Ocean County Woman - 2013 July/August

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Ocean

Woman  COUNTY

An Educational Resource for Women and Their Families

Enhance Your Summer Glow You can enhance your beauty while enjoying the Jersey shore and everything the summer has to offer with treatments that have NO downtime.

Page 15

Dads . . . They’re Not Just The “Other” Parent!

Before making the decision to address this topic in a publication that is geared towards women, I weighed the pros and cons and decided in favor of writing about it once I had conducted some basic research. Page 28

Seaview Orthopaedic & Medical Associates is committed to providing quality care in Monmouth and Ocean Counties. We have over 30 years of experience, and our patients are our number one priority. Read more on pages 38 & 39.

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Fountainhead’s Spectacular Summer Savings

Home shoppers age 55 and up are finding Fountainhead At Jackson a “must see” community on their search for a new or pre-owned home.

Page 49

Photo By Annette Jenkins Photography

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July/August 2013

Please Take One

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 Written by: utilized. Jessica Abraham, OT 3. Pharmacology: Have ever woken up One ofyou the biggest developments over the past 20 years in the with a sensation of pins treatment and prevention and needles inhas your of Osteoporosis beenfingers? in Do you find that you are droppharmacology. Initially, Hormone

2

Medical Professionals

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. sure that can occur in the carpal tunnel. Signs and Symptoms Antiresorptive medications or Biophosphates (such as Fosamax, ❖ Tingling/Numbness in the palm side of your thumb, index, middle, and ring Boniva, Actonel, Reclast, Fortical fingers. You will not feel these symptoms and Miacalcin) are now commonly in the small finger with carpal utilized in the treatment of tunnel syndrome. This often occurs during proosteoporosis. Biophosphates work longed gripping activities such as holding

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. Hand, in severe cases of carpal tunCurrently the FDA only nel syndrome, numbness can be of this recommends the utilization permanent andfor there may bedue a loss class of drug 2 years to in the muscle mass at the base of the potential side effects.

Understanding Carpal Tunnel Syndrome ping objects more frequently? If you answered yes to those questions, then you may be experiencing symptoms of carpal tunnel syndrome.

Carpal tunnel syndrome (CTS) often starts as a general sensation of aching or weakness throughout the wrist and hand and can lead to numbness and tingling into your fingers. An increase in symptoms can be experienced as the condition progresses and may start to have an impact on your daily activities. Evidence suggests that 3% of women and 2% of men will experience carpal tunnel symptoms in their lifetime and the average age of onset is 55 or older. To begin, let’s discuss the anatomy of the carpal tunnel. There is a small, internal space on the palm side of the wrist and this space is called the carpal tunnel. A ligament that runs across the wrist forms the top or roof of the carpal tunnel. The median nerve and several flexor tendons run through this tunnel. The median nerve is responsible for providing sensation to the thumb, index, middle, and half of the ring finger. Carpal tunnel syndrome is caused by excess pressure being applied to the median nerve at the wrist level. The extra pressure on the nerve can decrease the nerve’s ability to send its signal to the fingers causing a sensation of pins and needles. You can think of the median nerve as a garden hose; when you step on a hose the flow of water is decreased and when the pressure is taken off, the water can flow freely. This is the same concept with the median nerve and the extra pres-

a phone or newspaper or can occur at night. Many people often wake up with the sensation of numbness in their hand and find themselves ‘shaking out’ their hand for relief. ❖ Weakness throughout the hand and fingers. People often report feeling clumsy or will frequently drop objects. ❖ Pain that radiates from the wrist down into the hand or travels up the forearm toward the shoulder.

Causes and Risk Factors

thumb.

Treatment Options: Specialized Treatment There are several treatment At All-Care Physical Therapy, we options for CTS including occupaspecialize in the treatment and tional therapy. An occupational therprevention of Osteoporosis and apist is a skilled health professional Osteopenia. We are one of the who will evaluate your condition and only in Ocean County how facilities the symptoms are impacting that certified indaily the activiyourhave abilitybeen to complete your ties. Some treatment options include: treatment of Osteoporosis. It is ❖ Wrist splinting to providetherapist support and essential that a physical keep the straight reduce pressure is aware of wrist the risks of totreating being appliedand to the median nerve. Wrist Osteoporosis understand splints are typically worn at night to bed the most optimal therapeutic to reduce symptoms that may interfere interventions with sleep. to not only prevent the progression, but combat theto ❖ Activity modification techniques disease itself. continue to participate in daily and recre-

The exact cause of CTS is typically unknown. Compression or pressure on the ational activities without increasing CTS median nerve can happen is several ways symptoms. including: Written By: M ichael yorke, MPt ❖ Stretching and strengthening exercises ❖ Repetitive use of hand and fingers to help with reducehonors pain and improve grip Michael from ❖ Keeping the wrist in a bent positionYorke for a graduated strength and function of the hand. An in 1997, majoring in Exercise prolonged period of time Gettysburg College occupational therapist will be able to Science with a focusdesign in Athletic Training. ❖ Inflammation of the tendons that run and implement a treatment prothrough the carpal tunnelHe continued his education gram to assist in alleviating your sympat Hahnemann ❖ Water retention University earning toms. a Master’s degree in Physical ❖ Pregnancy Therapy in 1999.❖ Corticosteroid injections, non-steroidal Research has shown that conditions anti-inflammatory drugs, and use of expand such as arthritis, wrist fractures,Michael or disloca-has continued vitaminstosuch as B6,his may also be used in knowledge education conjunction hours withwith focustherapy in to help reduce tions may causethrough the carpalcontinuing tunnel to narrow. According toasthe National InstituteMedicine. symptoms. conservative treatment Orthopedics well as Geriatric He has Ifcompleted courses in is of the Neurological Disorders and Stroke, indinot successful in alleviating symptoms, treatment of osteoporosis and postural changes. In 2005, Michael viduals with metabolic conditions, such as carpal tunnel surgery has proven successopenedareAll-Care Therapy Center ful with a focus onCTS personal, onediabetes, at higher Physical risk for CTS. Women in alleviating symptoms. hands-on care. Michael has been aCarpal member ofsyndrome the American areon-one, three times more likely to experience tunnel can have a sigcarpal tunnel syndrome symptoms than nificant impact on all aspects of your Physical Therapy Association since 1997. Michael’s experience has led daily men and it rarely affects children. According routine. Early diagnosis is important him to develop an innovative, pain-free approach to physical therapy. to to the American Society for Surgery of the prevent irreversible damage to the median

ʓʐʚʗʗʐʕʣʮʮʥʣʴʧ

Come Experience The All-Care Difference For Yourself!

Patients at All Care Physical Therapy are fully evaluated then offered the best treatment option for their condition. nerve and prevent you from participating in your daily activities. At All Care Physical Therapy, our Hand Therapist specializes in the treatment of carpal tunnel and other hand disorders. Contact your physician if you are experiencing these symptoms and ask if an Occupational Therapist at All Care can help.

Call 1-855-3ALLCARE.

The All-Care Story Our founder, Michael Yorke earned a Master’s degree in Physical Therapy from Hahnemann University in Philadelphia in 1999. After working in the industry for a few years, Michael discussed the shortcomings of his experience with his parents, Jim and Joan Yorke. Together they recognized the need for a company that encourages an emotional as well as physical recovery for patients. All-Care was then founded in 2005 in Whiting, NJ. Due to the overwhelming patient satisfaction of the “All-Care Approach”, we were able to open four new locations throughout Ocean County, NJ over the following five years. The success of our company has been built on our ability to provide the best rehabilitative care with a never ending pursuit of exceptional service.

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The County Woman Magazine

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Barnegat Location

July/August 2013

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^Medical Professionals

All Care Physical Therapy.................................................... 2 South Jersey Fertility Center............................................... 5 AtlantiCare Neurosciences Institute Stroke Center............. 7 Shore Vascular & Vein Center............................................ 11 Ocean Plastic Surgery, PA................................................. 15 Bella Derma Medi Spa.................................................. 16-17 Stephen L. Newman, MD, MBA........................................ 18 Gastroenterologists of Ocean County............................... 19 Whiting Healthcare & Laurelton Village Care Center by Revera................................................... 20 AtlantiCare: The Center for Surgical Weight Loss & Wellness.................................................. 21 New Jersey CyberKnife..................................................... 23 Caring Heart & Brain Imaging............................................ 24 Woman to Woman Obstetrics & Gynecology, LLC............ 27 NJ Community Spine and Pain......................................... 29 Nina J. Paonessa, DO, FACOS.......................................... 30 Toms River X-Ray, CT & MRI Center................................. 31 Main Street Foot & Ankle................................................... 32 Total Hearing Care............................................................. 37 Ocean Hematology & Oncology.................................. 41, 76 Institute For Complementary & Alternative Medicine... 46-47 ^Precious Metal Buyer Precious Metal Buyers, LLC................................................ 3 ^Elder Law Rice Elder Law..................................................................... 6 ^Health & Wellness Yoga Nine Mind/Body Studio........................................... 8-9 Ocean Health & Weight Loss............................................. 14 Simply Skin........................................................................ 44 Jersey Shore Pharmacy..................................................... 60 RX Card............................................................................. 70 ^Business & Finance Copiers Plus, Inc............................................................... 10

Featured Articles Heading

Family Focus Financial Group........................................... 33 Toms River – Ocean County Chamber of Commerce....... 61 ^Home Improvement Contractor RKA Construction.............................................................. 12 ^Contemporary & Rattan Furniture Heritage House Interiors.................................................... 13 ^Professional Dentistry Aesthetic Dental Creations................................................ 22 ^Alzheimer’s Care Community Brandywine Senior Living.................................................. 25 ^Home Care & Hospice Holy Redeemer Hospice.................................................... 26 ^Law Marla Marinucci, Esq......................................................... 28 Daniel Straffi Jr., Esq......................................................... 34 ^Book Corner No Sand in the House! By: Jennifer Crawford................... 32 ^Assisted Living Spring Oak of Forked River............................................... 35 ^Elder Life Management Elder Life Management, Inc............................................... 36 ^Featured On The Cover Seaview Orthopaedic & Medical Associates................ 38-39 ^Premier Consignment Center Yesterdays and Todays...................................................... 40 ^Education Ocean County College...................................................... 42 Peppermint Tree Child Development Center..................... 43 ^Business & Personal Storage Airship Storage.................................................................. 42 ^Fashion & Beauty Permanent Makeup by Amy.............................................. 44 Juliana’s Joy...................................................................... 51

Precious Metal Buyers

3 Barbara’s Boutique............................................................ 52 Leisure & Lace................................................................... 53 Lynne’s Fashion Boutique................................................. 64 ^Wigs & Hair Replacement Abstrax Hair Designs......................................................... 45 ^Senior Club The Regency Club............................................................. 48 ^Adult Community Fountainhead Properties................................................... 49 ^Acupuncture Koehler Acupuncture......................................................... 50 ^Footwear Foot Solutions................................................................... 51 ^Women of Ocean County........................................... 54-55

^Real Estate Orrico Realty...................................................................... 66 ^Caribbean Boutique Hotel The Ginger Lily Hotel......................................................... 67 ^Breakthrough Product & Business Opportunity NeriumAD..................................................................... 68-69 ^Theatre & Entertainment iluminate............................................................................ 72 Peter & The Star Catcher................................................... 72 Murder Ballad.................................................................... 73 Stomp................................................................................ 73 My Name is Asher Lev....................................................... 73 The Banana Monologues................................................... 73 ^Fine Art Photography Tracy Harman Photography.......................................... 74-75 ^Community.....................................35, 52, 56-59, 62-65, 71 Please Take Advantage Of Our “Enter To Win” Contests! Visit us at www.TheCountyWoman.com

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

A

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 our last issue we spoke with the President of Precious Metal Buyers, Dov Oppenheim about some of the stigmas that are commonly attached to the business of selling gold. In this issue we conclude the series with some final thoughts about his profession as well as what sets his business apart from the

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

The TheCounty CountyWoman WomanMagazine Magazine

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

others out there. CW: What sets your business apart from others in the industry? Dov: My policy is that I give my customers all the time they need. When a customer makes an appointment, I make sure they have sufficient time to discuss their items with me in detail so they do not feel rushed. They come to a pressure and obligation free environment where we discuss the piece and the history. Based on that information, I will evaluate, weigh, and test all items right in front of my customers. CW: How can consumers tell if a buyer’s scale is rigged or inaccurate? Dov: IBy law, the buyer must weigh your items individually and in plain sight of the seller. Make sure the buyer’s scale is inspected and certified by the Office of Weights and

www.TheCountyWoman.com www.TheCountyWoman.com

Measures. If you don’t see a blue sticker with the current date on it or if you see a red sticker then take your gold, leave the store and report the incident to Ocean County Weights and Measures at (732) 929-2166. CW: What is the most rewarding part about your job? Dov: The most rewarding part about my job is knowing that we are doing everything the right and legal way. In fact, the Ocean County Department of Weights and Measures ensures the accuracy of our scales. Customers can feel completely confident that when dealing with us they are receiving fair treatment. I also enjoy when I can exceed my customer’s expectations when making a monetary offer to my clientele for their valuables. visit www.pmbuyers.com

July/August2013 2013 July/August

Publisher’s Note

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Ocean

An Educational Resource for Women and Their Families Since 2008

Woman COUNTY

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Publisher.........................................................Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Regional Marketing Director............................... Jon Pruitt jon@thecountywoman.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 Jon Pruitt:

1-866-398-0898 or email: jon@thecountywoman.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

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The County Woman Magazine

Welcome to the July/August 2013 Issue Of Ocean County Woman It has been our privilege and pleasure to provide the readers of Ocean County with over 2,500 educational articles, written by the Top Professional Experts in Ocean County, over the past 5 1/2 years. The articles found in the Ocean County Woman have touched the lives of thousands of readers and continues to make a positive impact on the quality of life in the areas of finance, health & wellness, law, dental, fashion and beauty and much more. We look forward to continuing our mission of bringing you only the highest quality of professionals who will share their expertise through their educational articles. There is also a strong community section featuring events you may want to attend and support. Summer officially started on June 21st and the New Jersey Shore is definitely open for business. Per Governor Christie, 80% of the shore will look as it did last summer. “Stronger than the Storm” t-shirts and other merchandise may be purchased along the shore. It’s time for family vacations, building sandcastles, flying kites and indulging in funnel cakes. If the boardwalk atmosphere is too busy for you, there is the natural beauty of Island Beach State Park. Island Beach State Park is open for swimming, picnicking, bicycling, fishing, and walking. Ocean County has sixteen parks, four conservation areas and two golf courses. There is something to do for each family member and you don’t even have to leave the county! I have received many phone calls and letters from readers sharing with me how a particular article has changed their life. The contributing writers in the publication are making a difference and are passionate about what they do for others. This reminds me of a quote written by Simone de Beavoir: “One’s life has value so long as one attributes value to the life of others, by means of love, friendship, indignation, and compassion.” If the articles written by these business owners and professionals are particularly helpful to you, please be sure to let them know. You can contact them directly or email us. Lastly, there are many exciting giveaways in this issue. Please complete the forms and mail them in or visit our website at www.thecountywoman.com. On behalf of the staff at the Ocean County Woman, we wish you a safe and enjoyable summer! 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 Some Of The Doctors From Seaview Orthopaedic & Medical Associates. Meet all of the doctors on pages 38 & 39. Top Row (From Left To Right): Arthur Mark, MD, PA, Christopher Spagnuola, MD, PA, FAAOS, Kenneth Chern, MD, PA, FAAOS, Diane Fyrberg, Practice Administrator, Aron Green, MD, PA, FAAOS, Praveen Yalamanchili, MD Bottom Row (From Left To Right): Roy Mittman, MD, PA, Kevin McDaid, MD, PA, FAAOS, Haralambos Demetriades, MD, PA, FAAOS, Arthur Vasen, D, Ph., PA, FAAOS. Cover photo by Annette Jenkins Photography. www.AnnetteJenkins.com • 732-936-1416.

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July/August 2013

Medical Professionals

5

Could Pelvic Endometriosis Be Interfering With Your Fertility? Presented by: South Jersey Fertility Center

E

ndometriosis is a female

medical condition often associated with painful periods and pelvic discomfort. By: Dr. Van Deerlin

covered by standard band-aids. In cases of moderate or severe endometriosis it has been well established that surgical removal of both endometriosis lesions and adhesive scar tissue improves fertility by restoring the correct anatomical relationship of the fallopian tubes and the ovary. The additional of medicalocal fertility specialist. Twouse of these tests

The ablation of minimal or mild endometriosis for the treatment of infertility in the absence of pelvic pain or other symptoms has been controversial. In 1997 the results of a large well-controlled clinical trial carried out by the Canadian Collaborative Group onspontaneously Endometriosis wereThe reported inreason the New abort. common for England Journal ofisMedicine. Theimbalance study these miscarriages a chromosomal compared fecunditywith ratefurther (pregnancy that is notthe compatible fetal rate perdevelopment. month) of patients undergoing laparosIt is were also important understand copy who randomlytoassigned to the have fertility of your malelesions partner.(minimal He can have their endometriosis or mild a semeneither analysis done to if his disease) ablated or identify left untreated. The “swimmers� are plentiful and moving well. authors demonstrated a clear benefit in the There is a gradual decline in sperm numbers group randomized to ablation of the lesions and quality as men age, but it is not as steep resulting doubling of theMen fecundity rate a declineinasaseen in women. don’t have over the ensuing 8 months when compared an absolute reproductive cut-off analogous to to thea woman’s group whose lesions were menopause. Somenot mentreated have during their laparoscopy. fathered children in to their 70’s when they have a young wife (think moviefor stars like Tony Another common method treatment continues make new of Randall). infertilityAinman patients withtoendometriosis sperm day of their adultfallopian lives, so tube is who haveevery at least one patent their reproductive cells are at most injectable gonadotropin superovulation with a few days old. One study oronly without intrauterine insemination. Up to reported a slightly higher 3 cycles is routinely offered to such patients. risk of schizophrenia in This practice is supported by a randomized the offspring of new study of over patients with mild to moderate fathers age 50. disease,Awhich that superovulation womanrevealed who yielded a 15% fecundity rate (4 times higher has a diminished number than thoseofpatients who simply tried on their remaining eggs own for 6 months). has a lower For patients who fail to conceive within chance one year of after surgical ablation of moderate conceiving a to severe endometriosis, the most successpregnancy with fulher therapy is inthan vitro own eggs a fertilization (IVF). A

Fertility after Age 35

study that compared IVF to re-operation for endometriosis found that only 24% of the re-operated patients achieved a pregnancy by 9 months post-operatively while 70% of the IVF patients were pregnant by their second cycle. Some doctors reported in the 1990’s that patients with endometriosis had lower similarly aged woman with good egg reserve. success withmean IVFshe than patients with But it doesn’t hasdid to give up hope. diagnoses (such tubal male Itother still only takes one goodasegg. Forblockage, those women don’t want to infertility). settle for a low factor,who or unexplained Various chance of success, there is the option ofdiminusing mechanisms were cited including eggs donated by a woman a normal ished fertilization, poorwith embryo quality, and egg reserve. endometrial Naturally, it’s receptivity. easier to become impaired However, pregnant if a woman does not wait until her the national IVF data bank for the past late 30’s or beyond. But in today’s society decade has not shown any diminished sucthat’s not always a choice. Egg reserve testing cess rates in in thethese patients with endometriosis can often help situations. compared to those without that diagnosis.

require a tube of blood. One of these assays It consists of the uterine endo“My husband and I didn’t meet until I has been utilized for 20 years. It looks at metrial tissue from inside the womb was 38 years old. Now I am 40 and we are FSH and Estradiol, obtained on the 2nd, 3rd - growingready in areas outside of the to start a family, but my body doesn’t or 4th day of the menstrual cycle. A high uterus (usually pelvis). During seem toinbethe cooperating.â€? This is a common FSH means the body is struggling just a bit a pelvic exam be world. Most refrainendometriosis we hear in the may fertility to find a nice egg to ripen that month. The suspectedwomen by palpating tender nodules are already aware of the sobering fact other blood test is fairly new, but yields more that fertility as their age advances consistent results in detecting mildly low egg behind the uterus or declines by visualizing past the 35 year mark. But we’ve all heard reserve. It is called Anti-Mullerian Hormone a persistent ovarian cyst on ultraof examples of someone having a baby at age (AMH). A small amount of AMH is secreted sound that has certain echogenic 44 or a similar age. There is large individual by all of her remaining egg follicles. So a low characteristics (an “endometriomaâ€?). variability when it comes to reproductive AMH number correlates directly with a low In Summary . . . Many times endometriosis can be tions such as Lupron, a GnRH-agonist, aging. The age-related decline depends on the number of remaining eggs. The third to test is The prognosis for achieving a successful found even in theeggs, absence of symptoms woman’s not the aging of heror uterus. Itsuppress a careful internal pelvic ultrasoundhas to count any residual endometriosis been pregnancy in patients with endometriosissigns. The be toconfirmed candiagnosis be useful can to a only woman get an assessment the number of visible follicles (egg sacs) in the advocated by some. However, numerous related infertility is reasonably high, espeor excluded by “egg undergoing a laparoscopy. of her reserveâ€? when she might be The number such these medium-sized studiesovaries. have failed to showof that medicially if the lesions are ablated and if empiric Endometriosis staged based thetodepth makingisdecisions abouton when reproduce.cations follicles correlates directly the number improve fertility rates with beyond that of gonadotropin superovulation is employed. To understand ovarianofreserve assessment we tiny (microscopic) follicles held in reserve that of the lesions and the extent the involveof surgery alone. This may be, in part, due Post-operative medication to inhibit hormust first review the workings of a woman’s have not yet begun the ripening process. ment in the pelvis. Stages 1 and 2 are to the factJust thatbecause patients must avoid becomovaries. a woman is over 40 years mones does not seem to enhance fertility. termed “minimalâ€? and “mildâ€? endometriosis, ing pregnant while on these medications for woman born with alland of the eggs she of age doesn’t mean she needs to give up all IVF should be encouraged in patients who while stages 3Aand 4 areis“moderateâ€? possibly inducing defects. will ever have. New ones cannot be made fear ofhope of having a baby.birth Many womenYet have fail to conceive with these less aggressive “severeâ€? disease. The presence of an endotime tochances achieveofpregnancy maywith later – but eggs do need to ripen before theythe optimal fears that their having a baby measures. Though it may be useful for treatmetriomacan in ovulate an ovary usually translates to at following the surgery (when and have a chance of getting be immediately Down’s Syndrome or other chromosomal ing pelvic pain, a repeat attempt at surgical least stagefertilized 3. by a sperm to then become an abnormalities outrageously In fact, the fallopian tubesishave just beenhigh. flushed correction of endometriosis is less successful The prevalence of endometriosis has in the and before embryo. Other cells in other organs at age any 40, the pregnancy scarchances tissue of hashaving had aachance than is IVF in overcoming infertility. been calculated be are 3-10% in the human to body replaced withgeneral new ones as to re-form). with such an abnormalitymedication reach the 4th Post-operative IS population reproductive agethewomen; weof age, but not so for egg cellshowin the recommended, month of pregnancy fairlypelvic low – only Call South Jersey Fertility Center with however, iswhen pain3%. a 40 of yearinfertile old has patients. only 40 yearOne risk, however, that IS increased is the ever, it is ovaries. found inSo40% your concerns. We are a full from endometriosis is the patient’s biggest old eggs. Notruns all eggs are perfectly normal. chance of miscarriage. On average 40% of Endometriosis often in families. service infertility center! The eggsagree that that ripenendometriosis earlier in her life haveconcern. pregnancies in women over the age of 39 will Most experts a higher One chance of being normal. And impairs fertility. mechanism for infertilsince a woman’s supply of eggs is limited it ity is the inflammatory response incited by eventually runs low. As the reserve of eggs the endometriosis lesions. White blood cells, becomes low, the percent of eggs that are 'LYLVLRQ RI 5HJLRQDO :RPHQ¡V +HDOWK *URXS //& the warriors in the body’s defense (perhaps system, try normal drops considerably to 10% to eradicate the abnormally located or so). Menopause marks theendotime when no —ŽŽ ‡”˜‹…‡ Â?ˆ‡”–‹Ž‹–› ‡Â?–‡” ‹–Šǣ metrial tissue release substances theage of moreand usable eggs remain. Theinto average ȉ ÂŽÂŽ ˆ Š‡ ‘…–‘”• ”‡ ‘ƒ”† ‡”–‹Ď?‹‡† Â? ‡’”‘†—…–‹˜‡ 6287+ -(56(< )(57,/,7< &(17(5 pelvic cavity, which ishave menopause 50. been shown to be Â?†‘…”‹Â?‘Ž‘‰› Â?† Â?ˆ‡”–‹Ž‹–› LV QRZ RIIHULQJ D GLVFRXQW IRU ,9) WR A woman has approximately 300,000 toxic to sperm, eggs, and embryos. In addiȉ ‘’ ‘…–‘” ™ƒ”†• ‘” Íš ‡ƒ”• Â? ‘™ 8 $&7,9( 0,/,7$5< $1' 9(7(5$16 immature eggs, each in a tiny follicle in her tion, as the body tries to heal the inflamed ȉ ƒ’ƒ”‘•…‘’‹… —„ƒŽ ‡˜‡”•ƒŽ• ovaries, at puberty. scar So what became of those &DOO H[W IRU PRUH LQIRUPDWLRQ areas it may inadvertently the fallopian ȉ ‘Â?‡› ƒ…Â? —ƒ”ƒÂ?–‡‡ ˜ƒ‹Žƒ„Ž‡ ‘” ˜ˆ Â?† ‘Â?‘” ‰‰ egg follicles between puberty and menopause? tubes and/or ovaries causing them to adhere ȉ —ŽŽ ‡”˜‹…‡ ‡”–‹Ž‹–› ‡Â?–‡” Were they all released during the once-ato other pelvic structures, and thereby disdaVinci Robotic Surgery Available ȉ ‘„‘–‹… —”‰‡”› ˜ƒ‹Žƒ„Ž‡ month ovulation process? 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of aboutOptions 25 per day. Fertility Treatment . . . medications will not alter this rate of egg degeneration. Some

There things are a number oftotreatment options are known speed up the loss of eggs, to boost fertility for these women with endosuch as chemotherapy or radiation treatments metriosis.used Probably easiest treatment to fightthe cancer. Smoking cigarettes also from the appears patient’stoperspective is to have hasten the depletion of the usable eggs. In fact,lesions menopause typically arrives one or two endometriosis surgically eradicated years earlier inprocedure, women whowhich smoke.is during a laparoscopic The assessment of egg reserve involves done so that the doctor can make the definiattempting to measure the number of eggs tive diagnosis. Laparoscopy is an out-patient left in the ovaries. Most experts agree that procedure commonly referred to as “banda combination of 3 different tests gives the aid� surgery to the facttests that bestowing estimate. These canthe be necesdone by a sary incisions are so small as to be sufficiently

The County Woman Magazine

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‹•‹– —• ‘Â? ‘—” ‡„•‹–‡ ™™™Ǥ•Œˆ‡”–Ǥ…‘Â? /LSSLQFRWW 'ULYH +DUERU 3DYLOLRQV $WODQWL&DUH /LIH &HQWHU 6XLWH (JJ +DUERU 5G ‡ 6XLWH % (QJOLVK &UHHN $YH ‡ 0DUOWRQ 1- 6HZHOO 1- (JJ +DUERU 7ZS 1- www.TheCountyWoman.com

July/August 2013

Elder Law

6

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.

Loss 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

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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 July/August 2013

37.2_WJneuro_fast_Layout 1 6/5/13 1:23 PM Page 1

Medical Professionals

7

Tips for Staying Safe in the Water this Summer Traumatic spinal cord and brain injuries often increase in the summer, due to accidents on the beach or in the water. While you are cooling off in the pool, the lake or the ocean this summer, AtlantiCare reminds you to be alert for shallow water, rip currents, rough surf and other hazards. At AtlantiCare Regional Medical Center (ARMC), doctors historically have treated a wide range of beach and water-related injuries in the summer, from concussions and minor head or neck trauma, to chest and abdominal injuries, traumatic brain injuries, and, sadly, sometimes fatal injuries. “We want the local residents of

our community and our visitors to enjoy the beaches, the ocean, water sports, and all the fun that the Jersey Shore has to offer, but we want them to do so safely. It’s important that beachgoers listen to the lifeguards’ warnings,” says Ciro Randazzo, MD, MPH, AtlantiCare Neurosciences Institute.

traumatic injury. Powerful waves can thrust your head to the ground, causing neck injuries, paralysis or even death. Boogie

boarding, boating and personal watercraft accidents also can cause serious bodily harm.”

STROKE CAN STRIKE AT ANY AGE. KNOW HOW TO ACT FAST.

“In addition to the beach and water-related spinal cord injuries, the Trauma Center has cared for patients suffering from concussions to traumatic brain injuries,” adds Kelly Willman, MD, a trauma surgeon at ARMC. “Body surfing is the most common activity that can result in

AtlantiCare offers the following safety tips for preventing spinal cord and other traumatic injuries: ALWAYS: • Heed lifeguards’ warnings. • Swim in only lifeguard-protected waters. • Check wave conditions before hitting the water. • Avoid big or rough waves and waves breaking into shallow water close to shore. • Keep your arms over your head to protect it from hitting the ocean floor. • Ride the surf at an angle to the waves, rather than in a straight line toward the shore. • Body surf with a partner. • Know your beach and surf – be aware of rocks, jetties and sandbanks. • Keep your eye on children. • Practice courtesy and safety – stay clear of other bathers and be watchful of others.

FACE ARMS SPEECH TIME

Has their face fallen on one side? Can they smile?

Are they unable to raise both arms and keep them there?

Is their speech slurred?

Call 911 if you see any of these warning signs.

Now more than ever, adults of all ages are having strokes. The AtlantiCare Neurosciences Institute uses the most advanced technology to diagnose and treat stroke patients. AtlantiCare Regional Medical Center (ARMC) City Campus is the first and only approved Comprehensive Stroke Center in Southeastern New Jersey. And we are proud to be a part of the Jefferson Neurosciences Network. Learn more about the signs and symptoms of stroke at AtlantiCare.org.

NEVER: • Swim or surf at night. • Run and dive into the surf. • Dive into a shallow pool. • Combine alcohol with body surfing or other water or summer activities.

The County Woman Magazine

1-888-569-1000 ARMC City Campus, Atlantic City — State designated Comprehensive Stroke Center and Joint Commission designated Primary Stroke Center. ARMC Mainland Campus, Pomona — State and Joint Commission designated Primary Stroke Center.

www.TheCountyWoman.com

July/August 2013

Health

8

& Wellness

THE

ART of BREATH

and Movement

In yoga practice, we breathe as we do each movement in a way that maximizes the effect of the breath on the body. Linking breath and movement in the belief that evenness of breath, coupled with evenness of movement will lead to evenness of mind. But it’s not as simple as moving with the breath, for our breath informs, guides and fully surrounds movement. Breath begins before the movement starts and ends after the movement completes. This integration of breath and movement requires mindful attention. Only by completely focusing the mind can the movement and breath link together in this elegant dance. Even when “staying” in a pose, subtle breath focused movement continues. Stillness holds within it a subtle dance. So the next time you take a yoga class, pay attention to each breath you take and mindfully allow the breath to guide your movement. You might be surprised at the profound impact this relatively simple change will have on your practice. “Be soft in your practice. Think of the method as a fine silvery stream, not a raging waterfall. Follow the stream, have faith in its course. It will go its own way, meandering here, trickling there. It will find the grooves, the cracks, the crevices. Just follow it. Never let it out of your sight. It will take you...”.Sheng-yen.

Stillness

try a different perspective

Photo by Paul Dempsey

Practice your passion.

The County Woman Magazine

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July/August 2013

Health

& Wellness

9

wine & wellness Retreat with Laurie Greene Calistoga, California ~ Sept. 17 – 22, 2013 Beautiful Napa Valley awaits! Five nights and six days in the beautiful town of Calistoga filled with yoga, charming accommodations with sweeping mountain views, wine tastings and vineyard tours, volcanic mud baths and natural mineral hot springs. Join Laurie for an escape during the harvest season to enjoy local cuisine, VIP tastings, and biking tours during the beautiful fall landscape.

Enjoy A Wine & Wellness retreat to remember with Laurie by signing up at . . .

www.yogaadventuresworldwide.com

Greene, PdD, E-RYT, YBR. A PhD in anthropology, Laurie oLaurie has practiced yoga since age 15, having grown up in a “yoga family”.

Since then yoga has become her healthy addiction. Always an enthusiastic student, Laurie combines her training in a variety of classical ‘hatha’ traditions, bringing insights and techniques from all these to her eclectic teaching and practice. Training extensively in the Iyengar tradition, emphasis is on safety, technique and proper alignment so that students will get the greatest benefits from their practice and easily experience the joy that yoga affords every fitness level. Laurie is also certified in Vinyasa flow and is registered with the Yoga Alliance as an ‘experienced teacher’ and trainer. Her continuing exploration of classical and newer interpretations of Ashtanga Vinyasa have led her to study with many amazing teachers and to all of them she is forever grateful. Having completed her 500 hour certification with the wonderful Edward Clark and Elizabeth Connelly, Laurie’s passion lies in blending many styles into a practice that is instructive, creative, and fun.

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Business & Finance Copiers Plus Expands Their Printing Services Division…Part Two! 10

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

July/August 2013

Medical Professionals

11

Varicose Veins? Painful Swollen Legs? Help Is Available! any of these risk factors. Venous reflux disease and varicose veins become more common with age. Existing varicose veins can also become more prominent or symptomatic, as individuals get older. In more severe cases, people with long standing varicose veins and chronic leg swelling can develop permanent loss of integrity and Stephen Jeffrey S. discoloration of the skin, leg Gosin, Gosin, wounds, and blood clots. M.D. FACS M.D. FACS The good news is that modern vein care allows for treatAn Interview With ment of many of these problems Dr. Jeffrey S. Gosin... in a far less invasive way than in the past. aricose veins and Hospitalization and painful their underlying vein stripping surgery are usucause, known as venous ally not necessary. Jeffrey Gosin, reflux disease, are the most M.D., a Board Certified Vascular common circulatory probSurgeon with Shore Vascular lems that affect individuals & Vein Center states, “In our practice, we have been caring for of all ages. individuals with vascular problems, such as varicose veins, for our entire careers. In recent years there have been fantastic advanceVaricose veins are not just a cosmetic problem. ments in the treatment They can be an indication of an underlying of vascular disease. In abnormality in the vein valves, causing leg pain, many cases we can swelling and other potentially serious problems. offer these state-of-theart treatments to our patients. As a result, we are able to treat most of the vein problems that people expeEliminate the discomfort and appearance rience with minimally of most varicose veins with the latest invasive, outpatient state-of-the-art techniques. procedures. Many of Our Board Certified Vascular Specialists can these are performed get your legs looking and feeling great. right in the office. Call us today for a consultation. These procedures have Most health insurance accepted. the advantage of being very safe and effective.

V

These conditions are twice as common as coronary heart disease. They occur when vein valves in the legs become damage, causing abnormal blood flow in the affected veins. Consequently, blood is allowed to pool in the lower legs. This causes a variety of physical symptoms such as leg pain, leg swelling, heaviness and fatigue, and skin itching. It can also cause the appearance of unsightly varicose and spider veins. People who have occupations that require standing, such as casino employees, food servers, school teachers, and many other similar jobs are especially prone to these problems. In addition, people who have a family history of varicose veins, who are overweight, or who have been pregnant are at risk. It is also possible to have varicose veins without

Get Great Legs for Summer!

You can experience the ultimate in vein care right here at the Jersey Shore.

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

The good news is that modern vein care allows for treatment of many of these problems in a far less invasive way than in the past.

Patients usually experience minimal discomfort, are able to walk immediately following the procedures, and have fast recovery.” • One of the advancements in vein care is the Closure® Procedure. This procedure treats varicose veins at their underlying source, by eliminating venous reflux. Dr. Gosin states, “The Closure Procedure has greatly improved the way that we treat patients with varicose veins and venous reflux disease. It is performed in a comfortable office setting. General anesthesia is not necessary. The whole procedure is guided by ultrasound. Therefore, incisions and sutures are usually not needed. That means less pain and faster recovery for our patients. The procedure takes about 30 minutes to perform and is over 95% successful in eliminating venous reflux, which is the cause of most varicose veins. We have now performed hundreds of these procedures and results have been excellent.”

“One of the significant advantages to seeing a vascular surgeon for vein care is that we treat the full spectrum of vascular diseases, from routine to very complicated ones” says Dr. Gosin. “We have experience with conventional open surgery, and are certainly prepared to do that when necessary. However, more and more we are able to treat our patients with minimally invasive procedures. This is especially true for varicose veins and venous reflux.” If you are suffering from the symptoms or appearance of varicose veins, or if you think you have leg symptoms that you think might be related to your circulation, the Board Certified Vascular Specialists of Shore Vascular & Vein Center are available to help. Most health insurance is accepted. 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. 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.

www.TheCountyWoman.com

July/August 2013

Home ImprovementContractor

12

Things To Consider When Designing Your New Deck Know Your Options in Decking Materials

other than brown. With today’s selection of stains and decking, it’s easy to find one that complements your home’s exterior, regardless of palette. The right shades can mean the difference between a deck that looks like a stuck-on foreign object and one that’s a natural extension of your home.

Homeowners have more decking choices than ever before. For fans of real wood, pressure-treated cedar, and redwood are good, traditional choices. But hardwoods are coming into vogue, and several choices are available, such as ipe and jarrah. Their longevity puts them in a league with composites, and they offer a luxurious, rich appearance you can’t get with other decking. They are more expensive than most other woods, however. For those searching for something different, composite decking and other synthetic materials such as vinyl are revolutionizing the industry. These products are as close to maintenance-free as you can get, and they last decades. They cost more than most wood, but the payback comes with reduced maintenance (this means no refinishing). The look is very different from real wood, so personal taste is a big part of the decision to use composites or other synthetic decking.

Create a Shady Overhead

A pergola can dramatically transform your deck from a twodimensional platform into a threedimensional outdoor room. Not only does it provide shade, it gives you a place to attach speakers, lights, fans, and hanging plants-the comforts that turn a deck into a wonderful outdoor retreat. A basic pergola doesn’t cost much to add to an existing deck, but it’s easier to build as an integral part from the outset.

Vary Your Geometry

Consider a deck with unusual angles or even curves. It requires more labor, but it can turn a common rectangular deck into a unique architectural feature.

Lighting, a sound system, planters, a fan, perhaps a built-in bench or two--these niceties turn a drab deck into a desirable destination. Think about these amenities when you plan your deck, rather than forcing them in after you’re finished building. During construction, you can hide wires and attach structures with relative ease.

Innovative railings have taken deck design to new levels. With choices such as glass, metal, vinyl, composites, and cabling, alternatives to wood railing can have a tremendous impact on the look of your deck. Open the View if Railings aren’t Needed Though you wouldn’t know it looking at most decks, railing isn’t usually required if your deck

Source: www.bhg.com, 10 Things To Know About Building a Deck.

Ryan K. Apel is a licensed home improvement contractor who has been working with clients in southern New Jersey for over 10 years. He can be reached at 609-287-5841.

RK

A

Small touches make your deck a relaxing place to hang out.

Most homeowners carefully coordinate the color scheme of their homes’ exteriors, yet many don’t even consider a decking color

feel like a cage, and wide stairs provide an elegant transition into the yard and generous seating.

Surround Your Deck with Beautiful Railings

Set the Mood with Thoughtful Details

Play with Color

remains below a specified height. (Check local codes--it’s often 18 or 24 inches.) One alternative to railing is stairs that run the width of one or more sides of your deck. It won’t

Ryan K. Apel, Owner

609.287.5841 ryankapel@msn.com 230 S. New York Road Galloway, NJ 08205

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“EXCELLENT!” WOR Radio “HILARIOUS !” BroadwayWorld.com

An Electrifying Story Told Through Music, Dance & Technology

“Best New Act in America!”

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

Piers Morgan, America’s Got Talent

New World Stages

340 W. 50th St. (btw. 8th & 9th Ave.) The Acorn Theatre @ Theatre Row • 410 W 42nd St (Btw 9th & 10th Ave) TELECHARGE.COM • 212-239-6200 • TheBananaMonologues.com F L Untitled-1 1

X

6/10/13 12:18 PM

The County Woman Magazine

Telecharge.com 212-239-6200 iLuminate.com

One entry per person. Multiple entries will be disqualified. Entrants may enter for tickets to multiple shows. Entries will be accepted through July 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

July/August 2013

Contemporary &Rattan Furniture

13

Heritage House Interiors Makes Your Experience Memorable!

A

company is only as good as its people. From the greeting you receive at the door to the wave goodbye from your deliverymen makes a lasting impression good or bad.

å

“A local Barnegat Business should be applauded for caring about its’ customers!

Heritage House Interiors opened its

doors in a shore village of 1400 people in 1974. One by one people in the area passed the word that visiting Heritage House Interiors is a fun experience. Such a memorable experience that they visit even when they are not looking for new furniture! New members of the community stop in to get news of local events on Long Beach Island or even Atlantic City and Philadelphia. They inquire about restaurants, contractors, real estate agents, hair salons and even dentists. And sometimes they ask us about furniture. How it is made; where does it come from; how durable; how to clean it; do you repair frames and recover cushions? After almost 40 years we usually have the answers. We talk about everything including the controversial stuff. Everyone has a good time…even the husbands! We must be doing something right! What is right about Heritage House Interiors is its people. First, our showroom is intimate and chock full of treasures. Second, our consultants know the products well, listen carefully to our client’s needs, can layout a room and coordinate colors and patterns. Third, they are not commissioned order takers. They are paid a salary whether you buy or not. That eliminates a lot of pressure to close a sale immediately. Forth, that allows us to fully explore your needs and plan the solutions. Our consultants input ideas and opinions as a team so you can make the best decisions in a timely manner. We also work with small independent family owned manufacturers who can offer you more custom choices. These are American companies. The factories usually ship in three to six weeks giving you a shorter waiting time for your custom pieces and still maintain very competitive pricing.

Customer Testimonial

Heritage House Interiors stocks everything we display. So, if you like what you see you can get it right away. That makes a big difference when you are trying to move back after Sandy’s visit or doing a last minute update for your rental property. And after you have chosen your furniture, lamps, art and accessories at Heritage House Interiors and you get that call scheduling your delivery, you are delighted with the courteous, responsible, informed, English-speaking deliverymen who are able to make any minor adjustments and answer any questions about your purchases before you hand them a check. And for a nominal fee they will be happy to put your old furniture in the garage or at the curb for you. Heritage House Interiors doesn’t leave you stranded after you’ve made your last purchase. Years later when the dog eats your cushion, your teenager’s friend breaks the sofa arm, or Mother’s old rattan set needs refinishing, new webbing and cushions, our workshop staff is there to make it right again.

The County Woman Magazine

Over the years we have received very positive comments from our clients about their experiences at the showroom and at delivery. Many reluctantly leave the showroom kissing our consultants goodbye and visit again bringing homemade goodies. Such a different way to buy furniture!

Sandy victims still receive special discounts and delivery allowances for their purchases over $1000.00.

www.TheCountyWoman.com

Written By: Wendy Miller

It seems I have extreme reactions to odors caused by either chemical and/or materials used in new furniture items. I thought that rattan framed furniture with removable zippered cushions would be a solution. I ordered a rattan loveseat from Heritage House after quite thorough discussions with the staff and owner about my issue. The loveseat was delivered by the owner’s staff, not subcontracted delivery people, Unfortunately, even after his staff had “aired” the cushions for a week prior to delivery I had a severe odor reaction. Upon advising the staff of Heritage House of my problem, this owner and businessman personally was understanding and concerned about a customer to call me and offer me a full refund return! I will not forget the quick reply and action Heritage House has taken. I will recommend this shop whenever the opportunity arises. I have a problem but other furniture shoppers should certainly support this shop. Isn’t it nice to know of a shop where the owner really cares about his customers’ satisfaction: and in my case, my health.” Very truly yours, C. A. Matthews

TUESDAY WEDNESDAY

July/August 2013

Health

14

& Wellness

HCG Diet: It WORKS! Stop The Struggle! Does the HCG Diet really work?

Jill Houston Clinical Director

Michael Nagy, MD

Adil RoomI, MD

Written by: Jill Houston, Ocean Health & Weight Loss

What is HCG Diet? The HCG in the term HCG diet actually stands for human chorionic gonadotropin (hCG), which is the hormone particularly produced only during a woman’s pregnancy. It is said to be acquired from the urine of a pregnant woman. Dr. Albert Simeons created the HCG diet in the 1960s when he found out that a person can be injected with a minimum dose of HCG to lose fat instead of losing lean tissue. After discovering the weight loss effect of hCG to human beings, he then advocated the HCG weight loss plan and encouraged it, which consisted of regular low-dosage of HCG injections and a low calorie program to lose weight and battle against the obesity, as well as the risks derived from excess weight.

Yes, it does. The HCG Diet really works and the results are permanent. HCG diet is one of the most popular and easiest weight loss programs available nowadays. Although it has existed for quite a while, the HCG diet has enjoyed renewed popularity recently. This is probably because it is a simple yet effective diet that requires no physical activities. People tend to look for weight loss programs or diet secrets that do not require exercise because they usually do not have the time for it or find it strenuous. This diet only requires you to take HCG and imposes on you a strict low-calorie diet, which is usually the minimum calorie count we need daily, so it in fact works even if you do not exercise. The thousands of individuals who have experienced successful outcomes from the HCG diet have positive outlooks on this diet and encourage others to try it out.

One of the best ways to know about the popular and efficient HCG Diet is by consulting an expert. If you want to know more about the HCG diet contact Ocean Health & Weight Loss, Inc. 732-6089681 or our web site www.oceanhealth4you.com. Join thousands of successful weight loss patients. Â We now have Care Credit to help you reach your weight loss goals.

Is HCG Diet worth it? Yes, the HCG diet is definitely worth it. The HCG Patient After HCG Patient Before HCG diet has been around for more than 60 years and is one of the most successful weight loss programs to date. It is highly 6 !))1 21 respected and implemented by thousands of 5 = people around the world because it is highly -6'29)5 % 758/< 5)0%5.%&/) effective. The HCG diet is worth it, most :%< 72 /26) :)-+,7 48-'./< %1( 6%*)/< )6)7 <285 especially for those who desperately want to 0)7%&2/-60 72 ,)/3 <28 .))3 shed unwanted fat and to those who need to 7,) :)-+,7 2** !7236 <285 lose weight due to obesity or other health ail&2(< *520 6725-1+ );')66 *%7 ments related to obesity. The HCG diet is the most sought after solution to every individual’s weight loss problem. If one is ready to 26) 72 281( )5 %< endure the difficulty of losing weight, then it :-7, , >",) %7 851-1+ -)7 is definitely worth it. Contrary to the oftenrecommended 500 calorie HCG diet, Ocean )(-'%//< !83)59-6)( 1'5)%6)( 1)5+< 26) /&6 -1 (%<6 )6)76 $285 )7%&2/-60 Health & Weight Loss does not believe your )77)5 !/))3 %785%/ 25021) diet should be less than 1200 calories. The /)%5 ",28+,7 52')66 )77)5 )%/7, results from the HCG diet are permanent but it does not mean that one should not main ')%1 )%/7, #)-+,7 266 tain it. The HCG diet is effective not only 20081-7< )(-'%/ )17)5 during its procedure; HCG diet also means %.),8567 2%( a change in lifestyle. One must still look out "206 -9)5

for his/her diet even after the HCG diet.

Lose Fat! Not Muscle! AMAZING hCG WEIGHT LOSS!Â

• Amazing Results in the First Week • Lose .5-1 pound per day • No Hunger on the hCG Diet • Easy to Make Recipes

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

A DAUGHTER’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

July/August 2013

Medical Professionals

15

Enhance Your Summer Glow You can enhance your beauty while enjoying the Jersey shore and everything the summer has to offer with treatments that have NO downtime.

Summertime Enhancements With Minimal To No Downtime

1 Botox is a great treatment to minimize unwanted

lines and wrinkles caused by facial expression. Lessen the vertical lines between your eyes with a treatment that only takes minutes to perform and will last for months. Your result can be maintained or enhanced with treatments at approximately three to four month intervals.

1 Juvederm, Boletero and Radiesse are

We offer affordable, innovative treatments that can reduce fine lines, soften wrinkles and restore volume to the lips, eyes or cheeks for a more youthful look. At our center we take the guesswork out of what treatments you might want or need by offering a complimentary cosmetics consultation. You will meet Dr. Small, a board certified plastic surgeon who specializes in cosmetics to determine the best options for you. This individualized care combined with a dedicated staff will provide exemplary care to meet your unique needs and desires.

fillers that soften the deeper folds of the face. The folds, which create a “parenthesis” from the nose to the mouth, are commonly treated with these products. Juvederm is hyaluronic acid filler which can be used “ off label” to enhance other areas of the face such as the lips, the marionette lines (downward folds from the corners of the mouth), and hollowness along the lower eyelid and cheek. These procedures take approximately 15-20 minutes to perform and will last six months to a year in duration.

1 Lipofill is a great way to add more

Full Aesthetician Services Microdermabrasion Facials Chemical Peels Acne Treatment Waxing & Tweezing

Liposuction Tummy Tuck Body Lift

Laser Center

Matrix Fractional C02 Resurfacing Hair Removal Spider Vein Tattoo Removal Photofacials Erbium Laser Refresher Peels Pulsed Dye Laser Scar Treatment

Face

Facelift Cheek Lift Neck Lift Eyelid Surgery Fat Transfer~ Lipoaugmentation Rhinoplasty Chin Augmentation Otoplasty

Vectra 3 D Imaging Breast Face Body

1301 Route 72 West Suite 260 Manahawkin, NJ

780 Route 37 West Suite 240 Toms River, NJ

www.oceanplasticsurgerynj.com • 732-255-7155

The County Woman Magazine

JUvederm

$50 Discount * Excluding Tax

OCEAN PLASTIC SURGERY P.A. AND LASER CENTER Toms River, NJ • Manahawkin, NJ Office: 732-255-7155

Disclaimer: Void Where Prohibited by Law. Must be 18 years of age or older. Nontransferrable. Botox special: second treatment must be redeemed within four (4) months. Any subsequent Botox treatments of the same area will be charged. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, and/or treatment that is performed as a result of and within 72 hours of responding to the advertisement for free, discounted fee, and/or reduced fee service, examination or treatment. Offer subject to change without notice.

Breast

Augmentation Lift Reduction Reconstruction Revision Augmentation Revision Reconstruction

July/August 2013

August 16, 2013 • 1 pm- 6 pm Location: Toms River, NJ Call for Details.

Artistry • Beauty • Rejuvenation Body

you longer, fuller, darker eyelashes with a simple daily application. You can see a doubling of eyelash fullness in approximately six weeks.

Buy One Area, Get Your Second Treatment Free Botox $15/unit

This is an awards program that you can register for by going online at www.BrilliantDistinctions.com. You will receive special offers, exclusive invitations and membership to the Brilliant Distinctions Points Program which will give points towards Allergan products such as Latisse, Botox and Juvederm. We offer the Brilliant Distinctions program. Call Dr. Small at Ocean Plastic Surgery for more details. Come visit us and explore the possibilities of a new you with our state-of-art Vectra XT imaging. You can see your Breast-Face-Body result in 3 D at your consult! This is an awesome way to see what a Breast Augmentation, Rhinoplasty or Liposuction result would look like.

Botox Juvederm Radiesse Boletero

1 Latisse is an amazing product, which can give

BOGO BOTOX

volume to the cheeks while softening eye hollowness or deepened facial folds or lips that

Maintain your great looks by joining Brilliant Distinctions.

Non Invasive

have lost their volume. This works by removing unwanted fat from one area of the body such as the abdomen or hips, purifying it, and precisely layering it to provide facial enhancement. This powerful technique can restore a much more youthful volume than fillers and potentially leads to lasting results for well beyond a year. This procedure takes about an hour with approximately 50% of the transfer remaining at a year.

Dr. Small’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 your unique needs and expectations. You will be cared Dr. Stephen E. Small, for in a comfortable, compassionate Board Certified Plastic Surgeon setting with a staff that is ready to serve you. Call to schedule your appointment, 732-255-7155.

www.TheCountyWoman.com

July/August 2013

Medical Professionals

16

Stubborn fat has met its match.

< Freeze your fat away.

Transform yourself

without diet, exercise or surgery. CoolSculpting is the revolutionary body contouring treatment that freezes and naturally eliminates fat from your body. There are no needles, no special diets, no exercise programs and best of all – no downtime. Developed by Harvard scientists to eliminate fat, CoolSculpting is FDA-cleared, safe and clinically proven.

BEFORE

17 WEEKS AFTER COOLSCULPTING (No Weight Change)

Procedure by Brock Ridenour, MD

®

Call us today at (732) 281-1988 to schedule your consultation.

Christopher P. Godek, M.D., F.A.C.S. 1430 Hooper Avenue Toms River, NJ 08753 Phone: 732.281.1988 Fax: 732.281.1977

Results and patient experience may vary. Ask us if CoolSculpting is right for you. CoolSculpting for non-invasive fat reduction is cleared for the flank and abdomen. CoolSculpting is a registered trademark and the CoolSculpting logo and the Snowflake design are trademarks of ZELTIQ Aesthetics, Inc. © 2012. All rights reserved. IC0529-C

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Medical Professionals

17

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.

Treatments Starting At $750 & Up 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.

July/August 2013

Medical Professionals

18

Women And Sleep: Do You Feel Deprived? Written by: Stephen Newman, MD,

T

hroughout her life, a woman’s sleep is governed by the maturation of the brain’s central clock as well as hormonal cycles. Let us follow the life of Marie throughout her life.

MENARCHE: On or about her

eleventh year of life she has her first menstrual period. Marie reports to her mother feeling quite tired. Her mom feels Marie’s fatigue is “only natural” and part of becoming a woman. However, two different things may be happening. On called restless legs syndrome presents with repetitive contractions of the legs resulting in kicks causing brief arousals, not to full wakefulness, as frequently as 10 to 20 times per hour throughout the night.

HIGH SCHOOL: The second

issue, usually happening a bit later during puberty, when Marie was 15, involves the brain’s clock. This area called the pineal gland and suprachiasmatic nucleus governs sleep onset. Often during adolescence, both women and men’s clock tells the body to go to sleep much later into the 24-hour cycle, in Marie’s case at 3 AM instead of 10 PM. This problem, called delayed phase sleep syndrome, made Marie very tired as her mother tried to get her to awake at 6 AM to get ready for high school.

PREGNANCY: Although

fatigue is common due to preg-

Job Openings

nancy and its complications, Marie developed restless legs syndrome (see above) and obstructive sleep apnea during the last trimester. Sleep apnea, marked by snoring and stopping breathing, can increase the tendency to fall asleep during the day, result in high blood pressure as well as many other serious heart and brain disorders, leading to illness and death.

MOTHERHOOD: In addi-

tion to the full time job of raising her child, cooking and cleaning the house, she also worked from 3-11 PM as a nurse, accomplishing all of her other duties before and after work, often until the early morning hours. She developed a pattern called circadian shift work disorder that established an abnormal sleep cycle for the rest of her adult life. Marie would fall asleep between 2-6 AM; returning back to bed after her daughter went to school at 8 AM. She fell back to sleep from 8-11 AM catching another nap between 1-3 PM.

MENOPAUSE: As her estrogen level fell, Marie experienced hot flashes. Her ability to stay asleep was interrupted by hot flashes and night sweats. She often awoke feeling “foggy” and notes her

chronic migraines have intensified. Moreover she feels moody similar to the brief post pregnancy blues and is having difficulty at work. In consultations with her internist, gynecologist and sleep disorders specialists, Marie elected to take hormone replacement therapy, which was helpful in minimizing her symptoms and improving her sleep. She stayed on Prempro for five years and was able to taper it with the advice of her doctors.

thin, also snores, and stops breathing, according to her brother in law. She describes her blood pressure is no longer controlled on two different medications. A sleep study performed at home shows severe sleep apnea in which she stops breathing 20 times an hour. She decided to get a device, which fits in her mouth and is worn only at night. It advances the jaw

THE FUTURE: July 1, 2025:

Marie, now 68, describes that she resembles her mother who had snored, had high blood pressure and died of a stroke. Although, she describes she is lighter than her mother, she describes living at the Jersey Shore has resulted in allergies causing a great deal of nasal congestion. She describes the recurrence of her “migraines” every morning. She will fall asleep shortly after breakfast unless her 9-year-old granddaughter visits. She reports she fell asleep at a red light, and rear-ended a car. She describes her younger sister, who is

Call Stephen L. Newman at 732-920-8022 today!

Stephen L. Newman MD MBA Stephen L. Newman MDMedicine MBA Diplomat American Board of Sleep

DEPRESSION: The death of

her Mother intensified a depression, which had bee present for the last 20 years. She noted difficulty falling asleep and staying asleep. When she ultimately fell asleep she would awake at 4 AM fighting annoying thoughts and trying to “force” herself to go back to sleep. The use of Ambien made her either groggy or irritable the next day. One night she awoke slipped in the bathroom because of the side effect of Ambien and cut her knee. After the recent FDA warning, she has elected to pursue a program of cognitive behavioral therapy of insomnia with her sleep disorders physician.

forward and by doing so prevents her airway from collapsing at night. Although Marie is not a “real” person, such a history is not uncommon. If any of these scenarios describes you, a friend or family member, please suggest evaluation with a sleep disorders physician.

◌ ◌ ◌ ◌ ◌ ◌ ◌ ◌ ◌ ◌

Diplomat American Board of Sleep Medicine

Sleep Apnea Sleep Apnea at home, sleep studies Ambulatory, Ambulatory, home, sleep studies Overnight in at laboratory diagnostics Overnight in laboratory diagnostics Driving Evaluation Driving Evaluation Cognitive Behavioral Therapy of Insomnia Cognitive Behavioral CPAP/BIPAP therapy Therapy of Insomnia CPAP/BIPAP therapy Provent therapy Provent therapy Mouth Devices Mouth Devices Narcolepsy evaluation Narcolepsy evaluation

35 Beaverson Blvd, Suite 7C 35 Beaverson Blvd, Suite 7C Brick, NJ 08723 Brick, 08723 Phone:NJ 732.920.8022 Phone: 732.920.8022 drslnewman@drnewman.org drslnewman@drnewman.org

www.DrNewman.org www.DrNewman.org

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.

Part-Time Delivery Position Available Publication Distributors NEEDED

Part time publication distributors needed throughout the Ocean County.

Qualities required are:

Mature, responsible, and enjoy talking to people. Must dress presentable to deliver in professional offices. Must have own vehicle.

Email resume to:

Mike@TheCountyWoman.com Or mail to:

Ocean County Woman PO Box 619 Turnersville, NJ 08012-0619

Approximately 10 - 30 hours a month.

The County Woman Magazine

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July/August 2013

Medical Professionals

19

Technological Advances In Gastroenterology

Written by: Jai Mirchandani, MD, Gastroenterologists of Ocean County

Q

What is unique about gastroenterology?

Gastroenterology is a field that uses newer advances in technology to assist in patient care. Gastroenterology is evolving into a minimally invasive field, from using thin flexible endoscopes to diagnose and treat diseases, and now using wireless technology to assist in the management of certain diseases.

Q

What are a few of the newer procedures available in Gastroenterology? Two of these newer procedures are Small Bowel Capsule Endoscopy and Bravo pH (acid) monitoring. Both of these are outpatient procedures that can be done in our office.

Q

What is Capsule Endoscopy?

Capsule Endoscopy utilizes new wireless technology. It uses a small pill with a camera inside to detect diseases of the small intestine. Capsule Endoscopy is an outpatient test where a patient comes to our office and swallows the capsule with a glass of water. The capsule is approximately the size of a large multivitamin. The patient then wears a small data

recorder, which collects the images wirelessly from the capsule. This data recorder is brought to our office at the end of the day. The capsule passes normally in the patient’s stool, and does not need to be retrieved by the patient. The Capsule takes 2 images per second, leading to approximately 50,000 images over 8 hours. These images are then downloaded to a computer and the physician reviews these images. Capsule Endoscopy was FDA approved in 2001, and over 1 million patients have benefited from Capsule Endoscopy. The advantage of Capsule Endoscopy is that the test allows for direct visualization of the small intestine. It does not require sedation, IVs or endoscopes. The test is non-invasive. The patient can continue most of their daily activities during the procedure. Capsule Endoscopy is the best test available to evaluate the small bowel.

Q

being evaluated for Crohn’s Disease. Some of the signs of these diseases include abdominal pain, diarrhea, weakness, rectal bleeding, or anemia. Anemia is the finding of a low blood count. Anemia can be caused by a lack of production of blood, or a loss of blood. Gastroenterologists do testing to ensure that patients are not losing blood in the stomach, small or large intestine. Symptoms of anemia can include weakness and fatigue. Celiac Disease is a condition where patients cannot breakdown a food product called gluten. Gluten is found in many foods, including breads and cereals. Symptoms of Celiac Disease can include abdominal pain and diarrhea. Crohn’s disease is a disease of chronic inflammation in the intestine, which commonly affects the small bowel. Symptoms of Crohn’s disease include diarrhea, abdominal pain and rectal bleeding.

Q

Who should get Capsule Endoscopy?

Patients should get capsule endoscopy if they have unexplained iron deficiency anemia, possible Celiac disease, or are

of measuring acid in the esophagus under the esophagus is that direct visualization. patients who have an This catheter gathers excess of acid in the acid data over 48 hours, esophagus are at risk and transmits acid data for developing GERD through radio frequency Bravo pH Catheter (Gastroesophageal to a small data receiver Reflux disease). Some worn by the patient on of the signs and symptoms of their belt- about the size of a cell GERD include chest pain, heartphone. burn, sour taste in the mouth, Newer technologies are being nausea, or abdominal pain. Patient developed every day for the diagshould get Bravo pH monitoring nosis and management of gastroif they have suspected acid disease intestinal diseases. If you have any or GERD and they have not had longstanding abdominal pain or full response to a trial of standard symptoms, talk to your doctor to medications. Bravo pH monisee if any further testing is needed toring can determine if patients for you. have good acid control, or if acid Call to schedule is even causing their symptoms. your appointment at Bravo pH monitoring is done by Gastroenterologists of a standard endoscope placing a Ocean County. small pH capsule into the end of

What is Bravo pH monitoring?

Bravo pH monitoring is a test that directly measures acid levels in the esophagus. The importance

Patient Testimonials

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

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

Gastroenterologists of Ocean County

|

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 •

Capsule Endoscopy

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.

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

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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.

July/August 2013

Medical Professionals

20

A lifesaver for families Need help for a senior with medical needs?

Independence Place Adult Day Health Center in Whiting is here for you. As the number of U.S. seniors continues to grow, so does the rate of age-related diseases. Over 75 million Americans today are living with heart disease, Alzheimer’s, Parkinson’s, or the effects of a stroke. As a result, many families today face the challenge of caring for a loved one with serious medical needs. Last year alone, over 15 million caregivers provided more than 17 billion hours of unpaid care to loved ones with Alzheimer’s and dementia. For most family caregivers, theirs is a labor of love, inspired by gratitude, devotion and duty. But caregiving can be physically exhausting and emotionally draining, and at some point, even the most dedicated spouse or child can reach a state of burnout. That’s where Independence Place Adult Heath Center comes in.

Independence Place: A haven for families and caregivers Independence Place is a specialized center located adjacent to Whiting Healthcare in Whiting, NJ. Designed as a day health facility, Independence Place offers medical supervision and activities programming for adults with neurological, cardiovascular and other conditions. Each weekday morning, the Independence Place bus picks up clients at their homes and transports them to the center. There, a warm welcome and a light breakfast awaits, followed by a full day of fun and purposeful activities. “We are all about quality of life here,” says Cathy Harmon, BSW, director of Independence Place. “Not just for the clients who come here each day, but also for the families we serve. There are so many people today who have taken on the responsibilities of caregiving. They may be trying to hold down a job or raise a family at the same time – and feeling overwhelmed. We’re here to offer support, so caregivers can live a balanced life.” A typical day at Independence Place starts early. After enjoying breakfast, clients can choose from variety of games, exercises and activities designed for enjoyment and therapeutic value. “We keep it varied and fun,” says Harmon. “There are activities to help with fine motor skills, plus memory games, puzzles, trivia contests, news quizzes and other activities to stimulate the mind. “ A nutritious lunch is served each day, prepared in accordance with each client’s dietary requirements. After lunch, a chair-level exercise and movement program helps clients maintain flexibility and strength. Next up might be a game of bocce or bingo – or a great old movie on DVD – or even a visiting musician. Clients who like card games can sit outside on the patio and play gin rummy ... or just enjoy the fresh air. “Our goal is to provide clients with an enjoyable and rewarding day,” says Harmon. “We focus on respecting people -- building self-esteem and making them smile.”

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Most Independence Place clients take advantage of the bus service included in the program to get them to and from the center. Independence Place also offers overnight care as part of its respite program for families. Clients can stay at Whiting Healthcare for one or more nights, while they continue to receive medical supervision. “Our respite program can be a lifesaver for families,” says Harmon. “For instance, if there’s an important trip or family vacation, they can feel free to travel, knowing their loved one is being cared for.”

A higher level of care While Independence Place shares some of the qualities of a senior center and adult day care center, Harmon notes that it’s actually “a medical day health facility” --- with a fulltime nurse on duty to monitor and supervise clients’ medical needs. “We consult with our clients’ personal physicians to coordinate the care we provide,” says Harmon. “We can also provide occupational, speech, and physical therapy services onsite. Our goal is to help clients maintain a stable level of health, and to prevent premature nursing home placement.”

“You are not alone.” One thing Harmon is passionate about is getting the word out to families and caregivers that “help is available.” “I urge people to give us a call if they’re struggling with care and finance-related questions.” she says. “We work with many state and local funding programs including the New Jersey Alzheimer’s Grant program, JACC, Horizon NJ Health, Amerigroup, United Healthcare, a state-wide respite program, and NJ Medicaid.” Independence Place was awarded a grant from the state of New Jersey to help cover the costs of caring for clients with Alzheimer’s and progressive neurological disease. Under the terms of the grant, clients who meet the State’s criteria for eligibility can enjoy the services of Independence Place up to three days per week on a shared cost basis. According to Harmon, about one-third of Independence Place clients are currently being served under the grant, which is renewable annually.

For Harmon, connecting families with resources is a vital part of the Independence Place mission. Her message to families? “Don’t feel like you are all alone,” says Harmon. “Call us. We can help.” Independence Place at Whiting Healthcare offers daily activities programs, meals and medical supervision as well as short-term respite and hospice services to families of adults with medical needs. For more information contact Diane Delaney, executive director at Whiting Healthcare at (732) 849-4400 or visit the center online at www.reverawhiting.com.

Whiting Healthcare Center 3000 Hilltop Road, Whiting, NJ 08759

732-849-4400

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

732-458-6600

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 Meadow View Nursing & Respiratory Care Center

Whiting, NJ

Williamstown, NJ

Linwood Care Center Linwood, NJ

Maryland

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

Virginia

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July/August 2013

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Medical Professionals

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Weight-Loss Surgery to Prevent Health Problems Maintaining the proper weight for your height is essential for good health and lifelong wellness. Being over your ideal weight can raise your risk for the most common causes of death in the United States, including heart disease, diabetes, stroke and cancer, as well as other health problems such as sleep apnea, degenerative joint disease, infertility issues, and fatty liver disease. For people who are considered obese or severely obese -- defined as having a body mass index (BMI) of at least 40 or being at least 100 pounds overweight-the health risks are much higher. That’s why medical researchers continue to study the benefits of weight-loss surgery on health; in particular, the prevention, reduction or resolution of metabolic diseases and chronic health conditions that result from obesity. According to Alexander Onopchenko, MD, FACS, medical director of the AtlantiCare Center for Surgical Weight Loss & Wellness, “A recent study that re-examined the data from the Swedish Obesity Study showed that diabetes was prevented in the cohort of patients undergoing bariatric surgery, versus the control group of patients who did not have bariatric surgery. This was the same study that originally showed increased longevity in

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the patients who had bariatric surgery. Therefore, in certain cases, it can be a preventivehealth strategy to undergo bariatric surgery.” Concern for his long-term health was the motive cited recently by New Jersey Governor Chris Christie behind his decision to undergo weight-reduction surgery in February 2013. Governor Christie had a minimally invasive adjustable gastric band procedure to reduce the amount of food that can be eaten comfortably. “I’ve struggled with this issue for

20 years,” Governor Christie said during an interview with the New York Post in May. “For me, this is about turning 50 and looking at my children and wanting to be there for them.” “At the Center for Surgical Weight Loss & Wellness, we approach bariatric surgery as a way to treat severe obesity and the serious health issues often associated with extreme overweight. By losing those excess pounds, you can see improvements in your blood pressure, cholesterol levels, blood sugar levels, and other factors that

influence overall health and mortality,” Dr. Onopchenko says. If you or a loved one has been considering weight-reduction surgery, you might benefit from a consultation with a specialist at AtlantiCare’s Center for Surgical Weight Loss & Wellness. For more information, call 1-888-569-1000 or visit www.atlanticare.org/bariatrics.

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 these 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

July/August 2013

22

The County Woman Magazine

Professional Dentistry

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July/August 2013

Medical Professionals

23

Cancer doesn’t fight fair. Neither should you. No pain. No incision. No hospital stay. The CyberKnife® is revolutionary technology in the fight against cancer. It treats tumors and lesions throughout the body by focusing pinpoint beams of radiation that destroy cancerous cells with minimal effect to the surrounding healthy tissue. For you, CyberKnife means an outpatient procedure that requires five treatments or fewer with no pain. You can then focus on what’s most important — living your life. Call or visit our website for more information. 732-557-3120

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6/10/13 9:16 AM

July/August 2013

Medical Professionals

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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

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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.

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• 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!

July/August 2013

Alzheimer’s Care Community Jaqueline Drumhiller, RN Wellness Director Brandywine Senior Living at Toms River

Jacquie is also great problem solver too, which relates directly to her ability to be a compassionate and attentive listener. “I will grab a cup of coffee and listen to the resident’s problem and try and figure it out,” she says with a smile. “Some don’t have anyone to advocate for them. I love when I can prevent or solve a crisis. Sometimes it’s not about prescribing medication more than it is prescribing undivided attention.” Wonderful words of wisdom from someone who knows.

By all measures, Jacquie Drumhiller is an exceptional Wellness Director. For over five (5) years she has steadfastly employed her skills at Brandywine. During this time she has had both children graduate from college. Her son Christopher is currently serving in Afghanistan as a 1LT in the Hawaiian National Guard and daughter, Kerri, is currently working on the USS Missouri in Pearl Harbor as a hospitality representative. Her husband, Curtis just retired from 26 years as a Lt. Detective in Berkeley Township. Working at Brandywine has given Jacquie “the opportunity to continue to advocate for her residents providing compassion, caring and dignity on a daily basis.” Jacquie states, “I am very fortunate to love my job.” Jacquie graduated from Ocean County College with a full ride scholarship for the nursing program none the less. She grew up in Brick and now lives in Bayville, New Jersey. Like many who seek out a “nurturing profession” her drive and spirit comes from her own personal experience regarding her mom. Jacquie’s mother was also in the medical field and was the Director of Patient Representatives at Kimball Hospital. She raised three daughters on her own – who now all work in the medical field. I guess the apple really doesn’t fall far from the tree! At the young age of 50, Jacquie’s mother had early signs of dementia. Although her mother remained what Jacquie refers to as “feisty” and fiercely independent, she also started to present some very serious challenges. And they only became more profound. To make matters worse, at age 64, Jacquie’s mother had a stroke, which only compounded the effect of her increasing dementia. Jacquie knew her mom needed care beyond what the family could provide, and having to place her mom in a nursing facility created a sense of guilt for Jacquie. It was this experience that imbued within Jacquie an emotional connection with the residents and family members like no other. She understands their desire to be heard, which requires a careful consideration of all of their strengths and challenges. She fuses her listening talents and nursing skills that establishes a rapport that is extraordinary.

Secrets

SECRETS

The County Woman Magazine

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What also makes Jacquie such a wonderful Wellness Director is her “secret weapon on four legs” and trusted side-kick.Yes, Batman had Robin, The Lone Ranger had Tanto and Jacquie has Trooper, her faithful Bernese Mountain dog. The residents greet Trooper every morning and wherever you look you witness the smiles of residents as they take turns petting Trooper and talking to him. “Trooper would rather be here than at home. He gets plenty of attention. He just loves it here.” When residents are not seeking out Trooper, he is certainly making the rounds himself to greet everyone each morning. He has a Brandywine Senior Living shirt being made for him since he is officially part of the team. “He even got nominated for a BrandySTAR!” Who ever said it’s a “dog’s life” knew what they were talking about! And Jacquie’s positive attitude has created an exciting energy within her community. “I treat every day as if it is Thanksgiving!” says Jacquie. “I make sure there is lots of laughter, with plenty of hugs, socializing, and great conversation. My open door policy allows anyone who has a desire to talk to me – or come and see Trooper – know that I am always available.” Her day doesn’t end when it’s time to go home. If a resident doesn’t have a family visit scheduled, she will stop and sit with them and keep them company while they eat. “We will talk about everything. They show me their wedding pictures when they looked their best. I tell the ladies to wear lipstick every day. If you do, then you are really going to have a good day.” “I have 107 grandparents. Trooper and I will sit in front of them on the floor and give them undivided attention. It makes them feel important and shows that someone cares and loves them.” For Jacquie, that is the best part of her job.

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

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July/August 2013

Home Care

26

& Hospice

How To Prevent Caregiver Burnout By Kathy Zonin, BSN

A

ccording to the National Alliance for Caregiving there are approximately 65.7 million nonprofessional caregivers in the United States providing care to loved ones at home. Helping a loved one who is coping with a life-limiting illness or a chronic condition is stressful. Caregiving can require sacrifices of your time, work hours, out-of-pocket expenses, vacations, future plans and savings. According to the National Hospice and Palliative Care Organization, more than 13 million people juggle the responsibility of being both an employee and a caregiver – two full-time jobs that can spark a lot of stress. Many caregivers experience high levels of depression, anxiety and even despair. Warning signs of caregiver burnout can include reduction in productivity, pessimism in personal relationships, losing patience easily, and irritability. You know it’s an important job, but caregiving can take its toll. Here are some tips for coping: Educate yourself. Read and learn as much as you can about your loved one’s illness from doctors and reliable medical sources so that you and a health professional can determine the best caregiving methods possible. If you can, accompany your loved one to doctors’ appointments to take notes and ask questions so that you are informed. The more you know, the more effective your care will be which in turn can help you feel more confident and relaxed as a caregiver. Put your health first. Because caregiving can be physically and emotionally draining, it is important to allow time for rest and recuperation and to focus on basic needs such as nutrition and exercise. As a caregiver, you should take preventative measures with your own health not only for yourself but to ensure that you are able to continue taking care of your loved one. These preventative measures include but are not limited to trying to obtain at least eight hours of sleep each night, eating

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a well-balanced diet, avoiding caffeine and excessive amounts of alcohol. Try to find time to exercise. Even ten minutes a day, such as a brisk walk, can restore your energy and bring you back to caregiving with a renewed freshness.

Speak up. Don’t hesitate to ask for or accept help from family, friends or professionals when needed. It is important to consider and share physical and emotional limitations with your family and friends so that they are aware how they may provide you with support. Accepting offered assistance allows friends and family to feel fulfilled in their desire to be available to you and your loved one.

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Set limits. You can choose to communicate your limits with involved parties such as doctors, visiting nurses or family so that they know your availability as a caregiver in advance. Communicating your limits as a caregiver can proactively encourage other family members to assist when needed.

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Find a healthy work-life balance. Eldercare responsibilities cost employers $13.4 billion a year in medical costs according to the National Alliance for Caregiving. The NHPCO found that a total of $25 billion in lost productivity can be attributed to lateness, absenteeism, loss of efficiency and employee turnover. As a caregiver in the working world, you may want to consider talking to your employer about your needs to minimize stress. Many companies offer informational resources, counseling services and training to assist caregivers. Try talking to your employer about the option to telecommute, utilize flex time or to rearrange your work schedule. If your employer is not familiar with ways to assist you as a caregiver, the NHPCO’s online Caring Connections resource provides employers with advice and specialized brochures on providing flexible work life programs to caregivers.

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Seek support. Consider joining a caregiver support group to confide in others with similar circumstances, and share your emotions with trusted friends and family or even a counselor as a release.

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Kathy Zonin is director of nursing for Holy Redeemer HomeCare in Egg Harbor Township. Holy Redeemer HomeCare and Hospice, the largest nonprofit provider of home health and hospice services in New Jersey, offers a continuum of services in 12 counties. The organization also works with Cape May Healthy Families and sponsors the Holy Redeemer Food Pantry in Swainton. It is part of Holy Redeemer Health System, which offers a wide range of healthcare and health-related services in Pennsylvania and New Jersey, including a community hospital and extensive senior housing and skilled nursing facilities. For more information, visit www.holyredeemer.com.

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Feel free to say no—or yes. You should allow yourself to decline requests or invitations you feel unable to commit to, but permit yourself to change your mind. Nurture yourself. As a caregiver you deserve to take short breaks while providing care to your loved one. You deserve to have time to enjoy friends

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and family away from the home. There are respite services and homecare aides that can help make this possible. Smile. Caregiving is not an easy task but laughter is strong medicine. Having a sense of humor is important to keep things in perspective and help you start each day with a fresh outlook.

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when you

eel better about your

surroundings, you just eel better.

Home. Being there is critical to your state of mind and your state of health. And with the right care, it can bring you one step closer to the life you knew before. That’s what we want for you. Your home and our care. That’s HomeCare from Holy Redeemer.

888-678-8678 holyredeemer.com New Jersey: Camden • Gloucester • salem • Cumberland • Atlantic • Cape May Ocean • Mercer • Middlesex • Monmouth • somerset • Union and sOUtheAsterN PA

About Holy Redeemer . . .

HlyRdmr_HomeCare_5x7.indd 1

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Holy Redeemer Home Care, the largest nonprofit provider of home health and hospice services in the state of New Jersey, offers a continuum of services throughout 12 New Jersey counties, including Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Mercer, Middlesex, Ocean, Salem, Somerset, and Union. Holy Redeemer Home Care also provides care in Philadelphia, Bucks and Montgomery counties in Pennsylvania. It is part of Holy Redeemer Health System, which offers a wide range of healthcare and health-related services, including an acute care hospital, home health and hospice services, two skilled nursing facilities, personal care, a retirement community, low-income housing, an active living community, and a transitional housing program for homeless women and children. For more information call 1-800-818-4747 or visit us on the web at www.holyredeemer.com.

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July/August 2013

Medical Professionals

27

Surgical Advances: Robotic Surgery Minimally Invasive Surgery [MIS]

Written By: Lesley P. Furman, Md

Document Your Symptoms For An Accurate Diagnosis

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wide variety of conditions may affect a women’s reproductive system, which consists of the uterus, vagina, ovaries, and fallopian tubes. Common complaints are heavy or irregular bleeding, pain, pelvic pressure, infertility, improper bowel or bladder function. Before a medical appointment, it is helpful to track and document your symptoms – the location, frequency, intensity, etc. The more specific you can be in describing your symptoms, the more helpful this will be for your doctor in diagnosing your condition.

When Surgery Is Required When medication and noninvasive procedures are unable to relieve symptoms, surgery remains the accepted and most effective treatment for a wide variety of conditions and the procedure recommended may be a hysterectomy. This procedure is the second most common surgical procedure for women in the United States, and an estimated one third of U.S. women will have a hysterectomy by age 60. So, you’ve just been diagnosed with a condition requiring surgery. Traditional open gynecologic surgery, using a large abdominal incision for access to the uterus and surrounding anatomy, has for many years been the standard approach to many gynecologic procedures. Yet with open surgery can come significant pain, trauma, a long recovery process, and the risk of injury to surrounding organs. Fortunately, less invasive options are available.

MIS is surgery typically performed through small incisions, or operating ports, rather than large incisions. These incisions can be as small as 1 to 2 centimeters. This can result in shorter recovery times, fewer complications, less pain, shorter hospital stays [sometimes patients can go home the same day as surgery]. Traditional laparoscopic surgery, which is a type of MIS performed through small incisions in the abdominal wall, is effective for many simple procedures. However, the long-handled rigid instruments used are not considered effective for delicate or complex operations. Thanks to a breakthrough surgical technology, there is a new category of MIS for which you may be a candidate. It is an effective, minimally invasive alternative to both open surgery and laparoscopy. Through the use of robotic surgical systems, surgeons are now able to offer a minimally invasive option for complex surgical procedures. The da Vinci Surgical System comprises three components: a surgeon’s console, a patient-side robotic cart with 4 arms manipulated by the surgeon [one to control the camera and three to manipulate instruments], and a high-definition 3D vision system. Articulating surgical instruments are mounted on the surgical arms which are introduced into the body through cannulas or ports. In using da Vinci for surgery, a human surgeon makes three or four incisions [depending on the number of arms the model has] – no larger than the diameter of a pencil – in the patient’s abdomen, which allows the surgeon to insert three or four stainless steel rods or tubes. The robotic arms hold the rods in place. One of the rods has cameras inside it that provide a stereoscopic [3D] image, while the other rods hold surgical instruments that are able to dissect and suture the tissue. Unlike conventional surgery, the doctor does not touch these surgical instruments directly. Sitting at the control console a few feet from the operating table, the surgeon looks into a viewfinder to examine the 3D images being sent by the camera inside the patient. The surgeon uses joystick controls located underneath the screen to manipulate the surgical instruments. Each time the surgeon moves one of the sticks, the computer sends a signal to one of the

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instruments, which moves in sync with the movements of the surgeon’s hands. Working together, surgeon and robot can perform complete surgical procedures without the need for large incisions. Once the surgery is complete, the surgeon removes the rods from the patient’s body and closes the incisions. Sometimes robotic surgery can allow a surgeon to perform a lessinvasive procedure that was once only possible with more invasive open surgery. Once it is placed in the abdomen, a robotic arm is easier to use than instruments in regular laparoscopic surgery. The instruments can offer even greater range of motion than the human hand. The robot reduces the surgeon’s movements into very fine motions [for example, moving ½ inch for every 1 inch the surgeon moves], making the technique more precise and beyond the limits of the human hand. During robotic surgery, the surgeon can see more easily the area being operated on due to the 3D and magnification view afforded by the camera. Also, robotic instruments can access hard-to-reach areas of your body more easily through smaller surgical cuts compared to traditional open and laparoscopic surgery. Robotic surgery is being utilized in many specialties, including urology, gastroenterology, cardiovascular

surgery, bariatric surgery, and gynecology. Robotic surgery is one of the fastest growing fields in robotic surgery. This includes the use of the da Vinci in benign gynecology and gynecologic cancer. It has been used to perform hysterectomies, myomectomies, lymph node dissections, and urogynecological procedures. Don’t forget, the system cannot be programmed and it cannot make decisions on its own. The da Vinci System requires that every surgical maneuver be performed with direct input from your surgeon. The use of this system does require special training. All surgery involves risk of complications, so discuss any surgery or treatment options with your doctor. Understanding the risks of treatment can help you make the best decision for your situation. Robotic surgery may not be appropriate for every individual or it may not be applicable to your condition.

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

Whether you’re planning to have a baby, looking for good prevenWhether planning to have a baby, looking good tive care oryou’re have a healthcare concern or issue youfor want toprevendiscuss, tive have a healthcare concern or Ob/Gyn issue you to discuss, you’llcare findorthe staff at Woman to Woman is want compassionate, you’ll find the staff at Woman to Woman Ob/Gyn is compassionate, easy to talk to and provides the time, attention and level of care that easy to talk to and provides the time, attention and level of care that you you want want -- and and deserve deserve -- in in an an obstetrician obstetrician and and gynecologist. gynecologist.

Lesley P. Furman, MD

Angela R. Jones, Aliona M.D. MD • Deborah Bieter-Schultz,Maxwell, M.D. Lesley P. Furman, DO • Lisa S. Vernon, MD

Lesley P. Furman, MD • Deborah Bieter-Schultz, DO • Lisa S. Vernon, MD 615 Main Street in Toms River • 732-797-1510 615 Lacey Main Street Toms River 833 Road ininForked River••732-797-1510 609-242-3301

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While the advantages are great, including less blood loss, less pain, shorter hospital stay, shorter recovery time, and fewer complications, only your doctor can determine whether da Vinci Surgery is appropriate for you.

Patient Testimonial. . .

Robotic Assisted Laparoscopic Hysterectomy I recently had a Robotic Assisted Laparoscopic Hysterectomy at Community Medical Center with Dr. Lesley Furman. The post operative soreness only lasted five days and I did not require any prescription pain medication. Prior to the procedure I had heavy periods that required numerous pad changes daily, and this was affecting my quality of life. Personally, this procedure has alleviated the constant concern regarding the heavy bleeding and I am extremely satisfied with the outcome. ~M.M./Forked River

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Call Woman to Woman at 732-797-1510 to get your questions answered. Woman to Woman Obstetrics & Gynecology, LLC is Ocean County’s first and only all-female Obstetrics and Gynecology practice. • Lesley P. Furman, M.D., • Aliona Maxwell, M.D. • Angela R. Jones, M.D. 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 women’s healthcare issues that enables us to care for you with a level of empathy and understanding you won’t find elsewhere.

July/August 2013

Law

28

Dads . . . They’re Not Just The “Other” Parent! conducted some basic research online about children who grow up without a father and the consequences these children face later in life as a result.

By Marla Marinucci, Esq.

I

was having a really difficult time coming up with a topic for this issue and it came to me while driving to court recently for the umpteenth appearance in a case that is, without a doubt, the worst custody battle I have ever seen.

My internet research revealed the following stunning facts: with a miss❖Children ing father are two times more likely to drop out of high school.

N

who grow up ❖Girls without a father tend

ever have I seen two parents not get along to such a degree and extent as the parents in this particular case. Never have I seen a mother do everything imaginable to prevent her son’s father from being involved in his life. These are very strong statements coming from me because my area of practice is limited to divorce and custody issues and it is all that I do on a daily basis. The topic for this article involves children who lack a father figure in their lives and how it can affect them. Before making the decision to address this topic in a publication that is geared towards women, I weighed the pros and cons and decided in favor of writing about it once I had

to forego college.

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Children with a missing father are five times more likely to be poor.

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72 percent of adolescent murderers grew up without a father.

Granted, there are some very good reasons why some children grow up without a father, such as the father has passed away; due to incarceration or substance abuse issues, the child is better off without their father; or maybe mom doesn’t even know who the father is. In these situations, the lack of a father is

not something that can be controlled. In cases involving two living and presumably decent parents, there is a stereotypical misperception that moms, as of right, should just automatically get custody when the parties separate or divorce and that dads will be able to have “visitation” every other weekend. Many of my mom clients are actually stunned when I tell them that custody is not automatically given to the mom. There are two types of custody that are quite often intertwined and shouldn’t be. First, there is legal custody. Often, parents are awarded joint legal custody, which means that both parents have a say in major decisions affecting the education, health and welfare of their children. The second type of custody is called physical custody. Unless the amount of time the children spend with each parent is completely equal, one parent will be designated the Parent of Primary Residence (PPR)

and the other parent will be the Parent of Alternate Residence (PAR). Chances are, unless it can be proven pretty convincingly that either parent is a child molester; has dependency issues; or is incarcerated, the parties will share joint legal custody. Physical custody will be determined based upon the parties’ work schedules, children’s schooling, and various other factors. It is no secret that in a majority of the cases, moms have primary physical custody, which means that they have more overnights than dad. However, more and more these days, there has been a trend for either a true shared parenting plan, which is a 50/50 split between mom and dad; or a parenting plan that involves one parent having four overnights per week and the other having three. The next question becomes, “How much time do I have to let my children’s father have with them?” It is amazing to me every day that I go to work or go to court

and hear words like this. It is no secret, and I know very well from personal experience as a mother to a five and a six-year old, that fathers may not always act or do what we as moms think they should do. For example, dad may let the children go to bed without brushing their teeth; dad may think that Oreos and a coke make for a great dinner; or dad doesn’t know the name of his child’s teacher. Regardless, these are miniscule issues when compared to the big picture of life and the statistics that will follow because mom refused dad his parenting time. Children need their fathers and fathers need their children. As the saying goes, “Why can’t we all just get along?” Of course, it is easier said than done, however, bringing a child into this world requires a joint effort. Raising one should be too.

✴

Call my office to schedule a consultation and let us evaluate your situation.

Marla Marinucci Attorney At Law

609-390-9078

Marla Marinucci Attorney At Law

609-390-9078

mmarinucci@aprillaw.net

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, and has been certified by the New Jersey Supreme Court as a Matrimonial Law Attorney. 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 serves on the Family Law Executive Committee of the New Jersey State Bar Association and is also a Barrister on the Thomas S. Forkin Family Law American Inn of Court. In 2010 Marla was the recipient of the area’s Top 40 under 40, awarded annually to local successful professionals under the age of 40. Marla is a member of the Atlantic and Cape May County Bar Associations and the Cape May County Family Law Committee. She also volunteers her time as a Matrimonial Early Settlement Panelist in Cape May and Atlantic Counties and serves as a Panelist on the Fee Arbitration Committee.

Marla Marinucci, Esq. Certified by the Supreme Court of New Jersey as a Matrimonial Law Attorney

Photo By: Roger Mason

• 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 Modifications • Father’s Rights • Domestic Violence

July/August 2013

Medical Professionals

29

Living In Pain? Why? There Is A Solution! Pain can be devastating.

Pain, in the sense of physical pain, is a typical sensory experience that may be described as the unpleasant awareness of a noxious stimulus or bodily harm. Individuals experience pain by various daily hurts and aches, and occasionally through more serious injuries or illnesses.

Statistics show that back and neck pain affect over 100 million Americans. Back pain is the leading cause of disability in Americans under 45. The four common types of pain listed in order or prevalence are low back pain, neck pain, headache and facial pain. NJ Community Spine and Pain is an integrated office whose providers have over 50 years of experience with helping people reduce or eliminate neck, back and headache pain.

IS ALL BACK PAIN SCIATIC PAIN?

NO! The problem with many offices today is that they see all back pain the same. As Abraham Maslow said in 1966, “I suppose it is tempting, if the only tool you have is a hammer, to treat everything as if it were a nail.” This is how many offices treat back pain. They purchase a piece of equipment that may help back pain sufferers IF the problem is caused by sciatic inflammation. BUT WHAT IF IT ISN’T? What if your back pain is caused by something else? Unfortunately the equipment will not be of any help.

WHAT ELSE CAN BE CAUSING THE PAIN?

Our backs are complex areas of the human body. There are numerous mus-

cles, tendons, and ligaments that all attach to the spine and surrounding bones. There is connective tissue called fascia that can stretch and cause pain, and highly sensitive nerve roots that travel from the spine to lower back and legs. And yes there are times when the disc can be the cause of pain. Our necks are just as complicated with the weight of our head putting pressure on our neck. Muscles, tendons, ligaments and sensitive spinal nerves all play a roll in how the neck functions and can all play a part in causing pain.

Avoid Failed Back Surgery Syndrome

This is where the professionals at NJ Community Spine can be of help. 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.

SHOULD I GET AN EPIDURAL FIRST?

Epidurals can provide limited relief for a small group of people. This procedure is a temporary solution at best. An epidural, when it works, may last a week, a month or in a few cases longer. Again, it has a specific purpose but today is used anytime people have back pain which is why it does not work for most people.

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, Flexibility Training, Heavy Metal Testing 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 that other pain management facilities. We want to make the process of getting out of pain as painless as possible.

Patients With Migraines Or Headaches Have Found Relief At NJ Community Spine and Pain. 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.

What Our Patients Are Saying . . .

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“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.

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“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.

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“My shoulder was in constant pain. After being treated by Dr. Giardina I am virtually pain free.” - Joe F.

WE ACCEPT ALL INSURANCES CALL NOW: 732-503-4079 To Set Your Appointment

Article written By : Dr. Vincent Giardina, D.C. President, NJ Community Spine and Pain

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Medical Professionals

30

Defining and Dealing With Diverticulitis Nina Paonessa, DO, FACOS, an established colorectal surgeon at Barnabas Health Medical Group, a multi-specialty physician practice affiliated with Community Medical Center, a Barnabas Health facility, answers questions about diverticulitis, a common condition of the colon. Dr. Paonessa specializes in the evaluation and treatment of patients with colon and rectal conditions/ diseases and frequently performs laparoscopic surgery for her patients. She also offers conservative and minimally invasive treatment options for many common anorectal disorders. She frequently explains to her patients that “just because I am a surgeon, doesn’t mean everyone needs surgery. There are other options I can offer you.” Dr. Paonessa has been named Proctologist of the Year by the American College of Osteopathic Proctologists, awarded the Patient’s

Choice Award and the Compassionate Doctor’s Award by Vitals.com for six consecutive years, and is on the HealthGrades Honor Roll. What is Diverticulitis? Diverticulitis is a common condition of the colon that afflicts about 50 percent of Americans by age 60 and nearly all by age 80. It occurs when diverticula (pockets that develop in the colon wall) become inflamed or develop various complications. When this occurs, it becomes necessary for your physician or surgeon to take action to prevent the diverticulitis from worsening. Mild cases of diverticulitis are usually not associated with symptoms, but in some cases there is bleeding from the colon. Other symptoms may include pain in the lower abdomen (usually left sided, but not always), change in bowel habits as well as bloating, nausea, vomiting and anorexia due to a small or large bowel obstruction. How is diverticulitis diagnosed? Always consult your doctor for a diagnosis because diverticulitis symptoms resemble other medical conditions. Your physician will perform an extensive medical history and physical examination prior to any action taken. Generally, doctors perform an abdominal examination, and may order blood work and/or a CT (computed tomography) scan of the abdomen and pelvis.

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

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The County Woman Magazine

Who is at risk? This disease tends to affect men and women equally, but the prevalence of the disorder increases with age. Studies show that individuals with low fiber diets are more at risk than those with high or normal fiber diets. What are treatment options? Most mild cases of diverticulitis can be treated with a course of oral antibiotics, dietary restrictions and possibly stool softeners. Surgery becomes necessary if patients develop recurrent episodes or complications, such as abscess, perforation or obstruction. What type of surgery is available? Two approaches are available: traditional (open surgery) and minimally invasive laparoscopic surgery. Open surgery requires larger incisions while laparoscopic surgery uses several small incisions. Using laparoscopic surgery, many of the same operations performed via open surgery can be completed with smaller incisions. Benefits of laparoscopic surgery include less pain and scarring, and shorter recovery. When possible, Dr. Paonessa performs less invasive, laparoscopic surgery for her patients. “In dealing with surgery for diverticulitis, my goal is to “restore bowel continuity and for my patients to be free of permanent colostomy bags,” she said. What happens if it’s determined that surgery is recommended? Following the initial examination, Dr. Paonessa will arrange for a consultation with the patient and their family members, as she feels it is important for every patient to have a strong support system when he/she is facing a difficult medical issue. Dr. Paonessa will explain the surgery in detail and draw a diagram to help the patient understand exactly what the surgery will entail. She and her office staff guide the patient and his/her family throughout the entire surgical process.

www.TheCountyWoman.com

Patient Testimonials Ella S. “Dr. Paonessa is such a caring person and really knows how to speak to a patient. Everything she says comes from her heart. She made me feel at ease and treated me like a human being. Dr. Paonessa is an excellent surgeon. I’m so pleased that I don’t need a colostomy bag following colon resection surgery for diverticulitis.” 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.

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.

July/August 2013

Medical Professionals

31

The Next Generation: “Open” MRI

Cyrus Khorrami, M.D.

A friend’s experience . . . My friend Sharon who lives in Washington, DC called me with a medical problem.

S

he recently started having mild backaches as well as the sensation of “lightening” shooting down her left leg. Her doctor in Washington was concerned she could have a herniated disk in her spine and he recommended an MRI to diagnose the problem. It was explained to her that an MRI is basically a large magnet that images the body. The advantage of the MRI is that unlike some other tests there is no radiation and the detailed images obtained are of excellent quality. The disadvantage is that the test can take up to 45 minutes and one’s entire body enters the MRI through a narrow tube surrounded by the machine. The space between a patient’s body and the machine can be tight. Unfortunately, Sharon is extremely claustro-

phobic. After arranging for the procedure at a radiology facility near her home in Washington DC, she attempted to have an MRI on an older magnet but couldn’t go through with it. She was even given a little valium to relax her but the tight space was too much to bear. Sharon called me wanting to know what she should do. I told her that the MRI is the best test to detect a herniated disks in her spine. She needed the MRI. Sharon then asked me about an “open” MRI. Open MRIs became very popular in the 1990s. Instead of being surrounded by the machine while lying in a tube, the machine was in the shape of a clam with the sides of the MRI being open. There were still a few problems with the open MRI. Although the sides were open, the top of the machine was very close to the patient’s face. This design still bothered some patients who suffered from claustrophobia. The bigger problem with the Open MRIs was the strength of the magnet. Weaker magnet strength means lower image quality. Most standard MRIs have a strength of 1.0 Tesla which gives good images. Most open MRIs have a magnet strength of 0.4 Tesla. This markedly degrades the image quality, compared with standard MRIs. Additionally, many advanced MRI techniques cannot be performed with these weaker magnets. Sharon asked what do we do at my office. I told her we have

the very latest in “open” MRI technology, which addresses both of these issues. Our brand new MRI has a magnet strength of 1.5 Tesla which is stronger than most standard MRIs. This produces superior images and allows us to perform advanced MRI techniques and sequences. The stronger magnet strength also decreases the scan time allowing the patients to finish their exams faster. The opening (also called the bore) in our new MRI is very wide with the machine far from the patient’s face. The standard MRI would be several inches from the patient’s face; however our wide bore open MRI is one foot from our patient’s face. This dramatically decreases the sensation of claustrophobia. This wide bore is approximately 2.3 feet wide, which is ideal for claustrophobic patients and larger patients who need more room. With the older model MRIs, one’s entire body has to enter the MRI. Our new MRI is 4 feet long. This is much shorter than most MRI’s and is in the shape of a donut (rather than a long coffin-like tube). This means that for a majority of tests, our patient’s head is outside of the machine, helping to ease the sensation of claustrophobia. I told Sharon that since we placed our new MRI, we practically haven’t had any patients complain of claustrophobia. Our referring physicians, especially our surgeons and neurologists, have also been very pleased with the image quality produced by our machine.

"Open" wide bore MRI provides the best comfort for all body types and those with claustrophobia.

MRI Of The Spine: Quality of Images

Traditional Open MRI Sharon came to my office in Toms River and had her examination without any problems. She was so comfortable in our MRI she actually fell asleep! The good news for Sharon is she did not have a herniated disk. She had a small tear in her disk that was causing her symptoms and will heal in several months without surgery. If you are claustrophobic but need to undergo an MRI, before you head to the first facility with an “open” MRI, here is my advice: first contact the facility and ask

Advanced “Open” MRI about the strength of their Open MRI. Ideal strength for the MRI is “1 Tesla” or greater. If you are not sure if a facility’s MRI is spacious enough for your comfort, visit the facility and ask to see the machine. You may also ask if you can lie down in the machine to get a sense of how the procedure will feel. Remember, not all MRIs are alike, and you will want to make certain that the one you will be using provides adequate strength and maximum comfort for your examination.

As always, contact our office where our staff will be more than happy to assist you.

732-244-0777

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

July/August 2013

Medical Professionals

32

Dr. Majeski Offers Summer Barefoot Tips

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arents and families can prevent cuts, puncture wounds and other injuries from going barefoot by following some simple recommendations. Shoes are the best way to protect your family’s feet from injuries, but if your summer just wouldn’t be the same without kicking off your shoes and sandals, you can still make it a safe season. Doctor Majeski offers these tips for a safer barefoot summer: See A Foot And Ankle Surgeon Within 24 Hours For A Puncture Wound. Why: Theses injuries can embed unsterile foreign objects deep inside the foot. A puncture wound must be cleaned properly and monitored throughout the healing process. This will help to avoid complications, such as tissue and bone infections or damage to tendons and muscles in the foot. Foot and ankle surgeons are trained to properly care for these injuries. Make Sure You’ve Been Vaccinated Against Tetanus. Experts recommend teens and adults get a booster shot every 10 years. Why: Cuts and puncture wounds from sharp objects can lead to infections and illnesses such as tetanus. Book Corner

Apply Sunscreen To The Tops And Bottoms Of Your Feet. Why: Feet get sunburn too. According to FootHealthFacts.org, rare, but deadly skin cancers can develop on the feet. Inspect Your Feet And Your Children’s Feet On A Routine Basis For Skin Problems Such As Warts, Calluses, Ingrown Toenails And Suspicious Moles, Spots Or Freckles. Why: The earlier a skin condition is detected, the easier it is for your foot and ankle surgeon to treat it.

“feel” an injury and their circulatory system will struggle to heal breaks in the skin.

of skin break on a diabetic foot has the potential to get infected and ulcerate if it isn’t noticed right away. Diabetics should always wear shoes to the beach, and remove them regularly to check for foreign objects like sand and shells that can cause sores, ulcers and infections.

Diabetics Should Be Especially Careful At The Beach. Why: The 20 million Americans with diabetes face serious foot safety risks at the beach. The disease causes poor blood circulation and numbness in the feet. A diabetic may not feel pain from a cut, puncture wound or burn. Any type

FOOT &ANKLE

LLC

Dr. Mark A. Majeski

618 Main Street Toms River, NJ (732) 349-0114 www.MainStreetFoot.com

Use Common Sense. Why: Every year, people lose toes while mowing the lawn barefoot. Others suffer serious burns from accidentally stepping on stray campfire coals or fireworks. Murky rivers, lakes and ponds can conceal sharp objects underwater. People with diabetes should never go barefoot, even indoors, because their nervous system may not

Call 732-3490-0114. www.mainstreetfoot.com

About Dr. Majeski . . .

MAIN STREET

Wear Flip-Flops Or Sandals Around Swimming Pools, Locker Rooms And Beaches. Why: To avoid cuts and abrasions from rough ant-slip surfaces and sharp objects hidden beneath sandy beaches. This also helps prevent contact with bacteria and viruses that can cause athlete’s foot, plantar warts, and other problems.

Make your barefoot summer a safe one, and follow the above guidelines from Dr. Majeski at Main Street Foot & Ankle. Should you experience a cut, puncture wound, jellyfish sting, or severe sunburn, a visit to your local Podiatrist will help you get better faster.

• Ankle Sprains

• Heel Pain

• Fractures

• Flat Feet

• Diabetic Wounds • Ingrown Toenails • Hammer Toes

• Fungal Toenails

• Bunions

• Athlete’s foot

• Warts

• And much more...

Evening and Saturday appointments available

Most Insurances Accepted

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-yearold son. He enjoys fishing, boating, photography, and riding his motorcycle. He is a champion trap shooter and participates in national competitions.

About The Book…

A Word From The Author… “I started this project in January with the goal of donating proceeds from the book to Hurricane Sandy relief. My own parents lost the entire first floor of their rental property at Long Beach Island, NJ, and many families have suffered much worse. I felt like this project was one small thing that I could do to Photo by: Bree Fortney contribute and to give children a sense of comfort as they head back to the Shore this summer.”

“No Sand in the House!” takes place on LBI but will appeal to anyone who spends time at the Jersey Shore. In this delightfully written and illustrated children’s tale, the main characters, Abby and Charlie, spend much of the book trying to figure out how to comply with their Grandpa’s number one rule: no sand in the house! You can imagine the creative ways that the children try to keep the sand out and what happens once Hurricane Sandy brings the sand in! It is, essentially, a story of hope.

Info@nosandinthehouse.com • www.NoSandInTheHouse.com • Available in paperback & hardcover! Illustrator: Hannah Tuohy at HannahTuohyIllustrator.blogspot.com/

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Business

& Finance

33

Women Like A Personal Touch With well over 75% of all household buying decisions made by women, it is no surprise that women are looking for advisers who care about them on a personal level, not just about their money.

It is very natural and perhaps even necessary for women to be able to share their personal story of what is going on in their lives - right now. Women are less likely to be impressed with performance charts and graphs depicting the past and anticipated performance of some investment. Instead, women need to feel a connection, both to their adviser and to their money. Single women in particular, search for that “financial partner” whom they can count on and trust while they are tending to other things in their lives such as career, family, and special interests. Above all, women want RESPECT; respect and acknowledgement that their needs matter. Although some things may seem trivial and unimportant to a male adviser or partner, make no mistakethey are NOT trivial to a woman. Sharing details about their interests, careers, and families and being able to communicate openly and not be judged or dismissed, is key to earning a woman’s trust.

In a study done by Pershing last year, it was found that 70% of women prefer to work with a female adviser, yet only about 20% actually do. So, what is the disconnect? According to the Bureau of Labor Statistics 2010 report, only about 36% of all advisers are women, including their professional staff. There is simply a shortage of female advisers. More women need to enter the profession. Women tend to live a long, long time. They work hard, often at multiple jobs, to earn their own money or help support a family. Whether single, married, divorced or widowed, women relate well to the adviser who can serve as their “financial caregiver”. A woman’s natural tendency to share, to help and to nurture makes for an adviser who will go the extra mile and put in the time with you to develop your best recipe for financial success. If you want to be taken seriously, we, at Family Focus Financial Group, are very serious about helping you. You can begin by attending our infamous 3-part series of Savvy Women’s Club live group discussions. Or, you can request a one-on-one conversation to share your personal situation and concerns. Both are free to women outside of the financial services and insurance industry.

There is one very special attribute that women possess more so than the male counterpart.

Hi, this is Kathy Nolan . . . are you financially fit? A good question and I will help provide you with answers on my weekly radio show called “Financially Fit Fridays”, every Friday from 10-11am here on 1160AM and 1310AM WOBM. I will address financial issues that many women, men and their families are facing as well as giving you valuable information on becoming more financially fit. We’ll laugh, learn and have a great time, plus we will have some giveaways too! That’s “Financially Fit Fridays” from 10-11am with me Kathy Nolan from Family Focus Financial Group right here on 1160AM and 1310AM WOBM.

Guess what that is and email or call us with the right answer to receive a complimentary copy of “The Ultimate Success Guide” by Kathy Nolan, Brian Tracey and other professionals.

Questions??? Visit AskKathyNolan.com and listen in on WOBM 1160 & 1310 AM- “The Savvy Women Show” with host Kathy Nolan every Friday from 10-11 am. Or visit our website FFFGonline.com for lots of interesting articles and more information. HAPPY SUMMER!

Join Our ‘Savvy Women’s Club’

“Empowering and educating women of all ages to feel financially confident and Investment Savvy”

Our next 3-week class series on Mondays, July 15, 22 & 29 from 6 - 9 PM at our Jackson location

Kathy Nolan Investment Advisor Representative President/Founder

WHAT ARE YOU WAITING FOR? Visit our website for more details

www.fffgonline.com

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

Our philosophy at FFFG is to provide intelligent solutions for you, our clients, Call your friends at Family so that you have confidence and security in knowing that your Focus Financial Group at 732-276-1429 strategies are consistent with your objectives and values. visit them at 2042 West County Line Road, Jackson NJ 08527 Financial & Estate Planning Strategies • Income Solutions Charitable Giving • Investments Under Management

2042 West County Line Road • Suite #8, Jackson, NJ 08527 www.TheCountyWoman.com The County Woman Magazine Phone: 732.364.5462 • www.FFFGonline.com

or

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.

July/August 2013

Law

34

Rebuilding Credit After A Bankruptcy: What You Need To Know is an “end” rather than a “new beginning”. I try to relay the latter, as it is the intent of the bankruptcy courts to provide the honest debtor a fresh start. This fresh start includes the ability to rebuild one’s credit over time. Let’s address the various subparts that pertain to the overall theme of rebuilding one’s credit: Presented by: Daniel Straffi, Jr. Straffi & Straffi, Attorneys At Law

O

ne of the most common questions I hear from clients is, “What will it do to my credit?” It’s a common question because it’s a good question, with many subparts. Often times, clients fear the credit ramifications of filing a bankruptcy. The perception is that the filing of a bankruptcy

Q A

How long will it be for me to rebuild my credit?

Generally speaking, it takes people approximately two years to rebuild their credit after the filing of a bankruptcy petition. I emphasize to clients that although your credit will take an immediate hit, the bottom line is that you are being proactive in addressing and resolving the situation. This is a far better approach than languishing with poor credit for a number of years and getting nowhere. In some cases, it is best to take the initial credit hit, wipe the slate clean, and start to rebuild.

Q A

Q

How do I rebuild my credit?

How long will a bankruptcy be on my credit report?

The best way to rebuild credit is by using credit. Make no mistake about it; Many bankruptcy clients are a bankruptcy will be on surprised to find the number of your credit report for a period credit opportunities they will of ten years. However, as stated be inundated with after filing above, it will take you about two for bankruptcy. The reason for years to rebuild your credit. In this is that creditors know that a the interim, the cash that will be bankruptcy debtor is ineligible to freed up from not having to pay file bankruptcy again for another exorbitant minimum fees will eight years, generally. Therefore, help most debtors operate their the creditors wish for debtors households while simultaneously to resume the practice of relyrebuilding their credit. ing on credit as soon as possible. Will I ever be able I recommend a conservative to obtain a mortgage approach to most clients, whereagain? by they look to obtain a secured credit card (where the Protect Yourself Against Foreclosure, client essentially fronts Judgments & Harassing Creditors the amount of credit offered) and use it for We are a debt relief agency that helps people file for relief under the bankruptcy code their monthly grocerChapter 7 & 13 ies or other regular Individual, Business and Creditor expenses. Then, pay Representation it off every month. Payment Plans Available Using credit helps to rebuild credit.

A

Q

Bankruptcy • Criminal Defense

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., Esq. www.straffiandstraffi.com 670 Commons Way Toms River, NJ

Conveniently Located Directly Off Of the Parkway

Protect Yourself Against Foreclosure, Contact Straffi & Straffi today for a free consultation.732.341.3800 732-341-3800.

Free Consultations

Judgments & Harassing Creditors

We are a debt reliefOpportunity agency that helps people Advertising file for relief under the bankruptcy code Chapter 7 & 13 Individual, Business and Creditor Representation Payment Plans Available

Bankruptcy • Criminal Defense

Daniel Straffi Jr., Esq. www.straffiandstraffi.com 670 Commons Way Toms River, NJ

A

Absolutely. Most mortgage companies will not consider applicants who have filed until they are 2-3 years post-bankruptcy. However, this period of time is also essential for clients to re-evaluate the course of their life/lifestyle. While rebuilding one’s credit post-bankruptcy, it is important that folks take advantage of the clean slate they have been provided and set a strategy that makes the most sense going forward. Therefore, that 2-3 year period of rebuilding is a welcome and needed respite. I hope that the foregoing proved helpful in relaying the message that bankruptcy is not an end. Rather, it is a new beginning – an opportunity to start again and empower one’s self to set your own fiscal course and rebuild over time.

✺

Schedule A Free Consultation, call 732-341-3800.

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 1998 and RutgersCamden School of Law in 2001, he began his legal career in 2001 serving as a 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.

Find out what sets the Ocean County Woman apart from the rest, and how we can do the same for you and your business.

Conveniently Located Directly Off Of the Parkway

732.341.3800

Free Consultations

Contact us today!

1-866-398-0898 Lynn@theocw.com www.TheOCW.com

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July/August 2013

Assisted Living

35

Assisted Living More Affordable Than Skilled Nursing Says Report

A

SPRING OAK ASSISTED LIVING OF FORKED RIVER room at a skilled nursing facility is $81,030, while • Read the full report: The Genworth 2012 Cost of new report finds that the With a special Memory Care neighborhoo to learn about your state’s long median cost of a room in an the median annual rate for a semi-private room is Care Survey601 North Mainstatistics. Street $73,000. These numbers reflect a greater disparity term care costs and nationwide assisted living community of costs than were seen in last year’s survey. The cost Lanoka Harbor, NJ 08734 is less than half the of assisted living rose just 1.19 percent over the last 609-242-2661 SPRING OAK ASSISTED LIVING OF median cost of a private room in year. While the cost of a private room at a skilled FORKED RIVER: www.springoak.net nursing facility increased 4.23 percent, and the cost a skilled nursing facility. The cost SENIOR CARE THAT FITS of a semi-private room at a skilled nursing facility disparity is more pronounced increased 3.63 percent over the same period. MOST FAMILIES’ “SENIOR CARE THATBUDGETS FITS MOST than last year, with skilled nursing The survey also documented state-by-state data. With a specialBUDGETS” Memory Care FAMILY’S Alaska has the highest private room skilled nursing neighborhood costs increasing at a much higher costs and Oklahoma has the lowest. The median rate than assisted living costs. rate for a private room at a skilled nursing facility

Genworth Financial released its annual report analyzing long-term care costs across the nation. According to the report, the median annual rate for a resident of an assisted living community is $39,600. The median annual rate for a private

in Alaska costs $232,505 annually, while the rate in Oklahoma is $53,597. New Jersey, with a median annual rate of $68,556 has the highest rate for assisted living, while Missouri has the lowest rate, $29,025 annually.

Call Cathy for your FREE Call your FREE TourCathy todayfor 609-607-6002

Tour today 609-607-6002

DID YOU KNOW??????? Article from

Call for an Appointment Today

609.242.2661 www.SpringOak.net

601 N. Main St. (Route 9)

Chance To Win

Lanoka Harbor, NJ

WIN A Chance To Attend On Of Mariano Rivera’s Last Games! Purchase 10

10 tickets for either the July 12th or August 11th Blue Claws games, and you will automatically be entered to WIN 4 tickets to one of Mariano Rivera’s last games pitching for the NY Yankees. There will be fireworks on both nights at the Blue Claws games (weather permitting). Drawing for Yankee tickets will be held on or about August 13th. Yankees tickets are for the game on Wednesday, 9/25 @ 7 pm. Winner will be notified by email and/or phone. All proceeds benefit The Dream Factory of the Jersey Shore. If you have questions or would like to purchase tickets, please call 732-575-2209, email dreamfactorynj@gmail.com, or visit http://www.dreamfactoryincnwj.org/ Dream Factory is an all-volunteer, mission driven organization that grants dreams to chronically and critically ill children in Monmouth, Ocean and Middlesex Counties. 501©(3) 31-1009812

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Elder Life Management

36

Do You Need a PHD? Written by: Judith S. Parnes, LCSW, CMC

May was National Geriatric Care Manager Month. A profession that has blossomed as the complexities of aging and spiraling health care costs have placed demands on so many of us. But how many people actually know what a Geriatric Care Manager is, or more importantly how a Professional Care Manager can help? Possibly the simplest way to explain the role of a Geriatric Care Manager is to think of a PHD. Yes, someone who has a Doctorate, not in philosophy, but a doctorate as a Professional Hired Daughter. In times past, when growing older occurred in intimate families of origin, the local physician was available to assist the entire family unit from birth to death. It was typically the daughter who was responsible for care giving, care managing and care planning of an elder parent. This pattern continues today, with adult daughters in our culture remaining in this primary role. However we now hear these daughters being identified as the “sandwich generation” or “women in the middle” or being “burned out”. Geriatric Care Managers provide Assessment, Short Term Solutions and Long Term Planning.

3

Consider the story of Carole and her mother Barbara: Carole lives 10 minutes away from her mother Barbara. They speak daily and Carole “checks–in” on her mother a few times a week. These visits have progressed from socializing to supervising to caretaking. Carole works full-time, is married with two children, one in high school, and her son in college. Carole now shops, cleans and drives her mother to some family functions. Carole had spoken with Barbara’s doctor and neighbors and was concerned about her mother’s increasing incapacity. Barbara lived alone in her own multi-level home. Her shortterm memory problems were beginning to effect her functional status. She was becoming mildly paranoid and was starting to hoard paper. She continued to drive even after multiple “fenderbenders”. Once, she walked home from the local convenience store, believing her parked car was stolen. On two occasions in the past year, emergency services were called to the house once for a small kitchen fire, and more recently in response to Barbara falling down the front steps. Carole knew it was just a matter of time before a catastrophe would occur. However, no discussion with her mother resulted in any change in her mom’s behavior or decision making. A friend told Carol to call Elder Life Management. A Comprehensive Consultation was scheduled where Carol was able to review her mother’s situation in detail and a plan of action was developed. After only

a few visits with her care manager, Barbara agreed for a care manager to accompany her to the physician appointment she so desperately needed. She also agreed to allow a home health aide to visit daily to help with personal care, food preparation and monitor self-administration of medication. Dialogue was initiated regarding Barbara’s future health care goals. As the immediate situation was defused and present care needs addressed, a long-term plan was developed. It included Barbara agreeing to move to an assisted living facility. This was a gradual process, from in-home services to out of home transition. During this time, with one emergency hospitalization, it was the care manager who ran to the Emergency Room and met Barbara. It was the care manager that spoke with the doctors to ensure quality of care, enabling Carol to complete her work day before going to the hospital. It was the care manager that was advocating within the medical community. It was actually only then that Carole truly realized that her mother needed the Professional Hired Daughter, the Geriatric Care Manager. Carole was finally able to return to “just” being the loving supportive daughter she wanted to be.

Judith Parnes is the 25th person to be certified nationally as a Professional Geriatric Care Manager. Judith S. Parnes, L.C.S.W., C.M.C., Executive Director, Elder Life Management, 931 West Park Avenue, Ocean, New Jersey, 07712

www.elderlifemanagement.org

Judith S. Parnes, L.C.S.W., C.M.C., Gerontologist and Elder Care Consultant is Executive Director of Elder Life Management, Inc., Ocean, NJ. Elder Life Management provides quality elder care planning, management and Medicaid application services to older adults and their families. Please visit www.elderlifemanagement.org or call (732) 493-8080 for more information.

About Professional Geriatric Care Managers In 1985, The National Association of Professional Geriatric Care Managers was formed to advance dignified care for older adults and their families. Membership is based on passing Certification examination and experience. Ms. Judith Parnes became the 25th person to be certified nationally in 1986. For more information or access to a nationwide directory of professional geriatric care managers, please visit www.caremanager.org. • Geriatric Care Managers provide Assessment, Short Term Solutions and Long Term planning. • Care Managers provide services to help with difficult and complex situations. • Care Managers provide services to help individuals apply for public entitlements such as Medicaid. • Care Managers provide consultation and planning for the present and the future. • Care Managers have become the Professionally Hired Daughters.

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

3

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

3

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

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July/August 2013

Medical Professionals

37

A loved one’sTotal laughter... Hearing the soundTotal of the waves... Care We Hearing Listen, You Hear there’s so much Care

to hear and enjoy. We Listen, You Hear

Total Total

Hearing Hearing Care

Care

We Listen, You Hear We Listen, You

Hear

If you are experiencing a hearing problem, don’t miss this very special hearing consultation Total Hearing Care invites you 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 Hearing Professional Demonstration of the latest most advanced Multi-Channel Digital and Open Fit hearing solutions Adjusting, cleaning and checking your current hearing aids at no charge

The following events are FREE but space is limited. Call today to reserve your seat!

BRICK JULY 18 & 19 AUGUST 8 & 9

NEPTUNE JULY 22, 23 & 24 AUGUST 20, 21 & 22

732-474-8949

732-474-8977

525 Jack Martin Blvd., Suite 104

444 Neptune Blvd., Suite 1

Please call early to make an appointment. Appointments are available on a first-come, first-served basis and are FREE OF CHARGE.

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

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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

Find us on:

www.njhearingaids.com

July/August 2013

Medical Professionals

38

The Doctors Of Seaview Orthopaedic & Medical Associates • STEVEN BERKOWITZ, MD, PA, FAAOS • KENNETH CHERN, MD, PA, FAAOS • HARALAMBOS DEMETRIADES, MD, PA, FAAOS • JOEL FECHISIN, MD • KEIRON GREAVES, MD • ARON GREEN, MD, PA, FAAOS • PAUL HAYNES II, MD • ARTHUR MARK, MD, PA, FAAOS • KEVIN MCDAID, MD, PA, FAAOS • ADAM MEYERS, DO, FAAPMR • ROY MITTMAN, MD, PA • HOAN-VU NGUYEN, MD, PA, FAAOS • ROBERT PANNULLO, MD, FAAPMR • CHRISTOPHER SPAGNUOLA, MD, PA, FAAOS • SUNIL THACKER, MD, PA, FAAOS • ARTHUR VASEN, MD, PhD, PA, FAAOS • PRAVEEN YALAMANCHILI, MD

Meet The Doctors . . .

{Steven Berkowitz,

MD, FACS, FAAOS, CIME

Dr. Berkowitz attended medical school at the College of Medicine, SUNY Health Science Center at Brooklyn, NY and completed a residency at NYOH/New York (Columbia) Presbyterian Medical Center. He is board certified by the American Board of Orthopaedic Surgery, as well as the American Board of Independent Medical Examiners. He is an attending physician at Jersey Shore University Medical Center and Ocean Medical Center.

{Kenneth Chern,

MD, FAAOS

Dr. Chern is a graduate of the College of Physicians and Surgeons Columbia University, NY and completed his residency at NY Orthopaedic Hospital/Columbia Presbyterian Medical Center, NY. He completed a Fellowship in sports medicine at Southern Sports Medicine and Orthopaedic Center in Nashville. He is board certified by the American Board of Orthopaedic surgery with a subspecialty certification in sports medicine. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Haralambos Demetriades,

MD, FAAOS

Dr. Demetriades attended Mt. Sinai School of Medicine in New York and completed his residency training at Mt. Sinai Medical Center. Dr. Demetriades continued on to obtain a Fellowship in

The County Woman Magazine

Spinal Surgery Fellowship at Beth Israel Medical Center. He is board certified by the American Board of Orthopaedic Surgery. His specialties are spine surgery, spine trauma and deformity and scoliosis. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Joel Fechisin,

MD

Dr. Fechisin is a graduate of UMDNJ-Robert Wood Johnson Medical School. Following a one-year surgical internship at Abington Memorial Hospital in Abington, Pennsylvania, he completed his residency in orthopaedic surgery at Monmouth Medical. He went on to earn his Fellowship in Adult Reconstruction at Insall Scott Kelly Institute in New York, NY. Dr. Fechisin specializes in all disorders and injuries of the knee, total joint replacement, and also has subspecialty training in arthroscopy and cruciate ligament reconstruction. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Keiron Greaves,

MD

Dr. Greaves graduated UMDNJ Robert Wood Johnson Medical School. He completed his residency in Anesthesiology at SUNY Downstate Medical Center in 1993. Dr. Greaves completed his Fellowship training in Pain Management at SUNY Heath Science Center at Brooklyn University Hospital, Kings County Department of Anesthesiology, and Long Island College Hospital Veterans Administration Hospital in Brooklyn, NY. Dr. Greaves is board certified in pain management. He is an attending physician at Monmouth Medical Center.

{Aron Green,

MD, FAAOS

Dr. Green is a graduate of the University of Medicine and Dentistry of New Jersey/New Jersey Medical School. He also completed a Foot and Ankle Fellowship at Allegheny General Hospital in Pittsburgh, PA. He is board certified by the American Board of Orthopaedic Surgery and is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Paul Haynes II,

MD

Dr. Paul Haynes completed medical school at UMDNJ/New Jersey Medical School in Newark New Jersey. Following medical school, he completed internship and residency at Albert Einstein College of Medicine at Montefiore Medical Center, Waters Place, in www.TheCountyWoman.com

Bronx New York. He went on to complete his fellowship in Orthopaedic Surgery and Pediatric Sports Medicine, Limb & Pediatric Deformity at Albert Einstein College of Medicine Montefiore Medical Center at Waters Place, in Bronx New York. He also completed an Arthroscopic Fellowship at Staten Island Orthopedics & Sports Medicine, in Staten Island, New York. Dr. Haynes is a general orthopaedic surgeon, specializing in Pediatric Sports Medicine, Limb & Pediatric Spine Deformity as well as General and Pediatric Orthopaedics/Surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.

{Arthur Mark,

MD, FAAOS

Dr. Mark is a graduate of Temple University School of Medicine. He completed his residency training at Albert Einstein Medical Center. Dr. Mark then obtained a Fellowship at Massachusetts General Hospital in Adult Reconstruction. He presently is a Clinical Assistant Professor of Orthopedic Surgery at Drexel University College of Medicine. His specialties are general orthopaedic surgery and total joint replacement and revision. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Kevin McDaid,

MD, FAAOS

{Adam Meyers,

DO, FAAPMR

Dr. McDaid is a graduate of Thomas Jefferson University in Philadelphia, Pennsylvania. He completed his residency at Monmouth Medical Center and his Fellowship training in upper extremity/hand surgery at The Hand Center of San Antonio in Texas. He specializes in general orthopedic surgery and upper extremity and hand surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center. Dr. Meyers received his medical degree from the University of Health Sciences College of Osteopathic Medicine and also trained at the University of Pennsylvania and the Hospital of the University of Pennsylvania. He completed his residency training at The Hospital of the University of Pennsylvania and is certified by the American Board of Physical Medicine and Rehabilitation and the American Academy of Electrodiagnostic Medicine. He is an attending physician at Monmouth Medical Center.

July/August 2013

Medical Professionals

39

Seaview Orthopaedics is committed to providing quality care in Monmouth and Ocean Counties. We specialize in surgical and non-surgical care of orthopaedic-related injuries.

{Roy Mittman,

MD

Dr. Mittman attended Albert Einstein College of Medicine in New York. He completed his residency at Montefiore Medical Center in New York. He specializes in general orthopaedic surgery, total joint replacement and arthroscopic surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Hoan-Vu Nguyen,

MD, FAAOS

Dr. Nguyen is a graduate of Temple University School of Medicine and completed his residency training at Penn State Milton S. Hersey Medical Center. From there he obtained his Fellowship in spine surgery at San Diego Center for Spinal Disorders. He specializes in general orthopaedic surgery, neck and back surgery and disc replacement. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Robert Pannullo,

MD, CIME, FAAPMR

Dr. Pannullo is a graduate of Wayne State University School of Medicine and also trained at KDV Orthopaedics and Rehabilitation in York, PA. He completed his residency at New York Hospital/Cornell Medical Center (currently NY Presbyterian Hospital) and completed an Interventional Spine Techniques and Pain Management Fellowship at KDV Orthopaedics & Rehabilitation, LTD. He is a specialist is Physical Medicine and Rehabilitation and EMG Testing. He is certified by the American Board of Physical Medicine and Rehabilitation and the American Board of Independent Medical

Examiners. He is an attending physician at Jersey Shore Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Christopher Spagnuola,

MD, FAAOS

Dr. Spagnuola is a graduate of The University of Medicine and Dentistry of New Jersey. He completed his residency at Monmouth Medical Center. He received his Fellowship at Thomas Jefferson University in Sports Medicine He completed further training at Monmouth Medical Center and Children’s Hospital of Philadelphia. He is board certified by the American Board of Orthopaedic Surgery with sub-specialty certification in sports medicine. Dr. Spagnuola worked as an Assistant Team Physician for the Philadelphia Phillies and Wings organizations. He specializes in arthroscopic surgery. He is presently a Clinical Assistant Professor of Orthopaedic Surgery at Drexel University College of Medicine.

{Sunil Thacker,

MD, FAAOS

Dr. Sunil Thacker is a graduate of UMDNJ-New Jersey Medical School. He also completed his residency at UMDNJ-New Jersey Medical School. He went on to earn his Fellowship in sports medicine at the University of Pennsylvania in Philadelphia, PA and is board certified by the American Board of Orthopaedic Surgery. His practice also focuses on joint preservation arthroplasty in active adults. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital. ABOUT SEAVIEW ORTHOPAEDICS: At Seaview Orthopaedic & Medical Associates, we have been committed to providing you with quality orthopedic care for over 30 years! Our patients’ total experience with our practice is our number one priority.

Seaview Orthopaedic & Medical Associates

If you have questions or concerns, call Seaview Orthopaedic & Medical Associates, 732-660-6200.

{Arthur Vasen,

MD, PhD, FAAOS

Dr. Vasen attended the University of Medicine and Dentistry of New Jersey- Robert Wood Johnson Medical School. He completed his residency at Case Western Reserve University Cleveland, OH. He earned his Fellowship at Brigham and Women’s Hospital in hand and upper extremity surgery. His specialties are general orthopaedics, trauma surgery, hand and upper extremity surgery and arthritis surgery. Dr. Vasen is board certified by the American Board of Orthopaedic Surgery. He is presently an Assistant Clinical Professor at Drexel University College of Medicine. Also, he is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.

{Praveen Yalamanchili,

MD

Dr. Yalamanchili attended medical school at UMDNJ - Robert Wood Johnson Medical School and completed his orthopaedic residency at UMDNJ- New Jersey Medical School. He specializes in the treatment of spinal disorders including degenerative, deformity and trauma and has particular interest in cervical (neck) surgery as well as minimally invasive and motion sparing procedures. Dr. Yalamanchili is a fellowship-trained Spine Surgeon, who completed his training at Emory University in Atlanta, Georgia. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital. TEAM APPROACH: We encourage you to become part of your healing process by asking questions and actively participating in you doctor’s instructions. Your confidence and trust in your doctor will ultimately lead to a quicker recovery period to Team put you back on track with Official Doctors Of:your daily activities and pleasures. Should you require medical treatment for orthopaedic injuries or bone disease, please give us a call. We would be happy to be there for you in your time of need.

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.

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Official Team Doctors Of:

www.TheCountyWoman.com

■ SATELLITE OFFICE IN LAKEWOOD

July/August 2013

Premier Consignment Center

40

An Experience You’ll Not Soon Forget:

“Don’t Give Your Treasures Away, Consign Them Today!” å Not only can you enjoy shopping in the 10,000-square-foot showroom, you can also be a seller.

Written by: Melody Tektas, Owner

Don’t Give Your Treasures Away ~ Consign Them Today!

If you love antiques or collectibles and home décor, you will love Yesterdays and Todays. It is a place to linger, a place in which to amble down the lacquered woodplanked floors. Many customers just can’t leave without buying something. Head right for fine china, vintage kitchen tins and utensils, Asian vases, quilts, hand-painted items, antique dolls, Depression glassware, dishes, candles, quilts and lace. Enjoy the sun-drenched furniture showroom that invites you to seat yourself at a dining set and be transported back to Christmases at Aunt Mildred’s. Sink into a Queen Anne sofa and remember being a child sitting in the same kind of chair, legs dangling impatiently, waiting for Grandma to bring out the tin of Ritz crackers, like the one you saw back in the country kitchen room. Try to find the rainbows cast by prismladen lamps, just like you did years ago. Ambiance matters. You’ll not hear Lady Gaga in this shop! Instead, you’ll peruse to the sounds of Dean Martin, Neil Diamond and other musical greats. Senses shift from the music to the sights…the lighted glass counters hold everything from Royal Doulton figurines to Fenton art glass to toy RC Cola cars. Tiffany lamps hang from ceiling fixtures. Oil paintings of every style adorn the walls and vintage jewelry galore. Melody credits her husband, Moonstar Painting owner and contractor Seyithan Tektas, with translating her vision of Victorian elegance fused with country charm into the reality that customers and consigners experience. OPENING IN JULY!

Our second location will be opening in July

1 Princeton Avenue, Brick behind the Rainbow Diner

(Family and friends also volunteer their time to man the registers and help assemble and arrange consignments as they come in.) “People love it. I have people who hang out in here for hours,” Melody said. “They say, ‘Oh my God, my mother had this, my grandmother had this.’… It’s like walking down memory lane….Things go fast, though. If you want it, you have to buy it.” Stroll back the other way and explore the offerings: vintage handbags for the ladies, and with the men who accompany their women, fishing rods, Hess trucks, vintage magazines, bar signs and the requisite John Wayne posters. “We have quality furniture at reasonable prices. Why pay $5,000 for a new dining room set when you can get better quality for $1,000 or less? You get great things for little money. There really is something for everyone. This isn’t a thrift store; we sell quality items at affordable prices.” Customers aren’t the only ones who benefit. Melody deals with nearly 2700 consignors and has several vendors renting out space. Consignors receive 50 - 60 percent of the sale price; for antiques a higher percentage; and consignors get paid once a month. “People trust me,” Melody said. “We try to get fair prices for all our consignors. We are honest, and have a knowledgeable and personable staff that is great with all our customers.”

Consignments are taken 10 a.m. to 2 p.m. Tuesday and Wednesday.

Yesterdays and Todays accepts all Quality collectibles, jewelry, antiques, new and old furniture, vintage items, toys, magazines, art glass, figurines, paper, military, jukeboxes, slot machines, bar signs, pocketbooks, hats, furs, and much, much, more! She does buyout antiques and estates. Vendor space is also available. Home delivery for customers is available. Call for details.

About the Business…

Melody Tektas is passionate about antiques and treating customers and consigners well. Yesterdays and Todays Consignment Center is her love letter to those who share that passion, and includes vintage collectibles along with select modern items. It took three years of researching antique and vintage markets, and two years of seeking the perfect location before she settled on the 200-year-old Siperstein’s building on Toms River’s Main Street to create Yesterdays and Todays Consignment Center. The center is as rare as many of the items it holds. It’s the only consignment store of its kind in New Jersey. With the success of the Toms River location, a second location in Brick is opening in July.

We buy your unwanted treasures or furniture, and also can have your Estate Sale. So don’t Give Your Treasures Away Consign Them Today!

Come and join our family of Consignors and turn your unwanted Treasures into Cash! Are you downsizing, moving, liquidating an Estate, changing your décor or tired of your collection? Are you starting over, or have you experienced the loss of a loved one? Let Yesterdays and Todays take your worries away! We do all the work - you collect the check! This is how it works: Bring in your items (15 maximum) on Tuesdays and Wednesdays from 10am-2pm. If you are interested in consigning furniture please bring in a picture of your items first. We accept all kinds of furniture – barely used new and antiques. If your furniture is accepted we will pick it up free of charge! So gather up your treasures and come on in! Our dedicated and experienced staff is ready to serve you!

Yesterdays and Todays

New Jersey’s 1st Premier Consignment Center Antiques • Furniture • Estate Sales 812 Main Street Open 7 Days A Week For Your Convenience: Toms River, NJ Mon-Sat 10am-6pm • Sun 10am-5pm Opening Soon! 1 Princeton Avenue 732-608-0413 Brick, NJ

www.YesterdaysandTodays.net

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Medical Professionals

41

Breast Cancer: Are You at Risk?

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

E

ver since Academy Award-winning actress Angelina Jolie decided to go public with her double mastectomy, there has been a lot of awareness and discussion about the risk of breast cancer among the general public. In fact, an enormous number of women who are concerned about their risk of developing breast cancer made many phone calls, conducted Internet searches and scheduled doctor’s visits. In the weeks following Ms. Jolie’s announcement, healthy women’s requests for genetic testing have increased dramatically. Estimates show that approximately 230,000 women will be diagnosed with breast cancer in 2013. Breast cancer is the number one cancer among women

in the U.S. It is also the secondleading cause of cancer deaths among American women. One in eight women will be diagnosed with breast cancer during their lifetime. Only 5-10 percent of all breast cancer patients, however, will have a genetic defect such as the one Ms. Jolie had, which increases their risk of getting breast cancer. Some women are at higher risk than others for developing breast cancer.

• Benign Breast Diseases:

The following is a list of the main risk factors:

Ø their first menstrual cycle before age 12 Mastectomy for Prevention: Ø late menopause (after 55 Who Needs It? years) Removing both breasts, or Ø no pregnancies or first If you want to learn more about double mastectomy, reduces a pregnancy after 30 breast cancer or any other canwoman’s risk considerably. No Ø used hormone replacement cers, contact Dr. Sarah Easaw therapy for prolonged periods matter how high a woman’s risk at 732-961-0010 or visit is for developing breast cancer, after menopause www.oceanhemonc.com. Ø exposure to DES (diethyl stilbesterol, which Compassionate Cancer Care, Close to Home was given to some women during pregnancy before 1960) in utero.

• Genetics: The risk of breast

cancer among women with mutations BRCA-1 and BRCA2 is significantly higher than that of the general population. Women who carry these mutations have a lifetime risk of up to 80 percent of getting breast cancer. Only 5-10 percent of all breast cancer patients have these mutations, however. This mutation is hereditary and can be transmitted from generation to generation. Families with two or more women with breast or ovarian cancers, especially if these occurred at a relatively young age, need to be checked for a genetic defect.

• Family History: Having one first-degree relative (mother, sister, or daughter) with breast cancer approximately doubles a woman’s risk. Having two firstdegree relatives introduces a three-fold risk.

Some women undergo breast biopsies for “lumps” that turn out to be benign, not cancerous. Some, but not all benign breast diseases may increase the risk of developing breast cancer. For example, proliferative breast diseases such as atypical hyperplasia, sclerosing adenosis may predispose women to breast cancer.

Hormonal Factors: Breast cancer risk is higher in women who have:

Ø Night shift: Recent studies show that women who work night shift have increased incidence of breast cancer. This may be due to the changes in the level of melatonin, a hormone that is produced by exposure to light.

doing a double mastectomy is a personal decision that needs to be thought about and discussed in detail with a physician. More and more women who are BRCA carriers are coming forward to opt for this choice to reduce their risk. Only a minority of women do carry these genetic mutations, though. Not everyone at risk is identified. Doing a double mastectomy may not be necessary for the majority of women.

tion of alcohol is clearly linked to the risk of breast cancer. Women who drink two or more drinks daily have a significantly higher risk than women who do not. Ø Obesity: Being overweight, especially after menopause, increases a

Patient Testimonials:

• Dear Dr Easaw, I wanted to let you know just how very much I appreciate you helping my Mom. You embody what a physician should be and your help will never be forgotten. Thank you for being the person you are and the compassion you have shown to my family. May God bless you and your family. No thank yous can show how much gratitude my family has for you. ~ Mary E

W We offer a full range of Hematology & Oncology services. W We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner. W Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions. W Our staff is highly qualified, experienced and compassionate.

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

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

• I wish to thank Dr Easaw and her wonderful staff at Ocean Hematology. You made this part of my journey less painful, comfortable and pleasant. I enjoyed all our talks, smiles, hats, comforters, and oh,yes! the recipes (Diane). Be Blessed as you have Blessed me… ~ Pauline

Visit www.oceanhemonc.com The County Woman Magazine

Ø Lack of exercise: Regular exercise reduces a woman’s risk of breast cancer. Brisk walking up to two and a half hours a week will reduce a woman’s risk by 18 percent.

Lifestyle: Ø Alcohol: Consump-

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

women’s risk of developing breast cancer.

Lakewood, NJ 08701

732.961.0010

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

www.TheCountyWoman.com

July/August 2013

Education

42

Fast-Track Training For A Future In Health Care Allied Health Certificates (CPE)

Interested in a stable, well-paid career?

In today’s economy, many women are looking to either start a new career or enhance their current resume, and the healthcare industry is one of the largest employers in Ocean County. Many health care jobs are in high demand … and you can train today for a great career in just three to six months! Ocean County College’s (OCC) Department of Continuing and Professional Education offers opportunities for fast-track career training, leading to the possibility of immediate employment upon successful program completion. If you’re looking to expand your career options, become a Medical Office Specialist. New jobs are expected to grow as a result of a nationwide conversion of medical records to an electronic system. As a Medical Office Specialist, you can find employment in physicians’ offices, insurance and medical billing companies, healthcare and managed care facilities, and in hospitals as a unit clerk, intake specialist, medical records, or outpatient clerk. “Many women are seeking a new career path. Others are returning to the workforce in order help with the financial support of their families. The Medical Office Specialist program provides the current training women need to reenter the job market,” explained Kathryn Caro, Administrator of Nursing and Allied Health at OCC. “I was extremely impressed with the instructors’ dedication to the students,” said Deborah Gianatiempo, Medical Office Specialist program. “When asked what school I recommend, I hand them an OCC Continuing

Business &Personal Storage

Education Program from my briefcase.” In addition, OCC offers training for two of the fastest growing areas of employment: certified Health Information Technology and Electronic Health Record Specialist. In 2004, the U.S. Government mandated that within 10 years all Americans and healthcare professionals would be using electronic health records. The Bureau of Labor Statistics indicated that health information technology was one of the 20 fastest growing occupations in the U.S. Other fast-track career options include Paramedic, Dental Assistant, EKG Technician, Physical Therapy Aide, Personal Trainer, and Medical Assistant. But health care training doesn’t stop there. You can become part of a growing field in the health care industry with a career as a Medical Billing and Medical Coding professional working either in a home business or healthcare facility. And, OCC offers fast-track career certificates that prepare you to become a Phlebotomy Technician, Home Health Aide, Patient Care Technician, Medication Aide, or Pharmacy Technician. “I learned a lot this spring!” said Victoria Vicenti, Pharmacy Technician Program. “I appreciate (OCC’s) effort to go above and beyond in teaching our class things that a technician should know generally, but also things that could help us (assist) the pharmacists and physicians we work under.”

Start a new career in less than six months! OCC offers training in some of the fastest growing areas of employment. • Health Information Technology • Paramedic • Dental Assistant • Physical Therapy Aide • Personal Trainer • Medical Assistant • Home Health Aide • Pharmacy Technician

Call us for more information or visit us online! www.ocean.edu/cpe.htm 732-255-0404

For more information on allied health careers and training, call the OCC Department of Continuing and Professional Education at 732-255-0404, or visit www.ocean.edu/cpe.htm to view the latest catalogue.

OCWoman_Allied_Health_Cert_July-August_2013_4x5 ad.indd 1

5/17/2013 10:01:01 A

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

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The County Woman Magazine

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www.airshipstorage.com July/August 2013

Education

43

Parents Agree On Peppermint Tree Child Development Center What Do The 2013 Parents of Peppermint Tree Have To Say? “An Atmosphere of Fun, Active Learning”, an “Exceptional Staff”, & a “Family-Like Environment”. If this is what you are looking for, for your child... Look no further!

Atmosphere of Fun, Active Learning . . . “The Peppermint Tree School has created an atmosphere in which children actively participate in the learning process and have 4 An fun while learning. My children are always excited to discuss the day’s lessons and activities and I love hearing about the new things they learn each day. Thank you for giving my children such a wonderful learning experience!” ~ Mary Bell, May 2013.

Staff . . . “I am a full time working mom and often struggle with the reality that I am often not home during the week to spend time with and teach my children. 4 Exceptional It makes me feel very comfortable to know that both of my children are not missing out on any learning experiences from me not being home during the week, because I have watched them grow so much since they have been at Peppermint Tree. All of the staff at Peppermint Tree are exceptional and Miss Val should be very proud of all of them. She has an outstanding team on her hands.” ~ Krista Sipe, May 2013.

Environment . . . “Peppermint tree is a great place for your child to start school. The staff and feeling is so comforting and family like! I love that everyone is so 4 Family-Like willing to let me know how my daughter is doing and give advice as I am a young new mother and really could use it. I know if there is ever a question or concern with any event or activity involved with the school Mrs. Val is very quick to answer through email or phone. My daughter never even has to tell me what she is learning because it comes out in the changes I see in her every week. I also feel the teachers go 110% to keep up with the newest, latest fun activities for the kids to do as well as keep them interested in learning. So far my experience with Peppermint Tree has been amazing and I’m glad I chose this school among others.” ~ Bethany Landero, May 2013.

Our School Year Program

Our Full Day Kindergarten

We strive for a well-balanced curriculum in all areas with particular emphasis on the emotional, intellectual and physical. We utilize the same published, research-based curriculum that is used by the Toms River School System, to assure that our students are prepared appropriately to continue on into elementary school. Our program, led by Director, Valerie Frost-Lewis, MS Ed., includes a full range of activities in the fields of art, science, pre-reading skills, food preparation, physical fitness, literature and music. Ample time is provided for sensory experience and free play during which a child selects his own activities designed to develop confidence, perception, judgment and reasoning powers. We offer developmentally appropriate programs for children from two years through Kindergarten, and before and after elementary school programs. We offer a full day academic Kindergarten, as well as a half day Kindergarten enrichment program for those children attending the half day public school Kindergarten. Our program is enhanced by several visits from community resource people, special programs and field trips throughout the school year. Also included in our program is a monthly visit from Mr. Scott the Music Man.

Mr. Scott the Music Man in action!

He offers the children a chance to move and groove to a variety of music styles, play age appropriate musical instruments, and experience the fun of musical expression. Mr. Scott also sings and plays keyboard, drums and a variety of percussion instruments for the children.

The curriculum is coordinated with the Toms River School system, so the children are sure to learn what is required to prepare for First Grade. In addition, the children are given additional time to learn concepts more deeply and to explore them with hands on learning to assure full understanding, not just memorization. Since we have the full school day, the children are not rushed and we are able to integrate many different teaching strategies to reach all learners. The children also have ample time to play and socialize, which is an important part of their development. This is a wonderful opportunity for our children! Here is an outline of our program: ● Core academics, taught by a New Jersey Certified Elementary School teacher, based on the Toms River Regional Schools curriculum. We are coordinating with the Kindergarten Curriculum Supervisor for the Toms River schools, to assure your child is prepared for First Grade. ● Within the full day, we have the opportunity to add in many more hands on activities to deepen the learning of the core curriculum, than can be accomplished in a half-day program. The children have plenty of opportunities for discovery learning and teacher guided learning. ● The Peppermint Tree Full Day Kindergarten program goes beyond the core Kindergarten Literacy and Mathematics curriculum by integrating enriching Science, Social Studies, Music and Art activities into the curriculum to broaden your child’s understanding of our world. ● The children have ample time to play and socialize. both indoors and out, which is an important part of their development. Studies of nature taken right from our outdoor space, based upon the children’s interests, are also an important aspect of our Science curriculum.

If this sounds like the kind of environment you would like to see your child in, please call or email Valerie to find out more about our programs for children from 2.5 years of age through fifth grade at 732-929-2500 or val@pepperminttree.com. Valerie Frost-Lewis, MS Ed.

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Health

44

& Wellness BACK TO SCHOOL SPECIAL FOR TEENS!!!

Summer Time For You! It’s the heat of the summer and you have a little time on your hands to take care of YOU. What can you do?

Begin with a full body massage to increase circulation, untie the knots you have tied into muscles of your tense body and remind your muscles of the condition they should be in. How about a whole body Sea Salt Glow? So many pretty summer clothes require baring skin. It needs to look soft and touchable. Allow us to give you back your soft supple skin! Next a Vitamin C Facial to deep cleanse your skin, infuse vitamin c serums deep into the skin and increase circulation in your skin. Increasing circulation in your facial skin brings all nutrients applied, further into the epidermal layers. Let’s finish with good sunscreen protection using a 50 SPF but more importantly, the ingredients of zinc oxide and titanium dioxide in a light textured

lotion AND tint to appear as foundation. It doesn’t get much easier to protect your skin. Now that we are into wearing open shoes for a few months now…take a close look at your feet. So they need some serious exfoliation and hydration? I bet they do. We can help with our Intensive Sea Pedicure, using sea minerals to exfoliate and nourish your skin on your feet. Nice and soft, not catching on the sheets! In addition to these wonderful spa services please visit our website www.simplysdayspa.com. We also carry a full line of homecare products to compliment the services that we do. Come and visit to see for yourself. Spa Gift Certificates are the perfect gift. Help people you love take care of themselves. See our online gift certificate program on our website or come into the spa for giftwrapped certificates.

Client Testimonial . . . My experience at Simply Skin was wonderful!!!! I was treated like a princess and was very comfortable. I would recommend this spa as excellent.

Written By: JoAnn Juralewicz, owner, Simply Skin. A Day Spa Experience

(Just a quarter mile east from Exit 81 of the Garden State Parkway.)

24

Fashion & Beauty

Fashion

Please call to make your appointment.

Simply Skin

We are located at:313 West Water Street, Toms River, NJ 08753 A DAY SPA EXPERIENCE

Be ready to look your best with a teen facial here at Simply Skin. All teens can receive a complimentary brow shape with a teen facial from Aug. 1, 2013 - Sept. 30, 2013

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Please call Simply Skin at 732-505-9448 to make your appointment.

A Day Spa Experience 313 W.Water Street Toms River, NJ

732-505-9448

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Permanent Makeup…Medical Tattooing…Tattoo Removal…Amy is Here To Help!

H

aving already been a licensed esthetician of 23 years and a massage therapist, I decided to extend my practice in 2004 to the wonderful world of Permanent Makeup, also known as Micropigmentation.

Amy Druding, F.A.A.M, c.p.c.t Board Certified, Licensed by the Atlantic and Cape May County Health Departments

At first I didn’t realize the impact I would have on people’s lives, but it has been so personally rewarding! To be able to create a look that men and women of ALL races can be proud of has been such a joy. I love the responses I get from people when the procedure is finished. Sometimes it is after a cosmetic enhancement such as eyebrows, eyeliner or lips when someone will thank me for improving their looks and saving them from ever having to draw their eyebrows again! Other times a client reacts in tears of joy when I’ve completed a medical tattooing procedure such as areola enhancement, or to improve the visible effects of vitiligo, alopecia, trichotramania and other related conditions. I’ve also had excellent results with tattoo removal. I am proud

Permanent Makeup by Amy

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609.383.BROW (2769)

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The County Professionals Woman Magazine Medical

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to be the first in Atlantic and Cape May County to be licensed in this field, and am regulated yearly and licensed by the Board of Health. It is my expertise, along with my trusting clients that has strengthened my field and I want THANK them. • Member of the A.A.M. American Academy of Micropigmentation since 2004. • Certified Permanent Cosmetic Artist. • MRI Safe pigment colors are used to give you the best quality service.

also located at:

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www.TheCountyWoman.com

July/August 2013

Wigs

& Hair

Replacement

45

Hair Systems That Work For Both Men And Women

Written By: Gerri Hergert Abstrax Hair Designs

A

hair System is the best hair loss solution to restore your natural appearance. Whether the cause is genetics, medication or stress, the loss of hair can be addressed in many ways. Medications such as Rogaine and Propecia work for some. Hair transplant surgery might, or might not, be right for you. And among your non-surgical hair loss treatments are hair systems, also known as a “hair replacement” or a “toupee.” The techniques and technologies of 21st-century hair systems

have redefined what it means to fight Alopecia. Baldness is now truly just an option, in part because the hair replacement application is semi permanent. There is a broad range of what you can do to address thinning, patches or even advanced hair loss and the solutions can be finely adapted to your head, your individual hair loss condition and your style preferences. A modern hair system is also about common sense. The hair system that works for a 28-yearold will be quite different from what is right for a 58-year-old. There is a more natural, more realistic way of giving people back the hair they once had through a quality hair integration system. Just as important, this approach to managing hair loss is non-invasive. Maintenance and cost questions can be answered upfront. Are you athBrenda was letic? Then suffering from the type of significant bond you hair loss and turned to choose will Hair matter. Like to Abstrax Designs for change styles? help. She is It is possible. now a happy On a budget? client!

Investigate which hair replacement plan fits your available resources. When you understand more about your options, you’ll be better able to work with a stylist as well. At Abstrax Hair Designs our professional stylists understand both technical and aesthetic features of good hair systems. When hair systems stylists are really good, they understand you and your needs. “That’s why you want to definitely make an appointment for a free consultation with our specialists before you make your decision. Go to your appointment and explain your hair loss situation. Make a list of questions you have and ask them all! We can evaluate your specific needs and recommend several solutions depending on your budget and lifestyle.

Laura Cole Honored With Prestigious Award

Laura Cole, of Abstrax Hair Designers, received the prestigious Master Hair Replacement Specialist Certification after completing numerous classes and serving on the American Hair Loss Council for the past 10 years. Second to her mother, Gerry Hergert, who received her award several years ago, Laura and Gerry are the first women in the state of New Jersey to receive these certifications!

Pictured in photo from left to right are: President of the AHLC, Ms.Peggy Thornhill; Joseph Ellis; and Laura Cole. This award now registers Abstrax Hair Designers and Hair Replacement Center as the first Accredited American Hair Loss Council Facility in the state.

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

Tenants Wanted

Please join our new venture. Professional space available with three options: 540 sq. ft., 720 sq. ft, and 1200 sq. ft. Current tenants are a Medical Billing Firm and a Dentist. Utilities are all separated, with plenty of parking and video surveillance both inside and out. We enjoy convenient access to Hooper Avenue, as we are across the street from Mulligan’s Restaurant on Moore Rd.

Our new home: 2494 Moore Rd. Toms River,NJ 08753 All Inquirers for the office space dial 732-600-6035

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Medical Professionals

46

WOMEN’S HEALTH INITIATIVE PROGRAM ICAM’s Women’s Health Initiative Program was created to provide comprehensive evaluation and treatment specifically suited to a woman’s needs. The program addresses health issues such as Menopause, PMS and other Hormonal Imbalances such as Adrenal Dysfunction and Thyroid Disease. One of the main reasons for the creation of this program is because these issues are frequently misdiagnosed as: Chronic Fatigue, Epstein Barr, Lyme, Fibromyalgia, and Depression by conventional medical practitioners. When this occurs, a patient is left to trudge on in life- unsatisfied, unaware, untreated and invalidated because the true underlying medical pathology is never found or treated effectively. When a patient suffers chronically with signs and symptoms that do not resolve despite what is considered “appropriate” medical treatment, doctors begin to question the patient’s reliability and motives rather than question their own diagnosis and treatment practices. Then, when doctors have ruled out all possible illnesses fulfilling set criteria, they begin to label- not diagnose patients as having DEPRESSION. On the other hand, many patients may request and need a diagnosis so they do not feel they are going crazy or that their symptoms are all in their head.

It is common for a patient to have self-doubt after months or years of complaining without improvement, and with frustrated doctors not really knowing what is wrong or what to do to help. When that happens, family and friends may begin to doubt any true medical condition exists, and start to avoid the patient, which leads the invalidated patient into withdrawal. Soon the patient suffering through this becomes easily coaxed into believing their problems are in their mind, not their body. To make matters worse, after their doctor has exhausted his skills and patience, he will refer to a specialist who has a handful of predetermined “tricks up his sleeve.” Now he too misses the boat and misdiagnoses the patient with “Fibromyalgia”, “CFIDS”, “Lyme” or some other diagnosis of the month. Again, the patient is given a label on their forehead of “DEPRESSION” because it is neither socially nor medically acceptable to call you a WACKO! Although depression may be a true and accurate diagnosis, it is far too often brought on by the inadequacies of the healthcare professionals- myself included! Personally and professionally, I do not see how anyone who is “normal” could not fulfill the criteria for depression or BE DEPRESSED after going through this unhappy medical mystery tour. After months or even years of feeling lousy, friends and family become unsupportive and doctors instruct their staff not to mention a patient’s name in front of them. This may sound extreme but it is real. I know. I once was one of those doctors! Fortunately, after years of feeling helpless and hopeless, I turned to Complementary and Alternative Medicine and

REMEMBER…. When it comes to your health, you do have options and a choice.

Mark James Bartiss, M.D.

A Doctor That Specializes In You!

A Different Approach To Your Medical Needs Dr. Bartiss is a medical writer, lecturer and author and has keen interest in Women’s Health issues. Whether you are feeling ill 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. Hundreds of patients have already utilized his services and have found internal peace with their newly gained health and youth. You too can recapture this dream and live a healthier, happier and more fulfilling life with minimal effort by following his protocols. For those interested in inquiring about lectures for your group/ organization, or for information about ICAM and Dr. Bartiss, contact our office, or visit our website: www.icambartissmd.com

The County Woman Magazine

found a better way to help and treat my patients- not just their symptoms.

If you or someone you know is experiencing this kind of frustrating health problem, this message is for you: Friends, this is key for maintaining your sanity: The depression that you are experiencing is probably the only accurate diagnosis that your doctor has made regarding your ongoing, chronic, unaddressed, unresolved symptoms. Yes, you are hearing me correctly. You Are Depressed and should be!!! BUT… your depression is a result of the longstanding unresolved symptoms rather than the cause of them, and this is why anti-depressants often don’t help. If you are not chemically depressed they are of no value and will often cause harm. The Women’s Health Initiative Program also stresses other (often neglected) healthcare issues that need to be addressed such as cardiovascular health and prevention, lifestyle change, and nutrition since they are paramount for optimal health. Giving a proper evaluation and diagnosis of the patient, which carefully considers and treats the patient’s whole self is what the Institute or Complementary and Alternative Medicine is all about. Come see us when you are ready to feel your best again.

Remember… If you ignore your health, It Will Leave You.

ICAM

Call ICAM to schedule your appointment!

Institute For Complementary & Alternative Medicine Mark James Bartiss, MD

Welcomes you to his Alternative Medical practice, specializing in the following: • • • • •

Alzheimer’s/ Memory Disorder Coronary Artery Disease/ Stress Fibromyalgia Anti-Aging Medicine Preventive Medicine

• • • • •

Hypothyroidism/ Endocrine Disorders Vitamin and Herbal Therapies IV Therapies Bio-Identical Hormone Replacement Therapy Bio-Oxidative Therapy

24 Nautilus Drive, Suite 5 • Manahawkin, NJ 08050 • 609-978-9002 504 Hamburg Tpk, Suite 205 • Wayne, NJ 07470 • 973-790-6363

www.ICAMBartissMD.com www.TheCountyWoman.com

Call for new location in Monmouth County.

July/August 2013

Medical Professionals

within a certain caloric limit just isn’t ever going to cut it. (Many well-meaning conventional dietitians nutrients into every meal as possible within a healthy portion size. Eating depleted, contaminated food would leave you to believe otherwise but it’s completely unsustainable.) Our bodies are fueled through within a certain caloric limit just isn’t ever going to cut it. (Many well-meaning conventional dietitians essential macro and micro nutrients, not empty calories, and we cannot properly utilize these nutrients would leave you to believe otherwise but it’s completely unsustainable.) Our bodies are fueled through if toxins are lodged in our tissues, inhibiting important biochemical processes. Many of these toxins are essential macro and micro nutrients, not empty calories, and we cannot properly utilize these nutrients tiny particles that we can’t even see, smell or feel, at least not right away. As a result, we don’t realize that if toxins are lodged in our tissues, inhibiting important biochemical processes. Many of these toxins are we’re being affected until we fall ill with a degenerative disease years later, after constant exposure. It is tiny particles that we can’t even see, smell or feel, at least not right away. As a result, we don’t realize tha absolutely crucial that we effectively support our body’s natural detoxification processes and we’re beingpathways affected on until we fall ill with a degenerative disease years later, after constant exposure. It is nutrition a daily basis. absolutely crucial that we effectively support our body’s natural detoxification processes and expoWritten By: Kristin Lëigh Fagan, don’t realize that we’re being affected until we fall ill with a degenerative disease years later, after constant Holistic Nutritionist and Wellness Educator nutrition a daily sure. It ispathways absolutelyon crucial thatbasis. we effectively support our body’s natural detoxification processes and nutriIn order to be considered as a patient, there is only one requirement, you must be a person who tion pathways on a daily basis. regularly consumes food. Everyone can benefit from Holistic Nutrition counseling, no matter your age, olistic Nutrition is characterized by In order to considered be consideredasasaapatient, patient, there there isisonly requirement, you you mustmust be a person who regularly In order to be onlyone one requirement, be a person who condietary preferences, or medical conditions; especially those with: comprehending the parts of the human sumes food. regularly consumes food. Everyone can benefit from Holistic Nutrition counseling, no matter your age, condition as intimately interconnected and Everyone can benefit from Holistic Nutrition counseling, no matter your age, dietary preferences, or dietary preferences, or medical conditions; especially those with: Acne/Skin Conditions Hyperglycemia/Hypoglycemia explicable only by reference to the whole; focusing on medical conditions; especially those with: Eating Disorders natural solutions where the all-around well-being of a Allergies Gout Irritable Bowel Syndrome Acne/Skin Conditions Eating Disorders Hyperglycemia/Hypoglycemia person is the goal, taking into account mental, emoCancer Heart Disease Menopause tional and social factors, rather than just the current Allergies Gout Irritable Bowel Syndrome Cholesterol Concerns Herpes Obesity isolated physical symptoms of a dis-ease. Cancer Heart Disease Menopause Chronic Fatigue HIV Osteoporosis At the Institute for Complementary and Alternative Cholesterol Concerns Herpes Obesity Chronic Constipation Hormonal Issues Painful Joints Medicine, I offer customized Holistic Nutrition proChronic Fatigue HIV grams based on specific metabolic needs and possible Diabetes Hypertension/Hypotension PolycysticOsteoporosis Ovarian Syndrome Chronic Constipation Hormonal Issues Painful Joints acute or chronic health issues; natural weight loss, gluDigestive Complications Hyperthyroidism/Hypothyroidism Respiratory Problems ten-free guidance, elimination diets, supervised fastDiabetes Hypertension/Hypotension Polycystic Ovarian Syndrome ing, gentle detoxification, comprehensive body scans, Digestive Complications Hyperthyroidism/Hypothyroidism Respiratory Problems medicinal therapeutic formulations and organic/nonSome of the effects you’ll be thrilled to experience after one or more sessions together: GMO whole food supplements. Some of the effects you’ll be thrilled to experience after one or more sessions together: My approach is to support the foundations of the effectsEnergy you’ll be thrilled to experience one or more sessionsBetter together: Increased Optimizedafter Digestion Quality Sleep body so that it can function optimally. During your Some of the first visit a comprehensive evaluation will be carried Elevated Mood Improved Complexion Sharpened Focus out. We’ll take an in depth look at where you’re at in Increased Optimized Digestion Better Quality Sleep Weight Energy Loss Healthier Hormones Levels Balanced Blood Sugar contrast with where you’d like to be and customize a Elevated MoodSkin Improved Sharpened Focus Softer, Smoother Enhanced Gut Health Heightened Adaptability © 2012 Complexion Kristin Lëigh Fagan, HolisticFor Nutritionist — TheKLFword.com Institute tailor-made plan relative to your constitution -- setShinier Disposition Muscle Gain Peace of Mind Complementary & Alternative ting clear short-term goals, in order to ensure the joy © 2012 Kristin Lëigh Fagan, Holistic Nutritionist — TheKLFword.com Medicine of accomplishment will be attained. We’ll dramatically Each meal is a meditation that your body will study and learn from for hours to come. Isn’t it time we stopped reduce the amount of toxins you are being bombarded Mark James Bartiss, MD informing on howthat to beyour in pain, tired, depressed, andto outright started meal ourselves is a meditation bodyoverweight, will study and learn fromirritable for hours come. toxic, Isn’t itand time we with while packing as many nutrients into every meal Each Welcomes you to his Alternative Medical practice, exhibiting concern for our one and specializing the following: as possible within a healthy portion size. Eating deplet- stopped informing ourselves on how to be in pain, overweight, tired, in depressed, irritable and outright only vessel? My aim is to put the reins ed, contaminated food within a certain caloric limit Institute toxic, and started exhibiting concern for our one and only vessel? My aim is For to put the reins back in • Alzheimer’s/ • Hypothyroidism/ back in your hands and increase your just isn’t ever going to cut it. (Many well-meaning your hands and increase your confidence by instilling self-trust and direction on your journey home to Complementary & Alternative Endocrine Disorders Memory Disorder confidence by instilling self-trust and conventional dietitians would leave you to believe oth- wellness. • Vitamin and Herbal Coronary let go home of thetopast and focus on the•present, ourArtery future can be anything we want it to Medicine directionWhen on yourwejourney Therapies erwise but it’s completely unsustainable.) Our bodies Disease/ Stress be; the time is always wellness. When we let NOW. go of the past •MD IV Therapies Mark James Bartiss, are fueled through essential macro and micro nutri• Fibromyalgia • Bio-Identical Hormon and focus on the present, our future Welcomes you to his Alternative • Anti-Aging Medicine Medical practice, ents, not empty calories, and we cannot properly utispecializing in the following: Replacement Therapy can be anything we want it to be; the • Preventive Medicine • Bio-Oxidative Therap lize these nutrients if toxins are lodged in our tissues, time is always NOW. Holistic Nutrition added to our list of many other services • Alzheimer’s/ • Hypothyroidism/ inhibiting important biochemical processes. Many of 24 Nautilus Drive, Memory Suite 5 • Manahawkin, NJ 08050Endocrine • 609-978-9002 Disorders Disorder these toxins are tiny particles that we can’t even see, 504 Hamburg Tpk, Suite 205 • Wayne, NJ 07470 •Vitamin 973-790-6363 • and Herbal Call ICAM to schedule • Coronary Arterya multitude of people overcome Kristin Lëigh Fagan, a Holistic Nutritionist and Wellness Educator, has helped smell or feel, at least not right away. As a result, we Therapies www.ICAMBartissMD.com

47

Holistic Nutrition - A Pathway To Resilience

H

ICAM ICAM

your appointment!

Disease/ Stress • IV Therapies • Fibromyalgia • Bio-Identical Hormon • Anti-Aging Medicine Replacement Therapy During several nearly bedridden years of extensive diagnostic primary care doctors,• countless specialists, • testing, Preventive Medicine Bio-Oxidative Therap

various dis-eases that offend the eye, the mind, and the spirit.

Kristin Lëigh Fagan , a Holistic Nutritionist has helped a multitude peoplehealth. overcome various disand futile prescription drugs,and she Wellness sought a Educator, sensible long-term solution for heroffailing Wholly frustrated eases that offend the eye, the mind, and the spirit. 24she Nautilus Drive,on Suite 5 • Manahawkin, NJ 08050 • 609-978-9002 with the inadequacy of conventional medicine, embarked a lengthy, in-depth course of study into many 504 Hamburg Tpk, Suite 205 • Wayne, NJ 07470 •futile 973-790-6363 During several nearly bedridden years of extensive diagnostic testing, primary care doctors, countless specialists, and prescripdifferent alternative healing concepts, including: herbalism, fasting, detoxification, raw vegan/vegetarianism, www.ICAMBartissMD.com tion drugs, she sought a sensible long-term solution for her failing health. Whollyon frustrated with the inadequacy of conventional medisuperfoods, and primal/paleo victual, with an emphasis traditional indigenous nutriment. Incorporating the cine, she embarked on a lengthy, in-depth course of study into many different alternative healing concepts, including: herbalism, fasting, most beneficial components of each concept into her own system of health and healing, her impressive personal detoxification, raw vegan/vegetarianism, superfoods, and primal/paleo victual, with an emphasis on traditional indigenous nutriment. success inspired her to share it with others. Incorporating the most beneficial components of each concept into her own system of health and healing, her impressive personal success inspired her to share it with others. Enriched by nearly a decade of research and firsthand experience, she then received formal training and Enriched by nearly a decade of research and firsthand experience, she then received formal training and certification to practice holistic nutrition counseling certification to practice holistic nutrition counseling at the Institute for Integrative Nutrition, in affiliation with at the Institute for Integrative Nutrition, in affiliation with Columbia University and Purchase College: The State University of New York (SUNY). Columbia University and Purchase College: The©State New York (SUNY). 2012 University Kristin LëighofFagan, Holistic Nutritionist — TheKLFword.com

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Senior Club

48

The Beach And The Caregiver – How Can We Get Them Together? Submitted by: Bena Gulkowitz, Program Director, The Regency Club

W

hen was the last time you were at the beach and were able to relax in the warm sun and just enjoy a beautiful summer day on the Jersey Shore? If you are caregiver, the answer to this question is most probably before you initiated the most difficult role of caregiving. Studies show that caregiving takes a physical toll on the caregivers. Many people exhibit symptoms of depression, anxiety and high blood pressure. When one takes on this roll, it can very often become all consuming. It is so important to take a step back and ask one’s self the following questions. Do I feel isolated? Am I lonelier? Do I feel resentful with my new assumed role? If the answer is yes, to any of these questions, one must begin to Enter To Win

search for a respite, or a few hours a day of relief. The Regency Club was specifically designed with the caregivers in mind. We are a senior club dedicated to partnering with families who are dedicated to caring for their loved ones with Alzheimer’s or dementia in their own homes. We are open six days a week from 8 am to 8 pm. We provide respite for caregivers to enable them to reenergize and even relax for a few hours a day. Some of our caregivers have forgotten what it means to go out to lunch worry free. We have therefore begun our caregiver lunch trips for all our members’ caregivers. The trip is complimentary and all of the caregivers meet at The Regency Club and go out to lunch together along with one staff member from The Regency. It is a first step in getting so many who have no ‘me time’ to at least enjoy a beautiful lunch with friends once or twice a month. After the lunch trips the caregivers begin to realize they feel better that day and they are more patient and effective caregivers. One may even decide the next day to take a long awaited trip to the beautiful Jersey Shore Beach. Enjoy your summer!

Live Entertainment | Trips | Beauty Services Daily Exercise | Dancing | Gourmet Meals Round Trip Transportation

Specializing in Memory Enhancement • We• are covered bybymany policies Specializing in Memory Enhancement We are covered manylong-term long-terminsurance insurance policies

www.regencypsc.com www.regencypsc.com

1311 Route 37 West Toms River, 08755 1311 Route 37 West Toms River, NJNJ08755

To find out more information, or how we can help ease your role as a caregiver, please call The Regency Club at 732-286-2220, or check us out on the web at www.regencypsc.com.

All you have to do is make the call, and we will help guide you the rest of your way to some respite! Bena Gulkowitz

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

KA

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 July 31, 2013. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

www.koehleracupuncture.com

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

AdultCommunity

49

Fountainhead At Jackson’s Spectacular Summer Savings On New And Pre-Owned Homes www.njfountainheadhomes.com

Submitted By: Nancy Viviano Fountainhead Properties

Home shoppers age 55 and up are finding Fountainhead At Jackson a “must see� community on their search for a new or pre-owned home. Located in Jackson Township, one of central New Jersey’s most desirable communities, Fountainhead’s “for sale� list is chock full of quality manufactured homes the rank high in terms of price and value.

Nancy Viviano, Marketing Director for the community said, “Our community is quite unique in that we afford buyers a “total package� that produces savings on the “buy side� going in, and affordable and predictable living expenses for years to come.� She explained that Fountainhead is a land lease community. This means that while you purchase and own your home, you’ll lease the land. She noted that one affordable monthly lease payment also includes all local property taxes. “Our new homes,� said Viviano, “are factory built to a rigorous construction code mandated by the Department of Housing and Urban Development. Our buyers are getting a home that is comparable to a site-built home in every respect. Identical construction materials, same appliances, and built with energy efficiencies to help homeowners control heating and air-conditioning costs.�

Viviano’s current inventory includes a never-lived-in model home built by the highly acclaimed Ritz Craft Homes. With a roomy 1250 square feet of living space, 2 bedroom, 2 bath unit with a large kitchen and family room, is stunning inside and out. There’s also a laundry area already equipped with a washer and dryer. The kitchen comes complete with a dishwasher. Prices starting at $109,900 to approximately $150,000 the home is sited on a roomy 5000+/- square foot home site. Financing is available and the home is ready for immediate occupancy. This is just one of about a dozen new and preowned homes priced to sell and move-in ready at Fountainhead. In discussing the land-lease concept Viviano said, “Prospective buyers learn about the incredible savings they’ll enjoy as a Fountainhead resident. Instead of sinking tens of thousands of

dollars into a home/land purchase, they can take the land cost of a prospective home purchase and bank it as a nest egg or rainy day fund for future use. And, because our manufactured homes are taxed differently than site-built homes they won’t get hit with an annual tax bill of $3000, $4000, or more. The savings we offer are very, very, real.� Fountainhead is conveniently located at 1 Rose Drive, just off North Cooks Bridge Road in Jackson Township. Exit 21 off of I-195 is less than five minutes from the community’s entrance. The sales office is open between 10am and 4pm. It is best to call Nancy at 732-928-3100 to set up an appointment. During the busy summer season Fountainhead tries to schedule visitors to ensure they have enough time to show the community and answer questions.

Spectacular

Home Savings! Select a lot in the established neighborhood and receive optional self clean gas range with microwave above for free at closing. Closing must occur before 12/31/13.

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The County Woman Magazine

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

July/August 2013

Acupuncture

50

Getting Straight to the Point about Acupuncture FAQs What is acupuncture? Acupuncture is a treatment involving the insertion of fine needles into the skin to relieve symptoms (such as pain), strengthen the body’s immune system and balance the body to facilitate healthy body function.

How does it work? Acupuncture works by stimulating the body’s qi (pronounced chee). Qi is the body’s life energy. It flows throughout the body in a series of channels. Each channel is connected with a specific organ and has specific physiological functions, as well as emotional and spiritual components. When the qi flow is disrupted the body can experience dysfunction, ill health and/or pain. When the qi is flowing freely through the channels all body functions, such as Sleep, Digestion, Energy, Immunity, Concentration, and Mobility are enhanced.

Does it hurt? Submitted by: Keith Koehler, MAOM, CA Koehler Acupuncture Acupuncture, and Chinese Herbal Formulas

The insertion of the needle is generally painless. Many patients do not even realize when the needle has been inserted. This is because acupuncture needles are solid and hair- fine, unlike a medical hypodermic needle, which is thick and hollow. Once all of the needles are in place, the patient usually becomes very relaxed. The lights are dimmed and gentle music is played. Many patients fall asleep during the treatment.

How long is a treatment? During a treatment needles are retained for twenty to forty minutes, depending on the patient and the condition being addressed.

How many treatments does it take to feel relief? Some patients feel some relief after the first treatment. Typically, patients feel some consistent relief after three to five treatments. It is usually recommended to receive two to three treatments for two to three weeks, followed by an evaluation to determine the need and/or frequency of further treatment. Complete relief varies from case to case. In general, acute symptoms resolve quicker than chronic or complex conditions.

Is it safe? Yes. All needles are pre-sterilized, and packaged for single used. During treatment, the acupuncturist opens the needle packages and inserts the needles, using proper clean needle technique. When the treatment is over, the needles are removed and placed in a biohazard container, just like at a hospital or doctor’s office.

Does insurance cover acupuncture? Most insurance companies have plans that cover acupuncture, though coverage varies from plan to plan. The best way to find out if you have coverage is to come in for a consultation, and let the acupuncturist verify your benefits with your insurance company.

Who can be treated with acupuncture?

Koehler Acupuncture 128 Drum Point Road Brick, NJ 08723

732-262-0637

www.KoehlerAcupuncture.com

Everyone from infants to seniors can be treated with acupuncture. Treatments vary accordingly. Infants and toddlers may be treated with acupressure techniques or acupuncture with no needle retention. Children tend to respond very quickly to very little stimulus. With adults and seniors, sensitivity and response to treatment varies, therefore different treatment techniques can be used to achieve the best results for each individual.

What is the most common condition people get treated with acupuncture? For adults and seniors, pain is the most common complaint. Low back pain tops the chart, followed by neck, hips and knees. For children, the two most commonly treated complaints are digestive (colic) and respiratory (asthma and allergies) conditions.

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Fashion

&

Beauty

51

Find Yours Favorite Brands This Spring at Juliana’s See What’ New For Summer At Juliana’ s Joy Joy John Medieros jewelry made in the USA, Thymes fragrance Juliana’s Joy is Cinda b items are machine washable willSpartina benefit 449 “Gohandbags Red For and collections made inpattern the USA, conveniently and great for the woman who loves a Women,� a project of the American newly added Cinda B handbags made in the USA. located in the lightweight handbag. Heart Association. Chamilia is one of the jewelry companies that has Commonwealth withand the charm releasecraze of Amore been the bead since Plaza at July 1980is Cinda b’s at the forefront ofAlong New for Cinda b is introducing several new it started. Since Chamilia partnered with Swarovski, the Rte 37pattern W in “Amore.� latest company continues to be a leader in releasing the most and oh so fantastic items into the Manchester. Amore is a rich red solid, paired amazing beads of any company. Chamilia’s quarter two Cinda b collection. with a pattern reminiscent of looking beads arrive at Juliana’s Joy in April delay Roll; in The first itemsoisdon’t a Jewelry Spring is finally here Juliana Harrison (owner), through a kaleidoscope during a sunstopping in to pick out your next little bobble of joy or Ian Harrison (son), and this little piece makes traveling with and Juliana’s has Juliana Harrison Harrison rise. Shades of red with a warm splash Justin(owner), HarrisonIan (owner) start a new braceletall foryour a special occasion or ajust for Then fun! favorite jewelry snap. all your favorites (son), and Justin Harrison (owner) of pink gold round outSpartina this lovely 449 handbags with a fresh spring twist plus some brand newand lines there is are thecreated Happyusing Stack,leather whichand is Cinda b.linen Theto inspiracreate a distinctive look while keeping their bags just in time for Mothers Day. Maybenew you look need from to treat a set of three pouches stacked and durable and stain resistant. tion Juliana’s of Amore Cinda yourself or pick upis aconvenientgift for a loved one. Joycomes from tied withSpartina’s a ribbon.spring/summer Cinda has also release called Serendipity includes newcalled patterns and Boomershine’s (Cinda b., Founder/ something ly has located in thefor every woman on your list. Juliana’s given us a newfive clutch Melrose for the first time Spartina has introduced color block Chief Creative Officer) personal misJoy is an accessories boutique that carries coveted brands Clutch and the last new item is a Commonwealth Plaza at 1980 leather Ahandbags a more stream-lined look. sion to promote heart health. por- for including Brighton handbags and jewelry, Chamilia beads, nice big Market Tote.

J

uliana’s Joy

Rte. 37 W in Manchester.

tion of every item sold in the Amore

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Stop in to Juliana’s Joy to

They carry many unique Juliana’s In Store Promotions (See store for details. Gift withcheck purchaseout itemsthe available while supplies beautiful andlast.) brands of accessories including• While supplies last receive a FREE snap pouch with any Cinda B purchase health conscious new Amore of $50 or more. Brighton, Cinda b, Spartina by Cinda b. Pick up a new water any Cinda or bottle add onwith to your 449, Chamilia and plenty of • While supplies last receive a FREE reusable Spartina bag Spartina purchase of $50 or more. b collection with one of our beautiful costume jewelry.

• May 13th – May 24th receive a FREE Brighton limited “LOVEâ€? greatedition new accessories charm bangle when you spend $75 or more in Brighton charms. your pattern! Cinda b is a beautiful yet ultra • May 24th – June 9th receive a FREE Brighton beachintowel when you spend $100 1980 Rte 37 W, Manchester durable line of bags and travel or more on Brighton. items and Juliana’s Joy is proud 732-849-5621, Call for hours. • June 21st – July 7th receive a FREE Brighton tote bag when you spend $100 to boast it is made in the USA! or more on Brighton.

www.julianasjoy.com

Footwear

!

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We Accept Medicare!

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

(732) 849-5013

The County Woman Magazine

www.TheCountyWoman.com

Now Carrying Jobst Support Stockings! July/August 2013

Fashion

52

&Beauty

Visit Barbara’s For

S

Summer Fashion and Sales

ummer is in full force along the Jersey Shore. While you are stocking up on SPF, preparing for your annual beach/pool party and planning your summer vacations, you should also be putting the finishing touches to your summer wardrobe. It’s never been so easy to be in fashion! Just drop by Barbara’s Boutique and you’ll find all the hottest summer trends. This season, for example, you’ll see lots of bold graphic prints, stripes and floral patterns. The professional staff at Barbara’s will show you how to put together power-clashing prints of different sizes to create a stylish new look. Karen or Stephanie will also help you accessorize your existing wardrobe with a fabulous scarf, bright designer handbag, jewelry, sweater or jacket. Indeed, you will find everything from midi skirts and peplum tops to slacks of every length. It’s amazing how the tanks, summer cashmere sweaters, and soft-colored tops lend themselves to a one-of-a-kind outfit. Barbara’s clothing selection will allow you to go from the work place to happy hour or fine dining, followed by a moonlit stroll on the beach. Building a casual, elegant summer wardrobe need not involve spending hours at the malls, hopping in and out of small clothing stores, when your summer hours are so precious. Think Barbara’s in Linwood for your fashion experience.

Want to see a glimpse of the 2013 fall fashions?

This fall is all about putting together timeless, stylish items for a modern, new look - clothes that you want to become your new classics, not throwaway trends. The colors will lean towards dark and deep shades of red, evergreen, teal, violet, charcoal and gray and, of course, always-in-fashion black. Barbara will be releasing her fall selections towards the end of August. Since she only buys one size in each item, you will want to be one of the early shoppers to seize the perfect piece to compliment or enrich your fall wardrobe. Be sure to pick up a copy of the Sept/Oct issue to see and read about the highlights of the 2013 fall fashions featured at Barbara’s Boutique!

• Johnny Was • Magashoni • Three Dots • Elliott Lauren • White & Warren • Zelda • Alison Sheri • 360˚ Sweaters • Nally & Millie • Marc Aurel

Barbara’s

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

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

Community

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The County Woman Magazine

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July/August 2013

Fashion

& Beauty

53

Visit the Ultimate Bra Store…

Leisure & Lace

W

ho would believe finding the correct bra size would make the front page of the New York Times? We know you used to be a 34B and so were we, but time changes all things. Finding the right bra size takes time, patience, and Leisure & Lace. So many women will leave the store feeling not only happier, but also transformed and more confident from when they first walked in. This helps us create a loyal customer base and we especially appreciate our customers that will wait until they visit the shore just to come in and buy our bras. Moving into other departments we have a great selection of control garments. Yes, we have Spanx along with many other secret solutions to help tackle the challenges of your garments. People will wonder, “What’s under?!” If you’re bra straps are slipping, we can fix that! Here at Leisure and Lace, we have the perfect solutions for when a bra is not an option and only little lifting is needed. We have bathing suit cups, sew in cups, stick on cups, etc. We are also here for the bride-to-be. From pretty chemises, garters, to thongs adorned with “I Do.” We will work with you and your seamstress with fitting the necessary under garments for your special day.

If you are looking for the ultimate robe, Leisure and Lace is the place to look. Try our new robe from Wrap Up by VP. This west coast base robe line offers a luxurious microfiber that is buttery soft. With this wickable fabric, you can wrap yourself right out of the shower, with no towel needed. Here at Leisure and Lace, we strongly believe in a lift that will last. Therefore, many of our products are European because of their fit and durability. Oh no! As I write this they are currently talking about bra fittings on the television. So before you purchase a bra kit, come on in and see if we can find your fit! ■

“The perfect fitting bra might as well be a myth, unless you shop at Leisure & Lace!”

199 New Road, Suite 9 • Central Square • Linwood, NJ 08221 • 609 927 5572

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

54

Women Of Ocean County

Annette DeMartino, CME

Susan Walter, LPN

Annette DeMartino is the Skincare Specialist for Dr. Christopher Godek and Bella Derma Medi Spa in Toms River. With 33 years of experience in skincare, Annette is a highly qualified aesthetician with an extensive background that includes evaluation, treatment, documentation and client education. A member of the Society of Plastic Surgical Skin Care Specialists, Annette has received Certification in many advanced skin care treatments, technologies and equipment. A Licensed Cosmetologist in the State of New Jersey since 1980, DeMartino received her C.M.E. (Certified Medical Esthetician in Dermatologic Skin Care) in 2001 from the Rayner Institute in San Francisco and Washington, DC. Annette has great compassion for her patient’s comfort and well being. Whether her patients are seeing her for the first time, preoperatively, for their post operative care or are non-surgical clients, Annette makes sure that they understand all available treatment options and products and that they feel relaxed and at ease while in her care. Born and raised in New Jersey, Annette has resided in Ocean County for the past 20 years. Annette may be contacted at 732-281-3303 or ademartino@drgodek.com. www.Bella-DermaMediSpa.com

Susan Walter was born and raised in Littlestown, PA. Susan has a huge heart and an obvious spiritual presence that can only stem from her unyielding faith. Her working career has always involved working with people. Since she was a little girl she wanted to be a nurse. She received her Licensed Practical Nursing degree from The Hanover Practical Nursing Program. Susan traveled, lived in various states, and even held a brief 3-year flight attendant position, but always loved working as a nurse. Out of 35 years in nursing, 18 of which she has spent with Dr. Stephen L. Newman, this has been her most enjoyable position. She is the office manager and nurse. She always says good communication and teamwork are keys to a successful, healthy and happy workplace. “Our office prides itself on excellent patient care and customer service.” Susan started a monthly meeting of office managers in 2003 for Ocean County. They support women and families of domestic violence and armed services with donations. Settling in Toms River over 25 years ago, she now resides with her husband, Chris. She has a 22-year-old daughter, Chelsea Koziar, whom she is very proud of. A true NY Yankee supporter, she also enjoys time with her family, traveling, reading and gardening. Susan can be reached at 732-920-8022 or via email swalterlpn@gmail.com. www.DrNewman.org

Skincare Specialist, Bella Derma Medi Spa

Office Manager and Nurse, Stephen L. Newman, MD, MBA

Photo by Tracy Harman Photography

Jessica Abraham, OT

Occupational Therapist, All Care Physical Therapy

Jessica Abraham is an occupational therapist and hand therapy specialist for All-Care Physical Therapy’s Toms River and Whiting locations. She holds a Master of Science in Occupational Therapy from the Richard Stockton College of New Jersey that she received in 2006. She also holds a Bachelor of Science in Speech Pathology and Audiology from the Richard Stockton College of New Jersey in 2004 and is currently working towards obtaining the credentialing as Certified Hand Therapist (CHT). As an occupational therapist, Jessica believes in developing treatment programs that promote independence and prepare her patients to return to their activities of daily living. Jessica’s professional focus has been in outpatient upper extremity orthopedic care with a focus in hand therapy. She utilizes manual therapy, soft tissue mobilization and neural mobilization techniques to help her patients achieve their goals. As an All-Care Physical Therapy employee, Jessica strives to provide the highest quality care in a comfortable environment to ensure that patients are reaching their full potential.

Photo by Tracy Harman Photography

Cathy Musolf Manager, Gastroenterologists of Ocean County Cathy was born and raised in Philadelphia, PA. She moved to New Jersey in 1969 and currently resides in Bayville, NJ. She is a loving mother and grandmother to one daughter and one grandson. She enjoys spending time with her family and also enjoys dancing, reading & shopping. Cathy began her medical career when she moved to New Jersey 42 years ago. Her first position was as a medical receptionist. It was here she realized her love for the medical profes-

For more information about All-Care Physical Therapy, please visit our website at www.allcareptc.com or call 1-855-3ALLCARE. Photo by Tracy Harman Photography

The County Woman Magazine

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sion. She currently manages the practice of Gastroenterologists of Ocean County. She began here in 1984 when Dr. Cohen first started his practice. She has watched this practice grow from a one physician practice to a six physician practice with three offices and two surgicenters. She enjoys her work and the people she works with and hopes to continue here until her retirement. Cathy can be reached at 732-349-4422 or via email at cathymusolf@aol.com. www.GastroOfOcean.com Photo by Tracy Harman Photography

July/August 2013

Women Of Ocean County Marla Marinucci, Esquire

Kathy Zonin, RN

Marla is a Family Law attorney and practices in Cape May and Atlantic Counties. She primarily handles matters involving divorce, custody, and domestic violence, just to name a few. She also serves as the assistant prosecutor in her hometown of Egg Harbor Township, where she has resided for the past seven years. Marla has been certified by the Supreme Court of New Jersey as a Matrimonial Law attorney, a designation earned by less than three percent of attorneys in New Jersey. As a French major in college, Marla thought her career path was to be a high school French teacher. Law school came out of nowhere, but was the best decision she could have made. Getting people divorced for a living and dealing with the unpleasantness that accompanies divorce has its challenges, however Marla is passionate about her work and wouldn’t have it any other way. One of her biggest pet peeves is the misconception that dads should only get to see their children every other weekend. Marla enjoys representing fathers who want to have an equal role in raising their children. At the end of the day, children need both parents and without exigent circumstances warranting a different arrangement, fathers should have equal time. In her spare time, Marla enjoys CrossFit and spending time with her two amazing children. (609) 390-9078 www.AprilLaw.net

Kathy is a New Jersey native, born and raised in Toms River. She has been a nurse for 28 years and began her career working in critical care in a hospital, but she’s also worked in cardiac rehabilitation, long term care, and rehabilitation. Using that diverse experience, Kathy then focused on nursing in the home care setting. As the Director of Nursing for Holy Redeemer HomeCare at the New Jersey Shore, she oversees offices in Ocean County, Atlantic County and Cape May County. She has been employed with Holy Redeemer HomeCare for eight years and began her career there as a nursing supervisor in Ocean County. Kathy’s professional interests revolve around patient safety, particularly falls prevention; chronic care management/transitional care and palliative care. Kathy received her Associates Degree in Nursing from Ocean County College and her Bachelor’s Degree from Thomas Edison State College, which is well known for its RN to BSN program. Kathy currently resides in Toms River, NJ with her husband Joseph. She has two adult children, Joseph Jr., and Kelly. She loves to spend her free time outside gardening and hiking in the Pine Barrens. Her personal interests include martial arts, exercising, music, reading, and writing poetry.

April & Marinucci, New Jersey Attorneys At Law

Director of Nursing, Holy Redeemer HomeCare

1-888-678-8678 www.HolyRedeemer.com

Photo by Donna Andrews Photography

Juliana Harrison Owner of Juliana’s Joy; Gift and Accessories Boutique Juliana lived in Toms River almost all her life. Growing up in the community instilled a love of the people here. From her very first job during high school she lived to serve everyone around her. So upon opening a new accessories boutique in March of 2011 with her husband, Justin, customer service was just as important as having the right products for the women who live, work or visit our wonderful shore area. “We want our customers to feel like friends and family when they walk through our door. Ultimately that is who they are to us.” Juliana celebrated her 6 year anniversary being married to her loving husband Justin this past October. “I could not have opened this business without Justin’s support. I thank God for him every day.” They have an energetic five-year-old son, Ian, who loves life at the shore. Going to the Beach during the day and playing on the board walk at night. Contact Juliana at: 732-849-5621, 1980 Rte 37 W, Manchester, NJ 08733 or visit www.julianasjoy.com

Photo by Tracy Harman Photography

Melody Tektas

The County Woman Magazine

Owner, Yesterdays & Todays

Melody was born in Trenton and raised in Forked River. For generations, her entire family has always loved antiquing and collecting, auctions, and flea markets. She has worked in the Retail Industry for over 25 years in Management, Merchandising, and Design. She is a natural and avid antique and collectible lover, so her journey led her to start selling items on Ebay. She wanted more; however, true antiques are hard to come by and the current economy didn’t support an antique only approach. She loved the idea of opening a quality consignment shop. After researching for over three years, she decided to start her own unique style of quality antiques and consignment together. Her decision was to include vintage, new, and antique furniture, collectibles and select modern items and Yesterdays and Todays was born. It took two years to find the perfect location, the 200-year-old Siperstein’s building in Toms River. Melody looks forward to greeting consignors and to view the beautiful antiques and collectibles that are brought in to consign weekly. Currently, we are helping our consignors and customers persevere Super Storm Sandy and get back on their feet. With furniture in such demand, Yesterdays and Todays will be opening their second location in Brick, on Princeton Avenue, in mid-March. 732-609-0413 www.YesterdaysAndTodays.net

Photo by Tracy Harman Photography

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Photo by Tracy Harman Photography

July/August 2013

56

Community

250 Gather To Celebrate Caregiver Volunteers Women Of Distinction

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o matter how politically incorrect or ‘sexist’ it may be, more than 250 women who attended the June 13th “Women of Distinction Annual Fashion Show and Gift Auction” at the Clarion Hotel and Conference Center in Toms River, benefiting Caregiver Volunteers of Central Jersey (CVCJ), will agree it’s fun to see a guy in uniform!

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Five of Lakewood’s Finest, who escorted the models at the event and totally enjoyed ‘hamming it up’ for the crowd, are members of the Lakewood Police Benevolent Association, led by PBA President Officer Gary Przewoznik. Dr. Joy Browne accepting the The event was created 6 years ago to celebrate and recognize the 2013 Women of Distinction Award CVCJ Director of Development, Sara Farley Breshka women in our communities who are role models for all women: atfrom Caregiver Volunteers of (left), with Dr. Joy Browne, Event Honoree, and Lynette home, in the work-place, and in the community. “We are so grateful Central Jersey. Whiteman, CVCJ Executive Director. to you, our supporters and to our volunteers, in our mission to help To view the full gallery of photos “like us” on Facebook.com\caregivervolunteers the frail elderly of Ocean County,” said Lynette Whiteman, Executive Director of CVCJ in welcoming attendees. “CVCJ volunteers give of their time, hearts and spirit to visit, provide respite, and basic life sustaining support relieving the social isolation of our seniors who are no longer driving. We honor you and thank you.” In addition to escort duties, the officers added to the festivities as an honor detail to meet and greet our “Women of Distinction” honoree: Psychologist and Radio Personality Dr. Joy Browne. Dr. Browne has authored numerous self-help and inspirational books and offers millions of devoted viewers and listeners advice on issues ranging from relationships and marriage, finance, work and career. In accepting the award, Dr. Browne spoke of the privilege in helping others to achieve their goals as well as the joy of living a full and peaceful life through volunteering. Dr. Browne also held an informal Q and A on relationships. Sharing Emcee duties were Patti’s Pretties Jewelry and Accessories owner, CVCJ Volunteer and Board Member, Pat Scimeca, and Larry Donsky, actor and comedian who participated in the national hit “Old Jews Telling Jokes”. Pat and Larry introduced each model and their escort, as well as called the winning numbers of the 50 donated gift auction items. Modeling fashions from TULA “The Boutique” at the Grove West in Shrewsbury and Macy’s at the Ocean County Mall were some of the area’s most distinguished and successful women from various fields and included: Beverlee Bednarz, from Law Offices of Lynette Brennan; Jean Benfanti, CVCJ Volunteer; Carol Cohen, American Red Cross; Victoria Cox, Victoria’s Compassionate Event models in casual wear are left to right: Jean Benfanti, Marge DeFalco, Nancy Ricca, Christine Lemond, Liz Dorick, Beverlee Bednarz, Marianne Levy, Nursing Care Management; Marge DeFalco, CVCJ Volunteer; Liz Dorick, Barnabas Health; Christine Lemond, Amherst Financial Services; Marianne Levy, WOBM 1160 Carol Cohen, Victoria Cox, with Lakewood PBA escorts Larry Nieves, Eric Cicerello, Gary Przwoznik, Steve Kelusak, and Jerome Cohen. and 1310 AM; Nancy Ricca, CVCJ Volunteer. In addition to Officer Prezewoznik, escorts included: Officer Lenny Nieves, Officer ers of C lunte en tr Vo Eric Cicerello, Officer Steve Kelusak, and Officer Jerome Cohen. er Models also wore Silpada jewelry selected and coordinated by Debbie Lorenz, and accessories from TULA “The Boutique.” Make-up was provided by Mary Kay Beauty in Consultants, Ann Marie Bierbaum and Lorraine Delizia, and hair gf ho or W Peop le by People styling provided by the stylist team of Style Lounge, Toms River.

CVCJ is a non-profit agency dependent on donations and grants. Its mission is to assist the frail elderly with everyday tasks enabling them to remain independent in their own homes. All services are provided free to clients. Over 900 volunteers assist more than 2000 senior citizens each month with transportation to medical appointments, grocery shopping, relief for dementia and Alzheimer’s disease caregivers, reassuring phone calls, and friendly/pet visits. CVCJ offices are located at 253 Chestnut St., Toms River and 30 Lacey Road, Whiting. For more information and to learn about volunteer opportunities, call Mary O. Malagiere, 732-505-2273 ext. 211 or visit www.caregivervolunteers.org

The County Woman Magazine

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Officer escorts, from Lakewood PBA (left to right) Jerome Cohen, Eric Cicerello, Larry Nieves, Steve Kelusak, and Gary Przewoznik with Dr. Joy Browne a pre-event festivities.

July/August 2013

Community

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You Can Help Children Living In Foster Care Submitted by: CASA of Ocean County, Inc.

Stand with us and say,

“ am for the Child!”

I

Here’s How You Can Help:

Court Appointed Special Advocates of Ocean County (CASA) is a non profit, 501©3 organization that is committed to advocating for children living in foster care under the jurisdiction of the NJ Family Court. CASA exists to recruit, train and supervise volunteer advocates as they ensure that these children are moved toward a safe, loving, and permanent home. CASA is committed to enhancing the lives of children in foster care by making an investigation and reporting to the Children in Court Judge the child’s basic needs, and importantly their medical and educational needs. Children in foster care often are moved from placement to placement and their CASA Volunteer is there to make sure they are not lost in the system.

Become a CASA Volunteer and Enroll for the Fall Volunteer as a Court Appointed Special Advocate (CASA). A CASA volunteer donates 20 hours a month, attends a 30 hour volunteer training course, and serves for at least one year as a child’s voice in court. The CASA training will prepare you to make an investigation on the child’s needs, prepare court reports, monitor court orders, make monthly visits, and support that child while your work moves the case along so your child will either be adopted or reunified with a healthier happier home.

Donate with an Individual, Corporate, or Civic Group Sponsorship Your company or civic group can sponsor a case for one year and provide a foster child with a CASA of their own. The sponsorship is $1,200 a year or just $100 a month. CASA will provide you with updates on a quarterly basis giving your company or group a progress report of how your support is specifically changing this child’s life. CASA

also is in need of partners for monthly automatic giving program and there are flexible options for those who would like to donate— there is no amount too small to help a child.

Your Group Can Help CASA Raise Community Awareness

Invite a guest speaker from CASA to attend your meeting or event. CASA’s Executive Director will visit your group and provide a presentation on the issue of child abuse and neglect in our community. There are nearly 400 children in Ocean County living in foster care. Greater awareness of the problem helps reduce the prevalence of child abuse by educating the community that every child needs a CASA of their own.

If you are interested in supporting CASA of Ocean County, please call Vicki Ackley, Executive Director at 732-797-0590 or email Vicki@casaofoceancounty.org. Like us at Ocean County CASA

CASA OF OCEAN COUNTY, INC.

Vicki Ackley Executive Director CASA of Ocean County 34-38 Main Street Suite B Toms River, NJ 08753 Phone: 732-797-0590 / Fax: 732-797-0594 www.casaofoceancounty.org

Thank you to our corporate sponsors that support the CASA program With your contributions, CASA was able to serve 122 children during the 2013 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. Tax ID Number 4350731. Your donations are tax deductible as allowed by law.

EVERY 35 seconds a Child is Abused. Time is Precious and So am I.

Sponsors for 2013: • Provident Bank • Ocean First Bank • Lakewood Rotary • Lakewood Co Gen • Novins Jacobus and York • Gannett Foundation • Lakewood Rotary

The County Woman Magazine

• Wells Fargo Bank Foundation • Family Focus Financial • Soroptomist Club of Central NJ Coast • Lakewood Co Gen • Roots Hair Lounge

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July/August 2013

58

Community

Breast Intentions 5th Annual Charity Ball Successful Dr. Susan N. Greenberg, Oncologist, Honored At This Celebration Of Hope, Determination And Courage

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ocal non-profit organization Breast Intentions, formerly known as Breast Friends Forever, honored Oncologist Dr. Susan N. Greenberg at their fifth formal gala, “A Celebration of Hope, Determination and Courage,” on Saturday, April 27, 2013.

In The Past Year Breast Intentions Has Paid Or Provided:

Dr. Greenberg is a Healthgrades recognized ‘honor roll’ doctor and is board certified in Oncology and Internal Medicine. Dr. Greenberg practices at Riverview Medical Center, Monmouth Medical Oncologist Dr. Susan N. Greenberg Center, and Jersey Shore University Medical Center. She was given the Breast Intentions award in recognition of her compassionate service to women who are suffering with breast cancer. Dr. Greenberg was the fifth recipient of the Hope Determination and Courage award presented by Breast Intentions. Previous winners of the award include Dr. Peter Hetzler of Little Silver, Dr. Phillip Woodriffe of Tinton Falls, Dr. Debra Camal of Oakhurst, and Dr. Negin Griffith of Holmdel. Erika Rech and Michael Ruane — co-founders of Breast Intentions— were fifteen when they founded their charity. All of the money raised by the charity goes directly to women who face financial hardship as they battle breast cancer. The charity is staffed entirely by volunteers. The gala, which offered dinner, dancing with a live band, an open bar, and silent and live auctions was held at the Meridian Ballroom at the Sheraton Hotel in Eatontown and was sponsored, in part by Meridian Health.

68 Food Cards 39 Gas Cards 30 Rent Payments 22 JCP&L Payments 19 Gas Payments 15 Medical Insurance/ Co-Pays 12 Oil Payments 6 Lymphedema Sleeves 6 Train Tickets 1 Mastectomy Bra 2 Airfares 5 Car Payments 5 Cleaning Sessions 2 Cable Bills 1 Daycare Bill 3 Tax Bills 1 Radiology Bill

1 Medical Procedure Bill 7 Auto Insurance Bills 3 Dental Insurance Bills 3 Mortgage Payments 6 Overnight Accommodations 1 Car Registration 1 Day Care Bill 4 Gift Cards 1 Lab Bill 13 Taxi Services 6 Verizon Bills 2 T-Mobile Bills 4 Att Bills 3 Maintenance Bills 6 Comcast Bills 4 Water Bills 4 Sewer Bills

1 Trash Bill 8 Medication Bills 1 Car Repair 1 Advocacy - Negotiated Bill ✓ Replaced 1 Water Heater ✓ Bought Shoes And Chemo Supplies For 1 Patient, ✓ Bought Clothes For 2 Patients, ✓ Bought Christmas Gifts For 3 Families ✓ Redeemed One Patient’s Car From Repossession!! Thanks For Your Support!

Breast Intentions New Jersey

(Formerly known as Breast Friends Forever) Post Office Box 926 Middletown, New Jersey 07748

For More Information About Breast Intentions, Or To Donate To The Charity, Please Visit www.Breastintentions.Org

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July/August 2013

Community

59

WHAT’S YOUR REASON TO WALK? I WALK TO END ALZHEIMER’S

ND TO E S K L I WA EIMER’ ALZH

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SATURDAY, SEPTEMBER 28, 2013 Southern Regional Walk Point Pleasant Beach, NJ (corner of Arnold and Baltimore Avenues) Registration begins at 9 a.m., and the Walk begins at 10 a.m.

732.832.7818 alz.org/walk

The County Woman Magazine

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July/August 2013

Health

60

& Wellness

Can You “Turn Back The Clock” On Your Aging Skin? sleeping 4Certain positions, which cre-

ate “sleep lines” etched onto the surface of your skin from pressing your face against the pillow each night. facial 4Repeated expressions, which can engrave wrinkles into your face.

Jay Greco, RPh

What person hasn’t experienced this unwelcome jolt? You look in the mirror and ask, “Who is that? I don’t feel that old.”

W

hen you weren’t looking (because mostly you’re not), your skin was succumbing to the ravages of time. Age spots, wrinkles, blotchiness, or leather skin might be staring right back at you. It can come as quite a shock! Depending on the genes you inherit, your skin may age faster than the next person’s. Yet lifestyle factors such as exposure to the sun also have a big impact on your skin. In fact, recent studies of twins show that as much as 40 percent of aging-related skin changes have nothing to do with your parents. Instead, they’re from factors you can control. In addition to sun exposure – and gravity, which you can’t control – other causes of skin aging include:

4

Smoking, which causes biochemical changes that speed aging.

overweight, 4Being which may not always be

obvious because extra weight can “fill out” your skin. using sunscreen, 4Not which protects against damaging ultraviolet light.

So, you can’t exactly turn back the hands of time. But you can do some things to slow them down. Stay out of the sun during the hours of the day when the sun’s rays are strongest – from 10:00 am to 4:00 pm. When in the sun, protect yourself with a wide-brimmed hat, long sleeves, and sunscreen. Use sunscreen with ultraviolet A and B protection and a sun protection factor (SPF) of 30 or higher. It’s important to remember that skin cancer can also result from too much exposure to the sun. Of course, you can ask a dermatologist about the wide range of options for anti-aging

treatments. They include everything from topical treatments and injectable fillers to laser resurfacing and facelifts. But know that it’s easy to fall prey to the promises of instant youth. It’s so inviting that Americans spend billions each year on skin products. Dermatologists suggest that you really do your homework before you buy skin products. That’s because claims are often too good to be true. Also, just because a product is expensive doesn’t mean it is necessarily better. And, not all products work for everyone. As a general rule, make sure the product you buy contains an active ingredient with evidence of anti-aging effectiveness. Some examples are retinoids, alpha hydroxy acids, azelaic acid, salicylic acid, and vitamins C and E applied directly on your skin. A good moisturizer is also important.

Women have questions! questions! We have answers! Women answers! Interest in Replacement Therapy surged surged after after Interest in Customized Hormone Replacement Oprah’s recent guests, doctors Christiane Northrup and guests, including including doctors PrudenceHall, Hall, discussed the the science behind customized HRT. Prudence HRT. Dr. Phil’s wife Dr. wife Robin Robin McGraw McGrawdescribed describedhow howthrough throughextensive extensive research and and with with the the help help of of a compounding pharmacist and her research physician, and physician, she she found found natural natural ways ways to to battle battle menopausal symptoms symptoms and turned the “change of life” into a positive experience. turned "change of life" into a positive experience.

For more information on customized hormones, or to schedule a private consultation, call our professional compounding pharmacy.

Jersey Shore Pharmacy offers a medication disposal program. If you have any questions about this program or any other medication questions, please call us at 609-660-1111.

The County Woman Magazine

Remember that it’s not just about what you put on your skin that matters. Good nutrition and drinking at least eight glasses of water each day can also make a big difference.

Restoring Hormone Balance

Jay Greco Rph, Jersey Shore Pharmacy JSRX Holdings LLC, Rx Development LLC 580 North Main Street, Barnegat, 08005 Web Site: www.jerseyshorepharmacy.com Phone: 609-660-1111 Notice . . . We ship prescription orders, within 300 miles of the Jersey Shore Pharmacy, by First Class Mail! Call 609-660-1111.

If you’re looking for an over-the-counter skin product, I can provide you an overview of the latest treatment options. Of course, your dermatologist is another reliable source.

609.927.8900 609-660-1111 www.TheCountyWoman.com

July/August 2013

Business WelcomeNew New Members Welcome Members: Hopewell Valley

Community Avon Products, VeronicaBank Thomas Ted Bessler, SVP 529 California Avenue, Brick, NJ 08724 214 Washington Street, (732) 300-1113 Toms River, NJ 08753 732 281-1300, 281-1302 Health, Beauty &732 Wellness www.hvcbankonline.com Banks/Credit Unions/Mortgage Nation-Wide Companies Brad Cohen, Kim Pisani Connell 1 South MainFoley Street LLP Jennifer Buneta, Director of Toms River, NJ 08757 Marketing (732) 552-0484 309 Morris Avenue, Suite E, Spring and Lake, NJServices 07762 Construction Home 973 535-0500 Matrix www.connellfoley.com New World Engineering, Inc. Attorneys and Legal Services Ken Lucianin Xina Sushi & Oyster Bar 26 Columbia Turnpike Chinese Bistro Florham Park, 07932 Rick NJ Lee (973) 240-1800 / (973) 3430 Route 37240-18181 East, Toms River, NJ 08753 www.matrixneworld.com 732 279-6327 Professional Services Restaurants Wolff & Samson Hogan Public Adjusters PC Janet L. Morgan, Marketing Daniel Hogan & Frankie Prima Coordinator 34 Main River, NJDirector 08753 MaryStreet, Che,Toms Marketing (732) 914-1149 / (409)Drive, 502-1744 One Boland West Orange, NJ 07052 www.hoganpublicadjusting.com 973 530-2165, 973 530-2365 Insurance www.wolffsamson.com Attorneys and Legal Services Village Profile Mortgage Master Patrick McGranaghan William Turano 2516Highway Pond View34, Drive 1433 Ste A-2 Farmingdale, 07727 West Chester, PA NJ 19382 732(610) 359-3041 ext. 3044 203-7400 732 791-1514 www.villageprofile.com www.mortgagemaster.com Printers/Publishers/Promotional Banks/Credit Unions/Mortgage Companies Interactive 80 One Source Marketing LLC Michael TroyFalgaves Jensen 807Avenue, BartlettBldg. Place, 460 Faraday B, Ste. 3 Toms River, NJ 08753 Jackson, NJ 08527 908 910-8344 (732) 987-5254 / (888) 383-5794 www.1sourcemarketingllc.com www.interactive80.com Internet & Web Services Schlueter of REMAX Photographers &Team Entertainment at Barnegat Bay, The Checkers Pool Service & Supply Christian Schlueter 1130Richard Hooper TuriAvenue, Toms River, NJ Unit 08753 1525 Prospect Street, 7 732 995-8249 Lakewood, NJ 08701 www.homes4people.com (732) 886-6474 Real Estate www.checkerspool.com Open Minded Smoke and Specialty Home & Garden Jennifer Schweizer David Schweizer Green Label Title, Steven Green 1776 Hooper 2517 Highway 35,Avenue, B102 Toms River, NJ 08753 Manasquan, NJ 08736 732 255-6555 (732) 722-7373 / (732) 722-7377 Shopping/Retail www.greenlabletitle.com ServFast Computers LLC Brian Barberi Real Estate 1049 Church Road, Toms River, NJ 08755 Riverside Chiropractic Health Center 732Dr. 244-3802, 732 244-6214 Katherine Holstein www.servfast.com 44 South Lakeview Drive & Information Technology Jackson, NJ 08752 Telecommunications

(732) 267-8876 www.drkatieholstein.com Doctors & Chiropractors

& Finance

Toms River - Ocean County Toms River Ocean County Chamber of -Commerce News

61 Welcome WelcomeNew NewMembers Members:

Motor Media, LLC Rhyan Sharkey Mattia Building Contractors 2435 Highway 35, Suite B294, A message from the TR-OC Chamber President: Sal Mattia Manasquan, NJ 08736 732 203-7787, 732 203-7124 1700 Grand Central Avenue, #A With summer in full swing, the Chamber is looking forward to many excitwww.motormediausa.com Lavallette, NJ 08735 A message from the OC Chamber President: ing events. On Wednesday, July 10th we will be hosting our Annual ScholarBusiness Services (732) 830-5131 ship Awards Breakfast, 8:30 a.m. at the Legend Restaurant at Howard JohnCrowderGulf www.mattiabuilders.com Summer is right around the corner and the Chamber office is focusing on our Amber Ramsey son Hotel of Toms River, where we will present two $1000.00 scholarships Construction Home Services 20th Annual Golf Outing! Taking place on Monday, August 12, 2013 at the Pine Kelleyand James to local recipients. Our quarterly New Member Orientation meeting will be 5435 Business Parkway, Barrens Golf Club, 540 So. Hope Chapel Road, Jackson, NJ. Please contact the on Thursday, July 18, 2013, 8:30 a.m. at the Chamber Office, 1415 Hooper Pecora AL Realtors Theodore, 36582 office for participation details! Maureen Stankowitz, Avenue, Suite 301, Toms River, NJ. This meeting is a great opportunity 251 459-7430 1747 Hooper Avenue, Suite #6 President We are pleased to announce that our April events: the 49th Annual Awards Maureen Stankowitz, www.crowdergulf.com for new & old members to attend and find out how your chamber memberToms River, NJ 08753 President Reception & the Multi Chamber Expo with the Brick Township, Lakewood, Construction & Home Services ship can work for you! The 20th Annual Golf Outing will be on Monday, (732) 279-6838 / (732) 279-6967 Point Pleasant & Point Pleasant Beach Chambers, were well attended and a huge Titan August 12th, registration begins at 11:30 a.m, at Pine Barrens Golf Club, www.pecorarealtors.com Jennifer Ellis success. Our executive board is still going strong with our Super Storm Sandy 540 So. Hope Chapel Road, Jackson. The Chamber will also be hosting a Real Estate 1 Harmon Plaza, Seminars providing vital information to the public. Business After Hours / Networking Event Open House in the Chamber office Secaucus, NJ 07094 We encourage you to become a part of our email list to receive more 973 224-4997 The Ocean Signal, Phil Stilton 1415 Hooper Avenue, Suite 301, Toms River, on August 22. Please contact 973 439-5744 information about all of our events. Visit our website www.oc-chamber.com to 195 Lehigh #1, Lakewood, NJ 08701 the office 732 349-0220 or info@oc-chamber.com , if you are interested in www.titan360.com sign up! participating in any of these upcoming events. Full event information is also (732) 833-2365 News & Media Dina Vicari, www.ocsignal.com available on our website. Douglas J. Lyons RichardChairwoman Krug, News & Media Financial Group Happy Summer! Chairman Doug Lyons Cross Avenue, Builders, LLC 571 W. Lake Suite 14, Delynn & Kristy Schecher BaySchecher Head, NJ 08742 732 746-3618 7 Duke Court, Tinton Falls, NJ 07724 www.djlfg.com th (732) 440-4070 Financial Services www.crossbuildersllc.com Shoprite of Route 37 ConstructionSavage & HomeBurns Services Christine 954 Route 166, Davenport & Spiotti Toms River, NJ 08753 732 286-4500, 732 286-4521 Dominic P. Diyanni, Esq www.shoprite.com 815 Boulevard, P.O. Box 97 Pine Barrens Golf Club Food Services & Bakeries Seaside Heights, NJ 08751 540 So. Hope Chapel Road Wilentz Goldman & (732) 552-0646 / (732) 612-1190 Jackson, NJ 08527 Spitzer www.taxcounsel.com Karin K. Sage Attorneys & Legal Two Industrial WayServices West, Eatontown, NJ 07724 Schedule of Events Contests & Prize Awards Entry Fee Step Inc., Joann Parisi 732Ortho 542-4500, 732 726-6535 11:30 AM- Registration $225.00 per player Top 3 Teams are www.wilentz.com 12:00 PM-12:45 PM – Lunch Awarded Fee Includes: 105 River Avenue, Lakewood, NJ 08701 Attorneys & Legal Services • Greens Fee & Cart 1:00 PM– Shot-Gun Start (732) 905-4049 / (732) 905-8862 Checkmates Boxing Longest Drive: Men • Driving Range Scramble www.orthostepinc.com • Awards & Prizes Mid—Course Refreshments Center Shopping & Retail • BBQ Buffet Luncheon 6:00 PM–8:00 PM – Open Longest Drive: Women Darren Maciunski • Course Refreshments Bar, Networking Dinner 1591 Route 37 West, Technota, Inc.NJ, Jim Teja • Cocktail Reception Closest to the Pin Toms River, 08753 • Networking Dinner 2214 Route 37 East 732 300-4080 Beat the Pro www.personalboxingtraining.com Toms River, NJ 08753 Sports & Recreation (888) 524-2926 / (888) 526-9246 Shore Management NJ, www.technota.com Player Registration Form - RSVP by August 2, 2013 – Proper Attire Required LLC Address_________________________________________ Phone________________ Email___________________ Information Technology & Sam Sutton Golfers 1) __________________________________________ 2) ________________________________________ Telecommunications 708 Highway 35, 3) __________________________________________ 4) ________________________________________ Neptune, NJ 07753 Rimac Restoration, Inc. _____Check enclosed Visa/MC (circle one) Card #__________________ Sec Code#_______ Exp. Date________ 732 578-8888, 732 578-8522 www.shoremgt.com Mark F. Kleiner, Rick Miller, Thank You! Email, Mail or Fax your Reservation Today! Construction & Home Jean Flynn, & Don Services Ricci Massage Envy 27 Washington Street, Suite 16 Sponsorship Opportunities Dena Jones Toms River,Kaplan NJ 08753 $500.00 ( ) Beat the Pro ( ) Dinner Sponsors $1,800.00 Amanda ( ) Course Refreshments $350.00 ( ) Driving Range Sponsor $1,800.00 (732) 569-3905 / (732) 569-3904 2 Route 37 West, Suite G4 ( ) Golf Tee Sponsor $150.00 ( ) Luncheon Sponsor $1,000.00 Toms River, NJ 08753 www.rimacrestoration.com ( ) Networking Dinner Reservation $75.00 ( ) Golf Cart Sponsor $1,000.00 732 341-3300 Construction & Home Services Contact the Chamber office at 732-349-0220 or ( ) Prizes Sponsor $750.00 www.massageenvy.com info@oc-chamber.com for more information $750.00 ( ) Golf Ball Sponsor Health, Beauty & Wellness Total Health Chiropractic Center regarding sponsorship. Exit Realty Toms River Philip Altieri Sharon Miranda Toms River- Ocean County Chamber of Commerce 1501 Route 37Route East, Toms 1405 37 River, East,NJ 08753 1415 Hooper Avenue, Suite 301, Toms River, NJ 08753 Toms River, NJ 08753 (732) 270-4800 / (732) 270-4838 Phone: 732 349-0220 ~ Fax: 732 349-1252 ~ info@oc-chamber.com 732 573-1550, 732 573-9555 Doctors & Chiropractors www.exitrealtyaa.com Visit us at www.oc-chamber.com for additional information and events (732) 349-0220. Visit us at www.oc-chamber.com for additional information and events (732) 349-0220. Real Estate

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Chamber of Commerce News

Happy Summer!

Toms River-Ocean County Chamber of Commerce 19 Annual 20th Annual Golf Golf Outing Outing and Networking Networking Dinner and Dinner Monday, August 12, 2013

www.TheCountyWoman.com

July/August 2013

Community

62

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.

Alina- Gray and White DSH ~ “Front Declaw! ” Alina is an adult, female, gray and white, domestic short hair (DSH). Alina is an in-demand front declaw. She is loving, quiet, easy going, and affectionate. Alina is eager to leave the shelter to join her new family. Call 732-657-8086 to find out more.

Brazil- American Mix ~ “Sweet Little Girl ” Brazil is a young adult, female, gray and white, American Mix. Brazil is a precious, calm, sweet, little girl. She loves people and is very eager to please. Brazil is a very pretty dog and can’t wait to find her forever home. Call 732-657-8086 to find out more.

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

July/August 2013

Community

63

Letter From NJAWBO Shore Region President Jackie Berman NJAWBO Shore Doesn’t Rest in the Summer!

On July 25th, NJAWBO Shore will be part of the Suit & Stilettos Networking Party to benefit Ronald McDonald House. Sponsorships and tickets are available at http://ow.ly/lrSTM.

The weather is heating up but that doesn't mean your marketing efforts should be cooling off. Summer means that the year is about half done which is a perfect time to update your marketing plan. As nice as it would be to hit the pool or the beach, the smart business owner should spend some time considering the best way to attract customers and increase sales over the summer months. For most people, summer is a slow time. Some use it as a chance to catch their breath before gearing up for the holidays, however, why not pick up extra sales now so you aren't so pressured then?

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! July & August Meeting Dates Dinner Meeting Sales Training: Close A Deal in A Difficult Economy July 11, 6:00pm Networking Suits & Stilettos Benefit Ronald McDonald House July 25, 6:00pm Bella Vista Country Club, Marlboro Register at http://ow.ly/lrSTM BBQ & Golf Statewide Event August TBD Networking LinkedIn August TBD For details, or to register, visit: www.NJAWBOShore.org Limit one per person. Valid for NJAWBO Shore Region (Monmouth/Ocean/Middlesex) events only.

The County Woman Magazine

We are very pleased to be hosting a State NJAWBO Event in August. This is a great opportunity to meet statewide members and our sponsors, all while having a relaxed BBQ at Bella Vista Country Club and receiving golf instructions. Check our website for details and the date to be announced. NJAWBO is the acronym for the NJ Association of Women Business Owners whose mission is to encourage, empower and energize women in business or those looking to start a business. While many other organizations try to emulate NJAWBO, NJAWBO is the organization that was formed in 1978 and is dubbed “New Jersey's Most Powerful Network” by Business News New Jersey.

NJAWBO Shore doesn’t rest. July 11th, we are having a sales training session with Kevin Shulman. Mr. Shulman has been an affiliate of the Sandler Sales Institute since 1991. He has been training business owners, sales managers, and sales personnel full time to help them grow their business and reach its full potential.

Warmest Regards, Jackie Berman President, NJAWBO Shore Region

Reserve Today!!

Make Y Reser our vation Today !

Sales Training: Close A Deal in A Difficult Economy

Visit our on-line calendar for up to date info: www.NJAWBOShore.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 July/August 2013

Fashion

64

&

Beauty

Summer Selections & Fall Transition Collections Lynne Goldberg, owner of Lynne’s Fashion Boutique, has been in the women’s retail clothing business since 1989, and her boutique has evolved and changed along with the times. Specializing in mother of the bride or groom, she also carries a wide selection of casuals, sportswear, and accessories that will allow you to dress well and feel comfortable everyday for any occasion. With the approach of summer, hopefully most of the residents in our shore area have recovered from the devastation they experienced from Sandy. We have seen wonderful progress made in Seaside Heights. Now is the time to replace or update your wardrobe. We are continuing to stock new merchandise in our sportswear category. People are looking for color, after the dreary winter and damp spring, and the wild temperature swings we’ve experienced. We have so many choices for you for summer. Plus, we will start receiving our early fall and transition collections beginning the middle of July. As you know, we are always a season ahead, and get limited numbers of each styles. So shop often, as you will always find something new. I’ve been seeking out new companies, made in the USA! I always look for clothing made here and in Canada, whenever possible. In addition, you will soon notice an update on our website. We have incurred lots of changes lately. If you’ve been in the store during the month of May, you may have noticed that we were using our Church street entrance, as we incurred damage to our main entrance. Hopefully, this will be repaired soon, but in the meantime, please bear with us while the work is underway. We continue to expand our special occasion selections, as we are expecting several new collections to add to our already extensive lines. So remember, we’re here for you for all your fashion needs!

Since 1999

31 Church Street Little Silver, NJ (732) 530-5443 • We carry sizes 2 to 20. • Sportswear. • A wonderful selection of evening attire, specializing in the perfect mother-of-thebride and groom dresses and gowns. • Fabulous jewelry. • Belts and accessories. • Handbags and more!

Spring and Summer Hours

Tuesdays - Fridays 10:30 am to 6:00 pm Saturdays 10:30 am to 5:00 pm Closed Sunday & Monday

www.lynnesfashionboutique.com

Looking forward to seeing you soon, Lynne & Staff

Marine Mammal Stranding Center

After a busy winter of rescuing and rehabilitating marine mammals and sea turtles up & down the Jersey Shore, the Marine Mammal Stranding Center is pleased to announce a series of educational outreach programs open to the public on Long Beach Island. All LBI based programs will be lead by the Marine Mammal Stranding Center’s summer program coordinator &

naturalist, Jason Koralja – a NJ Public School Teacher and Surf City year ‘round resident. Pre-Registration is required for the July 12th and August 19th programs. For July 12, 2013 – 10am more information or to pre-register, Mock Sea Turtle Stranding at the N. 7th Street Beach, Surf City call Sarah Miele, the Marine Mammal July 25, 2013 – 5pm Stranding Center’s Education CoordinaSunset Seining at the Beach Arlington Bay Beach (13th St.), Ship Bottom tor, at (609) 266-0538 or e-mail Sarah at August 9, 2013 – 10am edummsc@aol.com. A complete listing Mock Dolphin Stranding at the N. 7th Street Beach, Surf City of all programs offered by the Marine August 19, 2013 – 5pm Sunset Seining at the Beach Arlington Bay Beach (13th St.), Ship Bottom Mammal Stranding Center both on LBI August 24, 2013 – 6pm & Brigantine is available online at Seals of NJ: An Overview at the NJ Maritime Museum (Dock Rd.), Beach Haven www.mmsc.org/education/camps.html

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Community

65

GET NOTICED EXHIBIT at these THREE GREAT EXPOS

Help Rebuild the Shore by exhibiting your business at one or all of these three great expos held along the Jersey Shore. Specializing in FACE-TO-FACE Marketing, show producer MAC Events has been a leader in quality trade shows for over 45 years. FACE-TO-FACE Marketing will GET YOU NOTICED & GROW YOUR BUSINESS.

Sign Up Today!

November 2-3, 2013

10%

Brookdale Community College • Lincroft, NJ

SIGN UP BONUS!

Limited Time.

For more information: www.MacEvents.com • 732-449-4004

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Real Estate

66 36

@ai ;e FZW 4Wef F[_W Fa 4gk 3 :a_W RATES ARE AT RECORD LOWS! “WE NEED MORE INVENTORY!”

Thanks to the great work of our sales team, we are selling out of our inventory! Please call us for a complimentary market analysis of your home. At Orrico Realty, we take care of your home as if it were our own. We are a company dedicated to providing the very best service to our clients. Having a very professional staff that is dedicated and determined to meet all clients’ professional needs has helped our company grow into what it is today. We attribute Orrico Realty’s success to our staff’s hard work and dedication, and especially, the leadership of our inspiring Broker and Mentor, John Orrico.

Meet The Orrico Family . . . John (Broker)

COLT’S NECK Bretwood Mallet HillDrive

COLT’S NECK 6 Cypress Way

Beautiful PoloPrestwick Estate home StunningRancho 5 bedroom model on 4 acres National with 5 bedrooms and 5.5 at Trump Golf Course locatbathrooms. Finished walkout basement ed on the 5th hole with great views! and Gunite pool. $2,599,000 $1,525,000.

Large 6700+ Sq. Ft. estate has 5 bedrooms and 5.5 baths with a very spacious and open floor plan on Trump National Golf Course. Priced to sell! $1,524,000.

Amy (Secretary) Jason (Salesperson) Joseph (Broker Salesperson) Josephine (Salesperson)

COLT’S NECK Hockhockson Road Rivers Edge Drive 13 acre compound 5 bedroom Beautiful Rivers Edgewith Estate! 5 bedestate home, 4 bedroom guest cottage, rooms, 4.5 bathrooms, very quiet localarge barn, large all-purpose building, tion in the upscale reservoir section. 24 horsein-ground stalls. Majestic! $2,850,000 Gunite pool! $1,399,000.

Benny (Salesperson)

About Us . . .

John Orrico, broker and owner of Orrico Realty has lived and sold real estate in town for over 16 years. He has vast financial knowledge and knows the town very well. “The best thing to have in this business is a good reputation and you can’t do that unless you treat everyone fairly and with mutual respect.” John Orrico is a firm believer in the code of ethics set forth by the Real Estate Commission and values his relationships with clients. Our office is located at 415 Route 34, suite 211 in Colts Neck, NJ 07722 . Colts Neck is a wonderful town filled with horse farms, recreational parks, golf courses, and most importantly: great people. We have a highly acclaimed school system from grades K-12. We are considered a suburb of New York City; about fifty minutes by train and car.

COLT’S NECK Kathleen Drive

(732) 303-0050

COLT’S NECK Koala Court Bretwood Drive

Very Property Sits On 1.41 This Private home has a wonderful view of Acres Of Land Surrounded By Woods! Trump National Golf Course, 2.78 5acres, Bedroom 4.5 Baths. 10kitchen Ft. Ceilings 4 bedrooms, large w/ First Floor, Updated granite, center island,Kitchen, and walk-in panAnd Muchroom More. try. Great has$975,000 vaulted ceiling and a

COLT’S NECK Hambletonian Drive Construction under way! This luxurious 6 bedroom, 7500 Sq. Ft. estate is set on 3 acres in a premier development. $2,599,000.

gas fireplace. $1,459,000.

Foundation In!! This 5800 Sq. Ft. masterpiece will have the highest quality construction and amenities. Top of the line kitchen! $1,350,000.

COLT’S NECK Stone Hill Road This beautiful home has 10 foot ceilings on the first floor, Maple Brookhaven kitchen, 5 bedrooms, 5.5 bathrooms, full finished basement. $1,225,000.

WWW.ORRICOREALESTATE.COM

The County Woman Magazine The County Woman Magazine

www.TheCountyWoman.com www.TheCountyWoman.com

May/June 2013 July/August 2013

Caribbean Boutique Hotel

67

Bay

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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

July/August 2013

Breakthrough Product

68

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

July/August 2013

Breakthrough Product “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

Great business opportunity as well as an amazing product!

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

69

“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

®

Joann Juralewicz, Simply Skin

Office: 732.505.4579 joannjuralewicz.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

July/August 2013

Health

70

& Wellness

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

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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 July/August 2013

Community

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Long Branch & New Brunswick

Suits & Stilettos Networking Party Put your stylish foot forward and join us for an evening to expand your business/social network. Meet local business professionals and make that connection you’re looking for whether it’s a job opportunity or a new mortgage - we are looking to connect you to the right person. Bring your friend, coworker or professional peer and enjoy hor d’oeuvres, a signature drink, and low music to conduct business networking and make new connections!

Thursday, July 25, 2013 6:00pm - 9:00pm Tickets $15 each or 2 for $20 Purchase tickets online at https://rmh-cnj.ejoinme.org/Networking 8 VENDOR TABLES AVAILABLE 8 SPONSORSHIPS AVAILABLE 8 DOOR PRIZES 8 GIVEAWAYS 8 SPECIALLY PRICED SIGNATURE McTINI DRINK

Presented by

100% of net proceeds Benefit the families of

Want to participate? Be a sponsor!

o Suit Sponsor - event sponsor $1500 o McTini Sponsor - $500

o Stiletto Sponsot - Swag Bag sponsor $500 o McHeart Tee Sponsor - $100 Vendor Tables Premier Table $100 Perimeter Table $60

All Sponsors & Vendors must supply at least one swag bag item.

Mail to: Ronald McDonald House attn: Networking Party, 131 Bath Ave., Long Branch, NJ 07740 Want more information? Go online to www.rmh-cnj.ejoinme.org/Networking - More information on all sponorships, vendor tables and tickets are available. Deadline for Sponsors and Vendors is June 28, 2013.

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Theatre

72

&Entertainment

An Electrifying Story Told Through Music, Dance & Technology

“Best New Act in America!” Piers Morgan, America’s Got Talent

New World Stages

340 W. 50th St. (btw. 8th & 9th Ave.)

Telecharge.com 212-239-6200 iLuminate.com

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

Theatre

&Entertainment

73

“T H I S S T E A M Y M U S I C A L I S A L O V E TRIANGLE WITH A RAZOR’S EDGE. YOU WON’T BE ABLE TO RESIST! ” –THE NEW YORK TIMES

A penetratingly funny show about love

“EXCELLENT!” WOR Radio “HILARIOUS !” BroadwayWorld.com

The Acorn Theatre @ Theatre Row • 410 W 42nd St (Btw 9th & 10th Ave) TELECHARGE.COM • 212-239-6200 • TheBananaMonologues.com F L X

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The County Woman Magazine

www.TheCountyWoman.com

6/10/13 12:18 PM

July/August 2013

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The County Woman Magazine

Fine Art Photography

www.TheCountyWoman.com

July/August 2013

Fine Art Photography

The County Woman Magazine

www.TheCountyWoman.com

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July/August 2013

Compassionate Cancer Care, Close to Home

early interest . .

e County Woman Magazine

www.TheCountyWoman.com Sarah J. Easaw, MD, FACPSeptember/October 2012

Diplomate of the American Board of Hematology, Oncology & Internal Medicine

Ocean Hematology & Oncology 1255 Route 70, 31S Lakewood, NJ 08701 W We offer a full range of Hematology & Oncology services. WW e are dedicated to providing state-of-the-art cancer care in a warm and personalized manner. W Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while the patient receives chemotherapy and other infusions. W Our staff is highly qualified, experienced and compassionate.

732.961.0010

www.oceanhemonc.com Easily Accessible Location, Near Exit 88 on GSP

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

The County Woman Magazine

www.TheCountyWoman.com

July/August 2013

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