Ocean County Woman - 2013 May/June by The County Woman

Ocean

Woman â&#x20AC;&#x2030;COUNTY

An Educational Resource for Women and Their Families

You Get the Very Best of Both Worlds at Allstate

We are the security and protection of a large insurance company in business over 80 years, along with knowing you are helping your local community by patronizing a small business owner. Page 8

WHY DID I GET CANCER, DOC?

The answer is not simple. Scientists have been researching for decades to find the answer to this question. But scientists have found links between certain things and the development of cancer. Page 30

H. E. A. R. T. PHYSIOLOGIC BALANCE AND AGING

Learn how integrating cutting edge therapies with your current medical program can make you LOOK, ACT, FEEL and BE 10-15 YEARS YOUNGER.

Page 41

Photo By Tracy Harman Photography

Caring Heart & Brain Imaging is the first center in New Jersey to perform the Amyvid PET Scan. Read more on pages 52 & 53.

facebook.com/TheCountyWoman

@TheCountyWoman

Visit Us Online...www.TheCountyWoman.com

May/June 2013

Please Take One

Medical Professionals

Fighting Osteoporosis Through Physical Therapy

re you one of the 44 million Americans suffering from Osteoporosis or Osteopenia?

Through research, the medical community has discovered methods not only to combat Osteoporosis, but also prevent it. In order to treat this condition, let’s discuss the facts. • Osteoporosis is a condition that causes bones to become thin and porous, decreasing bone strength and leading to increased risk of breaking a bone. • During their lifetime 50% of all women and 25% of all men over the age of 50 will have an osteoporosis related fracture. • Fractures from osteoporosis are more common than heart attack, stroke and breast cancer combined. • Women and men alike begin to lose bone in their mid-30s. As they approach menopause, women lose bone at a greater rate, from 2-3% per year due to hormonal changes.

These exercises, in conjunction with manual therapy techniques to elongate muscle tissue and reduce compression forces on the bone, can drastically reduce the incidence of fractures. A physical therapist can determine if a simple exercise program can alleviate your symptoms. 2. Nutrition: Nutrition and lifestyle play a key role in bone loss. Individuals who are not receiving adequate nutrition (low calcium or Vitamin D) or an excessive intake of

calcium consumed in foods such as dairy products, oatmeal, tofu, soy seaweed, dark green vegetables, fish and some types of nuts. For those who are lactose intolerant (meaning they are unable to breakdown calcium into a bone building product) lactase drops may be utilized. 3. Pharmacology: One of the biggest developments over the past 20 years in the treatment and prevention of Osteoporosis has been in pharmacology. Initially, Hormone

by preventing bone destroying osteoclasts from digesting bone. The final class of pharmacological treatment is a bone forming medication known as Forteo. This is generally prescribed for those osteoporotic patients at high risk for fracture. Currently the FDA only recommends the utilization of this class of drug for 2 years due to potential side effects. Specialized Treatment At All-Care Physical Therapy, we specialize in the treatment and prevention of Osteoporosis and Osteopenia. We are one of the only facilities in Ocean County that have been certified in the treatment of Osteoporosis. It is essential that a physical therapist is aware of the risks of treating Osteoporosis and understand the most optimal therapeutic interventions to not only prevent the progression, but combat the disease itself.

Written By: Michael yorke, MPt Michael Yorke graduated with honors from Gettysburg College in 1997, majoring in Exercise Science with a focus in Athletic Training. He continued his education at Hahnemann University earning a Master’s degree in Physical Therapy in 1999. Michael has continued to expand his knowledge through continuing education hours with focus in Orthopedics as well as Geriatric Medicine. He has completed courses in the treatment of osteoporosis and postural changes. In 2005, Michael opened All-Care Physical Therapy Center with a focus on personal, oneon-one, hands-on care. Michael has been a member of the American Physical Therapy Association since 1997. Michael’s experience has led him to develop an innovative, pain-free approach to physical therapy.

Risk Factors: Age, sex, tobacco/ alcohol use, vertebral compression fracture, fragility fracture, family history of hip fracture, medical conditions or use of medications that inhibit absorption of nutrients or contribute to bone loss. Help Is Out There: Over the past 20 years, treatment and prevention of osteoporosis have come a long way. Solutions can be broken down into 3 categories. 1. Physical Therapy: By far the most conservative treatment for Osteoporosis is exercise through Physical Therapy. With the correct exercise program, the human body has the ability not only to prevent the loss of bone density, but also increase bone strength via the S.A.I.D. Principle (Specific Adaptation to Imposed Demands). By effectively increasing the strain or load on specific bone groups, we are able to facilitate bone mass development. Such activities must be specifically designed to stress bones in a safe manner.

Replacement Therapy was the most common intervention. Currently, Selective Estrogen Receptor Modulators (such as Nolvadex, Evista, Fareston) are more commonly recommended for the prevention and treatment of osteoporosis in postmenopausal women. Antiresorptive medications or Biophosphates (such as Fosamax, Boniva, Actonel, Reclast, Fortical and Miacalcin) are now commonly utilized in the treatment of osteoporosis. Biophosphates work

protein, sodium and caffeine are considered at increased risk. Interventions such as calcium or vitamin supplements have been recommended for many individuals, as research has indicated that 1200-1500mgs of calcium a day along with 7-80 IU of Vitamin D reduced the fracture rate in post-menopausal women by 50%. This is generally a conservative approach and may help in the prevention of Osteoporosis in the postmenopausal female. Research has shown that the body is better able to utilize

The County Woman Magazine

ʓʐʚʗʗʐʕʣʮʮʥʣʴʧ

Come Experience The All-Care Difference For Yourself! ʹˊˋ˖ˋːˉ ͙ ʶˑˏ˕ ʴˋ˘ˇ˔ ͙ ʤ˔ˋ˅ˍ ʯ˃ː˅ˊˇ˕˖ˇ˔ ͙ ʤ˃˔ːˇˉ˃˖

¡ £¤

¡ ¡ £ ¡¥ ¤ ¡ ¤ ¤£

www.TheCountyWoman.com

˙˙˙ʎʣˎˎʥ˃˔ˇʲʶʥʎ˅ˑˏ

May/June 2013

Medical Professionals

736.3_WJneuro_hula_Layout 1 4/11/13 11:27 AM Page 1

May is American Stroke Month

AtlantiCare Neurosciences Institute

Tips for Spotting a Stroke “F.A.S.T.” In recognition of American Stroke Month in May, AtlantiCare Neurosciences Institute and the American Stroke Association invite you to join with us in the “Together to End Stroke™” initiative. Strokes happen when the flow of blood to the brain is blocked by a blood clot, or when one of the

Quality Stroke Care at AtlantiCare AtlantiCare has earned the Joint Commission’s Certificate of Distinction as an Advanced Primary Stroke Center. In addition, AtlantiCare has the first and only comprehensive stroke center approved in southeastern New Jersey, located at the City campus in Atlantic City, NJ, which is able to provide care for the most complex stroke patients. This includes specialized staff members, advanced neuroimaging capabilities, along with surgical and endovascular capabilities such as thrombectomies and intracranial aneurysm clipping and coiling. These designations mean that our hospitals have implemented the latest patient care guidelines that are proven to save lives and, for many people, minimize long-term complications and disability from stroke.

The County Woman Magazine

blood vessels that carry oxygen to the brain vessels bursts open. A stroke can happen at any time to anyone — even to younger people who seem to be in good health. To prevent serious disability or death from stroke, certain treatments to restore blood flow to the brain must be given promptly after the start of symptoms. So don’t delay! The sooner you get medical care, the better your chances of successful treatment. Reducing Your Risk • If you have diabetes, keep your blood sugar under control and take your medicine as prescribed by your doctor. • Limit the amount of saturated fat in your diet, which can raise cholesterol levels in your blood. High cholesterol is a risk factor for cardiovascular disease. • Keep your blood pressure within recommended guidelines (less than 120/80 mmHg). Many people whose blood pressure has gotten out of control feel fine and do not realize that anything is wrong. • Limit your salt in your diet to help control blood pressure. Restaurant meals, fast food and quick-fix foods from a box, a can or a packaged mix are some of the most common sources of excess dietary sodium. • Quit smoking if this is one of your lifestyle habits. Smoking is a major risk factor for stroke. • Peripheral arterial disease (PAD)—the hardening of blood

Think It’s a Stroke? Act F.A.S.T.!

FACE Ask the person to smile.

Does one side of the face droop? ARMS Ask the person to raise both arms. Does one arm drift downward? SPEECH Ask the person to repeat a simple phrase. Is his or her speech slurred or strange? TIME If you see any of these signs, call 9-1-1 right away! vessels in your legs and feet—is another risk factor for stroke. People with type 2 diabetes are at greater risk for developing PAD, as are cigarette smokers,

African-Americans, and postmenopausal should be screened for PAD. www.AtlantiCareNeurosciences.org 1-888-569-1000

It’s all a matter of timing.

Her F.A.S.T. response to stroke made all the difference. Every second counts when you have a stroke. KNOW THE SIGNS OF STROKE

FACE, Ask the person to smile. Does one side of the face droop? ARMS, Ask the person to raise both arms. Does one arm drift downward? SPEECH, Ask the person to repeat a simple phrase. Is their speech slurred or strange? TIME, If you observe any of these signs, call 9-1-1 immediately.

When you or a loved one is having a stroke, every minute counts. Recognizing the early signs of stroke and seeking immediate expert care at a dedicated stroke center like AtlantiCare is imperative to a full recovery. AtlantiCare is a nationally accredited and state designated comprehensive Stroke Center, providing access to the most advanced neurological diagnostics and treatments 24 hours a day, seven days a week. We are proud to be a part of the Jefferson Neurosciences Network.

NEUROSCIENCES INSTITUTE

Find us on

www.TheCountyWoman.com

www.atlanticare.org · 1-888-569-1000

May/June 2013

Publisher’s Note

Ocean

An Educational Resource for Women and Their Families Since 2008

Woman COUNTY

Publisher.........................................................Lynn K. Wolf lynn@acwoman.com • 1-866-398-0898 PR Executive/Graphic Designer.................Katherine Githens staff@thecountywoman.com • 856-885-8066 Professional Page/Graphic Designer............ Darlene A. Davis DesignsByDar@comcast.net Graphic Designer, Real Grafix Design................. Cathy Tveici Graphic Designer, Golden Design, LLC............... Laura Golden Professional Copy Editors.......................Kristina Wheeler Joann C. Dearden Feature Cover Writer . .........................Gena Ansell-Lande Website Designer.............................................. P.J. Santos www.digitalartstation.com Distribution Manager......................................Mike Dziuba Regional Director of Distribution................... Jeanne Teller For advertising inquiries, please call:

1-866-398-0898 or email: lynn@theocw.com All correspondence should be addressed to:

The County Woman P.O. Box 619 Turnersville, NJ 08012 The County Woman’s Newspaper is published bi-monthly and is available free of charge at display stands in approved private and public establishments and authorized distributors only, or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify the Woman’s Newspaper, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for libel, unfair trade names, patents, copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication of this newspaper or its advertising copy. The publisher shall be under no liability for failure, for any reason, to insert an advertisement. The publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. The publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion 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 reproductions made by advertisers. This newspaper will be published by the 15th of every other month. Representations by The Ocean County Woman, LLCTM COPYRIGHT 2008.

Find us on the web! www.TheCountyWoman.com And follow us on Facebook and Twitter @TheCountyWoman

facebook.com/TheCountyWoman

The County Woman Magazine

Welcome to the May/June 2013 Issue Of Ocean County Woman

“Summer at the shore” never gets old, no matter how long you’ve lived or vacationed here. We all eagerly await the cool breezes blowing off the ocean, warm sand between our toes, and gardens full of purple and pink hydrangeas. Many homeowners are still rebuilding from hurricane Sandy’s destruction. If you need to replace furniture or accessories you don’t want to miss the article on pages 6 and 7 from Heritage House Interiors, which is offering extra discounts and free delivery to Sandy victims, as well as a giveaway on page 50. In this issue, you’ll also find great gift ideas for some upcoming holidays, including Mother’s Day on May 12th and Father’s Day on June 16th. Skip’s Florist offers elegant and beautiful gifts in addition to their exquisite flower selection. Also, Skip’s is the perfect florist for the 2013 wedding season (p. 59). Remember, gift cards for products and services from any business in this issue would be another way to show you care. Memorial Day is another time we set aside for remembering people who have made a difference in our lives – in this case, the men and women who died while serving in the United States Armed Forces. On page 35 of this issue, you can read about a woman whose mission is to bring comfort to the families of these fallen soldiers through the sewing of “Remembering Quilts.” Memorial Day also marks the official launch of the beach season. Despite the damage that Hurricane Sandy wreaked last fall, the shops and restaurants along much of the Jersey shore are back in business, and the beach is ready and waiting for you! So get yourself in shape this summer with advice from the many healthcare professionals whose articles you’ll find in the Medical and Health & Wellness sections of this issue. Experts in skin and hair care, weight loss, nutrition, wellness and fitness will help you care for your whole body, from the top of your head to the bottom of your toes and everything in-between! Finally, for advice about keeping your life in balance, you won’t want to miss the article on page 54 by Laurie Green, owner of Yoga Nine, who has recently opened another studio in Hammonton offering classes 7 days a week. Whether you enjoy surfing, fishing or backyard barbeques with friends and relatives, we wish you a safe and fun summer. Take advantage of everything the Jersey shore has to offer, including the many wonderful events you can read about in the Community section of this publication. And while you’re reading, please let the contributing writers know when the information they have provided has benefited you in your own life. Thank you for your continued support of the Ocean County Woman magazine.

Warmest Regards, We are the Media Partner with NJAWBO Monmouth, Ocean, Middlesex Region.

Lynn K. Wolf, Publisher

and the Staff of Ocean County Woman

We are members of Toms River-Ocean County Chamber Of Commerce.

Featured on the front cover are the people behind Caring Heart and Brain Imaging. Read more about Caring Heart and Brain on pages 52 - 53. Standing Left to Right: Emily Aquilino, Dr. Anthony Deluca, Debbie Schneider. Seated Left to Right:Lillian Hogan, Dillinger, Lorraine Catalano. Cover photo by Tracy Harman Photography. Tracy can be contacted for appointments at 732-797-0377. See more of her spectacular portrait work on page 75.

Change Your Life in “2013” 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 2013 in your STATE, in your COUNTY ... CALL 1-800-993-3822 Join the #1 Woman’s Educational Newspaper in the U.S.

www.TheCountyWoman.com

May/June 2013

Featured Articles Heading

00 ^Medical Professionals All Care Physical Therapy.................................................... 2 AtlantiCare Neurosciences Institute Stroke Center............. 3 Toms River X-Ray, CT & MRI Center................................. 12 Woman to Woman Obstetrics & Gynecology, LLC............ 13 South Jersey Fertility Center............................................. 14 Shore Vascular & Vein Center............................................ 15 AtlantiCare: The Center for Surgical Weight Loss & Wellness.................................................. 17 Ocean Plastic Surgery, PA................................................. 19 NJ Community Spine and Pain.................................... 20-21 Gastroenterologists of Ocean County............................... 23 Main Street Foot & Ankle................................................... 24 Bella Derma Medi Spa....................................................... 25 Seaview Orthopaedic & Medical Associates..................... 27 Total Hearing Care............................................................. 28 Nina J. Paonessa, DO, FACOS.......................................... 29 Ocean Hematology & Oncology........................................ 30 Whiting Healthcare & Laurelton Village Care Center by Revera....................................................................... 31 Bio-Behavioral Health........................................................ 34 Stephen L. Newman, MD, MBA........................................ 35 Institute For Complementary & Alternative Medicine........ 41 Caring Medical Associates................................................ 42 Caring Heart & Brain Imaging...................................... 52, 53 ^Precious Metal Buyers Precious Metal Buyers, LLC................................................ 5 ^Contemporary & Rattan Furniture Heritage House Interiors............................................. 6-7, 50 ^Business & Finance Allstate Insurance................................................................ 8 Family Focus Financial Group........................................... 47

Precious Metal Buyers

Toms River – Ocean County Chamber of Commerce....... 60 Copiers Plus, Inc............................................................... 62 Âlzheimers Care Community Brandywine Senior Living.................................................... 9 Êlder Law Rice Elder Law................................................................... 10 ^Law April & Marinucci................................................................ 11 Daniel Straffi Jr., Esq......................................................... 45 ^Professional Dentistry Aesthetic Dental Creations................................................ 16 ^Health & Wellness The Ocean Club........................................................... 18, 76 Ocean Health & Weight Loss............................................. 22 Jersey Shore Pharmacy..................................................... 40 FreeRXPlus Card............................................................... 44 Yoga Nine.......................................................................... 54 Simply Skin.................................................................. 24, 55 ^Fashion & Beauty Permanent Makeup by Amy.............................................. 26 Wedding Belles.................................................................. 26 Leisure & Lace................................................................... 32 Barbara’s Boutique............................................................ 33 Juliana’s Joy...................................................................... 55 ^Senior Club The Regency Club............................................................. 34 Êducation Peppermint Tree Child Development Center..................... 36 Ocean County College...................................................... 37 Ranney School.................................................................. 38 ^Business & Personal Storage Airship Storage.................................................................. 37

5 Êlder Life Management Elder Life Management, Inc............................................... 39 Âssisted Living Spring Oak of Forked River............................................... 43 ^Home Care & Hospice Holy Redeemer Hospice.................................................... 45 Âdult Community Fountainhead Properties................................................... 48 ^Wigs & Hair Replacement Abstrax Hair Designs......................................................... 49 ^Footwear Foot Solutions................................................................... 50 Âcupuncture Koehler Acupuncture......................................................... 51 ^Women of Ocean County........................................... 56-57 ^Premier Landscape Contractor David Ash Landscape Contractors.................................... 58 ^Florist Skip’s Florist...................................................................... 59

^River Lady Cruises River Lady Paddlewheel Cruises....................................... 61

^Caribbean Boutique Hotel Ginger Lily Hotel................................................................ 63 ^Breakthrough Product & Business Opportunity NeriumAD......................................................................66, 67 ^Theatre & Entertainment Peter and The Star Catcher............................................... 70 Stomp................................................................................ 70 Ann.................................................................................... 71 Resorts Casino & Hotel..................................................... 74 ^Fine Art Photography Tracy Harman Photography............................................... 75

^Community Pages.................. 35, 59, 64, 65, 68-69, 72, 73 Please Take Advantage Of Our “Enter To Win” Contests!

The Art of Precious Metals ... An Interview With Dov Oppenheim Part II Written By: The County Woman Staff

s the owner of Precious Metal Buyers, Dov Oppenheim buys, melts and trades gold and other precious metals.

Dov Oppenheim, Owner

Precious Metal Buyers, LLC

In Part one of our series with Owner of Precious Metal Buyers, Dov Oppenheim, he gave our readers some important insight into the precious metals industry. Here, he dispels some of the myths and stigmas that are commonly attached to the business of selling gold.

Authorized, Licensed, Bonded and Monitored Dealer in Manchester Manchester Twp. License # 11-002

Get what you truly deserve for your valuables! You can find NYC prices for Gold, Silver and more precious metals locally in Ocean and Monmouth County, call 732-597-2225.

Hudson City Plaza, 2nd Floor 2130 Route 70 Manchester, NJ 08759

To Schedule your appointment please call

732.597.2225

www.pmbuyers.com

TheCounty County Woman Woman Magazine Magazine The

WE BUY: Gold Silver Platinum Palladium Coins Flatware Tea Sets Silverware Diamonds

CW: What happens if a person sells something and later finds out he/she was ripped off? How can they dispute the claim? Dov: It is critical to always get a complete sales receipt. If you sell your item be sure the buyer provides you with a complete receipt with detailed information in case a dispute arises after the sale. This information must include the following: name and address of the buyer, date of transaction, names of the precious metals purchased, the fineness of the precious metals purchased and the weights, the prices paid for the metals at the standard measures of weight and finally, the name, address and signature of the seller of the precious metals. CW: What kind of precautionary measures can consumers take to safeguard against a fraudulent sale? Dov: I like to tell people to weigh their gold at home first or test the sellers scale by putting a penny on it; it should weigh 3 Grams or 2 Pennyweights/DWT so they know

www.TheCountyWoman.com www.TheCountyWoman.com

what they have. They should also know the fineness/purity and the value of their gold. You should never let your items out of your sight and be sure and watch very carefully as the buyer tests your gold. I’ve heard of jewelers that have actually replaced items with lower purity ones. Further, some of my customers have told me that their items came up as 10-14k after testing, when in fact the items were stamped as 14-18k. However, sometimes on that rare occasion it is actually the jewelers that cheated their customers years ago by selling them a piece of jewelry as 14-18k that was (actually) only 10-14k. CW: What is the most challenging part of your business? Dov: It would have to be breaking the stigma and negative reputation the industry has acquired. Unfortunately, many fraudulent businesses take advantage of consumer misknowledge and under pay up to 80% of what they truly deserve. visit www.pmbuyers.com

May/June May/June2013 2013

Contemporary

& Rattan

Furniture

Heritage House Interiors Offers Quality Rattan And Wicker Furniture

s you may know Heritage House Interiors has always featured upper end rattan furniture, giving our beach homeowners the best quality casual furniture for their shore lifestyle. Our seniors have adopted that lifestyle as well when they retire to their new shore communities. Many times people are confused about rattan furniture and its care. Here are some questions we have been asked over the years. After reading the answers you will develop a new respect for this wonderful green renewable and versatile plant.

Is rattan a form of bamboo? Rattan and bamboo are not related at all even though they look similar. Actually, bamboo is a grass that spreads with lateral roots that create a root mat like grass. It sends shoots upward growing over a foot a day with some species. Bamboo is hollow with a very thin impervious skin and segmented at the growth marks. Rattan has a similar grow mark pattern but is solid like wood.

rattan pieces are made with stronger bracing and joints, smooth solid wood drawers with finishes that hold excellently. Indonesia is now producing furniture and limiting rattan shipments abroad. Other countries are filling in the gap with inferior poles. Because of Heritage House Interior’s almost 40-year relationship with our suppliers we are still using the highest grades of rattan for our collections.

Is Rattan strong? Because it is a vine Rattan is very flexible. It can be steam bent into very intricate curves unlike any other plant including bamboo. Bending may cause minor stress cracks, but the rattan will maintain its strength and finish. Wood or bamboo would splinter in this process. Pound for pound it is stronger than steel. Yet you may feel a little movement when you sit on a dining chair. Because it is a vine you will feel the support poles flexing but the joints are intact.

What is wicker?

How and where does Rattan grow?

Wicker is a general term for any woven furniture. There are over fifty materials that can be used to make wicker furniture. Wicker furniture is an ancient technique that has been found in ancient tombs woven from reeds, split wood, willow, bamboo and rattan. In the late Victorian era when it was popular to have large porches and conservatories filled with wicker chairs and other pieces, they devised a method of making wicker strands from twisted paper and painted it to look like rattan wicker. In that way it was affordable for everyone. Rattan furniture was bought for the very wealthy homes.

Rattan is a vine that grows up to 40 feet long and up to 4 inches in diameter. It is found only in tropical zones. The species that is used for furniture manufacturing is grown in northern South America, The Philippines and Southeast Asia. The strongest with the least mineral discoloration and clearest grain is rattan grown in Indonesia. The vine is shipped to Europe, North America and other parts of Asia for production. It is now grown commercially on large farms in Indonesia.

Why is some wicker and rattan furniture more expensive than others? Rattan is categorized into five grades like wood; based on mineral coloration, grain clarity and diameter. Today most furniture is made with 1” to 1.5” diameter poles. Grade 4 or 5 is only used in the finest furniture because the raw poles are priced at the level of Rosewood. The average rattan factory uses grades 2 to 3 at 1” to 1.5” diameter, which costs less for the material. Grades 2 and 3 are usually stained dark or painted. Grade 1 is always heavily painted and is very thin and looks more like bamboo. That is why you can see two dressers or sofas in rattan that at first glance look similar and the prices are very different. Grades 4 and 5 have the finest finishes, more pole weight and thickness with stronger construction. Higher-grade

How is Rattan wicker furniture made? Rattan wicker is woven from strands formed in the core of the plant as it is extruded through a machine that works like a spaghetti maker creating different diameters of strands for different uses. The skin of the plant is cut into thin strips that are used for caning seats and for the decorative wrapping on furniture joints to give them a finished appearance. The strands (binding) do not hold the joints together. The peeled rattan poles are used as they grow to construct rattan furniture that is not woven. The poles taper slightly and are not perfectly straight like a milled wooden pole. Matched poles, by size and coloration, are a sign of a finer rattan piece.

Now that summer is around the corner, it is time to add those finishing touches to your beach house… Add some new lighting, fill a corner with a 7’ banana palm tree, brighten a room with a mirror or add a view of Holgate or Barnegat Light over the mantel.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Contemporary

& Rattan

Why is rattan furniture hard to find in stores? Rattan wicker furniture looks similar to wicker made of other materials such as willow, reed, and paper, which cost less to produce. Higher-grade rattan pieces are made with stronger bracing and joints, smooth solid wood drawers with finishes that hold superbly. Most furniture stores make a higher profit on composition products that give the look of rattan or wood but are made of synthetics, wood byproducts or paper with photo laminates. Rattan has become more of a specialty item that only a limited number of stores will carry. We are one of the larger rattan dealers in New Jersey and probably the only one that carries our grade levels.

My home is very contemporary. Can I use rattan? Rattan and wicker enhances any setting whether it is rigid modern, fussy Victorian, country French or Cape Cod beachy. Rattan adds a soft natural touch. Add a rattan coffee table and bar stools with a rattan entertainment center to a minimalist Great Room. It suddenly becomes more inviting. Use rattan chairs and server with a Victorian oak claw foot dining table. Try our crisp white dresser and nightstand in your beach house and our rich textured wood toned rattan overstuffed swivel glider chair and sofa in your Tommy Bahama man cave. Relax with our rattan Theater recliners and plasma stand in your new home theater room. It works with every style. Unfortunately, as the world becomes more industrialized we are losing

The County Woman Magazine

Furniture

our artisans who handcraft rattan furniture that is affordable to most people. Heritage House Interiors still offers hand made rattan and upholstered furniture that is competitively priced compared to furniture made of composition and photo laminates. Rattan weaving is a dying art. Someday someone is going to find a way of constructing rattan furniture by machine or robot. What rattan you have in your home now will become unaffordable and a collectable in the future. You are already seeing rattan furniture in museum and antique shops made in the 40’s, 50’s and 60’s. Email or telephone Wendy or Deborah at Heritage House Interiors about our rattan and upholstery. Even our outdoor furniture is handmade of extruded resin. Have any questions about rattan or room planning, replacement cushions and repairing damaged pieces? Let us help you.

Check Us Out:

Over 150 Lamps On Display Beautiful Faux Trees, Wall Art and Mirrors Unique Pottery, Glass and Sculptures

www.TheCountyWoman.com

May/June 2013

Business

& Finance

You Get the Very Best of Both Worlds at Allstate

Written By: Dolly Wasielewski, Allstate Insurance

id you know that Allstate agents are small business owners? Having an Allstate agent, you get the very best of both worlds: the security and protection of a large insurance company in business over 80 years, along with knowing you are helping your local

community by patronizing a small business owner. Here at the Wasielewski Agency we feel that your family deserves individual attention from a local agent, which is why we have a full staff of licensed, certified professionals, ready to provide you with a variety of options to fit your family’s budget and protection needs. We have convenient hours to fit your schedule as well. Monday/ Wednesday we are open from 8:30 a.m - 7:00 p.m. Tuesday/Thursday and Friday from 8:30 a.m. 5:00 p.m. Saturday hours are 9:00 a.m. - 1:00 p.m. We are located in the Stella Towne Center in Toms River. Please call us today to schedule a comprehensive review of your insurance policies. We are proud to serve our local community for 35 years and we look forward to working with you.

Testimonials “Our family has been using The Wasielewski Agency for years and we appreciate the personalized attention we receive from Dolly and her staff. When my daughter had a fender bender on Christmas Eve, we were able to call Dolly on her cell phone and get the advice we needed right away.” ~ Wendy B., Toms River “I have had my insurance with Allstate for many years. The staff at my agent’s office are so helpful to me. They always make everything so easy and are always very happy to help. I have referred many friends and family to them.” ~ Nicole J., Toms River

Get your copy of our Parent-Teen Driving Agreement. Car crashes kill more teens than murder or suicide. That’s why I want every parent to have a copy of our Allstate Foundation Parent-Teen Driving Agreement. It gives important tips on how to talk to teens to drive safely. And lets parents and teens agree on the ground rules and consequences together. Call me or come in today for your free copy.

Dolly Wasielewski (732) 557-6200 1258A RT 166 Toms River dwaz@allstate.com

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Alzheimer’s Care Community

later, there were signs that there was something else wrong in addition to some short-term memory loss. “When mom started to seem more confused with events, we attributed it to the aneurysm, not even thinking that it could be early onset of Alzheimer’s,” says Joanne, the oldest of the five siblings and clearly in charge of Maryann’s health decisions. Joanne explained, “I started attending dementia support groups to gather information, and realized that our mom had so many of the symptoms of very early onset Alzheimer’s. The doctor confirmed that she does in fact have the very beginning stages of Alzheimer’s. All those years after the aneurysm, they finally did connect it to Alzheimer’s!” “We were concerned that mom was overmedicating, staying in the house day after day alone, and becoming depressed. Even with all of us assisting, managing her healthcare was overwhelming. Something needed to be done,” says Joanne. After making the decision that Maryann would be better cared for in an assisted living community, it was time to tour and make that move. They toured four local communities, deciding that Brandywine Senior Living was the best choice. “Brandywine just blew all the others away – it’s just beautiful,” says Diane the second oldest daughter. Joanne explained, “Lisa DeLecce, the Executive Director, spoke to us woman to woman, not like a salesperson. I looked at my sister and started crying. We knew it was the best choice for mom.” Life at Brandywine Senior Living at Toms River has provided so many rewards for Maryann – and her children. They joked that when they want to take her out, their mom makes sure they are back in time for BINGO. “I don’t want to miss anything,” says Maryann. “I love playing BINGO, putting puzzles together, and they call me the queen of word games! The trips are fun, too.”

It’s Good to Be Ambassador! Maryann’s face beams as she smiles while surrounded by three of her five children - doting daughters, Joanne, Diane, and Janet. For this large Italian family, taking care of mom can be complicated and stressful, but is always done with lots of love. Many years ago Maryann waited tables while she and her husband raised their family. As the children got older, she started driving a bus for handicapped children in Toms River, and then retired. She moved to Holiday City in 2000 with her mother and stayed for nine years. With her mom gone, and dealing with some health issues, it was a family choice to start looking for an alternative living arrangement. Maryann’s health issues started when she unfortunately suffered an aneurysm at age 44. The doctor at the time told her that the only residual affects would be short-term memory loss, but for the most part she could lead a normal life. Years

Life for the doting daughters is just as rewarding. “We don’t have to worry anymore. We know that our mom is well cared for. She has made a nice group of friends, and having a daily routine reduces her stress. She needs less reminders and can do things for herself which is terrific,” exclaims Joanne. Diane chimes in, “There are days she doesn’t want to leave here because there are activities she doesn’t want to miss, but mostly she wants to hang out with her friends.” One of the many rewards Maryann has found at Brandywine Senior Living is being Ambassador. She greets new residents and makes them feel welcome. If someone is transitioning from assisted living to the memory care unit, called Reflections, it’s Maryann’s “job” to make sure that they are escorted to the activities and meals. She proudly wears her Brandywine Ambassador pin every day. It’s wonderful for her self-esteem. “When I get dressed in the morning, I put on my jewelry and my pin. It’s part of my routine!” The perks aren’t bad either. Maryann is invited with the three other Ambassadors for a monthly luncheon in Brandywine’s private dining room with Lisa and some of the staff. “I think it’s so nice they have a lunch for us. I would be Ambassador even if they didn’t. I just love it!” Her family loves it too.

Brandywine Senior Living at The Gables Brick, NJ | 732-836-1400 Brandywine Senior Living at Reflections Brick, NJ | 732-785-3370 Brandywine Senior Living at Toms River Toms River, NJ | 732-240-0043

www.Brandycare.com

The County Woman Magazine

Relish

RELISH

www.TheCountyWoman.com

May/June 2013

Elder Law

Should I Give My Home To My Children? I am often asked whether it is a good idea for elderly parents to transfer their home to their children. I always ask:

“Why do you want to do this?” The most common reason is to protect the house in the event one or both of the parents need nursing home care. First, I want to emphasize that there is no easy answer to this question without knowing the full asset and income picture, as well as the health status of the parents. If I get all that information, the answer can be easy (for me!). I summarize below some of the factors, which go into the decision whether it is a good idea to transfer the home and, if so, what is the best way to go about it.

Five-Year Look Back for Medicaid Under New Jersey Medicaid rules, if a parent transfers assets to a child/ren or even to a trust within five (5) years of applying for Medicaid, the transfer will cause a penalty, which does not begin until the Medicaid application is made!! The length of the penalty period depends upon the value of the house.

Thus, any transfer of the residence must be made well in advance of the parents’ need for nursing home care (which, of course, cannot be accurately predicted). My main concern about transferring a house to children to accomplish Medicaid eligibility is that there are many exceptions in the Medicaid rules relating to the residence. First, if both parents are living, the house is exempt as long as one of them is living in the residence. Second, transfers without penalty may be made to a “caregiver child” or a disabled child. Thus, I do not reflexively recommend transfer of a house from a married couple to children, especially if one of the parents is likely to need a nursing home level of care within the next few years.

Capital Gains Tax A second issue with transferring the house is the loss of a potentially significant capital gains tax advantage. The capital gains tax rate is 15% federal and 5-8% percent for New Jersey (capital gain is treated as ordinary income. This tax is paid on the difference between what you paid for something and what you receive when you sell it. If the parents have owned the house for a long period of time, this tax can be substantial. However, if the parents sell the house during their lifetime(s), they have an exemption

from this tax in the amount of $250,000 for each parent, assuming they owned and lived in the house as their principal residence for at least two out of the five years before the sale and that certain other requirements are met. This exemption can be lost if the parents give the house to a child/ren, as the house is not the principal residence of the child/ren. If the house is not sold during lifetime, but following the death of the surviving parent, the child/ren will pay a capital gains tax because the house was gifted to them, and not inherited. If a residence (capital asset) is inherited, the “cost basis” for the child/ren becomes the value of the house at the date of death (instead of what the parents actually paid for the house). This is called “step-up in basis.” Usually, this means a zero tax if the house is sold within a year or so after the parent’s death.

Of Control And Children’s Creditors. A third issue with transferring the house to children is the loss of ownership of the house and the risk from children’s creditors. If the parents transfer the house outright to the children, then the children own the house. The children do not have to allow the parents to live in the house and can actually sell the house and take the proceeds. If any of the children get

Nancy M. Rice Esquire, CELA

Certified as an Elder Law Attorney by the National Elder Law Foundation

Estate/Trust Administration Guardianships Will Contest

Special Needs Trust Medicare, Medicaid, Long-Term Care & Disability Planning

200 Asbury Avenue • Ocean City, NJ 08226 • 609.398.3447 1236 Brace Road, Suite F • Cherry Hill, NJ 08034 • 856.673.0048 www.RiceElderLaw.com

The County Woman Magazine

www.TheCountyWoman.com

into financial difficulty, their creditors may be able to force the sale of the house. If any of the children get divorced, their spouse may have a claim to part of the house. Finally, and of great importance to most of my clients, if the parents are receiving property tax deductions for being senior citizens or veterans, then these benefits will be lost. Now that I have scared you half to death, I want you to know that there are ways to avoid most of these problems. I use Life Estate Deeds, Trusts, Powers of Appointment and all kinds of other mysterious gadgets, depending upon the situation. Sometimes, my best advice is to not transfer the house but to do other things. It all depends on the total picture.

Nancy Rice can answer your questions and concerns, Call 609-398-3447

Nancy Rice has been practicing Estate Planning and Elder Law in New Jersey and Pennsylvania  since 1986. She was Certified as an Elder Law Attorney in 1997, and has maintained offices in Camden and Cape May counties, specifically in Cherry Hill and Ocean City. Call 609-398-3447. www.RiceElderlaw.com May/June 2013

Law

What is a Certified Attorney? By Marla Marinucci, Esq.

f the approximately 72,000 active attorneys in New Jersey, less than 3% are certified. It is with great pleasure to announce that I was recently certified by the Supreme Court of New Jersey as a Matrimonial Law Attorney. Now what does that mean? A certified matrimonial law attorney is a special designation granted by the New Jersey Supreme Court to attorneys who have demonstrated considerable levels of experience, knowledge and who are highly skilled in matrimonial law. Certified attorneys seeking this designation must apply to the Supreme Court of New Jersey via the Board on Attorney Certification and must meet the standards that have been set by the Board and approved by the Court. What are the requirements? In order to apply for certification, the attorney must be a member in good standing of the New Jersey bar for over

five years. The first step in the process is a lengthy application which requires the applicants to list names of judges before whom they appear and fellow attorneys with whom they have had cases. These individuals will each rate the attorney seeking certification based upon a variety of questions. The application also consists of multiple pages and requires the applicant to set forth a myriad of prior experiences both in and out of court and with very specific details regarding each matter. Most attorneys who have gone through the process, myself included, will say that just completing the application itself is quite the challenge and incredibly time consuming. There is also a minimum amount of educational prerequisites required in the form of CLE’s (Continuing Legal Education), which

equates to hours and hours of attendance at seminars. The CLE requirement is ongoing once you have become certified. After the application is submitted, the Board then decides over the next few

months whether the applicant qualifies to sit for an exam based upon the reviews of the judges and attorneys as well as the requirements in the application. The exam consists

of various written questions on different areas of matrimonial law. It is an all-day affair. After the exam, the excruciating waiting begins to find out whether we passed or failed. How Many Areas of Law Offer Certification? There are only five areas of law that have been approved for Certification by the Supreme Court of New Jersey. Aside from matrimonial, they are: civil trial law; criminal trial law; worker’s compensation law; and very recently, municipal court law. Why should you hire a Certified Attorney? When you hire a certified attorney, you are hiring someone with sufficient skill and knowledge in a specific area of law. Just like you would not want your general doctor to perform open-heart surgery

on you, you should not hire a general practitioner to handle your matrimonial matter. My experience over the years in handling cases where the attorney on the other side is certified, has been more positive than having cases with non-certified attorneys. This is not to say that non-certified matrimonial attorneys are not competent to handle divorce, custody and other matters. After all, it wasn’t that long ago, only weeks actually, when I was in that…ahem…“group” of non-certified attorneys. The point that I am trying to bring home here is that when you are searching for a competent and qualified attorney to represent your most important and personal interests, you will be better served by seeking out an attorney who has earned the special “Certified” designation bestowed upon them by the Supreme Court of New Jersey, rather than someone who has the biggest ad in the yellow pages.

Marla Marinucci Attorney At Law

609-390-9078

Marla Marinucci ATTORNEY AT LAW

609-390-9078

Photo By: Roger Mason

200 South Shore Rd • Marmora, NJ 08223 • www.AprilLaw.net

• About Marla . . . Marla Marinucci is a partner at the law firm of April & Marinucci, P.A. located in Marmora, New Jersey. Her primary focus is Family law matters. She received a B.A. in French from Rutgers Camden, and received her law degree from Rutgers Camden School of Law. Marla is a member of the Family Law Executive Committee of the New Jersey State Bar Association, and has been certified by the Supreme Court of New Jersey as a Matrimonial Law Attorney. She is also a member of the Children’s Rights Subcomittee and a 2010 recipient of the Top 40 Under 40. Her professional associations include: Cape May County Bar Association; Shore Memorial Leaders Alliance; MESP Panelist; Special Civil Part Panelist; Greater Atlantic City Jaycees; and the Family Law Section of the NJSBA. • April & Marinucci, P.A. . . . If you are looking for a team of experienced attorneys who will take the time to get to know you, and help you with effective, passionate representation in court or at the negotiating table, we can help. Contact the New Jersey offices of April & Marinucci, P.A., to schedule a consultation about your legal needs.

The County Woman Magazine

www.TheCountyWoman.com

DEVOTED TO HELPING YOU! • Divorce • Separation • Alimony • Custody • Child Support • Prenuptial Agreements • Civil Unions • Post Judgment Modi�cations • Father’s Rights • Domestic Violence

May/June 2013

Medical Professionals

Understanding The Ultrasound Q

What is the advantage of ultrasound? The big advantage is the ultrasound uses no radiation to create images. This is why it is safe to use on pregnant women and their unborn children. The test is painless and noninvasive (no needles or injections). Ultrasound scanning gives a clear picture of soft tissues that do not show up well on x-ray images.

Cyrus Khorrami, M.D.

here is a common misperception that an ultrasound examination is only for pregnant women. While ultrasound is of great value in examining an unborn child, there are many other uses for the ultrasound. The ultrasound can be used to detect disease in the liver, spleen, kidneys, bladder, uterus, and ovaries. It is the preferred test to evaluate the testicles, gallbladder, blood vessels, breasts, and thyroid gland. The ultrasound examination is fast, safe, and effective. It is one of the greatest tools at the radiologist’s disposal in diagnosing disease and potentially saving lives.

Ultrasound of the breast shows a non cancerous benign cyst in an area of palpable lump.

Why is gel applied during the test? A clear water-based gel is applied to the area of the body being studied to help the transducer make secure contact with the body. This eliminates air pockets between the machine and the skin that can block the sound waves from passing into your body. Without the gel, images are not as clear and artifacts can form.

What is a pelvic ultrasound? As stated earlier, the ultrasound is the first line test in examining the unborn child. In addition to that, the ultrasound can be used to detect disease in women with pelvic pain and abnormal bleeding. The ultrasound can evaluate the uterus and ovaries to detect fibroids, ovarian cysts, endometrial polyps, and various types of cancer. Occasionally, a more detailed evaluation is necessary by placing a special transducer within the patient’s vagina. This is referred to as a transvaginal ultrasound. Transvaginal ultrasound is

performed very much like a gynecologic exam. A protective cover is placed over the transducer, lubricated with a small amount of gel, and then inserted two or three inches into the vagina. This procedure is typically not uncomfortable.

What about blood vessels? The ultrasound has a function called Doppler Ultrasound allowing the evaluation of veins and arteries. The most common reason for a venous ultrasound exam is to search for blood clots, especially in the veins of the leg. This condition is often referred to as deep vein thrombosis or DVT. These clots can dislodge and travel into the lungs, where they can cause a dangerous condition called pulmonary embolism. If the thrombus in the leg is found early enough, treatment can be started to dissolve the clot and prevent it from passing to the lung. The ultrasound can also evaluate arteries, especially carotid arteries (located in the neck). Plaque can form in the carotid arteries,

Doppler Ultrasound of the carotid artery shows blood flow through the artery to detect life threatening stenosis.

narrowing the vessels. This is called stenosis of the carotid artery, a condition that substantially increases the risk of a stroke. The major goal of carotid ultrasound is to screen patients for this type of blockage. If a significant narrowing is detected, early medical or surgical life saving treatment may be initiated.

Why is ultrasound used in the breast? Breast ultrasound is used to help diagnose breast abnormalities detected by a physician during a physical exam (such as a palpable lump). Breast ultrasound is also used in conjunction with mammography to detect and characterize potential abnormalities. Ultrasound imaging can help to determine if an abnormality is solid (which may be a non-cancerous lump of tissue or a cancerous tumor) or fluid-filled (such as a benign cyst) or a combination of both. The Doppler Ultrasound can be used to assess blood supply in suspicious breast lesions.

What are the limitations of ultrasound? Ultrasound waves are disrupted by air or gas; therefore ultrasound is not an ideal imaging technique for airfilled bowel or organs obscured by the bowel. Ultrasound has difficulty penetrating bone and, therefore, can only see the outer surface of bony structures and not what lies within. Also, large patients are more difficult to image by ultrasound because greater amounts of tissue attenuates (weakens) the sound

waves as they pass deeper into the body. At Toms River X-ray, CT, and MRI Center, our ultrasound machines are the most state of the art available with the latest in computer technology and the most powerful transducers on the market. These allow us to create the clearest possible pictures to more accurately detect and diagnose disease.

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

Client Testimonials

“I have special needs. The young woman that attended me was wonderful. You should be proud of your staff! ~ John, Whiting

“When I made the appointment, I spoke to a real human, not a computer! When I arrived,everyone was as helpful and courteous as the receptionist on the phone. I had a great experience! ~ Kelly, Toms River

“Great service and staff! I will definitely recommend you!” ~ Maria, Bricktown

EXPERIENCE & EXPERTISE

you can count on.

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

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

M Medical edical P Professionals rofessionals

21 13

About Menopause- Youâ&#x20AC;&#x2122;re Not Alone! Part II of IIPart I 5Vcih AYbcdUigY r MciÂşfY Bch 5`cbY

Overaddressed the Having some of of thethe common course signs/symptoms last few weeks I of menopause or have encounperimenopause tered in the what previous issue, what is seemare the ingly available the same options for treatment patient of these symptoms?

over and over again. Vasomotor Symptoms (i.e.

hot flashes): The majority of women mild symptoms She is experiencing a middle-aged woman who is usually do not require treatment. concerned about her menstrual cycle, For those moderate which, up experiencing until a few months ago,towas severe symptoms, the gold standard â&#x20AC;&#x153;normalâ&#x20AC;?. Now she is skipping months is estrogen. While there atofatreatment time or having multiple periods are non-hormonal options available, per month; she is having occasional none of them appear to be as effective hot flashes which are keeping her up as estrogen. Granted a woman has atnonight, or ruining hertoclothing with contraindications its use, for random bouts of perspiration during example coronary artery disease, a the day; of shestroke notesorthat intercourse isnâ&#x20AC;&#x2122;t history thromboembolism, quite the same; in fact, she notes signifiactive liver disease, a history of breast cant vaginal dryness and pain with cancer or a considerable risk for thesex. aforementioned, short-term course â&#x20AC;&#x153;Dr. Jones, what isa going on, and is this of estrogen is generally recommended. normal? How long will this last? Can (Short term beingabout defined as two to anything be done these symptoms three years, but no longer than five that Iâ&#x20AC;&#x2122;m experiencing?â&#x20AC;? years.) For patients with risk factors precluding estrogen use, or those seeking The transition leading up to this is continued management of hot flashes called perimenopause. On average, this after five years of treatment, alternative period of menopausal transition begins therapies exist. Of note, in women who four years before thea final menstrual retain their uterus, progestational period. As experienced a majority ofin agent would need to bebyadministered women additionintothis thetransitional estrogen. period, hot

this phase of life.

therapies for treating While it is not menopausal known what causes symptoms (hot hot flashes, they flashes) are areavailable. thoughtWhile to be caused thernonebyofathem are as moregulatory effective as dysfunction estrogen, initiated at they the level of are themore hypoeffective than thalamus by placebo and estrogen withprovide relief for many women.

drawal. Core body temperature is normal at theinclude: beginning Alternative options of the hot flash and falls below normal 1. Gabapentin: (Neurontin) is an after it; yielding a rapidutilized dissipation of anti-seizure medication in some heat. Untreated, hotflashes. flashesIt in most women to treat hot is generally given as will a single at bedtime. in 4-5 women stopdose spontaneously Anti-depressants: this category years.2.9% of women report hot flashes of medications is first line for treating after the age of 70.

hot flashes in women who cannot take Insomnia ~ A(Effexor) major sequela estrogen. Venlafaxine and of hot flashes is either Escitalopram (Lexapro) areinsomnia, common or medications in this category being awakened from sleep.that Of are interest, utilized to treat vasomotor symptoms. sleep studies noted that nocturnal hot 3. Progesterone: while notduring utilizedthe as flashes were more common routinely as the previously mentioned, first 4 hours of sleep while REM sleep Depo-Provera (progesterone only in the following 4 hours was noted to contraceptive) is effective in treating hot suppress hot flashes, arousals, and awakflashes. enings. 4. Phyto Estrogens (plant derived estrogens): are contained in numerous Primary sleep disorders are foodsvery suchcommon as soybeans, chickpeas, lentils, in the perimenoflax seed, grains, etc. Often marketed as pausal population. In a report of 102 a more â&#x20AC;&#x153;naturalâ&#x20AC;? or â&#x20AC;&#x153;saferâ&#x20AC;? alternative to women ages 44-56 who reported sleep managing menopausal symptoms, there is disturbances a symptom of perino convincingasevidence that these products menopause/menopause, 54 (53%)There had are effective in reducing symptoms. an underlying diagnoses restless leg is also some suggestion thatofsome phyto flashes, vaginal dryness, sleep distursyndrome/sleep apnea or both. Also of estrogens may exert an estrogen-like effect Atrophy: bances, Vaginal and mood lability are commoninterest, anxiety/ on some psychiatric tissues in theissues body of leading some place. Vaginal estrogen is an excellent experts to recommend that women with depression can be common in this choice for addressing vaginal atrophy. The average age of menopause is a history of breast cancer avoid their use population and can contribute to sleep The advantage of vaginal estrogen 51.4 years. Smoking and genetics are altogether. in comparison to systemic estrogen disturbances as well. So while vasomotor factors that may impact the age one 5. Herbal treatments: the mosttopopular is that the effect of vaginal estrogen symptoms may be contributing sleep enters menopause. Smokers tend to of which is black cohosh, have not proven is more local with minimal systemic disturbances, it is important to recogenter menopause earlier and are more to be more effective than placebo in clinical absorption. Vaginal estrogen use remains nize that treating the hot flashes alone apt to experience hot flashes. The age a trials. As with the phyto estrogens, there is controversial in patients with a history may solve that the these issue regimens of sleeplessness patientâ&#x20AC;&#x2122;s menopause somenot concern may also of breastmom/sister cancer and entered consultation with a as there may be other underlying factors exert estrogen-like effects on some tissues. may provide some insight as to when gynecologist and/or oncologist prior to contributing. As an aside, with regard to the patientshould can expect to enter menoinitiation be undertaken. compounded bio identical hormone pause, the mom/sisterâ&#x20AC;&#x2122;s entry into Angiven alternative to vaginal estrogen Vaginal dryness is another treatment, there is no data to support would be a was vaginal moisturizer such as menopause a â&#x20AC;&#x153;naturalâ&#x20AC;? entry. symptom experienced by women superiority claims of these products over Replens. Replens, in addition to a heavy in this stage of life. The epithelial linHot flashes affect 80% of conventional methods of treatment. These lubricant such as Astroglide, is a popular ing of the vagina/urethra are estrogen compounds also may pose additional risks women in theattributable menopausaltotranremedy for issues vaginal dependent tissues. With the declining in that they lack safety and efficacy data due sition making it the most common atrophy; i.e., painful intercourse. function of the ovaries, which leads to to their variations in purity and potency. symptom experienced by women in Non-hormonal or estrogen

a decrease in estrogen production, the Smoking cessation, weight loss, tissues of theregulation vagina/urethra become temperature and relaxation â&#x20AC;&#x153;atrophicâ&#x20AC;?; i.e.additional thin, pale,methods less elastic, techniques are used to more easily traumatized as a result of address hot flashes. less lubrication, etc. Oftentimes patients While the menopausal transition is will complain dryness, pain something mostofwomen willirritation, experience, it still appears to be a topic viewed during intercourse, etc. that as a is result of as being somewhatmentioned â&#x20AC;&#x153;tabooâ&#x20AC;?. Hopefully this the previously physiological changes.

TheCounty CountyWoman WomanMagazine Magazine The

thorough work-up, hereâ&#x20AC;&#x2122;s to hoping that Stayyour tunedclinician for the can answers the you and find aintreatment regimen, if necessary, right for you. May/June issue ofthat TheisCounty

Woman.

Call Woman to Woman at 732-797-1510 to get your questions answered. Woman to Woman Obstetrics & Gynecology, LLC. Ocean Countyâ&#x20AC;&#x2122;s first and only all-female Obstetrics and Gynecology practice. t -FTMFZ 1 'VSNBO . % t "MJPOB .BYXFMM . % t "OHFMB 3 +POFT . %

"SUJDMF 8SJUUFO #Z "OHFMB 3 +POFT . %

As female healthcare providers, the staff of Woman to Woman Ob/Gyn bring a unique sensitivity to the health issues and wellness challenges that women face throughout every stage of life. Our staff has the experience, expertise and critical firsthand knowledge concerning womenâ&#x20AC;&#x2122;s healthcare issues that enables us to care for you with a level of empathy and understanding you wonâ&#x20AC;&#x2122;t find elsewhere.

Compassionate Compassionate Healthcare Healthcare For For Women... Women... By By Women Women

Whether youâ&#x20AC;&#x2122;re planning to have a baby, looking for good prevenWhether youâ&#x20AC;&#x2122;re planning to have a baby, looking for good prevenĆ&#x;Ç&#x20AC;Ä&#x17E; Ä?Ä&#x201A;Ć&#x152;Ä&#x17E; Ĺ˝Ć&#x152; Ĺ&#x161;Ä&#x201A;Ç&#x20AC;Ä&#x17E; Ä&#x201A; Ĺ&#x161;Ä&#x17E;Ä&#x201A;ĹŻĆ&#x161;Ĺ&#x161;Ä?Ä&#x201A;Ć&#x152;Ä&#x17E; Ä?Ĺ˝ĹśÄ?Ä&#x17E;Ć&#x152;Ĺś Ĺ˝Ć&#x152; Ĺ?Ć?Ć?ĆľÄ&#x17E; Ç&#x2021;Ĺ˝Ćľ Ç Ä&#x201A;ĹśĆ&#x161; Ć&#x161;Ĺ˝ Ä&#x161;Ĺ?Ć?Ä?ĆľĆ?Ć?Í&#x2022; Ć&#x;Ç&#x20AC;Ä&#x17E; Ä?Ä&#x201A;Ć&#x152;Ä&#x17E; Ĺ˝Ć&#x152; Ĺ&#x161;Ä&#x201A;Ç&#x20AC;Ä&#x17E; Ä&#x201A; Ĺ&#x161;Ä&#x17E;Ä&#x201A;ĹŻĆ&#x161;Ĺ&#x161;Ä?Ä&#x201A;Ć&#x152;Ä&#x17E; Ä?Ĺ˝ĹśÄ?Ä&#x17E;Ć&#x152;Ĺś Ĺ˝Ć&#x152; Ĺ?Ć?Ć?ĆľÄ&#x17E; Ç&#x2021;Ĺ˝Ćľ Ç Ä&#x201A;ĹśĆ&#x161; Ć&#x161;Ĺ˝ Ä&#x161;Ĺ?Ć?Ä?ĆľĆ?Ć?Í&#x2022; Ç&#x2021;Ĺ˝ĆľÍ&#x203A;ĹŻĹŻ ÄŽĹśÄ&#x161; Ć&#x161;Ĺ&#x161;Ä&#x17E; Ć?Ć&#x161;Ä&#x201A;ÄŤ Ä&#x201A;Ć&#x161; tĹ˝ĹľÄ&#x201A;Ĺś Ć&#x161;Ĺ˝ tĹ˝ĹľÄ&#x201A;Ĺś KÄ?ÍŹ'Ç&#x2021;Ĺś Ĺ?Ć? Ä?Ĺ˝ĹľĆ&#x2030;Ä&#x201A;Ć?Ć?Ĺ?Ĺ˝ĹśÄ&#x201A;Ć&#x161;Ä&#x17E;Í&#x2022; Ç&#x2021;Ĺ˝ĆľÍ&#x203A;ĹŻĹŻ ÄŽĹśÄ&#x161; Ć&#x161;Ĺ&#x161;Ä&#x17E; Ć?Ć&#x161;Ä&#x201A;ÄŤ Ä&#x201A;Ć&#x161; tĹ˝ĹľÄ&#x201A;Ĺś Ć&#x161;Ĺ˝ tĹ˝ĹľÄ&#x201A;Ĺś KÄ?ÍŹ'Ç&#x2021;Ĺś Ĺ?Ć? Ä?Ĺ˝ĹľĆ&#x2030;Ä&#x201A;Ć?Ć?Ĺ?Ĺ˝ĹśÄ&#x201A;Ć&#x161;Ä&#x17E;Í&#x2022; Ä&#x17E;Ä&#x201A;Ć?Ç&#x2021; Ć&#x161;Ĺ˝ Ć&#x161;Ä&#x201A;ĹŻĹŹ Ć&#x161;Ĺ˝ Ä&#x201A;ĹśÄ&#x161; Ć&#x2030;Ć&#x152;Ĺ˝Ç&#x20AC;Ĺ?Ä&#x161;Ä&#x17E;Ć? Ć&#x161;Ĺ&#x161;Ä&#x17E; Ć&#x;ĹľÄ&#x17E;Í&#x2022; Ä&#x201A;ĆŠÄ&#x17E;ĹśĆ&#x;Ĺ˝Ĺś Ä&#x201A;ĹśÄ&#x161; ĹŻÄ&#x17E;Ç&#x20AC;Ä&#x17E;ĹŻ Ĺ˝Ä¨ Ä?Ä&#x201A;Ć&#x152;Ä&#x17E; Ć&#x161;Ĺ&#x161;Ä&#x201A;Ć&#x161; Ä&#x17E;Ä&#x201A;Ć?Ç&#x2021; Ć&#x161;Ĺ˝ Ć&#x161;Ä&#x201A;ĹŻĹŹ Ć&#x161;Ĺ˝ Ä&#x201A;ĹśÄ&#x161; Ć&#x2030;Ć&#x152;Ĺ˝Ç&#x20AC;Ĺ?Ä&#x161;Ä&#x17E;Ć? Ć&#x161;Ĺ&#x161;Ä&#x17E; Ć&#x;ĹľÄ&#x17E;Í&#x2022; Ä&#x201A;ĆŠÄ&#x17E;ĹśĆ&#x;Ĺ˝Ĺś Ä&#x201A;ĹśÄ&#x161; ĹŻÄ&#x17E;Ç&#x20AC;Ä&#x17E;ĹŻ Ĺ˝Ä¨ Ä?Ä&#x201A;Ć&#x152;Ä&#x17E; Ć&#x161;Ĺ&#x161;Ä&#x201A;Ć&#x161; Ç&#x2021;Ĺ˝Ćľ Ç Ä&#x201A;ĹśĆ&#x161; Í˛ Ä&#x201A;ĹśÄ&#x161; Ä&#x161;Ä&#x17E;Ć?Ä&#x17E;Ć&#x152;Ç&#x20AC;Ä&#x17E; Í˛ Ĺ?Ĺś Ä&#x201A;Ĺś Ĺ˝Ä?Ć?Ć&#x161;Ä&#x17E;Ć&#x161;Ć&#x152;Ĺ?Ä?Ĺ?Ä&#x201A;Ĺś Ä&#x201A;ĹśÄ&#x161; Ĺ?Ç&#x2021;ĹśÄ&#x17E;Ä?Ĺ˝ĹŻĹ˝Ĺ?Ĺ?Ć?Ć&#x161;Í&#x2DC; Ç&#x2021;Ĺ˝Ćľ Ç Ä&#x201A;ĹśĆ&#x161; Í˛ Ä&#x201A;ĹśÄ&#x161; Ä&#x161;Ä&#x17E;Ć?Ä&#x17E;Ć&#x152;Ç&#x20AC;Ä&#x17E; Í˛ Ĺ?Ĺś Ä&#x201A;Ĺś Ĺ˝Ä?Ć?Ć&#x161;Ä&#x17E;Ć&#x161;Ć&#x152;Ĺ?Ä?Ĺ?Ä&#x201A;Ĺś Ä&#x201A;ĹśÄ&#x161; Ĺ?Ç&#x2021;ĹśÄ&#x17E;Ä?Ĺ˝ĹŻĹ˝Ĺ?Ĺ?Ć?Ć&#x161;Í&#x2DC;

Lesley P. Furman, MD

Angela R. Jones, Aliona M.D. Maxwell, M.D. >Ä&#x17E;Ć?ĹŻÄ&#x17E;Ç&#x2021; WÍ&#x2DC; &ĆľĆ&#x152;ĹľÄ&#x201A;ĹśÍ&#x2022; D Íť Ä&#x17E;Ä?Ĺ˝Ć&#x152;Ä&#x201A;Ĺ&#x161; Ĺ?Ä&#x17E;Ć&#x161;Ä&#x17E;Ć&#x152;Í˛^Ä?Ĺ&#x161;ĆľĹŻĆ&#x161;Ç&#x152;Í&#x2022; K Íť >Ĺ?Ć?Ä&#x201A; ^Í&#x2DC; sÄ&#x17E;Ć&#x152;ĹśĹ˝ĹśÍ&#x2022; D

>Ä&#x17E;Ć?ĹŻÄ&#x17E;Ç&#x2021; WÍ&#x2DC; &ĆľĆ&#x152;ĹľÄ&#x201A;ĹśÍ&#x2022; D Íť Ä&#x17E;Ä?Ĺ˝Ć&#x152;Ä&#x201A;Ĺ&#x161; Ĺ?Ä&#x17E;Ć&#x161;Ä&#x17E;Ć&#x152;Í˛^Ä?Ĺ&#x161;ĆľĹŻĆ&#x161;Ç&#x152;Í&#x2022; K Íť >Ĺ?Ć?Ä&#x201A; ^Í&#x2DC; sÄ&#x17E;Ć&#x152;ĹśĹ˝ĹśÍ&#x2022; D Ď˛ĎĎą DÄ&#x201A;Ĺ?Ĺś ^Ć&#x161;Ć&#x152;Ä&#x17E;Ä&#x17E;Ć&#x161; Ĺ?Ĺś dĹ˝ĹľĆ? ZĹ?Ç&#x20AC;Ä&#x17E;Ć&#x152; Íť ĎłĎŻĎŽÍ˛ĎłĎľĎłÍ˛ĎĎąĎĎŹ Ď˛ĎĎą DÄ&#x201A;Ĺ?Ĺś ^Ć&#x161;Ć&#x152;Ä&#x17E;Ä&#x17E;Ć&#x161; Ĺ?Ĺś dĹ˝ĹľĆ? ZĹ?Ç&#x20AC;Ä&#x17E;Ć&#x152; Íť ĎłĎŻĎŽÍ˛ĎłĎľĎłÍ˛ĎĎąĎĎŹ Ď´ĎŻĎŻ >Ä&#x201A;Ä?Ä&#x17E;Ç&#x2021; ZĹ˝Ä&#x201A;Ä&#x161; Ĺ?Ĺś &Ĺ˝Ć&#x152;ĹŹÄ&#x17E;Ä&#x161; ZĹ?Ç&#x20AC;Ä&#x17E;Ć&#x152; Íť Ď˛ĎŹĎľÍ˛ĎŽĎ°ĎŽÍ˛ĎŻĎŻĎŹĎ

Ď´ĎŻĎŻ >Ä&#x201A;Ä?Ä&#x17E;Ç&#x2021; ZĹ˝Ä&#x201A;Ä&#x161; Ĺ?Ĺś &Ĺ˝Ć&#x152;ĹŹÄ&#x17E;Ä&#x161; ZĹ?Ç&#x20AC;Ä&#x17E;Ć&#x152; Íť Ď˛ĎŹĎľÍ˛ĎŽĎ°ĎŽÍ˛ĎŻĎŻĎŹĎ

Having addressed some of the common article has imparted some insight into what signs/symptoms of menopause/periis â&#x20AC;&#x153;normalâ&#x20AC;?, and will encourage women to menopause, what are available options discuss the issue with their physician. After for treatment of said symptoms? taking a careful history and conducting a

www.TheCountyWoman.com www.TheCountyWoman.com

Woman toto Woman Woman Woman

OBSTETRICS & GYNECOLOGY, LLC

OBSTETRICS & GYNECOLOGY, LLC Same Day Appointments Available

Same Day Appointments Available

May/June 2013 March/April

Medical Professionals

Fertility after Age 35 By: Dr. Van Deerlin â&#x20AC;&#x153;My husband and I didnâ&#x20AC;&#x2122;t meet until I was 38 years old. Now I am 40 and we are ready to start a family, but my body doesnâ&#x20AC;&#x2122;t seem to be cooperating.â&#x20AC;? This is a common refrain we hear in the fertility world. Most women are already aware of the sobering fact that fertility declines as their age advances past the 35 year mark. But weâ&#x20AC;&#x2122;ve all heard of examples of someone having a baby at age 44 or a similar age. There is large individual variability when it comes to reproductive aging. The age-related decline depends on the womanâ&#x20AC;&#x2122;s eggs, not the aging of her uterus. It can be useful to a woman to get an assessment of her â&#x20AC;&#x153;egg reserveâ&#x20AC;? when she might be making decisions about when to reproduce. To understand ovarian reserve assessment we must first review the workings of a womanâ&#x20AC;&#x2122;s ovaries. A woman is born with all of the eggs she will ever have. New ones cannot be made later â&#x20AC;&#x201C; but eggs do need to ripen before they can ovulate and have a chance of getting fertilized by a sperm to then become an embryo. Other cells in other organs in the human body are replaced with new ones as we age, but not so for the egg cells in the ovaries. So a 40 year old has only 40 yearold eggs. Not all eggs are perfectly normal. The eggs that ripen earlier in her life have a higher chance of being normal. And since a womanâ&#x20AC;&#x2122;s supply of eggs is limited it eventually runs low. As the reserve of eggs becomes low, the percent of eggs that are normal drops considerably (perhaps to 10% or so). Menopause marks the time when no more usable eggs remain. The average age of menopause is 50. A woman has approximately 300,000 immature eggs, each in a tiny follicle in her ovaries, at puberty. So what became of those egg follicles between puberty and menopause? Were they all released during the once-amonth ovulation process? No. Usually only one egg will reach the fully mature state necessary to ovulate during each menstrual cycle. The average woman has 450 menstrual cycles during her lifetime. The other 299,550 or so eggs slowly degenerate over time at a rate of about 25 per day. Fertility medications will not alter this rate of egg degeneration. Some things are known to speed up the loss of eggs, such as chemotherapy or radiation treatments used to fight cancer. Smoking cigarettes also appears to hasten the depletion of usable eggs. In fact, menopause typically arrives one or two years earlier in women who smoke. The assessment of egg reserve involves attempting to measure the number of eggs left in the ovaries. Most experts agree that a combination of 3 different tests gives the best estimate. These tests can be done by a

local fertility specialist. Two of these tests require a tube of blood. One of these assays has been utilized for 20 years. It looks at FSH and Estradiol, obtained on the 2nd, 3rd or 4th day of the menstrual cycle. A high FSH means the body is struggling just a bit to find a nice egg to ripen that month. The other blood test is fairly new, but yields more consistent results in detecting mildly low egg reserve. It is called Anti-Mullerian Hormone (AMH). A small amount of AMH is secreted by all of her remaining egg follicles. So a low AMH number correlates directly with a low number of remaining eggs. The third test is a careful internal pelvic ultrasound to count the number of visible follicles (egg sacs) in the ovaries. The number of such medium-sized follicles correlates directly with the number of tiny (microscopic) follicles held in reserve that have not yet begun the ripening process. Just because a woman is over 40 years of age doesnâ&#x20AC;&#x2122;t mean she needs to give up all hope of having a baby. Many women have fears that their chances of having a baby with Downâ&#x20AC;&#x2122;s Syndrome or other chromosomal abnormalities is outrageously high. In fact, at age 40, the chances of having a pregnancy with such an abnormality reach the 4th month of pregnancy is fairly low â&#x20AC;&#x201C; only 3%. One risk, however, that IS increased is the chance of miscarriage. On average 40% of pregnancies in women over the age of 39 will

The County Woman Magazine

spontaneously abort. The common reason for these miscarriages is a chromosomal imbalance that is not compatible with further fetal development. It is also important to understand the fertility of your male partner. He can have a semen analysis done to identify if his â&#x20AC;&#x153;swimmersâ&#x20AC;? are plentiful and moving well. There is a gradual decline in sperm numbers and quality as men age, but it is not as steep a decline as seen in women. Men donâ&#x20AC;&#x2122;t have an absolute reproductive cut-off analogous to a womanâ&#x20AC;&#x2122;s menopause. Some men have fathered children in to their 70â&#x20AC;&#x2122;s when they have a young wife (think movie stars like Tony Randall). A man continues to make new sperm every day of their adult lives, so their reproductive cells are at most only a few days old. One study reported a slightly higher risk of schizophrenia in the offspring of new fathers over age 50. A woman who has a diminished number of remaining eggs has a lower chance of conceiving a pregnancy with her own eggs than a

similarly aged woman with good egg reserve. But it doesnâ&#x20AC;&#x2122;t mean she has to give up hope. It still only takes one good egg. For those women who donâ&#x20AC;&#x2122;t want to settle for a low chance of success, there is the option of using eggs donated by a woman with a normal egg reserve. Naturally, itâ&#x20AC;&#x2122;s easier to become pregnant if a woman does not wait until her late 30â&#x20AC;&#x2122;s or beyond. But in todayâ&#x20AC;&#x2122;s society thatâ&#x20AC;&#x2122;s not always a choice. Egg reserve testing can often help in these situations.

6RXWK -HUVH\ )HUWLOLW\ &HQWHU

'LYLVLRQ RI 5HJLRQDO :RPHQÂˇV +HDOWK *URXS //& Â&#x2014;Â&#x17D;Â&#x17D; Â&#x2021;Â&#x201D;Â&#x2DC;Â&#x2039;Â&#x2026;Â&#x2021; Â?Â&#x2C6;Â&#x2021;Â&#x201D;Â&#x2013;Â&#x2039;Â&#x17D;Â&#x2039;Â&#x2013;Â&#x203A; Â&#x2021;Â?Â&#x2013;Â&#x2021;Â&#x201D; Â&#x2039;Â&#x2013;Â&#x160;ÇŁ

Č&#x2030; Â&#x17D;Â&#x17D; Â&#x2C6; Â&#x160;Â&#x2021; Â&#x2018;Â&#x2026;Â&#x2013;Â&#x2018;Â&#x201D;Â&#x2022; Â&#x201D;Â&#x2021; Â&#x2018;Â&#x192;Â&#x201D;Â&#x2020; Â&#x2021;Â&#x201D;Â&#x2013;Â&#x2039;Ď?Â&#x2039;Â&#x2021;Â&#x2020; Â? Â&#x2021;Â&#x2019;Â&#x201D;Â&#x2018;Â&#x2020;Â&#x2014;Â&#x2026;Â&#x2013;Â&#x2039;Â&#x2DC;Â&#x2021; Â?Â&#x2020;Â&#x2018;Â&#x2026;Â&#x201D;Â&#x2039;Â?Â&#x2018;Â&#x17D;Â&#x2018;Â&#x2030;Â&#x203A; Â?Â&#x2020; Â?Â&#x2C6;Â&#x2021;Â&#x201D;Â&#x2013;Â&#x2039;Â&#x17D;Â&#x2039;Â&#x2013;Â&#x203A; Č&#x2030; Â&#x2018;Â&#x2019; Â&#x2018;Â&#x2026;Â&#x2013;Â&#x2018;Â&#x201D; Â&#x2122;Â&#x192;Â&#x201D;Â&#x2020;Â&#x2022; Â&#x2018;Â&#x201D; Íš Â&#x2021;Â&#x192;Â&#x201D;Â&#x2022; Â? Â&#x2018;Â&#x2122; Č&#x2030; Â&#x192;Â&#x2019;Â&#x192;Â&#x201D;Â&#x2018;Â&#x2022;Â&#x2026;Â&#x2018;Â&#x2019;Â&#x2039;Â&#x2026; Â&#x2014;Â&#x201E;Â&#x192;Â&#x17D; Â&#x2021;Â&#x2DC;Â&#x2021;Â&#x201D;Â&#x2022;Â&#x192;Â&#x17D;Â&#x2022; Č&#x2030; Â&#x2018;Â?Â&#x2021;Â&#x203A; Â&#x192;Â&#x2026;Â? Â&#x2014;Â&#x192;Â&#x201D;Â&#x192;Â?Â&#x2013;Â&#x2021;Â&#x2021; Â&#x2DC;Â&#x192;Â&#x2039;Â&#x17D;Â&#x192;Â&#x201E;Â&#x17D;Â&#x2021; Â&#x2018;Â&#x201D; Â&#x2DC;Â&#x2C6; Â?Â&#x2020; Â&#x2018;Â?Â&#x2018;Â&#x201D; Â&#x2030;Â&#x2030; Č&#x2030; Â&#x2014;Â&#x17D;Â&#x17D; Â&#x2021;Â&#x201D;Â&#x2DC;Â&#x2039;Â&#x2026;Â&#x2021; Â&#x2021;Â&#x201D;Â&#x2013;Â&#x2039;Â&#x17D;Â&#x2039;Â&#x2013;Â&#x203A; Â&#x2021;Â?Â&#x2013;Â&#x2021;Â&#x201D; Č&#x2030; Â&#x2018;Â&#x201E;Â&#x2018;Â&#x2013;Â&#x2039;Â&#x2026; Â&#x2014;Â&#x201D;Â&#x2030;Â&#x2021;Â&#x201D;Â&#x203A; Â&#x2DC;Â&#x192;Â&#x2039;Â&#x17D;Â&#x192;Â&#x201E;Â&#x17D;Â&#x2021;

6287+ -(56(< )(57,/,7< &(17(5 LV QRZ RIIHULQJ D GLVFRXQW IRU ,9) WR $&7,9( 0,/,7$5< $1' 9(7(5$16

&DOO H[W IRU PRUH LQIRUPDWLRQ

Â&#x2018;Â&#x201E;Â&#x2021;Â&#x201D;Â&#x2013; Ç¤ Â?Â&#x192;Â&#x2C6;ÇĄ Â&#x2021;Â&#x2013;Â&#x2021;Â&#x201D; Ç¤ Â&#x192;Â? Â&#x2021;Â&#x2021;Â&#x201D;Â&#x17D;Â&#x2039;Â?ÇĄ

Â&#x2013;Â&#x2021;Â&#x2019;Â&#x160;Â&#x2021;Â? Ç¤ Â&#x192;Â&#x2122;Â&#x2039;Â?ÇĄ

Â&#x192;Â&#x201D;Â&#x203A; Ç¤ Â&#x192;Â&#x2026;Â?Â&#x2039;Â?ÇĄ ÇĄ Â&#x2039;Â&#x2022;Â&#x2013;Ç¤ Â&#x192;Â&#x201D;Â&#x201E;Â&#x192;Â&#x201D;Â&#x192; Â&#x17D;Â&#x2039;Â&#x2026;Â&#x2021;ÇĄ ÇŚ ÇĄ Â&#x201D;Â&#x192;Â&#x2026;Â&#x203A; Â&#x201D;Â&#x192;Â&#x2014;Â&#x2022;Â&#x2021;ÇĄ ÇŚ ÇĄ

Â&#x2039;Â&#x2022;Â&#x2039;Â&#x2013; Â&#x2014;Â&#x2022; Â&#x2018;Â? Â&#x2018;Â&#x2014;Â&#x201D; Â&#x2021;Â&#x201E;Â&#x2022;Â&#x2039;Â&#x2013;Â&#x2021; Â&#x2122;Â&#x2122;Â&#x2122;Ç¤Â&#x2022;Â&#x152;Â&#x2C6;Â&#x2021;Â&#x201D;Â&#x2013;Ç¤Â&#x2026;Â&#x2018;Â? /LSSLQFRWW 'ULYH +DUERU 3DYLOLRQV $WODQWL&DUH /LIH &HQWHU 6XLWH (JJ +DUERU 5G Â&#x2021; 6XLWH % (QJOLVK &UHHN $YH Â&#x2021; 0DUOWRQ 1- 6HZHOO 1- (JJ +DUERU 7ZS 1- www.TheCountyWoman.com

May/June 2013

Medical Professionals

The Most Common Questions & Answers Concerning Varicose Veins simply considered “cosmetic.” Other people may experience leg pain and other symptoms but they don’t realize what is causing their condition. This article will answer some common questions regarding varicose veins, the associated symptoms, and treatment.

Q Stephen Gosin, M.D. FACS

Jeffrey S. Gosin, M.D. FACS

aricose veins are one of the most common vascular conditions affecting women ... and men of all ages. Treatment options have improved greatly in recent years.

In spite of these advancements, many people mistakenly still believe that treatment for this problem is difficult, painful, and

What are varicose veins? Varicose veins are swollen veins that can be seen through the skin. They often have a bulging, twisted appearance. Some varicose veins may be very large and discolored. Others may be smaller. They can occur anywhere on the legs, including the groin area. What causes varicose veins? Blood must flow up, against gravity, to exit the legs and return to the heart. Our leg veins have one-way valves that assist in this process. Those valves can malfunction and leak, causing blood to flow in the wrong direction. The blood then pools in the legs, increasing the pressure in the veins.

Get Great Legs for Summer!

Varicose veins are not just a cosmetic problem. They can be an indication of an underlying abnormality in the vein valves, causing leg pain, swelling and other potentially serious problems.

You can experience the ultimate in vein care right here at the Jersey Shore. Eliminate the discomfort and appearance of most varicose veins with the latest state-of-the-art techniques.

Our Board Certified Vascular Specialists can get your legs looking and feeling great. Call us today for a consultation. Most health insurance accepted.

This is known as venous reflux disease or Chronic Venous Insufficiency (CVI). Venous reflux is one of the most common causes of varicose veins.

What are the symptoms of varicose veins and venous reflux disease? People with varicose veins and venous reflux may feel leg pain, leg heaviness, leg fatigue and/or leg swelling. Itching of the skin of the legs is also a very common complaint. Symptoms may be worsened by standing. Many people will notice the appearance of bulging legs veins. However, some people will only feel discomfort but not notice any cosmetic changes.

I thought varicose veins are just a cosmetic problem. Is that true? It is important to understand that varicose veins and venous reflux are NOT necessarily simple cosmetic problems. They can be a sign of an abnormal condition in the circulation. In addition to pain, some individuals may be at risk for chronic swelling, permanent skin discoloration, open wounds and even blood clots. With early diagnosis and treatment, long term complications can usually be prevented. Treatment often has the added benefit of improving aesthetics, even in cases that are not considered “cosmetic.”

Who is at risk for varicose veins? Prolonged standing or sitting in one place, family history of varicose veins, and being overweight are all known risks. In addition, increasing age and pregnancy are risk factors. Some people may develop varicose veins without having any of these known conditions. How are varicose veins and venous reflux diagnosed? An experienced vascular specialist can make the diagnosis with a combination of a medical history, physical examination and a painless vascular test called a doppler ultrasound (also known as a venous duplex scan.) Making

Q Stephen Gosin, M.D. F.A.C.S. Jeffrey Gosin, M.D. F.A.C.S. 442 Bethel Road, Somers Point, NJ 08244

609-927-VEIN (8346)

Visit us on the Web

www.GetGreatLegs.com

The County Woman Magazine

www.TheCountyWoman.com

the correct diagnosis is essential in properly treating this condition.

How are varicose veins and venous reflux treated? Sometimes compression stockings will be sufficient to control symptoms and prevent complications. When procedures are needed, current technology and techniques, allow for treatment WITHOUT the need for painful surgery. One of the best, most proven treatments for venous reflux is the Closure® Procedure, now referred to as Venefit™. This minimally invasive procedure is performed right in the office in less than 30 minutes, with no incisions, minimal discomfort, and excellent results. How long is the recovery from vein treatment? In most cases individuals can return to their usual activities within a day of the procedure. Is varicose vein treatment covered by health insurance? Venous reflux disease is a medical condition. Therefore, in many cases, varicose vein treatment is covered by health insurance. An experienced vein treatment center will have insurance specialists who will work with your insurance company to confirm coverage.

Q Q

*This article is meant only to give general information about varicose veins and venous insufficiency. It is in no way meant to substitute for medical care by your doctor. If you think that you are experiencing the conditions described here, or any medical condition, you should seek the care of a physician.

Jeffrey S. Gosin, M.D. FACS Dr. Jeffrey Gosin is a graduate of University of Pennsylvania and Jefferson Medical College. He completed his General Surgery Residency and an accredited fellowship in Vascular Surgery at Robert Wood Johnson University Hospital. He is Board Certified in Surgery and Vascular Surgery. Dr. Gosin is a fellow of The American College of Surgeons and a member of The Society for Vascular Surgery, The Society for Clinical Vascular Surgery, and numerous other national surgical and vascular societies.

About Shore Vascular & Vein Center

Shore Vascular & Vein Center is the region’s premiere vascular and vein care center. Our vascular specialists are Board Certified surgeons with extensive training and decades of experience in the treatment of the circulatory system. They have specialized training in the latest minimally invasive procedures and treatments. They are recognized leaders in their field.

The center offers:

• A leading center in the performance of The Closure® Procedure (Venefit™) for the minimally invasive treatment of venous reflux. • Asclera® for the treatment of spider veins. • Microphlebectomy - No sutures, minimal discomfort, fast recovery. • Treatment of small veins of the face and nasal area. • Proven results in thousands of successful cases. • Accredited noninvasive vascular laboratory. • Recognized in NJ Top Docs. • Membership in the most prestigious surgical and vascular surgical societies including: The American College of Surgeons, The Society for Vascular Surgery, The American Venous Forum, The Society for Clinical Vascular Surgery, The International Society of Endovascular Specialists and many others. Please call for a consultation or for additional information. (609) 927-VEIN (8346) or visit us on the web www.GetGreatLegs.com Stephen Gosin, M.D. FACS Dr. Stephen Gosin is a graduate of Jefferson Medical College, where he also completed his General Surgery Residency and was Chief Surgical Resident. He is Board Certified in Surgery. Dr. Gosin is a fellow of The American College of Surgeons, a charter member of the International Society of Endovascular Surgery, and many other professional societies.

May/June 2013

The County Woman Magazine

Professional Dentistry

www.TheCountyWoman.com

May/June 2013

2736.3 WJ Bariatric_Layout 1 4/16/13 12:18 PM Page 1

Medical Professionals

Weight-Loss Surgery Helps to Reverse Diabetes When people think about the benefits of weight-loss (bariatric) surgery, they usually focus on losing weight, feeling good, and being more active. But one of the most important results of bariatric surgery is one you can’t see: the reversal of type 2 diabetes. “There are no other treatments that come close to the effectiveness in controlling type 2 diabetes than the bariatric operations we perform at the AtlantiCare Center for Surgical Weight Loss & Wellness,” says Alexander Onopchenko, MD, FACS, who is the Center’s medical director. “I often like to say that bariatric surgery is meant to treat the medical comorbidities of our patients, one of the chief being diabetes. Weight loss happens to be a happy side effect.” “Patients that have had diabetes the shortest length of time and are younger can in general expect a greater chance of complete remission. However, I have seen older patients who have even required insulin for years experience profoundly positive effects from bariatric surgery,” adds Dr. Onopchenko. Bariatric surgery works in two basic ways. It can restrict the amount of food the stomach can hold and/or decrease the absorption of food in the stomach and small intestine. Most people who undergo

The County Woman Magazine

bariatric surgery lose a significant amount of weight. And for those with type 2 diabetes, the surgery can help normalize blood sugar levels and eliminate the need for medications to regulate blood sugar. “Diminishing the amount of fat in your body, especially fat in your waist and stomach, improves the health of people with type 2 diabetes. Our center’s data suggest that 63 percent of our diabetic patients undergoing LapBand placement and 94 percent of our diabetic patients undergoing

laparoscopic gastric bypass resolved their diabetes. Not everyone is cured of their diabetes with bariatric surgery, but most patients experience long-term control of their disease or complete remission,” says Dr. Onopchenko. After bariatric surgery, patients tend to feel great physically and mentally. “Patients tell me all the time how they are so happy to be off medication and to be able to participate in normal everyday routines without feeling so tired. They feel so much younger from

the energy they gain after the surgery and weight loss. Instead of having their diabetes controlling their lives, their good health is allowing them to live a better life, which they now have the power to control,” says Debbie Gullo, RN, CBN, bariatric program coordinator. For more information, visit www.atlanticare.org/bariatrics or call 1-888-569-1000. The Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center is designated as a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery.

FREE WEIGHT LOSS SURGERY SEMINARS

“Minimally Invasive Bariatric Surgery” Join us to learn about four of the latest minimally invasive surgical procedures for weight loss: • Laparoscopic Gastric Bypass Roux-En-Y • Laparoscopic Adjustable Gastric Banding (LAP-BAND®) • Laparoscopic Sleeve Gastrectomy • Laparoscopic Biliopancreatic Diversion (BPD) with Duodenal Switch (DS) For more information, or to register for a Weight Loss Surgery Seminar near you, please call 1-888-569-1000 or visit www.atlanticare.org.

REGIONAL MEDICAL CENTER

View our weight loss webinar at www.or-live.com/atlanticare/weightloss

www.TheCountyWoman.com

May/June 2013

Health

& Wellness

Rehabilitation After Replacement Written By: Julianne Dods, The Ocean Club

n order to enhance and restore functional ability and quality of life following a major joint replacement, it is important to begin and adhere to a structured rehabilitation program. A sedentary lifestyle can make it difficult to regain and retain range of motion within the joint, which is why staying physically fit and active is an important step towards recovery. In November 2012, after many years of wear and tear from daily activities, Before Jane Romano, 61, of Beach Haven, underwent a left, total hip replacement to correct her bone on bone impairment. “I went through a very atypical recovery. I was unable to bear weight on the hip for a couple of months post-surgery. Recovery was very slow and painful,” says Jane. While a licensed Physical Therapist was in charge of Jane’s initial program design and implementation, she was released from therapy after eight weeks. In order to retain normal strength and quality of life, Jane knew it was important to continue her strength training program with a fitness professional. Jane had been working with Certified Personal Trainer Jennifer Krebs from The Ocean Club in Stafford Township, for 6 years prior to her replacement. Following her Physical Therapy, Jane returned to Krebs to design a new, personalized exercise program to help her regain strength, mobility, and stability safely and effectively. “Jane was very strong going into the surgery. Her physician even complimented her on the shape of her connective tissues. For

whatever reason, her body just did not respond well to the new joint and we had to work through that,” says Jennifer. “Jane and I have been through several training phases together from an incredible weight loss journey back in 2006 to now recovering from a major joint replacement operation,” says Jennifer. “As an individual, I know how strong and confident Jane is and I wanted to get her back to her presurgical fitness level.” Jennifer requested that Jane’s Physical Therapist supply her with written instructions on how to proceed with her

1. It is always important to consult with your Physician and/or Physical Therapist before beginning a new exercise program. 2. Once released to exercise, choose a Certified Personal Trainer that specializes in working with clients in the Post-Rehabilitation phase of training. 3. Provide your Personal Trainer with a thorough written history so they may complete an accurate health/risk assessment and develop a safe and effective program.

EVERYBODY LOVES BEING A MEMBER

Month-to-Month & Student Memberships Available. After

training regimen and, together, they slowly began to see both strength and mobility gains. “Our main objective following Jane’s hip replacement was to focus on stretching in order to regain her range of motion throughout the hip joint. Once we mastered that, I slowly began to incorporate cross training and conditioning back into her routine.” Jane lost quite a bit of weight and muscle mass following her surgery but with a consistent training program she was able to regain lean muscle mass

Julianne Dods Vice President, The Ocean Club

For more information on how The Ocean Club can help you change your life, call (609) 978-2244, or visit www.OceanClubFitness.com Join The Ocean Club’s social networking followers on

which ultimately helped in her recovery process. “When Jane initially came to me at The Ocean Club, she was 186 pounds. Today, she maintains her weight at a healthy 136 pounds,” says Jennifer. Jennifer points out that successful recovery after a joint replacement requires a commitment and adherence to a regular, structured strength training program. “My goal now is to stay in the best shape possible, control my nutritional habits and continue on my weight loss journey as I prepare for my daughter’s wedding this June,” says Jane. “I want to be healthy and lead an active, interesting life without physical limitations and Jennifer has helped me do just that.”

Before Beginning a New Exercise Program

The County Woman Magazine

50+ Group Exercise Classes Each Week Small Group Fitness Hot Yoga Boxing

Bootcamps Aquatics TRX Reformer Pilates And More!

Complimentary

7-Day VIP Pass Present this pass at the Ocean Club to activate.

(609) 978-2244 www.OceanClubFitness.com

700 S. Main Street (RT. 9)

OCWMJ

Stafford Twp.

*Must be 18 years of age or older. Local Residents Only. First Time Users. ID Required. See club for details.

www.TheCountyWoman.com

May/June 2013

Medical edical Professionals rofessionals

SEE YOUR POST OP RESULTS â&#x20AC;&#x201C; PREOP! @CC? MCIB;9F CJ9F @IB7<

I T

magine being able to see your â&#x20AC;&#x153;before and never seems to be enough time afterâ&#x20AC;?here results while comparing them side by in the day. Fortunately, looking side and at multiple angles during your initial younger and This feeling great doesnâ&#x20AC;&#x2122;twith haveVectra to be3 consultation! is now a reality time consuming. ThePlastic natural beautyP.A. of your D imaging. At Ocean Surgery, we skin can be replenished with rejuvenating offer this state of the art innovation which has treatments with noprocess. downtime revolutionized theessentially consultation

and in less the time it takes to have lunch! What is treatments Vectra 3can D be imaging? Todayâ&#x20AC;&#x2122;s tailored to an active life-

The Vectra D is advanced style and the3demands at homephotographic or on the job. Often imaging, which captures ultra-high one or more complimentary treatmentsresolution can give you the most dramatic results. three-dimensional images of your face, breast Affordable, innovativethe treatments shouldnâ&#x20AC;&#x2122;t be the or body. It eliminates anxiety of what your only factors when considering your health and beauty. result might be and allows you to explore your At ourand center Dr. Small, a board certified plastic surgoals desires with this amazing technology. geon specialized in cosmetics, treats each and every patient only after a personal consultation. It is this How does itcare work? individualized combined with a dedicated staff When you come in for to provide exemplary careatocomplimentary meet your unique needs and desires. Dr. Small will discuss your goals and consultation his nursing staff will photograph targeted areas

What treatments of your are bodysome and/orlunchtime face. What youâ&#x20AC;&#x2122;re looking that can refine and define your beauty to achieve can be simulated in 3 dimensions to in than an see less the â&#x20AC;&#x153;before andhour? afterâ&#x20AC;? results. Like never

before, your expectations can be better conveyed Brown spots - We can effectively treat brown spots

and discussed with simulations that face, allowchest you or to caused by sun damage located on your visualize the final often results. hands. Treatments take anywhere from 10-20 minutes and optimally require 1-3 treatment sessions.

Unwanted facial or body hair - Reduce waxSizing is so subjective andbleaching often varies ing, tweezing, shaving and withaccording laser hair to the braAmanufacturer a Victoria Secret the removal. 10-15 minute i.e. treatment can address cup be completely bra lips, size chin,will sideburn, underarmdifferent or bikinithan area.aLarger from another store. technology eliminates areas such as the legs This or back can be treated in approxthe guesswork since you can see your result with imately 30 minutes. multiple implant and saline or gelisimplants. Smile lines andsizes lip lines - Juvederm a gel Additionally, the results of a breast filler which takes approximately 15-20augmentation minutes and with a lift cansmooth be viewed, as well as lines enhancements can instantly away unwanted and folds. to the opposite breast thosetoundergoing Results can last up to 6 in months one year. breast reconstruction.

Red spot blemishes, blood vessels around the nose/cheeks and rosacea - These conditions are What kindourofspecialized facial enhancements I treated with lasers in as little as can a 10-15 minutes. This treatment is often combined with other see with the Vectra?

treatments forisaamazingly synergistic demonstrated enhancement. with Rhinoplasty this imaging at location, any angle. clear expectation of Tattoos - Any sizeAand color can be treated. your result can be discussed and demonstrated. Smaller tattoos take approximately 10-15 minutes. Larger tattoos chin take approximately minutes for a Additionally, augmentation30-40 can be reviewed treatment. Often procedure multiple sessions will be required as a stand-alone or to enhance the to removeofa tattoo. results a cheek and neck lift or rhinoplasty. Cheek neck volume other acne Acne -and Lessen anlifts, acne fillers flare ororcompliment augmentation and theyour potential red and take treatments to improve results.for Treatments 15-20 minutes. brown spot treatment of the face and chest with laser skincare can be seen with remarkable clarity. Spider Veins - Unwanted leg spider veins are treated with injection sclerotherapy or laser treatments Can any other body enhancements depending on the size of the veins. Treatment times be takedemonstrated 15-30 minutes. other than breast

procedures? You want something moreâ&#x20AC;Ś but not too much Liposculture (liposuction) of the neck, hips, down time. What else might we suggest? abdomen and legs, as well as other areas are

I amlines, interested in breast Fine prominent pores augmentation and rough skin texture of the face andwith sun damage can I see results saline or- Erbium Thereand are sculpted many options and this detail. is where your laser skin rejuvenation gives a youthful glow in as little defined to exquisite silicone gel implants? individualized consult meets your unique needs and

as one session, Treatments can soften lines around Yes, this is ideal for anyone considering a breast the eyes, mouth, forehead and cheeks in as little as 15 augmentation. An older approach used to help minutes. determine an minute implanttreatment size involved a Botox - 5-10 softensplacing lines caused sample sizer under a bra, and and often by facialimplant expression. The results are great cana be discussion of cup sizes wasapproximately equally imprecise. maintained with treatments 3-4 month intervals.

8YX 3X`K]S`O %RWR[ 0KMO

desires. Some options are eyelid lifts, a chin implant to

Call and schedule complimentary add definition to your aprofile, liposuction to address consultation today! You cansuch experience this areas resistant to diet and exercise as the neck and hips (love handles) and breast and augmentation. revolutionary approach truly see These your are just possibilities but they too can post opa few resultpre-op. often be done in under an hour.

+\^S]^\c ĂŁ ,OK_^c ĂŁ <OT_`OXK^SYX +\^S]^\c ĂŁ ,OK_^c ĂŁ <OT_`OXK^SYX 0KMO ,YNc /LSRVXFWLRQ ,YNc

-XYHGHUP 7XPP\ 7XFN )DFHOLIWV /LSRVXFWLRQ 5DGLHVVH %RG\ /LIW (\HOLG 6XUJHU\ 7XPP\ 7XFNV %ROHWHUR )DW 7UDQVIHU %RG\ /LIWV 6K]O\ -OX^O\ /LSRDXJPHQWDWLRQ 0_VV +O]^RO^SMSKX 6K]O\ -OX^O\ 0D WUL[ )UDFWLRQDO 5KLQRSODVW\ 0D WUL[ )UDFWLRQDO & 5HVXUIDFLQJ =O\`SMO] &KLQ $XJPHQWDWLRQ & 5HVXUIDFLQJ +DLU 5HPRYDO 0LFURGHUPDEUDVLRQ 2WRSODVW\ +DLU 5HPRYDO 6SLGHU 9HLQ )DFLDOV 6SLGHU 9HLQ ,\OK]^ 7DWWRR 5HPRYDO &KHPLFDO 3HHOV 7DWWRR 5HPRYDO $XJPHQWDWLRQ 3KRWRIDFLDOV $FQH 7UHDWPHQW 3KRWRIDFLDOV /LIWV :D[LQJ 7ZHH]LQJ (UELXP /DVHU (UE\LXP /DVHU 5HGXFWLRQ 5HIUHVKHU 3HHOV 5HIUHVKHU 3HHOV 5HFRQVWUXFWLRQ 3XO VHG '\H /DVHU 3XO VHG '\H /DVHU 6FDU 7UHDWPHQW 6FDU 7UHDWPHQW

)DFHOLIW 8YX 3X`K]S`O

7K]]KQO >RO\KZc

&KHHN /LIW %RWR[ 6ZHGLVK 0DVVDJH 1HFN /LIW )LOO HUVa5HVW\ODQH 'HHS 7LVVXH 0DVVDJH (\HOLG 6XUJHU\ -XYHGHUP 5DGLHVVH 6KLDWVX 0DVVDJH )DW 7UDQVIHUa $URPDWKHUDS\ 0_VV +O]^RO^SMSKX /LSRDXJPHQWDWLRQ 5HIOH[RORJ\ =O\`SMO] 5KLQRSODVW\ 0LFURGHUPDEUDVLRQ &KLQ $XJPHQWDWLRQ )DFLDOV 2WRSODVW\ &KHPLFDO 3HHOV ,\OK]^ $FQH 7UHDWPHQW 1L $XJPHQWDWLRQ D &OLQLFDO 6NLQFDUH /LIW ,6 &OLQLFDO 6NLQFDUH 5HGXFWLRQ 5HFRQVWUXFWLRQ 5HYLVLRQ $XJPHQWDWLRQ 5HYLVLRQ 5HFRQVWUXFWLRQ

:W]\M ?M[\ :W]\M ?M[\ ;]Q\M ;]Q\M 5IVIPI_SQV 62 5IVIPI_SQV 62

:W]\M ?M[\ :W]\M ?M[\ ;]Q\M ;]Q\M <WU[ :Q^MZ 62 <WU[ :Q^MZ 62

___ WKMIVXTI[\QK[]ZOMZaVR KWU ___ WKMIVXTI[\QK[]ZOMZaVR KWU Â&#x152;

The The County County Woman Woman Magazine Magazine

www.TheCountyWoman.com www.TheCountyWoman.com

M /Aune PRIL 2013 2013 MARCH ay/J COMPLIMENTARY COSMETIC CONSULTATION Complimentary

Cosmetics Consultation with FREE ERBIUM LASER FACIAL WithVectra the purchase of one of the Imaging lunchtime treatments

Cosmetic SPRING INTO Surgery SUMMER Special SPECIAL $500 cosmetic surgery discount

$500 Discount Call for Details.

OCEAN PLASTIC PLASTIC SURGERY P.A. OCEAN ANDLASER LASER CENTER AND /Â&#x153;Â&#x201C;Ă&#x192;Ă&#x160;,Â&#x2C6;Ă&#x203A;iĂ&#x20AC;]Ă&#x160; Ă&#x160;UĂ&#x160; >Â&#x2DC;>Â&#x2026;>Ă&#x153;Â&#x17D;Â&#x2C6;Â&#x2DC;]Ă&#x160; Tomâ&#x20AC;&#x2122;s River, NJ â&#x20AC;˘ Manahawkin, NJ Office:732-255-7155 732-255-7155 Office:

Void Prohibited by Bylaw. Law.Must MustbeBe Years Of Age Or Older. Non-TransVoidWhere where prohibited 1818 years of age or older. Nontransferable. Cannot be combined any other discount or offer. Offeronly subject to changeproferrable. Offer Subjectwith To Change Without Notice. Limited to cosmetic withoutgreater notice. than Only$2000. applicable procedures $2000 or Person more. The patient and any cedures The to Patient And Any Other Responsible For other person payment has a right to refuse cancel payment, Payment Has responsible A Right To for Refuse Pay, Cancel Payment, Orpay, Be Reimbursed For or be reimbursed for Other payment for any other service,Orexamination, or treatment that Payment For Any Service, Examination, Treatment That Is Performed is performed as And a result of and of responding to the advertisement As A Result Of Within 72 within Hours 72 Of hours Responding To The Advertisement For for free, discounted feeOr orReduced reduced fee examination or treatment. Free, Discounted Fee, Feeservice, Service, Examination, Or Treatment.

Dr. Smallâ&#x20AC;&#x2122;s goal is to help his patients achieve a beautiful natural appearance. He understands that undergoing plastic surgery is very personal, and strives to provide an exceptional experience by attending to Dr. Stephen E. Small, your unique needs and Board Certified Plastic Surgeon expectations. You will be cared for in a comfortable, compassionate setting with a staff that is ready to serve you. Call to schedule your appointment, 732-255-7155. March/April May/June 2013 2013

Medical Professionals

Patients Rave About Finding Relief from Their Pain at N.J. Community Spine and Pain in Toms River • Wearing high heels • Sleeping on a poor mattress • No obvious physical cause • Ordinary aging of the spine (degenerative changes)

Written by: Dr. Vincent Giardina, D.C. Owner of N.J. Community Spine and Pain

WHAT CAUSES PAIN The two main types of pain are: ACUTE and Chronic. Acute pain can be intense and short-lived. It may be caused by a trauma like a car accident or something as simple as improper lifting. When the injury heals the pain may go away. Chronic pain lasts much longer than acute pain. It can be mild or intense (severe). Chronic pain can start as an acute pain that does not go away quickly. If not properly dealt with, acute pain can become a chronic pain that gets progressively worse. Most people either try over-thecounter products, nsaids, or go to their primary physician who usually recommends some type of muscle relaxer or narcotic. If the pain does not go away people will try to put up with it because of their busy schedules. Perhaps you have said “I’m fine!” or “I don’t have time right now.” Back pain, for example, may be caused by a single factor, or any combination of these factors: • Years of poor posture • Improper lifting and carrying of heavy objects • Being overweight, which puts excess strain on the back and knees • A congenital condition such as curvature of the spine • Traumatic injury

PATIENTS ARE FINDING RELIEF AT N.J. COMMUNITY SPINE & PAIN The NJ Community Spine and Pain health care team is dedicated to helping you get relief quickly. Patients are amazed at how quickly they are feeling better after having tried so many other doctors. Our comprehensive plan to improving the way you feel includes a multidiscipline approach. Our diverse training and experience enable us to approach your health problem from a unique perspective allowing us to develop a treatment plan to get you out of pain quickly.

AVOID FAILED BACK SURGERY SYNDROME Back pain affects 8 out of 10 people at some point in their life. Unfortunately people many times choose surgery as an option only to find that after their surgery, the pain persists. This is termed “Failed Back Surgery Syndrome.” With over 50 years experience, the doctors at N.J. Community Spine and Pain can help you avoid surgery and get on the road to feeling better fast.

The County Woman Magazine

SICK AND TIRED OF BEING IN PAIN CALL N.J. COMMUNITY SPINE & PAIN NOW! At N.J. Community Spine and Pain we specialize in treating all types of Pain. Don’t let Arthritis, Sprains, Strains, Herniated Discs or Disc Bulges keep you living in agony. Our expert medical staff will customize a treatment plan to help you eliminate pain so that you can enjoy life to its fullest. PATIENTS WITH MIGRAINES OR HEADACHES ARE FINDING RELIEF! We have treated hundreds of patients that suffer with tension and migraine headaches with patients feeling vast improvement. Improvement is measured by complete resolution of pain, or decrease in frequency and intensity of the headache symptoms. THERE IS A SOLUTION NJ COMMUNITY SPINE AND PAIN CAN HELP “We Offer All Pain Management Services Under One Roof ” Our office is an integrated facility with expert health care providers with decades of experience. We focus on a Drug Free, Non Surgical approach to pain management. Our Services include a Medical Doctor, Chiropractic Services, Acupuncture, Massage Therapy, Nutritional Counseling, Neurological Disorders and other Health Services. So many times people want to get out of pain but find themselves running from doctor’s office to doctor’s office. This can be very discouraging and cause people not to seek the proper health care. This is what makes us different from other pain management facilities. We want to make the process of getting out of pain as painless as possible. www.TheCountyWoman.com

Here is what our patients have to say: “When I first started treatment my back, neck and knees ached. After going through a treatment plan with the doctors I have improved by 90%. I feel great.” - Maureen E. “My shoulder was in constant pain. After being treated by Dr. Giardina I am virtually pain free.” - Joe F. “I am an avid mountain biker and had an accident about 1 year ago. I had seen multiple doctors with no results. After working with the doctors at N.J. Community Spine and Pain for the past 4 weeks I am not only back on my bike, I am living life with less pain than ever before.” - Frank M. “I was treated by 3 other Pain Management Facilities and had no results. Once I was treated at NJ Community Spine and Pain my pain disappeared.” - Barbara P.

Conditions We Treat Neck and Back Pain • Chronic Pain Headaches & Migraines • Acute Pain Knee & Joint Pain • Auto Accident Disc Bulge & Herniation • Carpal Tunnel Degenerative Discs • Numbness & Tingling Herniated Disc • Sciatica Nerve • Sports Injuries Pinched Nerves • Tennis Elbow Nutritional Counseling • Neurological Conditions

Services Offered Medical Doctor • Chiropractic Services Acupuncture • Nutritional Counseling Massage Therapy • Flexibility Training Functional Neurological Evaluation & Treatment

833 Rt. 37 West Toms River, NJ 08755 Call Today For A Free Consultation With One Of Our Professionals

(732) 503-4079 www.njcommunityspine.com May/June 2013

Medical Professionals

Meet the Professionals of NJ Community Spine and Pain At NJ Community Spine and Pain Center, we specialize in providing non-surgical and drug-free solutions to healthcare to help eliminate pain fast and help keep you pain-free.

Dr. Vincent Giardina, D.C. Dr. Vince Giardina graduated Cum Laude from Sherman College of Chiropractic in South Carolina. Immediately upon graduating, he started teaching there and opened a private practice. Dr. Giardina was director of the X-Ray department and taught classes including X-Ray analysis and adjusting techniques at the college. Upon moving back to NJ he started a practice in Toms River, where he has lived for over 25 years. After starting his practice he was approached to become one of the first doctors in the US to enter into clinical trials for the LLLT Lasers. Dr. Giardina continued his teaching career in NJ at numerous schools and has been teaching Anatomy and Physiology in Ocean County College for over 13 years. For the last 30 years Dr. Giardina has specialized in patients with herniated discs in the neck and low back. Using special adjusting procedures, decompression and postural techniques he has helped numerous people avoid back surgery and return to normal living activity.

Steven Lassen, A.C. Steven is a Certified Acupuncturist and has been practicing since 1986. During his medical schooling, Steve had every intention to become an orthopedic surgeon. While practicing as a respiratory therapist at the age of 26, a tragic car accident changed the course of his career and became a blessing in disguise. At this time, Steven was suffering from retinal detachment and was told that he would be completely blind by the age of 30. Acupuncture saved his vision and enabled him to switch roads and pursue the field he was meant to be in. Through acupuncture, he has not only alleviated pain in his patients, but also solved other medical problems that seemed otherwise hopeless. Steven is a key part to the NJ Community Spine and Pain team and has treated a multitude of conditions from chronic back pain to infertility with a tremendous amount of success.

The County Woman Magazine

Dr. John Brow, D.C., R.C.R.D, D.A.C.N.B. Dr. Brow has wanted to become a Chiropractic Physician ever since a personal experience with Chiropractic at the age of ten. He wanted to help people but he didn’t like the idea of drugs or surgeries limited benefits and side effects. His journey took him to Chiropractic school where he focused on Neurology and Rehabilitation. He became fascinated with the intricate links between the brain and nervous system, immune system, and endocrine (hormone) system. He knew that the key to helping the chronically ill population, the group that the mainstream healthcare system has turned their backs on, lied in his understanding of how the body communicated between these various systems. Chiropractic Neurology is the newest, state of the art diagnostic and treatment technique. It brings together research findings from the fields of psychology, neuropsychiatry, neurology, neurophysiology, nutrition, and Functional Medicine to bring hope to the sick, unhappy, and hurting of all ages.

Dr. Adil Roomi, M.D. Dr. Adil Roomi is proud to welcome patients to a practice where his compassion, combined with education and experience, provides the best in preventive health. His philosophy of service to the patient along with the support of a knowledgeable team creates excellence in both patient care and clinical results. Dr. Adil Roomi is a graduate of Drexel University School of Medicine. He completed a Rotating Internship at Newark Beth Israel Medical Center. He then completed a Residency program Newark Beth Israel Medical Center. He completed his training at UMDNJ where he worked as an Emergency Medicine Physician for 15 years. His years as an ER Physician dealing with a wide range of conditions and treatments, has given him a deep understanding of the human body. Dr. Roomi’s Work Experience includes: Pain management, physical medicine, physical therapy, trigger point injections, all joint injections, & hylaronic knee injections.

Alyssa Hollenbeck, R.N. Alyssa Hollenbeck was born a California Girl in sunny Monterey on the pacific shore. She considers herself blessed to have had the opportunity to spend her formative years with her family living in Luxembourg in Central Europe. During that time, she attended the International School of Luxembourg where she learned to speak French. For ten years, she was exposed to many different cultures and languages from all corners of the world, which helped her, become the open-minded, global citizen she is today. In the summer of 2000, Alyssa moved to Bayville, New Jersey and quickly acclimated to the “Jersey Girl” lifestyle. After graduating from Central Regional High School she moved to Florida where she attended Saint Leo University and then returned to New Jersey to finish her RN degree at Ocean County College. She currently attends KEAN University completing her Bachelor’s degree in nursing. Her open-mindedness has enabled her to pursue a career, not only in traditional medicine, but also preventive medicine by means of alternative practices. She enjoys spending time with her patients and teaching them how to optimize their health and well being. Today she works as NJ Community Spine & Pain’s Registered Nurse collaborating care and education for the patients of Dr. Roomi M.D., Dr. Giardina D.C., and Dr. Brow, D.C., D.A.C.N.B.

833 Rt. 37 West Toms River, NJ 08755 (732) 503-4079 www.njcommunityspine.com www.TheCountyWoman.com

May/June 2013

Health

& Wellness

What Ocean Health & Weight Loss Needs You To Know About Sugar these foods instead of more nutritious foods can become deficient in many important nutrients. Bottom Line: Most products with added sugars contain very little nutrients and can therefore be classified as â&#x20AC;&#x153;emptyâ&#x20AC;? calories and start to be stored as fat.

Jill Houston Clinical Director Ocean Health & Weight Loss

Bill Moy Weight Loss Specialist

Written by: Jill Houston The harmful effects of sugar go way beyond empty calories. Added sugar is so unhealthy that it is, perhaps, the single worst ingredient in the modern diet. Top 5 reasons to avoid sugar as if your life depended on it (it does!): 1. Added Sugar Supplies a Large Amount of Fructose The reason added sugar (and its evil twinâ&#x20AC;Ś High Fructose Corn Syrup) is bad for you, is because it supplies a very large amount of fructose. Sugar and HFCS are half glucose and half fructose. Glucose is essential and can be metabolized by almost every cell in the body. If we do not get it from our diet, our bodies create it from proteins and fat. Fructose, however, is not essential to our functioning in any way. The liver is the only organ that can metabolize fructose, because only the liver has a transporter for it. This process is possibly one of the leading causes for the epidemics of many chronic, Western diseases. I would like to point out that this does NOT apply to fruit, which are a real food with vitamins, minerals, fiber, and lots of water and are very difficult to overeat on. Bottom Line: The only organ that can metabolize fructose is the liver. When we eat a lot of fructose, many systems in the body stop working correctly. 2. Sugar Doesnâ&#x20AC;&#x2122;t Contain Any Vitamins or Minerals (Empty Calories) Sugar IS empty calories. Most high-sugar foods like pastries, sodas and candy bars contain very little essential nutrients. People who eat

3. Sugar Raises Your Risk of Western Diseases Excess sugar consumption has been associated with many Western diseases. If anything, sugar is the single largest contributing factor to the poor health of affluent nations. Every time sugar (and refined flour and vegetable oils) enters a populationsâ&#x20AC;&#x2122; diet, these people become sick. Sugar has been associated with: 1. Obesity: Sugar causes weight gain via various mechanisms, including elevated insulin and leptin (hormone that supposedly tells you your full) resistance. 2. Diabetes: Sugar is probably a leading cause of diabetes. 3. Heart disease: Sugar raises the bad cholesterol, triglycerides and causes various other issues that can ultimately lead to heart disease. Bottom Line: Excess sugar consumption has been associated with many serious diseases, including obesity, type II diabetes and cardiovascular disease. 4. Sugar Doesnâ&#x20AC;&#x2122;t Cause Proper Satiety (Fullness) An area in the brain called the Hypothalamus is supposed to regulate our food intake. In a study published in 2013, two groups drank either a glucose-sweetened drink or a fructose-sweetened drink. The glucose drinkers had decreased blood flow in the hypothalamus and felt satiated, while the fructose drinkers had increased blood flow in this area of the brain. The fructose drinkers felt less satisfied and were still hungry. Another study revealed that fructose did not reduce levels of the hunger hormone ghrelin like glucose did. The higher amount of ghrelin you have, the hungrier you are. Bottom Line: Studies comparing fructose and glucose show that fructose does not induce satiety like glucose, which will contribute to a higher calorie intake. 5. Sugar is Addictive When we eat sugar, dopamine is released in the brain, giving us a feeling of pleasure. This is how drugs of abuse like cocaine

AMAZING hCG WEIGHT LOSS!Â

function. Our brain is hardwired to seek out activities that release dopamine. Activities that release an enormous amount of it are especially desirable. In certain individuals with a predisposition to addiction, this causes reward-seeking behavior typical of addiction to abusive drugs. Studies in rats demonstrate that they can in fact become physically addicted to sugar. This is harder to prove in humans, but many people consume sugar and other junk foods in a pattern that is typical for addictive, abusive compounds. Bottom Line: Sugar, due to its powerful effects on the reward system in the brain, can lead to classic signs of addiction.

HCG Patient Before

If you have any questions about learning how to lose weight and change how your Hypothalamus functions contact Ocean Health & Weight Loss at 732-608-9681.

As seen on Dr. Oz, you will lose 1/2 pound a day!!

HCG Patient After

6 !))1 21 5 =

-6'29)5 % 758/< 5)0%5.%&/) :%< 72 /26) :)-+,7 48-'./< %1( 6%*)/< )6)7 <285 0)7%&2/-60 72 ,)/3 <28 .))3 7,) :)-+,7 2** !7236 <285 &2(< *520 6725-1+ );')66 *%7

26) 72 281( )5 %< :-7, , >",) %7 851-1+ -)7 )(-'%//< !83)59-6)( 26) /&6 -1 (%<6 %785%/ 25021) /)%5 ",28+,7 52')66

â&#x20AC;˘ Amazing Results in the First Week â&#x20AC;˘ Lose .5-1 pound per day â&#x20AC;˘ No Hunger on the hCG Diet â&#x20AC;˘ Easy to Make Recipes

1'5)%6)( 1)5+< )6)76 $285 )7%&2/-60 )77)5 !/))3 )77)5 )%/7,

')%1 )%/7, #)-+,7 266 20081-7< )(-'%/ )17)5 %.),8567 2%( "206 -9)5

::: 2')%1,)%/7, <28 '20

A DAUGHTERâ&#x20AC;&#x2122;S THANK-YOU . . . Hi Jill! Thank you so much for helping my mom get her body back! It makes me so happy seeing her smile again. XO, Paris

www.OceanHealth4You.com

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Medical Professionals

Burning Questions About Gastro Esophageal Reflux Disease

Written by: Kenneth Glazier, MD Gastroenterologists of Ocean County

Manother has suffered from ost of us at one time or

heartburn. We have all seen the ads for the numerous acid suppressing medicines. The question is when to take notice of these symptoms and to seek the advice of a doctor.

What is GERD?

Gastro Esophageal Reflux Disease (GERD) is a condition related to stomach acid backing up into the esophagus. The esophagus is the food tube that connects the mouth to the stomach. At the bottom of the esophagus is a muscle called the lower esophageal sphincter (LES). The job of the LES is to squeeze the bottom of the esophagus tight to prevent the stomach acid from splashing up and burning the esophagus. It is supposed to stay closed at all times except when we swallow, belch or vomit. The LES can inappropriately relax causing acid to enter the esophagus. When stomach acid enters the esophagus it can damage the lining of the esophagus and cause symptoms such as a burning sensation in the chest called heartburn. Reflux may be so severe that a person may believe they are having a heart attack. Atypical symptoms can also occur like excess belching, hoarseness, sore throat, asthma, or chronic cough.

What can I do to prevent GERD? There are a number of lifestyle and dietary changes that can be tried for most people with GERD. Avoiding foods and beverages that can inappropriately relax the LES is recommended, such as fatty foods, spices, tomato products, coffee, alcohol and sodas. Stopping cigarette smoking and losing weight if overweight can improve symptoms. Behavior modifications such as elevating the head of your bed

on blocks or using a specifically designed wedge will help keep the stomach contents and acid in the stomach. Decreasing the size of portions of dinner and eating dinner 2 to 3 hours before bedtime can also avoid night time GERD.

tor. Patients with heartburn for a long time dramatically increase their risk for developing Barrett’s esophagus and cancer of the esophagus.

What medicines are used to treat GERD?

Barrett’s Esophagus is a permanent change in the type of cells lining the esophagus in a reaction to chronic acid injury. This condition is associated with an increased risk for the development of cancer of the esophagus. Esophageal cancer is increasing in incidence more rapidly than any other type of cancer. Barrett’s esophagus is most commonly diagnosed in Caucasian males in their fifties to sixties. Barrett’s Esophagus and cancer of the esophagus are best diagnosed with upper endoscopy.

What is Barrett’s Esophagus?

Medicines used to treat GERD include antacids which neutralize acid already produced by the stomach. Other medicines like H2-blockers and proton pump inhibitors suppress the production of acid by the stomach. These medicines are used to prevent symptoms of heartburn and aid in healing of acid induced injury. These medicines are available both over the counter and by prescription. Prescription medications are usually stronger and may give better relief of symptoms.

What is Endoscopy?

Upper endoscopy is a painless procedure that is performed in our outpatient endoscopy center. The test may only take five minutes to perform. The test is performed by a gastroenterologist while you sleep. An anesthesiologist is also involved to provide sedation through an intravenous needle. The doctor will take a pencil thin tube with a light and a camera on the tip and slide it into your mouth and follow the pathway the food takes down the esophagus, stomach and small intestine. These areas can be carefully examined, photographed and biopsied. The risks of complications from the test are very small. There are no alternative tests that can allow the doctor to take important biopsies of the esophagus which are necessary to diagnose Barrett’s esophagus and cancer of the esophagus.

When should I worry about GERD? There are certain alarm symptoms that may indicate a more serious condition than just typical GERD. If someone with heartburn has problems swallowing, weight loss, nausea, anemia, or blood in the stool then they should tell their doctor. Patients who have had heartburn more than five years or have heartburn starting after the age of 45 should also be concerned and notify their doctor. Alarm symptoms may indicate bleeding ulcers, scars in the esophagus called strictures or even cancer of the esophagus. If medications are required for more than an occasional use or for prolonged periods of time it is important to discuss with your doc-

Gastroenterologists of Ocean County

✴

As you can see heartburn may not just be a symptom to grin and bear, but may represent a serious health problem. It is therefore very important to talk to your

doctor if your symptoms are long standing, require chronic medication therapy or are associated with alarm features.

Patient Testimonials

“Dr. Bigornia was caring and took time to chat with me and make me feel comfortable. Very nice and caring staff.” ~ Deborah, 51, Toms River “The staff and Dr. Bigornia had the best bedside manner of any doctors I’ve known. The encouragement and caring from the start to finish of my colonoscopy experience was great”. ~ Beverly, 69, Toms River “ Outstanding professional courtesy. Dr. Bigornia couldn’t be better.” ~ Rich, 80, Toms River The doctor and staff are wonderful. Their personalities are very uplifting and personal. I would recommend Dr. Bigornia and the Endoscopy Center to everyone who needs this service.” ~ Lena, 66, Toms River

Board Certified Gastroenterologists

Allan Cohen, MD • Omar Tamimi, MD • Jill Collier, MD • Edgar Bigornia, MD • Kenneth Glazier, MD • Jai Mirchandani, MD • • • •

Colonoscopy and colon polyp removal Colon cancer detection & screening Rectal bleeding evaluation Ulcer pain evaluation and treatment

• • • •

Swallowing disorders Endoscopic treatment of hemorrhoids Capsule Endoscopy Bravo pH Monitoring

Hospital Privileges at Community and Kimball Medical Centers Endoscopy Center of Toms River Endoscopy Center of Ocean County •

473 & 477 Lakehurst Road Toms River, NJ 08755 732-349-4422

7 Sherwood Drive Lakewood, NJ 08701 732-367-3338

Medicare, HMO’s and most insurance accepted.

Meet The Doctors Of Gastroenterologists Of Ocean County.

(Sitting l-r) Omar Tamimi, MD , Jill Collier, MD, and Allan Cohen, MD. (Back row l-r) Jai Mirchandani, MD, Edgar Bigornia, md and Kenneth Glazier, MD. We perform endoscopic procedures in the convenience of our two office based endoscopy centers.We aim to provide the highest quality of compassionate medical care and perform endoscopies in a convenient, friendly, non-threatening office setting. We serve patients from many different backgrounds which is mirrored in the diversity of our physicians.

The County Woman Magazine

Now you can have your Colonoscopy, Polypectomy and Upper Panendoscopy in our tranquil and private endoscopy centers. You will receive intravenous sedation, which will make you sleepy and comfortable. Our colonoscopy preparation does not require you to drink a gallon of solution of Golytely or Colyte.

939 Lacey Road Forked River, NJ 08731 609-971-5949

www.GastroOfOcean.com www.TheCountyWoman.com

355 Route 9 Bayville, NJ 08721* 732-349-4422 * Limited hours by appointment.

Now seeing patients in our NEW office in Cherry Tree Plaza!

2360 Route 9 South Howell, NJ 07731* 732-349-4422 * Limited hours by appointment.

May/June 2013

Medical Professionals

EPAT

Written by: Mark A. Majeski EPAT is Extracorporeal Pulse Activation Treatment. It is the most advanced and highly effective non-invasive treatment approved by the FDA. This proprietary technology is based on a unique set of pressure waves that stimulate metabolism, enhance blood circulation, and accelerate the healing process. Damaged tissue gradually regenerates and eventually heals. Over 20 Professional Sports Teams, USA Olympic Track and Field Team, and Nike Shoe Company Running Team have all been successfully using EPAT. Who does it benefit, everyone. Anyone who has chronic pain and injuries that won’t go away, should strongly consider EPAT. The benefits of EPAT treatment are numerous; it can be performed in an office setting. It does not require anesthesia or a sterile environment. Patients are Community

immediately fully weight bearing. Bilateral injuries can be treated at the same time. There is no incision, no risk of infection at the treatment site and absolutely no scar formation. Patients are able to return to work/normal activities within 24-48 hours, resuming strenuous activities after 4 weeks. EPAT has a solid over 80% success rate. And it is fast, safe, effective and affordable. You can have your cake and eat it too with EPAT treatments. Studies show that you can continue the activities that you love through treatment. Secondly, you do not need invasive surgery. And finally you will still reap positive results, many times, more positive results than any other available treatment. In fact the results of other treatments such as cortisteroidal injections, orthotics , e-stim, and even surgery, seem to be significantly less effective in research studies than EPAT, showing 75% to 95% success rates. If you are considering surgery for heel spur syndrome, Achilles tendinitis or any chronic injury that has not responded to cortisone injections, stretching, antiinflammatories, night splints, physical therapy, and orthotic devices, EPAT is the treatment of choice before considering

About Dr. Majeski . . .

invasive surgery. EPAT is administered once a week for a series of three weeks (up to five weeks), each treatment taking approximately five to 10 minutes (depending on the area of injury). EPAT is known to have the most rapid healing rate of any technology out there. EPAT can be used for acute and chronic musculo-skeletal pain-even knots, dysfunction, plantar fasciitis, Achilles tendonitis and tendinosis, chronic heel pain, tendon insertional pain, acute and chronic muscle pain, and neuromas. If you have been unsuccessful in treating any of the above conditions and are considering surgery-consider EPAT first. EPAT is available for a wide range of patients, EPAT treatments should be postponed for pregnant women, for deep venous thrombosis or malignancy cases, or if you are taking blood thinners. EPAT is not covered by most insurance. The fees are reasonable and are allowed to be paid by qualified health savings accounts or your employer’s flexible payment medical savings account. To see if EPAT is the right treatment for you, make a consultation appointment to see if you can have the most cutting edge medical care available.

Dr. Majeski is a native to the Toms River area and attended St. Joseph High School. Over the past 20 years, he has developed Main Street Foot and Ankle Care into the premier podiatric practice in the area. He is a consulting doctor for the local newspaper and is well known for his weekly columns discussing problems of the foot and ankle. Dr. Majeski is board certified in foot surgery and is a Fellow of the American College of Foot and Ankle Surgeons. He received his doctorate from the New York College of Podiatric Medicine and completed his surgical training in Philadelphia. He is a member of both the state and local Podiatric Medical Associations, as well as a member of the American Academy of Pain Management and the American Academy of Practice Management. Dr. Majeski is married to his wife, Debra, for 28 years. He is the father of 20 year-old triplet girls and a 13-year-old son. He enjoys fishing, boating, photography, and riding his motorcycle. He is a champion trap shooter and participates in national competitions.

NOW OFFERING! EPAT THERAPY for FOOT & ANKLE PAIN EPAT, or Extracorporeal Pulse Activated Technology, is an FDA approved, highly effective, non-surgical treatment for acute and chronic heel pain (Extracorporeal means “outside the body”). It is typically used to treat the pain associated with heel spurs, Plantar Fasciitis, Achilles tendonitis, Neuromas, Shin Splints and other conditions. Millions of patients worldwide have found relief through EPAT and over 80 percent report less pain or no pain after EPAT treatment.

The Benefits of EPAT

No anesthesia No side effects No incision means no risk of infection No hospital stay Faster healing Immediate weight bearing A return to normal activity within 24-48 hours 618 Main Street - Toms River, NJ 08753 732-349-0114

Simply Skin Hosting Upcoming Real Results Parties

A DAY SPA EXPERIENCE

313 West Water Street Toms River, NJ 08753

Call for more information!

732-505-9448

www.simplysdayspa.com

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Medical Professionals

Stubborn Fat Has Met Its Match

Freeze Your Fat Away With CoolSculpting

About CoolSculpting . . . ®

CoolSculpting® is a non-invasive, clinically proven procedure to selectively reduce fat layers in problem areas using a patented cooling technology. It is a safe procedure cleared by the FDA and CE marked in Europe that gently cools unwanted fat cells in the body to induce a natural, controlled elimination of fat cells. This reduces bulges in treated areas of the body without harming surrounding tissue.

Key Benefits of CoolSculpting

It involves no needles, surgery or downtime.

• Since CoolSculpting® is non-invasive, patients can resume daily activities including work and exercise, immediately following treatment

It’s safe.

• Patients can generally sit or lie comfortably and read, work on their laptop or even nap during the procedure. The procedure is performed in a medical office, under the supervision of a physician specializing in cosmetic procedures.

It’s convenient.

• Procedures last about one to two hours, so treatment can easily be performed during a lunch hour or without major disruption to the day.

The results are dramatic.

• On average, each CoolSculpting® Procedure results in a 20% reduction of fat in the treated areas, and patients can start to see results as soon as three weeks following treatment, with the most dramatic results occurring over a period of two to four months in most patients.

How CoolSculpting Works ®

During the CoolSculpting® Procedure, a non-invasive applicator delivers precisely controlled cooling to the treatment area to specifically target underlying fat, leaving surface skin tissue unaffected. When fat cells are exposed to extreme cold, a process of natural removal is triggered, which gradually reduces the thickness of the fat layer. The result is a visible reduction in fat bulges.

Target Patient

CoolSculpting® is not intended as a weight-reduction program for overweight individuals. The best candidates for the procedure are people near their ideal body weight who eat well and exercise regularly and have pockets of fat that have not responded to a healthy lifestyle. They are seeking spot reduction for specific areas of fat but are not considering a surgical procedure.

Mention This Ad To Receive $250 Off Your 1st Treatment of One Area! To schedule your personal consultation, contact:

Bella Derma Medi Spa

1430 Hooper Avenue, Suite 204 Toms River, NJ 08753

(732) 281-1988

www.bella-dermamedispa.com

Efficacy

On average, CoolSculpting® results in a 20% reduction of fat in the treated areas, and patients can start to see results as soon as three weeks following treatment, with the most dramatic results occurring over a period of two to four months in most patients. Clinical studies1 involving hundreds of patients show that, for properly selected patients, CoolSculpting® is an effective way to reduce fat without the risk and recovery time of surgical procedures. The result is noticeable, natural-looking fat reduction in the treated areas.

1. Clinical data on file. ZELTIQ Aesthetics, Inc. Pleasanton, CA. 2. Manstein D, Laubach H, Watanabe K, Farinelli W, Zurakowski D, Anderson R. Selective cryolysis: a novel method of non-invasive fat removal.a Laser Surg Med. 2008,40:595-604. Disclaimer: In the U.S., non-invasive fat reduction is cleared only for the flank (love handle). CoolSculpting® and the CoolSculpting® logo are registered trademarks of ZELTIQ Aesthetics, Inc. The snowflake mark is a trademark of ZELTIQ Aesthetics, Inc. Copyright (c) 2011, ZELTIQ Aesthetics, Inc. The products described in this document may be covered by U.S. Patent 7,367,341. Other patents and patent applications pending worldwide. IC0185-A

To learn about all of our services, visit our website at:

www.bella-dermamedispa.com

The County Woman Magazine

www.TheCountyWoman.com

Dr. Christopher P. Godek

M.D., F.A.C.S. - Certified by the American Board of Plastic Surgery Dr. Christopher P. Godek and the Staff at Bella Derma Medi Spa are committed to you.

May/June 2013

Fashion

Beauty

Enhancing Natural Beauty With Permanent Cosmeticsâ&#x20AC;Ś An Interview With Amy Druding Donâ&#x20AC;&#x2122;t forget Amyâ&#x20AC;&#x2122;s Referral Program! Amy Druding, F.A.A.M, c.p.c.t Board Certified, Licensed by the Atlantic and Cape May County Health Departments

What Happens If I Get An MRI? The products I use ARE MRI safeâ&#x20AC;Ś they contain absolutely NO metals (like older INK tattoos). You will NOT have any pulling, burning or discomfort while you are in a magnetic containment such as an MRI. If I Tattoo My Eyebrows, Do I Have To Shave Off My Brow Hair? NO! You do not have to remove the hair on your eyebrows before this procedure. You want your permanent cosmetics to look natural and accent your natural beautyâ&#x20AC;Ś NOT look as though youâ&#x20AC;&#x2122;re going out on the town the minute you wake in the morning. This also applies to the enhancement of menâ&#x20AC;&#x2122;s eyebrows. Hairline stroke eyebrows are my signature eyebrow procedure. They give a wonderful appearance of a natural and soft brow without that SHARPIE marker look! (You know what I am talking about!)

How Long Is The Healing Process? When Can I Go About My Regular Routine? There is a process of healing that will take time. Numbing agents are used for your comfort, and the desired procedure usually takes an hour. When you leave I will thoroughly discuss your recovery time and you will receive instructions on what you can expect. You can find this on www.permanentmakeupbyamy.net as well. Please remember every person heals differently. Do Permanent Cosmetics Fade From the Sun? Sun exposure and every day use of acidic products, such as but not limited to: retinol, retinA, microdermabrasion, peels, smoking and alcohol consumption, will play a part in how quickly your Permanent Cosmetics fade. Included in the procedure price for first time customers is a follow-up visit for a touch up. Permanent Cosmetics can fade over time; I always recommend yearly color enhancements to restore your Permanent Cosmetics. Before

is in the

s I have written in past issues, I a

On Mothersâ&#x20AC;&#x2122; Day Give Your Momwith ILLEGAL t always concerned home tattooing parties. A Gift Certificate for and Permanent Makeup!

Ato legally perform the art of conventio Call 609-383-BROW (2769) cosmetic tattooing, one must prove licensin

s a reminder, please understand that in

insuranceforget. through the Health Department to give a gift sheâ&#x20AC;&#x2122;ll never

istâ&#x20AC;? is doing home parties, chances are they have the proper licensing or experience to w legitimate facility. This should be a red flag Serving New Jersey, Pennsylvania, mention, there could never be a properly st Delaware, and Florida! environment, or the proper sterilization of Aď?ď?š Dď?˛ď?ľď?¤ď?Šď?Žď?§, F.A.A.M, ď?Ł.ď?°.ď?Ł.ď?´ someoneâ&#x20AC;&#x2122;s home.Square, This can cause serious 800 Route 50, Suite E-1 at â&#x20AC;˘ Mays landing Bď?Żď?Ąď?˛ď?¤ Cď?Ľď?˛ď?´ď?Šď?Śď?Šď?Ľď?¤, Lď?Šď?Łď?Ľď?Žď?łď?Ľď?¤ ď?˘ď?š infections. You may also end up with some Mays Landing NJ 08330. your face or body that you seriously regret. ď?´ď?¨ď?Ľ Aď?´ď?Źď?Ąď?Žď?´ď?Šď?Ł ď?Ąď?Žď?¤ Cď?Ąď?°ď?Ľ Mď?Ąď?š also located at: 207 Stone do it!Harbor Boulevard Cď?Żď?ľď?Žď?´ď?š Hď?Ľď?Ąď?Źď?´ď?¨ Dď?Ľď?°ď?Ąď?˛ď?´ď?ď?Ľď?Žď?´ď?ł Cape May Court House (SameIfOffice you doas endDr. upCarrusso) with a mistake on you or fac is hop a salin

3DQL@MDMS 0@JDTO AX $LX )96>

$UHROD 5HVWRUDWLRQ c 6FDU &DPRXĂ DJH (\HEURZV c (\HOLQHU c /LSV c (\H 6KDGRZ /DVK &RORULQJ c )DFLDOV c 3HHOV c 0DVVDJH

Fashion & Beauty

Gabrielle & Co.

Unique Soaps

A large selection of soaps and lotions made locally with all natural and organic ingredients.

May 16-18 More Organics

â&#x20AC;&#x153;A Fabul Things F

soul with their gourmet organic foods and teas. Comfy nightwea T-shirts and womenâ&#x20AC;&#x2122;s clothing a well as baby and toddler clothin Their focus is fair trade mercha dise or made in the USA.

Justin Alexander Signature Julieand has taken her boutique a step greener with a large selecCollection 2013 Trunk Show

tion of certified organic products. Nurture your mind, body and

May 23-25

Kick Off To Summer Storewide Sale, Select Bridal Gowns $199.00-699.00 The Plaza â&#x20AC;˘ 1205 Tilton Road Northfield, NJ 08225 Phone: (609) 241-0134 www.weddingbellesboutique.com

Fashio 60

-VSSV^ \Z VU -HJLIVVR MVY >LLRS` HUK 4VU[OS` :WLJPHSZ >L 5V^ (JJLW[ *YLKP[ *HYKZ

Upcoming Events and Trunk Shows

Details

Bridal Special Occasion Mother of Bride/Groom Jewelry Accessories

HUhhcc DUfh]Yg! 8cbÂşh

^^^ MHJL[H[Z JVT Â&#x2039; ^^^ WLYTHULU[THRL\WI`HT` UL[ MHJL[H[Z'JVTJHZ[ UL[

Special Occasion Boutique

Difference

After

Enhance your inner beauty by accenting your outer beauty!

The

Receive a credit of up to $50 for each client you send to Permanent Makeup by Amy! Once your referred clientashi purchases a full price permanent cosmetic service, your credit will be applied to your yearly touch-up. Call Amy for details.

We are open 7 days a week, year round in both locations

Enzoani Bridal Trunk Show

Gabrielle & Co. strives to giv you the service you look for in community supported store.

July 1-6

Gift wrapping is always offere as a courtesy.

June 28-July 7

Annual Sparkler August 23-September WWW.GA 7 Storewide Sale Blue by Enzoani www The County Woman Magazine 20-60% Off Bridal Trunk Show

Please call us at (609) 241-0134 for an appointment for trunk shows.

Special incentives during show only.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Medical Professionals

Written by: Hoan-Vu T. Nguyen, MD, Seaview Orthopaedics

Four out of five people will suffer from back pain in their lifetime. For many it is debilitating and impedes their quality of life. Their pain can go on for years to decades without relief. Some very common causes of low back pain originate from the Sacroiliac (SI) Joint which are the joints located at the two dimples of the lower back. Sacroiliac Joint disorders are commonly misdiagnosed in patients with low back pain due to parallels to certain spinal conditions. Pain generated from SI joint disorders may present in varying degrees on one or both sides of the low back. The pain can also be felt in locations other than the joint itself including, but not limited to the groin, hip, thigh, buttocks, and down the back of the leg. Pain originating from SI joint disorders usually is present with certain movements and the changing of position. Many patients will experience the pain from sitting and will try to avoid sitting on the affected side by leaning on the less affected side of the buttocks or may experience pain while sitting with legs crossed. Moving from a position of sitting to standing, twisting, climbing stairs, rolling over in bed, getting in/out of the car, and lifting may be painful when the SI joint is the source. Patients with pain mimicking sciatica or misdiagnosed as a herniated disc may also be experiencing pain from the SI joint. Though SI joint disorders present in both males and females, it is more common in females. Many women will experience low back pain during pregnancy due to hormones released to relax the ligaments allowing the ligaments to enlarge in preparation for childbirth. In

addition, the growing uterus may stretch or weaken muscles around the pelvis. Moreover, added weight and compensatory changes in walking patterns during pregnancy can place strain on the SI joints resulting in SIJ inflammation and ultimately causing pelvic pain. For most women postpartum, after childbirth the SI joints will revert to normal, tightened, and locked position. Unfortunately for 20% of women, full tightening fails to resume and these women develop varying intensity of chronic low back pain. In addition to pregnancy and childbirth, the sacroiliac joints may be disrupted due to age related degenerative changes, prior trauma, previous lumbar fusion, degenerative sacroiliitis, or a comorbidity like Ankylosing Spondylitis. Many patients undergo conservative treatments including, but not limited to physical therapy, SI joint injections, chiropractic manipulations, radiofrequency ablations. However, conservative therapies without the ability to tighten and lock the joint back into position may only at best have provided temporary pain relief until now. A new surgical option, the iFuse Implant System, may be able to provide pain relief for patients no longer responding to conservative therapies. “The procedure is minimally invasive and stabilizes the SI joint by surgically inserting 3 small porous coated, titanium implants across the joint to create a fusion,” states Dr. Nguyen. “The triangular design and large surface area help minimize rotation and fuse the overloaded SI joint compared to cannulated screws.” In addition, the iFuse procedure may offer several benefits compared to traditional SI joint fusion;

Seaview Orthopaedic & Medical Associates

minimal incision, post-operative stabilization, shortened hospital stay, and potential for quicker recovery. According to Dr. Nguyen, “The iFuse Implant System is intended for sacroiliac fusion for conditions including sacroiliac joint disruptions and degenerative sacroiliitis. The iFuse procedure typically takes about an hour and requires one overnight stay in the hospital. The procedure may be done with local or general anesthesia determined by the surgeon based on the patient’s overall condition.”

To learn more about the iFuse Implant System please visit, www.seaviewortho.com or contact Dr. Nguyen for additional information.

Hoan-Vu T. Nguyen, MD Dr. Hoan-Vu T. Nguyen is a graduate of Temple University School of Medicine. San Diego Center for Spinal Disorders and completed a fellowship in spine surgery. He specializes in general orthopaedics, neck and back surgery and disc replacement. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Official Monmouth Medical Center.Team Doctors Of:

Official Team Doctors Of:

■ SATELLITE OFFICE IN LAKEWOOD

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

Specializing in:

Spinal Surgery/Scoliosis • Hand & Upper Extremity Total Joint Replacement • Trauma/Fracture Care Bone Density Testing • Osteoporosis Management ■ FREEHOLD OFFICE ■ MONROE OFFICE ■ BARNEGAT OFFICE Workers’ Compensation • Independent Medical Exams 222 Schanck Road 294 Applegarth Road, Suite C 500 Barnegat Blvd, Bldg. 200 Freehold, NJ 07728 Monroe• Twp., NJ 08831Orthopaedics Barnegat, NJ 08005 Foot & Ankle General

STEVEN BERKOWITZ, M.D., P.A. ■ OCEAN OFFICE ■ BRICK OFFICE ROY D. MITTMAN, M.D., P.A. 1200 Eagle Avenue 1640 Route 88 West ARTHUR P. VASEN, M.D., PH.D., P.A. Ocean, NJ 07712 Brick, NJ 08724 Ph: (732) 660-6200 Ph: (732)P.A. 458-7866 Ph: (732) 462-1700 Ph: 609-495-1888 Ph: 609-488-3988 KENNETH Y. CHERN, M.D., Patriot’s Park HARALAMBOS DEMETRIADES, M.D., P.A. www.seaviewortho.com • 732-660-6200 222 Schanck Road • Freehold, NJ ARTHUR K. MARK, M.D., P.A. www.TheCountyWoman.com The County Woman Magazine May/June 2013

Medical Professionals Total

Hearing Care Total

We Hearing Listen, You Hear

Care

We Listen, You Hear

Total Total

Hearing Hearing Care

Care

We Listen, You Hear We Listen, You

Hear

Let Total Hearing Care bring you back to the world of better hearing. If you are experiencing a hearing problem, don’t miss this very special hearing consultation A National Hearing Aid Consultant, will be joining our professional licensed staff at Total Hearing Care during the month of May and June. You are invited to join us for our special events where we will be offering the following Free Services: • Check for ear wax using a fiber optic video otoscope that will display an exceptionally clear picture of your ear canal and eardrum on a full color monitor. You can see for yourself if there is a wax problem. • Expert hearing assessment by our Licensed and/or Board Certified Hearing Professional. • Demonstration of the latest most advanced Multi-Channel Digital and Open Fit hearing solutions. • If you currently have hearing aids, we will be cleaning and checking them at no charge.

The following events are FREE but space is limited. Call today to reserve your seat! Please call early to make an appointment. Appointments are available on a first-come, first-served basis and are FREE OF CHARGE.

NEPTUNE MAY 23 & 24 JUNE 20 & 21

444 Neptune Blvd., Suite 1

732-474-8977

Elizabeth W. Cook, M.A., FAAA, Chief Audiologist NJ Hearing Aid Supervising Dispenser Lic. #697

The County Woman Magazine

BRICK MAY 20, 21 & 22 JUNE 24 & 25

525 Jack Martin Blvd., Suite 104

732-474-8949

TOTAL HEARING CARE’S SOUTH JERSEY LOCATIONS BRICK • CAPE MAY • MANALAPAN • MONROE • NEPTUNE NORTHFIELD • VINELAND • SEA GIRT • SHREWSBURY • HOLMDEL 1-855-YOU-HEAR (968-4327) www.TheCountyWoman.com

SEA GIRT JUNE 24 & 25 700 Brooklyn Blvd.

732-800-4533 Find us on:

www.njhearingaids.com May/June 2013

Medical Professionals

Colorectal Surgery Practice Celebrates First Year Anniversary in Toms River Highly Skilled. Thorough. Passionate. Committed. Time and time again, patients of Nina Paonessa, D.O., F.A.C.O.S., a fellowship trained colorectal surgeon, describe her with these words. It’s no wonder that droves of people from Ocean County and beyond are seeking out Dr. Paonessa for their colorectal care. The only female colorectal surgeon in the area, Dr. Paonessa is known for her expertise and patient-centered care. She has quickly established herself as the area’s “go to” colorectal surgeon. Her practice, celebrating its one-year anniversary in Toms River, is located at Barnabas Health Medical Group, a multi-specialty physician practice afﬁliated with Community Medical Center, a Barnabas Health facility. Dr. Paonessa specializes in the evaluation and treatment of patients with colon and rectal conditions/diseases and frequently performs laparoscopic surgery for her patients. She also offers conservative and minimally invasive treatment options for many common anorectal disorders. She

frequently explains to her patients that “just because I am a surgeon, doesn’t mean everyone needs a surgery. There are other options I can offer you.” Dr. Paonessa has been named Proctologist of the Year by the American College of Osteopathic Proctologists, awarded the Patient's Choice Award and the Compassionate Doctor's Award by Vitals.com for six consecutive years, and is on the HealthGrades Honor Roll.

dedicated to maintaining the integrity and dignity of their patients. All of the examination rooms are very private and they strive to make all of their patients comfortable at all times. Although medical conditions related to the colon and rectum can be an awkward topic, it is an important issue that can’t be ignored. Dr. Paonessa is sensitive to her patients’ concerns and dedicates her full attention to everyone she treats.

Who should make an appointment with Dr. Paonessa? People experiencing conditions or diseases including rectal pain or bleeding, colorectal cancer, fecal incontinence/pelvic floor disorders, hemorrhoidal disease, polyps, fissures, rectal prolapse, pilonidal disease, rectocele, or inflammatory bowel disease.

Once a diagnosis and surgical recommendation is made to a patient, Dr. Paonessa and her staff handle the preparation arrangements. By the time the patient leaves the ofﬁce, he/she will have everything required to take the next steps towards his/her surgery. If he/she needs to see a cardiologist or urologist or needs to get an x-ray or test, the ofﬁce will coordinate those appointments. Dr. Paonessa is dedicated to supporting her patients through the entire colorectal surgery process so they are never overwhelmed.

How can patients best prepare for the first appointment? Patients will be asked to provide a medical history, which is carefully reviewed in conjunction with a comprehensive examination. Dr. Paonessa will review all previous records and x-rays. Based on this, your medical history, consultation with your other doctors, and careful evaluation, she will provide a diagnosis and recommend the best medical approach. Dr. Paonessa believes in integrated healthcare and will coordinate with all of your physicians throughout the entire process to ensure the most thorough care possible. What is Dr. Paonessa’s philosophy on patient care? As a solo-practitioner, Dr. Paonessa believes in patient-centered care and a personalized approach. Her staff knows all of their patients by name, and they are

Nina J. Paonessa, DO, FACOS Colon and Rectal Surgery

Board Certiﬁed in General Surgery and Proctology 67 Highway 37 West Riverwood I, 1st Floor Toms River, NJ 08755 732.557.2153 � 732.557.2159 fax Office hours: M–F 9AM to 5PM laparoscopic surgery abdominal/pelvic surgery � fecal incontinence � endoanal/rectal ultrasound � anorectal manometry/physiology

colonoscopy anorectal surgery � pelvic floor disorders � office proctology

�

The County Woman Magazine

Is a referral required in order to make an appointment? Although Dr. Paonessa gets many referrals from primary care physicians and other specialists, many patients schedule appointments on their own, without a referral, if they are experiencing any symptoms of the conditions listed above. What insurance plans are accepted? While most insurance plans are accepted, it’s best to check with your insurance company. Feel free to call Dr. Paonessa’s ofﬁce at (732) 557-2153 for assistance. What happens if it’s determined that surgery is recommended? Following the initial examination, Dr. Paonessa will arrange for a consultation with the patient and their family members, as she feels it is important for every patient to have a strong support system when he/she is facing a difﬁcult medical issue. Dr. Paonessa will explain the surgery in detail and draw a diagram to help the patient understand exactly what the surgery will entail. What is the post-surgical recuperation like? While this is contingent upon the type of procedure, Dr. Paonessa’s goal is for every patient to return to his/her previous level of functioning. Dr. Paonessa remains closely connected with her patients throughout the entire postsurgical process, including cancer patients, to conduct regular check-ups and post-surgical testing according to the guidelines of the American Society of Colon and Rectal Surgeons and the National Cancer Institute.

www.TheCountyWoman.com

Bio: 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 9 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.

Patient Testimonials Josephine B. “After I had a colonoscopy and found out I had colon cancer, my primary physician recommended I see Dr. Paonessa. Not only is she an excellent surgeon, but she’s such a compassionate person as well. I would recommend Dr. Paonessa to anyone and everyone.” Marie S. In addition to being a skilled surgeon, Doctor Paonessa is so caring, compassionate and attentive, I felt like she was my good friend. I considered going to a New York hospital until I met Dr. Paonessa, but because of her I decided to stay local and I am glad I did. I can’t say enough good things about Dr. Paonessa, and I highly recommend her to everyone I know. Patricia E. “I credit Dr. Paonessa for saving my life. Her thoroughness and attention to detail made the difference for my recovery. I’ve never met a doctor like her—so attentive and caring.”

May/June 2013

M edical Professionals M edical rofessionals M edical Professionals

28 30 28

â&#x20AC;&#x153;Why did I get Cancer, Doc?â&#x20AC;? K\Uh Mci G\ci`X ?bck 5Vcih 7\Yach\YfUdm K\Uh Mci G\ci`X ?bck 5Vcih 7\Yach\YfUdm to prevent the nausea lives.lives. blood counts, hair loss, mouth lungSubstances cancer, cancer, more fruits andthevegetables potential carcinogens into five and treat and exposures caused by changes in oneâ&#x20AC;&#x2122;s ment of ment to prevent and treat nausea blood counts, hair loss, mouth of lungbreast cancer, breast cancer, and vomiting associated with Although the term â&#x20AC;&#x2DC;chemothersores, diarrhea, etc. The low blood colon cancer and leukemias. The and and vomiting associated with of Although the term â&#x20AC;&#x2DC;chemothersores, diarrhea, etc. depending The low blood coloncan cancer and leukemias. The lower the amount different groups, that lead to cancer are DNA. DNA is a component cancer. Zofran(Ondansetron), apyâ&#x20AC;&#x2122; refers to the use of chemicals dose of chemotherapy a person gets count can affect all the three blood cancer. Zofran(Ondansetron), apyâ&#x20AC;&#x2122; refers to the use of chemicals count can affect all the three blood dose of chemotherapy a person gets fatty foods. oninthe levelincreased of evidence that called carcinogens. Somecells, resulting of the nuclei in theitcells. Aloxi(Granisetron) and Emend (drugs) to treat any illness, is anemia, is calculated based on their height Aloxi(Granisetron) to treat anyisillness, cells,due resulting anemia, increased are is calculated based on affect their height links each to in the cancer. 2. Exercise carcinogens do not DNA When the DNA damaged (fosaprepitant) some of the daily.and Emend most(drugs) widely used to describe the it is and weight. risk of infections to low white (fosaprepitant) are some of the used to describe the risk of infections due toGroup low white and weight. newer drugs used to Avoid treat nausea drugsmost usedwidely in the ittreatment of count of bleed3. obesity. Some ofriskthe known directly, but lead to cancer in and increased somehow, makes thecancells How is chemo newer used drugs used the treatment of can- other ways. For example,ing and increased of bleedand vomiting. With thedrugs advent of to treat nausea cer. Cancer fighting drugs are more due to low platelets. It canare: alsorisk 4. Quit smoking. 1count carcinogens alcohol, they multiply ininabundant numbers. How is chemo cause nauseaing given? these drugs, the and vomiting associ-With the advent of commonly knownfighting as â&#x20AC;&#x153;chemo.â&#x20AC;? anddue vomiting, low vomiting. cer. Cancer drugs are more to low platelets. It can also 5. Avoid excessive alcohol use. afflatoxins, Benzene, coal Tar, Usually, abnormal cells that are may cause cells to divide at a atedlow with chemotherapy is markThe use of chemotherapy in appetite andcause in some cases and constigiven? these drugs, the vomiting associcommonly known as â&#x20AC;&#x153;chemo.â&#x20AC;? nausea vomiting, Chemotherapy cannormal be given rate, which Hepatitis C virus, radioactive 6. Avoid prolonged exposure faster than made in the body are destroyed edly reduced. the treatment of cancer has been pation. Some chemotherapy drugs ated with chemotherapy is markThe use of chemotherapy in into the veins appetite and in some cases consti(intravenous) or as Chemotherapy be given sunlight. Use protective materials, tobacco smoking etc. such astoNeupogen, could increase thecanchances by the bodyâ&#x20AC;&#x2122;s Injections evolving rapidly overofown the lastdefense several canthat cause tingling and numbness edly reduced. the treatment cancer has beenan injection; pation. Some chemotherapy drugs less often it is given in into thechanges veins (intravenous) or as detailed list of sun-screen. DNA will occur. mechanism, a process Leukine and Neulasta are used such to as Neupogen, decades. The discovery of cancer and feet known as the a pill form. Rarely chemotherapy is in the handsA Injections evolving rapidly over the called last several can cause tingling andcarcinogens numbness an injection; less often it is given in neuropathy. improve your white cell counts fighting drugs wasor accidental, peripheral 7. Get regular medical are available on the American Carcinogens do not cause â&#x20AC;&#x2DC;apoptosisâ&#x20AC;&#x2122; programmed cell given directly into an artery or an Leukine and Neulasta are used to decades. The discovery of cancer in the hands and feet known as a pill form. Rarely chemotherapy when chemotherapycheck-ups lowers it. for screening. during WorldWhen War II.there Scientists Theis side Cancer effects areSocietyâ&#x20AC;&#x2122;s most often organ such as the liver or into the website, cancer. cancer in every case, all the death. is a defect Sď?ľď?˘ď?ď?Šď?´ď?´ď?Ľď?¤ ď?˘ď?š: improve your white cell counts fighting drugs was accidental, peripheral neuropathy. given directly into an artery reversible or an and patients get back to Aranesp or Procrit is sometimes that a chemical used in Submitted By: MD, FACP noticed abdominal cavity (intraperitoneal). Dď?˛. Sď?Ąď?˛ď?Ąď?¨ J. Eď?Ąď?łď?Ąď?ˇ, org. This includes screening time. Substances labeled as in apoptosis, cells accumulate when chemotherapy lowers it. during World War II. Scientists The side effects are most often used in cases of severe anemia assocalled Nitrogen Mustard, normal organ suchis as the liver or into the a few weeks after the cheSď?ľď?˘ď?ď?Šď?´ď?´ď?Ľď?¤ ď?˘ď?š: MD, Chemotherapy administered Oď?Łď?Ľď?Ąď?Ž Hď?Ľď?ď?Ąď?´ď?Żď?Źď?Żď?§ď?š ď&#x153;Ś Oď?Žď?Łď?Żď?Źď?Żď?§ď?š Sarah J. Easaw FACP the war, mammogram, PAP smear, Even though exposure carcinogens may have different and become tumors. Aranesp or Procrit is sometimes noticed that a chemical used in reversible and patients get back to ciated with chemotherapy. motherapy is completed. Hair also abdominal cavity under (intraperitoneal). Dď?˛. Sď?Ąď?˛ď?Ąď?¨ J. Eď?Ąď?łď?Ąď?ˇ, MD, FACP eliminated the lymphoid cells from by specially trained nurses, chest CT assoto carcinogens of cancer-causing damage towho the Mustard, DNAthe care levels usedcolonoscopy, in cases of severe anemia the The war, called Nitrogen normal a few weeks after thethe chemarrow of those starts growing back within a fewincrease Chemotherapy is administered of experienced oncologists. Oď?Łď?Ľď?Ąď?Ž Hď?Ľď?ď?Ąď?´ď?Żď?Źď?Żď?§ď?š ď&#x153;Ś Oď?Žď?Łď?Żď?Źď?Żď?§ď?šthe bone were exposed to it. This observamonths. ciated with chemotherapy. eliminated the lymphoid cells from motherapy is completed. Hair also in heavy smokers and chance of developing cancer potential. may cause can be caused by several Most often chemo is Some given through ou or your loved If you have any questions by specially trained nurses, under his is a question I hear at tion the laterbone lead There to experiments in who a device cancer marrow of some those starts growing back within a few dermatology evaluation a variety of other factors also only after prolonged, factors. are called a mediport (port-athe care of experienced oncologists. about chemotherapy or any How can I manage one is diagnosed and later beings least once a day. Whether animals were exposed tohuman it. This observamonths. cath) which is inserted into one of play a role. While most of it is for screening against skin high levels of exposure. And changes or inmutations that are other cancer-related questions, Most often chemo is given throughthe side effects? If you have any questions cancer, thus resulting in the with cancer. You are withtion later lead toare experiments inthe largefor it is Mark, who was diagnosed veins in the neck. cancer. beyond our control, there are any particular person, inherited and present from a device called a mediport (port-aor any How can I manage The supportive care in cancer Sarah J. Easaw,about MD, chemotherapy FACP first chemotherapy drug, used beings and later human with Leukemia 45 or veryanimals referred to atanageoncolcath)risk which is inserted into one of has some things which a person the of developing cancer birth, which caninlater make a treatment advanced tremenother cancer-related questions, to treat Lymphoma (cancer the side effects?732.961.0010 For more information about with cancer, thus resulting in the Marge who was diagnosed the large veins in thefactors, neck. dously in thecan lastdo twoto decades. reduce their chance depends on many person of the lymph susceptible glands). Since for cancer. ogist. You walk into www.oceanhemonc.com The supportive care in cancer Sarah J. Easaw,issues, MD, contact FACP very first chemotherapy drug, used cancer-related with colon cancer at age 80, or thenOnly There are several drugs available researchers are trying to of getting cancer. including how they are exposed a small percentage of treatment has advanced trementhe office with fear, to treat Lymphoma (cancer Dr. Sarah J. Easaw 732.961.0010 and modify thisthis formway. In Mary who was diagnosed with improve Practice healthy life style to a carcinogen, the length and 1. cancers develop dously in the alast two decades. of the lymph to getglands). better Since 732-961-0010; among other breast cancer in heremothirties, of treatment, www.oceanhemonc.com &RPSDVVLRQDWH &DQFHU &DUH &ORVH WR +RPH and dietary habits. Eat intensity of the exposure, and the majority of cases, certain There aregood several drugs available then researchers trying to with fewer side are effects. www.oceanhemonc.com they all have the same question,results

TY ou or your loved

one is diagnosed with cancer. You are referred to an oncologist. You walk into tions, dreading the office withthat fear, the personâ&#x20AC;&#x2122;s genetic environmental factors improve and modify this play form a ultimately: â&#x20AC;&#x153;Why me? Why How does chemo makeup. major role. to get better the doctor mayemosugof treatment, among other did I get cancer? How long did results work? There are several Some factors that play a role with fewer side effects. gest tions, dreading I have it?â&#x20AC;&#x153;chemoâ&#x20AC;?. What could I that have substances that in thecells development Cancer grow very of cancer done prevent it?â&#x20AC;? Howtodoes You have heard a million normal chemo cells. are proven to be are:compared theto doctor maythings sug- rapidly Does chemo The answer is not simple. about â&#x20AC;&#x153;chemoâ&#x20AC;?, most of them very Chemotherapy drugs kill the fastwork? carcinogens. Still others â&#x20AC;˘ Lifestyle factors (nutrition, hurt? gest â&#x20AC;&#x153;chemoâ&#x20AC;?. unpleasant. You picture Scientists have beenyourself researchinggrowing cancer cells. Different Apart from the twinge

&RPSDVVLRQDWH &DQFHU &DUH &ORVH WR +RPH

are felt to be involved tobacco use, physical Cancer grow very completely bald, throwing upanswer every cancer cells havecells different growth of pain from forYou decades to find the withinserting a Does high the risk for activity, etc.) havetoheard a million compared cells. chemo day, not able get out of bed things ratesrapidly and other features. to Notnormal all needle into the vein, there is to this question. In fact, there cancer,hurt? but their role â&#x20AC;˘ are Naturally occurring about of them Chemotherapy and veryâ&#x20AC;&#x153;chemoâ&#x20AC;?, miserable.most As soon as thevery cancers treated thedrugs same kill way.the fastno pain associated with the is no onewalks simple explanation unpleasant. Youinto picture yourself There growing cancerofcells. Different administration is not substantially oncologist the room, areexposures (ultraviolet light, hundreds chemoApart from the twinge of chemoto why onebald, person developed you tell him/her: â&#x20AC;&#x153;Doc, I donâ&#x20AC;&#x2122;tup everytherapy drugs available at presentgrowth completely throwing cancer cells haveinfectious different radon gas, agents, therapy. proven. of pain from inserting the want chemo.â&#x20AC;? and rates a lotetc.) more to come in the Not all cancer, while day, not able toanother get out ofperson bed and other features. The International needle into the vein, there is ismiserable. a lotenvironment of apprehension Most are often, combinations What are and verysame As soon as the future. in There the and cancers treated the same way. Agency forthe Research â&#x20AC;˘ Medical treatments no pain associated with the among patients andinto theirthe families chemotherapy drugs oncologist walks room, There are hundreds of chemoside effects? genetic background may not of different administration of chemoon Cancer (IARC) is (chemotherapy, radiation, about chemotherapy. But it can be are used to treat a specific cancer. you tell him/her: â&#x20AC;&#x153;Doc, therapy drugs system-suppressing available at present Chemotherapy develop it herI donâ&#x20AC;&#x2122;t lifetime. atherapy. part of drugs the World immune life-saving in in a lothis of or diseases. In For example, a combination of four want chemo.â&#x20AC;? and a lot more to come in the can affect other fast growBut scientists have found links fact, most patients tolerate chemoor five drugs (R-CHOP) Health Organization drugs, etc.) is used There a lotminimal ofthings apprehension future. Most often, combinations ing cells in the body. Thisare the What between and the to treat therapy welliscertain with sideLymphoma. A different (WHO) that works on â&#x20AC;˘ Workplace exposures : :H RIIHU D IXOO UDQJH RI +HPDWRORJ\ 2QFRORJ\ VHUYLFHV can lead to the common among patients and their families of different chemotherapy drugs effects and are able to lead normal combination is used in the treatside causes effects? development of cancer. : :H DUH GHGLFDWHG WR SURYLGLQJ VWDWH RI WKH DUW FDQFHU FDUH LQ D identifying of â&#x20AC;˘ Household exposures side effects such as low about chemotherapy. But it can be are used to treat a specific cancer. ZDUP DQG SHUVRQDOL]HG PDQQHU It is known that cancer is Chemotherapy drugs IARC classifies â&#x20AC;˘ Pollution : 2XU QHZO\ UHQRYDWHG VSDFLRXV LQIXVLRQ URRP SURYLGHV D life-saving in a lot of diseases. In For example, a combination of four cancer.

can affect other fast growSHDFHIXO DQG IULHQGO\ DWPRVSKHUH WR SDWLHQWV ZKLOH WKH\ UHFHLYH Patient Testimonials: fact, most patients tolerate chemoor five drugs (R-CHOP) is used FKHPRWKHUDS\ DQG RWKHU LQIXVLRQV ing cells in the body. This t %FBS %S &BTBX We now hold Group Therapy sessions for cancer patients and therapy well with minimal sideto treat Lymphoma. A different : 2XU VWDII LV KLJKO\ TXDOLĂ&#x20AC;HG H[SHULHQFHG DQG FRPSDVVLRQDWH : :H RIIHU D IXOO UDQJH RI +HPDWRORJ\ 2QFRORJ\ VHUYLFHV can lead to the common * XBOUFE UP MFU ZPV LOPX KVTU IPX WFSZ NVDI * BQQSFDJBUF ZPV IFMQJOH NZ .PN :PV FNCPEZ XIBU effects and are ablecaregivers, to lead normal led combination is used inpsychotherapist. the treat6DUDK - (DVDZ 0' )$&3 : :H DUH GHGLFDWHG WR SURYLGLQJ VWDWH RI WKH DUW FDQFHU FDUH LQ D by certified B QIZTJDJBO TIPVME CF BOE ZPVS IFMQ XJMM OFWFS CF GPSHPUUFO 5IBOL ZPV GPS CFJOH UIF QFSTPO ZPV BSF side effects such as low 'LSORPDWH RI WKH $PHULFDQ %RDUG RI +HPDWRORJ\ 2QFRORJ\ ,QWHUQDO 0HGLFLQH ZDUP DQG SHUVRQDOL]HG PDQQHU BOE UIF DPNQBTTJPO ZPV IBWF TIPXO UP NZ GBNJMZ .BZ (PE CMFTT ZPV BOE ZPVS GBNJMZ /P UIBOL ZPVT 2FHDQ +HPDWRORJ\ 2QFRORJ\ : 2XU QHZO\ UHQRYDWHG VSDFLRXV LQIXVLRQ URRP SURYLGHV D DBO TIPX IPX NVDI HSBUJUVEF NZ GBNJMZ IBT GPS ZPV _ .BSZ & 5RXWH 6 SHDFHIXO DQG IULHQGO\ DWPRVSKHUH WR SDWLHQWV ZKLOH WKH\ UHFHLYH Patient Testimonials:

t %FBS %S &BTBX t * XJTI UP UIBOL %S &BTBX BOE IFS XPOEFSGVM TUBGG BU 0DFBO )FNBUPMPHZ :PV NBEF UIJT QBSU PG NZ KPVSOFZ MFTT QBJOGVM DPNGPSUBCMF BOE QMFBTBOU * FOKPZFE BMM PVS UBMLT TNJMFT IBUT DPNGPSUFST BOE * XBOUFE UP MFU ZPV LOPX KVTU IPX WFSZ NVDI * BQQSFDJBUF ZPV IFMQJOH NZ .PN :PV FNCPEZ XIBU PI ZFT UIF SFDJQFT %JBOF #F #MFTTFE BT ZPV IBWF #MFTTFE NFy _ 1BVMJOF B QIZTJDJBO TIPVME CF BOE ZPVS IFMQ XJMM OFWFS CF GPSHPUUFO 5IBOL ZPV GPS CFJOH UIF QFSTPO ZPV BSF

(DVLO\ $FFHVVLEOH /RFDWLRQ 1HDU ([LW RQ *63 FKHPRWKHUDS\ DQG RWKHU LQIXVLRQV /DNHZRRG 1- : 2XU VWDII LV KLJKO\ TXDOLĂ&#x20AC;HG H[SHULHQFHG DQG FRPSDVVLRQDWH

6DUDK - (DVDZ 0' )$&3

ZZZ RFHDQKHPRQF FRP 'LSORPDWH RI WKH $PHULFDQ %RDUG RI +HPDWRORJ\ 2QFRORJ\ ,QWHUQDO 0HGLFLQH

$FFHSWV 0RVW ,QVXUDQFHV BOE UIF DPNQBTTJPO ZPV IBWF TIPXO UP NZ GBNJMZ .BZ (PE CMFTT ZPV BOE ZPVS GBNJMZ /P UIBOL ZPVT 2FHDQ +HPDWRORJ\ 2QFRORJ\ $IĂ&#x20AC;OLDWHG ZLWK .LPEDOO 0HGLFDO &HQWHU 2FHDQ 0HGLFDO &HQWHU DQG &RPPXQLW\ +RVSLWDO DBO TIPX IPX NVDI HSBUJUVEF NZ GBNJMZ IBT GPS ZPV _ .BSZ & $FFHVV WR &OLQLFDO 7ULDOV 5RXWH 6

Visit www.oceanhemonc.com

(DVLO\ $FFHVVLEOH /RFDWLRQ 1HDU ([LW RQ *63

t * XJTI UP UIBOL %S &BTBX BOE IFS XPOEFSGVM TUBGG BU 0DFBO )FNBUPMPHZ :PV NBEF UIJT QBSU PG NZ www.TheCountyWoman.com The County Woman Magazine KPVSOFZ MFTT QBJOGVM DPNGPSUBCMF BOE QMFBTBOU * FOKPZFE BMM PVS UBMLT TNJMFT IBUT DPNGPSUFST BOE PI ZFT UIF SFDJQFT %JBOF #F #MFTTFE BT ZPV IBWF #MFTTFE NFy _ 1BVMJOF

Visit www.oceanhemonc.com

The County Woman Magazine Magazine

/DNHZRRG 1- March/April 2013

ZZZ RFHDQKHPRQF FRP $FFHSWV 0RVW ,QVXUDQFHV $IĂ&#x20AC;OLDWHG ZLWK .LPEDOO 0HGLFDO &HQWHU 2FHDQ 0HGLFDO &HQWHU DQG &RPPXQLW\ +RVSLWDO $FFHVV WR &OLQLFDO 7ULDOV

www.TheCountyWoman.com

March/April May/June 2013

Medical Professionals

Forging Success Against Congestive Heart Failure

pecialized programs are proving that life can go on for people with serious heart conditions This year, more than 600,000 women and men will go to the doctor for shortness of breath, fatigue, or swelling in their feet and legs, only to hear some difficult news. They have joined more than 5 million people in the United States who are living with congestive heart failure (CHF). For those with CHF, conditions such as high blood pressure or coronary artery disease have weakened the heart muscles over time. That means the heart is unable to pump enough blood to keep up with the body’s needs. Although CHF affects people young and old, the risk increases as we age. In fact, it is the leading cause of hospitalization for people aged 65 and older. So if you’re looking into nursing care for yourself or someone you love, you should consider whether

the nursing center you choose has a thorough understanding of CHF and an effective plan for addressing the disease. Healthy developments for managing heart failure While CHF is a serious condition that contributes to almost 300,000 deaths each year in the United States, the news isn’t all bad. Today, medical professionals and patients are proving that CHF can be successfully managed, leading to improved quality of life and extended lifespans. Achieving better outcomes requires proper attention across the entire continuum of care, from home to hospital to skilled nursing centers. The increased focus on CHF seems to be paying off. Since the early 1960s, deaths from heart failure have actually decreased on average by 12 percent each decade. The reasons why can be found everywhere from major research hospitals to increased awareness at local doctor’s

offices and skilled nursing centers. The more you know about CHF, the healthier you can be According to Executive Director Nanetta Malone of Laurelton Village Care Center in Brick, New Jersey, effective congestive heart failure care from a skilled nursing center starts with information and education. “You can never address heart failure too soon,” she says, “whether you are visiting a center for shortterm rehabilitation or if you require more extended care. At our center, we work closely with our partner hospitals and referring physicans to identify patients who are dealing with heart failure, usually in addition to other medical concerns. Once you arrive here as a patient, our interdisciplinary team works with you to help understand how your heart failure is being managed, how to recognize and control your symptoms, how your medications work and how to look for early warning signs that you should communicate to your caregivers.” Malone says that whenever possible, patients are the best advocates for their own good health. “The more someone understands about their own heart and the negative changes that heart failure can bring, the more motivated they may be to make changes in their lives that

732-849-4400

The County Woman Magazine

Oak Ridge Rehabilitation and Nursing Center Wayne, NJ

Hamilton Plaza Nursing and Rehabilitation Center Passaic, NJ

Revera Health Systems includes 30 centers in the United States, dedicated to providing residents with the highest quality skilled care. From compassionate long-term care to short-term rehab and subacute care, you can expect excellence from a Revera Health Systems center.

Park Manor Nursing and Rehabilitation Center Bloomfield, NJ

Willow Creek Rehabilitation & Care Center Somerset, NJ

New Jersey

Neptune Rehabilitation & Care Center Neptune, NJ

Laurelton Village Care Center Brick, NJ

Bey Lea Village Care Center Toms River, NJ

Whiting Healthcare Center Whiting, NJ

Meadow View Nursing & Respiratory Care Center Williamstown, NJ

Maryland

Linwood Care Center Linwood, NJ

Fox Chase Rehabilitation and Nursing Center Silver Spring, MD Iliff Nursing and Rehabilitation Center Dunn Loring, VA

For more information about congestive heart failure care when making short-stay rehabilitation or long-term nursing care choices, call Laurelton Village Care Center at 732-458-6600 or visit them online at www.reveralaurelton.com.

Whiting Healthcare Center 3000 Hilltop Road, Whiting, NJ 08759

of changes in cardiac health. That’s why here at Laurelton, we weigh every patient with CHF every single day. A weight gain or loss of more than 2 pounds will be reported to the attending physician. And our staff teaches patients how to monitor themselves and what actions to take following discharge from the center. According to Malone, patients are living longer, better lives since centers like here implemented CHF programs. She says, “These are the kinds of protocols that can save lives. We’re taking exceptional steps to ensure exceptional patient outcomes.”

minimize the damage. Eating less salty foods. Getting serious about taking their medicine regularly. Giving up smoking. Practicing good hygeine to minimize colds and flus that could strain heart function. Balancing exercise with rest. It all makes a real difference.” Patient education and behavior are essential, but they are only part of a successful CHF program at a skilled nursing center, says Malone. “The center you choose should also specially train the staff to monitor all aspects of heart failure. For just one example, rapid, siginificant changes in weight can be telltale signs

Virginia

Laurelton Village Care Center 475 Jack Martin Blvd., Brick, NJ 08724

732-458-6600

www.TheCountyWoman.com

May/June 2013

Fashion

Beauty

10 Reasons To Shop Leisure & Lace 1. We are here to help you look your best. 2. We generally have the answer to your question. 3. We have been fitting women for 38 years! 4. Your sister and your friend told you to come here. 5. Your mother told you to come here so you had better get here! 6. Because of your fine cotton sleepwear, many of which is made in the U.S.A. 7. Our 20% Discount on most items. This means Hanky Panky too! 8. Our collection of bridal chemises, thongs and pajamas. 9. Our complimentary gift-wrap. 10. Our great selection of bras that you like because they do support with comfort and, as you tell us, they hold up longer than 6 months.

othing makes a woman happier than finding the right bra that not only fits well, but looks pretty too. Leisure and Lace has been providing women with the highest quality undergarments for over 35 years. The store was born when Betty Vasser heard a lingerie store was needed in the area. She started out at Sears as the department manager for lingerie and adds, “Going forward with my own lingerie store seemed natural to me. I am so lucky because I love what I do. I don’t play golf and I don’t play tennis, so I come to my “club house” and spend time with many nice people.” We sat down with Betty to learn more about the success of her lingerie store. CW: What sets Leisure & Lace apart from other stores? BV: Our experienced sales help is the most valued feature of Leisure & Lace. We have wonderful and caring employees. Our store manager, Phyllis has been with me for over 27 years and knows this business inside and out. Bernice worked for us in the 80’s and is still concerned with the business. Our employees take time with our customers making sure they find exactly what they need. CW: What are most customers looking for when visiting your store? BV: Without a doubt, people come to Leisure and Lace to find a bra that not only fits well, but also durable, comfortable and attractive at the same time. Control garments come in second right before special accessories that give a finishing touch to an outfit. CW: Tell us about your lingerie selection? BV: Lingerie is a great gift to receive. It is somewhat of a luxury and wonderful to put on after a long day. A little something lacey and feminine is complimentary to a woman. OCW: What is available for summer gifts? BV: Our soft computer jackets have become a classic among our customers. People receive them as a gift and then return to Leisure and Lace to purchase them as a gift. Sleepwear in fine natural fabrics can be a great gift. A matching gown and robe is the ideal item for that traveler on your list. We have pajamas and nightshirts in fun prints with matching booties. Pretty camisoles are a great way to perk up a suit or to layer for added color. Over the years our Gift Certificates, hand written and beautifully wrapped, have always been a hit. The receiver can come for a personal fitting; many of our items are discounted 20%.

Defy your age, Defy gravity Once you find a comfortable bra you will be hooked on Leisure and Lace. “ You will see such a difference in your clothing with a good bra.” – A quote from one woman in the dressing room to another.

Before: A Bra that does not fit properly is unflattering and uncomfortable.

After: A visit to Leisure & Lace Assures a proper fit every time. See for yourself!

Betty Vasser (Seated) Owner, Phyllis Doran, 24 Year Employee

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Fashion

Beauty

Find the “Best” at Barbara’s Boutique!

o you have a friend you consider a “good shopper?” Is it someone who never seems to make a mistake, buying exactly the right clothes to flatter her own figure and match her own style while still keeping up with fashion trends? Is it someone who has just the right outfit for every occasion and every season? Now you can be that person, with the help of the friendly, professional staff and large selection of styles you’ll find at Barbara’s boutique. Since I started shopping at Barbara’s, I stopped buying clothes based on price, quantity or the latest trends, and started buying what’s right for me. Just by following the simple rules below, I’ve been able to build a great wardrobe of up-to-date clothes that make me look and feel my best.

1.Be honest about your lifestyle. Dresses and four-inch heels may be appropriate for some work environments but not very practical if you work from home or spend the day running in 20 different directions. Barbara’s has a variety of wardrobe staples along with fun, colorful spring pieces for a trendy addition to anyone’s closet, whether you commute to a corporate office in the city or work out of your own home.

2. Buy ONLY what you love and what makes you feel good. Don’t buy something because your friend is wearing it. Buy something that feels like your best friend when you put it on. You deserve to feel and look great, whether you’re preparing for a special occasion or just winding your way through an ordinary day, and the staff at Barbara’s can help you achieve that.

3.Color coordinate your wardrobe.

The majority of your clothes should be in the neutral color palette, from beige and gray to black and white. Then add splashes of color, like a bright tangerine dress or a sky-blue blouse. This allows you to easily mix and match while keeping your look fresh and bright.

4.Quality over Quantity!

It is always better to buy less but buy the best, whatever your “best” may be. If fact, if you find something that fits you superbly, buy it in several different colors! After all, ill-fitting expensive clothing is a waste of money. At Barbara’s, you will be able to find that perfectly fitted pair of jeans or dress slacks in more than one color, making your shopping experience easy and fun! Last, but not least, you may find it easier to juggle your busy schedule if you look for “desk-to-dinner outfits,” clothing that will take you from morning coffee to cocktail hour without compromising your style. Some great solutions include a pencil skirt and a feminine blouse, a tunic over pants, a reversible skirt, or a sheath or wrap dress. Strong and bold colors with neutral or metallic accessories can make a confident statement at work and at play this spring. ■

Shop where all the latest clothing and accessory trends are- right here at Barbara’s! • Johnny Was • Magashoni • Three Dots • Elliott Lauren • White & Warren • Zelda • Alison Sheri • 360˚ Sweaters • Nally & Millie • Marc Aurel

20% OFF Apparel Excludes II Bisonte Handbags, Jewelry, & Accessories

The County Woman Magazine

Barbara’s

Christopher Blue Jeans • Donna Degnan • Ecru • Il Bistonte Handbags • Ag Jeans • Zoe Couture • Autumn Cashmere • Kinross • Equestrian • Sorial •

A FASHION EXPERIENCE

WEAR IT, LOVE IT, LIVE IN IT!

14 Central Square • Linwood • 609-601-0035 www.TheCountyWoman.com

May/June 2013

Senior Club

42 luSitting b Beautiful Weather, ButSenior Mom IsC Still On The Couch

HU_]b[ H\Y :]fgh GhYd

Submitted by: Bena Gulkowitz, Program Director, The Regency Club

Shore and with newfound friends, supervision, and round trip transportation; Submitted by: Bena Gulkowitz, seniors can once again Program Director, The Regency Club take advantage of all ll too often we hear from our that spring and summer family mom pringmembers, is finally inâ&#x20AC;&#x153;My the air, and for many caregivers it has been was active all of her life and now have to offer. Our trips a verysits longinwinter. As the spring include the boardwalk, she just front of TVfever and begins to set in, the question caregardens, parks and sleeps.â&#x20AC;? Your mom is not the only givers ask themselves is, â&#x20AC;&#x153;How do senior who spending too much beautiful restaurants. I take theisfirst step towards getting for many people Seniors with this much timehelp?â&#x20AC;? in front of the TV during There are thousands of people needed break can be found at to moderate the beautiful springcaring and summer in Ocean County for loved ones beginning The Regency Club, the stateâ&#x20AC;&#x2122;s Live Entertainment | Trips | Beauty Services with Alzheimerâ&#x20AC;&#x2122;s and the age hardest stages of Alzheimerâ&#x20AC;&#x2122;s months. As many Disease, of our seniors Daily Exercise | Dancing | Gourmet Meals first memory care club. caregiving beginning let go. disease Round Trip Transportation orRegency dementia tend and part theirofloved onesispass on ortomove The Club is speThough rationally caregivers know that to stimulate Specializing in Memory Enhancement â&#x20AC;˘ We are covered by many long-term insurance policies becomedesigned more reclusive. away, those left at home, can become to cifically Specializing in Memory Enhancement We are covered by many long-term insurance policies they need a break, guilt and fear set in the minds of those suffering veryand lonely. The all hardest loss of getting all Staying inside and not very often steps towards with Alzheimerâ&#x20AC;&#x2122;s too muchDisease and is spousal which canthereally proper loss, help are put on back take burner. chatting www.regencypsc.com 1311 Route 37 West Toms River, 08755 www.regencypsc.com 1311 Route 37 West Toms River, NJNJ08755 other forms of dementia. We avoids potential mistakes a very active person and leave them provide round trip transporStudies thatanywhere. very often The care- andtation, All you have to not feeling likeshow going embarrassment forpersonal care, gourmet meals, givers have health them. The Regency Club is a safe Regency Club hasmore a great wayproblems to get do is make the daily exercise, live entertainment and allOur promise to caregivers is than their lovedofone hasand stimulation. Our members can even anddaysecure environment for seniors your loved one out thewho house call, and we dementia or Alzheimerâ&#x20AC;&#x2122;s Disease. with enjoy our onsite services enjoying the beautiful weather. memory lossbeautician where they can every that if you take the first step, we will help guide day of the continue to week. live life, make new The Regency Club was you the rest will hold your hand down this The real question one should ask oneThisdance, spring,gotake the first step and friends, on trips, and get specifically designed to help seniors of your way to self is â&#x20AC;&#x153;What can I do to make caregiving Regency Club to see how we long and difficult journey. of The the house again! witha memory socialize again,ones outcall some respite! little easierloss andto improve my loved can help you continue to care for your Call us at 732-286-2220. and quality end the There areThe so of loneliness. life at the same time?â&#x20AC;? Bď?Ľď?Žď?Ą Gď?ľď?Źď?Ťď?Żď?ˇď?Šď?´ď?ş answer respite to for see the on caregivers and loved one with memory loss at home. many greatis places the Jersey

Health & Wellness

Medical Professionals

."3 "13 6QDPNJOH &WFOUT

A Clinical Research Study for an investigational medication is currently enrolling people who

Organic Cosmetics, Green Products & Therapeutic Massage

Unique Jewelry, Bags & Gifts From Around the World

â&#x20AC;&#x153;Spring forward, Fall backâ&#x20AC;?

â&#x20AC;˘ Are currently taking an antidepressant but still need additional relief OR Âˇ Are not taking any antidepressant medication but think they may have depression

What is involved? Âˇ Receive study medication and study-related medical care at no cost Âˇ Receive study-related care by doctors who are currently Photo studying depression by Donna Andrews Âˇ Take an active role in your own healthcare

Mar 22-24 Tripsichore Yoga with Nikki Durant Performance & Workshops April 19-21 Thai Massage For Teachers w/Renata Gregorio Training & Couples Workshop May 3-5 Andrew Eppler, Ashtange Yoga & The Yogi Magician March 9: Arts in Tanzania- Special Fundraising Event with Live Music Class and Performances by Julliard graduates - Smithville Studio

Minimum Qualifications

Live Music & Flow at Smithville Studio

4FTTJPOT 4UBSU 5IVST PS 4VO "QS UI UI 4NJUIWJMMF Âˇ Currently experiencing 4QBDF -JNJUFE t $"-- '03 %&5"*-4 "/% 03 13& 3&(*453"5*0/ symptoms of depression *ODMVEFT XFFLT PG VOMJNJUFE DMBTTFT BOE B iHSFFOw UPQ RVBMJUZ MBUFY KVUF NBU $BMM /08 PS TJHO VQ BU XXX ZPHBOJOF DPN

Âˇ Willing to take the study medication along with a 4IPQ *O 0VS 'BJS 5SBEF 4UPSF GPS (JGUT 5IBU (JWF 5XJDF prescribed antidepres New to the studio? First month $50 UNLIMITED CLASSES 0 1 & / $ - " 4 4 & 4 % ": 4 " sant 8 & medication &, (JGU $FSUJmDBUFT "WBJMBCMF GPS $MBTTFT PS .BTTBHFT

â&#x20AC;˘ Yoga â&#x20AC;˘ Meditation â&#x20AC;˘ Bellydance â&#x20AC;˘ Tai Chi

â&#x20AC;˘ Therapeutic Massage â&#x20AC;˘ Holistic Services

The study doctor tell you you meet all HAMMONTON STUDIO NOW OPENcan609. 481.if2455

Yoga 101 Begins April 10, 2013 - 101 Bellevue Avenue, Hammonton, NJ of the study eligibility requirements

WWW.YOGANINE.COM To learn more and find out if you qualify, please contact: 609.404.0999

SMITHVILLE Bio Behavioral Health 609.494.9299

SHIP BOTTOM LBI 20 Hospital Drive Ste. 12, Toms River, NJ 08755

www.TheCountyWoman.com If you are experiencing these symptoms, then this study may be right The County Woman Magazine for you.

The County Woman Magazine

See we bsite

18 and 65 years old YOGA 101 8FFL $PVSTF t 'PS 3FBM 'JSTU 5JNF #FHJOOFST

MIND/BODY STUDIO Practice your passion. COMPENSATION FOR TIME AND TRAVEL MAY ALSO BE PROVIDED Sad all the time. No energy. Feeling worthless. Trouble sleeping. Canâ&#x20AC;&#x2122;t focus.

fo hedule d perfo r All Levels Yoga Flow Class 6:00p-7:30p rmers An adult between $5 At The Door For Our FabulousÂˇ Artists

www.TheCountyWoman.com

March/April 2013 732-244-2299

May/June 2013

Medical Professionals

Narcolepsy: What, Who and Why? Gbcf]b[. Bch >igh U >c_Y Q Q A

The STOP-BANG Questionnaire

A Tool to Screen Patients for Obstructive Sleep Apnea (OSA)

Written by: Stephen Written by: Stephen Newman, Newman, MD, MBA MD, MBA

From biblical times we are What is Narcolepsy? warned that the snore is not Narcolepsy is a brain disorder, just a sound but one that is caused by a lack the hormone terrifying! (Jobof39:20) hypocretin. It affects our ability to stay awake, dream, There is a and move normally with a large bodythunderstorm of veritable of evidence showactivity affecting the sleep and wakefulness center. Indeed ing that snoring the boundary between sleep is associated with and wakefulness, reality and an increased of and fuzzy dreaming arerisk blurred stroke rather and thanheart well attack. defined. There are several cardinal part of the body featuresWhat of narcolepsy: generates excessive daytimesnoring? sleepiness, This sound sleep is generated hallucinations, paralysisin the upper airway by a â&#x20AC;&#x153;perand Cataplexy. fect stormâ&#x20AC;? of a blocked nose, enlarged floppy soft Somnolence palate and Excessive Daytime tongue as well as narrowing People with this uncommonof the throat. The disorder can fallsound asleepisatloudest any on breathing in and is as time, during a rangeoften of activities, intense on breathing out. lasting from seconds to hours. The daytime attacks these How loud is aleave snore? individualsThe fullyhighest refreshed. intensity Contrary belief, thattoI popular have observed is at 100 decibels at aasleep distance narcoleptics are not all of feet, and not much less than the2time nighttime sleepais jackhammer. not fragmented or continuous. Their sleep is not restorative,

Q A Q

as if they never slept. Up to 1/3 of What narcoleptics are theexperience dangers of automatic behavior called snoring? â&#x20AC;&#x153;microsleepsâ&#x20AC;?, writing, In additionduring to its effects on typing, or driving an auto. These the sleep of the bed partner, behaviors often marked with snoring is are highly associated by bizarre behaviors, such as obstructive sleep apnea. Sleep driving wrong direction apneainisthe a condition characterand nonsensical typing breathing and ized by stopping writing. repetitively throughout sleep. Snoring and sleep Hallucinations apnea is associated with Hallucinations instroke, 10-25 suddenoccur death, heart attack, highfalling blood % of narcoleptics when drowsy asleep pressure, (hypnagogic) anddriving, upon headache,(hypnopompic). depression, memory awakening loss, and/or fatigue. These hallucinationsInaremen, actually snoring and sleep apneaour can be vivid dreams entering associated with an inability wakefulness. Patients reportto have or maintain an erection. the appearance of ghosts, out Snoring increases theanimals rick of of body experience, stroke by 350-800%. and alien beings. Auditory hallucinations of strange sounds When should someone are thesee second most commonly a sleep doctor about reported events. snoring? The short answer is anytime Sleep it isParalysis affecting either bed partThese individuals couplewhile the ner. Anyone who snores sitting up of at night or during the inactivity muscles day and/or tired or falling REM sleep are with wakefulness asleep inappropriately should be resulting in sleep paralysis. evaluated urgently. Anyone who Sleep paralysis is frightening has had a stroke,during heart attack event occurring the or hypertension, particularly transition from sleep to if they are overweight should see a sleep wakefulness. doctor.

Q A

LÉ¤ÇžÉ&#x2022;Č&#x192;É&#x2018;Č¨ÇžČ? PÉ&#x201E; PČŁČ? @Ç¸É&#x2030;Č?É&#x2018;

Cataplexy This symptom, simulating an How is snoring treated? epileptic seizure occurs when Remedies abound a narcoleptic suddenly from pillowsloses to herbs, muscletotone. episodes sprays noseThese clips and electronaredevices. often provoked by anger the or ic Before treatment, laughter very first and stepresults is to seeinaweakness board of individual certified sleepmuscles, doctor tosuch assure as the neck or in extreme, the snoring is the only abnormality. Treatments that reduce the whole body, resulting in nasal congestion ranging from collapse. Unlike seizures, the salt-water sinus wash cortiaffected individual is to aware of sone sprays are often the first the episodes and has no report steps and should considered of confusion afterbethe episode. prior to any thought of surgery. Weight lossNarcolepsy? and smoking cessaWho Gets tion in are reducing and Menare andcrucial women affected possibly equally. eliminating Narcolepsy snoring. begins most commonly in childhood What happens if I the and adolescence, between have Obstructive Sleep ages of 6 and 26. It afflicts Apnea (OSA) and donâ&#x20AC;&#x2122;t treat 1/3000 Americans; 500 peopleit properly? at the Jersey Shore. Many People who not seek diagnarcoleptics are do incorrectly nosis and effective treatment diagnosed with depression, for OSA can be at risk for: psychosis, or seizures. Although t )JHI CMPPE QSFTTVSF 10% of instances have a genetic t *SSFHVMBS IFBSU SIZUINT PS component, most people heart disease develop narcolepsy for a variety t )FBSU BUUBDL of reasons. t 4USPLF

1. Do you Snore loudly (louder

5. Body Mass Index (BMI) more

inability to produce a hormone disorders arethe considered. is than talking or loud enough to be than 35 (use formula to It calimportant to note that one can known as hypocretin. It is heard through closed doors)? culate your BMI)> â?? Yes â?? Yes have narcolepsy and these other believed that a viral infection, â?? No â?? No conditions. head trauma, immune 2. Do you often feel Tired, BMI There Formula: disorder and most recently, is no single test to fatigued, or sleepy during (your weight in pounds X 703) immunization against H1N1 diagnosis narcolepsy, yetX an (your height in inches daytime? É&#x201E;ČšČšÉ¤Č˝Č¨É&#x153;É´ overnight virus (â&#x20AC;&#x153;swine fluâ&#x20AC;?) impairs yourpolysomnogram height in inches) â?? Yes BMI ______________ â?? brainâ&#x20AC;&#x2122;s No (sleep= study) followed by a the ability to produce 6. Age over years old?the daytime test50evaluating hypocretin. LessObserved than 10% of 3. Has anyone you â?? Yes stop breathing during your tendency to fall asleep (â&#x20AC;&#x153;multiple narcoleptics have a genetic factor 6HHNLQJ /LNH â?? No'R \RX QHHG DQ H[WUD VWUHDP R sleep? sleep latencyâ&#x20AC;?) are helpful. toâ??their disease. Rarely, a genetic ZKDW LW WDNHV WR UXQ D YHU\ SD Yes 0LQGHG 3HRSOH defect Occasionally a blood greater test for a 7. Neck circumference â?? Noprevents hypocretin Energy D than 40 cm? genetic marker for narcolepsy, production. 4. Do you have or are you â?? Yes single, la HLA DQB1*0602 can help. being treated for high blood â?? No Pressure? Rarely, a sample of cerebrospinal How is Narcolepsy diagnosed? 8. Gender male? â?? Yes fluid A â??thorough history and physical â?? Yesobtained via a lumbar No examination are crucial in the puncture is needed for diagnosis. â?? No diagnosis of narcolepsy. It is SCORING: Answering â&#x20AC;&#x153;yesâ&#x20AC;? to three or more of the eight questions indiessential disorders such 3JDL as sleep questions call DBUFT UIBU ZPV BSF )JHI GPS 04" For "OTXFSJOH iZFTw orUP concerns, MFTT UIBO UISFF questions indicates that you are Low Rick for OSA. If you scored in apnea, depression and psychosis, 732-920-8022 to make an the )JHI 3JTL GPS 04" DBUFHPSZ B TMFFQ TUVEZ PS BO FWBMVBUJPO CZ B TMFFQ TQFsystemic illnesses affecting oneâ&#x20AC;&#x2122;s appointment with Dr. cialist may be warranted. Newman. energy level as well as seizure

Q A

t *ODSFBTFE SJTL PG ESJWJOH BOE PS Why does one develop work-related accidents. Narcolepsy? For questions or concerns, call Most of those afflicted with 732-920-8022 to make an narcolepsy experience an appointment with Dr. Newman.

Yes!

Dr. Stephen L. Newman, a graduate of Albert Einstein College of Medicine, is the first Board Certified Sleep Specialist in Ocean County. He also established the first Sleep Disorder Laboratory in Southern and Central New Jersey. A resident of Ocean County since 1986, he is married to Merrell Newman and has two children. The pride and joy of his life is his granddaughter, Madeleine.

Source: American Academy of Sleep Medicine, http://www.aasmnet.org/

6WHSKHQ / 1HZPDQ 0' 0%$ 6WHSKHQ / 1HZPDQ 0' 0%$ 'LSORPDW $PHULFDQ %RDUG RI 6OHHS 0HGLFLQH 'LSORPDW $PHULFDQ %RDUG RI 6OHHS 0HGLFLQH

ZZZ GDUOHQHGDYLV LJQLW Äą 6OHHS $SQHD Äą 6OHHS $SQHD $PEXODWRU\ DW KRPH VOHHS VWXGLHV &OLFN RQ WKH ,JQLWH %XVLQHV Äą $PEXODWRU\ DW KRPH VOHHS VWXGLHV 2YHUQLJKW LQ ODERUDWRU\ GLDJQRVWLFV For more info, call 856-935-4942 or email DarIgn Äą 2YHUQLJKW LQ ODERUDWRU\ GLDJQRVWLFV 'ULYLQJ (YDOXDWLRQ )LQDOO\ $ %XVLQHVV 7KDW 0DNH Äą 'ULYLQJ (YDOXDWLRQ &RJQLWLYH %HKDYLRUDO 7KHUDS\ RI ,QVRPQLD Äą &RJQLWLYH %HKDYLRUDO 7KHUDS\ RI ,QVRPQLD &3$3 %,3$3 WKHUDS\ +RZ PDQ\ SHRSOH GR \RX NQRZ WKDW WXUQHG WKHLU OLJKWV RQ Äą &3$3 %,3$3 WKHUDS\ 3URYHQW WKHUDS\ Äą 3URYHQW WKHUDS\ 0RXWK 'HYLFHV Äą 0RXWK 'HYLFHV 1DUFROHSV\ HYDOXDWLRQ Äą 1DUFROHSV\ HYDOXDWLRQ 4É&#x201E;Č˝Čš

<RX &DQ +DYH 7KH &RXQW\ :RPDQ 2I %HDYHUVRQ %OYG 6XLWH & %HDYHUVRQ %OYG 6XLWH & %ULFN 1- <RXU &KRLFH 'HOLYHUHG 7R <RXU )URQW 'RRU %ULFN 1- 3KRQH 3KRQH GUVOQHZPDQ#GUQHZPDQ RUJ 2UGHU \RXU VXEVFULSWLRQ WRGD\ GUVOQHZPDQ#GUQHZPDQ RUJ

Community Subscribe To The Paper

3OHDVH VHQG FKHFN RQH â?&#x2018;

Family law attorney Laura Dâ&#x20AC;&#x2122;O rsi helps fam ilies weave the ir way throug h the divorc $Q e (GX proces FDWLRQ s.

ZZZ 'U1HZPDQ RUJ

www.TheCountyWoman.com Magazine The County Woman Magazine 7KH &RXQW\ :RPDQ 0DJD]LQH ZZZ 7KH&RXQW\:RPDQ FRP

H IRU :

This Summ er Protect Yourself From The Sun! Page 9

É&#x153;ČľÇ¸Č˝É&#x153; <285 3$

,1 :

+< , ,7 (66(1 7,$/ 7+$ 7 <28 6(( $ 30 5 63(&,$/, 67"

%($87< ,6 1 ESE@]>aLWI '(( ] $&27 6 7E>3 d] aK 285 &(37 .

3K\VLFDO 0HGLFLQH DQG 5HKDELOL WDWLRQ R U Âś30 5Âˇ

LV D EURDG EDVHG V ZKRVH J SHFLDOW\ RYHUQLQJ )81&7,2 SULQFLSOH 1 LV

facebook.c

www.TheC om/TheCountyWoman ountyWom an.com

$Q (GXFDW

LRQDO 5HVR

XUFH IRU :

RPHQ DQG

ESE@]>aLWI -d]

7RWDO RI LVVXHV

onals of Tota

É&#x201E;ČľČľÉ&#x201E;ÉŹ

\ 3DJ

LOLHV

$5( <2 85 .,'6 5($//< 5($'< )25 6&+

IRU VWXGH QWV VKRX EH RQH R OG RQ \RXU O I WKH WRS LWHPV RYHUORRN LVW DQG \HW LW LV RIW HG HQ 3DJH

:+< ,6 9,7$0, ())(

@TheCou

&7,9 ntyWoma n 8QOLNH P R DQG RWK HU KXPDQV @ GR DELOLW\ WR PDN YLWDPLQ &

an.com

l Hearing

Care are available to assist you with all of you r hearing needs. faceboo faceb face ook. k.co com boo m/T /The k.co heC Coun m/T oun tyWo heC tyW man oun oma tyW n oman @TheCou @Th Visit Us eCo ntyW @Th unty oma eCo Wom n an unty Onlin Wom

É¤É&#x2022; É&#x201E;Č˝

e...www.T

heCoun

Dr. Roberta

@TheCoun H tyWom

7KHLU )DP

aK 7E>]

22 facebook ,V D W .com ULS WR \RX /" Visit Us Coun U Online...w RSWR/The PHWULVW R tyWoman Q \RXU OLV ww $ FR .Th W" PSU eCo HKHunt QVLYH H\H yW om H[DP

The professi

Č¨Č&#x192;

&+$//(1

2FHDQ 3 ODVWLF 6XUJ ZRXOG OLN H H WR IXUWK HU \ WUXH EHD XW\ IURP WKH LQVLGH RX W E\ SURP QHVV IRU D RWLQJ KHDOWKLH U \RX

3DJH

21( <($5 +20( '(/,9(5<

)25 7+( &2817< 2) <285 &+2,&(

An E

\É&#x201E;

DO 5HVRXUF

Remembering Quilts and Flags to Honor Loved Ones $GGUHVV BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB <RX &DQ +DYH PČŁČ? É&#x201E;É¤Č˝É&#x153;É´ \É&#x201E;ČšÇ¸Č˝ Helen is a woman on a mission. Her mission is to who are far away from their loved ones. How &C>Â&#x192;C 6 #C dČ?É&#x2022;Ńł 6M @V\Y *OVPJL +LSP]LYLK ;V @V\Y -YVU[ +VVY bring comfort to the families of fallen&LW\ BBBBBBBBBBBBBBBBBBBBBBBB 6WDWH BBBBBB =LS BBBBBBBBB soldiers and does she do this? With her Remembering 3OHDVH VHQG FKHFN RQH

to help wounded veterans suffering from memory â??Quilts, Flags,â??Pillows and Tote 9# 9 C Â&#x201A; Bags. Each piece $WODQWLF 2FHDQ 0RQPRXWK â??3KRQH BBBBBBBBBBBBBBBBBBBB loss. But her is created with familiar photos and 1DPH BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB ONE work doesnâ&#x20AC;&#x2122;t (PDLO BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB names toYEAR help HOME someone remember $GGUHVV BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Â&#x201A; > 6_ stop there. She those near and dear to their heart. $24

ESE@]>aLWI - RPHQ 7KHLU )DPLOLHV d] aK 7E>]

1DPH BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB

DELIVERY &LW\ BBBBBBBBBBBBBBBBBBB 6WDWH BBBBBBBBB =LS BBBBBBBBBBB 1RWH ,I RUGHULQJ PRUH WKHQ RQH FRXQW\ SOHDVH VHQG SHU FRXQW\ also helps those Beyond her donations, she FOR THEgenerous COUNTY OF 3KRQH BBBBBBBBBBBBBBBBBBBBBBBBBBB dealing with 0DLO \RXU FKHFN also has YOUR an online store for those &DOO 7KH &RXQW\ :RPDQ 7ROO )UHH CHOICE 7+( &2817< :20$1 (PDLO BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB 7RWDO RI any difficult ZLWK WKLV FRXSRQ who are interested in purchasing 0DLO \RXU FKHFN HPDLO O\QQ#$&:RPDQ FRP ,VVXHV 7+( &2817< :20$1 SD\DEOH WR 32 %R[ illnesses, along one. ZLWK WKLV FRXSRQ 32 %R[ Visit Us Online...www.TheCountyWoman.com 7XUQHUVYLOOH 1- with comfort7XUQHUVYLOOH 1- SD\DEOH WR É&#x201E;ČľČľÉ&#x201E;ÉŹ É¤É&#x2022; É&#x201E;Č˝ 1RWH ,I RUGHULQJ PRUH WKDQ RQH FRXQW\ SOHDVH VHQG SHU FRXQW\ ing relatives Visit www.RememberingQuilts.com.

d] aK 7E>]

<Č&#x192;Č?Ç¸Č˝

$WODQWLF â?&#x2018; 2FHDQ â?&#x2018; 0RQPRXWK ZZZ 'U1HZPDQ RUJ

É&#x201E;É¤É&#x153;ČŁ

\É&#x201E;ČšÇ¸ Č˝ ESE@]>aLWI -

Fossâ&#x20AC;&#x201C;Morgan

É&#x201E;ČľČľÉ&#x201E;ÉŹ

and Phar

É¤É&#x2022; É&#x201E;Č˝

macist Mar

k Taylor work

together

to find solu

tions to your

faceboo faceb face ook. k.co com boo m/T /The k.co heC Coun m/T oun tyWo heC tyW man oun oma tyW n oman Vis

it Us On line..

tyWoman .co

.www.The

health prob

@TheCou @Th eCo ntyW @Th unty oma eCo Wom n unt

CountyW oman

É&#x201E;ČľČľÉ&#x201E;ÉŹ

É¤É&#x2022;

May/June 2013 March/April

Did you know your children can have a genuine outdoor, fun Summer Day Camp experience right here in Toms River?

Education

PEPPERMINT TREE SUMMER 2013 CALENDAR Monday Session

June 24

First Day of Camp!

(1 weeks)

Think back to the best summers of your childhood…what June 24June 28 were you doing? Enjoying friends at the swimming pool, playing ball games, exploring nature, making crafts…your children can experience Session this kind of genuine summer fun here at the Peppermint Tree on our #2 (4 weeks) park-like grounds. July 1Our facility includes on-site swimming pools for daily water July 26 fun, expansive grounds where we’ll play ball games, have scavenger hunts, explore nature, paint on our outdoor easels, and create arts Valerie Frost-Lewis, MS Ed. Peppermint Tree & crafts. All throughout the summer we offer special events, such as Owner/Director the Carnival, Scavenger Hunts and much more. Our experienced staff provides plenty of choices for everyone, and fun for all. Memories to last a lifetime include enriching and entertaining visitors, such as: a petting zoo, a 2013 Season Enrolling Now! Storyteller, and we are also the home base of Mr. Scott the Junior Camp for kids 2 1/2 Music Man who will bring his fun and energizing music years through Kindergarten & and movement program. And, many more! School-Agers Camp for kids To learn more about our summer program please graduating 1st through visit, http://www.pepperminttree.com/our-summer-program/ 5th grades

Tuesday 25

Ice Cream Day

Wednesday

Thursday

26 Petting Zoo Visits Camp! 10:30-12:00

27 Bowling Trip 10:00–2:00

First Day of Session #2

Wear your favorite color today!

2 Jenkinson’s Aquarium Trip

3 Pizza Day Red, White & Blue Day

Welcome! 9

Swim Lessons

YMCA @ PT

Pizza Day

Swim Lessons

YMCA @ PT & Insectropolis

YMCA @ PT

Trip: 12:00 – 3:00

Swim Lessons

NO CAMP TODAY

Ice Cream Day

Sports day

Happy 4th of July!!!

9:30am-12:30pm

JULY 8

Pizza Day

Lunch included

Welcome! 1

Friday 28

Ice Cream Day Swim Lessons

11 Ice Cream Day Picture Day!

Swim Lessons

YMCA @ PT 18

Pizza Day

Swim Lessons

12 Picture Day!

& Scavenger Hunt! 19 Movie Theatre!! Trip: 11:00 – 2:00

Visitor 10:00

YMCA @ PT

Color Me Mine

YMCA @ PT

PEPPERMINT 2013 CALENDAR 23 TREE Ice Cream SUMMER 22 Pizza Day 24 25 26 (optional)

Obstacle Course!

Visitor 10:30

Monday Session

(4 weeks)

Hot 2) Dogs (Page

Mr. Scott the Music Man

Tuesday

& Chips Wednesday

Blackbeard’s Cave

Trip 10:00 – 3:00

Thursday

31 29 30 Visitor 10:30 side August 13 ) (See other for Session Blue Claws Ocean County First Day of Library Trip: 10:00-3:00 Ice Cream Day Session #3 Story time

Friday

(Rain Date)

Edible Art!

Lunch Included

July 29Aug 23

Welcome! 5 Car Wash!

ver. 3/29/2013

Pizza Day

Subs & Chips

Ice Cream

8 Music Man

Ice Cream Shop Trip 9:30-12:30

Pizza Day

Crazy Hat Day!

Teddy Bear Stuffing (optional)

12 Ice Cream Visitor 10:30

Mr. Scott the Music Man

13 14 Jersey Shore Pajama Day Pirates

Pizza Day

Trip: 10:30–3:00

Messy Science Day 19

Precision Gymnastics

20 Treasure Hunt!

21 Pizza Day

Carnival

Parents invited!

Carnival

Parents invited!

(Rain Date)

Trip 11:30-2:30

Ice Cream Day

Last Day of Camp!

Please note: Field trips and optional activities are available on a first come first served basis at an additional fee.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Education

Ocean County College – Where Dreams Come True, One Class at a Time! Looking to make your dream of earning a college degree come true? If so, Ocean County College (OCC) can help you succeed! In 2010, OCC received a fiveyear grant to help fuel student success – and you or someone you know may qualify for this exciting opportunity! Now in the third year of a five-year federal TRIO grant, OCC’s Career, Employment, and Counseling Services Department is recruiting students to take advantage of its comprehensive Student Support Services Program, which is dedicated to increasing the completion rate of firstgeneration students, low income students, and students with disabilities. By providing support in an accessible and respectful environment, Student Support Services provides personal, academic,

and career coaching that encourages excellence and promotes success through educational opportunities and campus resources. You may qualify for this program if you are a currentlyenrolled OCC student or have applied for the fall 2013 semester, and you meet any of the following eligibility requirements: you are a firstgeneration student, meaning neither of your parents earned a bachelor’s degree; you meet federal income guidelines; or you have a documented physical, learning, and/or mental health disability. Student Support Services connects you with a staff member, who can help you with every aspect of being an OCC student. Program benefits include academic advising, career planning, economic and financial literacy education, information and assistance applying for financial aid, personal counseling, transfer services, and tutoring,

Business &Personal Storage

along with social and cultural activities (previous trips included visits to The Bodies Exhibit, The United Nations, Independence Hall, National Constitution Center, and Reading Terminal in PA). The federal TRIO programs focus on outreach and student services programs, and are designed to identify and provide assistance for individuals from disadvantaged backgrounds. Through a grant competition, funds are awarded to institutions of higher education to provide opportunities for academic development, assist students with basic college requirements, and motivate students toward the successful completion of their postsecondary education. Applications for the Student Support Services Program are being accepted. For more information, call 732-255-0400, ext. 2352, or email studentsupportservices@ ocean.edu. Visit us on the web at www.ocean.edu/career.htm.

...Where dreams come true, one class at a time! Student Support Services at OCC is a comprehensive program dedicated to increasing the success rate of ﬁrst generation and low income students, and students with disabilities.

Visit or contact our advisors to learn about eligibility or to submit an application. www.ocean.edu/career.htm 732-255-0400 ext. 2352 studentsupportservices@ocean.edu A program of OCC Career, Employment & Counseling Services Funded by the U.S. Department of Education

Do You Have Too Much Stuff? A Clutter Free Life Is As Easy As 1-2-3 With Airship Storage!

“Your Garage Away From Home”

Let Airship Storage Help! Airship Storage is friendly, clean, affordable and family owned and operated!

Benefits:        

24/7 Unit Access Wide & Paved Driveways Individually Alarmed Units Video Camera Monitoring Owner Operated Low Cost File Storage Fax and Copy Service Competitive Pricing

The County Woman Magazine

SAVE INTO SPRING! 5’ x 10’ Room 1st 3 Months Half Price

Yearly $$$ Compare and Save! Call For Specials On All Other Units New customers only. Cannot be combined with any other offers. Airship reserves the right to discontinue offer without notice.

Ease access for you at the intersection of Rt. 37 West and Rt. 70, behind the Lakehurst Diner.

Friendly • Clean • Affordable!

Family Owned and Operated 732.323.0700

2420 Ridgeway Boulevard • Manchester

Off Route 70 • Central to Jackson, Manchester, Lakewood, Toms River, Route 37

www.TheCountyWoman.com

www.airshipstorage.com May/June 2013

Education

Summertime and Learning at Ranney School is Personalized, Rewarding and Long-Lasting Written by: Kathleen Deeken, Ranney School Director of Summer Study For many students, school concludes in June, but learning at Ranney School provides a year-round opportunity to explore an academic, creative or athletic interest and to discover the power of motivation and engagement when it comes to learning. Summer is also the perfect time to build the academic and study skills that will set your child up for success at the next grade level. Ranney’s summer selection of academic and talent development courses, including a full complement of gifted and talented and STEAM (science, technology, engineering, arts and math) courses for Pre-K – Grade 12 students opens up a world of opportunity and dynamic learning! 2013 Summer Programs at Ranney School highlight a wide range of exceptional academic, talent development, and gifted and talented programming infused with 21st-century skill development. This includes collaborative learning opportunities and technology, which serves as an accelerator to

critical and creative thinking. Students are encouraged to approach new experiences inside and outside of the classroom

environment. They build confidence in their ability to navigate school subjects, new challenges and social networks. Even our youngest learners – ages 4 and 5 – participate in specialized programming designed to build confidence by focusing on foundational skills: cognitive, psychomotor and social–all in the name of fun! Our Day Camp, licensed by the state of New Jersey and accredited by the American Camp Association, has been the favorite of hundreds of families in Monmouth, Ocean and Middlesex counties for more than 30 years. The school continues to offer innovative programs for children age 3 to grade 12. This year, Ranney is excited to offer a new Counselor-inTraining (CIT)

The County Woman Magazine

program for 14-year-olds. This full-day CIT program will include special camp and trip activities, CPR training, and emphasize the development of leadership skills. Themed work projects will be given, where accountability, collaboration, compassion, respect, responsibility and sportsmanship are practiced in camp interactions with children, peers

and adults. Day campers build strong friendships within their assigned groups, as they experience physical fitness challenges and specialized programming in science, nature, arts and crafts, sports, music and drama, among other fun activities. Each group is organized by age for additional swim and sports instruction, electives and weekly themed activities including: field and carnival days, climbing wall activities, talent shows, sports challenges and much more! Structured schedules are designed to provide individualized instruction, as well as, optimum social interaction. Our low camper to staff ratio ensures an exceptional and personalized summer experience. Our exciting Sports Camps include a wide range of interests for boys and girls: • Golf Camp for 6- to 10-yearolds and 11- to 14-year-olds; • Basketball, Fencing, Soccer and Tennis for 8- to 13-year-olds; • Boys’ Lacrosse for 9- to 13-yearolds and Swimming for 8- to 18-year-olds. www.TheCountyWoman.com

Young and experienced athletes can focus on skill building in their chosen sport or they can try a new one at our top-quality Sports Camps this summer! With no price increase for 2013 and additional cost-cutting benefits for new and returning families, there is even more reason to sign up early for a summer of exceptional learning and fun. Ranney is pleased to continue to offer one free week of Day and Trip Camp with your camp registration. Please note that a free Trip Camp week will include a nominal cost for trip tickets. Families who combine morning academic courses with afternoon Day Camp will qualify for a free week of half-day Day Camp incentive. New families to Ranney Summer Programs receive 10% off program costs with registrations received by April 5, 2013. Continuing family applications on our website reflect

discounted pricing of 20%. “Summer Programs at Ranney School are designed for students of all ages to personalize their summer adventures by choosing from a wide range of academic and talent development courses, Counselor-in-Training Program and Day, Sports and Trip Camps for a summer of exceptional learning, friendbuilding and self-expression,” says Ranney School Director of Summer Study Kathleen Deeken. “Come and discover the Ranney experience for yourself this summer.” Visit www.ranneyschool. org/summerprograms to register for one of our Summer Programs Open Houses, taking place May 4, May 18 and June 1 (10:00 a.m.–12:00 p.m.), or to access a program application to reserve your child’s place in what promises to be a transformational summer of learning and fun at Ranney School!

RanneyDay Camp_County Woman Publications 4/15/13 4:46 PM Page 1

SUMMERTIME DAY CAMP PROGRAMS AT RANNEY SCHOOL

OPEN HOUSES

Sat., May 4, 10:00 a.m. - 12:00 p.m. Sat., May 18, 10:00 a.m. - 12:00 p.m. Sat., June 1st 10:00 a.m. - 12:00 p.m

FREE WEEK OF DAY OR TRIP CAMP WITH CAMP REGISTRATION! • Free morning care available. Extended day care and transportation available.

• Track and field, tennis courts, two gyms, 25-meter indoor pool.

• Daily swim instruction.

• Specialized elective program, mini-sports clinics, science & rocketry.

• Low camper-to-staff ratio. • Safe, secure and nurturing environment. • Licensed by the state of NJ and accredited by the American Camp Association. • Daily hot & cold lunches in air-conditioned dining hall.

• Digital photography, computer labs, music, art, drama,camp yearbook. • Combine academic & talent development or sports camp with an afternoon of day camp. • Friday fun, talent shows, pony rides/petting zoo, carnival day.

RANNEY SCHOOL E S TA B L I S H E D 19 6 0 235 Hope Road // Tinton Falls, NJ 07724 // PHONE: 732.542.4777, EXT. 2186 // FAX: 732.544.1629 www.ranneyschool.org/summerprograms

May/June 2013

Elder Life Management

43 39

POLST: Practitioner Order for Life-sustaining Treatment :57=B; C@8 5;9 5@CB9 The best yourandend-of life are followed There are specific,wishes important As childless individuals Written By: Judith S.way Parnes, to ensure LCSW, CMC

amily caregiving has traditionally been at the heart of how long term care is provided and received. Presently, the majority of America’s older population is being cared for primarily by relatives: spouses first, then adult children. But what happens if you are a childless adult? Or an older adult who is geographically or emotionally distant from your children? Our experience and new research confirmed what Writtenhas By:now Judith S. Parnes, we at Elder Life have always L.C.S.W., C.M.C., stated: Executive Director, children does ElderHaving Life Management not guarantee that there will be someone to Health care for Care you Last month a new as you reach an advanced age. Planning tool, the POLST Nor does childlessinnecesform, wasbeing announced NJ. sarily mean that you forms will have This follows similar fewer options or receive less care being established nationally. than those with adult children. Practitioner Orders for Life Present findings demonstrate Sustaining (POLST) that there isTreatment no evidence that was actually signed into law by older adults with no children Governor Christie in December demonstrate less emotional well 2011, however only recently being or quality of care received announced for implementation. than adults with adult children. The called for the creation Whatlaw is true is that as care needs begin to affect a person’s ability of a standardized form that to remain independent, people can be signed by a patient or without children have a signifisurrogate, and the patient’s cantly higher rate of needing to attending physician or move to an alternative living advanced practice nurse, and arrangement such as a for nursing provides instructions end of home or assisted living. Ortool alterlife care. The goal of this natively, if there are sufficient is to improve communication resources, pay for live-in help.

{

couples being to reach their 50s of wishes and andindividual 60s and may be involved in documentation of medical caring for their own aging parents, many wondering orders that are reflect patient who might they call at 3:00 am to go centered wishes. to the roomisor who Theemergency POLST form would be their advocate, drive intended for patients with them to the doctor’s office if they life limiting illness and allows were unable, or call them once for detailed preference on or twicegoals a week to medical check in and specific and say hello. interventions. The Completed In the next decade, the numPOLST form is an actual ber of married couples with no medical that becomes children order is expected to grow by 7 amillion permanent part an to 36 -- from 29of million individual’s medical record. million. Right now, almost 1 in It is valid in in their all healthcare 5 women late 40’s have settings including at home, no children. By 2040, when hospital, nursing home and the oldest boomers are reaching their 90s, 21 percent will have during medical transport. and no child tois help provide care. therefore a standardized The demographic reality universal tool for end of leaves life experts worrying about the counmedical orders. try’sThe dwindling supply of family challenges that caregiversfamilies, in the years come. patients, andtotheir Compounding with these healthcare professionals face statistics is a startling lack of pretowards the end-of-life can be paredness among people in their daunting. Caring and sensitive 50’s and 60’s – with or without communication between family children – regarding their planmembers regarding a person’s ning of their care needs in their wishes needIf to documented older age. nobe spouse is availin advance. But, studies able and no trusted child nearby indicate Americans stillyou to act as most your voice, who can have not exercised their right to trust to make difficult and emotional decisions decisions on yourthe behalf? make about kind When more thought goes into of healthcare intervention they what kind car you purchase want whenofthey cannot speak or where you go forThose summer vacafor themselves. tools are tion compared to what you want the Advance Medical Directive to happen should you become documents. The Advance incapacitated, thencontinues priorities to Medical Directive need to change. be the best way to write your

areas that need to be reviewed by wishes in in advance. all adults order to assure that thenames yourUnderstanding later life plan has associated with it, first for contact documents is the step, they and decision making.purposes. each serve different These include:Medical Advance Identifying the one Directives/Living Will:person that will be responsible to instructs family and medical assist withon health care decisions. providers the treatments Thisan individual would be when listed that individual wants as your health care representano longer able to verbalize tive, health their wishes.care Theproxy, mostor your Medical Power of Attorney. This common decisions involve person ideally will live in relaCardioPulmonary Resuscitation tive close proximity to you, and (CPR), a Do Not if not specific plansResuscitate are in place (DNR), a Do Not Intubate and understood as to how this (DNI, decisions With person and/or will be available. regarding artificial nutrition internet and cell phones, physical and hydration. distance becomes less significant A Medical powerHowever, of for communication. attorney identifies which having the person physically close bymember certainlyorwill addfriend to family close yourmake comfort reduce anxietcan careand decisions ies. patients are temporarily when Being educated regarding the or permanently unable role of the professional to communicate or make care manager, who will own. be responsible decisions on their for providing a comprehensive These documents are vital assessment as advancedand carerecommendaplanning tion for a care plan tools. However, in that orderwill be designed to meet your speto put a person’s end-of-life cific circumstances. You or your preferences into actionable health care representative will physician’s orders, theofphysician then have the benefit this or nursefor practitioner must write advisor advocacy and decision making.

a specific order in the medical record. A Practitioner Order for Life-Sustaining Treatment (POLST) is a medical order form signed by the patient and the doctor. It becomes part of the patient’s medical record and provides specific instructions Keeping all team of your to the medical onmedical such information location issues as the use in of one mechanical for easy access when and necessary, breathing machines with updates annually if not feeding tubes. The POLST sooner. Consider convenience in form accomplishes two major medication management, explorpurposes: ing home delivery as an option. • It is portable from one care Reviewing your Health insursetting to another. ance coverage, secondary •insurance It translates wishes of Long an and potential individual into actual term care insurance opportuniphysician orders. ties. A recent casea illustrates Appointing Financial why a POLST form needs to well be part Power of Attorney as as of every person’s comprehensive having your Will reviewed with advanced care plan: an your attorney. Mrs. C. and Considerhas howdementia your presis confined to a wheelchair ent home environment can but had planned ahead with be enhanced to accommodate an Advance Medical Directive future deficits in mobility, hearstating she did not want CPR. ing, and/or vision . While beingoptions transported to a Review for alternaroutine doctorarrangements, appointment tive living including Continuing Care via ambulance, she went into Communities, shared housing cardiac arrest. Because her options and Assisted Living.

3 4 5 6 7

advance directive was not a signed physician’s order nor did she have an Out of Hospital DNR order, while en route, the EMT aggressively performed CPR. Mrs. C was intubated in the ER before her family could step in. The family called Elder with yourextremely bank to Life Meet Management automatic bill pay upsetreview because their mother’s options. wishes were not carried out, andFacing now she on a ventilator. theiscomplexities of growing older much The EMT’s andis the EReasier did with job. a plan acknowledgetheir Asand is often the case, ment of who will many individuals be arethere totally to assist you. is true for unaware that This Advance Medical everyone regardless of age, but Directives or Living Wills are certainly does require the delegaimportant information and tion of responsibilities so that legally binding. They still YOU DO NOT FACE OLD require a physician’s order to AGE ALONE. be implemented. The POLST will prevent this scenario from Judith S. occurring in the future.

Parnes,

L.C.S.W.,

For more information C.M.C., about a POLST and all Executive forms of advance care Director, planning, Elder Life please contact Elder Life Management Management, at (732) or 931 West493-8080 Park Avenue, via e-mail at elmcares@ Ocean, New Jersey, 07712 elderlifemanagement.org.

www.elderlifemanagement.org

Testimonials Say It All . . .

I want to thank you for the wonderful service you extended to me while we were going through the process of getting my mother on Medicaid and into an assisted living facility. The process was long, complicated and sometimes emotional but the entire office was tremendously helpful. You made a potentially awful time so stress-free. ~ P. H., Ocean NJ

Without your assistance in getting my dad Medicaid approved I would not have been able to maintain my sanity. I want to say simply but sincerely, thank you. ~ M.N., Clifton NJ

We want you to know that your kindness and support at this time is more deeply appreciated than any words of thanks can express. ~ F. W., Toms River, NJ

The County Woman Magazine Magazine

www.TheCountyWoman.com

March/April May/June 2013

Health

& Wellness

Could You Have Sleep Apnea?

oes your snoring raise the dead—or at least prompt a swift kick? Has your partner or spouse said that you gasp or snort, or make choking sounds while asleep? Are you finding yourself way too drowsy during the day, despite getting a “good night’s sleep”?

These can be major signs of a common disorder called Sleep Apnea. Other signs may include: • Waking often to urinate • Morning headaches • Memory or concentration problems • Irritability, depression, or mood swings • Dry mouth or sore throat upon awakening1 With sleep apnea, you breathe shallowly or have regular pauses in your breathing that can last from a few seconds to minutes. This may occur when the airway collapses or becomes blocked from extra tissue or other causes. Breathing pauses can happen many times a night, often moving you out of deep sleep into light sleep.2 1News flash: your body and brain need oxygen—and lots of it! Sleep apnea can be serious. It isn’t something to ignore. The problem is, a lot of people don’t know they have it because there is no simple test to detect the condition. And your doctor can’t confirm it during a routine office visit.2 1Feeling tired a lot may be just the tip of the proverbial iceberg. Sleepiness can lead to work-related or driving accidents. And, if left untreated, sleep apnea can also increase the risk of: • High blood pressure • Heart attack

• Stroke different ways. Some people also benefit from surgery to • Obesity widen breathing passages.4 If one approach doesn’t work • Diabetes well, be sure to follow up with your doctor. Of course, I’ll • Heart failure also answer any questions I can. 2 • Irregular heartbeats (arrhythmias ) Sweet dreams! Suddenly that signature snoring seems a little less Sources funny, doesn’t it? If you have signs of 1. NIH: National Heart, Lung, and Blood Institute: “What Are the Signs and Symptoms of Sleep Apnea?” Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea/signs.html Sleep Apnea, have a conversation with Accessed February 26, 2013. 2. NIH: National Heart, Lung, and Blood Institute: “What Is Sleep Apnea?” Available at: http:// your physician. You might need a sleep www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea/ http://www.nhlbi.nih.gov/health/healthtopics/topics/sleepapnea/ Accessed February 26, 2013. study to confirm a diagnosis. Snoring 3. NIH: National Heart, Lung, and Blood Institute: “How Is Sleep Apnea Diagnosed?” Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea/diagnosis.html Accessed February 26, doesn’t always mean you have sleep 2013. apnea. 4. NIH: National Heart, Lung, and Blood Institute: “How Is Sleep Apnea Treated?” Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/sleepapnea/treatment.html Accessed February A sleep study tests how well you sleep 26, 2013. 5. Sleep Diagnosis and Therapy: “Provent Nasal EPAP: A Skeptic Turns Believer.” Available at: http:// and how your body responds to any www.sleepdt.com/provent-nasal-epap-a-skeptic-turns-believer/ Accessed February 26, 2013. problems with sleep. Among other things, it measures the Restoring Hormone Balance amount of oxygen in your blood, air movement in and out of your nose, and chest movements. It also records brain activity, eye movements, heart rate, and blood pressure. This study is often done in a sleep center or sleep lab.3 If you are diagnosed with sleep apnea, many things can help. Sometimes just dropping some pounds, quitting smoking, and avoiding alcohol or sedatives can make a difference. Also, sleeping on your side instead of your back can help keep your throat open. Ask your docanswers Women have questions! We have answers! tor whether allergy medicines or nasal sprays Interest in Customized Hormone Replacement Therapy surged after might help keep your nasal passages more open Oprah’s recent guests, including doctors Christiane Northrup and Prudence Hall, discussed the science behind customized HRT. at night.4 Remember—I can help you find Dr. Phil’s wife Robin McGraw described how through extensive products in our store. research and with the help of a compounding pharmacist and her physician, she found natural ways to battle menopausal symptoms and If you need treatment, a sleep doctor may turned the "change of life" into a positive experience. recommend one of several options. These For more information on customized include a custom-made oral appliance to For morecall information on customized hormones, hormones, our professional move your jaw forward, a device with a onecall our professional compounding pharmacy. compounding pharmacy. way nasal valve called Provent Therapy,5 or a Jersey Shore Pharmacy ships prescription breathing device called continuous positive airorders, within 300 miles of the Jersey Shore way pressure (CPAP). These all work in slightly Pharmacy, by UPS. Arrival Next Day! Call 609-660-1111

Being a compounding pharmacy, we are able to provide personalized and tailor-made solutions for physicians and patients with special needs. • We Easily Transfer Your Prescriptions For You. • Diabetes Life Center • Do You Need Medical Equipment? Wheelchairs, Walkers, Canes, Hospital Beds And More …

If you have any questions about our services, please call us at 609-660-1111. Jay Greco, RPh

609.660.1111

We 609.927.8900 also offer a medication disposal program.

Jay Greco, RPh Jersey Shore Pharmacy JSRX Holdings LLC, Rx Development LLC , 580 North Main St., Barnegat, 08005 www.jerseyshorepharmacybarnegat.com Phone: 609-660-1111

www.jerseyshorepharmacybarnegat.com

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Medical Professionals

41 13

H. E. A. R. T. PHYSIOLOGIC BALANCE AND AGING 9adckYf 5bX Bcif]g\ McifgY`Z Through Hormone Endocrine Anti-Aging Replacement Therapy we need, a synergy modern science has only barely

By Kristin LĂŤigh Fagan

of apathy frustrating am excited to responsibility for. There are many powerful respectably and painlessly fall into the begunyettoI understand. Learn how integrating cutting edge that there is a rainbow these moreways hands of fate before you reach eternity. slow we down We are amongst indeed much thantowhat eat,the butaging process such Dr. Bartiss welcomes Kristin tosayICAM therapies with your current medical clouds of preconceived doom and your pot as: lifestyle changes to include enzyme-rich what we eat can nevertheless assist us in becoming program can make you Just for Women: and recognizes herLOOK, as a valuable ofresource Mystress goal is toHormones assist youArenâ&#x20AC;&#x2122;t in nourishing your wholeness. gold (your renewed healththan and youth) exercise, clean all air,ofmeditation, much more what we are.food, Health is inside ACT, FEEL and BE 10 - 15 YEARS It is not only women who goand through I am honored to contribute to this process I truly awaits you. management, loving relationships, sleep, for nearly all his patients. Whether your us. Health is our nature; a rhythmic harmony. Your hormonal shifts i.e. menopause. Men YOUNGER. creativity and H.E.A.R.T. Hormones are look forward to working with you to help guide you with in task is not to seek health, but merely to look and Aging proverbial I have seen a pattern in older is people over related problem or concern weight orBegins in our Minds: the keys to our health. It is important activating your the highest vitality!â&#x20AC;&#x153;midlife crisisâ&#x20AC;? actually are find of the barriers withintoyourself have understanding theall onset of old age have going through the female equivalent of my many years of practice â&#x20AC;&#x201C; bent over, frail, Our beliefs about note forthat the you thorough nutritionally induced, the practitioners at Contact ICAM today to known schedule a evolved as life expectancy has it. lengthened. menopause as ANDROPAUSE built against In helping youofachieve optimal health, I forgetful, and suffering from age-related H.E.A.R.T. (Hormone-EndocrineICAM aremany ready and Several studies have shown that the body (also sometimes referred to as MAN-O illness that for seems an capable unavoidableof assisting extend my experience and knowledge as well as my heart. Anti-Aging Replacement Therapy), it is Nutrition session. Holistic

,&$0

is designed to live well over a century â&#x20AC;&#x201C;PAUSE). By correcting these imbalances/ fate. This type of thinking is illogical and the balance as well as the absolute levels you back to optimal health. yet so few of us find it â&#x20AC;&#x153;naturalâ&#x20AC;? or even deficiencies with BIO-IDENTICAL unacceptable to me and I would hope of these hormones that determines our possible to live beyond eighty or ninety. HORMONES one reaps great benefits in and encourage for you as well. Is survival fate. We now have the capability and Everyday we hear of people living beyond terms of quality of life. truly enough? Is adding years to your life RECLAIM YOUR HEALTH FROM technology to live a healthier, younger and a century, in fact, in recent national news, more important than adding life to your more fruitful life than we are currently To learn more about self-preservation THEForFARM THE years? me, it is NOT the quality of lifePHARMACY I lead a 106-year-old female was advertising for experiencing regardless of our age or health and how you too can live a longer, more thatContrary to conventional illness a ransuitable male partner to court her in her impacts me more than the belief, longevity I isa not problems. I encourage you to take the gratifying and healthier life, go to www. dom event; tied to to break how we and thefirst health of marriage! survive and soit Iisstrive mylive family first step and take charge of your health hormonemd.org for a more in-depth look Stats: In 1950 there were 2,500 tradition earlyand demise andecology. death. If you ate your both ourofinner outer way and 0DUN -DPHV %DUWLVV 0' begin to live the way that you were at what H.E.A.R.T. is all about. Become an into progressive weakness, obesity, inactivity,centenarians shrunken (people over the age of 100). programmed to. That is, living a healthy :HOFRPHV \RX WR KLV $OWHUQDWLYH 0HGLFDO SUDFWLFH informed consumer and then make your MISCONCEPTIONS AND The aextended horizons, sexual impotence, mounting despair, grow- prediction is that by year life free ofVSHFLDOL]LQJ LQ WKH IROORZLQJ illness and disease until your appointment with Dr. Bartiss. Start living A RAY OF HOPE: 2050 there will be an estimated 33 million ninth or tenth decade and maybe even list of(along pharmaceutical your life to the fullest! Iing believe with others) drugs, that thelearned helplessness, in theout 65 to 74-year-old age group, 31 longer. Then and only then, smoothly, sickness, and pain; surely, you can eat your way Â&#x2021; $O]KHLPHUÂśV Â&#x2021; +\SRWK\URLGLVP saddest and most deceptive bit of million in the 75-84-year-old age group, 16 of it! YouBycan trulyLĂŤigh the trajectory of decline by Kristin we need, a synergy modern science has only barely information taught tochange us Fagan starting in (QGRFULQH 'LVRUGHUV 0HPRU\ 'LVRUGHU million in the 85 to 99-year-old age group, eating betteris and a healthier lifestyle. We begun to understand. our thirties, that adapting arthritis, cognitive Take Home Message: Â&#x2021; 9LWDPLQ DQG +HUEDO and 2.5 million in the 100 plus age group. Â&#x2021; than&RURQDU\ $UWHU\ must move from the notion thatKristin dis-ease to is a ICAM We are indeed much moreDonâ&#x20AC;&#x2122;t whatinwe eat,erroneous but dysfunction, memory decline, physical Dr.away Bartiss welcomes 7KHUDSLHV give to the facts that your aches and pains and failing health 'LVHDVH 6WUHVV as a Result ofwhat a Decline we eatincan nevertheless assist us in becoming pains, emotional swings,completely energy andoutside of We haphazard mutation, ourAge control are part of normal aging. It certainly My can goal be, but have be unlessyour youwholeness. let it. Â&#x2021; doesnâ&#x20AC;&#x2122;t ,9 7KHUDSLHV and recognizes her as a valuable resource Visa-Versa: is to assist you in to nourishing Hormone muscle lossesthat are â&#x20AC;&#x153;NORMALâ&#x20AC;?. more than what weDonâ&#x20AC;&#x2122;t are. Health is inside all of preconceived theory of â&#x20AC;&#x153;YOUTH IS WASTED ON THE Â&#x2021; accept )LEURP\DOJLD and realize everything we Are are we consuming is eitherLevels Not much the brainwashed Â&#x2021; %LR ,GHQWLFDO +RUPRQH I am honored to contribute to this process and I truly all his patients. Whether your Although it is true that the is our nature;YOUNGâ&#x20AC;?. supposed tofor fallornearly prey to Osteoporosis, us.with Health a rhythmic harmony. Youryour mind, body and soul with new and invigorating life. carcinogenic anti-carcinogenic. Â&#x2021; $QWL $JLQJ 0HGLFLQH Get up and treat look forward to working with you to help guide you in 5HSODFHPHQW 7KHUDS\ Heart Disease, Alzheimerâ&#x20AC;&#x2122;s and Cancer? task is our not high to seek health, butBE merely toand lookBEand problem or concern is weightdevelopment related or of technology WELL YOUNG- not only at heart, but also through H.E.A.R.T. activating your highest vitality! Â&#x2021; 3UHYHQWLYH 0HGLFLQH Mother Nature Knows Best! Â&#x2021; %LR 2[LGDWLYH 7KHUDS\ stress, toxin-filled environment diet within yourself that you have And, are we to be comfortable with and find all of and the barriers Good luck on your new journey through life filled with optimism, health, love, youth thechoosing practitioners Empower and yourself to fol- atage us, I built prematurely think,against no believe, accepting ofnutritionally the factnourish that noinduced, one livesby Contact ICAM today to schedule a it. In helpingand youhappiness. achieve optimal health, I low Mother Natureâ&#x20AC;&#x2122;s Eating Yours in Health, that, I know our my individual forever and more importantly, that ICAM arelead. ready andnopredominantly capablenoofscratch assisting extend experience and knowledge as well as my heart. 1DXWLOXV 'ULYH 6XLWH Â&#x2021; 0DQDKDZNLQ 1- Â&#x2021; Holistic Nutrition session. local, seasonal, cultivated and wild,processes medicinal, Mark James of aging one lives healthyorganic, and happily ever after? +DPEXUJ 7SN 6XLWH Â&#x2021; :D\QH 1- Â&#x2021; Bartiss, MD you back to optimal health. carries a greater healing, homemade, legitimate food As a doctor and a patient I find this kindis unequivocally Call for new location in ZZZ ,&$0%DUWLVV0' FRP Monmouth County. element of choice where itâ&#x20AC;&#x2122;s at. Only whole foods have the synergy that thanFROM we are willing RECLAIM YOUR HEALTH to assume take it comes to your health, you do have options and a choice. em REMEMBERâ&#x20AC;Ś. and When

,QVWLWXWH )RU &RPSOHPHQWDU\ $OWHUQDWLYH 0HGLFLQH

Medical Professionals

9adckYf 5bX Bcif]g\ McifgY`Z

THE FARM NOT THE PHARMACY

e Oek Contrary to conventional belief, illness is not a random event; it is tied to how we live and the health of [j James Bartiss, both our inner andMark outer ecology. If you ateM.D. your way

into progressive weakness, obesity, inactivity, shrunken A Doctor Thatdespair, a growhorizons, sexual impotence, mounting ing list of pharmaceutical drugs, learned helplessness, Specializes In You! sickness, and pain; surely, you can eat your way out A Different Approach To of it! You can truly change the trajectory of decline by eating better and adapting a healthier lifestyle. We Your Medical Needs must move away from the notion that dis-ease Dr. Bartiss is a medical writer, lecturer and author and ishasa haphazard mutation, completely outside of control keen interest in Womenâ&#x20AC;&#x2122;s Health issues. Whether you areour feeling ill and realize that everything we are consuming is either or think you are well, Dr. Bartiss offers therapies that will keep you healthy and set back your biologic (aging) clock ten to fifteen years. carcinogenic or anti-carcinogenic. Hundreds of patients have already utilized his services and have Mother Nature Knows Best! found internal peace with their newly gained health and youth. You Empower and nourish by choosing to foltoo can recapture this dream and liveyourself a healthier, happier and more low Mother Natureâ&#x20AC;&#x2122;s lead. Eating predominantly fulfilling life with minimal effort by following his protocols. local,interested seasonal,inorganic, cultivated and wild, medicinal, For those inquiring about lectures for your group/ healing, homemade, legitimate food is unequivocally organization, or for information about ICAM and Dr. Bartiss, contact our office, ourwhole website:foods www.icambartissmd.com where itâ&#x20AC;&#x2122;s or at.visit Only have the synergy that

,&$0

,QVWLWXWH )RU &RPSOHPHQWDU\ $OWHUQDWLYH 0HGLFLQH

Kristin LĂŤigh Fagan , a Holistic Nutritionist and Wellness 0DUN -DPHV %DUWLVV 0'

Educator, has helped a multitude of people overcome various dis-eases that :HOFRPHV \RX WR KLV $OWHUQDWLYH 0HGLFDO SUDFWLFH offend the eye, the mind, and the spirit. During several nearly bedridden VSHFLDOL]LQJ LQ WKH IROORZLQJ years of extensive diagnostic testing, primary care doctors, countless specialists, and futile prescription Â&#x2021; drugs, she sought a sensible long-term Â&#x2021; solution $O]KHLPHUÂśV +\SRWK\URLGLVP for her failing health. Wholly frustrated with the inadequacy of conventional (QGRFULQH 'LVRUGHUV 0HPRU\ 'LVRUGHU Â&#x2021; many 9LWDPLQ DQG +HUEDO medicine, she embarked onÂ&#x2021; a lengthy, in-depth course of study into different alternative heal&RURQDU\ $UWHU\ 7KHUDSLHV superfoods, ing concepts, including: herbalism, fasting, detoxification, raw vegan/vegetarianism, 'LVHDVH 6WUHVV Â&#x2021; nutriment. ,9 7KHUDSLHV and primal/paleo victual, with an emphasis on traditional indigenous Incorporating the Â&#x2021; )LEURP\DOJLD Â&#x2021; %LR ,GHQWLFDO +RUPRQH most beneficial componentsÂ&#x2021; of each concept into her own system of health and healing, her impres$QWL $JLQJ 0HGLFLQH 5HSODFHPHQW 7KHUDS\ sive personal success inspired her to share it with others. Â&#x2021; 3UHYHQWLYH 0HGLFLQH Â&#x2021; %LR 2[LGDWLYH 7KHUDS\ Enriched by nearly a decade of research and firsthand experience, she then received formal training and certification to practice holistic nutrition counseling at the Institute for Integrative 1DXWLOXV 'ULYH 6XLWH Â&#x2021; 0DQDKDZNLQ 1- Â&#x2021; Nutrition, in affiliation with Columbia University and Purchase College: The State University of +DPEXUJ 7SN 6XLWH Â&#x2021; :D\QH 1- Â&#x2021; Call for new location in New York (SUNY).

ZZZ ,&$0%DUWLVV0' FRP

REMEMBERâ&#x20AC;Ś. When itwww.TheCountyWoman.com comes to your health, you do have options and a choice. The www.TheCountyWoman.com The County County Woman Woman Magazine Magazine

Monmouth County.

May/June 2013 March/April 2013

Medical Professionals

When Do You Need An Antibiotic? Understanding the Difference Between Viral and Bacterial Infections

Can you kill a virus?

Outside the body, viruses can be killed by household items like detergents and bleach. So be sure to wipe down surfaces at home and in the office if you or a loved one is ill. This can help reduce the chances of the virus spreading to others. While Punxsutawney Inside the body, the immune Phil may have made system provides defense by an appearance on producing antibodies against Groundhog Day and Handwashing is a simple specific viruses. You can predicted that we will yet effective way to develop immunity to fight a have an early spring, it prevent the spread of future viral infection in two doesn’t mean that we are germs and decrease your ways. One way is that you catch chances of getting an out of the woods for illinfection. the virus, and the other way is to nesses like flu, strep throat, get a vaccination. Vaccines exist for and plain old colds. viruses such as chicken pox, shingles, Antoanela Zaharia, M.D., a famand influenza (flu), just to name a few. ily practitioner with Caring Medical Associates in Toms River, sheds some Can an antibiotic cure a light on the difference between a viral viral infection? and bacterial infection, and what can be Unfortunately, antibiotics do not done to find some relief. work against viruses. There’s no cure for What causes infections? illnesses like the common cold or flu, but there are antiviral medications that There are two main types of germs can interfere with a virus’s progression that cause most infections. These are and reduce the length of time you viruses and bacteria. Viruses cause are ill. A medication like Tamiflu® is things like colds and flu, runny an example of these types of antiviral noses, most coughs, sore throats, and drugs that have been developed to treat bronchitis. Bacteria cause conditions influenza. such as ear infections, sinus infections, It is important to note that antiviral and strep throat. medications are only prescribed when Some viruses cause symptoms that a patient meets certain criteria or resemble bacterial infections, and some guidelines. For example, the patient bacteria can cause symptoms that must receive the medication within the resemble viral infections. A doctor can determine what type of illness you have first 48 hours of developing symptoms in order for it to be effective. It might and recommend the proper type of also be prescribed for high risk patients treatment.

who have other underlying medical conditions. Your health care provider will use their judgment and decide if an antiviral medication can be helpful.

When does an antibiotic help? Antibiotics are powerful drugs used to treat certain illnesses. However, antibiotics do not cure everything, and unnecessary antibiotics can even be harmful. They are prescribed to treat bacterial infections. If your physician prescribes an antibiotic, it is important to take the entire course of medication for the days indicated. Even if you start to feel better, complete the entire prescription as indicated by your physician. Failure to do this can result in the illness returning, or reducing the ability for the medication to work well in the future.

Tips to recover from a virus Although there is no cure for a virus, treatments for the symptoms include medications for congestion, bed rest, increased fluid intake, and fever reducing medications. If you experience symptoms such as difficulty breathing or chest pain, persistent fever, vomiting or the inability to keep fluids down, painful swallowing, persistent coughing, persistent congestion and headache, then contact your physician right away. Call to schedule your appointment:

Caring Medical Associates 409 Main Street Toms River, NJ 08757

732-557-6600

Monday - Thursday 9-5 Friday 9-2

Accepting New Patients Antibiotics are powerful drugs that can treat certain bacterial illnesses, but do not work against viruses.

Caring Medical Associates Welcomes Antoanella Zaharia, M.D. Antoanela Zaharia, M.D. recently joined Caring Medical Associates in Toms River, NJ. She was born and raised in Romania, and moved to the United States in 2003, where she completed her medical residency in Alabama. She then moved to Maine and practiced in a rural community for the past six year. Having visited New Jersey a few years ago, she decided to move to Ocean County and be part of a community that offered a balance between her medical career and caring for others, along with the many benefits for personal interests. She enjoys outdoor activities, swimming, walking, biking, and going to the beach, as well as the convenience of trips to New York City and Philadelphia. As a Family Medicine practitioner, Dr. Zaharia is passionate about her work and truly values the variety of care that she can provide to entire families. “It’s rewarding to look at a patient as a whole, and address the many different problems that can arise,” says Dr. Zaharia. “Multigenerational patients are especially rewarding. I once cared for a family with four generations of women, from great-granddaughter to great-grandmother. Being in family practice is special, and I look forward to getting to know families from the greater Toms River area.” Dr. Zaharia and Dr. Lisa Petriccone-Neumann, both of Caring Medical Associates, are currently accepting new patients. Their office is open Monday through Friday and can be reached at 732-557-6600.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

A ving Assisted ssisted Li Living

41 43

Spring Assisted Of Living Forked 10 ThingsOak To Look For In Living An Assisted Building S River Understands And Wants To Help… hopping for an assisted living building for an elderly relative who needs help is usually a oncein-a-lifetime event. Little wonder the process can seem overwhelming. Here are some expert tips on how to evaluate assisted living building. According to theanPew Research

The Sandwich Generation Center, one of every eight

1. Talk Toaged Residents. Americans 40 to 60 is

Most assisted living residents are willing to answer raising a child and caring for a questions about the building. Ask them how they parent, either physically, like the place. Ask their relatives too.

financially or both. Seven to 10 million areTurnover. caring for aging 2. Askadults About parents fromisausually long distance. A stable staff an indication of

a well-run building. Find out how long This midlifehave group is called thestaff. Sandwich employees been on the That Generation, term added to the Merriam-Webster dictionary goes for the building administrator too. Anin 2006. n some cases, kids go off to college, leaving mom and dad administrator with solid experience is a sign n an “empty nest.” In other cases, elderly parents need help a good ndofkids comebuilding. home again, sometimes with children of

heir own.

3. Are Residents Managing MidlifeActive? Challenges

WhenFor youmillions visit, watch the residents. Seechallenges if they of of working people, the are busy and involved in activities or sitting midlife can quickly change and catapult you into aincategory their VisitGeneration. again at a You different of ifday alled therooms. Sandwich fit thetime profile youto whether the staff isthe interacting resee “sandwiched” between demands with of theresidents. workplace nd the changing needs of a multi-generation family.The rcumstances pullWallpaper. you, your family and your finances 4. Ignorecan The part, especially if changes areby unexpected unforeseen. It’s easy to get distracted the prettyand interiors of new ryassisted to avoidliving surprises by educating yourself and buildings. And while it’s nicefinding to have rograms assistance to remember help you through trying a lovelyand environment, that you are times. mostly You Can’t Be care. In Two Places Atimportant,” Once ~ says seeking excellent “The staff is Signe president at ElderCare Solutions, a WeGleeson, Can Help Do you feel like you are being pulled in different direcons, and torn of which way to go first? Your aging parent Please Join Us At Our eeds you to help, but your adult children and husband Memory Group eed help too. Often timesSupport the guilt and anxiety is overhelming for many of us in this situation, but we have to “Learn How To Cope With Changes In e careful to care of ourselves too. Relieving some of the Your Memory Or In Those You Love” urden of responsibility is where we come in. We at Spring Oak AssistedMay Living17, of Forked River and help 2013 atmeet 2:00 PMfamilies veryday with solutions for their aging loved ones. Speakers from the Alzheimer’s Association Visit To Our Community will be here to answer any questions you may MakesCall YouCathy Feel Better have. today at 609-607-6002 to Often times families tell here at Spring Oak that just let her know us if you can be there. alking through our doors made them feel better. Families

“The peace and beauty of a spring day had descended upon the earth like a benediction.”

- Kate Chopin

The CountyWoman WomanMagazine Magazine The County

Does the building have a shuttle bus to take seniors to ing they can age in place and stay in their apartments here. doctor’s appointments? What about outings? How are We do not require any financial information or minimum they handled? Who pays monies upon admission and for eventhem? accept Medicaid at admission. 7.Talk Stay Forparents Dinner. to your about how they’re doing financially Mealtime is anthey’ve important the day.illFood and what plans made ifpart theyofbecome or incapacitated and investigate long-term carevary. insurance should be appealing and menus should Find or out savings to cover the costsand of assisted living extended if snacks are available whether the or kitchen canday care. handle special diets.

Get The Power s 8. Needs Assessment.

If an emergency arises, you’ll need legal authority have a way to Ask evaluate seniors to to A actbuilding swiftly onshould your parents’ behalf. your parents authorize Power of Attorney signneed. checks, payout bills, make and how much care theytowill Find if each financial andhas health care decisions protect the wishes of resident a written care planand and whether residents their living will. are periodically re-evaluated. Family members and If you live should long distance from your parents, arrange physicians be involved in the assessments. for papers and documents to be located in a central place. Suze Orman’s fireproof kit is helpful. It’s so much easier to 9. Ask About Health Care.if it’s all in one place. find what you need in an emergency Staffing can vary. Find out if a nurse is alwaysyour on duty, Find out what federal, state and local benefits or onlyqualify during day. Askofwho staffs the building at parents for.the The range government-sponsored night. Get the written policy emergencies are and social service programs varieson byhow country. handled.

What Happens If Our Loved One Runs Out

We at Spring Oak Assisted Living of Forked River understand the concerns of finances. Of course most families are concerned about expenses and if their loved 5. Talk Finances. one’s monies will support themfrom forever. offer “peace of Get a copy of the contract theWe building manager. mind” to families by accepting Global Options Medicaid. It should include rent charges and the cost of services. Potential residents and their loved ones can rest easy knowFind out the policies on cancellations and refunds.

Tours are available 7 days a week.

10. We Look For A License. offer a full service Assisted Living and

Each stateCare has itsneighborhood own licensing procedures. Memory for those Check in need with the agency that issues the license to of government dementia and Alzheimer’s care. make sure the building is in compliance with rules Call or email Cathy today for your tour at and regulations. 609-607-6002 or cdifiore@springoak.net.

Call for an Appointment Today

609.242.2661 www.SpringOak.net

601 N. Main St. (Route 9)

Thoughts Spring MarketOf In Our Publications

- Anne Bradstreet

6. Extras.

sOf Money ~ Spring Oak Says No Problem!!

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

Ask if there are any programs to help cover the costs.

firm in Naperville that helps families with senior care issues. She advises looking for a building with one staffer for every 12 residents. of aging loved ones can set up an appointment to tour our community anytime. We welcome families to bring their loved ones along to make the experience positive. The sound of active and happy seniors interacting during activities, exercise and mealtime makes families smile as they tour. As they enter the dining room, families are pleasantly surprised by the aromas of home cooking. Our outstanding menu provides seniors with choices and courses of delicacies and entrees, all accompanied by fresh vegetables, fruits, and let’s not forget those desserts!! The happiness continues, as families enter our lovely apartments. We offer 3 models styles to choose from ~ studios, 1 and 2 bedrooms. “Our price friendly” schedules of costs enables families to breathe a sigh of relief, especially in today’s economic times.

Lanoka Harbor, NJ

what sets the Ocean County Woman “A man has every seasonFind while aout woman “Theand beautiful came;do and the only has the right to apart spring.”from the rest, howspring we can whenand Nature resumes her loveliness, same for you your business. - Jane Fonda the human soul is apt to revive also.” “All through the long winter, I dream - Harriet Ann Jacobs Contact us today! of my garden. On the first day of spring, 1-866-398-0898 “Spring is when life’s alive in everything.” I dig my fingers deep into the soft earth. Lynn@theocw.com I can feel its energy, and my spirits soar.” - Christina Rossetti

- Helen Hayes

www.TheCountyWoman.com www.TheCountyWoman.com

www.TheOCW.com

May/June 2013 2013 March/April

Health

& Wellness

H ealth & W ellness H ealth & W ellness H ealth & W ellness H ealth & W ellness H ealth & W ellness

XCut PrescriptionCard CardOffers OffersSignific Signifi Cut Prescription

XCut Prescription RXCut PrescriptionCard CardOffers OffersSignifican Significan Standard Medicare Part d Benefit

What PrograM to USe

Standard Medicare PrograM Beneficiary pays first What Use primary Medicare Standard Medicare What PrograM Part d Benefit to USe Part(deductible) d Benefit to USe $275 provider program Beneficiary payspays first first Use Use primary Medicare Beneficiary primary Medicare Beneficiary pays 25% Use primary Medicare $275$275 (deductible) provider program (deductible) provider program

Cut helps by providing discounts drugs used for anorexia, of the next $2,235 (25% provider program from 15-75 percent on medicaweight gain, weight loss, Beneficiary payspays 25%25% Use Use primary Medicare Beneficiary primary Medicare of $2,235=$558.75) Cut helps by providing discounts tions at your local pharmacy. drugs used used for anorexia, Cut helps by providing discounts erectile dysfunction, cosmeticof the drugs for anorexia, next $2,235 (25% provider program of the next $2,235 (25% provider program from from 15-7515-75 percent on medicagain,gain, weight loss, loss,etc.), percent on medica-weight weight weight purposes (hair growth, of $2,235=$558.75) Medicare part D tions ofonce $2,235=$558.75) your plan has Use rxcut to save 15%Have you at your local reached pharmacy. erectile dysfunction, tions at your local pharmacy. erectile dysfunction, cosmetic barbiturates, andcosmetic benzodiazhe“doughnut Medicare hole?” Part hole?” D cov“doughnut purposes (hair growth, etc.), spent $2,510 ($275 + 75% on the cost of your purposes (hair growth, etc.), theHave “doughnut epines. With the RxCut Pre- onceonce erage gap, often referred Have youryour planplan has has Use Use rxcut to save 15%-15%youyou reached rxcut to save reached barbiturates, and benzodiazbarbiturates, and benzodiazhe Medicare Part D covhe “doughnut Medicare Part D cov-hole”? $2,235= $2,510), medications scription Savings Program, spent to as the $2,510 ($275 + 75% on the cost of your spent $2,510 ($275 + 75% on the cost of your the “doughnut epines. WithWith the RxCut Pre- Preepines. the RxCut erageerage gap, gap, oftenoften referred referred the “doughnut Beneficiary pays 100% there are no limited drug lists. ole,” istoaasperiod of time dur$2,235= $2,510), medications $2,235= $2,510), medications Savings Program, Usehole”? the RxCut Prescription scription scription Savings Program, theas“doughnut to the “doughnut hole”? You receive discounts on Beneficiary of thepays next $3,216.25 *Be sure to submit receipts to nghole,” thehole,” coverage year (Jan.100% Beneficiary pays 100% there arecan no limited drug lists.lists. there are no limited drug is a period of time dur- durSavings Program to maxiis a period of time Use the Prescription UseRxCut the RxCut Prescription your PdP the drug that works best for Dec.) when you will be rediscounts on on of the $3,216.25 submit receipts to to Youreceive can receive discounts of next the next $3,216.25 *Be sure *Beto sure to submit receipts ing the year year (Jan.-(Jan.- Savings ingcoverage the coverage mizeSavings your savings during thisYou can Program to maxiProgram to maxiyou! Ourworks Individual program your PdP your PdP ponsible forwhen paying drug the drug that best for the drug that works best for Dec.)Dec.) when you will be re-be re- mize “catastrophic coverage” Use primary Medicare youall will difficult when you yourperiod savings during thisare mize your savings during this has two features: you! you! Our Individual program osts out of for pocket. When Our Individual program sponsible paying all drug sponsible for paying all drugdifficult “catastrophic coverage” Use primary Medicare begins aftercoverage” the provider program “catastrophic Use primary Medicare left without Medicare period whenwhen youcovare difficult period you are has l two has two features: out pocket. When oucosts fallcosts intoofout this ofdoughnut pocket. When left Afeatures: National Retail begins afterafter the thehas spent provider program without Medicare covbegins provider program erage. use the card leftSimply without Medicare covbeneficiary youyou fall into this youare fallresponsible into doughnut this doughnut ole, for l Al National Retail A National Retail erage. Simply use the Discount Prescription beneficiary has spent erage. Simply usecard the beneficiary has spent when you’ve reached thecard $4,050 much does it cost you for forwhen How you are responsible hehole, fullhole, costare of responsible prescription Discount Prescription Discount Prescription you’ve reached the when you’ve reached the Savings Card: All FDA$4,050 $4,050 “doughnut hole” and continue How much does it cost How much does it cost the full of prescription thecost full cost of prescription Savings Card:Card: All FDAMedications not Use rxcut to save to participate? Savings All FDA-are rugs, plus you must continue “doughnut hole” and continue hole” and continue approved medications until“doughnut your “catastrophic covedrugs, understand that famiMedications not not Use Use rxcut to save to participate? plus you must continue Medications rxcut to save to participate? drugs, plus you must continue approved medications are approved medications are until your “catastrophic cove understand that famio pay your Part D premiuntilkicks your in. “catastrophic coveyour understand that famicovered under Medicare 15%-75% on your eligible to receive up to covered erage” The Prescription Savings to pay Part D premito pay your Part D premiunder Medicare 15%-75% on your covered under Medicare 15%-75% on your lieslies across the nation eligible to receive up toup to eligible to receive erage” kicks in. erage” kicks in.Prescription The Prescription Savings ms even though you arenation notcan The Savings across the nation can medications. a 75 percent discount at lies across the can ums ums eveneven though you are though younot are not medications. a 75 apercent discount at at medications. 75topercent discount program a free service all ng from uncontrollable eceiving benefits! AreAre your prescribed program isis a is free service to alltothan more 54,000 pharmaprogram a free service all 54,000 With rxcut there ring from uncontrollable receiving benefits! Are your prescribed uffering from uncontrollable receiving benefits! your prescribed more than 54,000 pharmaWithWith rxcut there are no more than pharmarxcut there are noare no families and individuals that wish cies, including all major conditions as well as the medications not families and individuals that wish excluded medications families and individuals that wish cies, cies, including all major mic conditions well as notnot including all major nomic conditions as well as medications the medications excluded medications RxCut isishere to excluded medications RxCut here to RxCut isashere tothe chains. to save on their prescription. chains. chains. to save on their prescription. covered by Medimaking ends meet and to save on their prescription. covered by Medimaking ends meet and sshelp of making ends and covered by Medihelp you fill in the youyou fill inmeet the help fill in the llOur Maill Our Maintenance Mail-MailOur Maintenance Maintenance care? care? care? ng a healthy lifestyle. ning a healthy lifestyle. ntaining a healthy lifestyle. hole! hole! hole! Order Program: Designed Order Program: Designed Order Program: Designed When does the When does the When does the While Medicare does not ncerns ofreaders readers are always While Medicare does not concerns of readers arehelping always While Medicare does not erns of are always RxCut dedicated to helping to maximize your your savings RxCut is dedicated to tomaximize maximize savings RxCut is isdedicated to helping to your savings card expire? card expire? have an established formuhave an expire? established formu- on all of your maintenance card have an established formuiority, and the The County people priority, and the The County people caught in the Medipeople caught in the Medion all of your maintenance rity, and the The County caught in the Medion all of your maintenance lary, Part D coverage Part D drug coverage Part Ddrug drug coverage care Part “doughnut hole” The card has nono expiration medications through homehome care Part D “doughnut hole”lary,lary, The card has noexpiration expiration medications through nman Magazine has partnered Magazine has partnered are Part DD “doughnut hole” The card has medications through home Magazine has partnered excludes certain categories excludes certain categories certain categories their pharmacy needs.needs. Rx- Rx-excludes with wi delivery. th their pharmacy delivery. date and can be used each time date and can be used each time th their pharmacy needs. Rxwi eeRx-Plus to offer this delivery. hRx-Plus FreeRx-Plus to offer this of medications, for example, ofdate medications, for example, andfor can be used each time to offer this of medications, example,

What is the Medicare part D What is Woman the What is the ounty “doughnut hole?” Medicare part D

County Woman County he County Womana a azine is Woman gazine isoffering offering gazine is offering a a Magazine is offering ost savings card cost savings card cost savings card o-cost savings card ding FREE access viding FREE access viding FREE access roviding FREE access nificant savings gnificant savings gnificant savings oescriptions. significant savings prescriptions. n prescriptions. prescriptions.

TTT

e understand that famiW W W lies across the nation can

How much does it cost to participate? The Prescription Savings program is a free service to all families and individuals that wish to save on their prescription.

ring from uncontrollable mic conditions as well as the f making ends meet and ning a healthy lifestyle. ncerns of readers are always When does the riority, and the The County card expire? you have a aprescription. cancan have a prescription. You can resource thathas provides The card has noYou expiration able resource that provides neesource Magazine partnered youyou have prescription. You that provides even share the same card with even share the same card with oeeRx-Plus upto to 75 percent sssavings toRequest savings up to 75 percent Fill out and return to time receive your FREE savings card! date and cansame be used each offer this even share the card with Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ 336.587.3370. Or Fill OutOut AndAnd Return Request Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ 336.587.3370. Or Fill Return avings up to 75 percent THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING family and friends. All cards family and friends. All cards criptions, lab and Request Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ Or Fill Out And Return prescriptions, lab and Or go to our website www.freerxplus.com/FRP00106 or email Rxplus@TheCountyWoman.com you have a prescription. You can THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING 336.587.3370. family and friends. All cards egging resource that provides Call between the hours of 9-5 Monday through Friday. Call between the hours of 9-5 Monday through Friday. ptions, lab and distributed are active andand ready distributed are active ready services. services. Call between the hours of 9-5 Monday through Friday. even share the same card with distributed are active and ready oervices. savings up to 75 percent for use. for use. Request Cards ThroughforEmail: Rxplus@Thecountywoman.ComNumber ~ Number Phone: ~ Or Fill Out And Return Name: of856-881-0302 Cards: Name: of Cards: use. and family friends. All cards satthis program andand howhow is this program criptions, lab and Name: Number of Cards: program elp me?me? and how What is Medicare D and itservices. help What is Medicare Part D ready distributed are Part active Return to: to: Return ghis Address: hole”? Address: pFreeRxPlus me? What is Medicare “doughnut hole”?Part D TheThe County Woman Prescription County Woman Return to: The FreeRxPlus Prescription “doughnut for use. Name: Number of Cards: The Medicare Part D coverPO Box 619 The Medicare Address: POCounty Box 619Woman hole”? Part D coverProgram will benefit the the “doughnut Program will benefit The reeRxPlus Prescription sngs this program and how Turnersville, NJ 08012-0619 age gap, often referred to as the Turnersville, 08012-0619 age gap, often referred to as the ed, the under insured, andand What nsured, under insured, The Medicare PartPart D coverPONJ Box 619 rogram will benefit the help me?the is Medicare D Return to: “doughnut hole”, is a period of “doughnut hole”, is a period of id Part D participants. dicaid Part D insured, participants. Turnersville, NJ 08012-0619 age“doughnut gap, often hole”? referred to as the d, the under and Acc Ac Address: The County Woman FreeRxPlus Prescription time during the coverage yearyearof time during the coverage take the card to a participly take the card to a partici“doughnut hole”, is a period Part D participants. Thewhen Medicare Part youyou will be DbecoverPO Box 619 P (Jan-Dec) when will Program will benefit the (Jan-Dec) pharmacy when you dropdrop ng pharmacy when you time during the coverage year ke the card to a participaying all drug responsible for paying alltodrug Turnersville, NJ 08012-0619 age gap,for often referred the red, prescription and receive a a responsible your prescription and receive the under insured, and (Jan-Dec) when you will be asyou armacy when you drop coasts out-of-pocket. When you coasts out-of-pocket. When on your medication. ngs on your medication. “doughnutforhole”, is aallperiod of id Part D participants. responsible paying drug rescription and receive a fall intointo thisthis doughnut hole,hole, youyou fall doughnut The The County Magazine 36 36 March/April 20102010 time duringforthe coverage year County Magazine March/April take the cardWoman to Woman a particicoasts out-of-pocket. When you nwuch your are responsible the full costcost are responsible for the full of amedication. Walmart Walgreens much of a Walmart Walgreens (Jan-Dec) when will pharmacy you drop offallprescription into this doughnut drugs you plus hole, you beyou nt will I get? ount will Iwhen get? The County Woman Magazine of prescription drugs plus you 36 March/April 2010 Costco Duane Reade Costco Duane Reade allcost drug continue tofor pay yourfull Part D D areresponsible responsible for the rounts and receive must continue topaying pay your Part depending on ona must hprescription of avary,vary, Walmart Walgreens Discounts depending Target CVS Target CVS premium even though you areyou not out-of-pocket. When premium even though you are you not of coasts prescription drugs plus dication and pharmacy. on your medication. medication and pharmacy. will I get? Costco Duane Rea receiving benefits! receiving benefits! nts typically range from must continue to pay your Part D fall into this doughnut hole, you counts typically range from unts vary, depending on www.TheCountyWoman.com The County Woman Magazine May/June 2013

Law

Debunking Bankruptcy Myths catch up on their mortgage arrears. Strategically, the question becomes more whether a home is worth saving in light of its value in today’s market. It is important to consult with a bankruptcy attorney in order to evaluate these options and protect that which is most important. Myth #2:

Presented by: Daniel Straffi, Jr. Straffi & Straffi, Attorneys At Law

ankruptcy is not something anyone wishes to think about. This is especially so for people who are accustomed to paying their bills regularly and on-time by any means necessary. Unfortunately, this is not always an option in today’s economic climate. As folks figure out ways to survive, many times they think of bankruptcy as an absolute last option – an end, figuratively and literally – as opposed to the fresh start it is intended to be. This is likely due to a lack of knowledge of bankruptcy laws and only a familiarity with the many myths associated with filing bankruptcy that stop people from being proactive in protecting themselves and moving forward. Let’s start debunking some of those myths in this article: Myth #1:

I will lose my house!

Bankruptcy laws are crafted in order to provide a person every opportunity to try and save their home. In some instances, bankruptcy can also be a tool for stopping a foreclosure and allowing a person to

Enter To Win

I will never get credit again!

Many of my clients are surprised by the amount of credit opportunities they will be inundated with after filing for bankruptcy. This is likely due to the fact that credit card companies know that a person can only file for bankruptcy once every eight years (not that anyone wishes to have to file again), and therefore wish to begin the cycle of using cards again. I always recommend to clients to start slow by applying for a secured card. Using credit helps to improve your credit, however, it is best to proceed with caution. Myth #3:

I will never be able to purchase a home or vehicle again!

This is simply not true. Will it take time to rebuild your credit to the point of acquiring a new mortgage or refinancing? Absolutely. Usually it takes a minimum of two years of rebuilding one’s credit before a mortgage lender will consider you for same. Car lenders are far more lenient, but the important thing to note is that the sooner one files a bankruptcy, the sooner the slate is cleaned. I think it is extremely important for people to move forward with their lives in as expeditious a manner possible rather

than continuing to spin their wheels and getting nowhere. Myth #4:

I will have trouble finding a new apartment!

Although it is true that many apartment buildings and landlords pull credit reports in evaluating potential tenants, this simple caveat also rings true: at the end of the day, cash rules. The money that my clients are able to save in not having to pay minimum fees to credit card companies and the like can be socked away toward putting together a security deposit, first month’s rent, last month’s rent, and maybe something in between. In today’s rental market, landlords are hard pressed to turn away folks that have the ability to put that kind of money down on a new apartment or rental home, especially if they are gainfully employed. Myth #5:

Everyone will know my business!

Is a bankruptcy filing a matter of public record? Yes. Does that mean that people will know about your business unless they are really looking? Absolutely not! There is no “scarlet letter” that one must wear when filing for bankruptcy. In fact, the perceived stigma associated with it has, without question, lessened over the past ten years. People need help – and bankruptcy is a legal option every qualified citizen is afforded. Besides, it is quite likely that the same people you don’t wish to know your business are in the same predicament as you. Rare is the person that isn’t suffering some manner of financial distress in these times.

I hope this article proved helpful in dispelling some of the myths regularly associated with bankruptcy. Obviously, everybody’s situation is different and factsensitive, so it is important that one receives professional advice regarding their specific situation. Regardless, the worst thing one can do is to not do anything! Contact Straffi & Straffi today for a free consultation. 732-341-3800.

Protect Yourself Against Foreclosure, Judgments & Harassing Creditors We are a debt relief agency that helps people file for relief under the bankruptcy code Chapter 7 & 13 Individual, Business and Creditor Representation Payment Plans Available

Bankruptcy • Criminal Defense Daniel Straffi, Jr. was admitted to practice in the States of New Jersey and Pennsylvania, as well as the District Court of New Jersey in 2001. A graduate of Boston College in Daniel Straffi Jr., Esq. 1998 and RutgersCamden School of www.straffiandstraffi.com Law in 2001, he 670 Commons Way began his legal career Toms River, NJ in 2001 serving as a Conveniently Located Directly Off Of the Parkway judicial law clerk for the Presiding Judge of Family Law in Mercer County, the Hon. Lee Forrester, P.J.F.P. After completing his clerkship, Mr. Straffi was an associate at the law firm Cooper Levenson for two years where he concentrated his practice on the area of negligence defense. In 2004, he joined his father's law practice. He has focused his practice on representing individuals and businesses in the areas of bankruptcy, divorce and criminal defense. He is further an active member of the NJ and Ocean County Bar Associations.

732.341.3800

Free Consultations

Enter to Win a Pair of Tickets to See On e of T hree Great Shows! Visit www.t hecountywoman.com to Enter or Clip and Return the Coupon Below!

“BLISTERINGLY FUNNY! AN EXTRAORDINARY PERFORMANCE.” WASHINGTONIAN

Name: __________________________________________________________________________ Address: ________________________________________________________________________ City: _________________________________________ State: _________ Zip: _______________ Phone: (______)______________________ Email: ______________________________________

A no-holds-barred portrait of

ANN RichARds,

p Ann

the legendary governor of Texas.

p Stomp

Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012

a new play at LINCOLN CENTER’S VIVIAN BEAUMONT THEATER H 150 WEST 65TH STREET VISIT THEANNRICHARDSPLAY. COM or call 2 1 2 - 2 3 9 - 6 2oo

NOW ON BROADWAY

p Peter & The Star Catcher

#ANNPLAY

PHOTO BY PLATON

The County Woman Magazine

One entry per person. Multiple entries will be disqualified. Entrants may enter for tickets to multiple shows. Entries will be accepted through May 31, 2013. Some shows will be drawn sooner based upon run date. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be provided. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

www.TheCountyWoman.com

May/June 2013

Home Care & Hospice Home Care &Hospice

AUhhYfg CZ H\Y <YUfh Âľ 7Uf]b[ :cf GYb]cfg K]h\ <YUfh :U]`ifY What is hospice?

or many seniors,

By Lynn Piccoli, RN, CHPN, matters of the Holy Redeemer Hospice

well as spiritual and emotional support to patients and families. heart go beyond 4. Research has shown that the majority of romantic purAmericans would prefer to be at home its. Rather, it is a health at the end of lifeâ&#x20AC;&#x201D;hospice makes this â&#x20AC;&#x153;Iâ&#x20AC;&#x2122;m notdeal readywith for hospice possible for most people. ue they on yet. My neighbor had hospice and she died a day later.â&#x20AC;? 5. Hospice is not a place: it serves people daily basis. According living in nursing homes, assisted living the New Jersey â&#x20AC;&#x153;The doctor suggested hospice care for my wife facilities, and private homes. epartment of Health but someone told me and that they would just 6. Hospice patients and families can receive nior Services, pump her full ofheart medications until she dies.â&#x20AC;? care for six months or longer. Healthy Tips lure (HF) is the leading 7. AHeart person may keep his or her referring Holy Redeemer Home Care andhosâ&#x20AC;&#x153;Medications, morphine,for hasten the dying physician involved while receiving use of hospitallike admissions those Hospice offers the following heart healthy m notingoing let hospice give any pice care. esprocess. 65 orIâ&#x20AC;&#x2122;older the to state. tips8.developed as part ofand theirbereavement HeartAssess pain medications to my Mom.â&#x20AC;? Hospice offers grief However, New Jersey seniors with HF services to family members to help them program: e doing more andsome headed to thefor hospiâ&#x20AC;&#x153;We really need help caring Dad, adjust to the loss in their lives, andâ&#x20AC;Ś t (FU 0O UIF 4DBMF 4UBZ 0VU PG UIF )PTQJUBM less, thanks to Holy Redeemer Home but wonâ&#x20AC;&#x2122;t hospice kill him?â&#x20AC;? â&#x20AC;&#x201C; For seniors with heart failure, weight re and Hospiceâ&#x20AC;&#x2122;s educational program Studies have shown that hospice and palgain can be an indicator of fluid retenSadly, those of us who work in hospice liative care may, in fact, prolong life led HeartAssess. tion, a complication could lead of care hear these and similar statements One study, reportedthat in the Journal HeartAssess â&#x20AC;&#x201C; Taking toPain hospitalization left untreated. often. In fact, one of the greatest barriers and SymptomifManagement in March Weighing yourself daily emptying Patientsâ&#x20AC;&#x2122; to Heart to hospice careHealth is the commonly held mis2007, found that hospiceafter patients lived an bladder thelonger morning a simple conception hastens the dying your average of 29 in days thanisthose that Since 2005,that Holyhospice Redeemerâ&#x20AC;&#x2122;s and to be in Increased control ofsurvivprocess. Some evenhas believe thatpatients hospice did effective not have way hospice care. eartAssess program helped administers medications with the intent al washealth. most significant for those with heart ectively manage their heart failure at to your cause death. This practice is called euthanafailure, lung cancer, and pancreatic cancer. me. t 5IF 8BZ UP B )FBMUIJFS )FBSU JT 5ISPVHI sia, and is illegal in the United States. It is Another study, published the New for Working closely with home care UIF 4UPNBDI â&#x20AC;&#x201C; Diet is veryinimportant also in direct conflict with hospice philoso- England Journal of Medicine in 2010, found rses, chronic heart failure patients learn heart health. Choose fresh foods whenphy, which is to help people live each day that lung cancer patients who received portant skills to make essential lifestyle ever possible avoid adding saltstandard duras fully and comfortably as possible. palliative careand in conjunction with anges prevent unnecessary ing cookinglived or atnearly the table. Food with In that fact, help we define hospice as a program treatment three months longer psoftocare thethat hospital. high sodium counts can be detrimental helps patients and families facthan those who received standard treatâ&#x20AC;&#x153;Using HeartAssess, learnquality toment a heart patientâ&#x20AC;&#x2122;s condition. ing life-limiting illnesspatients to maintain without the benefit of palliative care woftolife, monitor care forattheir condipeace, and dignity the end of life. t .BLF .FEJDBUJPO &BTJFS UP 4XBMMPX services. Not only did those who received â&#x20AC;&#x201C; n,â&#x20AC;? says Terry Giannetti, Regional Hospice celebrates life andRN, restores hope, palliative an careupdated live longer, they Compile list of allreported the mediduringof lifeâ&#x20AC;&#x2122;s transitions and challenges. cations higher quality of life and better symptom ceeven President Holy Redeemer youâ&#x20AC;&#x2122;re taking. Keep them handy But many people donâ&#x20AC;&#x2122;t know the facts control with less pain, less depression, omeCare. â&#x20AC;&#x153;In addition, this educational and bring them to all of your doctor and aboutalso hospice, and family that canmembers, keep people earlier enrollment in hospice care. ogram benefits visits. This helps avoid duplication of from getting the best care possible, when At Holy Redeemer Hospice, we know ho often serve as primary caregivers for medicine or creating combinations that they need it most. that optimal management of pain and othese patients. They also learn about the could lead to serious sidepractical effects. help, and er symptoms, additional ease, and can better help their loved t ,FFQ 1BDF XJUI "DUJWJUJFT â&#x20AC;&#x201C; Oftentimes Facts about hospice emotional and spiritual support contribute es as a result.â&#x20AC;? 1. Hospice is paid for by Medicare, Medtowards betterpush outcomes of care.when Medicaheart patients themselves icaid, and most insurance plans. Fear of tions used in hospice care bring comfort Hearing heartbeats with they feel better. This increased activity costs should never prevent a person from and relief of pain otherPace symptoms, actually strains theand heart. yourself technology accessing hospice care. not check an early death. The interdisciplinary and with your doctor to find out At the center of the HeartAssess 2. Hospice serves anyone with a life-limteamâ&#x20AC;&#x201D;hospice nurses, chaplains, physiwhat you can and cannot do. ogram is illness, an advanced telemonitoring iting regardless of age or type of cians, home health aides, social workers, temillness. that enables patientsâ&#x20AC;&#x2122; vital signs to t %FBM XJUI UIF %PMESVNT It is common bereavement counselors,â&#x20AC;&#x201C;trained volunmonitored remotely. This state-of-thefor heart patients to feel anxiety, depres3. Hospice provides expert medical care as teers and speech, occupational or physical equipment is used to monitor blood sion or helplessness about their condiessure, pulse, blood oxygen levels and tion. Share these feelings with your care Lynn Piccoli is Director of Nursing for Holy Redeemer Hospice in Atlantic, Cape May, ight. team. Talking through your feelings will and Ocean County and is a Certified Hospice and Palliative Care Nurse (CPRN). Extremely user-friendly, it reminds help. tients when itâ&#x20AC;&#x2122;s time to take their vital t 4FF B 4QFDJBMJTU â&#x20AC;&#x201C; Check with your docHomeCare largest nonprofit provider in the state of nsHoly andRedeemer guides them throughand theHospice processis the tor to see if you would benefit from seeNew Jersey. The unsurpassed breadth of expertise of Holy Redeemer Hospiceâ&#x20AC;&#x2122;s interdiscith a gentle, friendly voice. ing a cardiologist. Cardiologists can help plinary teampatients allows usalso to provide the most advanced therapies, medications, counseling, HeartAssess receive guidvictims of heart disease return to full and palliative care for symptom management and pain control. aDuring cepersonal on dietservices and nutrition, medication and useful life and also counsel patients the advanced stages of an illness, our staff meets both the patientâ&#x20AC;&#x2122;s physical and emotional anagement, activity pacing, vital sign the risksand andcomfort. prevention of heart needs, allowing them to live out their last daysabout with dignity For informaanagement, and anxiety and depression. disease. tion, 1.888.678.8678.

â&#x2122;Ľ

t %PO U "WPJE UIF 8BSOJOH 4JHOT â&#x20AC;&#x201C; Be aware therapistsâ&#x20AC;&#x201D;provides of the symptoms of developing heart guidance support issues. Letand your doctor or home care that empowers nurse know if those you experience increased with serious illness of breath, coughing swelling, shortness and their families. or dizziness. If there is unrelieved chest

pain, shortness of breath, confusion or fainting, call 9-1-1.

t ,FFQ ZPVS IFBSU PQFO â&#x20AC;&#x201C; Support systems are vital to successful heart health. Involve your family or friends in your care. Let them help.

So, now that I know About Holy Redeemer . . . more about hospice, )PMZ 3FEFFNFS )PNF $BSF UIF MBSHFTU OPOQSPGJU QSPWJEFS PG IPNF IFBMUI BOE IPTQJDF what do I do? TFSWJDFT JO UIF TUBUF PG /FX +FSTFZ PGGFST B DPOUJOVVN PG TFSWJDFT UISPVHIPVU /FX Unless you have +FSTFZ DPVOUJFT JODMVEJOH "UMBOUJD $BNEFO $BQF .BZ $VNCFSMBOE (MPVDFTUFS someone in your life Photo By: Lisa F. Young/Shutterstock.com who.FSDFS .JEEMFTFY .PONPVUI 0DFBO 4BMFN 4PNFSTFU BOE 6OJPO )PMZ 3FEFFNFS has an advanced )PNF $BSF BMTP QSPWJEFT DBSF JO 1IJMBEFMQIJB #VDLT BOE .POUHPNFSZ DPVOUJFT JO illness, the best thing do the same. Both forms can be found on you1FOOTZMWBOJB *U JT QBSU PG )PMZ 3FEFFNFS )FBMUI 4ZTUFN XIJDI PGGFST B XJEF SBOHF PG can do is talk about hospice with Holy Redeemerâ&#x20AC;&#x2122;s blog, Caring with ConfiyourIFBMUIDBSF BOE IFBMUI SFMBUFE TFSWJDFT JODMVEJOH BO BDVUF DBSF IPTQJUBM IPNF IFBMUI family. Find out what your parents dence (www.careconfidently.com) under wantBOE IPTQJDF TFSWJDFT UXP TLJMMFE OVSTJOH GBDJMJUJFT BTTJTUFE MJWJOH B SFUJSFNFOU DPN at the end of life. Tell your spouse Resources-Useful Tools. The conversations andNVOJUZ MPX JODPNF IPVTJOH BO BDUJWF MJWJOH DPNNVOJUZ BOE B USBOTJUJPOBM IPVTJOH children what you want in terms of arenâ&#x20AC;&#x2122;t always easy, but they are important. care.QSPHSBN GPS IPNFMFTT XPNFO BOE DIJMESFO Complete â&#x20AC;&#x153;Advance Directiveâ&#x20AC;? and If you are having trouble fathoming how â&#x20AC;&#x153;Health Care Power of Attorneyâ&#x20AC;? forms for to start For more information call 1-800-818-4747 orthe visit us on theyou can find tips on discussion, yourself and encourage your loved ones to web at www.holyredeemer.com. Caring with Confidence, too.

â&#x2122;Ľ

when you

eel better about your

surroundings, you just eel better.

â&#x2122;Ľ

he County Woman Magazine The County Woman Magazine

'% "& +! ) "* )"+" $ +' /',) *+ + ' %"& & /',) *+ + ' ! $+! & -"+! +! )" !+ ) "+ & )"& /', '& *+ ( $'* ) +' +! $" /', #& - ') ! +1* -! + - - &+ ') /', ',) !'% & ',) ) ! +1* '% ) )'% '$/ % )

!'$/) % ) '% % & 0 $', *+ ) 0 $ % 0 ,% )$ & 0 +$ &+" 0 ( / & 0 ) ) 0 " $ * . 0 '&%',+! 0 '% )* + 0 &"'& &

HlyRdmr_HomeCare_5x7.indd www.TheCountyWoman.com www.TheCountyWoman.com

2/18/13 1:28 PM March/April May/June 2013

Business

& Finance

Your Social Security Is Coming...

Written by: Kathleen A. Nolan Investment Advisor Representative President/Founder, Family Focus Financial Group

6 Things You Must Know Before You Decide If the time is near when you will be considering how and when you will receive your Social Security Benefits, you need to know all of your options and how they may impact your retirement income. During retirement, it’s all about INCOME. Planning carefully will help determine whether you’ll have the lifestyle you want and deserve, or if you’ll just get by. Social Security was never meant to be the sole source of one’s retirement income, it was meant to be a supplement. However, today fewer and fewer people will have a pension and even less will have adequate savings to make it

all work. If you’ve never had a financial advisor before, or you currently have one who is not bringing up this topic, it’s time to take the bull by the horns. The number of retired workers is expected to DOUBLE in less than 30 years. The latest Social Security Board of Trustees Report projects that there will only be enough payroll taxes and other income collected to pay only 75% of the scheduled benefits in 2033. That’s three years earlier than their last projection. Will that time grow even sooner, still? Although you cannot control what the government chooses to do to fix this problem, you can and should know your best personal options for receiving the maximum benefit you deserve.

DIVORCED, BUT NOT FORGOTTEN

If you are divorced, you can still qualify to receive benefits equal to one half of the ex’s benefit if claimed at normal retirement age, and less if claimed earlier. You must be age 62 or more and must have been married for at least ten years. The best part is that your ex never needs to know because you apply directly through the Social Security Administration. Do not feel guilty either - you taking this benefit has no effect on your ex’s benefit or their new spouse. In addition, you can take the benefit even if your ex has not yet applied as long as you have been divorced for at least two years.

Ex-spouses can also claim the “survivor” benefit if an ex has died and it will be 100% of what the deceased ex-spouse was receiving. If you remarry after age 60, you would still be eligible for the survivor benefit.

FILE NOW, PAY ME LATER

Another strategy is to “file and suspend.” For example, a husband decides to delay taking benefits until age 70 to maximize the size of his monthly check. His wife can still choose to take her “spousal benefit” if it is higher than her own benefit would be. The husband must be at full retirement age, but can file for benefits and then immediately suspend them. Because he has applied, his wife gets to take a spousal benefit based on his higher earnings record. Since he suspended taking his own S.S., his benefit will continue to earn delayed retirement credits for each year he waits up to age 70 (an increase of 8% per year). In the event he dies first, that extra 32% of income could make a huge difference for a widow who loses her husband’s Social Security stream of income and possibly all or part of his pension (if he had one). Another strategy for a spouse who is delaying his benefit, but still wants some Social Security income is to restrict his application to a spousal benefit only, providing the wife is at her full retirement age. The wife applies and gets her full benefit, while the husband applies for a spousal benefit only and receives half of his wife’s benefit while his own benefit continues to grow. At age 70, he can switch to his own higher benefit.

DON’T FORGET ABOUT UNCLE SAM

This comes as a shock to many people, but even though you may have paid into the Social Security

Kathy Nolan Investment Advisor Representative President/Founder

Call your friends at Family Financialand Group at in732-276-1429 so that you Focus have confidence security knowing that your Our philosophy at FFFG is to provide intelligent solutions for you, our clients, strategies are consistent with your objectives and values.

See the March/April issue for Part 1 of this 2 part series at www.theocw.com.

underfunded social programs like Medicare and Social Security, you can see why it is vital to your Financial Health and a sustainable retirement lifestyle to plan very carefully and thoroughly with a knowledgeable and trusted advisor who will always put your needs first.

For a FREE Report on the “What, When, Who, and How” about Social Security decisions visit our website at www.FFFGonline.com, or just call your friends at Family Focus Financial Group at 732-276-1429. Don’t delay-contact us today!

Join Our ‘Savvy Women’s Club’

“Empowering and educating women of all ages to feel financially confident and Investment Savvy” Visit our website for more details

www.fffgonline.com

The Ultimate Success Guide We’re on the Radio! WOBM- Tune to 1160 & 1310 AM. Listen in to “Financially Fit Fridays” every Friday morning from 10am-11am. We’ll have tips from Kathy as well as a variety of special guests. “The Ultimate Success Guide” co-authored by Kathy Nolan, Brian Tracy and other professionals in now available on Amazon.com, or pick up your copy at our office. It’s looking like a best-seller! Catch her television interview with Emmy Award winning Nick Nanton on “Consumer’s Advocate” to be aired on ABC, CBS, and NBC affiliates across the country. Visit FFFGonline.com or email info@fffgonline.com

WE SUPPORT CASA of Ocean County. See how you can help a child in need of your support. www.FFFGonline.com

www.TheCountyWoman.com Financial & Estate Planning Strategies • Income Solutions The County Woman Magazine

Part II of II

Trust Fund for years, you might owe taxes on your Social Security Benefits once you start collecting them. Since 1984, there are income thresholds that will trigger taxes on the benefits. It does not take much income before Uncle Sam comes picking your pockets for his share. A married couple with a combined income over $32,000 will get hit with income taxes on 50% of their benefits. At $43,000 combined income, couples may have to pay income tax on 85% of their benefits. Ouch!! One common mistake is to continue holding taxable investments at this time. A smart way to reduce the tax on your Social Security may be to shift some of those taxable dividends and interest bearing investments to tax-deferred investments. This strategy will remove taxable income earnings from your tax return and may help to keep your income low enough to eliminate or at least reduce the tax on your Social Security benefits. We would be happy to show you how this works. Remember, in retirement INCOME is KING, and how much you earn is not as important as how much you get to keep! With our looming National deficit, as well as the current

office:

2042 W. Countyline Road, Suite #8, Jackson, NJ 08527

Kathleen A. Nolan is an Investment Advisor Representative. Investment Advisory Services offered through Global Financial Private Capital, LLC, an SEC Registered Investment Advisor. Neither Kathleen A. Nolan nor Global Financial Private Capital gives tax or legal advice.

May/June 2013

Adult Community

How do you want to enjoy your retirement?

Submitted By: Nancy Viviano Fountainhead Properties

Land leased communities offer an easy and affordable lifestyle.

With less pressure to get it all done in a day or a weekend, living in your own single family home on a 5,000 square foot lot is a great way to relax and unwind after a full life of working, raising a family, and planning. Home prices in landleased communities tend to be much lower than land/ home real estate purchases. Land leasing costs are much lower than the usual combination of mortgage, property taxes, utility costs and exterior home/lot care. Land leased communities are located all around the state and many are agequalified. Fountainhead is a 55+ community in Jackson (Ocean County) offering

new and pre-owned homes at prices to satisfy most budgets. Fountainhead maintains an experienced home sales staff and a la carte services to supplement the services included in the land lease fee. Land leasing is not a new idea, but it is a lifestyle whose time has come. As our state population increases, and our free time decreases, we want to make the most of every day. So why use our time to do a lot of upkeep to the home and yard. The days of enjoying that kind of hard work are passed for many 55+, a little to do is better. Visit Fountainhead online or Facebook and learn more about saving your time

for family or your favorite hobbies. New homes available at Fountainhead can be as large as 1,400 square feet or as modest as 900 square feet. Each home lot developed includes an area for parking off the street and a place for a garden building (shed). Each home offered includes the features of natural gas appliances and heat, gutters, air conditioning and easy care exteriors. Every new

Fountainhead home is built to high standards and inspected to just as high standards. It is a friendly community on the Jackson-Freehold border, less than 2 miles from I-195 (the major east/ west artery for central New Jersey). All the services are within a mile or two and for those who donâ&#x20AC;&#x2122;t drive as much as they used to, Jackson offers free senior transportation.

Fountainhead maintains an experienced home sales staff and a la carte services to supplement the services included in the land lease fee.

L`] :]kl @ge] ;`ga[] >gj --# HghmdYlagf Eh\Zmbhg a @k^Zm Ahf^l a Ehg` M^kf :__hk]Z[bebmr

H]lk2 Qgm Dmn =e$ O] Dmn =e Lgg

F]o @ge]k Hj]%Gof]\ @ge]k J]flYd @ge]k

The County Woman Magazine

>gmflYaf`]Y\ Hjgh]jla]k * Khl^ =kbo^ !Cnlm H__ <hngmr Ebg^ K]'" CZ\dlhg% GC )1.+0 <Zee /+*%1*0%+)(( Zg] l\a^]ne^ Z _k^^ \hglnemZmbhg' Ie^Zl^ oblbm hnk p^[lbm^ _hk ]bk^\mbhgl Zg] mh ]hpgehZ] hk k^jn^lm Z _k^^ [kh\ank^'

ooo&FB>gmflYaf`]Y\@ge]k&[ge Ebd^ nl hg ?Z\^[hhd Zm ?Z\^[hhd'\hf(?hngmZbga^Z]GC www.TheCountyWoman.com

May/June 2013

Wigs

& Hair

Replacement

Introducing the New “Reform Straightening System” All Natural, 100% Vegan!! formaldehyde gas upon heating. So it’s safe for pregnant women and those with inhalation sensitivities.

What clients love…

Written By: Laura Cole Abstrax Hair Designs

raditional hair retexturizing systems using thioglycolates and sodium hydroxide have known drawbacks. Zerran Reform® 2.0 is a pro salon treatment that does not rely on traditional chemicals. Treated hair has body, natural movement and reduced volume. Reform® 2.0 is a vegan product. It contains NO keratin, an animal protein. And it contains absolutely NO substance that produces

Hair takes half the time to style, lasts six months or longer and it is responsive to thermal curling. Gain more time and wear hair in new ways.

How does it work?

Easily, using a combination of specific and consistent flatiron heat with informed technique. When high heat opens the disulfide curl bonds, vegan proteins in a non-toxic bio-compatible formula are positioned to hold the bonds open. This process unwinds curls and reduces unwanted volume. Treated hair has visibly reduced volume, lies down smooth and glossy with natural feel and movement.

Starting at $450.00

Receive 4 Zerran after-care products Free!! ($80.00 value) Or Zerran’s Realisse Smoothing Treatment, which banishes frizz for 2 to 4 months

The County Woman Magazine

FEATURES

• Formulated without any formaldehyde producing substances • Contains NO keratin or other animal products • No chemical or health worries • No masks or special salon venting systems needed • No irritating fumes or odors pH balanced • Softens and relaxes hair using vegan proteins • Easy to master technique

BENEFITS

• Easy, hassle-free styling in half the time • Hair retains natural body, movement and reduced volume • Responsive to thermal curling • Treatment effects last six months or longer • Safe with color, highlights and bleach • Safe to treat during pregnancy • Client can wash hair 24 hours after treatment • Prolong treatment effects with specially formulated aftercare products

Starting at $150.00

Receive 2 Zerran after care products Free!! ($40.00 value)

)"*3 %&4*(/4

Watch for our grand opening at our new location!

2494 Moore Rd. • Toms River,NJ 08753

To schedule an appointment or with questions call:

732-255-1733

You can email Gerry at gerry@abstraxhair.com or visit us online at www.abstraxhair.com www.TheCountyWoman.com

May/June 2013

Footwear

We Accept Medicare!

When was the last time you had your feet measured?!

Enter To Win

(732) 849-5013

Now Carrying Jobst Support Stockings!

Enter to Win a $100 Gift Certificate to Heritage House Interiors Name: ___________________________________________________________________ Address: _________________________________________________________________ City: __________________________________ State: _________ Zip: ________________ Phone: (______)___________________ Email: ___________________________________ ❏ Check Here to Receive Specials from Heritage House Interiors Please Clip Out And Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012

Heritage House Interiors 408 N. Main Street (Route 9) Barnegat, NJ 08005 609.698.7621

The County Woman Magazine

HHI One entry per person. Multiple entries will be disqualified. Entries will be accepted through May 31, 2012. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

www.RattanInteriors.com www.TheCountyWoman.com

May/June 2013

Acupuncture

Acupuncture For Post Traumatic Stress Disorder (PTSD)

Submitted by: Keith Koehler, MAOM, CA Koehler Acupuncture & Chinese Herbal Formulas

Acupuncture has become a

popular choice for treatment among Americans. Although pain relief is the most common reason for treatment, it is not the only reason. One reason people have been seeking acupuncture is to help with Post Traumatic Stress Disorder (PTSD).

Organizations such as Acu-

puncturists Without Borders have been using auricular (ear)

acupuncture to help victims of natural disasters since September 2005 in the immediate aftermath of Hurricanes Rita and Katrina. Free community acupuncture treatments were given to evacuees, residents, first responders, emergency personnel, volunteers and other care providers. More recently, acupuncture treatments were given at local shelters here at the jersey shore following hurricane Sandy. There were shelters in Pt. Pleasant, Brick, and Bayville to name a few. In a typical session, both ears of the patient are needled at the same time, usually for about 30 minutes. As with any acupuncture treatment the practitioner uses pre-sterilized single use needles.

The treatment used in the ear consists of

five points, referred to as the NADA protocol. It was first used in the 1970s at Lincoln Hospital in New York as a treatment for drug addictions as an alternative to methadone. Patients treated with the NADA protocol often report reduced anxiety, sleep disturbance and need for pharmaceuticals as well as an improved sense of well-being and hope. They often say they feel “energized,” “lighter” and “more relaxed” after finishing a treatment. The NADA protocol can be used with other treatment modalities, such as counseling, support groups and self-help programs, to increase the overall effectiveness of care.

Commonly Treated Conditions: • Allergies • Anxiety & Depression • Arthritis • Asthma • Bronchitis • Back Pain • Carpel Tunnel Syndrome • Cold & Flu • Constipation • Diarrhea • Earache • Fatigue • GYN Disorders • Headache • High Blood Pressure

• Insomnia • Menopause • Migraine • Muscle Spasm • Prostate Disorders • Sciatica • Sinusitis • Smoking • Sprains & Strains • Stress • Tendonitis • Weight Control • Whiplash

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

www.koehleracupuncture.com

Enter to Win a Consultation & Treatment

at Koehler Acupuncture Name: ________________________________________________________________ Address: ______________________________________________________________ City: ________________________________ State: _________ Zip: _______________ Phone: (______)______________________ Email: ____________________________ Please Clip Out And Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012 ❏ Check Here to Receive Specials from Koehler Acupuncture

One entry per person. Valid for new patients/clients only. Value not to exceed $100. Multiple entries will be disqualified. Entries will be accepted through June 30, 2013. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Medical Professionals

Most Parents Would Do Anything To Help Their Children…

Lorraine Catalano, CNMT and Imaging Director If you are experiencing memory loss, and/or have a family history of Alzheimer’s disease, the Amyvid PET Scan could help you do just that… help your children. Alzheimer’s disease affects the entire family. Help protect your children by getting an early

diagnosis. Early detection and treatment can help slow down the progression of Alzheimer’s disease. Having the Amyvid PET Scan can give you and your family correct information about the cause of your cognitive impairment. Until this scan was available, the only definitive way of knowing if a person had Alzheimer’s disease was by an autopsy. Many doctors have been treating patients with medications used to treat Alzheimer’s, without the benefit of knowing definitively if that patient really has Alzheimer’s. Using these medications may not be beneficial to patients, and, in some cases, could be detrimental to their health. This scan will give the information needed for doctors to make appropriate treatment decisions.

Amyvid, a radioactive diagnostic agent for Positron Emission Tomography (PET) imaging of the brain is used to estimate beta-amyloid neuritic plaque density in adult patients with cognitive impairment who are being evaluated for Alzheimer’s disease and other causes of cognitive decline. • A negative Amyvid scan result reduces the likelihood that a patient’s cognitive impairment is due to Alzheimer’s disease at the time of image acquisition. • A positive Amyvid scan result indicates moderate to frequent amyloid neuritic plaques; neuropathological examination has shown this amount of amyloid neuritic plaque is present in patients with Alzheimer’s disease. Amyvid is an adjunct to other diagnostic evaluations.

Caring Heart & Brain Imaging is the first imaging center in New Jersey to perform the Amyvid PET Scan. This fantastic imaging tool can diagnose and differentiate the forms of dementia at even earlier ages. We can address cognitive changes and impairment because we know what is attributing to the diagnoses. Diagnosing and staging is vital for doctors to prescribe the

appropriate pharmaceutical treatments and therapies to slow the progression of these diseases. If we can slow down the progression of Alzheimer’s disease, we can give patients and families the time to plan ahead. It also allows the person with Alzheimer’s to participate in health care, financial and legal decisions, as well as giving them precious quality time with their loved ones.

Caring Heart & Brain Imaging 2414 Highway 35, Manasquan, NJ 08736

Phone:

732.292.1008

E-Mail: service@caringheartcoronaryimaging.com

www.CHCI.biz.

At Caring Heart & Brain Imaging, you are in our caring hands.

Cardiac Breakthrough Slipping Away at the Jersey Shore… The Jersey Shore has suffered some great losses in the recent past due to Super Storm Sandy and the Nor’easter…and now, another great loss seems inevitable. Caring Heart & Brain Imaging has made the latest cardiac technology available to residents of the Jersey Shore, who could only benefit from this same testing if they traveled to New York City, Philadelphia or Northern Jersey. Unfortunately, educating patients and doctors is taking time, and not enough

patients are aware that they can ask their family practice doctor or cardiologist to write a script for the test that will accurately and specifically determine if your heart muscle is receiving adequate blood flow and if that blood flow is evenly distributed. The test to ask for is called a Cardiac PET Perfusion study with Rubidium. The Cardiac PET Perfusion study is the newest version of a cardiac stress test. For those people who have had the

Just call

732 292-1008 or visit our website at

www.CHCI.biz

The County Woman Magazine

old test, the most compelling reasons for having the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging are: • Speedier Scan Times – approximately 45 minutes as opposed to 2-1/2 to 4 hours for the old SPECT scan, • Patient Exposure to Radiation is cut in half - the Attrius scanner reduces patient exposure to radiation, and Rubidium, the agent used in the scan, has a short half-life, so the amount of radiation exposure is substantially less than a chest x-ray. • Improved Images – PET provides clearer, more precise 2D images better suited for detection of disease. • Avoidance of Unnecessary Procedures – Test images are

so accurate, procedures such as stent implantation and even coronary bypass surgery might be avoided. • We will provide transportation, if necessary. If you have some, or all of the risk factors mentioned below, you should see your family practice doctor and ask if you would benefit from the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging. • Smoking. • High LDL, or “bad” cholesterol and low HDL, or “good” cholesterol. • Uncontrolled hypertension (high blood pressure). • Physical inactivity. • Obesity (more than 20% over one’s ideal body weight). • Uncontrolled diabetes.

www.TheCountyWoman.com

• Uncontrolled stress and anger. • Family history of heart disease • Post-menopausal • Race (African Americans, American Indians, and Mexican Americans are more likely to have heart disease than Caucasians) Don’t let this opportunity to receive the best and most accurate technology for cardiac care slip away from you. Tell your doctor you want only the best. We are happy to answer any questions you or your doctor may have. We can be reached at 732-292-1008, or visit our website at www.CHCI.biz At Caring Heart & Brain Imaging, you are in our caring hands!

May/June 2013

Featured On The Cover

At Caring Heart & Brain Imaging, you are in our caring hands!

Pictured (Clockwise, Left to Right) Emily Aquilino, Anthony DeLuca, Debbie Schneider, Lorraine Catalano, Lillian Hogan

Anthony DeLuca, MD

Lorraine Catalano, CNMT

Medical Consultant

Imaging Director

For over 20 years, Dr. DeLuca has been providing exceptional family care to Jersey Shore residents. He completed his residency at Jersey Shore Medical Center & is Board Certified in Internal Medicine. He, along with his partner Lorraine Catalano, is proud to bring Caring Heart & Brain Imaging to the community. Caring Heart & Brain Imaging performs two types of Neurological studies. The first, an FDG PET scan, distinguishes between types of dementia, such as fronto-temporal dementia, multiple-infarct-dementia, Alzheimer’s Disease and normal aging. The second, an AMYVID PET scan, provides for early detection of plaque in the brain which is thought to be a precursor to Alzheimer’s Disease. Caring Heart & Brain Imaging is first in NJ to offer this scan! In addition, Caring Heart & Brain Imaging is performing cardiac viability scans that show the status of stents and grafts already in place, as well as their effectiveness. The results of this test could call for revascularization of an area of the heart formerly thought to be necrotic. Caring Heart & Brain Imaging is performing the latest in cardiac perfusion studies, providing clearer, more precise images better suited for detection of disease. Test images are so accurate, procedures such as stent and even coronary bypass may be avoided.

Debbie Schneider

Lillian Hogan

Administrative Director

Asst. Admin. Director

Debbie studied at Adelphi University in Long Island and has a BBA in accounting. As Administrative Director, Debbie directs all the facility procedures with expertise and compassion to ensure that Caring Heart & Brain Imaging’s commitment to patient care is maintained and fulfilled. She has built a staff that puts patient care before expedience, economy and convenience. She motivates the staff with respect, consideration and consultation. She expects the staff to offer nothing less for the patients and their families. She is hands-on in all aspects of the daily routines at Caring Heart & Brain Imaging, including, but not limited to; patient scheduling, patient care, bookkeeping and financial planning. Under Debbie’s leadership, Caring Heart & Brain Imaging leads not only in technology, but in care and compassion as well.

Lillian has over 20 years’ office work experience; 10 of those working in medical offices. As Assistant Administrative Director, Lillian is Debbie’s right hand helping her accomplish all office duties and assuring the high level of care that Caring Heart & Brain Imaging is becoming well known for. She is the first person a patient sees as they enter the facility and she makes them comfortable with her pleasant smile and positive attitude. Lillian has many diverse duties from scheduling patients, to answering phones, to ordering radiopharmaceuticals. She has great compassion for a patient’s well-being and comfort. She makes sure the patient feels relaxed and at ease; offering them a cup of coffee/tea and snack after the scan is complete. She completes the Caring Heart & Brain team.

Emily Aquilino, Patient Scheduling

732.292.1008 • www.CHCI.biz

Emily hails from Staten Island, NY. She makes the trip three days a week to assist Lil with patient scheduling and facility maintenance. Organization is her forte’. She is a welcomed addition to the Caring Heart & Brain team.

Lorraine is a Certified Nuclear Medicine Technologist (CNMT) who is a member of the American Registry of Radiologic Technologists (ARRT) and the American Society of Radiologic Technologists (ASRT). As a technologist performing Nuclear Cardiology scans for more than 10 years, Lorraine brings a technological expertise to the Caring Heart & Brain team that is unparalleled. Her passion for improving health by utilizing the latest technology is evident when she introduces you to the Attrius PET scanner, the most advanced cardiac PET scanner available today which enables speedier scan times, less exposure to radiation, and improved images that provide for better detection of the presence or absence of disease. This enables your doctor to develop the best treatment plan for you. It can also mean that other, more invasive procedures can be avoided. Lorraine and her partner, Dr. Anthony DeLuca, are the brains behind the startup and operation of CARING HEART CORONARY IMAGING. After an FDA recall of the agent used for cardiac perfusion studies, Lorraine helped to reinvent the company into CARING HEART & BRAIN IMAGING. She, and her partner began performing PET Brain Scans which help distinguish between Alzheimer’s disease and other forms of dementia making great strides in the Monmouth and Ocean County areas. Lorraine is dedicated to, and successful in, developing patient care resources in the Jersey Shore area. She has been active in the medical field long enough to guarantee absolute patient care without compromising imaging results.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Health

& Wellness

â&#x20AC;&#x153;Like Riding a Bikeâ&#x20AC;?

â&#x20AC;&#x153;L

accomplished (satisfied) we feel. The key is to develop a clear focus, a set of reasonable expectations, and the discipline to work toward our goals, with patience. Balancing on one foot or on your hands or on your head is no different. These postures require that we understand the dynamics of the shape we will achieve, a steady gaze that sees both our internal state and the activities around us, an inner (core) strength and an even â&#x20AC;&#x153;non-reactiveâ&#x20AC;? breath. More than that, our breath must support us. It must balance us and help us to control our reactions. â&#x20AC;ŚYou are falling to the leftâ&#x20AC;Śkeep breathing, steady yourself. You are losing your footing, remember what supports you and â&#x20AC;&#x153;go back to itâ&#x20AC;?. You are

Kick Up Your Heels & Your Practice Summer is Here

Photo by Donna Andrews

The County Woman Magazine

â&#x20AC;&#x153;The qualities of an exceptional cook are akin to those of a successful tightrope walker: an abiding passion for the task, courage to go out on a limb and an impeccable sense of balance.â&#x20AC;? --Bryan Miller tired and just canâ&#x20AC;&#x2122;t do it anymore, let go, fall. Falling is one variation of every balance. You must learn how to fall and accept it, even enjoy it. Like a child, once you learn how to fall, failing will not hurt you. It becomes a learning experience, rather than an experience of frustration.

Get up, and slowly try again. Reestablish your center, get your gaze and alignment, muster your inner strength, recalculate your expectations, but above all, breath. Balance. Breath. Fall. Breath. Get up, and try again.

Come try a challenge this summer. Rediscover your potential through yoga. You will amaze yourself!

Practice your passion.

Organic Cosmetics, Green Products & Therapeutic Massage

ife is like riding a bicycle. To keep your balance you must keep moving.â&#x20AC;? (Albert Einstein). As we enjoy the warm weather and slower pace of the summer months, we may also be dreading the hectic return of the Fall season. Children go back to school, vacation homes are closed, and life may resume its normal pace for many of us. It is difficult to remain present when the holidays are looming and the rhythms of our lives are changing. We tend to look forward and forget to find the joy of the final days of summer. Some things â&#x20AC;&#x153;canâ&#x20AC;&#x2122;t waitâ&#x20AC;?, but most things can. Starting a new year off on the right foot depends on our ability to accomplish this balancing act. How do we keep our balance? In yoga, balance is understood as one part gaze, one part breath, and one part alignment (form). Integrating these three aspects allows us to attain â&#x20AC;&#x153;eka grataâ&#x20AC;?, a single pointed focus. This focus is what gives us the ability to discern what is important, and manage our lives in a healthy and satisfying way. Getting things done when there are so many things to do, is about honing these skills of discernment and persevering through practice. Your gaze will cultivate a strong center. You need to know what you want to

accomplish. Your center may require education, preparation or support and people that you surround yourself with. It is also oneâ&#x20AC;&#x2122;s ability to discern what is most important; the things that ground you. Priorities may be family, work, healthâ&#x20AC;Śwhatever your grounding, be certain in it and make a commitment to it. Uncertainty will weaken your center, and â&#x20AC;&#x153;throw you off balanceâ&#x20AC;?. Your gaze works in tandem with your alignment. It keeps you moving in the right direction. Another necessity is acceptance. We have to acknowledge that we cannot do everything (immediately) and that many things are out of our control. In fact, the only thing that we can control is our REACTION to events as they arise. Our actions and reactions will determine what we accomplish, and how

Unique Jewelry, Bags & Gifts From Around the World

Written by: Laurie Greene, Phd, ERYT Owner, Yoga Nine (Smithville, Ship Bottom, Hammonton)

.": +6/& 6QDPNJOH &WFOUT May 3-5 Andrew Eppler: The Yogi Magician Ashtanga Workshops and Magic Show - Smithville Studio May 18 Tarantalla: Italian Dance Workshop - Hammonton Studio

Summer Specials! - Heat Up Your Summer and Kick Up Your Practice! Live Music & Flow at Smithville Studio All Levels Yoga Flow Class 6:00p-7:30p $5 At The Door For Our Fabulous Artists

See w schedu ebsite for led perf ormers

YOGA 101 8FFL $PVSTF t 'PS 3FBM 'JSTU 5JNF #FHJOOFST

4FTTJPOT 4UBSU 8FFL PG +VOF 4QBDF -JNJUFE t $"-- '03 %&5"*-4 "/% 03 13& 3&(*453"5*0/ *ODMVEFT XFFLT PG VOMJNJUFE DMBTTFT BOE B iHSFFOw UPQ RVBMJUZ MBUFY KVUF NBU $BMM /08 PS TJHO VQ BU XXX ZPHBOJOF DPN (JGU $FSUJmDBUFT "WBJMBCMF GPS $MBTTFT PS .BTTBHFT

4IPQ *O 0VS 'BJS 5SBEF 4UPSF GPS (JGUT 5IBU (JWF 5XJDF New to the studio? First month $50 UNLIMITED CLASSES 0 1 & / $ - " 4 4 & 4 % ": 4 " 8 & & , â&#x20AC;˘ Yoga â&#x20AC;˘ Meditation â&#x20AC;˘ Bellydance â&#x20AC;˘ Tai Chi

â&#x20AC;˘ Therapeutic Massage â&#x20AC;˘ Holistic Services

HAMMONTON STUDIO NOW OPEN

609. 481. 2455

Yoga 101 Begins June 5, 2013 - 101 Bellevue Avenue, Hammonton, NJ

WWW.YOGANINE.COM 609.404.0999 SMITHVILLE

MIND/BODY STUDIO

www.TheCountyWoman.com

609.494.9299 SHIP BOTTOM LBI

May/June 2013

Health

& Wellness

Itâ&#x20AC;&#x2122;s Time For Your Spring/Summer Body Tune Up Cellulite treatments that really work!

Our Synergie System is a vacuum massage treatment. When done consistently and assisted by your homecare, these treatments will certainly make a difference in cellulite. Is cellulite just fat? Fat is the result from more calories consumed than the body can metabolize. The result is a firm cushion of solid fat under the skin that acts as a support structure to the skin. Cellulite is a word that describes the deterioration of the fat and its surrounding connective tissue. This results in the â&#x20AC;&#x153;firmâ&#x20AC;? fat cells swelling with water and toxins. Circulation is strangled. The resultâ&#x20AC;Śunsightly lumps and bumps. Our treatments along with drinking a lot of water and a healthy diet will make the difference. Best done in a series of at least 8 treatments. Package prices available.

The Best Gift Ever!

Simply Skin Gift Cards can be purchased on our website, by phone or in the spa. In the spa we can gift-wrap your Gift Card with any spa boutique purchase. We offer some unique gifts for Mothers, Fathers, Graduates, Teachers, Moms-to Be, Brides and other special people in your life! Motherâ&#x20AC;&#x2122;s Day is May 12th. That special day of the year to remember all the women who have influenced your life. Some you call, some you send a card and others get a special gift to show just how much you care. Nothing says I care about you more

than a gift card allowing women to care for themselves. Tell the family. We have a beautiful Motherâ&#x20AC;&#x2122;s Day gift set from Nerium. While supplies last. Fatherâ&#x20AC;&#x2122;s Day is June 16th. Real men do Spa!! They have skin, feet, hands and the tension in their back, oh my! A good professional massage can also help his golf game. In addition we have some great skin care products for them. Remember these special men on this special occasion.

Testimonials â&#x20AC;˘ Had an Equilibrium Treatment done by Melanie and it was AMAZING!!! If you canâ&#x20AC;&#x2122;t afford a vacation, this is the next best thing to help you relax!!! â&#x20AC;˘ My experience at Simply Skin was wonderful!!!! I was treated like a princess and was very comfortable. I would recommend this spa as excellent. â&#x20AC;˘ Massage and facial were both wonderful...I try to get a massage here once a month.

We are located at:313 West Water Street, Toms River, NJ 08753 (Just a quarter mile east from Exit 81 of the Garden State Parkway.) www.simplysdayspa.com Please call Simply Skin at 732-505-9448 to make your appointment. Fashion & Beauty

Find Your Favorite Brands This Spring at Julianaâ&#x20AC;&#x2122;s Joy Julianaâ&#x20AC;&#x2122;s Joy is conveniently located in the Commonwealth Plaza at 1980 Rte 37 W in Manchester.

Spring is finally here and Julianaâ&#x20AC;&#x2122;s has all your favorites with a fresh spring twist plus some brand new lines just in time for Mothers Day. Maybe you need to treat yourself or pick up a gift for a loved one. Julianaâ&#x20AC;&#x2122;s Joy has something for every woman on your list. Julianaâ&#x20AC;&#x2122;s Joy is an accessories boutique that carries coveted brands including Brighton handbags and jewelry, Chamilia beads, Juliana Harrison (owner), Ian Harrison (son), and Justin Harrison (owner)

John Medieros jewelry made in the USA, Thymes fragrance collections made in the USA, Spartina 449 handbags and newly added Cinda B handbags made in the USA. Chamilia is one of the jewelry companies that has been at the forefront of the bead and charm craze since it started. Since Chamilia partnered with Swarovski, the company continues to be a leader in releasing the most amazing beads of any company. Chamiliaâ&#x20AC;&#x2122;s quarter two beads arrive at Julianaâ&#x20AC;&#x2122;s Joy in April so donâ&#x20AC;&#x2122;t delay in stopping in to pick out your next little bobble of joy or start a new bracelet for a special occasion or just for fun! Spartina 449 handbags are created using leather and linen to create a distinctive look while keeping their bags durable and stain resistant. Spartinaâ&#x20AC;&#x2122;s spring/summer release called Serendipity includes five new patterns and for the first time Spartina has introduced color block leather handbags for a more stream-lined look.

-XOLDQDÂˇV -R\ LV D ERXWLTXH ORFDWHG LQ 0DQFKHVWHU 7RZQVKLS 1- GHGLFDWHG WR SURYLGLQJ \RX ZLWK TXDOLW\ JLIWV DQG DFFHVVRULHV IURP WKH WRS GHVLJQHUV

?M 7NNMZ 8ZWL]K\[ .ZWU +PIUQTQI Â&#x152; ;XIZ\QVI ! Â&#x152; 2WPV 5MLMQZW[ Â&#x152; *ZQOP\WV 5WZM +ITT NWZ PWTQLIa PW]Z[ 6WRS ,Q 9LVLW 8V <RXÂˇOO %H *ODG 7KDW <RX 'LG

Julianaâ&#x20AC;&#x2122;s In Store Promotions (See store for details. Gift with purchase items available while supplies last.) â&#x20AC;˘ While supplies last receive a FREE snap pouch with any Cinda B purchase of $50 or more. â&#x20AC;˘ While supplies last receive a FREE reusable Spartina water bottle with any Spartina purchase of $50 or more. â&#x20AC;˘ May 13th â&#x20AC;&#x201C; May 24th receive a FREE Brighton limited edition â&#x20AC;&#x153;LOVEâ&#x20AC;? charm bangle when you spend $75 or more in Brighton charms. â&#x20AC;˘ May 24th â&#x20AC;&#x201C; June 9th receive a FREE Brighton beach towel when you spend $100 or more on Brighton. â&#x20AC;˘ June 21st â&#x20AC;&#x201C; July 7th receive a FREE Brighton tote bag when you spend $100 or more on Brighton.

The County Woman Magazine

www.TheCountyWoman.com

5RXWH :HVW Â&#x2021; 0DQFKHVWHU

&RQYHQLHQWO\ ORFDWHG LQ WKH &RPPRQZHDOWK 3OD]D

0RQ &ORVHG Â&#x2021; 7XHV Â˛6DW DPÂ˛ SP Â&#x2021; 6XQGD\ SPÂ˛ SP

4WWS NWZ W]Z VM_M[\ Q\MU[ IVL XZWUW\QWV[ I\

___ 2]TQIVI[2Wa KWU

May/June 2013

Women Of Ocean County

Aliona Maxwell, M.D.

Jill Houston

Aliona Maxwell, M.D. was born in Moldova, which used to be part of Russia, where she completed Medical School, and did her Residency in Obstetrics and Gynecology, as well as her Board Certification in Obstetrics and Gynecology. Dr. Maxwell practiced in Russia until 2002 at the National Institute of Oncology. After relocation to the USA, she continued her education and completed a four year residency program at Saint Peters University in New Brunswick, New Jersey, specializing in Obstetrics and Gynecology. Doctor Maxwell has also done Oncology/Gynecology research and has written several papers on the subject of Carcinoma of the Fallopian Tubes. In August 2010, Dr. Maxwell joined Doctor Lesley Furman’s practice of Woman to Woman Obstetrics & Gynecology with offices in Toms River and Forked River, New Jersey where they offer a comprehensive array of Obstetrical and Gynecological services to meet your healthcare needs throughout every stage of life. Dr. Maxwell enjoys spending time with her family and children and enjoys fishing and relaxing at the beach. Doctor Maxwell can be reached at (732) 797-1510 or (609) 242-3301.

Jill Houston, born a Toms River native, has been dedicated to the field of wellness for most of her life. Jill is Vice President of Ocean Cares Foundation for Mental health and also Vice President of Central Ocean Rotary of Toms River. She enjoys giving back to the community including the charity work she has been providing to veterans since 2006. Supporting Ocean Mental Health, Juvenile Diabetes, and Mentally Challenged Students are some of her passions. She began her career in wellness as a Certified Massage Therapist and Lymphatic Technician. Jill is now Clinical Director of Ocean Health & Weight Loss located by Community Medical Center in Toms River. Jill has spent many years studying the process of human chorionic gonadtropin (HCG). Secure in her learning of HCG, she has now been working with many medical doctors to help others with weight loss, cholesterol control, diabetes and just overall health for all who need or desire to remain in good health. Her position as Director of Ocean County Massage has been a passion of Jill’s for many years. She has developed her own massage technique which is now trademarked with the Library of Congress and is taught at the Red Bank Holistic Learning Center, Red Bank, NJ. Contact Jill at 732-608-9681 or on the web at www.OceanHealth4you.com.

Photo by Tracy Harman Photography

Patti Allen

Patti Allen has called the Garden State home for the past 40 years. The American Cancer Society has been her home away from home for 30 of those years. Patti is best known for her expertise in overseeing patient and family service programs for the American Cancer Society in New Jersey. These free programs and services help people with cancer and loved ones to understand cancer, manage their lives through treatment and recovery, and find the emotional support they need. Patti is now the interim Regional Vice President of the Jersey Shore Region. In many ways, she has been the face of the American Cancer Society at the Jersey Shore, with dozens of quality relationships with leading employers, community organizations, and hospitals. Patti’s core strengths are community mobilization, leading staff and volunteer teams to focus on the mission of the American Cancer Society to eliminate cancer as a major health issue, and to help to create a world with less cancer and more birthdays. Patti is the recipient of many prestigious internal and external awards including a Distinguished Alumni Award from Rowan University. She is an active volunteer and coach for the Special Olympics. Most importantly, Patti is known for her integrity, ability to mentor, and unshakable commitment to help finishing the fight and putting cancer out of business. To contact Patti, call the American Cancer Society at 1-800-227-2345 or visit cancer.org.

Ashley Voorhees Ashley is the billing manager at Ocean Hematology & Oncology in Lakewood, N.J. and graduated from Central Regional High School in 2005. She went to Ocean County College as a business major. “In this difficult time with healthcare, I find my job helping patients with all their financial issues very rewarding,” Ashley says. A patient says, “Ashley has helped me so much with co-pay assistance. If it wasn’t for her, I wouldn’t be able to afford my treatment.” Ashley really enjoys working for Dr. Easaw at Ocean Hematology & Oncology. “Working with the unbelievable staff at Ocean Hematology & Oncology is more like being with family than having a job,” she says. “Dr. Easaw is a warm and compassionate physician who truly cares about her patients’ wellbeing. She has a gentle bedside manner and treats patients with the utmost professionalism,” she adds. Ashley lives in Seaside, N.J. and enjoys cooking, reading and spending time with family. Ocean Hematology & Oncology 732-961-0010 www.oceanhemonc.com Photo by Tracy Harman Photography

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Women Of Ocean County Valerie Frost-Lewis, MS Ed.

Alyssa Colletti

Valerie lives in Toms River with her husband, Scott (“Mr. Scott the Music Man”, a children’s musician and educator), their sons and their dog. She is the owner/director of The Peppermint Tree Child Development Center, a state licensed Preschool, Kindergarten and Summer Camp, serving over 90 children. Valerie became passionate about early childhood education while bringing up her own children who are now teenagers. Valerie enjoys creating a nurturing community that includes the whole family. One of her favorite family activities is running the weekly “My Parent and Me” Music and Movement Classes. Valerie holds a Bachelor of Fine Arts Degree in Drama from New York University’s Tisch School of the Arts, and a Master’s Degree in Education with a Specialization in Early Childhood Education from Capella University. As a member of the National Association for the Education of Young Children (NAEYC), Valerie serves on the board of the Ocean County chapter of this organization and provides continuing education to early childhood teachers both at NJ State and National NAEYC conferences. Call Valerie at 732-929-2500 or email: val@pepperminttree.com to find out how your family can benefit from becoming a part of The Peppermint Tree. Find us on the web at www.pepperminttree.com.

Alyssa Colletti is a manager at All-Care Physical Therapy’s Manchester location where she currently practices physical therapy and helps with leadership development of the staff. She holds a Doctorate degree in Physical Therapy from the Richard Stockton College of NJ that she received in 2011. She also holds a Masters degree in Physical Therapy after graduating from Stockton College in 2007, a Bachelors Degree in Psychology from Rutgers University in 2003, and she is a certified leadership coach, teacher and speaker. As a physical therapist, Alyssa believes in utilizing manual manipulation, joint mobilization, PNF and soft tissue work as well as striving to create a comfortable yet dynamic atmosphere to help with the recovery of her patients. As an All-Care manager, Alyssa is passionate about helping each person grow to their fullest potential in the company as well striving to set a standard of excellence within the field of physical therapy. Alyssa describes All-Care as a company with vision that strives for excellence and cares about their patients, their employees and their community. For more information about All-Care Physical Therapy, please visit our website at www.allcareptc.com.

Photo by Gary Dates Photographs

Photo by Tracy Harman Photography

Mary Mease

Mary Mease was born and raised in Southhampton, Pennsylvania. She graduated from LaSalle University with a degree in Management and Marketing. For the last 27 years, Mary has resided in Ocean Gate, NJ, living and raising her three children. Her husband, Gary, owns and manages a local marina. Mary began her Podiatric career with Main Street Foot and Ankle in 1993 as a receptionist. She very quickly realized she enjoyed working with patients and soon cycled and mastered every position in the office, from podiatric medical assistant to assistant office manager to office manager and eventually becoming the practice administrator. Besides managing the day to day activities of the office, Mary has become the expert in billing, coding, and management of the practice overall. Mary also obtained her certification as a Podiatric Medical Assistant. Mary has been the office administrator at Main Street Foot and Ankle for over 16 year and prides herself on running a very efficient practice. Mary also is the office administrator for Ocean Gate Yacht Basin, which takes up a good part of her weekend time. In her spare time, Mary enjoys spending time with her children, sailing, crossfit, and reading on the beach.

Dolly Wasielewski

Dolly currently resides in Ocean County with her husband Alan and son Ryan. Dolly also has an adult daughter, Nicole Jagger, who is a teacher in the Brick school system. Raised in Southern California, Dolly relocated with her family to Toms River in 1980. Dolly’s insurance career began in 1987 when she worked with her father-inlaw, Alan Wasielewski, Sr., in his Allstate Agency. Last year, when Alan retired, Dolly became the agent. Dolly has a reputation in the community as a caring professional, working with many local families and their protection needs. Prior to working in the family business, Dolly was a credit manager for Corbo Jewelers. Dolly attended Ocean County College and Atlantic School of Insurance. She is an active member of the National Association of Women Business Owners, the National Association of Insurance and Financial Advisors and the Ocean County Chamber of Commerce. In her free time, Dolly enjoys fund raising for American rescue dogs and volunteering for Ocean County Senior Services. To learn more about The Wasielewski Agency and Allstate Insurance, please call the office at 732-557-6200 or you can email Dolly at dwaz@allstate.com.

Photo by Tracy Harman Photography

The County Woman Magazine

www.TheCountyWoman.com

Photo by Tracy Harman Photography

May/June 2013

Premier Landscape Contractors

David Ash Jr. Landscape Contractors: Award-Winning Landscape Services “As New Jersey’s premier designbuild landscape firm, we’re committed to the distinctive transformation of your outdoor space.” At David Ash, Jr. Landscape Contractors, we strive to design landscapes that inspire and deepen family relationships, add elegance and value-and allow you to enjoy the tranquil moments in that special place called home.

Our exhaustive service offerings include:

Landscape Planning, Design and Construction • Flexible, visionary designs that are compatible with your lifestyle, location and budget. • Innovative landscape solutions include: trees, shrubs and flowers, groundcover options, irrigation and water features, drainage solutions, stonework, pavers and accent lighting.

Planting Services

Irrigation and Drainage Solutions

Sustainable irrigation solutions that maintain the vitality and longevity of your plant life.

Landscape Lighting

As experts in the science and art of low-voltage halogen and LED technology, our landscape team will recommend accent lighting that illuminates landscapes, pathways and patios while enhancing your family’s security.

Outdoor Living Areas • Fire pits • Pergolas

• Fireplaces • Seating areas

• Kitchens

Carpentry Services • Pergolas • Gazebos

• Awning • Fences • Distinctive decks

Hardscape Design-Build Services Add curb appeal, provide transit areas and enclose quaint spaces: • Driveways • Patios • Pool decks • Walkways • Retaining walls

Weaving trees, shrubs and native seashore plantings into your landscape, we carefully select plant materials that thrive in the Jersey shore climate-and uniquely define your beachfront space.

Property Management Dedicated to the safety, preservation and beautification of your outdoor space David Ash, Jr. Landscape Contractors is versed in the seasonal upkeep and preservation of New Jersey properties with: • Landscape maintenance • Snow removal • General contracting and repairs • Residential security services

Fiberglass Pools and Spas

Together with Hutchison Pools and Spas, we make your outdoor dreams come true with low maintenance, stylish fiberglass pools and spas of all sizes.

As hands-on owner of the firm, David designs and implements amazing outdoor and living areas for home styles ranging from smaller cottages to sprawling estates, and everything in between. Striving to realize your unique vision, he blends composition, texture and color to elevate your property’s value and appeal. Whether you’re entertaining, seeking sanctuary or communing with nature, you’ll find our environments to be the ideal integration of lifestyle and function. Most importantly, our team of experts insists upon honest, client-focused service-and guarantees your satisfaction,

A native Long Beach Island resident, David began working with his father’s highly regarded home building firm at the age of 11. After graduating from high school, he became a project manager for the companyharnessing his carpentry skills and supervising the construction of luxury bayside homes. Though David eventually pursued a second career in law enforcement, his passion for landscaping drew him back to his design-build roots and facilitated the establishment of his LBI landscape firm.

Outdoor Environments EXCEPTIONAL SERVICE

UNEQUALED DESIGN

SKILLED CRAFTSMANSHIP

Bring Your Landscape Design To Life Landscape Planning, Design & Construction Plant Services • Property Management Irrigation & Drainage Solutions • Snow Plowing Landscape Lighting • Outdoor Living Areas Carpentry Services Fiberglass Pools & Spas Hardscape Design-Build Services

Long Beach Island, NJ

p: 609-494-7007 www.davidashlandscaping.com

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Florist

The 2013 Wedding Season Reflects Floral Trends From Past and Present Trends of old and new are reflected in floral bouquets and arrangements as the 2013 wedding season goes into full swing. Hydrangeas, Calla Lilies, Roses dominated yesterday’s flowers of choice, along with Stephanotis in tight “roundymoundy” hand tied bouquets. Our weak economy was reflected in the decorations brides were willing to forego to keep within a budget. Stella Skolnik, an owner of Skip’s Toms River Flowers and Gifts and a wedding consultant, said many brides were cutting decorations from the ceremony and opting for artificial flowers for their reception. “It’s admirable how brides tend to be selfless and consider everyone else,” Stella explained, “but they forget that this day should be all about them! My goal is to make certain that my bride has exactly what she envisions for herself; the wedding party is secondary.” Today’s brides are still budget conscious, but they are savvy in knowing where to cut extras in order to have flowers throughout the wedding, including the ceremony and the reception. Stella adds, “I think that decorating the ceremony area is very important. After all, the very first part of every invitation requests the presence of guests to witness a marriage. This means

Community

that something very special will happen and it should all look very special for them and the Bride and Groom. It may be a 20-minute ceremony, but they are photographed for hours from every angle and should be surrounded beautiful flowers. If not for this occasion, then when?” The only traditional item being discarded is the aisle runner since many churches are banning them for safety reasons. At the reception venue, the past has seen dusty artificial arrangements brought out of storage and placed on tables. More Brides would rather skip an appetizer and buy a fresh centerpiece. Guests are coming from a distance, paying for hotels and bringing a gift, so they should be treated to a special dinner with fresh flowers to look at. The bouquet style for the bride and the wedding party is still hand-tied bouquets; the Nosegay and the Cascade are becoming popular with our modern brides. Designed in floral foam in a bouquet holder, these bouquets use fewer flowers and are less expensive without sacrificing size or quality. The flowers being requested are beautiful Garden Varieties such as Anemones, Dahlias, Gerber Daisies, Lisianthus, Ranunculus and David Austin Victorian Garden Roses. These flowers are different, come in colors that complement the new colors of the dresses, and are less expensive than Orchids, Roses and Callas. Using a budget friendly florist, like Skip’s Flowers and Gifts, makes a big difference. “Our designers have the experience, the creative imagination and the excellent craftsmanship to create outstanding arrangements and bouquets.” We have served Ocean County for over 60 years and hold dear to our Family Tradition of Excellence. Our weddings are not a one-time affair; it’s just the beginning of a lifetime relationship. We want to be there for all the special milestones.”

1187 Washington St, Toms River, NJ 08753 • www.skipsfloristnj.com

Save This Date and Spread the Word! Wednesday June 5, 2013

Community Medical Center Foundation Will Sponsor Its Seventh Annual Red, White, And Brew

Kick Off The Summer Wine Tasting Event To Benefit The J. Phillip Citta Regional Cancer Center At Community Medical Center

Wednesday, June 5, 2013 • 5:30 – 8:30 PM

Place: Toms River Country Club 419 Washington Street Toms River NJ More ticket and sponsorship information to follow. For additional details, call the CMC Foundation at 732.557.8131 or visit www.cmc-foundation.org The Community Medical Center Foundation exists solely to support the mission of Community Medical Center and the programs and services it provides. The Foundation accepts contributions from individuals, corporations, foundations, and other donors for facility improvement, equipment purchases or programs like The Lighthouse, The Center for Kids & Family, and the Van Dyke Hospice program. The Foundation is fortunate to have the support of literally thousands of friends, especially the members of the Community Medical Center Auxiliary Association. These dedicated men and women work tirelessly to raise funds for our hospital as well as serve as our “ambassadors” out in the community.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Business

Toms River - Ocean County Chamber of Commerce News

Welcome New Members: Avon Products, Veronica Thomas 529 California Avenue, Brick, NJ 08724 (732) 300-1113 Health, Beauty & Wellness Nation-Wide Brad Cohen, Kim Pisani 1 South Main Street Toms River, NJ 08757 (732) 552-0484 Construction and Home Services Matrix New World Engineering, Inc. Ken Lucianin 26 Columbia Turnpike Florham Park, NJ 07932 (973) 240-1800 / (973) 240-18181 www.matrixneworld.com Professional Services Hogan Public Adjusters Daniel Hogan & Frankie Prima 34 Main Street, Toms River, NJ 08753 (732) 914-1149 / (409) 502-1744 www.hoganpublicadjusting.com Insurance

A message from the OC Chamber President:

Maureen Stankowitz, President

Toms River-Ocean County Chamber of Commerce 19th Annual Golf Outing and Networking Dinner

Monday, August 12, 2013

Pine Barrens Golf Club 540 So. Hope Chapel Road Jackson, NJ 08527

Interactive 80 Michael Falgaves 460 Faraday Avenue, Bldg. B, Ste. 3 Jackson, NJ 08527 (732) 987-5254 / (888) 383-5794 www.interactive80.com Photographers & Entertainment

Schedule of Events

Contests & Prize Awards

11:30 AM- Registration 12:00 PM-12:45 PM – Lunch 1:00 PM– Shot-Gun Start Scramble Mid—Course Refreshments 6:00 PM–8:00 PM – Open Bar, Networking Dinner

Entry Fee -

Top 3 Teams are Awarded Longest Drive: Men Longest Drive: Women Closest to the Pin

Checkers Pool Service & Supply Richard Turi 1525 Prospect Street, Unit 7 Lakewood, NJ 08701 (732) 886-6474 www.checkerspool.com Home & Garden

Beat the Pro

$225.00 per player Fee Includes: • Greens Fee & Cart • Driving Range • Awards & Prizes • BBQ Buffet Luncheon • Course Refreshments • Cocktail Reception • Networking Dinner

Player Registration Form - RSVP by August 2, 2013 – Proper Attire Required Address_________________________________________ Phone________________ Email___________________ Golfers 1) __________________________________________ 2) ________________________________________ 3) __________________________________________ 4) ________________________________________ _____Check enclosed Visa/MC (circle one) Card #__________________ Sec Code#_______ Exp. Date________

Green Label Title, Steven Green 2517 Highway 35, B102 Manasquan, NJ 08736 (732) 722-7373 / (732) 722-7377 www.greenlabletitle.com Real Estate

Summer is right around the corner and the Chamber office is focusing on our 20th Annual Golf Outing! Taking place on Monday, August 12, 2013 at the Pine Barrens Golf Club, 540 So. Hope Chapel Road, Jackson, NJ. Please contact the office for participation details! We are pleased to announce that our April events: the 49th Annual Awards Reception & the Multi Chamber Expo with the Brick Township, Lakewood, Point Pleasant & Point Pleasant Beach Chambers, were well attended and a huge success. Our executive board is still going strong with our Super Storm Sandy Seminars providing vital information to the public. We encourage you to become a part of our email list to receive more information about all of our events. Visit our website www.oc-chamber.com to sign up!

Happy Summer!

Richard Krug, Chairman

Village Profile Patrick McGranaghan 2516 Pond View Drive West Chester, PA 19382 (610) 203-7400 www.villageprofile.com Printers/Publishers/Promotional

Riverside Chiropractic Health Center Dr. Katherine Holstein 44 South Lakeview Drive Jackson, NJ 08752 (732) 267-8876 www.drkatieholstein.com Doctors & Chiropractors

& Finance

Thank You! Email, Mail or Fax your Reservation Today!

Sponsorship Opportunities ( ) Dinner Sponsors

( ( ( ( (

) Driving Range Sponsor ) Luncheon Sponsor ) Golf Cart Sponsor ) Prizes Sponsor ) Golf Ball Sponsor

$1,800.00 $1,800.00 $1,000.00 $1,000.00 $750.00 $750.00

( ) Beat the Pro $500.00 ( ) Course Refreshments $350.00 ( ) Golf Tee Sponsor $150.00 ( ) Networking Dinner Reservation $75.00 Contact the Chamber office at 732-349-0220 or info@oc-chamber.com for more information regarding sponsorship.

Toms River- Ocean County Chamber of Commerce 1415 Hooper Avenue, Suite 301, Toms River, NJ 08753 Phone: 732 349-0220 ~ Fax: 732 349-1252 ~ info@oc-chamber.com

Visit us at www.oc-chamber.com for additional information and events (732) 349-0220.

The County Woman Magazine

www.TheCountyWoman.com

Welcome New Members: Mattia Building Contractors Sal Mattia 1700 Grand Central Avenue, #A Lavallette, NJ 08735 (732) 830-5131 www.mattiabuilders.com Construction and Home Services Pecora Realtors 1747 Hooper Avenue, Suite #6 Toms River, NJ 08753 (732) 279-6838 / (732) 279-6967 www.pecorarealtors.com Real Estate The Ocean Signal, Phil Stilton 195 Lehigh #1, Lakewood, NJ 08701 (732) 833-2365 www.ocsignal.com News & Media Cross Builders, LLC Delynn Schecher & Kristy Schecher 7 Duke Court, Tinton Falls, NJ 07724 (732) 440-4070 www.crossbuildersllc.com Construction & Home Services Davenport & Spiotti Dominic P. Diyanni, Esq 815 Boulevard, P.O. Box 97 Seaside Heights, NJ 08751 (732) 552-0646 / (732) 612-1190 www.taxcounsel.com Attorneys & Legal Services Ortho Step Inc., Joann Parisi 105 River Avenue, Lakewood, NJ 08701 (732) 905-4049 / (732) 905-8862 www.orthostepinc.com Shopping & Retail Technota, Inc. , Jim Teja 2214 Route 37 East Toms River, NJ 08753 (888) 524-2926 / (888) 526-9246 www.technota.com Information Technology & Telecommunications Rimac Restoration, Inc. Mark F. Kleiner, Rick Miller, Jean Flynn, & Don Ricci 27 Washington Street, Suite 16 Toms River, NJ 08753 (732) 569-3905 / (732) 569-3904 www.rimacrestoration.com Construction & Home Services Total Health Chiropractic Center Philip Altieri 1501 Route 37 East, Toms River, NJ 08753 (732) 270-4800 / (732) 270-4838 Doctors & Chiropractors

May/June 2013

River Lady Cruises

u s fo r o u r

TS TICKE LE AB AVAIL E ONLIN

LADY dd

pa le

RI VE R w h ee l c r u

CruisIng on the Toms River 2013 schedule

Ticketing company available 8am till midnight 7 days a week (888) 393-7107

and Lunch & Dinner Menu Available Online

Groups of 9 or more call 732-349-8664

2.5 Hrs. -

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Business & Finance Copiers Plus Expands Their Printing Services Division…Part Two! 62

Copiers Plus Copy Center Ocean City CPI Custom Graphics 935 West Ave, Ocean City. N.J. 08226 609-398-7676 Email rpm@copiersplus.com

print from their smart phones, are designed to produce mainly outdoor work such and send and receive faxes. as vinyl banners and signs. Our printing services division has developed quickly With this equipment we will be expanding our services and offers a wide ranging list into motor vehicle and boat of commercial and personal lettering, along with full and printing services including: partial vehicle wraps. • business cards What really works out • real estate postcards great is that we use many • direct mail of the products we sell in • letterheads the equipment division to • booklets and binding Written By: produce the work created in • invitations and Robert P. Matthews our copy centers. This enables announcements President, Copiers Plus Inc. us to become experts on • promotional items the capabilities of all of the • format banners and products we represent and posters e had just finished remain extremely competitive • blueprint renovating our new with our pricing. • reprographic services store in Ocean City when • graphic design services encounter in terms of weather, format copiers and printers; black & bert P. Matthews Hurricane SandySr. hit. So cian may NEW JERSEY • document shredding Look for future “Custom work white and full color multi-function prod- is our specialty!” or any unforeseen s here Plus we Inc.are a year later to traffic Custom work is ourevent that may when everyone else says no. From announcements as we Copiers Plus is your go to placeCOPY PRODUCTS reintroduce our newest I find this part ofproblem. ucts, printers, scanners,hand fax machines, delayspecialty. the resolution to their drawn invitations to life size photo cutouts to elaborate expand our service printing services location. business to be the most and all the software necessary to improvedo it all. Let our expert staff help you create your Asthea medium sized office products memorials…..we 1-800-834-3598 Copiers Plus is now offering rewarding. We get to be very offerings. next project. business processes. dealer, Copiers Plus has the advantage printing services at our newest creative with the various to offer custom service agreements, billAdditional Services... location at 935 West Ave. requests we get. Things like ing and financing programsuptailored Ocean City, N.J. scanning and touching In addition, we any businesses’ individual With this latest addition, to fitoriginal artwork, creating life-needs. are an Authorized we are bringing much neededDecisions are made locally,events, speeding up size cut-outs for special DocStar Dealer, proservices to the businesses, along with custom greeting the entire process - from the acquisition viding a variety of residents, and tourists of cards, phototocollages, of equipment, billing -almost timely and electronic document ndent Oceanoffice City. equipment anything you can imagine. accurately. storage and retrieval We have a very compecomfortable Out latest capabilities onstantly battling We have implemented all the same retail store solutions. include a 64” wide eco-solvent ronts. Fromwhere large customers nationand programs that the large compacan come in and use our PC’stoolsplotter, a 64” laminator and Copiers Plus now rs and chain stores, to the use to analyze overallproducts copy and print offers our products to send and receive e-mails, nies contour cutter. These

Business

& Finance

cadYh]h]jY 9X[Y r >igh H\Y F][\h G]nY W

hyper-competitive imate, it is important nies to distinguish s in order to survive er.

out of their garage, we ng for ways to differentiy to bring value to our

usage so that we can make educated and services to all of recommendations for new equipment or southern and central redeploy assets so they are better utilized New Jersey, with in our customers’ environments. offices located in Egg now MFP’s), laser printCopiers Plus recently celebrated 23 Harbor Township, chines have become years in business. Our goal is to continue Palmyra, and our latcommodity, the service growing our company by educating our est affiliation with quired to maintain uptime customers and maintaining the loyalty New Jersey Copy aximum efficiency is now we have experienced for many years. We Products in Old ofessional service. With are very proud to say that we still have Bridge. ming an integral part of many of the same clients that started operations, it is imporwith Convenient us from the beginning.Locations! Three nderstand this and posiJust The Right Size... or success in the future. 935 West Ave Fire Road, Unit 21 East Broad Street At3112 Copiers Plus, we are justC,the right part ... Ocean City, N.J. 08226size to Egg Harbor 08234 print-Palmyra, N.J. 08065 handle all Twp., of yourNJcopying, lus, we believe that local ing, and overall document management1-800-834-3598 609-398-7676 609-645-7587 the ability to be nimble needs. m the Wal-Mart strategy in 1986 by Robert and Visit usFounded at www.copiersplus.com ealers and manufacturer Debra Matthews, . Copiers Plus Inc. www.TheCountyWoman.com The County Woman Magazine

May/June 2013

Caribbean Boutique Hotel

Bay

Vil la

ge ,

cia

m o o

e u q i out

e wonderful h t n i d e t a c Rodn lo ey Hotel

11 r

St. Lucia’s Best Kept Secret!

Testimonial by Lynn K. Wolf, Publisher: “The Hotel Ginger Lily, where we stayed from January 27-30, 2013, is a hidden jewel. The owners are friendly and accommodating, and the staff is very responsive. They offered us great suggestions for restaurants, many of which were within walking distance of the hotel. During the day, we rented a car and had a wonderful time driving around the island, but we always looked forward to coming back in the evening to enjoy a drink around the pool, or relax in the hammock on our balcony. At night, we slept peacefully to the sound of “peepers,” which reminded us of the sounds of springtime nights back home. We would highly recommend this hotel and hope to go back at the end of the year.”

Now offering sale rates on room stays between now and 21st December 2013, too good to miss!

PO Box cp6013 Rodney Bay Village St Lucia, West Indies Tel: +1 758 458 0300 Fax: +1 758 458 0033 info@gingerlilyhotel.com

Visit our website at www.gingerlilyhotel.com for more information or to make a booking.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Community

Ocean County Animal Facilities Ocean County Health Department ANIMALS FOR ADOPTION

360 Haywood Road, Manahawkin, NJ

Public Hours: Daily- 1PM-4PM Wednesday- 1PM-6:30PM

609-978-0127

615 Freemont Avenue, Jackson, NJ

732-657-8086

“Give A Homeless Pet A Second Chance” Why not start your pet search at our local Northern or Southern Ocean County Animal Facilities? Critter Corner featured pets Marla, Momma, Egypt, and Squiggles are located in our Northern Facility. For more information call 732-657-8086. To see more great cats and dogs visit their website, www.petfinder.com/shelters/NJ62.html Adopt a Pet, Save a Life! Did you know that all of our pets are vaccinated, neutered, and micro-chipped before being adopted to their furever homes? Spring is here and we’ll soon have many more cats. If you want a cat or kitten, now is great time. Adopting a pet from the Ocean County Animal Facilities is not only a great way to find your new best friend; it’s also a great value!

Critter Corner ~ www.CritterCorner.org

A 5-Year Effort Continues; Thank You For Your Support. Egypt- Tiger/Tabby DSH “Calm, Loving and Cuddly! ” Egypt is a 5 year old, female, brown tiger/tabby domestic short hair (DSH). Egypt is a precious little girl. She is calm, loving, and cuddly. She is a little shy at first, but warms up quickly.

Squiggles- Dilute Torti DSH “Little Cutie Pie ” Squiggles is a 4 year old, female, dilute torti, domestic short hair (DSH). Squiggles is a little cutie pie! She is friendly, calm, and loving. She does not love being in the shelter and can’t wait to get into her new forever home.

Marla- American Mix “Gives Great Kisses! ” Marla is a 1 year old, female, gray and white, American Mix. Marla is a sweetie pie! She is fun, affectionate, and loves attention. Marla is young and high energy. She gives great kisses.

Momma- American Mix “Momma Mia! ” Momma is a 1 year and 8 month old, female, white and tan, American Mix. Momma Mia -- Momma is such a great dog. She is smart, attentive, affectionate, and loves to kiss her humans. Momma will make a great pet!

This submission is an independent publication provided to the press by Mitch Geier and Betsy Lane and is not meant to be construed as an official publication of the Ocean County Health Department.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Community

OCEAN COUNTY LIBRARY Visit www.theoceancountylibrary.org for information about other great programs and library resources

Living and Laughing By The Chopsticks/Fork Principle

Toms River Talks

Saturday, May 4 • 2 pm Toms River Branch 101 Washington Street, Toms River

Saturday, June 1 • 2 pm Toms River Branch 101 Washington Street, Toms River Long-time Toms River residents reminisce about their experiences, family and friends, local businesses, town-wide events and the Toms River stories they remember from days gone by. Join us to share or learn about the history of our town from the people who lived, worked and raised their families in Toms River over many decades of growth and change. The program will feature a panel discussion with several long-time residents, moderated by local journalist Don Bennett.

We celebrate Asian Pacific month with author, education consultant and retired philosophy professor Cathy Bao Bean. With good humor, participants are encouraged to realize, understand and laugh about how we all are at least bicultural in a way that shatters stereotypes, but generalizations are explained. Cathy will answer questions followed by a book signing. This program is funded by the Horizons Speakers Bureau of the New Jersey Council of the Humanities, a state partner of the National Endowment for the Humanities, and by the Ocean County Library.

Women To Women: Breast Health Wednesday, June 12 • 7 pm Toms River Branch 101 Washington Street, Toms River Meridian Health-Ocean Medical Center in Brick will provide information on breast health education and screening. Wellness education is offered in a festive atmosphere of fun, laughter and group involvement, along with snacks. Information about free mammograms for the uninsured and under-insured will also be provided. Women are eligible to win gift cards towards mammograms.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Breakthrough Product

THE REAL RESULTS OF

NERIUMAD

• NeriumAD Age-Defying Treatment is a night cream that addresses multiple concerns at once: fine lines and wrinkles, discoloration, uneven skin texture, and aging skin. • Nature-based product with no harsh ingredients. • Noncomedogenic and safe for all skin types. • One of the main active ingredients in NeriumAD is a proprietary extract from the Nerium oleander plant, which through an accidental discovery in biotechnology research, long-term testing, and subsequent clinical trials, is now available to you in the form of high-performance skincare. • Verifiable third-part clinical results are from the most advanced facial scanning equipment that uses artificial intelligence to measure actual change in wrinkles and discoloration. Most skincare companies use visual grading of a dermatologist or participant feedback as their “clinical trial” results. • The average NeriumAD clinical trial participant experienced a 30% reduction in the appearance of wrinkles and/or discoloration over the 30-day period.

REAL PEOPLE. REAL SCIENCE. Market

• The anti-aging market is an $80 billion-dollar industry and is expected to grow to $114 billion within the next three years in the US. • In three years’ time, the anti-aging market in the US will be almost as big as the direct sales industry worldwide ($125 billion). • Nine of the top ten billion-dollar direct sales companies are in the beauty category. • Over 50% of wealth generated in the direct sales industry comes from the beauty category, which is larger than all other categories combined. • Nerium International is in the highest-selling dermal category within beauty. Nerium International is in the fastest-growing section of anti-aging category withing dermal. • Skincare products are the “stickiest” products in the industry. • Consumer loyalty to skincare, specifically anti-aging, is very high. This leads to a very high retention rate in customers.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Business Opportunity “A friend told me to try NeriumAD. As a seventy-four-year-old woman who has always looked fairly young, I said I would give it a try. But after 90 days, my age was guessed at fifty-five. With four children between fifty-four and forty-eight, I felt that was an amazing compliment.” - Adrana “I have struggled with my skin my whole life. I had no idea how irritated it was until I viewed my ‘after’ photo 3 weeks later. I was shocked and amazed. My skin continues to be smoother and my problem skin is a thing of the past. I can’t give up my NeriumAD and neither can my friends and family!” - Lisa

“When I didn’t see results in the first week, I became a little discourage, but I kept using the product and I am so thankful that I did! By the fourth week, the miracle started happening. Now it seems like every day my skin continues to look better and better!” - James “I spent many hours under the sun and have had some pretty invasive treatments, only to return to wrinkles. I have tried everything, but this is the first time I have had other people as me what I was doing differently. I used to avoid jewelry because it drew attention to my neck, but not anymore. Nerium has given me my life back!” - Dinah

Lynn Wolf Great business opportunity as well as an amazing product!

Visit our website and view our online videos and contact us to get you started.

“I’ve always had sensitive, fair skin. Because of this, I was hesitant to try NeriumAD. But after just two weeks, I saw a difference with blotchy skin tones as they even out with no allergic reaction at all. Now the wrinkles have dimished, along with more firmness along my jawline. It’s like putting your best face forward. It gives me more confidence. What an easy and safe way to look younger!” - Linda

Toll Free: 1.866.398.0898 Office: 856.885.8066 www.lynnwolf.nerium.com

REAL RESULTS. Product • NeriumAD is a breakthrough product in the dominant category in the industry. • The unprecedented results and clinical testing of NeriumAD provide a huge differential to other skincare products. • Our relationship with Nerium Skincare, a division of Nerium Biotechnology, creates a huge barrier of entry that includes patents, sourcing, and lengthy biotechnology research. This ensures that our products will never be replicated. • We have the exclusive global rights to Nerium Skincare’s product line for both present and future products. • When you combine a breakthrough product in the dominant category in this industry with high customer retention due to breakthrough results, that provides you a foundation for a real opportunity.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Community

Survivors of Child Abuse and Neglect, Where Are They Now? Written By: Danielle De Rosa, CASA Case Supervisor Thousands of children throughout America suffer abuse and neglect everyday. This has damaging consequences on the physical and emotional development and wellbeing of children. One thing that many people do not know about abused or neglected children is that they carry their abuse with them throughout their entire life. Adult survivors of child abuse hold their childhood trauma with them everyday, which may lead to harming themselves or others, having difficulty maintaining relationships, and having trouble regulating their emotions. Adults with history of abuse often have long histories of suicide attempts and self-harm. They often battle life with mental and physical illnesses. Experiences of childhood trauma caused by abuse or neglect can lead to a range of overwhelming emotions, such as anger, sadness, guilt and shame. Adult survivors of childhood trauma often find it hard to control emotions and actions. Memories of past trauma can be felt almost as strongly as if it was happening all over again. This may lead to sudden reactions, such as lashing out in anger or bursting into uncontrolled crying to what others believe is a minor incident. In addition to their difficulty in regulating their emotions, they often feel worthless and have the feeling that they are never good enough for anything, which causes them to have low self-esteem.

Their motivation to thrive is very low. Most victims of child abuse and neglect have a great deal of trouble trusting others as they get older, which makes it difficult to maintain relationships

and neglect is a repeated cycle. In addition, not knowing how to be a good parent is another reason why this horrible cycle is never ending. Being a parent is a full time job. Usually, you learn parenting skills from how

only to arise at certain times in later life. Abusive experiences in adulthood can reopen old wounds of past child abuse or neglect that can lead to further hostile outcomes for adult survivors. If you or anyone you know is a victim of child abuse and neglect you can help yourself or others to overcome past experiences. It is important to stop blaming yourself for being somehow inadequate and for other people letting you down. You have the power to create positive change in your community by stopping the abuse and neglect that occurs in your own neighborhood. If you

suspect child abuse or neglect is taking place, please report it to your local Child Protective Services agency or to the police if the child is in immediate danger. The longer the abuse continues the more damage it will ultimately cause the childâ&#x20AC;Ś The impact of childhood trauma is often used to explain the strong associations between past histories of child abuse, neglect and adverse consequences in both children and adults. It is so crucial to report abuse as a victim and as a witness, so we can help their future in anyway we can. Help us advocate for children of abuse and neglect so we can stop this vicious cycle. CASA's

and/or friendships. Most of the time, adults of child abuse have unhealthy and controlling relationships because they simply do not know what a good relationship is. It is hard for survivors to believe that they are good enough for someone, and that someone truly loves and cares about them. The victim will usually get caught up in a very old and similar situation. Having been neglected as a child, you continue to neglect yourself. Having been ignored or abused, you continue to find people who ignore and mistreat you. Due to all the effects of childhood trauma, alcohol and drugs are their main reliability to numb pain and feelings, and to cope with life. This is one of the reasons why child abuse

you were brought up as a child. Having a bad childhood and being neglected, you simply have nothing positive to look back on and learn from. It is time to get some re-parenting to make up for the parenting you never had. As an adult you can take charge of your life and make your future better than your past. You can make up for the years when nobody cared. The consequences of child abuse and neglect that extend into adulthood will vary depending on their past abuse. For some, the effects of child abuse and neglect are never ending; others have more positive outcomes as adults, regardless of their abuse and neglect histories. Sometimes, the affects of child abuse and neglect remain hidden

With your contributions, CASA was able to serve 104 children during the 2012 program year. It is our goal to serve over 150 abused and neglected children in Ocean County for 2013. The cost to advocate on behalf of a child in the court system and find that child a safe and permanent home is $1200 a year. If you would like to sponsor a child and would like more information, please call the Executive Director, Vicki Ackley, at 732-797-0590.

L adies L uncheo Date: June 23, 20 13 Time: 2 to 6 pm

You are cordially

invited to join CA SA of Ocean Co at our annual La unty dies Luncheon.

This event will in clude a full aftern oon tea, soup of the day, quiche, scones, te a sa ndwiches, savories and a pl ate of sweets. CASA will recogn ize Danielle Gle tow, CNN's Hero & Founder of the One Simple Wish Foundation for foster children. Enjoy a beautiful luncheon at the Victorian Tea Ro and learn about om the vital work th at CASA of Ocean County is doing on behalf of abused and negl ected children. Gift Auction Place: Historic To

mas Mathis Berr y House 600 Mai Street in Downt n own Toms River Tickets are $30.

RSVP by: June 15

, 2013 at 732-79

7-0590

Tax ID Number 4350731. Your donations are tax deductible as allowed by law.

Thank you to our corporate sponsors that support the CASA program Sponsors for 2013: Provident Bank, Ocean First Bank, Lakewood Rotary Lakewood Co Gen, Novins Jacobus and York, Gannett Foundation EVERY 35 seconds a Child is Abused. Time is Precious and So am I.

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

Community

Letter From NJAWBO Shore Region President Jackie Berman Welcome Spring

This past April, NJAWBO Shore Region held a very successful 2nd Annual Freehold Home & Business Expo. The net proceeds were donated to Friend Circle of Central NJ, Make-A-Wish NJ and NJAWBO Shore Region. The region looks forward to holding this event next year and donating to other organizations

After a very long winter, spring is finally in full bloom. NJAWBO Shore Region is bursting with events. Our much anticipated guest speaker is scheduled for May 23rd. We are honored, Lt Governor Kim Guadagno is speaking at our annual installation dinner meeting. Everyone is invited to attend and learn what is happening in the business world in New Jersey.

As busy women and business owners, we need more TIME!! June 27th we have a chance to learn how to manage our time better with the author of “Become a Time Millionaire,” Melody Stevens. After speaking, Ms. Stevens will be available to answer questions and autograph the books every attendee will receive.

NJAWBO Shore believes in giving back to the community. Also at our May 23rd meeting, we will be awarding our 3rd Annual Donna Myers Entrepreneurial Scholarship.

Jackie Berman President, NJAWBO Shore Region Monmouth/Ocean/Middlesex Pearlsofwisdommedia@gmail.com 732.610.1567

Non-members are invited to attend a Shore Region event at member price – mention this article! May & June Meeting Dates Networking Spa Medica, Englishtown May 1, 6:00pm Dinner Meeting Guest Speaker: Lt. Governor Kim Guadagno May 23, 6:00pm Bella Vista Country Club, Marlboro Networking & Learning The Microsoft Store, Freehold Raceway Mall June 5, 8:30am Networking/Dinner Meeting Guest Speaker: Melody Stevens “Become a Time Millionaire” June 27, 6:00pm Alcouer Gardens, Ocean Twp For details, or to register, visit: www.njawbo-monmouth.org Limit one per person. Valid for NJAWBO Shore Region (Monmouth/Ocean/Middlesex) events only.

The County Woman Magazine

The NJAWBO Shore Region gives you many opportunities every month to enhance your business skills and networking all at the same time. I hope to see you at an upcoming event. Please check our website for updates: www.njawbo-monmouth.org

This scholarship is for a female student, (MUST BE a resident of Monmouth, Ocean, or Middlesex County), enrolled in an accredited college or university with active student status with a focus on becoming a business owner. $500.00. We are very excited to be awarding this scholarship to a very deserving young woman.

Warmest Regards, Jackie Berman President, NJAWBO Shore Region

Reserve Today!!

Lt. Governor Kim Guadagno

Make Y Reser our vatio Today n !

will be our guest speaker at our May 23rd dinner meeting!

Visit our on-line calendar for up to date info: www.njawbo-monmouth.org It is Our Mission to provide tools for members to compete in any market place enabling them to operate financially successful businesses. Our Objectives * To encourage and support business ownership by women * To enable women business owners to network and conduct business with one another * To offer ongoing training in business ownership, through programs and seminars offered by the State and Regions * To increase the visibility and clout of women business owners, while furthering their influence and participation in the general business community * To interact with other business organizations

Empower

•

Engage

www.TheCountyWoman.com

•

Energize May/June 2013

Theatre

&Entertainment

“IRRESISTIBLE! A SURE-FIRE CROWD-PLEASER” – NY TIMES

Second Avenue at 8th Street

(800) 982-2787

www.stomponline.com Connect with us:

PATSC.NJCountyWomen.4.75x11.5.4C.indd 1 The County Woman Magazine

STOMP.NJCountyWomen.4.75x11.5-1.4C.indd 1

4/11/13 5:18 PM www.TheCountyWoman.com

2/10/13 12:34 PM

May/June 2013

Theatre

&Entertainment

Bring Your Man

Limited

2-For-1

to Ann… For Free!

“

oFFer . Check website for details.

Fiery & Funny.

”

“HoLLand

TaYLor ” is HiLariouS.

L i nC o L n C E n T E r ’ S V i V i a n B E a uMo n T T H E aT E r ViSiT

THEANNRICHARDSPLAY.COM noW on BroADWAy

The County Woman Magazine

www.TheCountyWoman.com

1 50 Wes t 65 T H S Tr e e t

o r CaLL

212 - 239 - 62OO

# AnnPLAy

PHOTO BY PLATON

May/June 2013

The County Woman Magazine

Community

www.TheCountyWoman.com

May/June 2013

Community

THE DAUGHTER WHO WALKED FOR HER MOTHER AND INSPIRED HER FAMILY TO UNITE IN A MOVEMENT FOR AN ENTIRE GENERATION. BE A PART OF THE MOVEMENT TO RECLAIM THE FUTURE. START A TEAM. JOIN A TEAM.

alz.org/walk 800.272.3900

POINT PLEASANT BEACH | ARNOLD & BALTIMORE AVENUES | SEPTEMBER 28 | 9:00 AM

THE TEAM LEADER WHO www.TheCountyWoman.com

The County Woman Magazine

May/June 2013

Theatre

&Entertainment

ODDS OF FUN ARE I N YOUR FAVOR.

DIScO 70’S Dance PartY

bachman & turner

Featuring: GLORIA GAYNOR, ROSE ROYCE, ANITA wARd & EVELYN “CHAMPAGNE” KING

jUNE 22

MAY 25

aLLen eDWarDS

NOW SHOWING 5 DAYS A WEEK! FEATURING MARILYN MONROE FOR A LIMITED ENGAGEMENT Not affiliated with Diva’s in a Man’s World

DarIn macDOnaLD

mIchaeL mcGeehan

NOW - MAY 29

jUNE 4, 5, 18 & 19

jUNE 11, 12, 25 & 26

“The Singer” captivates audiences with his smooth and versatile voice, as he performs all genres of music.

Performing Acoustic Pop, Sultry Standards & Rock ‘n Roll

Singing Broadway & American Favorites

a taSte OF ParaDISe IS OPenInG maY 24! • MARGARITAVILLE RESTAURANT • LANDSHARK BAR & GRILL • 5 O’CLOCK SOMEWHERE CASINO BAR • THEMED GAMING AREA • RETAIL SHOPS • AND MORE!

For show tickets, visit ticketmaster.com or visit Resorts’ Box Office.

| ResortsAC.com | 1.800.772.9000 Show schedule subject to change. Resorts Casino Hotel reserves the right to cancel or modify this offer at any time without notice. Certain restrictions apply. Must be 21 or older. Gambling Problem? Call 1.800.GAMBLER.

10x11.5hACWoman 1 The Countyrv2.indd Woman Magazine

www.TheCountyWoman.com

The Fun Is Here

4/19/132013 2:58 PM May/June

Fine Art Photography

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013

The County Woman Magazine

www.TheCountyWoman.com

May/June 2013