogram taken in 2017 shows a round lesion in the top of the breast
much more suspicious and are worrisome for being a part of cancer. When imaged on mammograms, deodorant and powder can look like cancerous calcifications. In these cases, we need the patient to wash off the deodorant or powder and return to repeat the mammogram. This is inconvenient to our patients, and extra mammogram images exposes them to unnecessary radiation.
A prior mammogram 2010 shows that this lesion is unchanged for the past 7 years and is not cancer
t
Q: Why do you place stickers around my moles? A: Some people have moles and beauty marks on their breasts. These skin lesions can potentially look like
t
cancer on mammograms. If these moles are marked for the radiologist, they will not be mistaken for a developing cancer.
Q: Why do you place a BB on my nipples? A: This does not occur in all patients. If nipples are imaged in a perfect profile, then placing a BB is not
necessary. However, some nipples are inverted. Other nipples may be imaged not in a perfect profile due to the patient’s anatomy. In these instances, the nipple can look like a cancer on mammograms. The placed BB helps the radiologist not to confuse an off-center nipple with a developing malignancy.
Q: Why can’t I use creams or moisturizers before an exam? A: For the best examination, it is important to have the mammogram grip the entire breast and apply firm, even pressure. Wearing creams or moisturizers can cause the breast to become slick. The breasts can slide out of position when compression is applied and the breast is not imaged adequately.
Suspicious lesion in the front of the breast. A nipple marker was used and this area was confirmed to be an inverted, off profile nipple
PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. Founder Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.
732-244-0777
PET/CT Ultrasound CT Scan High Field Open Bore MRI
Diagnostic X-Ray Digital Mammography Nuclear Medicine Bone Densitometry
Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 • Fax: 732-244-1428
www.TomsRiverXray.com5
5
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Law
25
How To Change An Irrevocable Trust
Written by Christine L. Matus Esq. When dealing with irrevocable trusts, the ability to effect change can be difficult to understand, presenting more questions than answers. The correct answers often depend on a variety of factors, but a good starting point is state law and the trust document itself. When modification or termination of an irrevocable trust is sought, a possible mechanism is for the trustee or beneficiary to seek a court order. When it comes to interpreting language in an irrevocable trust, appointing a trustee or providing directives to a trustee, a non-judicial settlement agreement may be an alternative to filing a court proceeding. In some states, trustees, heirs, spouses and beneficiaries are among those permitted to enter into a binding non-judicial settlement agreement, so long as the terms do not violate a material purpose of the trust, the terms and conditions could otherwise be properly approved by the court, and any modifications sought are not already provided for in the trust.
Some states also allow trust “decanting” as another means for modifying irrevocable trusts. A trust decanting involves a trustee’s exercise of discretion to distribute trust assets to another trust with dissimilar terms. The ability to decant irrevocable trusts depends on state law and varies from state to state. Even if the trust is irrevocable, it may still be possible to carry out a change in who receives estate assets upon the death of the trust creator through exercising a power of appointment. A power of appointment is
created when one person grants another the authority to dispose of property by designating a recipient of that property. It is not unusual for the creator of a trust to have assigned the surviving spouse or trustee a power of appointment. If this power was granted, and the requested modifications of the trust involve disposing of property or changing a designated beneficiary, exercising a power of appointment could be a means to that end. Some states also allow trust “decanting” as another means for modifying irrevocable trusts. A trust decanting involves a trustee’s exercise of discretion to distribute trust assets to another trust with dissimilar terms. The ability to decant irrevocable trusts depends on state law and varies from state to state. For help with concerns involving irrevocable trusts, you should meet with an estate planning attorney to assist you with analyzing your trust instrument and to discuss the modifications being contemplated, the applicable law and the best course of action.
For more information, call 732-281-0060 or visit www.MatusLaw.com. HELPING PEOPLE PROTECT ASSETS FOR SPECIAL NEEDS CHILDREN AND CONDUCT SMOOTH REAL ESTATE CLOSINGS FOR ALMOST TWO DECADES. • •
Special Needs Trusts Wills & Estate Planning
• • •
Guardianships Health Care Proxies Long Term Care
• • •
Powers of Attorney Inheritance Tax Planning Trusts
81 East Water Street Suite 2C, Toms River NJ 08753 732.281.0060 • www.MatusLaw.com Recipe
Christine L. Matus, Esq. with her family
Making the Most of Fall Harvest, Compliments of Chef Steph Autumn Vegetable Medley with Rosemary and Nutmeg
Serves 6
9 ounce(s) fennel bulb with stalks 2 cup(s) butternut squash cut into 1/2 cubes 1 1/2 cup(s) parsnip cut into 1 inch thick slices 1 1/2 cup(s) carrot cut into 1 inch thick slices 1 tablespoon(s) olive oil 1 1/2 teaspoon(s) rosemary, fresh chopped 1/2 teaspoon(s) salt 1/4 teaspoon(s) pepper 1 dash(es) nutmeg freshly grated 1/3 cup(s) Parmesan cheese
Preheat oven to 425°. Trim tough outer leaves from fennel. Cut fennel bulb in half lengt wise; discard core. Cut each half into three wedges. Combine fennel, squash, and next 7 ingredients (through nutmeg) in a large shallow roasting pan coated with cooking spray. Bake at 425° for 35 minutes or until vegetables are tender, stirring occasionally. Sprinkle vegetable mixture with cheese, if desired, just before serving.
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Recipe by: Cutting Board Creations
September/October 2017
Law
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Call now for a FREE constulation! 732.341.3800 www.straffilaw.com “YOUR LIGHT AT THE END OF THE TUNNEL STARTS HERE.”
670 Commons Way Toms River, NJ 08755 We are a debt relief agency that helps people file for relief under the bankruptcy code.
Is Bankruptcy An Option? Look Out For These Signals “Who do I choose to pay this month?”
naturally seek to tap into whatever funds are available in order to stay above water. As a result, A scary, yet common question many people are people can tear through years of hard-earned forced to ask themselves on a regular basis. With savings, often at a great penalty and tax unemployment steadily high and the number of consequence, with nothing to fall back on. under-employed folks even higher, the nature of Bankruptcy could potentially protect these assets so today’s economy has left the majority of people that those years of savings do not dwindle away. grappling with difficult financial questions such as 1 FALLING BEHIND ON MORTGAGE AND the one posed at the beginning of this paragraph. HOME EQUITY LINES. This is especially in New Jersey where the cost of Falling behind on mortgage and home equity lines living is amongst the highest in the country. When The most straightforward and clearest schedule is it time to consider bankruptcy as an option? The signal of financial distress. When our rock, our following are some signals to look out for: shelter, comes under attack, difficult decisions must 1“ROBBING PETER TO PAY PAUL.” Credit cards are often a necessary evil. In a perfect be made as to whether a home is salvageable and/or worth investing further into. Bankruptcy can often world, we would all use our credit cards sparingly be an option for saving a home. However, as has and with discretion, allowing ourselves the opportunity to pay for a family vacation or a special become increasingly common, it can also be a way of getting out from underneath it. gift over time. Unfortunately, in today’s down economy, the luxury of credit has turned more into 1 MINIMUM PAYMENTS -MAXIMUM a staple of survival. People have no choice but to use EFFORTS. With the way interest rates on credit card have credit to put food on their table and purchase gas to go to work. This begets then having to use credit to risen today, people are at a loss to explain how they can pay so much for so long and have the same pay for existing credit obligations, or “Robbing exact balance due from years prior. Disposable Peter to Pay Paul” as it is known. For many, it is a income is tight in today’s economy – there is only so merry-go-round that simply will not stop. much to go around after we pay our food, gas and Bankruptcy may be an option for stopping this whatever keeps the lights and heat on in the home. whirlwind ride. This is to say nothing of actually considering some 1 LIQUIDATING RETIREMENT form of savings. If all of one’s disposable income is SAVINGS JUST TO GET BY. going toward just staying above water with respect It’s tough to think about the future when the present can be so burdensome financially. For many to minimum fees, bankruptcy may be an option to of the people I meet with, their future is now. They consider.
1 WHEN THE EMOTIONAL STRAIN STARTS IMPACTING OTHER AREAS OF ONE’S LIFE. When the emotional strain starts affecting other areas of one’s life - I often tell clients that 50% of what I do is relieving financial stress and the remaining 50% is relieving emotion.The effect of falling behind on bills can have a far reaching effect on people well beyond the financial ramifications. It can effect how we treat our spouses, our children, our co-workers, and perhaps most common – how we treat ourselves. Lack of sleep, depression, poor eating habits – there are many ways that financial distress can materialize in our own lives. It’s important to take a step back, acknowledge the signs, and be proactive in taking action.
I hope that this article was helpful in trying to acknowledge the signs of financial distress in order to take the next step in evaluation your options, including bankruptcy. Your overall quality of life and well-being may depend on it! Call today for a free consultation!
Daniel Staffi, Jr., Esq.
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September/October 2017
Fashion
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ith the next season just around the corner, it’s almost time to move those sleeveless tops and shorts to the back of the closet and make way for your fall wardrobe. If you’re looking for a way to freshen it up and round it out, Karen and Stephanie at Barbara’s Boutique can help. They’ll guide you in selecting just the right accent pieces or help you put together a whole new outfit. The sooner you get there, the better, because there is only one size of each item in the store. You’re guaranteed that every item you buy is one-of-a-kind! This fall, the fashion is in the detail – lace illusion, leather, and faux fur will give you the look and feel of luxury without breaking the budget. Tunic tops are hotter than ever, worn over leggings or skinny jeans. They have a relaxed, casual and edgy look available in many designs, fabric choices and prints. A good pair of jeans is hard to find…but not at Barbara’s. Whether you’re a size 2 or 14, apple-shaped or pear, you will find jeans to fit your body. Barbara’s carries several wonderful brands in a variety of colors. Miraclebody jeans are made from soft ultra-lightweight fabric with the ideal amount of stretch. They have a discrete tummy control, and because they are worn as a slightly higher mid-rise, the muffin top and back gap are eliminated. NYDJ (Not Your Daughter’s Jeans) is another amazing brand, made with an exclusive “Lift Tuck Technology” designed to make you look and feel a size smaller! These jeans sit at the natural waist for a comfortable fit and flattering, slimming silhouette. The contoured waistband helps to eliminate the common fitting problems many women have with jeans.
&Beauty
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Another change to look forward to in the fall is a whole new pallet of colors, deep and warm to reflect the brilliance of the season. This year’s signature colors are radiant orchid, royal blue, aluminum, aurora red, misted yellow, sangria, mauve mist, cognac, bright colbalt, cypress and of course black. The new season brings a change of fabrics as well This year, cashmere is big – you’ll see many new pieces from White & Warren, a fresh, contemporary and innovative knitwear company. The company has also created a line of cashmere blend and cotton sweaters and accessories that excite the senses and inspire fun living. It’s a brand you’ll find many high profile celebrities wearing. Every garment is made with unbeatable craftsmanship and the highest quality materials. White & Warren clothing offers the perfect blend of style and comfort: innovative designs that are made well and fit perfectly. One other thing to note when you stop by Barbara’s Boutique this season is an emphasis on clothing made in the USA. The store now carries the Heyne Bogut clothing line, locally produced by Philadelphia artists Paul Heyne and Karen Bogut. From the beautiful, ultra-soft sweatshirts to the hand-screened tops and dresses, each garment is a one-of-a-kind piece of wearable art. Stop by Barbara’s today, and start building your casual, elegant fall wardrobe. Fashion experts Karen and Stephanie are at your service! n
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Law Ehsan F Chowdhry, ESQ is the owner of EFC LAW PRACTICE, LLC, a law firm exclusively dedicated to White Collar | Criminal Defense, Juvenile Law and Municipal Court / Traffic Offenses. He is licensed in New Jersey and Pennsylvania. Ehsan is certified by the Supreme Court of New Jersey as a Criminal Trial Attorney and by the National Board of Trial Advocacy as a Criminal Trial Advocate. He has also been designated by the National Institute for Trial Advocacy as a “Master Advocate.” His experience includes a state judicial clerkship in Ocean County with the retired Assignment Judge commencing in the Criminal Part. He was also an Assistant Prosecutor in the Atlantic and Ocean County Prosecutor’s Office collectively for ten (10) years. He attended Rutgers College of Rutgers the State University of New Jersey, earned his J.D. from Widener University School of Law and his LL.M. (Master of Laws) degree in Trial Advocacy from Temple University James E. Beasley School of Law.
One Bite of the Apple Banished Adam & Eve … One Bite of the
T
Apple Through Pre Trial Intervention (PTI) Redeemed Them
his article serves as a general overview regarding the Pre Trial Intervention (PTI) program. PTI is a supervisory treatment program that was enacted prior to the New Jersey Criminal Code Title 2C being codified. It can be found in NJSA 2C:43-12. The goal is “it is policy of the State of New Jersey that supervisory treatment should ordinarily be limited to persons who have not previously been convicted of any criminal offense under the laws of New Jersey, or under any criminal law of the United States.” The law has gone through many modifications over the years and is constantly changing. When a person is charged with a crime, or in some instances an offense (domestic violence disorderly persons offense), that person may be eligible for supervisory treatment in PTI depending on a panoply of variables. These variables include the PTI Director (court personnel) and their willingness to accept the person into the program, the prosecuting agency and their willingness to accept the person into the program, the charge itself, a victim’s input if applicable, and many other considerations. If a person has received a prior PTI, a conditional discharge or a conditional dismissal, he or she is ineligible for this type of supervisory treatment. NJSA 2C:43-12(g)(1). Ordinarily, when you are accepted into the PTI program, you DO NOT have to plead guilty to the charge(s) subject to certain exceptions found in NJSA 2C:43-12(g)(3). The accused should consult a qualified criminal defense attorney immediately and make a timely application so as not to delay or prejudice their rights. The fee for the application is $75 and almost always no statement that is made to court personnel can be disclosed to the prosecuting agency nor can it be used in a subsequent civil or criminal proceeding. The maximum term limit that a person can be supervised in PTI is thirty-six (36) months. If a person does well, and upon approval of the program director, the prosecuting agency and its consent, and the court’s approval, the term may be shortened or even terminated early. If a person violates the terms and conditions of PTI, dismissal from the program can occur. Again, hire a qualified criminal defense attorney to motion to the court for remaining in the program. If the term is completed successfully, the charge(s) are
dismissed. However, the charge and/or arrest will still remain on a person’s record and they have to wait six (6) months in order to expunge it. NJSA 2C:52-6(c). Additionally, if a person is rejected from the program, a PTI appeal can be filed arguing that there has been a “patent and gross abuse of discretion” in rejecting the individual. An example would help illustrate how the process works. On January 1, Mr. X gets arrested at a local department store for shoplifting $650 worth of merchandise. He ultimately gets caught on surveillance video and the local police arrest him and charge him with third degree shoplifting, a crime with a maximum punishment up to 3-5 years in state prison with various fines and assessments. He is released on a summons (he has no prior record, lives locally, has no other pending charges and was born in the United States). He hires a qualified criminal defense attorney and makes a timely application for the PTI program. The program director agrees to let him in and the prosecuting agency is at first hesitant due to the department store and its concern of recent spikes in shoplifting, but nonetheless acquiesces. Mr. X comes to court on April 1 on an accusation (waives his right to have this matter presented to a grand jury) and the court admits him into the program for a period of 12 months with conditions, such as making restitution to the department store and keeping away from that department store. Mr. X finishes the program in the requisite time frame and the indictable (felony) charge is dismissed. Mr. X then waits until October 1 (6 months after) and moves to expunge his arrest, with which he is successful, and thus avoids traditional prosecution and a criminal record. As a famous proverb tell us: “Everyone makes mistakes in life, but that doesn’t mean they have to pay for them the rest of their life. Sometimes good people make bad choices. It doesn’t mean they’re bad … it means they’re human!” DISCLAIMER The foregoing is just a general overview and should not be construed as legal advice. Always hire an attorney to specifically discuss your particular facts and legal circumstances.
For more information or to schedule a FREE CONSULTATION, call 732-508-5172. A Limited Liability Company • White Collar & Criminal Defense www.efclawpractice.com • Ehsan F Chowdhry, ESQ, • efclawpractice@gmail.com 3600 NJ-66 #100, Neptune, NJ 07753 • Tel (732) 508-5172 • Mobile (732) 552-7882
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September/October 2017
Medical P rofessionals Medical Professionals
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Dizziness and Balance TongueDisorders And Lip Tie In Children The physicians at Ocean Otolaryngology Associates are passionate upper about lip patient care and lightheadedness, dizziness tie, which is when the upper lip is stuck to theand gumsometimes line. Christina Gillespie, MD, well-being. We find that patients having more knowledge about their care ismost advantageous. syncope. Though infants have some degree of upper lip tie, when it Ocean Otolaryngology With the ever increasing elderly population, dizziness is becoming becomes a much more 3. What do the I doupper if I develop large widespread and tight enough, it may prevent lip from and common concern. We will all experience dizziness at some time or another dizziness? dizziness caninbe flaring out orthroughout curling up, which is essentialBecause for breast-feeding Dr. Christina Gillespie is a board our lives. However, it is important to understand when symptoms order of dizziness require further sealrelated to sobreast. manyAlso, different to create an adequate with the somefactors, infantsit certified Otolaryngoloigist medical attention. is generally that to oneflare seek immediate medical attention when experiencing with upper lip tie will exhibit an upper liprecommended crease in attempt who has been in practice in dizziness, particularly if the episodes are recurrent, prolonged or severe. Calling 911, up during breast-feeding. Symptoms include feeding difficulty such FREQUENTLY ASKED QUESTIONS FROM PATIENTS WITH DIZZINESS: Toms River since 2013. She reporting to the nearest emergency room or, at minimum, discussing the as prolonged breast feeding, trouble with latching, painful nipples, completed her internship and situation residencywith in 1. What is dizziness? Dizziness is a generalized term suggesting a sense of your primary care physician is strongly recommended. On many occasions, patients will be and infant is excessively gassy. If the upper lip tie is tight enough, an Otolaryngology at Walter Reed Army Medical unsteadiness or lightheadedness. A feeling of being in a fog or the sense of passing out are referred to an ear, nose and throat physician (otolaryngologist) for consultation. infant may have trouble feeding even from a bottle. Center. Before moving to Toms River, she served sometimes described. Vertigo is a specific form of dizziness and describes a sensation of 4.lip What is Benign Paroxysmal Positional (BPPV): at This is a quite weIn infants, both tongue-tie and tie can be treated in the as Chief Vertigo of Otolaryngology William Beaumont spinning or significant rotary motion in one’s environment. Although take it for granted, common form of dizziness and occurs frequently in the elderly population. Most typically, Army Medical Center in El Paso, Texas for eight office. In infants, the tie is first clamped and then cut using scissors. our sense balance is Academy maintainedof byPediatrics a very complex interaction among several components The of American advocates years. At Ocean Otolaryngology, Dr. Gillespie BPPV is described as a spinning sensation and occurs with an abrupt change in body Toddlers and children are usually taken to the OR to perform of our nervous system, including: patients, at the Toms Riverover andorWhiting breast-feeding in all system) newborns. Benefits Inbreast many fed cases, the initial onset of sees symptoms occurs when rolling getting out the procedure. In infants, theyposition. should be immediately • The inner ear (vestibular locations, of all ages with a variety of medical of bed. The severity of the dizziness can range from mild to incapacitating and is sometimes following the procedure. No medications are needed after the of breast-feeding include decreased risk of • The eyes (visual system) specialties includemicroscopic pediatric The etiology condition isHer related to displaced procedure. Older children canassociated be given awith seriesnausea. of tongue exercisesoftothis problems. • The brain and spinal (central nervousweight system) loss otolaryngology, sinus surgery, and surgery infections for the cord infant, increased particles within inner ear for labyrinth. particle may be dislodged following head for perform following surgery. Older children eat the softer foods about Thesleep • The pressure receptors and muscles of our lower extremities (proprioceptive system) apnea. She also treats common medical for theone mother and bonding between motherbetween these individual parts trauma,one evenweek. a minor head injury. The duration of symptoms can be extremely variable and Stretching exercise If any of these factors is diseased or the the interaction conditions such as hearing loss, tinnitus, tend to recur over time. Treatment includes repositioning thechronic particlecough. into itsInappropriate can be performed. Parents can and infant. In order baby to breast hoarseness and addition, is distorted, our balance will befor off.aThe challenge is tofeed, determine which one of these factors position within the inner ear labyrinth, a procedure called the Epley maneuver. also see a lactation specialist Dr. Gillespie is also involved in the American is causing an individual’s dizziness. the baby needs to get a good seal in order to 5.following Can my dizziness condition be Academy cured? The ability to treat and dizziness is the procedure for of Otolaryngology. Shecure currently serves 2. What are the causes of dizziness? Dizziness and vertigo can be caused by a wide suck and then swallow the milk produced by completely dependent upon its cause, which may actually be multifactorial. However, most further assistance with breaston multiple committees which include the Board variety of disorders, including inner ear infections such as labyrinthitis, inner ear disorders disorders can be improved once anofaccurate diagnosis is established. In many cases, Governors and Governance, Media committee breast. disease, cardiac conditions, anemia, diabetes or low blood sugar, brain and/ dizzinessfeeding. such the as Meniere’s and Education committee. physician subspecialists well-versed in the treatment of dizziness will need to be involved. Tongue-tie can also be cordareinjury, migraine headaches, severe sinus infections, meningitis, poor circulation or spinal There medical conditions that can make Gillespie in Monmouth County Attreated OceaninOtolaryngology Associates, ourDr.team is fullyresides committed to helping our with adults. Symptoms and hardening of the arteries, stroke, high fever, visual disorders and severe anxiety. her husband and daughter. She enjoys spending breast-feeding difficult. Tongue-tie (otherwise known as patients through the work-up and treatment regimen for their dizziness disorder. that occur in adults include Additionally, certain medications or interactions between medications can often cause time with her family as they explore the Jersey ankyloglossia) is when the tip of the tongue is anchored to the swallowing problems, Shore. She is also an avid tennis player. floor of the mouth. Tongue-tie may extend all thecertified way to the Dr. Bruce Peters is a board Otolaryngologist who established his practice in Ocean speech difficulty, mechanical tip or it may extend County partiallyinto1997. the tipA resulting partial graduateinofa Philadelphia College of Osteopathic Medicine and residency at limitation, difficulty playing Thomas University Hospital, Philadelphia, Dr. Peters then completed certain his Fellowship tongue-tie. Symptoms includeJefferson trouble with breast-feeding musical instruments, in Facial Plastic In Surgery andchildren Reconstructive Surgery at the University of Miami and Hospital. He speaking for a and swallowing problems in infants. toddlers, may pain after specializes functional andTreatment cosmeticisnasal surgery, sinus surgery, thyroid surgery and skin have some speech difficulty withincertain sounds. prolonged period of time. surgery. is Dr.causing Petersaisproblem. a member recommended only ifcancer the tongue-tie If of the American College of Surgeons, the In Academy adults, theof procedure Otolaryngology, Head and Neck Surgery, the Academy of Facial Plastic Surgery and the N.J. no symptoms are exhibited, one does not need to pursue any can be performed Bruce W. Peters, Stephen Kupferberg, Academy of Otolaryngology. He resides in Wall, N.J. with his wife and two daughters and enjoysin the treatment. office. Bruce W. Peters, golf and fishing in his leisure time. Stephen Kupferberg, MD, FACS Christina Gillespie, DO, FACS MD, FACSMD DO, FACS to tongue-tie, there is also a condition called Related
54 Bey Lea Rd., Suite 3, Toms River, NJ 61 Lacey Rd., Whiting, NJ 1673 Rt. 88 W, Brick, NJ
For more information, call 732-281-0100 or visit www.OceanENTFacialPlastics.com.
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Featured on the Cover
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Ocean Otolaryngology Has Earned the Trust and Respect of Their Patients If you are in need of treatment for conditions involving the ear, nose, and throat or if you are considering facial rejuvenation, then a visit to Ocean Otolaryngology is a must. Doctors Peters, Gillespie and Kupferberg all maintain the highest levels of accreditation and pursue ongoing education to stay abreast of the latest trends. “We are committed to exceeding the expectations of our patients and providing the highest quality of care,” adds Dr. Peters. The professionals at this office are all about earning the trust and respect of their patients and ensuring a compassionate environment. They all have extensive knowledge in the field and will take the time to listen and give you the individualized attention you deserve. Dr. Gillespie adds, “We believe that informed patients are better prepared to make decisions regarding their health and well-being. Our website includes information on an array of relevant topics and we encourage our patients to peruse these pages when they have a concern.” Lastly, Dr. Kupferberg would like to add that, “As Otolaryngologists, we treat a great variety of conditions with both medical and surgical intervention. From allergies to hearing problems to sinus surgery, Ocean Standing L-R: Jaclyn Torres, Office Manager, Dr. Kupferberg, Dr. Gillespie, Dr. Peters, & Otolaryngology is equipped to handle all your needs for Carolyn Peters, Practice Manager. Sitting L-R: Katie Samhammer, Front Desk Supervisor, yourself or your child.” Stefanie Wagenhoffer, Administrative Assistant, & Jade Dalbo, Surgical Coordinator.
Dr. Peters OCW: What do you find most satisfying about your profession? Dr. Peters: Being a physician and in particular, an Otolaryngologist, continues to be a very gratifying profession. Helping my patients conquer simple, to sometimes life-threatening situations is truly compelling and satisfying. Beyond anything else, a patient’s heartfelt gratitude strengthens my lifelong commitment to this profession. OCW: What attracted you to the field of Otolaryngology? Dr. Peters: As a third year medical student we had the privilege of starting our clinical rotations. My second rotation was in otolaryngology where I participated in complicated head and neck surgeries. The intricate anatomy of the head and neck was most intriguing to me. I quickly began to develop a passion for this area of sub-specialization and went on to do an otolaryngology residency. OCW: What is the most challenging aspect of your job? Dr. Peters: The most challenging aspect of otolaryngology is without question the difficult airway. There have been many occasions in which lifethreatening emergency measures are necessary in order to reestablish a patient’s upper airway patency. OCW: What are the most common conditions that you treat? Dr. Peters: Our practice treats a broad spectrum of ear, nose, and throat disorders, anywhere from nasal and sinus disorders, chronic ear conditions, and throat tumors, to the dizzy patient. Personally, I have a special interest in skin cancer reconstruction and thyroid surgery.
OCW: How do you stay current with new developments made in your field? Dr. Peters: In order to maintain high quality of care for our patients, I must keep abreast of the latest technologies and techniques in our field. I have found in my personal career the most beneficial means in which to achieve this is by attending the American Academy of Otolaryngology orchestrated meetings and conferences throughout the country. Additionally, I participate regularly in our American Academy of Otholaryngology Head and Neck Surgery’s Home Study Course. OCW: Please share one of your most memorable success stories. Dr. Peters: Although it’s very difficult to pick just one particular case or patient, the situations in which an emergency tracheostomy is necessary in order to save the patient’s life from an airway obstruction is always memorable. Although infrequent, these intense situations are extremely gratifying. Just a few weeks ago, I was involved with an unfortunate 65-year-old woman with metastatic breast cancer to the brain and she developed paralysis of both vocal cords. She was suffering tremendously in the emergency room and required insertion of the tracheostomy tube while awake under local anesthesia. She did amazingly well and couldn’t be more grateful. I wish her all the best.
Dr. Kupferberg OCW: What do you find most satisfying about your profession? Dr. Kupferberg: I love that this specialty allows me to help patients with many different types of diseases involving the ear, nose, and throat. OCW: What attracted you to the field of Otolaryngology? Dr. Kupferberg: I was initially attracted to the field when I was in Medical School. I realized then that it allowed physicians to treat a large variety of diseases
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Featured on the Cover within the head and neck region. I also like that we are able to treat patients of all ages from newborns to the elderly. Additionally, my father has a genetic syndrome that involves a gradual loss of hearing and vision. This also piqued my interest in the specialty.
hearing loss and recurrent ear infections by placing ear tubes. I help children and adults with sleep apnea with surgery, and can help people breathe better through their nose by treating their medical issues and correcting anatomical issues. OCW: What attracted you to the field of otolaryngology?
OCW: What is the most challenging aspect of your job?
Dr. Gillespie: After my third year of medical school I realized the two rotations I enjoyed the most were my surgical rotation and pediatric rotation. By being an otolaryngologist, I have the opportunity to take care of both children and adults for a variety of problems that affect the head and neck.
Dr. Kupferberg: There are many challenges that are constantly evolving. We maintain a very high standard of care for all of our patients and that is often made more difficult by the restraints placed upon us by insurance companies and governmental regulations. It is a constant battle to keep up with the continuously growing new regulations placed upon the medical field.
OCW: What is the most challenging aspect of your job? Dr. Gillespie: Dealing with insurance companies and all of the different rules and regulations can be difficult. We spend a lot of time getting medications, radiologic studies, and procedures approved by patients’ insurance companies. The majority of our patients we can help. However, occasionally we will hit a roadblock where an insurance company will not cover something.
OCW: What are the most common conditions that you treat? Dr. Kupferberg: We treat a variety of conditions with both medical and surgical intervention. In children, placement of tubes in the ears to help with ear infections and removal of the tonsils and adenoids are quite common. In adults, treating the nose to improve breathing and the sinuses to improve drainage and lessen infections are also frequent procedures.
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Standing L-R: Dr. Kupferberg and Dr. Gillespie. Sitting: Dr. Peters.
OCW: Please share one of your most memorable success stories. Dr. Kupferberg: When a patient comes into the office with a longstanding history of sinus disease and the inability to breathe through their nose, they are often frustrated and unhappy. I recall operating on such a patient who also suffered from chronic sinusitis and nasal polyps. I performed a septoplasty, turbinate reductions, endoscopic sinus surgery. This opened up the breathing passages and allowed his sinuses to drain more efficiently. This resulted in the ability to breathe better and have less sinus infections. The surgery improved his overall quality of life.
OCW: What are the most common conditions that you treat?
Dr. Gillespie: The most common conditions I treat affect both children and adults. For children, I treat lip-tie, tongue-tie, recurrent ear infections, hearing loss, nasal obstruction, tonsillitis, and obstructive sleep apnea. For adults, I treat nasal obstruction, obstructive sleep apnea, chronic sinus problems, chronic tonsillitis, deviated nasal septums, hearing loss and cerumen impactions. I take care of people across all age groups. OCW: Please share one of your most memorable success stories.
OCW: How do you stay current with new developments made in your field?
Dr. Gillespie: Some of my most memorable success stories are when I take care of an entire family’s ENT issues. I have one family that I have placed ear tubes in one child and removed the adenoids and tonsils in another child for sleep apnea. I have also cared for their mother for a thyroid problem. It is very satisfying to see them all back in the office doing well.
Dr. Kupferberg: I read several journals and listen to lectures on Audiodigest that are pertinent to my field. I also attend regional and national conferences to broaden my understanding of different topics in the field.
OCW: How do you stay current with new developments made in your field?
Dr. Gillespie OCW: What do you find most satisfying about your profession? Dr. Gillespie: Having the ability to help people, is the most satisfying part of my job. Every day I see patients with a variety of problems. Through either medical therapy or surgery, I can often make them better. I can help children with
Dr. Gillespie: I participate in the Home Study Course sponsored by the American Academy of Otolaryngology. Every few months, I review 20-30 articles concerning current research and information about a variety of ENT issues. I read medical journals and attend conferences annually as well. Last year, I attended the annual meeting of the American Academy of Otolaryngology in California. I also participate in the professional organization, the American Academy of Otolaryngology serving on various committees such as the Education Committee and the Board of Governors Governance Committee.
For more information, call 732-281-0100 or visit www.OceanENTFacialPlastics.com.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
32
Medical Professionals
Back Pain? Surgery a Possibility? Here’s What You Need to Know … If you’re one of the 15+ million Americans who suffer from back pain on a daily basis, chances are you may be one of the 600,000 of them who will have back surgery this year. If so, there are several things you need to know. Not the least of which is that, on average, 80,000 Americans suffer from failed back surgery syndrome. And, you don’t want to be one of them. So, how do you find the right specialist? Here are some important tips from Dr. Pinaken Jethwa, a neurosurgeon at Atlantic NeuroSurgical Specialists (ANS).
Stand Up Straight Again
To find the best specialist: 1. Make sure your spine specialist is just that – a trained spine specialist. Just because a physician says he/she is a spine specialist doesn’t mean that’s necessarily true. Some of the most common failed back surgeries are a result of quick-fix solutions performed by doctors who don’t have the proper training. Take his/her background, education, and reputation seriously … because, surprisingly, no surgical training is required for someone to call him or herself a “spine specialist.” 2. Choose a neurosurgeon. Contrary to what many people think, a neurosurgeon does not just specialize in brain disorders. Neurosurgeons focus on the spine throughout their entire education – and may spend as much as eight years undergoing intense spine surgery training. They are the experts in spine surgery – and the ones you want taking care of your back. 3. Find a fellowship-trained neurosurgeon. Fellowship training is an additional year of training when neurosurgeons specializing in spine surgery fine-tune their expertise … often with new advanced technology. 4. Select a spine specialist whose practice is more than 50% dedicated to spine cases. Neurosurgeons immersed in spine cases tend to be the most experienced with the latest, most groundbreaking treatment options. They also tend to have the highest success rate. “When choosing the best-suited specialist, be sure you have a complete understanding of your diagnosis. That way you can select the neurosurgeon with the most experience treating your condition,” Dr. Jethwa concludes. “Feel confident that all of your questions have been answered – and make sure you have a strong sense of trust. That’s just as important as the doctor’s training.” For more information about finding the right specialist and ANS, visit ansdocs.com.
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The County Woman Magazine www.TheCountyWoman.com
732.455.8225 8/8/17 3:22 PM
September/October 2017
Full Service Cleaning
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Breast Cancer Awareness Month
October Is Breast Cancer Awareness Month! Breast cancer is the second most common kind of cancer in women. About 1 in 8 women born today in the United States will get breast cancer at some point. The good news is that many women can survive breast cancer if it’s found and treated early. A mammogram – the screening test for breast cancer – can help find breast cancer early when it’s easier to treat. National Breast Cancer Awareness Month is a chance to raise awareness about the importance of early detection of breast cancer. Make a difference! Spread the word about mammograms and encourage communities, organizations, families, and individuals to get involved. For more information about Breast Cancer Awareness Month, visit www.nationalbreastcancer.org.
Did You Know? • 240,000 New Cases Of Breast Cancer Are Diagnosed Each Year • 25-30% Reduced Mortality Rate For Women Ages 50-70 With Early Detection • Women Age 40+ Should Have A Yearly Mammogram Screening (Don’t forget self exams!)
EARLY DETECTION SAVES LIVES!
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
18 34
Medical Professionals
What is integrative medicine? Integrative medicine is patient-centered health care that looks at all aspects of health and illness. Integrative medicine looks at the whole person, and not just the disease or symptom. It takes into account the person’s lifestyle, from the physical and psychological to the environmental and genetic. It uses all medical systems for healing and treatment, from conventional approaches and mind-body medicine, to old world traditions such as botanicals and acupuncture. It cherry-picks the best of traditional medicine and what is commonly called alternative or complementary medicine. It stresses prevention and less invasive, more natural treatments. Integrative practitioners believe that everyone has an incredible capacity to heal.
What is unique about the Hackensack Meridian Integrative Health and Medicine program? Through our program, we offer a cuttingedge team approach through medical consultations with our nurse practitioner and physician, treatments from an acupuncturist, dietary consults with a nutritionist, and lifestyle improvements with our health coach and health psychologist. Patients who are seen in our center get a comprehensive evaluation of the five pillars of health: resilience, purpose, nutrition, activity and sleep. The team consists of specialists who have exemplary training in integrative and functional medicine, treating the whole person—mind, body and spirit. Patients can self-refer to any of the integrative medicine staff members, meaning if someone wants to see the nutritionist, they do not need to see the integrative physician first. Above all, at Hackensack Meridian Integrative Health & Medicine, each patient partners with an integrative practitioner to create an individualized treatment plan. As a result, our patients become empowered to make healthy lifestyle changes.
Empowering our community to reach the highest level of health and wellness
Hackensack Meridian Integrative Health & Medicine has developed a comprehensive health and wellness program like no other. Completely customized and focused around our five pillars of health and wellness: sleep, activity, purpose, nutrition and resilience. Begin your path to wellness with one of our Integrative Medicine Physicians or Nurse Practitioners. To schedule a consultation, call 732-994-7855 or, for more information, visit MeridianIntegrativeMedicine.com
What services, classes and events are offered? To learn about our classes and events, visit our website: MeridianIntegrativeMedicine.com, like us on Facebook: Meridian Integrative Health & Medicine, and follow us on Twitter @IntegrativeHMNJ.
Visit our Center for Integrative Health & Medicine at Meridian Health Village in Jackson at 27 South Cooks Bridge Road, Suite 2-3, Jackson, NJ 08527.
The www.TheCountyWoman.com TheCounty County Woman Woman Magazine Magazine www.TheCountyWoman.com
July/August 2017 September/October 2017
Law
35
Chronic Illness?
You May Qualify for Social Security Disability Remember the last time you had the flu? Every bone in your body hurt. You had a fever and felt totally exhausted. You may have been depressed that your life was on hold while it worked its way through your system. Thankfully, you were better in a few days and back to normal. But what if you were diagnosed with the type of illness that doesn’t go away? A condition whose symptoms can only be managed but never cured? Debilitating back pain, uncontrolled diabetes, emphysema, certain debilitating cancers and severe depression are examples of chronic illnesses that many Ocean County residents live with every day. Many individuals are able to manage their conditions with medications, physical therapy and surgery in order to live a moderately healthy and productive life, but
when treatment is no longer effective and an individual is no longer able to work, it may be time to file a Social Security Disability application for financial and medical benefits. It’s a hard decision and one that should be made with your doctor since his or her opinion will be essential for a successful application. Your family should also be brought into the process since you will need their emotional and financial support while your case moves through the Social Security Administration adjudication process. For advice on your chances of successfully applying for Social Security Disability benefits, let us help you put your best application forward so you receive the financial and medical benefits you need.
Kathleen Dotoli received recognition from the American Institute of Legal Counsel for “10 Best Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016 and 2017
If you need guidance, call 732-228-7534 today for a free consultation.
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The County Woman Magazine www.TheCountyWoman.com
September/October 2017
36
Medical Professionals
New FDA Approved Laser Treatment for Vaginal Symptoms of Menopause For over 30 years, Dr. Sutherland has worked with CO2 lasers in many gynecological treatments. He is the first doctor in Monmouth and Ocean Counties to be trained in the MonaLisa Touch® application. MonaLisa Touch® is a minimally-invasive treatment for woman that treats problematic vaginal symptoms such as dryness, itching, irritation, burning and painful intercourse. Vaginal atrophy is a result of decreased estrogen and affects naturally menopausal women. It also affects women who have “induced” menopause due to surgery or in the case of cancer patients, who have undergone chemotherapy treatments. Before the MonaLisa Touch® application was developed, treatments included the use of estrogen, estrogen-like medications, or over-the-counter lubricants. However, some women do not respond to, or wish to avoid pharmaceuticals. In some cases, women cannot take estrogen medications due to cancer, blood clot risks, or other medical reasons. If you fall under any of these categories, MonaLisa Touch® offers a non-pharmaceutical, quick, safe and proven alternative treatment for vaginal symptoms. According to Dr. Sutherland, the procedure takes only about five minutes and patients can return to work or to their regular activities right away. “ This is a revolutionary treatment,” adds Dr. Sutherland, who performs this procedure in his Toms River Office. “Our patients have reported improvement of their symptoms literally within days of the treatment.” MonaLisa Touch® uses CO2 fractional laser technology to reverse vaginal atrophy and laxity, often caused by hormonal changes in pre- and post- menopausal women or women who have undergone chemotherapy treatments. MonaLisa Touch® received FDA approval late in 2014 and was launched in March 2015. The procedure, which is typically three treatments, six weeks apart, has been met with excellent results in the USA, Europe, Australia, and South America. One simple treatment lasting only a few minutes, without pain, side effects or recovery time. MonaLisa Touch® can give that tissue the elasticity it once had, with positive effects on one’s quality of life and personal relationships.
Patients are calling it “life-changing!”
MonaLisa® North Dover Dr. Sutherland
TESTIMONIALS: “There’s no pain, no discomfort and I definitely saw results pretty much immediately and continued to see even better results.” -Patty
Toms River, NJ 08753
“It’s something that you can do without feeling scared that it’s going to make your breast cancer come back.” - Lisa
732-914-1919
222 Oak Ave.,
PERCENTAGE OF IMPROVEMENT AFTER THREE MONALISA TOUCH® TREATMENTS: LAXITY: 54.22% DRYNESS: 74.16% IRRITATION: 65.39% DYSPAREUNIA: 63.53% *Courtesy of Prof. S. Salvatore-Hospital San Raffaele, Milan (Italy)
Call 732-914-1919 to schedule an appointment or for more information! Recipe
w w w. m o n a l i s a t o u c h n o r t h d o v e r. c o m Ingredients:
Asian Chicken Wraps
4 whole wheat tortillas 8 oz ground chicken ¼ cup water chestnuts, finely chopped ¼ cup Shiitake mushrooms, finely diced 1 T soy sauce, low sodium ½ tsp oyster sauce 1 ½ tsp sesame oil 1 T rice wine ½ tsp sugar 2 garlic clove, minced 2 T scallion, chopped Sauce: 4 T hoisin sauce ½ tsp chili sauce 1 T water (as needed for consistency)
Prepared by Stephanie Hopkins, Cutting Board Creations, LLC
Recipe: Combine sauce ingredients and set aside. Combine soy sauce, oyster sauce, ½ tsp sesame oil, rice wine and sugar in a bowl. Heat remaining sesame oil in a skillet over high heat. Add garlic and cook until golden. Add chicken and mushrooms and stir fry until browned, breaking up chicken while cooking. Add in water chestnuts and soy sauce mixture and heat through. Place into wrap and top with scallions and a bit of the dipping sauce. Use extra dipping sauce to enjoy while eating.
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Medical Professionals
37
Hemorrhoids: The Bottom Line Did you know we are born with hemorrhoidal tissue, it’s a part of our anatomy? Hemorrhoidal tissue lies within the anal canal and perianal area and consists of blood vessels, connective tissue, and a small amount of muscle. Hemorrhoids are described as varicose veins of the anus and rectum because they are enlarged, bulging blood vessels in the anus and lower rectum. The only time we actually feel hemorrhoids is when they become enlarged or symptomatic. Dr. Paonessa likes to use the analogy: “We all have teeth, but we all don’t have cavities”. Likewise, we all have hemorrhoids, but we all don’t have symptomatic hemorrhoids. There are two types of hemorrhoids, internal and external. Both can have different symptoms and often different treatments. Internal (inside) hemorrhoids form in the anus beneath a lining called mucosa, which is not sensitive to touch, pain, stretch or temperature. As such, internal hemorrhoids are commonly associated with painless bleeding and protrusion during bowel movements. It is only when the hemorrhoid completely prolapses from the opening of the anus and cannot be pushed back inside that it becomes severely painful.
Internal hemorrhoids are classified in four grades: •
Grade One: The hemorrhoid is not protruding from the opening of the anus (no prolapse). • Grade Two: The hemorrhoid protrudes from the anus but it goes back in on its own. • Grade Three:The hemorrhoid protrudes and requires the patient to push it back inside the anus. • Grade Four: The hemorrhoid cannot be placed back into the anus by the patient. This is often very painful. External (outside) hemorrhoids form around the anus and are covered by very sensitive skin. The most common complaints associated with external hemorrhoids are occasional swelling, pressure or discomfort. When a hemorrhoid is symptomatic it becomes a bluish-colored, painful lump outside the anus. If the external hemorrhoid develops a clot (thrombosis) it becomes a hard, painful lump. When the pressure becomes elevated it can cause the thrombosed hemorrhoid to break down the overlying skin and the clot begins to leak out. Even after the hemorrhoid has healed some patients complain about soft tissue outside the anus called an anal skin tag. An anal skin tag is the residual effects from the thrombosed external hemorrhoid. A skin tag may hinder a patient’s ability to clean after a bowel movement. Although there is no treatment for anal skin tags, they can be removed if hygiene becomes an issue for the patient. There are several factors that can cause hemorrhoids although the exact cause is unknown. Upright posture, alone, increases pressure on the rectal veins and can cause them to bulge. Additional factors include aging, chronic constipation or diarrhea, straining during pregnancy, heredity, straining during bowel movements, overuse of laxatives or enemas, and extended periods of time on the toilet (i.e. reading). Here are some symptoms you should be aware of to determine if you may have a hemorrhoid problem. If you are having bleeding during bowel movements, itching in the anal area, pain, sensitive lumps or prolapsing during bowel movements. If you do experience any of the symptoms do not treat with over the counter medication. Call and make an appointment with your doctor. It is very important to understand that NOT all rectal bleeding is caused by hemorrhoids. As such, it is crucial to seek consultation with a specialist such as a colon and rectal surgeon to be sure that the rectal bleeding is not caused by a serious disease such as anal or colorectal cancer. How hemorrhoids are treated depends on how severe the condition is. If the symptoms are mild your doctor may simply have you increase your fiber intake in your Board-certified in general surgery and proctology and a fellow of the American College of Osteopathic Surgeons, Dr. Paonessa specializes in colon and rectal surgery. She has been in practice for 13 years. She completed her colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA. She is co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition. Dr. Paonessa believes in patient-centered care and preserving each patient’s independence, well-being and dignity. She provides the latest, up-to-date treatments and tailors each plan of care to the individual patient’s needs. Call 732-282-1500.
diet (i.e fruits, vegetables, breads and cereals) or by adding an oral fiber supplement. It is recommended that you consume 20-35 grams of fiber per day. It is very important to make sure that you drink 8-10 glasses per day of water. Other beverages that contain caffeine or alcohol will dehydrate you so try to decrease your intake of those beverages. These measures help to create a soft, formed stool thereby eliminating excessive straining during bowel movements. This in turn will decrease the pressure on the hemorrhoids. The use of warm water soaks (sitz baths) will also provide relief. There are several outpatient treatments that may be performed in the office to help treat symptomatic hemorrhoids. These include: rubber band ligation, infrared photocoagulation and sclerotherapy. All of these procedures are painless. Dr. Paonessa’s procedure of choice in the office is sclerotherapy. Sclerotherapy involves an injection of a chemical irritant into the hemorrhoid which causes scarring and shrinkage of the blood vessels present within the hemorrhoidal tissues. This procedure is painless and has few, if any, complications. Sclerotherapy is safe for patients on blood thinners. As with any procedure, you will need to discuss this with your physician. External hemorrhoids may also be treated on an outpatient basis as well. Excison of the hemorrhoidal tissue can be performed. The hemorrhoid will be injected with a numbing agent and excising of the hemorrhoid along with all blood clot (thrombus) is done. In this case the entire external hemorrhoid is removed not lanced, so as to avoid any residual skin tag once healed. This procedure provides instant pain relief for those patients suffering from severe pain. Often hemorrhoids that are not thrombosed can be treated with dietary change and sitz baths. There are other procedures that can be done on an outpatient basis at surgery centers or hospitals. These include: traditional hemorrhoidectomy, Transanal Hemorrhoidal Dearterialization (THD), and stapled hemorrhoidectomy. As with any surgery you will need to have your physician evaluate your condition and see what the best option for you is. With advances in local anesthetic and surgical technique, hemorrhoidectomy is not the painful procedure it had been associated with in the past. If you are experiencing any of the symptoms or conditions discussed please contact Paonessa Colon and Rectal surgery to make an appointment with Dr. Paonessa. Dr. Paonessa is well trained in all aspects of hemorrhoid management and surgery. In fact, she is the co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition and authored three of the chapters within this textbook.
Colon and Rectal Surgery
Board Certified in General Surgery and Proctology • laparaoscopic surgery • abdominal/pelvic surgery • fecal incontinence • endoanal/rectal ultrasound 2101 Route 34 South, Suite H Wall, NJ 07719
The County Woman Magazine www.TheCountyWoman.com
• anorectal surgery • pelvic floor disorders • office proctology • anorectal manometry/ physiology 1172 Beacon Avenue, Suite B Manahawkin, NJ 08050
Phone: (732) 282-1500 Fax: (732) 282-1501
Office Hours: M-F 9AM to 5PM
www.paonessacrs.com September/October 2017
Permanent Hair Removal
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Fashion
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Fall Has Arrived At
Mrs. B’s Boutique Come embrace the fall with our fun and fashionable styles, from head to toe.
From our fabulous footwear to our unique fashions, there’s always something for everyone. For some of us shopping is a challenge. We at Mrs. B’s always make sure you have a pleasurable/fun experience. We pride ourselves in our customer service and our knowledgable/friendly staff.
Come in today and treat yourself!
Liverpool Jean
Joseph Ribkoff
Shoes by L’Artist
Mrs. B’s Boutique
609-449-8159
• 7312 Ventnor Ave.
or shop online at www.MrsBsBoutique.com
Fall Hours: MONDAY-SATURDAY: 10AM-5PM SUNDAY: 10AM -4PM
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Health & &Wellness Health Wellness
The Power of Visualization Now the Practice of Yoga Begins…Are You Ready? Written by Laurie Greene, PhD, ERYT, Owner
“Every little bridge gesture ofwhich the hand, every Mudra “Breath is the connects lifehas to a deep The first sentence of the bible of classical yoga is this. Atha, which often meaning – the entire philosophy of life is contained in opens important Sanskrit texts, means “now” and has the connotation ofconsciousness, which unites your body to your these gestures. They convey a whole history of God’s auspicious beginnings…like saying “behold!”: it acts at once as an imperative— thoughts.”~Thích Nhat Hanh “wake up,” we are beginning—and as a “blessing” for those who are ready to self-manifestation in the universe.” Atha Yoganushasanam (yoga sutras 1.1) “Now the practice of yoga begins”
begin. It insinuates that we are finally ready to get real, and “to discover the – Paramahamsa Omkarananda Saraswati essence of our existence in the core of our own heart and at the center of our being” (Freeman). It signals our ability to be in the present moment (“now!”). Anushasanam refers to a systematic, scientific teaching; a teaching which is only Mudras play a very important role in Taoist alchemy, Buddhist meditation, offered toby a qualified who isERYT500 ready to fully commit. impact on the practitioner simply through this shift Written Lauriestudent—one Greene, PhD, yoga, and Indian classical dance and theater. The word mudra stems from in focus. Owner,Yoga Yoga Nine, Ship Bottom, & different is a very varied practice. ThereLBI are many styles, diverse • “bliss.” Fall Iyengar the Sanskrit root mud, which means This hintsweekend at the powerwith of Yoga teachers are apt to speak in obtuse language. practices, and distinct lineages, but there is also an underlying web of similarity Ventnor these beautiful gestures to evoke deepDavid feeling in the observer and joy in the Sirgany Some say for “send your breath into your that joins these different approaches. An Indian folktale tells of amight man who is example, practitioner. The word mudra also denotes “seal” in yoga and is employed to hip.”there This is is,no of water, course, “impossible.” From a Tantric September & 17In a well. He begins digging five of feet and when digging Much has been said by about thedown power explain the process of sealing and strengthening the body’s vital16 energies. perspective, breath is ALWAYS doing the same thing, he is discouraged his hard work, and he climbs positive thinking.byWhether one believes thatout of the hole, moves a few classical Indian dance, mudras are•used to express the vast array of human Tripsichore Yoga, Moving whether you are observing it or not. It is always going yards away and begins digging again, only to be met by disappointment again emotion and experience; to communicate deep feelings and tell intricate stories. one can change their destiny simply by “your hip.” What is impactful is the CONTROL and again. Thisso goes andone’s on, and he never finds water, into but labors endlessly. Edwardhealing, Clark In the yoga tradition mudras are usedSculpture for spiritualwith concentration, willing it to be oron not, perspective of one’s breath (pranayama) and attention in breathing, Most traditions of yoga inspire us to engage in deep self-exploration. They ask removing obstacles, and other subtle energetic practices. does, at least, alter one’s experience. January 19-21 ondo the SENSATIONS in “the hip.” us to stick with it, work hard, and dig deeper and deeper. while What focusing we tend to This is demonstrated in traditional hatha Please come and join us at Yoga Nine for a deeper exploration of the “now.” It creates a greaterWe sense of embodiment through in our lives is leave a practice (any practice) just as it becomes challenging. Workshops & Retreats: We will always offer challenging, guided practice to every student as we dig yoga practice through the technique of breath. This is the essence of Tantric practice, not the jump from regimen to regimen, diet to diet, relationship to relationship, career deeper into experience. Come dig deeper…the time is now! visualization. One of the five pillars of Tantrica, • New Orleans: The Breath’s Desire performance of postures; to career. In yoga we are asked to stick to it, so that through the body and breath living more fully in one’s body. visualization could beand focused on a selfAll in in all,relation visualization we can investigate deep subtle feelings, responses, and reflexes to is a method of breath October 13-15 realized teacher (guru), on an avatar of the meditation. It allows us to observe our breathing through the conditioned mind. We do this by slowing everything down and observing divine force or Shiva, for past example), • Costa Rica: Yoga and Surfing the experience it closely with(Ganesha fresh eyes. We try to look the rapid evaluations of ourof our breath on our physical body and or conditioned on a manifestation divine force in present,our mind. Come practice breathing and being with us at minds. Athaofisthe therefore about being here, in the moment. March 10-18 Yoga 101: Yoga Nine: community yoga for every body. nature The (thediverse Ganges, the mountains). Most styles of yoga accomplish this focus and concentration in
Upcoming Events:
5 Week Course for simply, visualization and texts its impact can be(jnana), some engage in • Havana: Yoga and Salsa different ways. Some study and philosophy new beginners “When the breath wanders the mind also experienced corporally chanting and other forms ofthrough devotionbreath to a higher cause (bhakti), some engage May 15-20 March 26-April 23 is unsteady. But when the breath is calmed in good works (karma), and still others look to the movement of energies in awareness. Sundays: 11:30 body to awareness create deepofexperience yoga is seen the mind too aswill be still, andincludes the yogi the By shifting breathing,(hatha). one can The havebody a in hatha instructional an arena for metaphysical experience. It isexperience manipulated body postures, dramatically different physical and affective of through achieves long life. Therefore,course, one should free rubber matCAYAC (community access yoga classes)* bandhas andwhen mudras & on hand practice. For(locks), example, one(body focuses thegestures), feeling which enhance the learn to control the breath.”and 5 weeks access to all 5:30 Tuesdays channeling of energy and therefore experience. of breathing in the upper body, one naturally shiftsThese theirpractices are ancient at both locations ~Svatmarama, Hatha classes Yoga Pradipika
“Yoga through sign-ASL”
and are to found in many Eastern traditions. awareness the inhalation side ofartistic the breath and theIndian classical theater and danceofmake use of postures and mudras to feel and express emotion and create impact the inhalation. Energetically the inhalation transformation in the(prana performers audience. Mudras in particular help is rising and expanding vayu),and full,the energetic, to focus the gross body energy through delicate and precise movements of the and light. Likewise, if one focuses on the lower body, We are familiar with “anjali,” theexhalation mudra of prayer, which focuses our onehands. naturally shifts their attention to the bodies on our vital energy and the essential side of the breath and its impact. Energeticallyenergy the of others, but there are many mudras with many intentions. exhalation is downward and inward (apana vayu), grounding, quieting, and empty. These qualities will be experienced more fully, and may create a greater
(deaf community)
For more information, call 609-404-0999 or visit www.yoganine.com.
4:45 Mondays
“Yoga for Chronic Conditions” (MS, Lupus, RA, etc) *first week of the month is FREE. Come join us no matter what your ability.
OPEN CLASSES 7 DAYS A WEEK • Yoga • Meditation • Therapeutic Massage • Holistic Services • Targeted Yoga Therapy
SHIP LBI SHIP BOTTOM BOTTOM LBI Long Beach Blvd., Bottom 25122512 Long Beach Blvd.,Ship Ship Bottom
Gift Certificates Available for Classes or Massages
• Rope Wall • Foundational and Advanced Teacher Training • Continuing Education Courses
www.yoganine.com www.yoganine.com 609.404.0999 609.404.0999
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VENTNOR VENTNOR Atlantic Avenue, Ventnor 5301 5301 Atlantic Avenue, Ventnor
September/October 2017 January/February 2017
Medical Professionals
43
Dr. Banks Answers Frequently Asked Questions Regarding Injectable Facial Rejuvenation Products What is BOTOX® Cosmetic?
What can I expect from treatment with JUVÉDERM XC® products?
BOTOX® Cosmetic is THE ONLY approved prescription medicine that is injected into muscles of the face and used to temporarily improve the look of both moderate to severe crow’s-feet lines and frown lines between the eyebrows in adults. BOTOX® Cosmetic, available only from Allergan, is one of the most extensively studied medical aesthetic treatments and is approved for cosmetic use in 78 countries. BOTOX® Cosmetic has a record of experience that aesthetic specialists know and trust. And, the safety and efficacy of BOTOX® Cosmetic have been evaluated in both clinical trials as well as in 417 peerreviewed articles in scientific and medical journals. What should I expect following treatment with BOTOX® Cosmetic ? Patients usually begin to notice results within 24 to 48 hours for moderate to severe frown lines and crow’s feet, and the results will generally last 3, sometimes up to 4 months. This means that typically, you will want to schedule your BOTOX® Cosmetic treatment appointments every 3 to 4 months. If you discontinue treatment, the moderate to severe frown lines and crow’s feet will gradually return to look like they did before treatment. What is KYBELLA®? I refer to KYBELLA® as “SURGERY IN A SYRINGE.” It is a plant-derived product used in adult men and women to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called “double chin.” Although weight gain is the most common cause of submental fat, you don’t have to be overweight to have fullness under your chin, as genetics and aging also contribute to submental fullness. If you feel your double chin does not go away no matter how much you exercise or diet, KYBELLA® may be your solution. KYBELLA® is a first-of-its-kind injectable treatment for adults with submental fullness that permanently destroys fat cells under the chin. If you’re interested in a nonsurgical way to reduce fullness beneath your chin, KYBELLA® may be right for you. What is JUVÉDERM XC®? The term “JUVÉDERM®” refers to another Allergan product line, dermal fillers. Whereas BOTOX® Cosmetic smooths wrinkles and lessens their appearance, and KYBELLA® melts away the fat under your chin, JUVÉDERM® products are smooth, crystal-clear gels that are injected into the tissues of the face and lips. Each of the JUVÉDERM® filler products was specifically developed to add volume to a different area of the face – without surgery!
Actual treatment with JUVÉDERM® injectable gels can take 15 minutes to 60 minutes, depending on which area of your face is being treated. All of the products I use in the practice are JUVÉDERM® injectable gels labeled with “XC.” These products contain pain-reducing lidocaine to help manage pain or discomfort during the injection. We also use a topical numbing cream and ice to help further minimize discomfort. Some patients desire nitrous oxide (laughing gas) during the treatment so that is an option too. You will see results immediately/instantly, and depending on the product used and the area of the face or lips treated, the results will generally last for 9 up to 18 months. In closing, these products provide reliable, predictable results that will look and feel natural. Most patients tell me that everyone notices that they look and feel better about themselves after treatment with these products. To get the most for your money, I highly recommend enrolling in the BRILLIANT DISTINCTIONS® program. That way you earn points every time you receive a BOTOX® Cosmetic treatment, KYBELLA® treatment or any of the JUVÉDERM XC® products. You redeem your points for savings on your next BOTOX® Cosmetic treatment or on other select Allergan products that Dr. Banks determines are right for you, including JUVÉDERM VOLUMA® XC, JUVÉDERM® XC, JUVÉDERM® VOLBELLA XC, JUVÉDERM® VOLLURE XC or KYBELLA®.
Wishing you a Speedy Recovery Danielle from all of us!
For more information, call 609-488-2325.
Healthy Smile, Healthy Life 249 S. Main Street Barnegat , NJ Specialty Lic #4070
609-488-2325 www.drbanksoms.com
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Office Hours: 8 AM - 5 PM (Mon. - Fri.) Bone Grafting • Dental Implants General and Intravenous Anesthesia Jaw Pathology and Reconstuctive Jaw Surgery
September/October 2017
44
Hypnosis for Women Professional Hypnosis & Coaching
Health
&
Wellness
Look and Feel More Youthful with a Shift in Mindset and Habits -
We all know people in their 80s and 90s who are vibrant, fit, and living full lives. But we also know people who are decades younger who look and act much older than their years. You might be tempted to think this is about being lucky or unlucky in the gene department; but that’s only a small part of the story.
Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 In my hypnosis practice, I have the opportunity www.HypnoForWomen.com to assist people of all ages, from children to friends, relatives, neighbors in whatever way they can. They seniors. Here’s what I’ve noticed about those seniors who are living active, rewarding lives . . . derive pleasure from serving others, giving back. - eat in moderation • They don’t stay stuck in outdated fashions or • They take care of themselves. They and they’re active. Even when those around them are stuffing their faces with junk, they tend to make smarter choices. Some admit they’re not crazy about exercise, but they do it anyway because they understand the benefits. Even those who have physical disabilities find a way to get movement in.
• They tend to be curious and enjoy learning new things. They seem to like challenging themselves, and they
don’t worry about looking foolish or being judged. I have older clients who started piano lessons, went back to college, began writing their memoirs, got involved in community theater, etc.
• They maintain a sense of humor, despite life’s (often significant) challenges. They smile and laugh
easily. Try this experiment: Look at yourself in the mirror while you’re frowning. Now think of something fun and mischievous you’ve done in the past. And look at yourself in the mirror while you’re grinning ear to ear, thinking about it. You’ve just taken years off your appearance.
• They socialize, join groups, maintain connections, and initiate new relationships. Many
Make Your Mind Work FOR You – Instead of Against You! Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification in complementary medical hypnotism. She earned a B.S. degree in Biomedical Communications from Richard Stockton College of N.J., has an academic background in nursing, and 20+ years’ experience in community health education and coaching. Rhoda adheres to strict ethical standards of the National Guild of Hypnotists.
say that it’s important to them to connect with people of all ages, that it enhances their perspective.
• They have a sense of purpose, a reason to get up each morning. They are just as apt to pursue new interests
as to continue with lifelong hobbies. Many of them work parttime. Others are happy to volunteer. Still others like to help
Hypnosis For Women ❀ ❀ ❀ ❀
Weight Control Smoking Cessation Relaxation/Comfort Fear Release
hairstyles, and are open to trying new things. • They are not paralyzed by their health or other challenges. And some do have very significant health
challenges; yet they keep going, keep making plans, and keep looking forward. Admittedly, these qualities come more easily to some than to others. But for as long as you’re alive, you’re capable of changing. In large part, age is a state of mind. You can choose to get on a healthier lifestyle path. You can think about some things you might like to learn, classes you might like to take. You can smile more, initiate get-togethers, become more active in your community. You can consider how you might be of service to others. You have a wealth of life experience, so dip into it, share it, and put one foot in front of the other – head up, shoulders back, eyes twinkling, and go for it!
If you would like personalized assistance to help you move forward, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.
Make Your Mind Work FOR You – Instead of Against You!
PROFESSIONAL HYPNOSIS AND COACHING SERVICE ❀ ❀ ❀ ❀ ❀
Focus/Concentration Sleep Improvement Studying/Testing Lifestyle Changes Interviewing/Auditions
❀ ❀ ❀ ❀ ❀
Athletics Public Speaking Flying/Driving Socializing Confidence
Make Your Mind Work For You – Instead of Against You
732-270-0080 • www.HypnoForWomen.com 1541 Rt 37 East, Suite E, Toms River, NJ 08753
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September/October 2017
Medical Professionals
45
Athenas Spray Tanning Available @ Dr. Park Ave
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Discover the revolutionary benefits of advanced skin solutions from Athenas Spray Tanning. Athenas is devoted in giving you a beautiful glow in your skin that will have you looking like a goddess. We use Suvara products to make your skin look and feel its best while hydrating and nourishing the skin from within. Suvara’s mission is to educate and provide a safe and healthy alternative to the damaging effects of UV tanning. All Suvara solutions are free of parabens, petrochemicals, alcohol, formaldehyde and artificial preservatives. All natural and organic, as well as uniquely nut and gluten free, Suvara solutions are vitamin-fortified
emulsions infused with antioxidants, vitamins A through E, hyaluronic acid, CoQ-10 and other ingredients for repair of free radicals and skin damage. Suvara Airbrush Sunless Solutions are emulsion-based formulations using ECO Cert DHA and uniquely fortified with a vitamin and antioxidant enriched “super serum.” Suvara’s solutions are loved by an A-list of clientele who seek a natural, health y, sunless spray tan. Blended by Dr. Park Ave, your custom Suvara spray tan will leave your skin feeling radiant and naturally sun-kissed. Sanida Skin Nurture solution is formulated as a means to fight back against skin damage and visible signs of aging while reducing inflammation and skin irritations. Delivered weekly by airbrush, your skin will appear smooth, supple, and hydrated. Sanida promotes cellular repair, increases elasticity, reduces fine lines and wrinkles, and fades sun spots and redness.
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September/October 2017
46
Medical Professionals
Menopause: What to Expect Adam Repole, MD, FACOG, Shares Perspective Night sweats, hot flashes, and skipped periods are all common symptoms leading up to menopause. This time in a woman’s life is filled with fluctuating hormones and a laundry list of what can be uncomfortable symptoms. The good news is that it’s temporary and there are ways to alleviate those symptoms.
By definition, menopause occurs when a woman does not have a menstrual cycle for 12 months, marking the official end of her reproductive period. In North America, the average age for menopause is 51, however, Dr. Repole sees women younger and older as female family history is a factor.
Adam Repole, MD, FACOG, a boardcertified obstetrician gynecologist with Ocean Gynecological & Obstetrical Associates, part of Barnabas Health Medical Group, is known for his expertise in hysteroscopic and laparoscopic surgery. He provides women of all ages with a full range of gynecologic and obstetric services, throughout their life stages. Dr. Repole is affiliated with Community Medical Center in Toms River and Monmouth Medical Center in Long Branch, both RWJBarnabas Health facilities. Here, he provides useful information on menopause.
The length of perimenopause – the time period before actual menopause when a woman experiences symptoms – varies from a few months to a few years. Other symptoms may include: decreased libido, vaginal dryness, changes in menstrual flow, breast tenderness and mood swings.
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 care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.
“My role as a gynecologist is to reassure my patients that perimenopause is a normal transition to menopause – and there’s help for them. During this stage, they may experience a unique set of symptoms – like diminished libido and pain or dryness with intercourse – but they don’t need to suffer in silence,” says Dr. Repole. Dr. Repole notes that various forms of low-dose hormone replacement therapy or low-dose contraceptives help alleviate symptoms of perimenopause. But first, he counsels patients on trying over-thecounter products that have soy and black cohosh before moving onto a prescribed medication.
To reduce symptoms and simply feel better, women should consider the following: • Maintain a healthy diet complete with fruits and vegetables • Exercise regularly – Try yoga for flexibility and maintaining strong bones. Alternate with cardio and weight bearing exercises. • Try natural remedies to help with symptoms, especially hot flashes. • Reduce alcohol and caffeine intake, as these can trigger symptoms. Try quitting smoking.
Post Menopause: Put Well Visits on Your Check List “When women go through menopause they think they no longer need to see a gynecologist but this is not the case,” says Dr. Repole. “Well-woman visits are still a very important part of female health – it’s critical to be proactive with your health and wellbeing.” Unless there are problems, pap tests are conducted through age 65. The American Congress of Obstetricians and Gynecologists (ACOG) advocates regular breast self-exams and screening mammograms. During well visits, other tests, like bone density, are performed too.
Adam Repole, MD, FACOG Board-Certified Obstetrician Gynecologist 475 Route 70, Suite 101 413 Lakehurst Road, Suite 101 Lakewood, NJ 08701 Toms River, NJ 08755 732.364.8000
732.349.0485
barnabashealthmedicalgroup.org
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
40
Medical MedicalProfessionals Professionals
47
Sick? Tired?Heat Fatigued? Therapy Is Here! Stroke IV Vs.Nutritional Heat Exhaustion First And Foremost Is To Listen To Your Body!
A popular trend is now sweeping across the those with both acute and chronic inflammatory one may need to achieve optimal and therapeutic country that is utilizing a simple concept to assist our conditions including but not limited to: fibromyalgia, levels both in terms of daily dosage and weeks versus months of time requiring bodyWe inall achieving our daily requirements through disease, depression, Lyme and other infectious HEAT STROKE: enjoy the summer season but NOT the humidityheart and uncomfortable high-dosing what some call IV Nutrition. diseases, chronic fatigue, disc disease and more. Most • Most severe form of heat these related illness thatschedules. can lead It todoes death if not treated heat associated with record breaking temperatures. According to the Centers come at a price, however—meaning patients receiving IV Supplementation report forADisease new “FAD” hasand been sweepingon across America as an emergency Control Prevention, average, over 600 peopleafter die from out-of-pocket expense. Drips range in energy, enhanced decreased stress • Same symptoms of heat exhaustion plus…… complications related to extreme heat each year in theincreased United States - more than mood, that is opening the eyes and minds of those suffering over $100 to as high • Body temperature greaterprice thanfrom 104 just degrees tornadoes, lightning or and any other weather eventimproved combined. and anxiety, sleep, more energy, heightened with fatigue, hurricanes, generalized flooding, malaise, aches/pains as $400 for highly specific formulations. • These temps lead to brain, muscle, kidney, heart and total body failure if not immunity, improved hydration, and quicker recovery just about the everything in between. From What’s difference between heathousewives exhaustion and heat stroke? appropriately treated THE BOTTOM LINE: after exercise. to construction workers, to athletes, children Heat exhaustion is theactors precursor to heatstroke and is atime direct result of the body Once again ICAM is offering tooverheating. grandparents, literally thousands of Americans are HOW DO THESE IV’s WORK? Using ICAM offers a variety of intravenous drips thatHealthcare benefit many patients OPTIONSmedical to and for your self-searching answers to their medical needs and a HEAT EXHAUSTION: medical grade vitamins, minerals and other and conditions from “fatigue to fantastic”. Whether you think you are healthy or Needs. For more information, contact • Heavy to Sweating resolution their troubling symptoms. chemicals, these “custom-made” IV’s are similar to you are not, IV supplementation is a quick and efficient way to ICAM to speak to one of the highlypromote health • Rapid WHYPulse IV NOT ORAL? IV Vitamin Drips IV’s used in outpatient clinicsand andcombat hospitals where illness. • Dizziness medical staff members deliver vitamins, minerals and amino acids directly to the ingredients are based on desired outcomes and seasonknowledgeable During the summer ICAM is offering our “Hydrator IV” for those who • Fatigue to see how you may benefit from the body for maximal absorption, thus allowing for patients’ deficiencies/specific needs. IV route of hydration wish toThe optimize their either before and/or after extreme sun/heat • Cool, Moist Skin IV the Nutrition. nourishment on a cellular level. In addition, higher medication delivery allows for a much higher dosage exposure. Whether you choose IV or oral route of fluid administration, always • Goose Bumps When In The Heat doses can be given, providing higher, yet safe levels be sure to keep hydrated. This is especially important in the very old and the very of nutrients to be administered safely and effectively • Muscle Cramps young and of course our furry little friends! without the limitation these doses have upon the oral Yours in Health and Wealth, while having the potential of 100% absorption on • Nausea route (gastrointestinal side effects, etc.). a cellular level, which far exceeds that of the oral, • Headache sublingual and topical vehicles of administration. For full symptoms may develop over come on suddenly, especially These IV nutrition/supplementation has time been or used MarK Read the article at www.Icamnj.Com during or following of prolonged exercise IF NOT successfully as primaryperiods and adjunctive therapy for AND many, thisADDRESSED, decreases the amount of oral supplements Mark James Bartiss, MD
heatstroke can follow.
Manahawkin 609-978-9002
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Wayne 973-790-6363
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Medford 609-654-5900
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“Where Knowledge And Courtesy Go Along Make This Summer Worthwhile, With Years Of Compassion And Understanding” Become A Massage Therapist!
Written by: Sherry DeGraff
DeGraff Lakehurst Funeral unmarried co-habitants, civil Home is family owned and unions or just close personal friends The New Jersey School We strive to ensure that may youfind willthis beprovision trainedbeneficial. to enjoy a operated. Founded by Donald & of Massage offers extensive training with a personal succesful massage career upon graduation. We not only Wanda DeGraff in 1979 in historic This designated person is called a prepare touch. Lakehurst. We care The about YOU, YOUR life, downtown building you in spa massage, sports,“Funeral medical, prenatal and Representative” and geriatric must We prepare YOU to itselfand has aYOUR funeral future. history dating but we will also bring in Cheryl Chapman, cancer be named as such in aawill. Withmassage back become to the earlya 1900’s. In 1990 the confident, professional and thisthirty designation, therapist and trainer for over years.they can bypass DeGraff family saw themassage future trends licensed therapist. any blood kin and can authorize a She has presented her programs at four AMTA national were leaning toward cremation, as andcancer control and the funeral. conventions and authored cremation articles on mastectomy a result, their daughter Sherry opened DeGraff Cremation Choosing for final disposition of traditional New Jersey School of Massage offers This cremation cancer massage training in is lieu open to existing Service offering a wide variety of cremation service options.massage. burial does not change service options for a family. A funeral state towards approved hour massage massage therapists, in which they can earn 16 CEU credits. The move more600 cremation represents the largest shift celebrates someone’s life bringing together family and friends certificate programs. We can try to in the funeral industry. In fact, many consumers believe the to console each other and share memories of ACTIVE a life well lived. MOMS OR SEMI-RETIRED adjustitself ouris program meet your needs cremation performed to at the individual funeral homeSINGLE or In addition to cremation, the services can still a can ADULTS. The best thing about this career isinclude that you financially andhired. yourThis lifeisschedule. cremation service they not correct.We Crematories traditional viewing, memorial service at the funeral home or are owned cemeteries. Mostprogram, people are surprised they your own private clients and set up your own schedule offer by a full time day which when have church or graveside services when or if the cremains are placed hear is that. Many people are unaware that cremation must be or work for a spa or treatment center. three days a week, completed in at a cemetery. Providing excellence, honesty and dedication to authorized by a spouse or blood kin under New Jersey State 6 - 7 months and a part time evening Established in 1995, NJisSchool of Massage wethe serve our primary goal. has grown to be one of Law.program, This can cause undue peoplea who do not have a every family which is stress two for nights week, the preeminent institutions for massage therapy education in the state. NJ spouse or family. in 10-12 months. completed School of Massage is privately owned by Alice Marin, LMT, CMA. If you would like additional information on the services In 2004, New Jersey law provides for the designation we offer or prearrangement options, please do not hesitate of an individual to control the funeral or cremation of another to contact our dedicated staff at 732-657-7868 or you may person regardless of whether or not the named person is www.TheCountyWoman.com The County Woman Magazine related by marriage or blood. People in relationships involving visit our website at www.degrafffuneralhome.com
The County Woman Magazine www.TheCountyWoman.com
Textbo oks an da schoo l T-shir includ ed in th t are e tuitio n.
NJSchoolofMassage.com register online or call for more information
732-505-0055 Located On: Corner of Route 37 & 166 Corinne Jewlers Plaza Toms River, NJ July/August 2017
September/October 2017
48
Medical Professionals
Diagnosed With Breast Cancer:
What’s Next?
October is Breast Cancer Awareness Month
The biopsy shows that you have breast cancer. In addition to the shock and emotional turmoil, a thousand questions go through your mind. “The surgeon said that he took everything out, so why do I need chemotherapy?” “What are my chances?” “Am I going to die from cancer?” “My friend only needed to take a pill, why am I not getting that?” Not everyone diagnosed with breast cancer is treated the same because no two tumors are alike. Even after the lump in the breast is removed surgically, there is a risk of cancer growing back in the same breast or spreading to other organs, a process called metastasis. The risk of metastasis is based on a number of factors. Age, menopause, the stage of the cancer and characteristics of the tumor cells (grade, hormone receptors called ER and PR, and Her-2) all determine the risk of relapse or metastasis. Age: In general, young women tend to have more aggressive tumors and are more often treated with chemotherapy than older women. Stage: Breast cancer is staged from Stage 0 to Stage IV; Stage 0 is pre-cancerous and is also known as carcinoma in situ (DCIS or LCIS). Stage 0 cancer does not metastasize and does not require chemotherapy. Stage I is a small tumor (<2cm) confined to the breast; when the tumor has spread to the lymph nodes or if the tumor is >2cm it is Stage II. Stage III includes tumors that have spread to lymph nodes in the neck, have affected more than 4 lymph nodes, or have spread to the skin and chest wall. When the cancer has metastasized to other organs (commonly to the bones, lungs or liver), it is Stage IV. The higher the stage, the higher your risk is of relapsing; chemotherapy, hormonal therapy or both are recommended to reduce that risk. Tumor Characteristics: Certain features on the cancer cells can predict the aggressiveness of the cancer. Cancer cells are graded from I to III, grade I being the least aggressive and grade III being the most. The tumor cells are also tested for hormone receptors on the surface of cancer cells, called ER and PR (estrogen and progesterone). Tumor cells are also checked for a protein called Her-2. About 25-30% of all breast cancers are Her-2 positive. Her-2 positive patients are treated with a drug called Herceptin. Who Needs Chemotherapy? Even if the visible tumor is removed surgically, you may have cancer cells floating around in your system that can deposit in different parts of the body. This can happen a few months to several years later, producing metastasis. Research has shown that this risk can be reduced by giving chemotherapy for a few months. In addition, hormonal therapy and Herceptin are used in appropriate patients. After surgery, your surgeon will refer you to a Medical Oncologist who will then determine the kind of treatment you may need. Women who have very early stage breast cancer may not need any treatment and should be observed periodically. Most women with ER and PR positive tumors are treated with Tamoxifen (before menopause), or Arimidex (Anastrazole) or Femara (Letrozole) (after menopause). In addition, your medical oncologist may advise you to get chemotherapy based on the other factors mentioned above. The most commonly used chemotherapy drugs are Adriamycin, Cytoxan, Paclitaxel (Taxol), Docetaxel (Taxotere), and 5 Flurouracil (5 FU). The type of chemotherapy and duration used are also based on the risk of metastasis. Chemotherapy is given for approximately 4 to 6 months, starting about 3 to 4 weeks after surgery. Chemotherapy is often administered as an intravenous infusion. To minimize damage to the veins and to ensure proper administration, a device called a port-a-cath can be inserted below the collarbone. This is temporary and can be removed after treatment is completed. Side Effects Chemotherapy can cause nausea, fatigue, vomiting, hair loss, mouth sores, low blood counts and numbness in the extremities. These are all reversible and improve once treatment is discontinued. With the use of newer medications, nausea and vomiting can be prevented considerably. Patient Testimonials “I thank God every day that Dr. Easaw became an oncology doctor and that I was lucky enough to have found her.” - Donna, Toms River.
Ocean Hematology & Oncology Center for Cancer & Blood Disorders
Compassionate Care, Close to Home We offer a full range of Hematology and Oncology services. 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.
732.961.0010
www.OceanHemOnc.com Easily Accessible Location!
1255 Route 70, 31S Near Exit 88 on GSP
Lakewood, NJ 08701 Accepts Most Insurances. Affiliated with Kimball Medical Center and Community Hospital Access to Clinical Trials.
“Dr. Easaw took the time to answer every one of my questions and guided me to make the best decision for my Mom’s care.” - Melissa, Howell. “Dr. Easaw and her staff became an extension of my family and I feel so fortunate that she moved her office to Ocean County just when I needed her the most.” - Dorothy, Toms River.
To learn more about treatment of breast cancer or other cancers, contact Dr. Sarah J. Easaw at 732-961-0010.
The County Woman Magazine www.TheCountyWoman.com
Sarah J. Easaw MD, FACP
Diplomate of the American Board of Hematology, Oncology & Internal Medicine
September/October 2017
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The County Woman Magazine www.TheCountyWoman.com
September/October 2017
50
Medical Professionals
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
51 Senior Living Advisor “Mom Needs Help and I Don’t Know Where To Start!” This is how many of our phone conversations begin. Some folks need light home care to help with light tidying, meals and bathing. Others need medical assistance at home, or possibly an assisted living residence. Another may show alarming signs of becoming forgetful only to be diagnosed with Alzheimer’s. Where do you start? With the myriad of options available today, it is hard to know where to go and who to trust. The stress can be unmanageable for those in the position of caring for children as well as a parent. This is where Oasis Senior Advisors can change everything. We know each individual requires a very unique set of solutions. With one phone call we can get you and your loved one on the right path. What To Expect 1. A meeting scheduled to discuss your personal needs, lifestyle, and budget. 2. Once matches are found, your advisor will arrange tours of communities in your area, including Assisted Living, Memory Care and Independent Living Communities. 3. Oasis offers a local hands-on approach, with extensive knowledge and compassion of all services and communities in your area - your worry and confusion stops here. 4. Our services are absolutely FREE for clients and their families. You Won’t Pay A Penny! Connie Roberson, CSA
“About a month ago I started looking into assisted living communities for my 90 year old mother. I was totally new to the process and felt overwhelmed. Fortunately, I found Connie Roberson who was a God send. From our first telephone conversation she educated me as to the different living options and explained what to look for in an assisted living community. She provided guidance, and support every step of the way, but always asked me how I felt about what each community had to offer. Connie visited every assisted living community with me so that we could debrief afterward and compare notes. She asked the questions I didn’t know to ask or ones I forgot to ask. Connie is a beautiful person and truly cares about helping people find the right home for them. My mom moved in to a place a couple of weeks ago and Connie is still following up on how she is doing. I cannot recommend Connie highly enough.” — Caryn Cullen
OCEAN, MONMOUTH & MERCER COUNTIES 732-675-3140 - Phone 732-438-9179 - Fax croberson@youroasisadvisor.com Massage School
The Kids Are Back At School, Why Not You Too?
Have you been thinking about a new career that can change your life? The New Jersey School of Massage (NJSOM) can help you start a new career in less than a year! With the kids back at school, we all know how important it is to take the time to do something for yourself. At NJSOM, we offer state-approved 600-hour massage certification programs. This program is tailored around your schedule with your family as well as financially. We give options that include a full-time program, which is three days a week, completed in 6-7 months, or a part-time evening program, which is two nights a week for 10-12 months. In addition, we now offer Skype capabilities for attending classes as well as one-on-one tutoring sessions. At NJSOM, we take a personal approach in teaching our students about how to help clients relieve pain or stress. We teach not only spa treatments but also cancer, hospice, geriatrics and prenatal massage. Taking care of your kids is important; however, it is also important to take care of yourself. Stop in our office today to talk to one of the many students who are completing their certification program or one of our staff members who would love to share more information.
New Jersey School of Massage
NJSchoolofMassage.com Register online or call for more information 732-505-0055 or 732-773-6263
The County Woman Magazine www.TheCountyWoman.com
No Interest Financing Options Available
Located On: Corner of Route 37 & 166 Corrine Jewelers Plaza, Toms River, NJ Textbooks and a school t-shirt are included in the tuition. September/October 2017
Medical Professionals
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Breast Cancer Survivorship: Sumy H. Chang, MD, FACS, Sheds Light on What Happens After Treatment While breast cancer is the most frequently diagnosed cancer in women, the good news is that survivorship is on the rise. According to Sumy H. Chang, MD, FACS, a fellowship-trained, board-certified breast surgical oncologist, “Following breast cancer treatment, many women face challenges transitioning back to their lives. They want to know what to expect and what steps to take on the road to recovery.” Dr. Chang is a provider with Barnabas Health Medical Group (BHMG), and is affiliated with Community and Monmouth Medical Centers, RWJBarnabas Health (RWJBH) facilities. She notes that during the post-surgery period, there is risk of breast cancer recurrence, depending on the patient’s initial tumor. “Monitoring your health and reporting any changes to your doctor is critical for survivorship,” she says. Keep these points in mind posttreatment: Hormone blocking treatment: After surgery, most women take hormonal therapy medicine to reduce the risk of recurrence. Tamoxifen, the most popular drug taken for five years after breast cancer surgery, is used to treat premenopausal women. According to a recent study, women with hormone-
receptor-positive breast cancer who took hormonal therapy after surgery had a lower risk of breast cancer in the opposite breast. Aromatase inhibitors are taken by post-menopausal women for five to ten years after their breast cancer treatment. Surveillance: Women should report any changes in breast health to a physician. A breast self-exam (BSE) forces women to pay attention to how their breasts typically look, so they’ll be more aware of any irregularities. Many patients experience discomfort at the surgical site or the entire breast. Common changes following treatment include new lumps or bumps, aches and pains, and numbness or tingling. Although some of these changes may be side effects of surgery, chemotherapy and/or radiation, they should still be reported to a doctor. Follow up mammograms: Stick to a routine of annual mammograms along with two to four breast exams a year by a provider, such as a medical or radiation oncologist. Skin changes: Some women may experience long-term changes from radiation, including skin color or tone, and thickness. Pores may be a little more obvious, too.
Sumy H. Chang, MD, FACS Fellowship-Trained Breast Surgical Oncologist Jacqueline M. Wilentz Breast Center 300 Second Ave Long Branch, NJ 07740
732.923.7702
67 Highway 37 West Riverwood 1, First Floor Toms River, NJ 08755
732.557.2153
barnabashealthmedicalgroup.org
The County Woman Magazine www.TheCountyWoman.com
Survivorship on the Rise The American Cancer Society reports that breast cancer death rates declined by 36 percent from 1989 to 2012 due to improvements in early detection and treatment, avoiding approximately 249,000 breast cancer deaths. Reconstruction: Depending on when cancer treatment is completed and the type of reconstruction the patient chooses, it can take a woman a full year to complete her reconstruction. Healthy lifestyle: It is important to stay active, but some women may need to come to terms with their “new normal” based on the type of cancer treatment they had. “The best thing is to learn to adjust,” says Dr. Chang. Meet with a nutritionist to create a well-balanced meal plan and visit cancer.org for ideas. “I tell patients not to think about cancer coming back or to worry about it. In worrying about the future, they aren’t living in the present.”
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 care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.
September/October 2017
609-553-7079 www.sbltrichology.com
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Offering the best in apartment living - luxury, lifestyle and convenience - including garages and golf views.
Location, Location, Location… Our distinctive apartment homes are just 6 minutes from the Atlantic City Airport and just minutes away from the South Jersey beaches. The Woods at Blue Heron Pines offers awesome amenities, such as: • Free Comcast Cable Package • Free Local Telephone • 24/7 Fitness Center • Seasonal Pool
At The Woods at Blue Heron Pines, you can experience truly carefree living. With 24/7 maintenance and valet trash service, you can just sit back and enjoy the golf views. With the inclusion of water and sewer, your bills will be kept at a minimum as well. • Spacious units with 9 ft ceilings • Garden soaking tubs • Attached garages • Oversized closets
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1000 Bally Bunion Drive • Egg Harbor City, NJ 08215
Health & Wellness
609.804.3300 • www.woodsbh.net
Health & Wellness
The County Woman Magazine
21
March/April 2017
www.TheCountyWoman.com
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www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com
November/December 2016 September/October 2017
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Community
Help us Sound the Alarm about fire safety. Every day 7 people die in home fires. You can help change that. This fall, the American Red Cross will team up with fire departments, volunteers, and partners to Sound the Alarm with home fire safety and smoke alarm installation events.
Help us Sound the Alarm about fire safety.
Volunteers will install 100,000 free smoke alarms in more than 100 at-risk communities across the
Every day 7 people die in home fires. You can help change that. country. We’ll also mark a major milestone—our 1 millionth smoke alarm installation since 2014! This fall, the American Red Cross will team up with fire departments, volunteers, and partners to Sound the Alarm with home fire safety and smoke alarm installation events.
Help us prevent these needless tragedies in New Jersey.
Volunteers will install 100,000 free smoke alarms in more than 100 at-risk communities across the We'll be holding 3 major events simultaneously in New Jersey country. We’ll also mark a major milestone—our 1 millionth smoke alarm installation since 2014! Camden, Trenton and Jersey City Saturday, October 7 and Sunday, October 8, 2017
Help us prevent these needless tragedies in New Jersey. We'll be holding 3 major events simultaneously in New Go to SoundTheAlarm.org to learn how you canJersey make a difference. Camden, Trenton and Jersey City Saturday, October 7 and Sunday, October 8, 2017
Go to SoundTheAlarm.org to learn how you can make a difference.
145733 6/17
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Health &Wellness
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Back To School Time Already? Health Problems That Spread At School Kids should learn to share, right? But, gee whiz…. When it comes to bugs and other contagious health problems in school, does your kid have to get everything that’s passed around? Whether kids are packed into a classroom or messing around on the playground, they do tend to share lots of health problems in school. What can you do about it? And when should you be concerned? Here are a few things to think about. Does head lice top your list of concerns? Although these creepy insects might disgust you, it may help to know that they don’t cause diseases or other health problems – other than maybe a red, rashlike reaction. Of course, that doesn’t mean you want to ignore them since they spread really easily. Follow up with the doctor if your child complains of an itchy scalp or you catch sight of tiny white eggs firmly attached at hair roots. These are often confused with dandruff. Your child’s doctor may prescribe a treatment and other over-the-counter (OTC) shampoos or rinses. Follow directions closely and be sure to ask me if you have any questions.1 Viral Infections And Other Diseases Viral infections such as chicken pox are common, too. Many are contagious before skin lesions appear. Be sure to keep your child home until the sixth day after the rash appears unless all lesions are dry and crusted over. To prevent this infection, have your child vaccinated.1 Fifth disease is another viral disease. It causes a lacy rash on arms and redness on cheeks that looks like the result of a well-placed slap. Unless your child feels too sick, there’s no need to stay home. That’s because the disease only spreads before symptoms appear. However, tell the school so female employees of childbearing age can be notified. Fifth disease can severely hurt a developing fetus.1 Although there are many kinds of hepatitis, hepatitis A is the most
common type in children. This virus is in blood and bowel movements, so hand washing is really important to prevent its spread. A child with hepatitis A should stay home until a week after the onset of illness and until any jaundice (yellowed skin) disappears. Another disease spread through bodily fluids is HIV/AIDS. Although it can cause anxiety among parents, remember that casual physical contact – such as hugging, holding hands, or sharing a glass – does not transfer this virus.1 Colds And Flus Then, there’s the run-of-the mill colds and flu. Deciding whether or not to send your child to school can be a challenge. General rule of thumb? If there’s a fever, keep ‘em home – until the fever’s been gone for at least 24 hours.2 If there’s no fever, more than likely it’s a cold and it’s okay to go to school. When in doubt, check with your child’s doctor. And, don’t forget the flu vaccine, which is recommended for everyone 6 months and older.3
Stop by or call Jersey Shore Pharmacy, 609-660-1111, and I can advise you on the best way to keep your child comfortable while the cold or flu runs its course. I can also give you a brief overview of prescription or OTC treatments for the more common childhood viral infections. Sources
1. American Academy of Pediatrics: “Contagious Health Problems in Schools.” http://www.healthychildren. org/English/ages-stages/gradeschool/school/pages/Contagious-Health-Problems-in-Schools.aspx 2. WebMD: “Your Child: Too Sick for School?” http://www.webmd.com/cold-and-flu/features/your-child-toosick-for-school 3. American Academy of Pediatrics: “The Flu: A Guide for Parents.” http://www.healthychildren.org/English/ health-issues/conditions/chest-lungs/Pages/The-Flu-A-Guide-for-Parents.aspx
www.jerseyshorepharmacybarnegat.com
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Assisted Living 56 Questions To Consider When Moving A Parent Into Assisted Living Part 2 Deciding to move a parent into assisted living is a big decision – and one that is best done by making numerous small decisions. In the July/August 2017 issue we focused on four aspects in order to make your parent’s move to a new living arrangement as smooth as possible. To begin, making a list of questions is the most important. Checking out local and national referrals along with public services through your state’s Department of Human Resources can be helpful in finding a good place for them to live. Spring Oak of Forked River is one of the most affordable assisted living communities of Ocean County, NJ. To understand how to pay for it, you will need a clear understanding of your parent’s financial resources. To continue, we will focus on three more aspects in order to make your parent’s move to a new living arrangement quite simple. What medical, emotional, financial and family resources will my parent and I need? Be proactive! Dealing with medical paperwork, coordinating schedules, pulling together resources in ways that will be a stretch because you have never faced this challenge before is rough enough. You will also be dealing with the emotions that inevitably arise when you have to deal with what is likely the final chapter of a loved one’s life. It is easy to get a little overwhelmed, and that is okay, but you will be more effective in accomplishing what you need to get done if you try to stay on top of things. Get a flexible file, or use whatever file system works for you, and collect all medical records and all drug information (name of drug, purpose, dosage). Keep these updated and take them with you when your parent is examined, evaluated, when a new doctor is seen, and when new drugs are prescribed. If your parent has someone else take them for doctor visits, be sure they have a copy of this information as well so it travels with your parent. Join a caregiver group. To find one, call your local senior center, church, or local assisted living communities. The aging of the baby boomer generation will provide you with plenty of chances to find good company on this new journey in your life. Caregiver groups can be an invaluable place to get advice and emotional support. Help your parent stay engaged with family and peers, even if it’s a challenge. Have family take turns calling and visiting. Try to coordinate visits and calls with friends and neighbors. Be sure that wills, living wills and power of attorney are in order. Get as much information as you can about bank accounts, insurance policies, last wishes, names of
doctors, lawyers and ministers. This is often a difficult subject for parents and children; in our family we approached it by having the adult children discuss and take care of these tasks at the same time as our elderly parents. Engage as many family members as you can to work through this process. Too often things get dumped on a dutiful daughter or son while the rest of the family looks on. Even if everyone doesn’t agree on what is done, everyone should be heard and involved. If there is extreme disagreement in the family, you may want to have an elder care attorney or minister mediate. WHAT CAN THEY TAKE WITH THEM? Spring Oak Assisted Living allows you to personalize the apartment you choose. We have no restrictions on wall hangings or mounted flat-screen TVs. We also allow pets. This all depends on where they’re going and how much living space they will have. Take favorite pictures and other small treasured things that may be decorating their walls; familiar things can make them feel more at home more quickly, and it gives them things to talk about with their new neighbors. Make a floor plan of their new residence on paper or on the computer and do a scaled layout of their furniture. Then decide what they will take and what to do with the excess so it’s not in your basement or an expensive storage facility for years to come. Some communities allow very small dogs and cats; most do not. Ask the community for a list of do’s and dont’s. HOW MUCH MIGHT THEIR LIFE CHANGE? At Spring Oak Assisted Living we strive to have all new residents acclimate to their new home seamlessly. Our “welcoming committee,” made up of four existing residents, spends some time every day for the first few weeks of the new resident’s arrival helping them feel comfortable. This is often one of the biggest changes in a person’s lifetime. Many seniors view this move as the last one of their lives, and it can cause them to be sad, depressed, or angry. More positive folks see it as a way to unburden their families and feel more secure about receiving the ongoing care they need. Community caregivers are trained to notice and deal with differing attitudes, and you should work with them and with your parent to help them adjust. We at Spring Oak are here for tours 7 days a week to help family and friends of aging loved ones. We offer a full-service Assisted Living and Memory Care neighborhood for those in need of dementia and Alzheimer’s care. Call for your tour 609-607-6002.
601 N. Main Street • Lanoka Harbor, NJ • 609-242-2661
www.springoakforkedriver.com
Enter to Win
Enter to Win a $100 Gift Certificate to Koehler Acupuncture
Name: ____________________________________________________ Address: __________________________________________________ City: ______________________State: ______ Zip Code: ___________
Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723
732.262.0637
Please clip out and mail to: The County Woman • P.O. Box 619 • Turnersville, NJ 08012
One entry per person for Koehler Acupuncture. Valid for new patients/clients only. Value not to exceed $100. Entries will be accepted through October 31, 2017. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.
www.koehleracupuncture.com
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September/October 2017
Assisted Living
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ASSISTED LIVING BRIDGES MEMORY SUPPORT PROGRAM
Spring Oak provides several levels of specialized services to meet each individualâ&#x20AC;&#x2122;s needs. These programs are specifically tailored and combined to promote the highest level of independence and health. This approach to care focuses on enhancing quality of life through the provision of individualized services in areas of nutrition, health care and recreational activity.
601 N. Main Street â&#x20AC;˘ Lanoka Harbor, NJ 609-242-2661
www.springoakforkedriver.com
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Law
58
Four Tips For A Four Letter Word…Divorce Divorce…a four-letter word, as it means the break-up of a relationship and maybe even a family. Sometimes it’s an event that’s been coming for a while and sometimes it’s a complete surprise. Either way it is life-altering. The psychological effect on a spouse and children is inexplicable and it is incumbent on parents to get some assistance as to how to manage this with the kids, no matter their age.
At our firm, we approach the dissolution of a marriage in a different manner.
For us it is not just another case, but an opportunity to help our client and family to get through the process in the most effective and sensitive way. That does not mean we don’t “fight” for everything our client is entitled to; quite the contrary. But there are ways to ensure your rights are advanced without adding to the hyper-emotion and the raw feelings that are surely present. Our collective background of over 125 years of experience has caused us to embrace a much different style. We have a singular goal to get through the process, regardless of who initiated the action, in such a way as to preserve respect.
2. Contact a lawyer, maybe a couple, and immediately schedule an appointment. The purpose is to see if there’s a chemistry and agreement on how the matter will be litigated. The other reason is to get educated. Divorce has changed drastically; information is empowering and you should get it, you deserve it.
Harry Levin, Managing & Founding 3. Organize and collect Partner & Colleen Cyphers, Partner as much of the financial information as you can, including tax returns, investment reports, bank accounts, credit card statements, etc. Courts do not concern themselves with “fault”; divorce is an economic process.
4. Talk to the kids. Not only are there resources available online, your lawyer can refer you to experienced counselors who can help you get through and give you advice.
Our practice has evolved such that we find ourselves representing the wife far The key when facing a relationship dissolution is knowledge! more. We chalk that up to the reputation we’ve earned for advancing, in particular, You need to know HOW divorces work, even if this is not your first. The the wife’s position, which requires insight and understanding. law changes. You also need to know about your financial situation and what you Divorce has changed drastically. The reason for the divorce used to be can expect during the process and after you are divorced. You need not be overly important; it no longer is. For example, adultery, while a reason for divorce, does afraid; some fear is good, but it should not paralyze you, and an experienced not mean there is an economic impact. attorney is essential. Also, the old rumor that you need a “killer shark” is likewise an outdated belief. The laws in New Jersey have already set the stage for how the financial, visitation and spousal support (alimony) is to be determined. Sure, there are individual considerations but on balance, there will be a fair split of ALL your assets, including any business, along with the payment of child support. If you find yourself facing a divorce, here are 4 things (there are others too) you need to do. 1. Take a deep breath, a very deep breath, and accept that you must “take control,” for your benefit and for the kids. This is not a time for feeling sorry for yourself, it is a time for action.
At LevinCyphers, our approach and mission recognizes that our client is going through a very difficult time and that our representation is not limited to the legal issues but also to the client as a person. We hope that this explanation has been helpful, that’s our goal. We are committed to wife-centered representation, taking into consideration all of the individual factors of your life and marriage. We have successfully represented thousands of clients, helping them to get through their legal matters. If you find yourself needing information or representation, please consider contacting us for an appointment in our Red Bank offices.
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September/October 2017
Community
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Will You Speak Up For A Child In Need? Abused and neglected children need you to be their voice There are children living in our community that have no one to speak up for them. They are the over 700 children residing in Ocean County’s foster care system. When parents are unable, unwilling or unfit to care for a child, the child is removed from the home. The time they spend in foster care is often confusing, scary and, unfortunately, leaves them feeling isolated and alone.
No child should ever feel that they are alone and without a voice.
This is where a CASA volunteer comes in. A CASA volunteer is a specially trained advocate, appointed by a judge, who fights for the rights of children during the most vulnerable time in their young lives. They are a trusted adult empowered to ensure each child is well cared for and to help ensure the child finds a safe, loving, permanent home.
But nearly 90% percent of the children in our community who need a CASA volunteer do not have one. Over 700 children in Ocean County don’t have the hope a CASA volunteer can offer. Every foster child deserves a CASA volunteer. Stand up for these children. Stay connected as we fight to ensure every child has a safe, permanent, loving home.
Volunteer Your Time to Change a Child's Life! What Do CASA Volunteers Do? CASA volunteers listen and get to know the child by talking with everyone in that child's life; parents and relatives, foster parents, teachers, medical professionals, attorneys, social workers and others. They use the information they gather to inform judges and others of the child’s needs. They help secure the best permanent home for them. Who Can Be a Volunteer? We welcome people from all walks of life. We are simply looking for people who care about children and have common sense. As a volunteer, you will be thoroughly trained and well supported by a professional staff to help you through each case. You must pass a background check, participate in a 30-hour pre-service training course and agree to stay with a case until it is closed (a year and a half on average). Interested in helping children but not ready to commit to becoming an advocate? Then consider sponsoring a child and providing them with a CASA of their own. Call our office today to become a volunteer or sponsor a child. Please call Executive Director, Ariane Yazdan, at 732-797-0590 or visit our website at www.casaofoceancounty.org.
Inspire A Child! There are many ways CASA volunteers help a child in need. By spending time with them and encouraging their imagination, these children are better able to express themselves and cope with the uncertainty and fear. The Creativity Fund is a partnership with the Creativity Studio that funds art and creative activities for CASA kids.
Will you help us inspire a child with creativity & imagination?
Visit www.CASAofOceanCounty.org to volunteer or make a donation and help a child find their voice
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Inn & Tea Room
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A Hidden Gem in the Heart of Downtown Toms River
600 Main - A Bed & Breakfast and Victorian Tea Room
The
holidays traditionally bring friends and family closer together to make new memories that will last a lifetime. Every proud resident of Ocean County and the Jersey Shore should invite their guests to visit 600 Main, a Bed & Breakfast and Victorian Tea Room while planning festivities. This remarkable Victorian mansion offers the comforts and cuisine of today while including a rich history that dates back to the late 1800â&#x20AC;&#x2122;s. The five star Bed and Breakfast also includes Ocean Countyâ&#x20AC;&#x2122;s largest Victorian Tea Room. This spectacular example of Dutch Revival architecture is a hidden gem located in the heart of downtown Toms River and allows visitors to step back in time. The home was built in 1898 and became known as the Mathis-Berry House, named after the owner Thomas Mathis, who was a Mariner who sailed around the world and was a prominent political leader. The home over the years has been the scene for elegant parties and lavish dinners. In 2011, the home was purchased and renovated by John and Susan Notte, who have successfully transformed this magnificent property into a destination spot for all residents and tourists to appreciate. Vicki Weiss New Innkeeper
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
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The 7500 square foot home hosts a year round Bed & Breakfast that includes five luxurious suites all with private baths. Each room is tastefully decorated with priceless antiques, fine linens, a flat screen television, complimentary WiFi, and air conditioning. A stay at the B&B includes an early morning hot breakfast and homemade refreshments in the afternoon. Guest may enjoy wine and cheese on the front porch on cool nights or play board games in the evenings while making new friends. The location of the home is ideal for family guests that are visiting Ocean County. The suites may be viewed at www.600Mainnj.com and reservations made by calling the Innkeeper at 732-818-7580. The Victorian Tea Room is open daily to the public by reservation only for afternoon teas from Wednesday thru Saturday from 12 to 4 pm. The Tea Room will open on Monday and Tuesdays or evenings during the week for large holiday parties and special events. A full service tea includes soup, salad, a full plate of tea sandwiches & savories, an assortment of delectable sweets and delicious scones, and over 80 varieties of tea to choose from. The tea room is adorned with vintage hats where ladies can step back in time and learn the history and proper etiquette for attending a formal tea party. Details of the tea experience may also be viewed on the website or by calling the reservation office today to learn more information. Gift certificates are available for purchase as well as gourmet tea and scones by special order. The Bed and Breakfast and Victorian Tea Room makes a perfect venue for any special occasion including reunions, anniversaries, birthdays, fundraisers, business meetings, corporate events, holiday parties and showers. The dining rooms may accommodate large parties and the owners will coordinate individualized event planning to make any day memorable and unique.
For more information regarding 600 Main, a Bed & Breakfast and Victorian Tea Room, please call 732-818-7580, or visit the website at www.600MainNJ.com. 600 Main Street, Toms River, 08753 Email: InnKeeper@600MainNJ.com
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September/October 2017
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Adult Community
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September/October 2017
Business & Finance
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Education
Grunin Center Brings Great Performances To Ocean County College From children’s shows to classical concerts and from Broadway to R&B, The Jay and Linda Grunin Center for the Arts at Ocean County College (OCC) has a wide variety of entertainment sure to please! Whether you’re an aficionado of music, dance, or theatre, the new 2017-2018 season features big-names, special events, and holiday shows! The season kicks off in September with a nostalgic journey through the 1960s with The British Invasion Years. Then we change genres to revel in Neil Berg’s 101 Years of Broadway. And MidWeek Jazz hits a high note with vocalist/pianist Champian Fulton. October is jam packed with a variety of shows. Delight to actor/singer Tony Danza in Standards & Stories. Sing along to the unique harmonies of The Everly Brothers Experience. Get “jazzy” with the popular Dan Levinson’s Roof Garden “Jass” Band. Be awe-inspired by Resonances Boreales, a multi-media classical performance in the Novins Planetarium. Plus, enjoy the musical renderings of Joan Osborne Sings the Songs of Bob Dylan and the unique sound of Storm Large. However, October isn’t over, yet! Dance troupe Ailey II makes a triumphant return! The OCC Repertory Theatre The British Invasion OCT SEP Years presents the drama Proof. Children will jump to the indie pop dance party of Tim Kubart & the Space Cadets. U.S. 22 13 Army veteran/photographer Stu Richel reflects on Vietnam … Through My Lens – no politics, just humor and pathos. And presidential historian/Pulitzer Prize-winner Jon Meacham explains in a non-partisan way “The Art of Leadership: Neil Berg’s 101 Years SEP Ailey II 16 of Broadway Lessons from the American Presidency.” In November, you’ll laugh your socks off during “Candid Camera’s 8 Decades of Smiles! With Peter Funt.” Take a trip back to the 1960s with a new show by folk singer/activist Arlo Guthrie and the disarming wit and extraordinary talent of Herman’s Hermits starring Peter Noone. Get rooted in bluegrass and gospel with The Church Sisters. Satisfy your hunger for jazz and soul with Irma Thomas, The Blind Boys of Alabama, & The Preservation Legacy Quintet. And the OCC Repertory Theatre presents Telling: Jersey Shore with reflections from local military personnel and veterans. The Everly Tony Danza: OCT NOV Telling: OCT Standards and Brothers You’ll get in the holiday spirit this December with a variety of shows! Children will be enchanted by Ballet for 25 10-19 27 Jersey Shore Stories Experience Young Audiences’ The Nutcracker, Yates Musical Theatre’s A Christmas Carol, and the musical A Garfield Christmas. The whole family will be entertained by the world-famous Vienna Boys Choir, the Westminster Concert Bell Choir, and the NOV 4 OCC Concert Band’s The Magic of the Season. Lovers of jazz and Broadway will enjoy George Gershwin’s Porgy & Bess DEC Candid Camera’s 8 Decades Vienna Boys with Peter & Will Anderson. The OCC Repertory Theatre performs The Best Christmas Pageant Ever. Plus, relish the 14 Choir of Smiles! With Peter Funt joyful sass and pizzazz of singer, actress, and SNL’s Ana Gasteyer – Holiday Tipple.
For tickets and a full season brochure, call the Grunin Center Box Office at Ocean County College, 732-255-0500 or visit http://grunincenter.org. (Tickets are also on sale for January through June shows!)
The County Woman Magazine www.TheCountyWoman.com
For the complete 2017-2018 performance schedule, visit
grunincenter.org
Box Office Hours: Mon.-Fri. P 10:00am-5:00pm 732.255.0500 P College Drive P Toms River P NJ
September/October 2017
Health
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&Wellness
Become A Certified Yoga Teacher 200 HR Teacher Training Program Registered with Yoga Alliance Freehold Yoga Center Is In The Same Space For 32 Years And This Will Be Our 19Th Teacher Training! Visit our web page @ www.freeholdyogacenter.com for more information on our 200 Hour Yoga Teacher Training Course • All Trainees Receive unlimited Open Class membership to FYC during the length of the Course • Begin your Yoga experience early & receive a 10% tuition discount by signing up and paying in full before AUGUST 31, 2017
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-8:30 RESTORATIVE YOGA EVERY Thursday at 5:15 -6:45 YOGA FLOW WITH GAIL “MAHESHWARI” EVERY Thursday at 7 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 YOGA WITH DHARMINI Thursdays at 9am YOGA WITH DHARMINI Wednesdays at 4 Gentle Flow Resorative
Joining the program is Gail Maheshwari Cristelli Gail Cristelli, E-RYT 500, PYT, Professional Yoga
Therapist (IYT), Certified Holistic Health Coach (IIN) and Holistic Health Practitioner with (AADP American Association of Drugless Practitioners), Certified Reiki Master and Certified Yoga of Recovery Counselor (YoR) is the owner of YogaFlow LLC; Yoga Therapy & Nutrition for the Soul. Gail became a student of meditation through the Ananda Ashram in NY where she studies meditation and yoga philosophy under the influence of the Ashram Guru Shri Brahmananda Sarasvati’s senior teachers. She holds weekly yoga classes, private yoga therapy sessions as well as private and group nutritional coaching sessions, Reiki Therapeutic Healing sessions, Yoga Teacher Certification Programs, Workshops and Retreats.
The Local Mala
3 West Main Street Freehold, NJ 07728 Project • 17 Teachers, 1 Conciousness • September 17 • Asbury Park www.freeholdyogacenter.com
100 JC:nWWW.IMPACT100JERSEYCOAST.ORG www.thelocalmalaproject.com/
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FREEHOLD YOGA CENTER
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732-462-YOGA September/October 2017
Meet The Instructors
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Refresh Yourself With The Talented Instructors At Freehold Yoga Linda Bennett Yogini
When Yogini took her first asana class at the Freehold Yoga Center, she knew that she had found her dharma. She began to deepen her practice and understanding of classical yoga and graduated from the Freehold Yoga Center. Furthering her studies, she has completed the 500-hour level of training at the Himalayan Institute in Honesdale, PA. Her teaching style is mindful with emphasis on alignment and breath. Yogini is qualified to teach children through seniors and is honored to share the teachings and practices of yoga.
Gail Cristelli
Vishesh, Shirodhara, Shiro-Abhyanga-Nasa and Marma Balancing Treatments. In 2014, she then studied under Kathryn Templeton at the Himalayan Institute in Honesdale, PA and graduated as an Ayurvedic Yoga Specialist. She is currently studying with Kathryn Templeton, again and pursuing, the Ayurvedic theories and clinical practicum. In October, 2016, she will also begin her studies at the Himalayan Institute to receive her 500 -hour certification in Yoga. Prema believes, to obtain your optimal health and healing, you have to balance your body, mind and spirit, and the combination of Yoga and Ayurveda provides us with that wholesome foundation. She loves nature, music, people, life and most of all God.
Louise Maresca Yamuna
Gail Cristelli, E-RYT 500, PYT, Professional Yoga Therapist (IYT), Certified Holistic Health Coach (IIN) and Holistic Health Practitioner with (AADP American Association of Drugless Practitioners), Certified Reiki Master and Certified Yoga of Recovery Counselor (YoR) is the owner of YogaFlow LLC; Yoga Therapy & Nutrition for the Soul. Gail became a student of meditation through the Ananda Ashram in NY where she studies meditation and yoga philosophy under the influence of the Ashram Guru Shri Brahmananda Sarasvati’s senior teachers. She holds weekly yoga classes, private yoga therapy sessions as well as private and group nutritional coaching sessions, Reiki Therapeutic Healing sessions, Yoga Teacher Certification Programs, Workshops and Retreats.
Nancee Capote Prema
Prema graduated as a Licensed Massage Therapist from the School of Integrative Therapies in Holmdel, NJ in 2009, but her journey really began when she graduated as a Registered Yoga Teacher from the Freehold Yoga Center in Freehold, NJ in 2010. Her passion became Ayurveda and Yoga. She began her studies with Hilary Garivaltis at Kripalu in Lenox, MA and received her certifications in 2013 for the Ayurvedic body treatments in Abhyanga,
Louise has her 500 E-RYT and graduated in 2007 from Lenox, Massachusetts. She received a continuing education for people living with Mmultiple Ssclerosis in 2009. She has been teaching for 20 years. No matter a person’s age or health, Louise believes that yoga is accessible and beneficial to everyone. She has been teaching at the Freehold Yoga Studio Center since 1994, which is a very special place for her, and also teaches at Wall Township municipal building and Central State Wellness Center.
Sheri Glick Dharmini
Sheri Glick has 25 years of experience in the health and healing field. She has always been curious about the body/ mind connection and ways to restore, nourish and heal from the inside out. She is a 500-E-RYT with Yoga Alliance and has taken thousands of hours of training throughout the country in yoga, therapy and hands on healing. She is a level 4 Reiki Master and has certifications in Neuromuscular Therapy and Cranial-Sacral Therapy. She is a licensed Massage Therapist, providing her clients with hands on treatments and one-on-one yoga therapy. She received her 200-hour training with the Freehold Yoga Studio and was so inspired, she continued on her yoga journey with a 300-hour training at the Phoenix Rising Yoga Therapy School and an additional 500-hour of training in integrated yoga
therapy through the Urban Zen Foundation in New York City. Her most recent training was 300-hours with Rodney Yee and Colleen Sandman Yee in Sag Harbor, New York. She is also certified to teach mediation through Integral Meditation. Sheri uses aromatherapy with most of her private sessions, as she views essential oils as “magic in a bottle.”
Maria Di Santi Sudasi
Upon finishing her 200 hour Yoga Teacher training from Freehold Yoga Center in 2011, she put her skills to use by helping students with health issues and physical limitations. Training as a Reiki Master and other healing modalities has brought more to her teaching practice. Presently, she teaches at Chelsea Assisted Living, SCAN at Monmouth Mall, and Freehold Yoga Center, in addition to private and group sessions from her home. She furthered her training in Children’s, Restorative, Chair and Yin Yoga as well as Yoga for Everyone.
Jennifer Scamorza Jennifer Scamorza is the director of Yoga University, a program designed to bring yoga and mindfulness practices to schools, businesses, and events. Jennifer is passionate about creating a positive and productive learning environment for students and professionals. She has fifteen years of experience in the NJ public school system including classroom instruction, coaching, curriculum development, and team leadership. She is a certified instructor with 400+ hours of training, has achieved a Children’s Yoga Certification from Radiant Child Yoga, and is currently working toward a 500-hour Healing Yoga certification. Jennifer’s teaching experience involves working with students of all ages, life paths, and learning abilities. As a volunteer for the Root to Rise nonprofit organization, which provides support to individuals recovering from addiction and other mental health issues, she teaches yoga in NJ mental health and correctional facilities. Jennifer teaches weekly classes for adults at the Freehold Yoga Center and The Yoga Loft at Calgo Gardens. Learn more about Yoga University at www.YogaUniversityNJ.com.
www.freeholdyogacenter.com • 732-462-YOGA
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September/October 2017
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In-Home Care
Magazine www.TheCountyWoman.com The County Woman Magazine
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September/October July/August 2017
Acupuncture
67
Community
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Women Of Ocean County
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Marianne Scarpelli, Office Manager of Ocean Pediatric Dental Associates – Toms River Location
Marianne has been with the practice from its inception in 1997. Twenty years ago, Marianne joined our then new pediatric practice and has been influential in the evolution of Ocean Pediatric Dental Associates into the largest pediatric group in Ocean County. She is our office manager and is affectionately referred to as our Mama Mare. Marianne is part of the heartbeat of our practice. She has helped countless parents navigate their dental insurance plans, schedule hospital and sedation cases, and manage their stress as their children receive their dental work. Her organization and managerial skills are only surpassed by her empathy and friendly disposition. Marianne will go above and beyond as she helps families utilize their dental benefits and coordinate medical benefits for hospital and anesthesia cases. She also manages the daily operations of our office team and always lends a helping hand. Mare lives in Toms River with her children and is a member of the Howell Elks Special Children’s Committee. She enjoys spending time with her family and friends, going to the beach, and singing karaoke.
For more information, call 732-473-1123 or visit www.OceanPediatricDental.com. Photo by Tracy Harman Photography
Virginia A. Mensah M.D., FACOG, Reproductive Science Center of New Jersey Dr. Virginia Mensah is a specialist in Reproductive Endocrinology and Infertility. Born in Indiana but raised in New Jersey, she always felt a strong connection to the Garden State. She proudly completed her bachelor’s degree in Genetics and Microbiology at Rutgers University. She then received her medical degree from the University of Illinois at Chicago and went on to complete her Obstetrics and Gynecology residency at the prestigious Johns Hopkins Hospital. She completed her fellowship training at the Women and Infants Hospital of Brown University, with top specialists providing infertility care. Throughout her education and in part due to her love of genetics, she developed a passion for women’s reproductive health and fertility concerns. This passion led her to this career as a fertility specialist, where she regularly assists couples in their family-building goals. Dr. Mensah is a member of the American Society for Reproductive Medicine and a fellow of the American Congress of Obstetricians and Gynecologists. Her clinical interests include in vitro fertilization, recurrent pregnancy loss, and pre-implantation genetic diagnosis. In her free time, Dr. Mensah enjoys spending time with her family, hiking, traveling, and painting.
For more information, call 732-240-3000 or visit www.FertilityNJ.com.
Judy Kerlin, Orthopedic Nurse Practitioner, Advocare Stafford Orthopedics Judy Kerlin, APN, is currently employed at Advocare Stafford Orthopedics as an orthopedic nurse practitioner. Originally from Philadelphia, PA, she now resides in Ship Bottom, NJ. She has worked in this area for over 40 years. Prior to returning to school to obtain advanced degrees, she worked as a registered nurse at Southern Ocean Medical Center. After graduation, she became board certified and has worked as an Orthopedic Advanced Practice Nurse for the past 20 years. Her scope of practice includes caring for patients with musculoskeletal (muscle, bone, joint) complaints. Judy has office hours on Monday and Wednesday and can treat all orthopedic complaints, including new injuries and chronic problems such as arthritis. With her varied experiences and caring demeanor, you will be sure to receive the best care from her.
For more information please call 609-597-6092 or visit www.advocarestaffordortho.com. Photo by Tracy Harman Photography
Rebecca Kolas, Certified Lice Technician and Owner, Lice Lifters of Ocean County
Rebecca Kolas is both a Certified Lice Technician and Owner of Lice Lifters of Ocean County in Toms River, which opened in August 2016 and serves Ocean, Monmouth and Atlantic Counties as the premier lice removal company. Since that time she has opened a second location, Lice Lifters Central Jersey in Hamilton which serves Mercer, Middlesex, and Burlington Counties. Rebecca was introduced to the Lice Lifters franchise when her two youngest children contracted lice. Trying over the counter and prescription medication, she was unable to conquer lice, which have become resistant to the harmful pesticides, chemicals and toxins contained in those products. Rebecca was then introduced to Lice Lifters as a customer and found that it was the only treatment that was successful, as well as safe and natural. A true believer of the Lice Lifters franchise and its product, Rebecca knew she wanted to deliver this service to the people of the Jersey Shore and to help others afflicted with unwanted head lice. She truly understands the needs and fears of her customers, having been a customer herself, and takes the time to educate and calm others during the stress of lice. Rebecca resides in Ocean County with her husband and five children. She has a strong passion for helping others, as she was a staff attorney for the nonprofit Ocean-Monmouth Legal Services until the company’s dissolution in 2014. Since that time she still engages in the part-time practice of law, but now devotes the majority of her time to her family and helping others at Lice Lifters.
For more information call 848-238-7331 or visit www.lliceliftersoceancounty.com. Photo by Tracy Harman Photography
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Women Of Ocean County
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Lourdes Laraya-Cuasay, MD, FCCP, FAAP, Barnabas Health Medical Group
Fellowship-trained pediatric pulmonologist Lourdes Laraya-Cuasay, MD, is a board-certified pediatrician who has been providing compassionate, comprehensive care to children with pulmonary disorders for more than four decades. Dr. Laraya-Cuasay chose to specialize in pediatric pulmonology to help children and infants struggling with breathing problems, such as asthma or inherited lung disease. Pediatric pulmonology, a new field at the time, gave her an opportunity to become a pioneer in this subspecialty. Dr. Laraya-Cuasay completed a fellowship in child growth and development at Children’s Hospital of Philadelphia, and a second fellowship in pediatric pulmonology and cystic fibrosis at St. Christopher’s Hospital for Children in Philadelphia. She served as director of the Pediatric Pulmonary Division and Cystic Fibrosis Center at the University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School and Robert Wood Johnson University Hospital. Dr. Laraya-Cuasay is a fellow of the American Academy of Pediatrics and the American College of Chest Physicians, and has written several articles on pediatric pulmonary subjects. Her greatest career satisfaction has been seeing patients with pulmonary issues grow into healthy adults. As a provider with Barnabas Health Medical Group, Dr. Laraya-Cuasay has access to leading technology and resources for the care of pediatric patients, as well as the full network of services offered by RWJBarnabas Health.
For more information, call 732-375-1277.
Nina Paonessa, D.O, FACOS, Paonessa Colon & Rectal Surgery P.C. Dr. Paonessa was born and raised in Albany, NY. She was raised to value a strong work ethic and to take pride in her work. Two principles she grew up on were “if you are going to do something, do it right or don’t do it at all” and “do unto others…” This is how she lives her life and how she runs her practice. Dr. Paonessa knew from a very young age that she wanted to become a surgeon. She volunteered as a candy striper in high school and then as an Emergency Medical Technician in college. She attended the Lake Erie College of Osteopathic Medicine in Erie, PA and completed a general surgery residency at Wyckoff Heights Medical Center in Brooklyn, NY. Dr. Paonessa completed a colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA, where she remained in private practice before moving to New Jersey. In 2014, Dr. Paonessa opened her own private practice, Paonessa Colon and Rectal Surgery, P.C. She now has two office locations: Wall, NJ and Manahawkin, NJ. She loves the Jersey Shore and loves taking care of its community. In her spare time, Dr. Paonessa reads, travels and cooks. Her most cherished times are those spent with her family and playing with her four nephews and two nieces.
You can contact Nina Paonessa at 732-282-1500 or by visiting www.paonessacrs.com. Photo by Tracy Harman Photography
Lorraine Fetherman, L.E., C.P.E., Monmouth/Brick Electrolysis Lorraine Fetherman is a Licensed and Board Certified Electrologist. She graduated from the Florence Acquire Institute of Electrology in 1995 . Since then she has established two successful office locations, one in Brick, NJ for 20 years and more recently in Wall, NJ for the past 5 years. She is a people person and with that comes a passion for helping people. This plays an important role in the profession she loves! She is helping people feel more self confident and uninhibited, through permanent removal of unwanted hair. She cares for each client with compassion and empathy. In addition to her passion for helping people, Lorraine is also involved in supporting assorted animal charities and environmental causes. Lorraine grew up in Ocean County the majority of her life and currently resides in Manchester with her family. In her spare time, she enjoys being outdoors in and with nature , traveling, just about any social gathering with a great assortment of friends. And spending time with her extended family in the surrounding area.
For more information or to speak with Lorraine and her staff call 732-948-9547 or go to Bhairfree.com. Photo by Tracy Harman Photography
Connie Roberson, CSA, Oasis Senior Advisors As a Certified Senior Advisor serving Ocean, Monmouth and Mercer counties, Connie Roberson is specialized in personally educating and informing seniors and their family members on the distinctions and options pertaining to Assisted Living, Memory Care and Independent Living communities. Connie will work with seniors and their family members to identify lifestyle preferences and health care needs, as well as location and financial considerations. She will personally assist you throughout the entire process... and her service is Free! For Connie, being a part of a family who’s been touched by brain related illness, the issue of Memory Care is near and dear to her heart. She strongly supports the fight to eradicate Alzheimer’s disease and Dementia. In the same way she cares for her family, she is dedicated to offering her knowledge and expertise on senior living communities and providing “hands on” services to help families and their loved ones transition to a new season in their lives. Connie looks forward to working with you and your family as you go through this transition decision process.
For more information, call 732-675-3140 or email CRoberson@YourOasisAdvisor.com. Photo by Tracy Harman Photography
The County Woman Magazine www.TheCountyWoman.com
September/October 2017
Women Of Ocean County
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Sumy H. Chang, MD, FACS, Barnabas Health Medical Group
Sumy H. Chang, MD, FACS, is a fellowship-trained, board-certified breast surgical oncologist who practices with Barnabas Health Medical Group, the state’s largest hospital-based multispecialty medical group, and is affiliated with Community and Monmouth Medical Centers, all RWJBarnabas Health facilities. Dr.Chang is also part of the Rutgers Cancer Institute of New Jersey Network of physicians. Dr. Chang provides women with access to the latest in prevention, detection and treatment for breast disease – mainly breast cancer. She is the Director of the High Risk Breast Program and the moderator of the multi-disciplinary tumor board at the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch. She is also the Co-Medical Director of the NAPBC accredited breast program at Community Medical Center, which is the only hospital with accreditation for high quality breast cancer care in Ocean and Atlantic counties. Dr. Chang earned her medical degree from State University of New York Downstate Medical Center. She completed her surgical residency at Staten Island University Hospital and breast surgical oncology fellowship at Beth Israel Medical Center/St. Luke’s-Roosevelt Medical Center in New York City. Dr. Chang is a member of the American Society of Breast Surgeons, the American College of Surgeons and the Surgical Society of Oncology.
For more information, call 732-923-7702 or visit www.barnabashealthmedicalgroup.org.
Vicki Weiss, Innkeeper, 600 Main Bed & Breakfast
Vicki Weiss lives as the Innkeeper for 600 Main, a Bed & Breakfast and Victorian Tea Room, located in the heart of Downtown Toms River. Vicki has been living in Ocean County for the past 20 years and loves the life style of living so close to the Jersey Shore. Ms. Weiss has recently accepted the opportunity to change careers from a former grant writer and professional fundraiser, to assist in the hospitality management of the former Thomas Berry Mansion, circa 1894. She is applying her vast experience in business management and PR/Marketing in order to increase the visibility of one of the Downtown’s most hidden treasures. Vicki is looking forward to this new life change and enjoys learning everyday while meeting new people that visit Ocean County. Vicki has three beautiful children and an adorable Shiba Inu, named Sonny. She enjoys gardening, traveling and spending time with her family. Vicki met the owners of 600 Main, John and Susan Notte, during Super Storm Sandy and lived at the home for five months while being displaced. They became great friends and now this friendship has led to an opportunity that will allow Vicki to live her life’s dream.
For more information, call 732-818-7580 or visit www.600mainnj.com. Photo by Tracy Harman Photography
Community
Change Your Life in 2017 Licenses Available In Your Area Woman Publishing Entrepreneurs Wanted ... Join over 371 other counties that are publishing or have an option to publish in the United States and BE YOUR OWN BOSS! We are looking for a few bright, energetic, creative women and men to publish our trademarked, copyrighted newspapers IN YOUR COUNTY, IN YOUR STATE, IN YOUR OWN BUSINESS! Join the fastest growing educational Woman’s Newspaper syndicated in the United States. MINIMAL INVESTMENT REQUIRED! Maximum return ... Be your own boss, set your own hours and make your life mean more! ALL TRAINING PROVIDED! If you are interested in developing with us in 2017 in your STATE, in your COUNTY ...
CALL 1-800-993-3822 Join the #1 Woman’s Educational Newspaper in the U.S.
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September/October 2017
Community Community
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Community Business & Personal Storage
The Ashley Lauren Foundation’s Take Back Your Garage2015 ‘Ride For Hope’ We’ve MotorcycleGot Run Space! The Ashley Lauren Foundation, a non-profit organization dedicated to bringing Hope and Help to children throughout New Jersey who suffer from cancer through financial, material and emotional support, will be Ashley Lauren participating in the holding its 2015 “RIDE FOR HOPE” MOTORCYCLE 2014 Motorcycle event. RUN on Saturday, September 19 in recognition of Childhood Cancer Awareness Month. This event is www.AirshipSelfStorage.com sponsored by Trinity Motorcycle Ministry. The Poker Run will be held during the NJ State 2420 Ridgeway Blvd. H.O.G. Rally in Seaside Heights. Starting and ending Manchester, NJ point is at Hook’s, 1320 Boulevard, Seaside Heights, We Now Rent UHaul Trucks NJ. Registration will be from 9:00 am - 11:00 am For Your Convenience and includes continental breakfast. Local vendors or BBQ Fest is available for lunch. There will be Door Prizes and Best 3 Poker Hands Prize. Tickets are $15 per person and are available by calling The Ashley Lauren
732-323-0700
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First Month ’s Rent New Custo mers
Only
Coupons may not be combi ned with any other of fer. With Co unty Woman Coupon Onl y. Expires 10 /31/2017.
Foundation at 732-414-1625 online at Clean & or Friendly • Affordable • 27/7 Hr. Access www.ashleylaurenfoundation.org under Events. Alarmed • Video Surveillance • Safe & Secure
www.TheCountyWoman.com TheCounty CountyWoman WomanMagazine Magazine www.TheCountyWoman.com The
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Theatre & Entertainment
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September/October 2017
Theatre & Entertainment “
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BALLSY. BRILLIANT. SEE IT!
Carrie Bradshaw and her Sex and the City pals would worship this show.” The Huffington Post
FEISTY, FUNNY TONY AWARD NOMINEE NANCY OPEL
“
®
Photo by T. Charles Erickson
proves adventure and romance can come to those enjoying life’s second act.” Newsday
ENERGETIC & ENTERTAINING!” “
The New York Times
A MUST SEE MUSICAL ROMP!” “
Broadway.com
TELECHARGE.COM | 212-239-6200 | CURVYWIDOW.COM Westside Theatre (Upstairs) 407 West 43rd Street, NYC
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September/October 2017
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Community
12th Annual Antique Auto Show
Saturday, September 23, 2017 • 9 am – 2 pm (Rain or Shine)
& The 1950’s Recording Artists • The Cameos
New Jersey`s Favorite Oldies Group. The Cameos, which first hit the charts in 1959 with “Rock and Roll Arabian Nights,” has continued to entertain music lovers by keeping the “oldies” sound alive. The music of the 50`s and 60`s holds a special memory for those of us who grew up with it. It was music you could sing along with, music you could dance to, music you fell in love with.
At Rose Garden Nursing and Rehabilitation Center 1579 Old Freehold Road, Toms River, NJ 08755 732-505-4477 Refreshments & Prizes for the Kids • Special Parking for Car Clubs Ample seating will be provided however, please bring a lawn chair if you prefer. We look forward to seeing you!
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September/October 2017
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Saturday, September 20, 2017 12pm-5pm Lakewood Blue Claws Stadium Take your friends and family down to the ballpark for the gourmet food trucks, live music, vendors, exhibitors and fun on the ball field!
Free Admission
Parking $5 per car for entire day!
For more information visit www.irunnewjersey.com
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September/October 2017
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Community
JOIN THE FIGHT FOR ALZHEIMER’S FIRST SURVIVOR.
Bradley Beach Walk To End Alzheimer’s
Saturday, October 14, 2017 5th and Ocean Avenues - Bradley Beach NATIONAL PRESENTING SPONSOR
alz.org/walk 800.272.3900
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September/October 2017
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Arts, Crafts, Music and HarvestFest LIVE ENTERTAINMENT! ACTIVITIES FOR KIDS! FINE ART AND CRAFTERS! Come experience a day of fun with a variety of actives, food, artists and live music!
Sunday, October 21, 2017 11:30am-5pm â&#x20AC;¢ Washington Street, Toms River, NJ
For more information visit: www.downtowntomsriver.com/harvestfest/harvestmain.htm
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September/October 2017
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Community
OCEAN COUNTY LIBRARY Visit www.theoceancountylibrary.org for information about other great programs and library resources
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September/October 2017
Medical Professionals
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Pain Free After 10 Years Out-patient procedure provides relief where other treatments have failed.
Florence Fialkowski, a grandparent from Toms River, has always enjoyed an independent, active lifestyle. Even after retiring from her job as a secretary at Fairleigh Dickinson University in 1986, Florence has always maintained her busy, on-the-go routine. Incredibly, Florence has also suffered for nearly 10 years with chronic back pain. “I never had any accident or injury to my back, it just slowly started to hurt more and more every day. The pain eventually grew so strong that I realized that I needed help. So I went to my primary care physician who sent me for an MRI.” The MRI of Florence’s spine showed severe spinal stenosis. Her doctor explained that it is a narrowing of the spinal canal—the area the spinal cord and nerves travel through. When this area becomes narrower, the spinal cord and nerves can get pinched and squeezed causing pain. Florence’s physician put her on a regimen of Tylenol and physical therapy. After a few weeks and no noticeable relief in symptoms, her physician suggested she consult with Dr. Dharam Mann at Garden State Medical Center. Dr. Mann specializes in interventional pain medicine, a field where physicians are specialty trained to treat patients with acute and chronic pain. The leading cause of spinal stenosis is wear and tear on the spine due to aging,” says Dr. Mann. “In fact, the most common direct cause of spinal stenosis is osteoarthritis, where the cartilage that cushions joints starts to degenerate due to age.” This meant that Florence’s condition was irreversible, and treatment would be geared towards treating the symptoms of her condition, to help manage her pain. Florence and Dr. Mann discussed several different treatment options and Dr. Mann began treating Florence’s pain with epidural steroid injections. These types of injections are commonly used for her condition because the steroids are able to reduce spinal cord inflammation which relieves the pressure on the nerves, alleviating the pain. However, the amount and length of relief varies among patients and after a few rounds of treatment which provided only a few weeks of relief, Dr. Mann suggested a minimally-invasive treatment option called a spinal cord stimulator (SCS). “A spinal cord stimulator is an implantable system that delivers electrical impulses to nerves in the spinal cord,” says Dr. Mann. “These impulses are able to mask pain signals before they reach the brain. The device is proven to provide significant long term pain relief and reduce or eliminate the need for pain medications. As an intervention for chronic back and/or leg pain, spinal cord stimulation can be an effective alternative or adjunct treatment to other therapies that have failed to manage pain on their own.” Florence had her spinal cord stimulator implanted in April of 2014. The procedure was performed in Dr. Mann’s out-patient surgery center, and Florence was discharged within an hour. Despite minor soreness near the implant site, Florence reported 100% back pain relief since having her procedure.
Florence Fialkowski says she has had 100% pain relief in her back thanks to her neurostimulator implant.
“I am a busy person – I like to do my own housework and cooking... For a long time I was not able to do many of these things on my own. I had been in pain for so long and nothing was working, I almost gave up. Words are inadequate to express the remarkable difference the SCS implant has made for me. I will be eternally grateful to Dr. Mann and his staff.” - Florence Fialkowski, Patient at Garden State Medical Center
Dharam Mann, MD Garden State Medical Center Board Certified in Anesthesiology & Pain Management *Trained at Harvard Medical School 732-202-3000
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To learn more about SCS or to find out if you are a candidate for this or any other procedure, contact Garden State Medical Center. GSMedicalCenter.org 732-202-3000 Offices in Toms River, Brick, West Long Branch, Manahawkin, and Whiting
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September/October 2017
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September/October 2017