Ocean County Woman - 2013 November/December by The County Woman

Ocean

Woman COUNTY

An Educational Resource for Women and Their Families FREE ~ Please Take One How Do Creditors Harass People?

What’s the first thing we think of when we get an early morning phone call? Emergency. It startles us – we wonder who’s in trouble and what action we need to take, all before we’ve had our first sip of coffee. Pages 34-35

YOUR TIME IS PRECIOUS ... WE WON’T WASTE IT!

Think Twice Before Ignoring That Pain In Your Shoulder

Abstrax Hair Designs is the local supplier of Jacquelyn Wigs. We carry a large selection of styles and colors that are available for immediate purchase. Page 41

As time goes on, everyone experiences aches and pains. The difficulty lies in figuring out what pain we can endure and ignore from those that are more serious. At the top of the list is shoulder pain. Page 53

Total Hearing Care is passionate about hearing health – and they want you to be passionate about your hearing health too! Meet the professionals and schedule your free hearing care workshop on pages 38 & 39.

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Photo By Tracy Harman Photography

Nov./Dec. 2013

Please Take One

The County Woman~Behind The Scenes “Gratitude makes sense of our past, brings peace for today, and creates a vision for tomorrow.” These words of Melody Beattie, one of America’s most beloved self-help authors, echo the theme of this issue of Atlantic County Woman. These are the months when people focus on thankfulness and giving. We, the staff at the County Woman Publications, are thankful for the hard work and exemplary educational articles provided by our contributing writers six times a year to the readers in Atlantic, Ocean, and Monmouth County.

On this page, I want to introduce you to the key women behind the scenes of these three publications and express my gratitude for their contribution to our success.

Darlene Davis: “The creation and page layout design of the three publications is a tribute to your ingenuity. Thank you for your perserverance during the many late nights and weekends to ensure that our deadlines have always been met over the past seven years. Your vision in creating each page is always superb!” PJ Santos: “Thanks to your web design skills, our website is as attractive as it is functional. Your social networking expertise has helped to create brand recognition for us throughout all three counties. Thank you for your professionalism and your dependability. It’s been great having you work Lynn K. Wolf, Publisher with us since 2007 to help grow our “publication family.” Tracy Harman: “Tracy’s skills as a photography are exceptional. I feel very blessed to have her as my photography for the Ocean County Woman Publication since its inception, March 2008. She has an amazing ability to capture the essence of any group of people that have graced my front cover. Her composition and dedication to detail always result in award winning photo each and every time. She is a joy to work with and has the ability to put you at ease.” Katie Githens: “Thank you for your excellent customer services and communication skills. Many of the clients and readers have shared how they appreciate your patience and assistance with each and every issue. You definitely bring the magic of “Disney World Customer Service” to the County Woman publications!” Kristina Pruitt: “As an Associate Publisher, Kristina assists me with the production, copyediting, and sales. I’m very grateful for her consistent level of expertise with the handling of all aspects of the publications. You have an excellent eye for misspellings and grammatical errors. Your humor and positive manner with our clients and readers is especially appreciated when on deadline!” Laura Golden: “Thank you for joining our design team this year. I appreciate your reliability, commitment, and skills with our publications!” Meghan Morse: “As our newest member of our team, I want to thank you for your enthusiasm, graphic skills, and helping the contributing writers realize their optimum satisfaction with their page.” Jeanne Teller: “Thank you for your exemplary job as my extension in Ocean and Monmouth County with the distribution. Under your management, the distribution of the publications is widespread and effective.” Gena Ansell-Lande: “The interview questions and subsequent articles that you write are well received by the clients and the readers. Your involvement with the publications span over two years and include working with a wide variety of professionals. Thank you for your professionalism and writing skills in all three publications!” I have been very fortunate to have a team of dedicated and talented women whose synergy results in superb client service and high quality primary educational publications, Atlantic County Woman, Ocean County Woman and Monmouth County Woman publications! We wish you a safe and happy holiday! Lynn K. Wolf, Publisher

The County Woman Team: (L-R) PJ Santos, Laura Golden, Jeanne Teller, Lynn Wolf, Kristina Pruitt, Darlene Davis, Katie Githens, and Meghan Morse.

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November/December 2013

The County Woman~Behind The Scenes

Meet The Talented Women Of The County Woman Publications Read how their personalities, passions and dedication create the superb issues that women and their families in Atlantic, Ocean, and Monmouth counties read six times a year!

Tracy Harman, Photographer

Owner: Tracy Harman Photography Studio since 1997 I was given my first camera when I was 16 years old, and have been taking pictures ever since. I graduated from The Rochester Institute of Technology in 1992, with a Bachelors degree in Fine Art Photography. My goal is to capture the essence of my subjects with creativity and patience in order to bring out the best in each one. My family includes my husband, Paul, of 20 years and our adorable adopted shelter puppy, Abby. Prior to Abby, we were blessed with another shelter dog, Foto, which we had for 17 years. The best part about working for the Ocean County Woman publication is meeting all the interesting people. It’s wonderful working with them to capture their best possible portrait and/or front cover photo for the publication.

Kristina Pruitt,

Associate Publisher I have worked with Lynn and the County Woman publication since its inception seven years ago. It has been exciting to watch the Atlantic County Woman publication grow and expand, as well as having been part of the launching of the Ocean County Woman and the Monmouth County Woman publications in 2008. I love speaking with different people and learning what they do and being able to help grow their business through educational articles. It is creative and interesting work, and I feel blessed to be a part of it. My home life is very busy with two wonderful children, a supportive husband and a pet snail!

Meghan Morse, Art and

Production Associate As the newest staff member at the County Woman publications, I enjoy learning all the various aspects of the business in this fast paced office! I’m a full time student at Cumberland County College pursuing an Associate Degree in graphic design. My favorite part of working here is learning the processes and talking with the vast number of businesses that are featured in these publications. In addition, I enjoy designing the display ads and pages along with working next to very talented and experienced graphic designers.

Darlene Davis, Professional Page

Designer /Graphic Designer Owner: Designs By Dar since 1999 I have been designing for thirty-five years and my work career and home design business compliment each other perfectly. I’m blessed with a beautiful family. A daughter, Kelly Jae, grandson, Bryce (age 5) and an 11-year-old Labador ‘Kel.’ Our family suffered a devastating loss this spring when the love of my life, my husband Jay, passed away suddenly, but our love keeps us afloat. I’ve been with Lynn from the start and I’m proud to be a large part of “The County Woman” publications. I learn a lot of valuable information through the articles and share it with family and friends outside of the counties. In my 35 years of designing, I must say that working with Lynn and the staff has truly been a source of joy for me.

PJ Santos, Webmaster

Owner: Digital Art Station, Inc. since 1999 I graduated from De La Salle University in 1999 and formed my business, specializing in website development, graphic digital design and online marketing business. I live in Egg Harbor Township with my husband, David, and my two beautiful daughters Isabella and Gabriella. My first meeting with Lynn was seven years ago when she approached me to design the Atlantic County Woman website. The website has expanded to include Ocean and Monmouth County Woman publications and evolved into a digital flipbook with active Facebook and Twitter accounts. As a resident of Atlantic County, I’m excited to see the publication everywhere I travel in the county, as well as watching the online presence grow stronger everyday.

Laura Golden, Graphic Designer Owner: Golden Design, LLC Four years ago I started a family graphic business, Golden Design, and am able to be home with my four year old daughter and enjoy a thriving business. I’ve been working with the Monmouth, Atlantic and Ocean County Woman for about a year. It is my privilege to create page designs for a wide range of different clientele through the publications.

Katie Githens, Public Relations

Executive /Graphic Designer I joined the staff of the County Woman Publications in 2012 after completing my Associates’ Degree in Graphic Design and a certificate of Web Design from Camden County College. Working with the contributing writers is the best part of my job. I’ve learned so much through reading their educational articles and have developed a rapport that would never have been possible if I wasn’t part of the County Woman team. My husband Eric and I have been married for three years and we have a boxer named Ratchet. I am an avid dirt bike rider, racing & competing in ECEA Enduro sanctioned events.

Gena Ansell-Lande, Writer

In addition to working as a writer for the County Woman publications, I am a “full time” Mom to twin boys Maxwell and Griffin, 4 ½ years old. I am also “Mom” to our 8 year old Weimaraner, Riley who is almost as much maintenance as my boys. My background is in professional writing and I graduated from Emerson College with a BFA Degree in Writing, Literature and Publishing and a Master’s Degree in Public Administration from Seton Hall University. I have enjoyed working for the County Woman Publications and it is the ideal fit for my lifestyle right now. Best of all, are the friendly staff and publisher. It is always a pleasure to work with other friendly, accomplished women. I am grateful for the opportunity to be working with County Woman team!

Jeanne Teller, Regional

Distribution Director I’ve enjoyed a career in two diverse fields, one in real estate/ construction and the other in healthcare. I worked as a claims supervisor for Barnabas Health for 16 years. While working for Barnabas Health, I gained a broad knowledge of health insurance and the inner workings of a hospital system. I’m happily married with three grown children, three grandchildren and one more grandchild coming soon! I’ve enjoyed interacting with the public in both Monmouth and Ocean Counties through The County Woman publications. I’ve met many interesting people.

In addition to those pictured, I would like to thank all my distributors for their contribution and dedication to ensure the publication is available in the medical offices, libraries, grocery stores, super Wawa’s, special events, and other professional buildings throughout Atlantic, Ocean, and Monmouth County. By 2018, over half of small businesses will be run by female entrepreneurs, according to a study by The National Federation of Small Businesses. Independent women are taking the initiative to start their own businesses and have shown they have the tenacity to make it happen. The following quote rings true for all entrepreneurs: “There is no royal flower-strewn path to success. And if there is, I have not found it, for if I have accomplished anything in life it is because I have been willing to work hard.” – Madam C.J. Walker, America’s first female entrepreneur millionaire, 1912. Photo Credits: Page 4 group photo by Donna L. Andrews Photography. Page 5, Tracy Harman photo by Bob Cimmino, individual photos by Donna L. Andrews Photography, Gena Ansell-Lande photo by Annette Jenkins Photography.

The County Woman Magazine

www.TheCountyWoman.com

November/December 2013

Publisher’s Note

Ocean

An Educational Resource for Women and Their Families Since 2008

Woman COUNTY

Publisher.........................................................Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Associate Publisher..................................... Kristina Pruitt kristina@thecountywoman.com • 1-866-398-0898 Regional Marketing Director............................... Jon Pruitt jon@thecountywoman.com • 609-412-3606 Professional Page/Graphic Designer............ Darlene A. Davis DesignsByDar@comcast.net PR Executive/Graphic Designer.................Katherine Githens staff@thecountywoman.com • 856-885-8066 Art & Production Associate........................ Meghan Morse staff@thecountywoman.com • 856-885-8066 Feature Cover Writer . .......................... Gena Ansell-Lande Graphic Designer, Real Grafix Design................... Cathy Tveici Graphic Designer, Golden Design, LLC............... Laura Golden Website Designer.............................................. P.J. Santos www.digitalartstation.com Distribution Manager......................................Mike Dziuba For advertising inquiries, please call:

Kristina Pruitt at 1-866-398-0898 or email: Kristina@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.

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The County Woman Magazine

Welcome to the Nov./Dec. 2013 Issue Of Ocean County Woman

Along with the excitement and stress, the holiday season is also a time for gratitude. In this issue, I’ve expressed my gratitude for the professional contributing writers, the readers and my staff ’s dedication to bring you a highly desirable resource publication six times a year. Additionally, you can meet the staff of The County Woman publications on page 3. On behalf of our staff, we wish you a safe and joyful holiday season and a prosperous New Year. Best wishes, Lynn K. Wolf and the Staff of Ocean County Woman Events in Ocean County • AtlantiCare Center for Surgical Weight Loss and Wellness (p. 30) FREE Ongoing Weight Loss Seminars. • Yoga Nine Mind/Body Studio (p. 54) Nov. 1-3, 10, 15-17; Dec. 15 – Winter Workshops. • Total Hearing Care (p. 38) Nov. 11-13, 21-22; Dec. 9-10, 16-17 – FREE Special Hearing Workshops. • NJAWBO (p. 70) Meeting Dates: Nov. 11 - All Women Networking, Nov. 21 – Holiday Shopping Expo & Silent Auction, Dec. 4 – Breakfast & Networking Dec. 12 - Holiday Luncheon/ Gift Exchange. • Divine Elegance by Deirdre (p. 33) Nov. 15 - Ladies Night Out Expo – Live entertainment, comedic stylings, and more. Partial proceeds benefit the Susan G. Komen foundation. • Wedding Belles (p. 25) Nov. 23-30 – Bi-Annual Sample Sale: gowns starting at $199. Dec. 10-23 – Annual 12 Discount Days of Christmas sale new offer each day. • CASA of Ocean County (p. 64) Nov. 28 – Gobble Wobble 5K and 1 Mile Drumstick Dash – Proceeds to benefit CASA of Ocean County and Stafford

We are the Media Partner with NJAWBO Monmouth, Ocean, Middlesex Region. We are members of Toms River-Ocean County Chamber Of Commerce.

Twp. DARE. • Toms River Chamber (p. 74) Dec. 11 – General Membership Holiday Luncheon Exclusive Deals • Ocean Plastic Surgery (p. 13) Great coupon deals for the Erbium Laser Special (buy 2 treatments get 1 FREE) and the chance to win FREE breast implants each week of November and December. Plus FREE consultation. • Bella Derma Medi Spa (p. 19) Treatments starting at $750 & up. • The Ocean Club (p. 26) $79 Special offer to first-time users. • Plays (p. 27) Enter to win tickets to see one of six great shows. • Koehler Acupuncture (p. 56) New patients can enter to win a free consultation and treatment (up to a $100 value.) • Ronald McDonald House (p. 72) RMH Mega Raffle - Enter to win up to $25,000.

Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper!

Featured On The Front Cover: Meet the Total Hearing Care Team (Left to right) Mindy Neustadt, MS, F-AAA; Leo F. Harkins, HIS; Michael T. Golubiewski, HAD and Christina Parrott, NBC-HIS. Cover photo by Tracy Harman Photography. Tracy can be contacted for appointments at 732-797-0377. See more of her professional portrait work on page 75.

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We are looking for a few bright, energetic, creative women and men to publish our trademarked, copyrighted newspapers IN YOUR COUNTY, IN YOUR STATE, IN YOUR OWN BUSINESS!

Join the fastest growing educational Woman’s Newspaper syndicated in the United States.

MINIMAL INVESTMENT REQUIRED! Maximum return ... Be your own boss, set your own hours and make your life mean more! ALL TRAINING PROVIDED! If you are interested in developing with us in 2014 in your STATE, in your COUNTY ... CALL 1-800-993-3822 Join the #1 Woman’s Educational Newspaper in the U.S.

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November/December 2013

Publisher’s Note

Ocean

An Educational Resource for Women and Their Families Since 2008

Woman COUNTY

Publisher.........................................................Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Associate Publisher..................................... Kristina Pruitt kristina@thecountywoman.com • 1-866-398-0898 Regional Marketing Director............................... Jon Pruitt jon@thecountywoman.com • 609-412-3603 Professional Page/Graphic Designer............ Darlene A. Davis DesignsByDar@comcast.net PR Executive/Graphic Designer.................Katherine Githens staff@thecountywoman.com • 856-885-8066 Art & Production Associate........................ Meghan Morse staff@thecountywoman.com • 856-885-8066 Feature Cover Writer . .......................... Gena Ansell-Lande Graphic Designer, Real Grafix Design................... Cathy Tveici Graphic Designer, Golden Design, LLC............... Laura Golden Website Designer.............................................. P.J. Santos www.digitalartstation.com Distribution Manager......................................Mike Dziuba For advertising inquiries, please call:

Kristina Pruitt at 1-866-398-0898 or email: Kristina@thecountywoman.com All correspondence should be addressed to:

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

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

facebook.com/TheCountyWoman

The County Woman Magazine

Welcome to the Nov./Dec. 2013 Issue Of Ocean County Woman

We are the Media Partner with NJAWBO Monmouth, Ocean, Middlesex Region. We are members of Toms River-Ocean County Chamber Of Commerce.

Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper!

Change Your Life in “2014” Licenses Available In Your Area Woman Publishing Entrepreneurs Wanted

Join over 371 other counties that are publishing or have an option to publish in the United States and

Be Your Own Boss!

We are looking for a few bright, energetic, creative women and men to publish our trademarked, copyrighted newspapers IN YOUR COUNTY, IN YOUR STATE, IN YOUR OWN BUSINESS!

Join the fastest growing educational Woman’s Newspaper syndicated in the United States.

www.TheCountyWoman.com

November/December 2013

Medical Professionals

Physical Therapy And The Treatment Of Vertigo Written By: Alyssa Colletti, Manager, All-Care Physical Therapy, Manchester, NJ A question I am often asked when people are diagnosed with positional vertigo is, “Can physical therapy really help my dizziness?” They are usually surprised to find out that physical therapy has been shown to effectively treat positional vertigo and that many of our patients are now symptom free after one treatment session.

What is Positional Vertigo?

The type of vertigo I am referring to is called Benign Paroxysmal Positional Vertigo (BPPV) and it is the most common form of vertigo in both men and women age 60 and older. BPPV is an inner ear disorder that begins when the sensory receptors of the ear known as the Otoconia, made up of calcium-carbonate crystals, break away from their normal home in the utricle (see figure 1) and begin floating around in one of the ear’s three canals. The most common canal these crystals get dislodged into is called the posterior canal. This canal is responsible for telling the brain which direction (up or down) your head is moving in when you move it. The canals play an important part in balance because they send signals to your brain to let it know exactly which position your head is in at every given moment in time. This enables you to have clear vision and helps you maintain balance.

Why Do the Crystals float out in the First Place?

Normal aging is the most common reason the crystals break away and float out of the utricle. As the inner ear ages, some of the crystals can “loosen” spontaneously and float into the posterior canal. Other reasons the crystals of the ear loosen can be attributed to head trauma, viruses that affect the ear, migraines, and, sometimes prolonged periods of inactivity.

Symptoms of BPPV

Once dislodged crystals get into the ear’s posterior canal, head movements such as looking up or down, bending forward or rolling onto the affected ear can trigger an onset of symptoms. These symptoms may include vertigo (a roomspinning sensation), dizziness, lightheadedness, nausea, vomiting, unsteadiness and/or loss of balance. The vertigo symptoms usually come on suddenly and can last up to 60 seconds until the dislodged crystals stop floating around and settle in again at the bottom of the posterior canal. The onset of symptoms usually occurs again each time the person initiates a head movement into one of the provoking head positions; hence the term “positional vertigo”. The condition will cease only when the crystals are out of the posterior canal. FIGURE 1

1-855-3ALLCARE

Come Experience The All-Care Difference For Yourself! Whiting • Toms River • Brick Manchester • Barnegat

Hand Therapy Specialist

Free Transportation For Patients In Need www.AllCarePTC.com

Diagnosis and treatment of BPPV

BPPV can easily be diagnosed by using the Dix-Hallpike Maneuver. (See Figure 2) This is where we position the patient in an upright seated position and then passively move them into a lying position where the head is extended off of the treatment table and rotated right or left to a 45 degree angle. This position usually provokes the patient’s symptoms. The patient is also asked to keep their eyes open during the maneuver so we can detect if “nystagmus” (eye beating) is present. If nystagmus is present, we are able to figure out which canal is affected based on the direction the eyes beat toward. This maneuver is considered the gold-standard for diagnosing BPPV and also indicates to us which of the two ears are affected. After the maneuver is performed, our next goal is to try to get the dislodged crystals out of the posterior canal and back into the Utricle where they belong. We do this by using a sequence of head positions called the Canalith Repositioning Treatment (CRT). The CRT moves the crystals out of the canal and repositions them back into the Utricle where they either settle or get reabsorbed. Studies show the CRT is effective 80% of the time and helps rid patients of their symptoms in one week. Yes! – I said one week! Patients are always amazed that their symptoms can be relieved in one week with only one simple head treatment – but it’s true and I’ve seen great results with the patients we have treated throughout the years at All-Care.

After the CRT is performed, patients are given a protocol they have to follow for one week after their treatment. This consists of avoiding activities that require them to bend forward, tilt their head upwards, or turn their head quickly to the left or right. They must also avoid sleeping on the affected ear. Patients are advised to sleep propped up or on their backs to ensure the crystals don’t float back into the posterior canal. One week after treatment and appropriately following the protocol, the patient should notice a complete cessation of symptoms and should be able to return to life as normal, making their physical therapy treatment a complete success!

Call 1-855-3ALLCARE to schedule an appointment. Alyssa Colletti is a manager at All-Care Physical Therapy’s Manchester location where she currently practices physical therapy and helps with leadership development of the staff. She holds a doctorate degree in physical therapy from the Richard Stockton College of NJ that she received in 2011. She also holds a master’s degree in physical therapy after graduating from Stockton College in 2007 and a bachelor’s degree in psychology that she received from Rutgers University in 2003 and is a certified leadership coach, teacher and speaker.

FIGURE 2

Manchester Grand Re-Opening

Figure 1 Source: http://health-advisors.org/semicircular-canals/ Figure 2 Source: http://www.studyblue.com/notes/note/n/05-disorders-of-the-inner-ear/deck/3017979

The County Woman Magazine

All-Care Physical Therapy Center is proud to announce the expansion of the Manchester facility. Located in the same convenient location in the Hudson City Plaza on Route 70, the state-of-the-art facility now has twice the space to better serve patients in the Manchester community. Please call today to schedule your appointment at 732-657-7900.

www.TheCountyWoman.com

November/December 2013

Whiting Business Association

Perfect Fit Ortho is a medical back and knee bracing company focusing on patient service in their home. The bracing helps patients continue a normal and active lifestyle, while providing better posture and balance.

Whiting Business Association The bracing requires a prescription from the patient's Fighting Osteoporosis Physical is committed to Through medical doctor and an appointment is set Therapy up at the patient's home. Medicare and Horizon Blue Cross Blue Replacement Therapy was the calcium consumed in foods such These exercises, in conjunction by preventing bone destroy serving the needs re you one of most common intervention. as dairy products, oatmeal, tofu, with manual therapy techniques osteoclasts from digesting b Shield networks. the 44 million soy seaweed, dark green vegetables, Currently, Selective Estrogen to elongate muscle tissue and The final class of thecompression community. Receptor Modulators (such as fish and some types of nuts. For forces on the Americans suffering of reduce pharmacological treatment

bone, can drastically reduce the incidence of fractures. A physical therapist can determine if a simple exercise program can alleviate your Through research, the medical symptoms. community has discovered 2. Nutrition: methods not only to combat Nutrition and lifestyle play a key Osteoporosis, but also prevent it. role in bone loss. Individuals In order to treat this condition, who are not receiving adequate • Donna nutrition Gould, (low Branch Manager, let’sWhiting discuss the Branch facts. calcium or Vitamin Member of the Whiting Business Association Founding • Osteoporosis is a condition D) or an excessive intake of that causes bones to become thin 732.350.9500 and porous, decreasing bone• Visit myinvestorsbank.com strength and leading to increased risk of breaking a bone. • During their lifetime 50% of all women and 25% of all men over the age of 50 will have an osteoporosis related fracture. • Fractures from osteoporosis are more common than heart attack, stroke and breast cancer combined. • Women and men alike begin to lose bone in their mid-30s. As they approach menopause, women lose bone at a greater rate, from 2-3% per year due to hormonal changes.

from Osteoporosis or Osteopenia?

those who are lactoseSame intolerant day (meaning they are unable to breakdown calcium into a bone building product) lactase drops may be utilized. 3. Pharmacology: One of the biggest developments over the past 20 years in the treatment and prevention of Osteoporosis has been in pharmacology. Initially, Hormone

We are proud to support the Women of Ocean County

Risk Factors: Age, sex, tobacco/ alcohol use, vertebral compression fracture, fragility fracture, family history of hip fracture, medical conditions or use of medications that inhibit absorption of nutrients or contribute to bone loss.

Nolvadex, Evista, Fareston) are bone forming medication k and emergency service is available.

more commonly recommended as Forteo. This is generally for the prevention and treatment prescribed for those osteopo Rich Tyas of osteoporosis in postpatients at high risk for frac Device Specialist menopausal women. Currently the FDA only Antiresorptive medications or recommends the utilization National Sales Director Biophosphates (such as Fosamax, class of drug for 2 years due Ph: 908-907-1316 Boniva, Actonel, Reclast, Fortical potential side effects. Fax: 732-894-3291 and Miacalcin) are now commonly Specialized Treatment utilized in the treatment of Email: rtyas21@gmail.com osteoporosis. Biophosphates work At All-Care Physical Therap specialize in the treatment a Back prevention & KneeofBracing Osteoporosis Diabetic Shoes Osteopenia. We are one of Ocean Cou Activitiesonly Offacilities DailyinLiving that have been certified in t In Homeof Service treatment Osteoporosis. www.perfectfitortho.com Medicare essentialAccredited that a physical the is aware of the risks of treat Osteoporosis and understan the most optimal therapeut interventions to not only p the progression, but comba disease itself.

Perfect Fit Ortho

Written By:River, Michael yorke, MPt Our family-owned outpatient facilities in Brick, Toms Whiting, Yorke graduated with honors from Barnegat, and Manchester, NJ are directedMichael by a practicing physical College optimal in 1997, majoring therapist, Michael Yorke. Our primary goalGettysburg is to provide pain-freein Ex Science with a focus in Athletic Training. physical therapy for all patients. Pain is a physiological response to damage He continued his be education Hahnemann or injury. The old adage “No Pain- No Gain” could not more at incorrect University earning a Master’s degree in Phys in the field of rehabilitative medicine. We stress hands on manual therapy Therapy in 1999. as well as consistent therapist/patient interaction. Michael has continued to expand his

Lynnette E. Brennan Attorney at Law

Here’s how we differ from otherthrough physical therapy facilities: knowledge continuing education hours with focus in

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Free Transportation Orthopedics as well as Geriatric Medicine. He has completed cour the treatment of osteoporosis and postural changes. In 2005, Mich Innovative, pain-free approach to physical opened All-Care Physicaltherapy Therapy Center with a focus on personal on-one, hands-on care. Michael been a member of the Americ Our large, cozy facilities offer the utmost in patienthas comfort and satisfaction Physical Therapy Association since 1997. Michael’s experience has We’re family owned sohim we to aredevelop not harnessed by a pain-free approach to physical thera an innovative, corporation

Help Is Out There: Over the past 20 years, treatment and prevention of osteoporosis For all of your Estate Planning, have come a long way. Solutions Estate Administration can be broken down into 3 categories. and Elder Law needs. 1. Physical Therapy: ( Our energetic, family-like staff, and upbeat atmoprotein, sodium and caffeine By far the most conservative are considered at increased risk. sphere supports rapid rehabilitation 108 Lacey Road, Ste. 2 treatment for Osteoporosis is Interventions such as calcium Whiting, NJhave ( We provide one-on-one personalized care exercise through Physical Therapy. or vitamin supplements With the correct exercise program, 1622-A been recommended for many Beaver Dam Road ʓʐʚʗʗʐʕʣʮʮʥʣʴʧ the human body has the ability individuals, as research has Point Pleasant, NJ not only to prevent the loss of indicated that 1200-1500mgs of ComeExecutive Experience The All-Care Jim Yorke Director, All Care Physical Therapy Center bone density, but also increase calcium a day along with 7-80 Membership Director, Whiting Business Association bone strength via the S.A.I.D. IU of Vitamin D reduced the Difference For Yourself! Principle (Specific Adaptation fracture rate in post-menopausal ʹˊˋ˖ˋːˉ ͙ ʶˑˏ˕ ʴˋ˘ˇ˔ ͙ ʤ˔ˋ˅ˍ www.TheCountyWoman.com The County Woman Magazine women by 50%. This is generally November/December 2013 to Imposed Demands). By

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Medical Professionals

Fibroids Eliminated Without Hysterectomy Presented by: South Jersey Fertility Center

Fibroids are benign uterine muscle tumors present in up to 20% of reproductive age women. They are a common cause of heavy, painful periods. They can also dramatically increase the risk for miscarriage and diminish fertility. Sometimes a fibroid will grow larger than a grapefruit. When they grow large they can cause symptoms from pushing on other organs in the pelvis, such as the bowel and bladder. Not all fibroids cause problems or need any treatment. The symptoms depend on the size and location of a fibroid. These tumors start to fade away after menopause because they are dependent on the female hormones estrogen and progesterone which drop after the “change of life.” Treatment for fibroids is only necessary for those women who are bothered by fibroid-related symptoms or for those with fibroids greater than 3-5 cm in size who want to conceive a baby. The medical term for fibroids is “myomas,” so the surgery to remove these from the uterus is termed a myomectomy. A hysterectomy is the term for removing the uterus. Thus a hysterectomy can be a solution for fibroids for those women who no longer want to become pregnant. The women suffering with fibroids who want to maintain their ability to have children can choose a myomectomy. There are three different surgical approaches by which a myomectomy can be performed. The type of surgical approach depends on the location, size, and number of fibroids present. There are also a couple of nonsurgical measures to try to alleviate the suffering from fibroids, though pregnancy is not recommended following the nonsurgical methods. The least invasive surgical approach is through the vagina, utilizing a thin, lighted scope (hysteroscope) that can slip in through the natural opening in the cervical canal. However, this approach can only access fibroids that are close to 50% or more exposed in the central cavity of the uterus. Only a small proportion of women have their bothersome fibroids limited to just that location, but it is a very satisfying surgery for those candidates as the recovery and return to usual activity from hysteroscopy is generally three days.

When fibroids are located in the middle of the muscular uterine wall or even on the outer boundaries of the uterus, an approach through the abdominal skin is necessary. Traditionally this has been done by laparotomy, which means opening the abdomen with a large-enough incision for the surgeon to reach in with both hands. The recovery includes two nights in the hospital and six weeks before a return to full physical activity.

New Revolutionary Method

Fortunately, a revolutionary new method is available these days, which utilizes a minimally invasive approach called laparoscopy. The woman typically returns home the same day as the surgery and recovers sufficiently to return to work in 1-2 weeks since the 5 incisions are only as long as the width of their index finger. Laparoscopy consists of a lit scope for visualization and narrow instruments which can dissect the fibroids out, repair the uterus with suture, and remove the ground up fibroid material through small keyhole incisions in the abdomen. This is

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generally performed with the assistance of the Da Vinci surgical device (sometimes referred to as “the robot.”) The robot allows the surgeon to manipulate the narrow instruments with much more accurate control than with standard laparoscopy. The closure of the uterine incisions, utilizing the robot provides the same strong suturing technique as is used with the laparotomy approach, but without the extended post-operative recovery that comes with the larger abdominal incision. Patients usually return home the same day as the surgery. Studies have found that the “robot-assisted” laparoscopic myomectomies have a lower risk for poor healing of the surgical incision and the loss of less blood. This minimally invasive approach is usually an option when there are fewer than 10 fibroids and none exceed 12 cm in size. Any time that an incision is made fairly deep into a woman’s uterine wall, she should have (according to national standards) a C-section delivery when she is nine months pregnant rather than trying to push the baby out in labor. This caution is taken due to concern that her weakened uterus may not hold up to the stress of labor. One potential complication

of any abdominal surgery is scar formation involving the pelvic organs, such as the ovaries and fallopian tubes. This scarring could potentially limit fertility unless in vitro fertilization is pursued. To lower the risk for adhesion formation, most surgeons place a dissolvable barrier over the uterine scars. Patients who have had a myomectomy should not get pregnant for three months after surgery to allow the uterus to heal well. The chance for more fibroids to form following removal or ablation of fibroids is approximately 30%, but only about 10% of patients will require another procedure for their recurrent fibroids because of symptoms.

Conclusion . . .

In summary, fibroids in the uterus are relatively common, but only sometimes cause sufficient problems that need to be addressed, such as uterine bleeding and pain. The entire uterus need not be sacrificed if the woman wants to retain her fertility. Fortunately there is a new minimally invasive surgical procedure that takes advantage of robotic technology to allow removal of the fibroids through keyhole incisions which allows a much shorter and easier recovery than the previous method of surgical removal through a 5 inch incision.

South Jersey Fertility Center

Division of Regional Women’s Health Group, LLC Full Service Infertility Center With:

· All Of The Doctors Are Board Certified In Reproductive Endocrinology And Infertility · Top Doctor Awards For 7 Years In A Row · Laparoscopic Tubal Reversals · Money Back Guarantee Available For Ivf And Donor Egg · Full Service Fertility Center · Robotic Surgery Available

Robert A. Skaf, MD FACOG Peter G. Van Deerlin, MD FACOG Stephen W. Sawin, MD FACOG Gary S. Packin, DO FACOOG, Dist. Oumar Kuzbari, MD, FACOG Barbara Alice, APN-C, MSN Tracy Krause, APN-C,MSN

SOUTH JERSEY FERTILITY CENTER is now offering a discount for IVF to ACTIVE MILITARY AND VETERANS

Call 856.596.2233 ext. 1227 for more information.

Please Welcome...

Dr. Kuzbari To South Jersey Fertility Center!

Visit us on our Website www.sjfert.com

400 Lippincott Drive Suite 130 Marlton, NJ 08053 856.596.2233

Harbor Pavilions 570 Egg Harbor Rd • Suite B4 Sewell, NJ 08080 856.218.8863

www.TheCountyWoman.com

AtlantiCare Life Center 500 English Creek Ave. • #225 Egg Harbor Twp. , NJ 08234 609.813.2192

November/December 2013

Medical Professionals

Meet The Doctors Of South Jersey Fertility Center W art fertility care in a friendly, comfortable environment at a reasonable cost. We have three convenient locations in

South Jersey Fertility Center (SJFC) is the premier provider of fertility care in South Jersey. e have a long history of helping our patients achieve their dream of a family. We offer comprehensive, state-of-the-

southern New Jersey. Our main office is located in Marlton. We also have offices in Egg Harbor Twp and Sewell. Evening hours are available four days a week in Marlton and two days in Sewell. Services offered include IVF with ICSI, Assisted Hatching and Blastocyst culture performed in our Marlton location. In addition we performed Donor Egg/Donor Embryo cycles, Pre-implantation Genetic Diagnosis, Ovulation treatment with Clomid and FSH, Intrauterine inseminations, Donor inseminations as well as surgical procedures i.e. laparoscopy, hysteroscopy, tubal ligation reversals, myomectomy and daVinci robotic procedures.

Robert A. Skaf,

Gary S Packin,

Dr. Skaf founded South Jersey Fertility Center in 1989. After completing his Reproductive Endocrine training in 1981, he was appointed Division Head at Robert Wood Johnson Medical School in Camden, NJ. Dr. Skaf was the first physician in the state to perform CO2 laser laparoscopy for the treatment of endometriosis and pelvic adhesions. During his tenure, he became Associate Professor. Currently he is a Clinical Associate Professor at the Robert Wood Johnson and Jefferson Medical Schools. In 1989, Dr. Skaf established the first outpatient In-Vitro Fertilization Program in the area. He is currently the Chief of the Reproductive Endocrinology section at Virtua West Jersey Hospital.

Dr. Packin has been in private practice treating patients with problems of fertility and associated hormone abnormalities for 29 years. He merged his practice with the South Jersey Fertility Center in early 2003. He is currently Head of the Subsection of Reproductive Endocrinology at the Kennedy Health System and Associate Professor in the Department of Obstetrics and Gynecology at the University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine. Dr. Packin has served as President of the American College of Osteopathic Obstetricians and Gynecologist. He has been honored by the American College of Osteopathic Obstetricians and Gynecologists having conferred upon him their most prestigious Distinguished Service Award” in 1993 for his contribution to medical education and dedication to the advancement of women’s healthcare.

M.D., F.A.C.O.G.

Peter G. VanDeerlin, M.D., F.A.C.O.G.

Dr. Van Deerlin has been with South Jersey Fertility Center since 1997 after completing his Fellowship in Reproductive Endocrinology and Infertility at the University of Pennsylvania . He is an accomplished clinician and clinical investigator having published articles in major journals and presented his work at numerous scientific meetings.. Dr. Van Deerlin is well respected in his field having been selected as president of the Philadelphia Area Reproductive Endocrine Society in 2005. He also is conversant in Spanish, which in 2004 allowed him to lead a medical mission to Ecuador to teach laparoscopy to gynecologists in the Andes.

Stephen W. Sawin,

D.O. F.A.C.O.O.G (Dist.)

Oumar Kuzbari, M.D.

Dr. Kuzbari completed his residency training in Obstetric and Gynecology at Maimonides Medical Center in NYC. He received numerous awards for excellence in minimally invasive surgery. He joined South Jersey Fertility Center in July 2013, following his fellowship in Reproductive Endocrinology and Infertility at the University of Utah. His clinical expertise includes IVF, fertility preservation, PGD and male infertility. He is also a skilled surgeon treating conditions that affect fertility such as endometriosis, uterine fibroids, polyps and other anomalies.

M.D., F.A.C.O.G.

Dr. Sawin completed both his Residency in Obstetrics and Gynecology and his Fellowship in Reproductive Endocrinology and Infertility at the University of Pennsylvania. After fellowship, Dr. Sawin moved to Asheville, North Carolina where he was the director of Reproductive Endocrinology and Infertility for the Mountain Area Health Education Center. He joined South Jersey Fertility Center in 1992. His special interest and expertise is in the areas of polycystic ovary syndrome (PCOS), surgical management of uterine fibroids (myomectomy), ovulation induction and in vitro fertilization (IVF).

The County Woman Magazine

Call South Jersey Fertility Center for your evaluation today. 400 Lippincott Drive Suite 130 Marlton, NJ 08053 856.596.2233

Barbara Alice, APN-C, RN, MSN

Barbara joined South Jersey Fertility Center in 1999. She has over twenty years of nursing experience. Barbara is an active member of the nurse specialty group of the American Society for Reproductive Medicine as well as its nurse manager subspecialty group. She is one of a select few infertility nurses in the country chosen to be on the nursing advisory board for both the Serono and Schrafts pharmaceutical companies. She is a highly sought after speaker and has given presentations throughout the country on infertility and time management, and has published articles for the nursing journal for Reproductive Endocrinology nursing specialists.

Tracy Krause,

APN-C, RN, MSN

Tracy received her diploma in nursing from the Ann May School of Nursing followed by a Bachelor of Science in Nursing degree from the Richard Stockton College of New Jersey. Tracy completed her Master of Science in nursing degree from the University of Pennsylvania in 1999. She joined South Jersey Fertility Center in 2005 after nearly six years in private practice specializing in women’s health care where she had a dedicated following of patients. Her clinical approach has always been characterized by empathy and compassion. Tracy is a member of the American Society for Reproductive Medicine and the National Association of Nurse Practitioners in Women’s Health and she recently participated in a national infertility conference for nurses.

Kieran Cunningham, TS,ELD

Kieran Cunningham is certified as an Embryology Laboratory Director by the American Board of Bioanalysts and has over 15 years of experience in the field of IVF. He joined South Jersey Fertility center in 1995 as the Laboratory Manager of the Embryology, Endocrine and Andrology after years of experience as the IVF Lab Supervisor in Delaware. Kieran has had many years of experience performing IVF, sperm and embryo cryopreservation, ICSI, assisted hatching with fragment removal, blastocyst culture and cryopreservation and many embryo culture techniques. He has worked closely with local Urologists specializing in male fertility in the collection of sperm from testicular tissue and epididymal fluid. He implemented embryo biopsy and cell fixation techniques for Pre-implantation Genetic Diagnosis (PGD) of embryos at South Jersey Fertility Center.

Harbor Pavilions 570 Egg Harbor Rd • Suite B4 Sewell, NJ 08080 856.218.8863

AtlantiCare Life Center 500 English Creek Ave. • #225 Egg Harbor Twp. , NJ 08234 609.813.2192

Visit us on our website www.sjfert.com www.TheCountyWoman.com

November/December 2013

Contemporary &Rattan Furniture

We Carry American Manufactured High Quality Furniture The time has come to choose that holiday gift for your special someone—a spouse or significant other, a parent, or another important person in your life.

Heritage House has been fulfilling holiday wishes for almost forty years: whether it be a glider chair for Mom, a plasma stand for Dad, a wicker bedroom for sis, or a toy trunk for little brother, Heritage House has something for everyone. Maybe Grandma and Granddad would love a new plush recliner or matching swivel rockers. Look through our nooks and crannies and you will find wonderful inexpensive gift ideas for friends and teachers. Select from faux plant arrangements, pottery and glass, wind chimes, small decorative containers, fragrant candles and soaps, LBI posters, wall art, lamps and nightlights. Largest Selection of Lamps

In fact, Heritage House Interiors has one of the largest selections of distinctive lamps in the area… from traditional

to contemporary. We are very conscious of the corrosive action on metal at the shore. Therefore, we make sure that there are few metal parts on our lamps and art. Those that have metal are always painted or coated to prevent corrosion. We want you to enjoy them for years to come without a problem. In addition, you will see beautiful ceramic and glass lamps - from small bedroom lamps with shore or sport themes, to freeform organic wooden floor and table lamps. Some have built-in nightlights or decorated shore themed shades.

of peace and goodwill at Christmas, Hanukkah and Kwanza. Keep in mind that Heritage House Interiors can recover your cushions and repair your rattan and wicker!

Best wishes for the New Year from your friends at Heritage House Interiors.

Wide Variety Of Home Decor

You might consider a new mirror or framed print or painting to brighten a dull space that will add a festive addition to your holiday decorations. We at Heritage House Interiors can help you select the perfect piece for a dark corner or blank wall. In these cold months you may want to bring some of nature’s bounty into your home by placing one of our faux tropical trees next to the fireplace, or perhaps a palm tree in the corner next to the slider. Place a pot of tulips on a dresser or a basket of greens in the entrance hall in anticipations of the coming spring.

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

Open Year-Round

Heritage House is open all yearround to serve you. In the meantime, enjoy your family gathering at Thanksgiving and the celebration

HERITAGE HOUSE INTERIORS

Heritage House Exclusive Is Island Art La Lamps

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

We Repair Wicker & Recover Cushions

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

A SHORE NATURAL

89 YEARS OF DECORATING EXPERIENCE OPEN 10-5 • THURSDAY • FRIDAY • SATURDAY • SUNDAY • MONDAY • TUESDAY • CLOSED WEDNESDAY 408 N. MAIN ST. (RT. 9) • BARNEGAT, NJ - 609-698-7621 • CALL FOR DIRECTIONS

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The County Woman Magazine

www.TheCountyWoman.com

With N Night Light

Written By: Wendy Miller

November/December 2013

Medical Professionals

Chronic Back Pain – Don’t Grin And Bear It

John Mak, MD, Board Certified in Pain Management Premier Pain Centers

Did you know that 80% of the 10 million Americans who are diagnosed with osteoporosis are women? Women are thought to be more susceptible to the disease, as postmenopausal hormonal changes accelerate the bone reabsorption process. Bone health is an ongoing concern in the medical community as the US population continues to age- more specifically, the diagnosis of osteoporosis. Osteoporosis literally means “porous bones”. Bone is a living tissue that goes through constant absorption and rebuilding.

As we all get older, the bone rebuilding processes does not keep up with re-absorption, resulting in porous and fragile bone, which is prone to fractures. There are many factors to help prevent osteoporosis, including taking Vitamin D and Calcium supplements, exercising, and taking prescription medications to help build more bone. Despite all the above mentioned measures to treat osteoporosis, spinal compression fracture is the most common fracture in patients with osteoporosis. Vertebral compression fracture is defined as the collapse of the vertebral body in the spine. There are 750,000 vertebral compression fractures diagnosed yearly. Compression can occur anywhere in the spine, but most commonly occurs in the upper back (thoracic spine). When patients come to my office with symptoms of back pain in relation to any movement of the spine, the diagnosis of vertebral compression fracture is at the top of my list. Especially when the back pain is made worse with walking or standing, and alleviated with rest. More serious and unstable compression fractures may have additional symptoms of leg weakness or numbness. With imaging studies including X-Ray, CT and MRI scans, I can definitively diagnose vertebral compression fractures. On the imaging scan, I will be able to see a decrease in height and possible instability in the spine vertebral body.

The County Woman Magazine

Once the diagnosis of a vertebral compression fracture is confirmed, I will start with a conservative treatment plan consisting of short term bed rest, pain medication, bracing, and a possible trial with an epidural steroid injection. Bed rest and bracing aims to limit movement at the fracture site, as one would cast a leg fracture. Medications and an epidural steroid injection will help decrease inflammation and swelling at the fracture site. The combination of these conservative treatments can usually control the pain adequately and allow the patient to recover. But there are certain patients that continue to suffer from back pain due to spinal instability from the compression fracture. Being trained in the latest advances in interventional pain management allows me to offer patients 2 non-surgical methods to treat compression fractures. The first non-surgical method is a Vertebroplasty procedure. It is performed under mild sedation in an outpatient setting to stabilize the collapsed vertebral body. Under x-ray guidance, a needle is guided into the collapsed vertebral body and bone cement is injected to stabilize the fracture. The second non-surgical method is Kyphoplasty, which is a slight modification of the vertebroplasty procedure. There is an added step where a balloon is inflated in the vertebral body to help create room

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to inject the bone cement and to augment the height of the collapsed vertebral body. Vertebroplasty and Kyphoplasty are some of the most gratifying procedures I perform, as patients often get pain relief within hours after the procedure! Patients are discharged home the same day with two Band-Aids over the puncture site. Numerous studies indicate that 90% of patients undergoing vertebroplasty get relief within 24 hours. This allows patients to quickly regain their independence and return to their normal level of activity. Unfortunately, many people feel pain due to a vertebral compression fracture is something they have to live with, or is an unavoidable part of growing older. The physicians at Premier Pain Centers are all board certified and versed in the latest advances in the treatment of chronic and acute pain. Do you suffer from low back pain or a vertebral compression fracture? If so, contact Premier Pain Centers at (732) 380-0200 for a consultation. You can also visit www.premierpain.com for more information.

Dr. John Mak obtained his medical degree from SUNY at Buffalo School of Medicine and completed his Internal Medicine Internship at St. Luke’s-Roosevelt Hospital CenterColumbia University College of Physicians and Surgeons. He subsequently moved to Boston, MA for his residency training in Anesthesia and Critical Care at the world-renowned Beth Israel Deaconess Medical Center-Harvard University. Dr. Mak then pursued a fellowship at the Caritas St. Elizabeth’s Medical Center-Tufts University School of Medicine, where he honed his skills in the multidisciplinary approach to pain management. Dr. Mak is board certified by the American Board of Anesthesiology with a specialty in Pain Management. His areas of clinical expertise include treatment of musculoskeletal neck and back pain, neuropathic (nerve) pain and cancer pain. Dr. Mak is a member of the American Society of Anesthesiologists, the American Society of Interventional Pain Physicians, and the Medical Society of New Jersey.

November/December 2013

Business

& Finance

Are You A Boomer With Healthcare Questions? Written by: Janet Langstaff Managing Principal / Healthcare Specialist Lang Insurance Group

and budget. She surveys all available options, weighs them against requirements, and presents recommendations. The focus always is suitability.

Are you turning 65 soon?

Rose is a senior member of the Lang team, based in Spring Lake. As independent healthcare specialists, we represent you, the insured, not the insurance carrier. That independence allows us to identify only the most suitable options. And we represent all major carriers offering health insurance in NJ, PA, and FL.

Who is Lang Insurance Group?

Are you already on Medicare but confused about your benefits?

How can you reach Rose?

If you answered “yes” to either of these questions, Rose MacNish, a Senior Healthcare Specialist with Lang Insurance Group in Spring Lake, can help you.

You can speak with Rose by calling 732.282.2700 (x 304). And remember: there’s never a fee, and she’s always happy to help!

Why is it so hard for people on Medicare to find suitable benefits? Finding coverage that supplements Medicare is a daunting task, especially given the myriad options and the rules and penalties imposed by Medicare. Insurance companies inundate people with brochures, each affirming that their plan is the “best.” Plan benefits are complicated to understand. So finding good coverage is often a “painful” experience.

How do you determine what’s best?

Health

Health & Wellness

Insurance Group

Our Plans Begin With Yours 1011 Highway 71, Suite 200 Spring Lake, NJ 07762

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Rose begins working with individuals as much as 6 months in advance of retirement or Medicare-eligibility. She follows a structured process that analyzes every client’s needs—their preferences for care, preferred doctors and hospitals, medications,

Lang

Phone 732.282.2700, ext. 304 Fax 732.282.27906

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At Simply Skin, We Are Grateful For…

imply Skin has been part of Downtown Toms River for 19 years now.

We offer the finest in service for massage, body care, skincare and nail care for hands and feet. We also have an extensive spa boutique for your homecare, gift giving and shopping pleasure. Over 45,000 people have graced our spa in the past 19 years. Our spa technicians have over 200 years combined, of spa experience. Our staff has been together for over 12 years and some as long as 18 years. We are extremely grateful for all of this!

-We have a new look!

The Community Mural is now located on our building at 313 W. Water Street. We are very excited for this addition to our building. We are proud to be part of the Business Improvement District for Downtown Toms River. Watch for many more improvements to our Downtown! Visit downtowntomsriver.com for details.

-We can all buy our own “stuff ”.

The best gift you can give is the gift to take care of someone. At Simply Skin, we understand this and make it very easy for you to purchase gift cards for family and friends. Our gift cards can be purchased in person at our spa, by telephone, or online from your phone/computer. Online gift cards are printable, available to email, or we can snail-mail it to them too!

The Staff of Simply Skin

From the entire staff of Simply Skin we would like to thank all of you for your loyalty to Simply Skin. We have survived a serious economic downturn and Hurricane Sandy. Now we look forward to many more years of serving You. 2014 is our 20th anniversary, please watch for a special each month as we countdown to this very special anniversary!

We are located at:313 West Water Street, Toms River, NJ 08753 (Just a quarter mile east from Exit 81 of the Garden State Parkway.)

A DAY SPA EXPERIENCE

The County Woman Magazine Filler

www.simplysdayspa.com

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

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.

November/December 2013

Medical Professionals

Imagine The Shape You Want And Have It Just In Time For The Holidays!

Face, Breast And Body

Submitted by: Dr. Stephen E. Small, Board Certified Plastic Surgeon

Face

cean Plastic Surgery, P.A. offers Vectra 3-D imaging which is a state-of-the-art innovation that has revolutionized the consultation process.

Dr. Stephen Small is a board certified plastic surgeon specialized in cosmetic surgery of the face and body. At your complimentary consultation, Dr. Small will discuss your goals and his nursing staff will photograph targeted areas of your body and/or face. What you’re looking to achieve will be simulated in 3 dimensions for you to see your “before and after” results. Like never before, your expectations can be better conveyed and discussed with simulations that allow you to visualize the final results. It is truly amazing!

We are excited to offer Vectra 3-D Imaging! The Vectra 3-D imaging is advanced photographic imaging, which captures ultra-high resolution images of your face, breast, or body. It eliminates the anxiety of what your result might be and allows you to explore your goals and desires with simulations of your final result.

Breast Breast augmentation is amazingly demonstrated. The guesswork is eliminated, and you can see your result with multiple implant sizes and with saline or silicone Breast: Breast Augmentation, “Try On Implants And See Your Result”. gel implants. Additionally, the results with a lift can be viewed, as well as enhancements to the opposite breast in those who undergo breast reconstruction. Dr. Small’s goal is to help his patients achieve a beautifully 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 for in a comfortable, compassionate setting with a staff that is ready to serve you. Call to schedule your appointment, 732-255-7155.

Artistry • Beauty • Rejuvenation Non Invasive Botox Juvederm Radiesse Boletero

Vectra 3 D Imaging Breast Face Body

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

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

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Augmentation Lift Reduction Reconstruction Revision Augmentation Revision Reconstruction

This is ideal for anyone contemplating a Rhinoplasty (nose job), Chin enhancement (implant), Neck lipocontouring, Facial voluFace: Rhinoplasty And Chin Implant Simulation. mizing with lipofilling, and Laser treatment for removal of brown and red spots. These treatments and procedures can be combined for an enhancement that rejuvenates the entire face while being visualized with remarkable clarity with our Vectra Imaging.

Body Liposculpture of the hips, abdomen, thighs, neckline and other areas can be demonstrated with Vectra imaging. These areas can be defined and sculpted to exquisite detail by Dr. Small with minimal downtime.

Body: Liposculpture

Schedule a Complimentary Consultation Today. See your post-op result at your consult and get it just in time for the holidays! 732-255-7155

Free breast implants Erbium laser special

Schedule your breast augmentation in November or December and each week, one lucky winner for that week will recieve their implants - FREE.

Disclaimer: void where prohibited by law. Must be 18 years of age or older. Must be 22 years of age or older for silicone gel breast implants. Implant promotion not redeemable for cash. Free implants apply to saline implants only. Silicone gel implants available at discounted rate equivalent to the price of saline implants. No promotion or discount offer is transferrable. Offer subject to change without notice. The patient, and any other person responsible for payment, has the right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, or treatment that is performed as a result of and within 72 hours of responding to the advertisement for free, discounted fee, or reduced fee service, examination or treatment.

Call Today! Complimentary Consultation Great Prices and Packages for other laser hair removal areas. Offers expires Dec. 31, 2013

OCEAN PLASTIC SURGERY P.A. AND LASER CENTER

780 Route 37 West Suite 240 Toms River, NJ

Toms River, NJ • Manahawkin, NJ Office: 732-255-7155

www.oceanplasticsurgerynj.com • 732-255-7155

Skin rejuvenating treatment for fine lines, prominent pores, and brown spots. Buy 2 Treatments and Get 1 FREE! Call for details

The County Woman Magazine

www.TheCountyWoman.com

November/December 2013

Medical Professionals

Popular Toms River Chiropractor Doctor Has Big Plans For This Fall Larger Facilities, New Walk-In Clinic To Open This Fall

October 31, 2013 -- Dr. Vince Giardina has been treating patients with chronic pain since 1995. Quickly outgrowing his former location at 833 Route 37 West, his practice expanded and moved to a new location last year to make room for a medical doctor, two acupuncturists, a neurological chiropractor and nutritionist, a full time physical trainer, and a host of other specialist staff. Soon Dr. Vince found the need for a convenient one-stop facility in our community was even greater than anticipated. A new, even larger facility was needed. So, this fall Dr. Giardina is moving the practice again. This time the move is not far. The offices at 864 Route 37 West will be moving just three doors down in the West Hills Plaza shopping center located directly behind the Mule Road exit off Route 37 in Toms River. “The new facility will give us ample room to grow as our business continues to grow at such a quick pace”, says Dr. Vince. The highly regarded doctor attributes such a fast rate of growth to the expertise he invested in to ensure the highest quality of care without losing the exceptionally personalized approach his practice has become known for. “We strive continually to keep our doctors and staff up to date with the

Dr. Vincent Giardina, D.C., President, NJ Community Spine and Pain

WE ACCEPT ALL INSURANCES

To Set Your Appointment CALL NOW: 732-503-4079 864 Route 37 West Toms River NJ 08755

The County Woman Magazine

latest training and technology. In fact, we’re considered to be a premier facility for many things. But, we also continue solid efforts to remain on a first name basis with all our patients and treat them like family”, says Dr. Vince. Dr. Vince’s current facility will be transformed into what is expected to be one of the busiest convenient care walk-in clinics

in our area. Our community will now have access to affordable, convenient and quality care for ailments such as bruises, bumps, and mumps, and everything else once can expect from a walk in clinic. Touted by the doctor as a simple, quick alternative to lengthy, costly visits to the emergency room, he expects the new facility to hit the ground running late this fall.

“I brought my son into NJ Community Spine and Pain after a football injury on the field. They were very friendly, answered all our questions, and got my son back on track and playing within weeks.” Sophia H. - Toms River

“I had been living in pain since a car accident in 2007. It got to the point where I couldn’t even do simple things like lift wet laundry or make the bed without severe pain. I felt hopeless until my friend suggested I go see Dr. Vince. The staff was so friendly! And I feel so much better now that I am walking in a cancer walk in a couple weeks. I would have never been able to do that before!” - Janice D. - Brick

Giving Thanks this Fall at NJ Community Spine and Pain For all our patients who we have come to call family over the years, we want to thank you for your continued business by giving you an entry to win a huge Thanksgiving basket in November and a very, very special basket in December. All new patients receive an entry, too. And, if you refer a friend to our practice, we’ll give you two MORE entries!

www.TheCountyWoman.com

November/December 2013

Health

& Wellness

Do You Struggle To Lose Weight? Are you tired of going through life feeling sick, fat, tried, and depressed? Have you tried every diet, but gotten nowhere—at least not for long? If so, it’s probably because your fat-burning switch is stubbornly stuck in the “off” position, and until you learn how to flip that fatburning switch into high gear you’re doomed to see the same frustrating results over and over again. We’ve all done it, and sometimes we don’t even realize when it’s happening. Maybe you graze when you’re bored, or reach your hand into the office candy jar each time you pass by. Perhaps when you’re feeling sluggish in the afternoon, you head to the vending machine for a pick-me-up. All of these are opportunities to eat for reasons other than hunger. No matter why food calls your name, one thing rings true: We have all eaten something when we weren’t truly hungry. While that’s OK from time to time, too much eating without thinking can really hurt your weight management goals. And depending on what you eat, hurt your health, too. Take a look at these 4 situations that encourage you to eat when you’re not hungry, plus tips to cope in a healthier way.

To Cope Emotions are a common eating trigger. Happy? You might eat a treat to celebrate. Sad? You might eat to soothe yourself with comfort food. Angry? You might take it out with a fork instead of the person who really caused it. But if you turn to food for emotional reasons, you won’t resolve the underlying issues. It may help to track your eating habits in a journal, noting your emotional state when you headed for that snack. Writing it down may help you make a connection you hadn’t seen before, like the fact that you eat when you’re lonely or angry. Then you’ll know for the future to look for a different outlet, such as calling a friend when you’re lonely or turning to that punching bag when you’re mad or stressed. If emotional eating is a known problem for you, we can help you to overcoming emotional eating.

know boredom is a trigger for your emotional eating, have a list of strategies in place to keep yourself busy and entertained when you don’t have anything else to do. Catch up with an old friend, write an old-fashioned snail-mail letter, write in your journal or blog, volunteer in your community, take up a new hobby or read a book you’ve always wanted to read. Better yet, make your boredom-buster an active endeavor, such as trying a new class at the gym, playing an active video game, going for a walk with the dog. Eating won’t sound as appealing if you have a fun alternative to occupy your mind and your body!

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Because It’s a Special Occasion If you work in a big office or have a big family, it can seem like every day is someone’s birthday, anniversary, or shower. And if those celebrations often involve cake or alcohol, it might seem that every party is a calorie-laden minefield. If you don’t want to have a piece of cake every day, don’t automatically get in the cake line when it’s your bosses’ birthday—you can always show your face at the celebration without taking part in the punch bowl. Remember: Celebrations are about the people, not the food. If you do best without temptation, skip the gathering altogether or bring your own low-cal treat. Here’s another tactic: New research shows that just imagining yourself eating a treat can decrease your desire to eat the real thing. Passing up cake or celebratory food on occasion just got easier!

We accept the Care Credit Plan at Ocean Health & Weight Loss. The Care Credit Plan has reasonable payments, some as low as $100 per month. Additionally, when the balance is paid in full, within 18 months, there isn’t any interest charged. The Care Credit Plan may be used for all your weight loss needs at Ocean Health & Weight Loss.

As Seen on Dr. Oz!

Because the Clock Says So Do you pull out your lunchbox when the clock strikes noon, just because it’s time for lunch? Or head to the kitchen at 6 p.m. just because that’s your typical dinnertime? Don’t just eat when the clock tells you to! When mealtime hits, use it as a cue to check in with your current hunger level. Are you actually hungry? If so, whip up that healthy meal. If not, wait until your body tells you to eat, and ignore the clock.

Call Ocean Health & Wellness Today!

Out of Boredom Sometimes you’re not emotional—you’re just bored. For many people, eating seems like a good soluWritten by: Jill tion when there’s nothing better to do; whether you Houston, Clinical graze at home on the weekends or entertain yourself Director Ocean Health & with lavish dinners out. But eating can only last for so Weight Loss long—and then you have an afternoon to fill! If you

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Ocean Health & Weight Loss Michael Nagy, MD Adil RoomI, MD

732.608.9681 www.oceanhealth4you.com

www.OceanHealth4You.com

The County Woman Magazine

www.TheCountyWoman.com

November/December 2013

Business

& Finance

Is Equipment Leasing Right For Your Business? Written By: Robert P. Matthews Sr. President Copiers Plus Inc.

With technology improving faster than ever, leasing office equipment can keep your business up to date with the latest in Copiers, MFP’s and Printers. There are many advantages to leasing your office equipment.

Leasing can… 1. Free up capital: Instead of a large

upfront expenditure, you can conserve cash with making low monthly payments, which may be better used for other operational expenses for the business. 2. Tax advantages: Lease payments are usually tax deductible. (Consult with your tax professional for details) 3. Protected obsolescence: Your equipment can be upgraded every several years to keep up with rapidly

changing technology that is designed to reduce complexity and maintain efficiency in the office. 4. Option to upgrade: Unlike buying outright, lease agreements generally offer the flexibility to upgrade to higher value models especially when your business is expanding and the equipment becomes inadequate. There are many lease arrangements available today. The most popular is a lease that requires no money down with a fair market value purchase option at the end of the lease, otherwise known as an operating lease. Generally, this type of lease will run for 12 to 60 months, with the most popular being 36 months. If you are presented with a term longer than 60 months, I strongly recommend getting a second quote. You may also consider a lease that has service and maintenance included in the monthly payment. However, this type of lease usually requires you to commit to a minimum monthly copy/print allowance.

It is best to under-estimate this number, otherwise you will be paying for service that you will never use. Also, there are the conditional sales lease purchases that give you the right to purchase the leased equipment for a nominal price or a fixed percentage of the outright purchase price. These leases would not have the same tax advantages of the fair market value lease, as they would be considered conditional purchases. Be aware that there is usually documentation or a processing fee added to the first month’s payment. In addition, you are required to maintain insurance coverage on the equipment in case of theft, damage, or other types of losses. You can obtain this insurance yourself or the leasing company will provide it for you for a fee. At the end of the lease, should you decide not to renew or upgrade your equipment, it is your responsibility to pack, ship, insure and return the equipment in good working order to the leasing company’s designated warehouse. These warehouses can be located anywhere

within the continental U.S. Traditionally, your equipment vendor can assist you with equipment return and this is a non-issue if you are upgrading to a new machine. Leasing remains a very popular way to acquire office copiers and equipment. At Copiers Plus Inc., we offer a variety of purchasing, rental and leasing programs tailored to suit your individual needs. Please feel free to contact us for information or to answer any questions you may have in regards to acquiring office equipment. Founded in 1986 by Robert and Debra Matthews, Copiers Plus Inc. enjoys serving as a traditional office products company. At Copiers Plus, we sell and service the award winning lines of Lanier, Ricoh, Samsung, and Kyocera office products. We offer traditional office copiers, large format copiers and printers. This includes black & white and full color multi-function printers, scanners, fax machines, and all the software necessary to improve business workflows. Copiers Plus offers our products and services to all of southern New Jersey, with offices located in Egg Harbor Township, Ocean City, and Palmyra.

Copiers Plus Inc., 3112 Fire Road , Egg Harbor Township, NJ 08234, 609-645-7587 Visit us at www.copiersplus.com

Three Convenient Locations:

Copiers Plus Inc.

3112 Fire Road, Unit C, Egg Harbor Twp., NJ 08234 609-645-7587

21 East Broad Street Palmyra, N.J. 08065 1-800-834-3598

935 West Ave Ocean City, N.J. 08226 609-398-7676

Robert P. Matthews

Visit us at www.copiersplus.com

The County Woman Magazine

www.TheCountyWoman.com

November/December 2013

Medical Professionals

stroke can strike at any age. Know how to ACt FASt.

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. And we are proud to be a part of the Jefferson Neurosciences Network.

1-888-569-1000 • AtlantiCare.org 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.

The County Woman Magazine

www.TheCountyWoman.com

November/December 2013

Medical Professionals

We Asked: “Why Do You Work At Whiting Healthcare?” A Revera Center with over 200 Years of Combined Experience

hiting Health Care Center, a member of the Revera Inc. family, is a skilled nursing and rehabilitation center offering comprehensive care programs to the community which include short–stay rehabilitation, respite, extended residential and hospice care, as well as an in-house Adult Day Care program and a state-of-the art Pulmonary Rehabilitation Program. The center’s goal is to enable each patient to achieve the highest possible level of functional independence. When thinking of Whiting Health Care, one of the first things that comes to mind is the longevity of the staff, so the obvious question to ask is, “Why do you work at Whiting Health Care Center?” With over 200 years of combined experience amongst the staff, Whiting Health Care Center is leading the charge when it comes to attracting and maintaining top talent in the skilled nursing field. Whiting Health Care Center has over 30 employees that have, combined, dedicated hundreds of years of service and commitment to the center. These staff members make up various positions within the building- from Administration, to Nursing, to clerical. The center has watched some of these employees grow as professionals, moving from Certified Nursing Aides to rising in the ranks to becoming LPN’s and/or Registered Nurses, LPN’s becoming RN’s, and clerical staff becoming part of the Administration team. The center is based on a culture that promotes growth from within and invests in the wellbeing of its employees. In one instance, Judy Pingitore, started her career at Whiting Health Care about 23 years ago as a Licensed Practical Nurse and has since completed her Registered Nurse License and is now the center’s Certified MDS Coordinator, becoming an integral part of the nursing administration team.

The County Woman Magazine

When this exceptional group of employees were asked that very important question, “Why do you work at Whiting Health Care Center?” . . . there were several common answers. Love for the job and passion for the patients and the ability to deliver quality care on a daily basis was a common response amongst the group. These incredible staff members are all committed to going above and beyond the call of duty for the patients, and the patients and their family members have become a part of the staff ’s own extended families. Cindy Andreala, a Licensed Practical Nurse who has been with Whiting for 11 years, responded by saying, “I just feel like I am at home here.” Another common response for why people choose to work at the center was the solid employee-toemployee relationships. Whiting’s staff all agree that the consistency and reliability amongst the staff members is very important to them. They have all formed such strong friendships with one other and it makes the day very enjoyable for everyone when working with friends. As a result, employee morale is high, staff longevity is consistent and patients know that the people taking care of them not only enjoy what they do, but will be a constant presence in their care plans. The Activities Department at the center has been a constant presence and driver in the success of the building and the positive patient outcomes experienced at Whiting. Activities Director, Amy DelValle and her Assistant Jennifer Johnson, as well as the rest of the activity department have at the center for over 36 years, and because of this, each member of the activities department has willingly devoted themselves to the patients. This special team knows every detail

of the center’s population, even down to each patient’s favorite color. With their extreme attention to detail, they bring smiles to everyone’s faces. Joanne Gardner, Director of Human Resources, an employee of Whiting Health Care for over 20 years states, “I grew up here, the patients and staff have watched me get married and raise my daughter, this IS my family.” Cathy Harmon, Director of the center’s Adult Day Care Program, and Registered Nurse, Arlene Tetro both commented that the consistency of staff, the level of care that is provided, and the patients and family members are what make them come to work every day. In short, to answer the question of “Why do you work for Whiting Health Care Center?” the only answer that makes sense is “LOVE.” The center’s commitment to its staff and patients is what makes Whiting different from the rest. With staff longevity and dedication to consistent, exceptional quality care comes great patient outcomes. Countless lives have been touched through the center staff and Whiting Health Care looks forward to the next two hundred years of longevity.

Whiting Healthcare Center 3000 Hilltop Road, Whiting, NJ 08759

732-849-4400

Visit www.reverawhiting.com

www.TheCountyWoman.com

November/December 2013

Medical Professionals

Stubborn Fat Has Met Its Match

Freeze Your Fat Away With CoolSculpting

About CoolSculpting . . . ®

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

Key Benefits of CoolSculpting

It involves no needles, surgery or downtime.

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

It’s safe.

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

It’s convenient.

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

The results are dramatic.

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

How CoolSculpting Works ®

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

Target Patient

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

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.

November/December 2013

Medical Professionals

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 Surgeon with Shore Vascular common circulatory prob& Vein Center states, “In our lems that affect individuals practice, we have been caring of all ages. for individuals with vascular problems, such Are you one of millions of people as varicose veins, for who suffer from our entire careers. In spider veins or recent years there have embarrassing been fantastic advancefacial veins? ments in the treatment of vascular disease. In many cases we can r offer these state-of-theYou in! art treatments to our e v Lo s Aga patients. As a result, g e we are able to treat L most of the vein problems that people expeShore Vascular & Vein Center, rience with minimally the Region’s Premiere Vascular and invasive, outpatient Vein Care Center, is pleased to offer Vein Gogh. procedures. Many of VeinGogh is a new, safe and reliable office these are performed procedure for the treatment of unsightly spider veins right in the office. anywhere on the body. A small burst of high frequency These procedures have energy is applied to the vein through a hair-thin probe, the advantage of being selectively heating and collapsing the vein. Treatment is fast and permanent. very safe and effective.

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

♥

Experience the ultimate in vein care right here at the Jersey Shore. Our Board Certified Vascular Specialists can eliminate the appearance of most spider veins and get your legs looking and feeling great.

Shore Vascular & Vein Center Jeffrey S. Gosin, M.D, FACS Stephen Gosin, M.D, FACS

442 Bethel Road, Somers Point, N.J. 08244

Phone: 609 927-VEIN(8346)

www.GetGreatLegs.com

The County Woman Magazine

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 The good news is that improved the way that we treat patients modern vein care allows with varicose veins for treatment of many of and venous reflux disthese problems in a far ease. It is performed in a comfortable office less invasive way than setting. General anesin the past. thesia is not necessary. The whole procedure sary. However, more and more is guided by ultrasound. Therefore, incisions and we are able to treat our patients with minimally invasive procesutures are usually not needed. dures. This is especially true for That means less pain and faster varicose veins and venous reflux.” recovery for our patients. The If you are suffering from procedure takes about 30 minthe symptoms or appearance of utes to perform and is over 95% varicose veins, or if you think successful in eliminating venous reflux, which is the cause of most you have leg symptoms that you think might be related to your varicose veins. We have now circulation, the Board Certified performed hundreds of these procedures and results have been Vascular Specialists of Shore Vascular & Vein Center are excellent.” “One of the significant advan- available to help. Most health tages to seeing a vascular surgeon insurance is accepted. for vein care is that we treat the full spectrum of vascular diseases, Please call for a from routine to very complicated consultation or for ones” says Dr. Gosin. “We have additional information. experience with conventional (609) 927-VEIN (8346) open surgery, and are certainly or visit us on the web prepared to do that when neceswww.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

November/December 2013

Law

Dear Facebook: My Spouse Is A Louse Written by: Jay Turnbach, Esq.

In the modern age of emails, voice mail, text messages, Twitter and Facebook, divorcing couples’ communications are never private. If you don’t trust your spouse enough to stay married, you shouldn’t trust that your spouse will keep your communications confidential. Remember ... Your Words Can Be Used Against You ... You should absolutely understand that anything you say (on social media) can and will be held against you in a court of (divorce) law. While some social media posts may seem cathartic, funny, or vindicating to you in

a fit of pique following an argument, the same post will most assuredly appear nasty, banal and gratuitous to the judge handling your divorce. In preparing for divorce, your spouse’s lawyer may ask them to print everything you’ve ever put on Twitter or Facebook to preserve it for court. Worse, you may find yourself unable to keep that stuff private. Many courts have found the deletion of social media posts in anticipation of litigation to be tantamount to the destruction of evidence (which, in layman’s terms, is a very bad thing and potentially criminal to boot).

social media, after all, is gossip writ large. While you are communicating globally on all social media, you cannot forget that almost all of us actually live in very small communities where our reputations may be hard won, but are far more easily destroyed. Any lawyer will assure you that calling your spouse unflattering names, using foul language, and otherwise comporting oneself electronically in any way that is intended to embarrass or humiliate a spouse can potentially do irretrievable damage to your court case. It is also ineffective. It turns out that shaming is not an effective way to compel a behavior change, no matter how good the perceived retribution may make you feel. In family court, where people are at their most fragile, and children are the most vulnerable, such behavior is not just seen as petty, but as decidedly dangerous to all concerned.

Even If Your Spouse Is Not Your “Friend” ... The fact that your spouse is not your “Facebook friend” is irrelevant. You can be absolutely certain that one of your “friends” is feeding them the information behind your back. The

Jay Turnbach, Esq., LLc

Electronic Messaging Can Be Hazardous To Your Case ...

Text messaging and email communication can also cause problems. Poets thrive with few words, using their art and verbal skill to convey vast meaning with a modicum of syllables. Unless you’ve written volumes of poetry, your text messages, like mine, are probably often ambiguous and prone to misinterpretation. Conveying the delicate emotions necessary to cooperate and co-parent with a former or estranged spouse is near impossible through 140 character long text messages. You may text a quick request to your spouse with no ill intention. Your spouse may read it as an unwelcome demand. Such is the danger and the reality of text messages. They are more akin to code than they are to language. They are misinterpreted every day between couples negotiating the breakdown of their relationships. Those misinterpretations turn into grudges and fester. Free Telephone Children suffer as a ConsulTaTion result.

732.286.4860

Divorce Mediation, Litigation, Collaborative Divorce Post-Judgment Divorce Enforcement of Divorce Judgments, Child Support and Alimony Modifications, Out of State Relocations with Children General Family Law Child Custody/Parenting Time Issues, DYFS Matters Domestic Violence Restraining Order Hearings, Motions to Vacate Old Orders

Don’t Text And Co-Parent, Consider A Call ... Our voice inflection, tone, and timbre all add meaning to our words. Our text messages are naked, without subtlety of emotional wardrobe. Unless you are a linguistic master, you cannot confidently clothe a text to cajole, wheedle, or implore a spouse. The human voice is a better option for such things failing Shakespeare’s facility with the language. Understand that your texts, despite your best intentions, may only be perceived as demands, dictates, or edicts by your estranged spouse. And be assured that every single text you send can and will be used against you in a court of (divorce) law. Schedule an appointment with Jay Turnbach, Esq., to further discuss your concerns. 732-286-4860

Jay Turnbach has 18 years’ experience handling family law matters in Ocean and Monmouth Counties. He is certified by the Supreme Court of New Jersey as a Certified Matrimonial Law Attorney. He is qualified as a divorce mediator pursuant to Rule 1:40 of the New Jersey rules of Court. He is the immediate past president of the Jersey Shore Collaborative Law

www.NJFamilyLawyer.net

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

The County Woman Magazine

Group, and a former chairman of the Family Law

229 Washington Street Toms River, NJ 08753

www.TheCountyWoman.com

Committee of the Ocean County Bar Association.

November/December 2013

Community

How Can You Help the Denise Marie Flaherty Memorial Foundation? How Dr. Balaji’s Gift Impacted Don Through The Denise Marie Flaherty Memorial Foundation. It was truly humbling to witness firsthand the profound and lasting effect that Dr. Balaji’s gift of teeth replacement meant to Don Helms. Dr. Balaji provided Don with a brand new set of teeth that were previously destroyed by the various cancer treatments over the past five years. Per Don, “Dr. Balaji changed his life” and he was overjoyed to have the beautiful replacement teeth. Unfortunately, Don Helms passed away at the end of September, but we helped make his last few months as special as they could be given the circumstances.

Don enjoys a picnic with his family. The smile on Don’s face says it all! Dr. Balaji’s teeth replacement gift changed his life.

Our Story:

he Denise Marie Flaherty Memorial Foundation started out as a

grass roots effort in 2003 by Brian Flaherty as a way to pay back, and really pay forward, the support the Flaherty’s had received from MSKCC (Memorial Sloan Kettering Cancer Center). Not only for prolonging Denise’s Life but also forgiving a large amount of outstanding bills at the time of her passing. In 2004 the 1st Annual Golf & Dinner Auction was started with Memorial Sloan Kettering named as the beneficiary. Each year the event grew in size, quality, and ultimately revenue, so in 2010 when the idea was born to split the proceeds between MSKCC and a family battling the financial burden of battling cancer we were financially able to make a positive difference. Our first year beneficiary, Kathy Donovan received over $7000 to help keep her in her home for the last year of her life & we still had $7000 help MSKCC. Today our Foundation stands with many families in the fight and supports research facilities in both NJ and NC, with plans to do so nationwide. Our goal is to provide funds to innovative cancer research facilities and also to support families dealing with the financial burden of fighting this disease! We believe no one should have to worry about the mortgage when they are in the fight of their lives. Our Flagship event, The Annual Denise M. Flaherty Mem. Golf Outing has given way to the Denise M Flaherty Mem. Foundation Golf & Dinner Auction, an event that has turned into a storied celebration of all our loved ones who are in the battle with or whom we have lost to Cancer!! In 2014, we will include two annual 5K events, and another NC golf outing so that several times a year we can celebrate their courage and raise money in their honor! That money will forever be a “pay it forward gift” that goes towards finding a cure, and countless families in the fight.

Who We Support: • Memorial Sloan Kettering Cancer Center - NYC • Alamance Regional Medical Center – NC • Select families who have been affected by Cancer.

How to Help:

Make a Donation

Organizations like us are nothing without the generosity and continued loyal support of our sponsors. Folks just like you! Thank you for your support, we make every dollar count.

In Kind Donation

In Kind Donations are items that we use as event giveaways, or auction items and are an essential for our cause. If you have an item you would like to donate please mail it to: Denise M. Flaherty Mem. Foundation Inc. 7013 Windsor Way Elon, NC 27244 Please include a description of the item, your contact information, and estimated cost of the item(s).

Volunteer

If you have ever been to a charity event you no doubt realized two things. (1) It takes a lot of effort and (2) the people with the staff shirts on have a tremendous impact on the success and quality of an event. If you are interested in volunteering please email brian@deniseflahertyfoundation.org or brianandchristina@flahertys.org.

10th Annal

Your Support Is Welcome At Our 2014 Events • The 11th Annual Denise M. Flaherty Mem. Foundation Golf Outing & Dinner Auction - NJ August 7, 2014 Location: Eagle Ridge Golf Club Lakewood NJ

• The 1st Annual Denise M. Flaherty Mem Foundation 5K Run/Walk - NJ Date: TBD – Target Date Early May Location: Blue Claws Stadium – Lakewood NJ

Denise Marie Flaherty Memorial Foundation is a qualified 501(c)(3) tax-exempt organization and donations are tax-deductible to the full extent of the law. No goods or services were provided for this gift. Please consult your tax adviser regarding specific questions about your deductions.

The County Woman Magazine

www.TheCountyWoman.com

Mission Statement This is a special year.

Thank you for sharing an amazing 10 year run with us!!!

“The Fight Continues” We pick up the fight where your loved ones left off, it is in their honor that we fight! Our Mission is to ensure that while you are fighting for your life and your wellness you won’t have to worry about paying your bills. November/December 2013

Professional Dentistry

The County Woman Magazine

www.TheCountyWoman.com

November/December 2013

Fashion

Beauty

Dreamy Holiday Gifts from Leisure and Lace Not sure what to get? A gift certificate from Leisure and Lace is always a winner. Hand written and beautifully wrapped, our gift certificates are more personal than your average plastic card.

Gift Certificate

Crobeonsider giving a for a gift that

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Don’t forget, Leisure and Lace is the place to get all of your holiday outfit needs, from bras and shape wear to hosiery and accessories that will make you look your very best. “ You will see such a difference in your clothing with a good bra.” – A quote from one woman in the dressing room to another.

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The County Woman Magazine

www.TheCountyWoman.com

November/December 2013

Fashion

Wedding Boutique

Beauty

November 23-30

Bi-Annual Sample Sale: We’re making room for our 2014 Spring Bridal Collection and passing the savings to you!!! Bridal Gowns starting from $199 up to $999. Come early

The Plaza 1205 Tilton Road Northfield, NJ 08225

609-241-0134

Bridal for the best selections! In-Store Gowns Only Special Occasion December 10-23 Mother of Bride/Groom Annual 12 Discount Days of Christmas Sale: Cocktail Dresses Each day we will have a new special offer. Follow us on Facebook for more details. Jewelry Accessories

www.WeddingBellesBoutique.com

The County Woman Magazine

“The Difference is in the Details”

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November/December 2013

Health

& Wellness

Change Your Body In Just 55 Minutes A Week! “I was not in the best condition when I began the program, but Prep55 starts each participant off at a level and pace that is comfortable and slowly progresses you into more challenging workouts that aren’t intimidating.” ~ Marie

By Julianne Dods, The Ocean Club

Being physically active is one of the most important steps that people of all ages and fitness levels can take to improve their long-term health and quality of life.

hile 150-minutes of moderateintensity physical activity is the most beneficial across all spectrums, some physical activity is better than none; especially for sedentary individuals who are just beginning to incorporate exercise into their daily or weekly routine.

For this reason, The Ocean Club has launched a revolutionary new small group exercise program which gets participants to engage in just 55 minutes of physical activity per week: Prep55.

So, what is Prep55? According

to Joseph Giordano, Certified Personal Trainer and Program Design Specialist, Prep55 stands for Physical Readiness Exercise Program. “Basically, Prep55 is a beginner or novice program that focuses on foundational exercises, proper mechanics and lifting techniques for safe and effective workouts. The program is comprised of two 25-minute small group-training sessions each week, for 8 weeks. In addition, each participant receives personalized nutrition counseling and fitness evaluations prior to beginning the program, as well as at the completion of the program.”

Is it really possible to improve your fitness level in just 55 minutes per week? The experts at the

Ocean Club say, YES! “This program was professionally developed to introduce effective exercise habits, support healthy dietary changes and educate participants about creating sustainable lifestyle changes,” said Paul Brones, Regional Training Director with the Ocean Club in Stafford Township. “Together, these things can make a profound difference in people’s

Q health and fitness…not to mention how they feel about themselves.”

How does Prep55 work? Often

times novice fitness enthusiasts become complacent with their exercise routines creating fitness plateaus and reducing motivation to continue exercising. Prep55 focuses on changing those routines by building on fundamental exercises. As the participant slowly progresses and becomes more proficient in the movements, they will notice considerable gains in both cardiovascular endurance and muscular strength.

Julianne Dods Vice President, The Ocean Club

How do I get started? The cost

to enroll in Prep55 is only $79 per person…less than $5 per session. It is open to both Ocean Club members and non-members. Classes are forming now for January 2014 sessions. Space is limited, so register now by calling (609) 978-2244, today! For more information about the Ocean Club and Prep55, visit www.tiltonfitness.com/the-ocean-club

Making Fitness Your Family’s Focus

At the Ocean Club, we are committed to creating a healthy and fun atmosphere the whole family can enjoy.

EVERYBODY LOVES BEING A MEMBER Month-to-Month & Student Memberships Available.

Is Prep55 right for me? Prep55

is designed to be effective for all participants regardless of age or current fitness level. Giordano, who spearheaded the initial launch of the program this past June, says that one of the benefits of the Prep55 program is the personalized attention and support given to each participant in a fun and motivational environment. “Anyone can succeed with Prep55,” says Marie Hayes who, along with her son, graduated from the pilot class. “Even though the sessions are only 25 minutes, you accomplish and learn so much. Prep55 acclimates you to fundamental exercises and gives you the knowledge you need to change your life.” “If it wasn’t for Joe and Prep55, my son and I would not have achieved our goals. Together, we are more conscious of our food choices and making active lifestyle changes that are easy to implement and maintain.” Marie has continued to explore other Small Group classes while her son, Lloyd, now meets with Joe one-on-one. “Prep55 made such a tremendous impact on both of our lives,” says Lloyd.

The County Woman Magazine

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50+ Group Exercise Classes Each Week Small Group Fitness Aquatics TRX Hot Yoga Boxing And More!

your Body Prep55 in just“Change 55-Minutes a Week!” $79 Special Offer Present this pass at the Ocean Club to activate.

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700 S. Main Street (RT. 9)

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

www.TheCountyWoman.com

November/December 2013

Law

Mistakes To Avoid When Buying Your Home!

Written by: Christine L. Matus, Esq.

uying a home is probably one of the biggest investments anyone could ever make. A real estate transaction has many pieces that must work together. Oftentimes there are things that are out of anyone’s control. But, there are things that a buyer can do to make the experience go as smooth as possible. I have been blessed to be able to work with some of the top realtors in this county. I had the opportunity to speak to a number of them and ask them what can buyers do for themselves in order to have a smooth transaction.

Consult With Your Mortgage Representative. “Buyers should consult with their mortgage representative and their accountant often before and during the process of purchasing a home” the Schlueter Team of Re/Max

at Barnegat Bay informed me. They shared with me that buyers, while under contract, will go out and make major purchases, such as furniture, stereo, car, and the like, which will have an impact on their credit score. In some cases the buyers credit scores and reduced to the point where they are no longer eligible for the loan. They added, “Furthermore, buyers will sometimes cancel their credit cards, while under contract, feeling that it will enhance their credit, which is not what happens in the short term. They will actual lose credit points.” I have worked with the Schlueter team of Re/Max at Barnegat Bay for several years. They are top-notch real estate agents and have achieved numerous awards such as the Distinguished Sales Club, the Remax President’s Club, and the Platinum Level 2002-2003 as well as the NJAR and OCDR Realtor Associate of the Year for 2003.

Stay involved. Gerald J. Venitelli of Veltri Realtors emphasized that buyers must “stay involved in the process.”

Understand The Purpose Of The Home Inspection Home Inspection is not a negotiating tool. Sometimes, buyers believe that they will use the home inspection process to further negotiate on the price as opposed to getting major

items addressed if needed.” The Schlueter team recommends that buyers should be guided by the realtor and educated on the home buying process and the purpose of the home inspection. They should never be told that the home inspection is a negotiating tool.” During the home inspection phase, do not get lost in the details. Buyers should have a list of major items they hope to be in reasonable shape. Quite often during the home inspection, buyers get caught up in the minute details that do not affect the overall functionality of a home.” In essence, you should just keep your eye on the prize.

only discovered at closing, which causes a great delay.” Gerry Venitelli has a strong background in sales and understands the psychology between buyers and sellers.

Be Honest. “Be honest with all parties involved”, says Julie Choy, also of Re/Max at Barnegat Bay, a fulltime agent since 1996 and one of the hardest working realtors around. “If you make an

offer to purchase a home with cash, it’s important not to change it to a mortgage midway. It upsets the seller and changes the tone of the whole transaction.” Take heed of the worthy advice given by these top realtors. It will help first time homebuyers as well as experienced homebuyers when pursuing the home of their dreams. Call Matus and Connell at (732) 281-0060 for more information.

Two Attorneys, One Mission: to provide professional, efficient legal counsel and representation

Trust The Professionals Mr. Venitelli indicated that it’s great to ask questions but also trust the attorney and the realtor to do their job. In regards to the home inspection report, Mr. Venitelli indicates it’s important to not only have one done, but to read it. “Whose house is it going to be?” Mr. Venitelli adds that it’s not a great idea to rely on other people to read the report for you and to give you their opinion. If it’s a home that you want to live in, or own, it’s important that you read it and understand it.”

Review The Survey. In regards to the survey, it is impetrative to review that document prior to closing. “There are many times where the problem with the survey is

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November/December 2013

Medical Professionals

Constipation . . . A Difficult Topic To Talk About tine when bowel movements are infrequent. However, there is no evidence that any “toxins” accumulate, or that constipation leads to disease such as cancer. Unlike what your mother or grandmother may have said, it is not essential to move your bowels every day.

Q Written by: Jill Collier, MD, Chairperson of Department of Gastroenterology at Community Medical Center

onstipation is a subject that few people like to talk about. If you’ve suffered from this problem, you know that it can be both painful and frustrating. Most people will experience constipation at some point from infancy to the end of life. Not only does constipation cause discomfort, but relieving constipation can be time-consuming and costly. Each year in the U.S., chronic constipation leads to approximately 2.5 million physician visits and medication costs of many hundreds of million dollars. Though not usually serious, constipation should be concerning.

What is constipation?

Although we have all experienced constipation, it may be difficult to define. Normal bowel movement frequency has a wide variability, ranging from three times a day to three times a week. Constipation occurs when bowel movements become difficult to pass, are incomplete or are less frequent.

Constipation: Fact vs. Fiction

Modern infomercials state that toxins accumulate in the intes-

thesia that allows your doctor to look directly into the colon to assess for causes of constipation. This test will be recommended for many who complain of a change in bowel function, but is also a common tool used for general health maintenance in those over 50 years old.

What causes constipation?

Constipation is usually caused by decreased bowel function rather than a structural problem. This means that there is not necessarily an area of blockage in the bowel, as from colon cancer, but more typically there is a change in the motion of the colon. Constipation associated with bloating and pain may be caused by Irritable Bowel Syndrome. Other common causes of constipation include frequently used medications like those used to treat high blood pressure, depression and chronic pain. Diet, stress, and travel can also cause changes in stool passage. Neurological disorders such as Parkinson’s disease or Multiple Sclerosis can lead to constipation. Metabolic conditions such as underactive thyroid and menopause may also be associated with constipation.

How can constipation be prevented?

underlying disorder. Speak with your gastroenterologist to get the needed testing and to receive instructions and medications if needed to address this problem.

Call to schedule your appointment at Gastroenterologists of Ocean County.

Patient Testimonials

There are several things you can do to prevent constipation. Eat a well balanced diet with plenty of fiber such as fruits, vegetables, and grains. Probiotics like yogurts with active cultures may also be helpful Drinking extra fluids and exercising are also important to maintain good bowel function. Move your bowels when you feel the urge, and go to the bathroom at the same time each morning.

“Procedure went smoothly. Dr. Collier was very informative regarding procedure, as well as communicating results. Felt very comfortable with Dr. Collier and am thankful to have her as my physician for this process.” ~ JoAnn, 65, Forked River “What stood out to me was the patience and kindness that everyone at your facility exhibited. Your front desk staff was knowledgeable and patient on explaining everything and answering questions, and very pleasant. You can tell that everyone likes working there because their happiness comes through. Dr. Jill Collier gave me all the information I needed and made me feel at ease. This was an excellent experience.” ~ Jennifer, 39, Brick

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What medications can be used to treat constipation? Several over-the-counter options are available to treat constipation. Stool softeners may improve hard stools that are difficult to pass, though they will not increase stool frequency. Fiber supplements may be beneficial in those that don’t have a good diet. Milk of Magnesia and Miralax are safe over-the-counter laxatives. Frequent use of stimulant laxative like Senna, Dulcolax or Correctol should be avoided, as this can lead to tolerance and dependency. New oral prescription medications treatments are available from your physician including Amitiza and Linzess. For constipation associ-

How is constipation diagnosed?

Most people do not need extensive testing to diagnose constipation. If constipation is associated with bleeding, pain, or weight loss, a colonoscopy will certainly be required. A colonoscopy is a procedure performed with anes-

Gastroenterologists of Ocean County

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.

Board Certified Gastroenterologists

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

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

• • • •

Swallowing disorders Endoscopic treatment of hemorrhoids Capsule Endoscopy Bravo pH Monitoring

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

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

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

Medicare, HMO’s and most insurance accepted.

ated with the use of opiate pain killers, a new injection therapy called Relistor may be beneficial. As you can see, constipation can affect all of us at some point in our lives. Though if it represents a new or persistent change, or is associated with alarm features such as bleeding, pain, or weight loss, this may reflect a serious

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.

November/December 2013

Medical Professionals

Get Ready For Next Season’s Sexy Sandals!!! Summer’s over, which means flip-flops, open-toes, and sandals can be packed away. With winter months ahead, give your feet the attention they deserve. Now is the perfect time to shape up your feet for next spring’s sexiest shoes.

Innovative New Hammer Toe Treatment Now Available

Actual Hammer Toe Surgery

This is not just a cosmetic concern. It is a quality of life issue. An estimated 60 million people suffer from hammer toe deformities in the U.S. Hammer toes are most common in people 40 and older, and are seen more in females than males due to their tendency to wear tight, tion, open sores, and pain especially when until the wires are removed. This new narrow shoes. Both men and women wearing shoes and walking. This conditechnique offers a reduced healing and You’ll feel great in the hottest fashions can feel self-concious about the way their tion significantly impacts an individual’s recovery time, eliminates the risk of pin feet look. They may feel limited in their when you can pick whatever shoes and physical, functional, and emotional qualtrack infection, and in addition, prevents sandals you want. Get rid of your hammer choice of shoes available, suffer restricity of life. Surgery is considered when hammer toe recurrence. This allows tions in their activity level, and just simconservative treatments fail. patients to get back to their normal routoes this winter to reveal your new pretty ply want to be comfortable wearing shoes Now available is the latest technology tine much quicker. toes this spring. Most people know someboth aesthetically and pain-free. for hammer toes that eliminates those one who has had hammer toe surgery, and Ankle concerns? Make an Hammer toe is a deformity that most ugly and painful external wires. This associates it with those ugly wires sticking frequently involves the second, third, and/ appointment with Dr. Prasad at advanced surgical technique is distinct out at the end of the toes and lots of pain. or fourth toes. When the joints in the because it does NOT require temporary Garden State Foot & Ankle Group, A new innovative approach is available small toes remain bent or bowed for an wires protruding from the toes (4-6 please call (732) 557-9900. extended time, the tendons can shrink that will have you back in shoes quickly weeks); instead, a micro-implant is placed and toes stiffen into a claw-like or hamSources: Diagram: http://www.thehealthybackblog.com/wpwith no more ugly wires, less pain, less internally. The old technique, with the content/uploads/2011/11/hammer-toe.jpg mer shape. This results in pain at the top protruding wires, makes it difficult to swelling, and less time away from work to Before & after photo: http://painbehindkneecure.com/wp-content/ of the bent toe, redness and swelling in work, bathe, drive, or even sleep normally uploads/2013/06/hammertoe-surgery.jpg reveal your new straight toes. As we all the joints, corns at the try to workout and shape up over the win- top of the joint, and pain Testimonial . . . “I have suffered from chronic pain due to nerve damage in my leg for over a ter, don’t forget about your feet. Feet can in the ball of the foot. decade. I found an excellent pain management team, but I began to experience excruciating pain in my foot shape up just in time for the beach and Among other symptoms, and feared the nerve damage was spreading. I was referred to Dr. Prasad. Little did I know, thanks to Dr. warm weather too! patients suffer inflammaPrasad, I was on my way to a complete cure... The morning I met Dr. Prasad, he came in, sat down and gave me his complete attention. He did not rush Offering Expert Care through his examination, which was extensive and thorough and provided me with an accurate assessment of my problem. For Lower Extremity Disorders Utilizing merely two stitches on either side of my ankle, Dr. Prasad performed an endoscopic procedure. There was no swelling and very little bruising and/or discoloration. In fact, Doc told me I would walk out of the surgery center after the operation, and I did. And I did so with the normal discomfort of an operation, but let me stress: I no longer had the excruciating pain on the bottom of my foot. • Bunion and Hammer Toe Correction Dr. Prasad made the correct call, accurately performed a minimally invasive surgery, and stopped the pain. My foot is 100% pain-free! He is Outstanding.” ~ M.E. Genievich, Small Business Owner • Heel Pain- Non-Invasive to Minimally-Invasive

Comprehensive Services Include: Treatment • Fracture and Trauma Care- Foot and Ankle • Ulcer Care/Wound Care • Diabetic Foot Care • Plantar Warts • Diabetic Shoes/Custom Orthotics

Call us today 732.557.9900

20 Hospital Drive, Suite 9 • Toms River, NJ

The County Woman Magazine

Dr. Manooj Prasad of Garden State Foot & Ankle Group, located at 20 Hospital Drive, Suite 9 in Toms River, is an experienced doctor of podiatric medicine and trained surgeon who focuses on disorders of the foot, ankle, and lower leg. Dr. Prasad offers comprehensive care exploring both non-surgical and surgical treatment options based on his patient’s needs and lifestyle. Dr. Prasad was born and raised in East Brunswick, New Jersey. He completed his undergraduate studies at Rutgers University, and received his doctorate from the New York College of Podiatric Medicine. His surgical training was completed at both Our Lady of Mercy in the Bronx and St. Vincent’s Hospital BrooklynQueens. He then continued with advanced training in foot and ankle surgery with nationally-renowned surgeon, Dr. Stanley Kalish, in Atlanta, Georgia. Dr. Prasad is one of the only surgeons in the area trained to perform the STAR Total Ankle Joint Replacement, the latest treatment for severe ankle arthritis. He also uses the latest technology for wireless hammer toe correction surgery providing a quicker recovery time. Feeling that Ocean County was a great place to begin his career and raise a family, Dr. Prasad opened his practice originally in Lakewood, and recently moved to his current location in Toms River. He lives in Toms River with his wife, Krystin, a native to Toms River, along with their four children. He enjoys gardening, tennis, and training his dog, Max. He is on staff at both Community and Kimball Medical Centers. For all of your foot and ankle concerns, for more information and to make an appointment with Dr. Prasad, please call: (732) 557-9900.

www.TheCountyWoman.com

November/December 2013

12739 WJ Bariatric_Layout 1 10/9/13 3:45 PM Page 1

Medical Professionals

Six years after weight loss surgery, running her life as she likes

April 2, 2007 Former Tuckerton resident Kristina Akers was lying in a hospital bed at AtlantiCare Regional Medical Center (ARMC) Atlantic City Campus preparing for weight-loss (bariatric) surgery.

a multidisciplinary approach to the treatment of morbid obesity. “Our approach is about more than surgery — it’s about support and education, aimed at helping patients not only lose weight, but also stay on track to build healthy habits for life,” says Alexander Onopchenko, MD, FACS, FASMBS, medical director of the Center for Surgical Weight Loss & Wellness at ARMC and medical director of AtlantiCare Physician Group (APG) Surgical Services. Prepared to Succeed Kristina admits that prior to surgery

she didn’t make any lifestyle changes. But afterward, armed with new knowledge about how to stay healthy, combined with her own determination to take charge of her health, she started walking and improving her diet. “The weight just started coming off, and I continued walking and getting good nutrition,” she says. Today, Kristina no longer struggles with sleep apnea, high blood pressure or issues with her knees. But she says physical improvements aren’t the only changes that have happened in the

years following her surgery. “So many things have gotten better,” she says. “I have a better sense of well-being, I am more outgoing. I enjoy being able to do anything I want without being out of breath, like being active with my children. I just feel better!” If you are interested in finding out if bariatric surgery is an option for you, or want more information, call 1-888-569-1000, visit www.atlanticare.org, or find AtlantiCare on Facebook at www.facebook.com/atlanticare.

FREE WEIGHT LOSS

SURGERY SEMINARS To register call 1-888-569-1000.

June 2, 2013 Kristina proudly crosses the finish line during her fifth 5K race in six months. She has lost about 150 pounds since having the life-changing surgery. “I’m so happy for what I did for myself,” says Kristina, who now lives in Newfields, New Hampshire. “My life has changed so much, and I am doing so well. It wasn’t just the surgery that did it, though — AtlantiCare also gave me the tools I needed to take control of and change my life.” More than Surgery As an American Society for Metabolic & Bariatric Surgery Center of Excellence, ARMC offers

The County Woman Magazine

“Minimally Invasive Bariatric Surgery” Join us to learn about these minimally invasive surgical procedures for weight loss: • Laparoscopic Sleeve Gastrectomy • Laparoscopic Biliopancreatic Diversion (BPD) with Duodenal Switch (DS) • Laparoscopic Gastric Bypass Roux-En-Y • Laparoscopic Adjustable Gastric Banding (LAP-BAND®)

REGIONAL MEDICAL CENTER The Center for Surgical Weight Loss & Wellness

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

November/December 2013

Medical Professionals

Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center (ARMC) Meet Our Doctors

Alexander Onopchenko, MD, FACS Medical Director Dr. Onopchenko is the medical director of the Center for Surgical Weight Loss & Wellness at ARMC. He received a doctorate in medicine with honors from the Medical College of Pennsylvania and completed a residency in general surgery at the University of Medicine and Dentistry of New Jersey. He has been practicing general and vascular surgery in Atlantic County since 1989. In addition to his board certification in general surgery, Dr. Onopchenko is a Fellow of the American College of Surgeons, a member of the Society of American Gastrointestinal Endoscopic Surgeons and the Society of Laparoendoscopic Surgeons. He is an active Fellow in the American Society of Metabolic and Bariatric Surgery and received the Societyâ&#x20AC;&#x2122;s Center of Excellence designation for performing bariatric surgery. Since 1990, his special interest has been advanced minimally invasive surgery. He was one of the first surgeons to perform a laparoscopic cholecystectomy in Atlantic County and routinely performs other advanced minimally invasive surgeries. Dr. Onopchenkoâ&#x20AC;&#x2122;s interest in bariatrics comes from seeing friends and family struggle with obesity and recognizing such a great need for bariatric services in the southeastern New Jersey region.

If you are interested in finding out if bariatric surgery is an option for you, or want more information, call 1-888-569-1000, visit www.atlanticare.org, or find AtlantiCare on Facebook at www.facebook.com/atlanticare.

The County Woman Magazine

Samir Patel, MD, FACS Bariatric Surgeon Dr. Patel is a staff physician at the Center for Surgical Weight Loss & Wellness at ARMC. Born and raised in New York City, he is a graduate of Cornell University with a degree in biochemistry. He graduated with honors from the Albert Einstein College of Medicine. After completing a general surgery residency at State University of New York at Brooklyn, Dr. Patel pursued fellowship training in advanced laparoscopy and bariatric surgery at Staten Island University Hospital under the tutelage of George Ferzli, MD, a world-renowned laparoscopic surgeon. He is a member of the Society of the American Gastrointestinal Endoscopic Surgeons, the American Society of Metabolic and Bariatric Surgery, the Society of Laparoendoscopic Surgeons, the American College of Surgeons, and the American Medical Association.

Recognized as a Bariatric Center of Excellence by the American Society for Bariatric Surgery

REGIONAL MEDICAL CENTER

www.TheCountyWoman.com

November/December 2013

Elder Law

Will Contests: How Do They Work? Written by: Nancy M. Rice, Esquire, CELA We discussed (A) Fraud and (B) Due Execution in the Atlantic County Woman September/October 2013 issue, Part 1 of 2. Today, we will continue in our discussion with (C) Testamentary Capacity and (D) Undue Influence.

C. Testamentary Capacity The test for determining testamentary capacity is rather permissive. Indeed, the level of capacity needed to execute a Will is less than that required to enter into a contract. The key questions are whether the person who made the Will (called the “Testator”) understood: (1) the nature and extent of the property subject of the Will; in other words, what assets the Testator had and

planned to leave under his or her Will; and (2) the “natural objects of his or her bounty,” that is, who are the Testator’s next of kin (whether or not he or she wants to leave them anything under the Will, the Testator needs to know who they are); and (3) the effect of the Will; that the Will would dispose of property following death; and (4) the relation of each of these factors to the other. Notably, the law presumes that all Testators are of sound and competent mind when a Will is executed (assuming he/she was at least 18 years of age and has not been declared by a court to be legally incapacitated). To overcome the presumption of capacity, the contestant must prove lack of testamentary capacity at the time the Will was executed, by clear and convincing evidence. It is important to know that it is not enough to show that the Testator was addicted to drugs or alcohol; you must prove that the person was under the influence of a substance at the time of the execution of the Will. Nor is it sufficient to show that the Testator was forgetful at time, so long as he or she had

some capacity to manage his or her business affairs.

D. Undue Influence Undue influence has been defined as any type of exertion, whether, physical, mental or moral that can prevent the Testator from following his/her free will. Mere suggestions, persuasions or the exertion of some influence is not enough to invalidate a Will. Ordinarily, the challenger has the burden of proving undue influence. If, however, the Will benefits one who enjoyed a special or “confidential relationship” with the Testator, and there are “suspicious circumstances” surrounding the execution of the Will, the burden of proof will shift to the defender of the Will. A “confidential relationship” can be found where there is some special trust between the Testator and a beneficiary under the Will and where the nature of that special relationship creates some type of reliance or dependency. At times a special or confidential relationship has been found to exist between a Testator and an adult child, other relative, a healthcare provider, a neighbor, an attorney or an accountant. Notably, while a confidential relationship naturally exists between a

Part 2 of 2

husband and wife, the presumption of undue influence will not generally arise even when the Testator’s children are disinherited. As to the “suspicious circumstances” component of an undue influence Will contest, the evidence on this issue need be no more than “slight”. Suspicious circumstances have been found where a beneficiary of the Will engaged his attorney to prepare the Testator’s Will and where a nursing home patient was removed from the facility by the beneficiary of a Will that was signed a few days later. If you believe that a Will should be challenged because it was not executed properly (i.e., it was forged, didn’t have the correct number of witnesses, etc.) or because the deceased was not competent when he/she signed it or because the Will was the product of undue influence, you should hire a seasoned attorney, who has significant experience in this area of law. Do not delay with your decision to engage an experienced attorney because the law allows only a narrow window of time during which a caveat and/or a Will contest may be filed.

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

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

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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.

November/December 2013

Medical Professionals

Update In Sleep:

Similar to all fields of scientific endeavor, scientists in the field of sleep disorders make advances every day. How Long Should I Sleep?

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

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

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.

Community

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This is perhaps one of the most common questions asked of me as a sleep disorders physician. There is a conception that eight hours is normal. A recent study from the Centers for Disease Control in Atlanta, Georgia, of over 50,000 adults noted that those over the age of 45 feel into three classes: 1. Short Sleeper- less than six hours: 31%, 2. Medium Sleeper- 7-9 hours: 66%, and 3. Long Sleeper- greater than 10 hours: 4.1%. From this study, it appears that there is a U-shaped curve in the absence of diabetes, stroke and heart disease with an increase incidence of both conditions. All conditions when people sleep less than seven or more than nine hours a night. A study from the University of Washington examined the relationship between genetics and sleep duration. They found a study of twins that short sleep less than five hours or long sleep greater than 10 hours resulted in increased incidence of depressive symptoms.

Sleep Quality & Aging

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

Perhaps the most exciting field and recent medical history is the analysis and identification of the human genome. This is the DNA fabric from which we are made and “hard wired.” The most interesting aspect to me, however, is the relationship between environment and genetics phenomena called epigenetics. A study from the University of Utah correlated genetic structure with sleep quality resulted in premature aging. This study of women’s health across the nation indicated that recreational or physical axis activity outside the home promotes better sleep. Finally, a study out of Sweden indicated that the appearance of fatigue related to lack of sleep is readily identifiable on the face marked by increase wrinkles, a look of sadness, swelling and redness of the eyes.

Cancer & Sleep

A Study from the renowned Women’s Health Initiative found no relationship between sleep duration and the quality insomnia or disturbances, sleep disturbance with the development of breast cancer. A second study found that sleep apnea slightly increases the risk of cancer.

Dementia & Sleep Apnea

One of the most impressive clinical observations in those individuals with sleep apnea afflicted for over decades is a profound steady decline in memory. A study from an animal model now indicates that the repetitive

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stresses of low oxygen level, common in sleep apnea leads to brain damage by the accumulation of cobalt. Sleep, that is highly fragmented, broken up into discrete periods of sleep and wakefulness has a high correlation to the ultimate development of dementia according to study from the University of Toronto. A study from Spain indicates that those individuals with early dementia, known as mild cognitive impairment, have both symptomatic and observed changes in their sleep structure. Notably is a misperception of the rapidity at which sleep begins known as latency to sleep.

Sleep Deprivation

A recent study showed that at night’s sleep, improved an individual’s ability to navigate through a maze the following day. This suggests that sleep is crucial to the formation of spatial memory. Another study indicated that self reported sleep quality was associated with subsequent depression in older men. Finally, an agent employed by the United States military, modafinil has been used successfully promoting wakefulness in many individuals in a variety of situations. A recent study indicates sleep deprived individuals show an increase in driving performance when they use this medication.

Nightcap & Sleep

Throughout the ages, alcohol has been used as a sedative agent and is probably the most common sedative known throughout the world. A recent study, from the University of Missouri, however, observes that after two days of alcohol the effect in the promotion of sleep was tremendously reduced. However, we do know that alcohol impairs reflexes and promotes sleep apnea.

Sleep & Adolescence

The excessive sleep disorder is perhaps only exceeded by the problems of the teenager itself. A study out of Norway indicates that sleep disturbance of any type in adolescence leads to an increased rate of hospitalization. It is interesting to note few high schools throughout the United States have responded to this by adjusting the onset of the first class time to a more appropriate time for adolescence: noontime.

If you have concerns or questions about your sleeping behaviors, call to schedule your appointment with Dr. Stephen Newman at 732-920-8022.

November/December 2013

Law

How Do Creditors Harass People? What’s the first thing we think of when we get an early morning phone call? Emergency. It startles us – we wonder who’s in trouble and what action we need to take, all before we’ve had our first sip of coffee.

Then imagine it’s a creditor on the other end. We are angry. We feel harassed. It’s a terrible start to our day, and worse, it’s likely not the last we will be hearing from them. For many of us, this scenario is not hard to imagine at all. Although there are laws in place to curtail some creditor recovery actions and techniques, the reality is that people are more overwhelmed by creditor harassment at their home and workplace than ever before. Here are a few ways bankruptcy may be an option in stopping creditor harassment and collection efforts:

Stop harassing phone calls

– This is likely the most common complaint I hear from folks when they are contemplating bankruptcy. The phone calls are non-stop. Many people stop answering their phones all together. It’s that constant emotional strain of knowing that they are being hounded that eats at people’s ability to sleep or otherwise carry on the normal functions of their day. Phone calls can sometimes extend to family members or the workplace. Creditors are becoming more creative in their methods by the day. Bankruptcy is a means of stopping the harassment. Upon the filing of a bankruptcy petition, all methods of harassment and communication by crediCommunity

tors ceases by law. It is a powerful means of protecting oneself and moving forward.

Stop wage garnishment -

Some folks can withstand the harassment…that is until the harassment transforms into more affirmative collection efforts. The most common and effective form of collection comes in the form of wage garnishment. People don’t want their employers to know about certain debt problems they may be experiencing. Once a wage garnishment is imposed, the debtor has no say in the matter. Not only can this be a source of concern and consternation between the debtor and his/ her employer, but it, obviously, will have a dramatic effect on a person’s ability to meet their monthly expenses once the garnishment goes into effect. Bankruptcy will stop a wage garnishment in its tracks.

Levied bank accounts –

Ignoring creditor harassment can sometimes mean ignoring everything that comes in the mail. This would potentially include lawsuits and the judgments that would arise from them if said lawsuits are ignored. Oftentimes, the call to action to proactively deal with one’s debts comes only after their bank account is frozen – without warning. Bounced checks, lack of disposable income and an inability to pay bills for the month follow. In some cases, if a bankruptcy is filed soon enough, those monies can be saved. However, it is best not to wait until the last minute. It is important that folks not ignore their credit situation until the last minute, or their assets can come under attack. The point of all of this is that waiting to explore one’s options does nobody any good. It is important to be proactive in

Zonta Club of Southern Ocean County hosted its second annual “Pamper Me Day,” held at The Ocean Club in Staffordville, NJ. The event featured a variety of activities, including massage therapy, reflexology, a cooking demonstration, and make-overs provided by Mary Kay representatives. A photographer recorded the “before-and-after” results. Participants enjoyed snacks provided by Zonta members and samples of the cook’s demonstration. Funds raised were donated to Providence House, a safe haven in Whiting, NJ, which provides counseling

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addressing credit problems - for the sake of your family, your job, and, most significantly, your own sanity. The purpose of bankruptcy is to get a fresh start. Taking that first step in exploring your options – and refusing to allow yourself to

Let me count the ways…

be harassed any longer – is the key to acquiring that fresh start.

Protect Yourself Against Foreclosure, Judgments & Harassing Creditors 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.

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

732.341.3800

Free Consultations

and other services to victims of abuse. The Zonta Club was also promoting awareness of a campaign to fight human trafficking, commencing on Oct. 25, by offering orange “Zonta Says No” ribbons. Orange is recognized as the official color of the protest. Zonta Club of Southern Ocean County is part of an international non-profit women’s service organization whose aim is to benefit woman locally via education, advocacy, and political involvement. For more information, contact Jeanne Ellis at 609-760-4120. www.TheCountyWoman.com

November/December 2013

Law

Protect Yourself Against Foreclosure, Judgments & Harassing Creditors

Chapters 7 & 13 Individual, Business and Creditor Representation

We are a debt relief agency that helps people le for relief under the bankruptcy code. Payment Plans Available

BANKRUPTCY

732.341.3800

www.straﬃandstraﬃ.com

670 Commons Way • Toms River, NJ Conveniently Located Directly Oﬀ Of the Parkway

FREE CONSULTATIONS

Daniel Straﬃ Jr., Esq.

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November/December 2013

Medical Professionals

Health Literacy: When Words Count Nina Paonessa, D.O., F.A.C.O.S., a fellowship trained colorectal surgeon and the only female colorectal surgeon in the area, understands that some patients may feel uncomfortable or embarrassed asking their physician to explain medical terminology – especially when it relates to colorectal issues. “But when it comes to your health, it’s important to be able to ask your physician questions, no matter how uncomfortable you may feel,” says Dr. Paonessa. Below, she explains some of the most commonly confused medical terms she encounters in her Toms River practice. A recent study conducted by Emory University and published in Cancer, a peer-reviewed journal of the American Cancer Society, revealed the public’s lack of understanding when it comes to medical terminology. According to

the study, only 15 percent of people understood the term “incontinence,” with 29 percent and 32 percent understanding “urinary function” and “bowel habits” respectively. Bowel incontinence is a common issue that is described as the weakened ability to control gas or stool. The most common cause of incontinence is a tear or weakness in the anal sphincter, the muscles that control the anus. Some common causes of a damaged/weakened anal sphincter are: obstetric injury, pregnancy, and trauma. Another important term to understand is urinary function, which refers to urination habits, including how often or how much. Two terms that tend to confuse people are bowel and intestine. They both refer to the same thing; however, there are two types: the small and the large intestine or bowel. The colon refers to the large intestine only. One issue that Dr. Paonessa encounters nearly every day is an ostomy or stoma. This refers to a bag on the outside of the body that connects to the small intestine, large intestine or urinary tract. When the bag connects to the small intestine,

it is referred to as an ileostomy. When it is connected to the large intestine, or colon, it is referred to as a colostomy. When connected to the urinary tract, it is called a urostomy. Other terms that are often confused are tumors and polyps. A tumor is any abnormal growth on the body, but does not necessarily refer to cancer. A benign tumor is a mass of cells that cannot spread to neighboring tissues, meaning they are noncancerous. A malignant tumor, however, has the ability to invade adjacent or even distant tissues and are therefore classified as cancerous. A polyp is also an abnormal growth, but they project from a mucous membrane. They are commonly found in the large intestine, and while most are benign, there can be a relationship between polyps and cancer. “Medical terminology can be difficult to understand for the common patient, but it’s important that you stop your doctor and ask specific questions if you become confused,” says Dr. Paonessa. “Knowing exactly what’s going on with your body is key to understanding and taking control of your health.”

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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Patient Testimonials Danny Q.

“Dr. Paonessa is one of the nicest doctors I have ever come across. She has taken such good care of me and is very smart. A friend recommended her to me, and right after my first appointment with her I knew that she was the doctor I wanted to work with. My procedure went so smoothly and is healing up very nicely. Dr. Paonessa always took the time to make sure I was doing okay and visited me every single day I was in the hospital. She is the first doctor that I can honestly say I enjoyed going to see.”

Patricia E.

“I credit Dr. Paonessa for saving my life. Her thoroughness and attention to detail made the difference for my recovery. I’ve never met a doctor like her—so attentive and caring.” 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.

November/December 2013

Medical Professionals

You Just Discovered A Breast Lump. What’s The Next Step?

What is a clinical breast exam and how is it performed?

Cyrus Khorrami, M.D.

reast cancer is the most common malignancy affecting women and is the second leading cause of cancer deaths in the United States. A woman’s chance of developing breast cancer in her lifetime is 1 in 8. Each year about 240,000 new cases of breast cancer are diagnosed (one every 2.5 minutes). Sadly, 40,000 women die from breast cancer each year (one death every 13 minutes). Therefore it is extremely important to use every tool available to detect, diagnose, and treat breast cancer. Discovering a lump on the breast during a physical examination should prompt immediate attention. Here are some of the more common questions asked by my patients under these circumstances.

A clinical breast exam is a breast examination conducted by a health care professional. For women over the age of 40, it is recommended that this is performed every year. For this exam, the patient undresses from the waist up. The examiner will first look at the breasts for abnormalities in size or shape, or changes in the skin of the breasts and nipples. Using the tips of the finger pads, the examiner will gently feel the patient’s breasts and armpits. Special attention will be given to the texture of the breasts, location of any lumps, and fluid expelled from the nipple. The clinical breast exam is a good opportunity for women to learn the proper technique for conducting a self breast examination from their health care professionals. Ask your primary care physician to teach you.

Q A

How important are breast self examinations?

Very important! Self breast examinations play an important role in discovering breast cancers. Women over the age of 40 should perform self breast examinations monthly. It is important for women to get familiar with their breasts and know how they normally look and feel. This allows them to immediately notice any changes and to alert their doctor.

Q A

If a mass is discovered, what is the next step?

If a mass is found during a self breast examination, it should immediately be brought to the attention of your primary

care physician. For most women, a mammogram is the next step. A marker is placed over the lump and a mammogram is performed. This allows the radiologist to focus on the suspicious area. Normally compressing the breast with paddles during the mammogram is required to displace the surrounding breast tissue away from the suspicious mass. A mammogram is not typically performed if you are under the age of 30, recently postpartum and lactating, or had a recent normal mammogram within the month. In these cases, a breast ultrasound is the first step.

Q A

What about an ultrasound of the breast?

If a mass is detected by mammography, an ultrasound is typically ordered for a more complete evaluation. An ultrasound can determine if a mass is solid (made up of soft tissue) or cystic (made up of fluid). If the ultrasound shows the mass is a cyst made up of clear fluid (a simple cyst), this mass is benign and no further work up is needed. If the ultrasound shows the mass is a complex cyst (fluid containing debris) or is solid, a biopsy may be required to determine if it is cancer.

What if the breast mass can be felt on physical exam but it is not seen with mammography?

Occasionally, a suspicious mass discovered during a breast examination cannot be seen with mammography. This may be due to overlapping breast tissue obscuring the lesion. An ultrasound is then ordered to help find the mass. The

Ultrasound of a breast lump shows to be a benign, simple cyst.

Ultrasound of a breast lump shows a suspicious solid mass proven to be cancer by biopsy.

patient can point out the exact location of the mass to the ultrasound technologist and doctor and a spot specific search of the area can be conducted.

to your doctor, a biopsy may be performed to determine if there is hidden cancer.

What if the breast mass discovered during a breast examination cannot be seen with mammography and ultrasound?

Q A

The breast is composed of soft fat and dense fibrous tissue. This can occasionally cause irregular texture which can mimic a breast mass. If the mammogram and ultrasound are both negative, the chance of breast cancer in the area of concern is extremely low. In this case, follow up breast exams should be performed. If the mass discovered in a physical exam is very suspicious

What about men who have breast masses?

Up to 1% of diagnosed breast cancers are in men. Since men usually do not have routine screening mammograms, most of these cancers are discovered during physical exams. Many masses discovered in men are the development of breast tissue just behind the nipple (called gynecomastia). This newly formed breast tissue is benign. It is highly recommended to have any breast mass be examined by a doctor. The best way for men to determine whether a mass is cancer or gynecomastia is through a mammogram.

Patient Testimonials

“I have special needs. The young woman that attended me was wonderful. You should be proud of your staff!” ~ John, Whiting “When I made the appointment, I spoke to a real human, not a computer! When I arrived, everyone was as helpful and courteous as the receptionist on the phone. I had a great experience!” ~ Kelly, Toms River

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.

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November/December 2013

Medical Professionals

38 Total

Hearing Care

We Listen, You Hear

Give yourself the joy of hearing during this special season!

Total

Hearing

You are never too young (or old) to have a hearing screening. Hearing loss may be a natural part of aging, but approximately 95% of people can be helped with amplification. Total Hearing Care invites you and a guest to join us for our special events to learn more about hearing loss and the tremendous strides hearing technology has made in the past few years. Regardless of your age, if you think you may have hearing difficulties, plan on having a hearing screening as part of your overall health care. Taking control of your hearing means taking control of your life. “I am pleased to be associated with Total Hearing Care. They are a company committed to delivering unsurpassed hearing health care. They seek to educate the mature adult through workshops, seminars and expos so people can make informed decisions. Their professional staff is focused on providing patients with affordable, custom-tailored solutions.” Alexis Abramson, Ph.D. Leading Lifestyle Gerontologist Total Hearing Care Spokesperson

AL E X I

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VED O R APw P

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

R TO

D OC

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We Listen, You Hear

s ww .alexisabram

FREE Special Hearing Workshops November Events: December Events: Time: Address:

Mon., Nov. 11th - Wed., Nov. 13th Mon., Dec. 9th & Tues., Dec. 10th 9:00 am - 5:00 pm Total Hearing Care 525 Jack Martin Blvd., Suite 104, Brick 732-474-8949

November Events: December Events: Time: Address:

Thurs., Nov. 21st & Fri., Nov. 22nd Mon., Dec. 16th & Tues., Dec. 17th 9:00 am - 5:00 pm Total Hearing Care 444 Neptune Blvd., Suite 1, Neptune 732-474-8977

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

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

Learn more about Dr. Abramson at her website www.alexisabramson.com

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

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November/December 2013

Featured On The Cover

Total Hearing Care Is Passionate About Hearing Health

... And They Want You To Be Passionate About Your Hearing Health Too! Did you know that 30 million Americans have hearing loss in both ears? The number jumps to 48 million Americans who have hearing loss in at least one ear according to researchers at John Hopkins Medicine. As per the Better Hearing Institute (BHI), people are close to 70 years of age when they purchase their first hearing aids, despite the fact that 65% of people with hearing loss are below the age of 65 and nearly half of all people with hearing loss are below the age of 55. Hearing loss has been linked to a variety of chronic diseases, such as moderate kidney disease, arthritis, and diabetes. It impacts a person socially, psychologically and cognitively. A recent BHI study reveals that unaddressed hearing loss even has a significant impact on people’s ability to earn a living.

So why do people wait so long to get hearing aids? Neustadt M.S., F-AAA, is a licensed i Mindy audiologist and hearing aid dispenser at

Total Hearing Care-Brick. Mindy, a member of the American Academy of Audiology, has dedicated her time to diagnosing and treating hearing loss in adults. “Hearing loss can be so gradual some people don’t realize they have a problem. They may hear most sounds – but not all sounds. They often think that others are mumbling or the TV volume is too low. Even though hearing loss is one of the most common conditions affecting older adults, most adults wait an average of 5-15 years before seeking help for their hearing loss. Delaying the decision to purchase hearing aids has huge impacts on the patient, their family, and their associates.” more than 30+ years experience, i With Michael Golubiewski, HAD, is a hearing aid

dispenser at the Total Hearing Care-Whiting office who specializes in working with adults over the age of 55. He recommends annual hearing screenings as part of overall health care management for adults over the age of 55. “Getting an annual hearing screening is as important as getting an annual physical. Your test results are plotted on an audiogram, and we review the results with you. By maintaining an audiologic history, it is easier for me to assess your hearing loss and determine the best hearing device solution. I use advanced hearing analysis equipment in my office that allows me to refine the adjustment of your new hearing devices to best meet your needs.” are a growing number of adults who i “There continue to work later in life,“ said Christina

Parrott, NBC-HIS, a nationally board certified hearing instrument specialist at Total Hearing Care-Brick. Christina has more than 10 years experience in treating adult hearing loss. “The BHI study notes that salary loss can be as much as $30,000 annually! The study

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Meet the Total Hearing Care Team

(Left to right) Leo F. Harkins, HIS, Christina Parrott, NBC-HIS, Mindy Neustadt, MS, F-AAA and Michael T. Golubiewski, HAD.

also showed the strong relationship between the degree of hearing loss and unemployment for those who do not wear hearing aids,” said Christina. “This is another example of the importance of treating hearing loss sooner rather than later.” Hearing Care continues to expand i Total throughout New Jersey. Leo Harkins, HIS,

worked for a major hearing aid manufacturer for 20 years, and has been a hearing instrument specialist for almost as long. Leo is the hearing health care provider for the Total Hearing Care-Bayville clinic. “One of the things I love about my work is when I fit someone for hearing aids, and they are shocked at all the sounds they didn’t realize they had been missing! The largest adjustment people go through with their new hearing aids is ‘listening’ – realizing that your concept of ‘normal hearing’ changed as your hearing changed. The sooner you get help for your hearing impairment, the easier it will be for your brain to use the pathways it’s developed for processing and understanding sound.” www.TheCountyWoman.com

All four hearing health care professionals noted that many people think they are old if they are advised to purchase hearing aids. Nothing could be further from the truth! With today’s advanced digital technology, many hearing aid styles are either invisible or nearly invisible. Some hearing devices use Bluetooth technology so you can hear your cell phone through your hearing aid or can listen to TV directly through your hearing aid! Digital technology literally means that you are wearing tiny computers that deliver sound more clearly than ever before.

You are never too old (or young) to get a hearing screening and hearing devices if you need them. Total Hearing Care has 34 locations in New Jersey. Go to www.njhearingaids.com to find the location nearest you. Taking control of your hearing means taking control of your life!

November/December 2013

Medical edical Professionals M rofessionals

Anemia: A Symptom, Anemia: Symptom, Not Not AA Disease Disease This results in reduced oxygen supply to different parts of the body. When this is severe, it can cause difficulty in breathing, fatigue, dizziness and lightheadedness. It can diminish the oxygen supply to the heart muscles and can lead to heart attacks. Reduced oxygen to the brain can lead to syncope (fainting).

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

Yyou used to have. You are Are you anemic?

ou don’t have the energy

getting tired easily; many routine day-to-day tasks are getting more difficult. Others are noticing that you look pale; you want to sleep day and night… Chances are, you may be anemic. Anemia is not a disease in itself, rather a symptom of some other underlying ailments. This could be something as simple as a deficiency of iron or other nutritional supplements or less commonly, a major illness such as cancer or bone marrow disorders.

Q A

What is anemia?

There are three types of cells in our blood. Red cells (RBCs), White cells or (WBCs) and Platelets. Red cells contain a red pigment called hemoglobin that carries oxygen to the different parts of the body. White cells help to fight infection. Platelets help to prevent bleeding. Anemia is a condition in which the number of healthy red cells (RBCs) in the blood is low.

What causes anemia?

Anemia can be caused by either a defect of production of red cells from the bone marrow or excessive loss of blood/blood cells. • Iron or B12 deficiency: Blood cells are mainly made inside the bone marrow. (Marrow is the red juicy material inside the bones). Certain nutrients are needed for the production of blood cells, especially RBCs. Iron is a component of the red pigment hemoglobin. In addition, vitamins like vitamin B12 and folic acid are also needed to make blood cells. Deficiency in the diet or poor absorption of iron and B12 can lead to anemia. • Hemolytic anemia: If there is excessive destruction of blood cells, a process caused hemolysis, it leads to anemia. This can be hereditary, such as sickle cell anemia, Thalassemia(Meditaranean anemia) or acquired, such as autoimmune hemolytic anemia. In the latter, our body makes an antibody against our own red cells and it destroys the red cells in circulation. • Bone Marrow Diseases: If there are abnormal cells in the bone marrow, due to leukemia or other types of cancers, production of blood cells will be suppressed. Aplastic Anemia is a condition where the production of all blood cells, including red, white and platelets are markedly diminished. • Anemia from blood loss: If you have excessive blood loss (heavy menstrual cycles, bleeding ulcers, polyps or tumors in the stomach

and intestines), it can lead to anemia as your bone marrow may not be able to keep up with the extent of blood loss. • Anemia of chronic disease: Certain diseases such as Rheumatoid arthritis, Lupus, cancer and chronic infection can suppress the bone marrow and lead to decreased production of blood cells.

called erythropoietin made by the kidneys stimulates the production of red cells from the bone marrow. This is now commercially available as Procrit/ Aranesp injections and is used to treat certain types of anemia. These drugs should only be used under the supervision of a Hematologist or other physicians familiar with their use.

Diagnosing Anemia

For more information

Patient Testimonials:

"I am so appreciative and grateful that I was put in contact with Dr. Easaw and staff. They are so compassionate about your treatment and personal well being… the doctor gave me the confidence and reassured me. They certainly kept me lifted even when I would get so depressed that I would want to quit. Something about the doctor and staff always gave me an uplift, even when things got very tough." ~ Cecile , Brick, NJ

A simple blood test (CBC) about the diagnosis and "Dr. Easaw has continued to can tell you if you are anemic. monitor me with regards to my treatment of anemia It measures the hemoglobin and Hodgkin's Disease in a very and other blood professional yet compassionate the hematocrit. Normal hemomanner. From the moment I disorders, and different globin varies from 12-15 gms in enter her office I am greeted types of cancers, women and 13.5 to 17.5 in men. warmly by her staff, and I These normal ranges vary slight- Contact Dr.Sarah Easaw know I will be well cared for by someone who cares." at: 732-961-0010 Or visit: ly depending on the laboratory. ~ David , Manchester, NJ You can also measure the www.oceanhemonc.com levels of iron, B12 and folate in the blood. Compassionate Care, Close Close to to Home Home Compassionate Cancer Cancer Care, After these preliminary blood tests, you may be referred to a Hematologist (Blood specialist) who can perform additional tests, including a bone marrow evaluation.

What is the treatment of Anemia?

Treatment of anemia depends on the cause. Iron and B12 deficiency can be treated by taking iron pills or B12. In cases of unexplained iron deficiency, you have to look for occult causes of bleeding, especially from the stomach and intestines. An endoscopy and colonoscopy becomes essential in such cases, especially, if you are 50 or older. Anemia from other causes can be improved by treating the underlying illness. Role of ESAs (erythrocyte stimulating agents): A hormone

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January/February 2012 November/December 2013

Wigs & Hair Replacement

Thank you for your patronage!

We wish you a happy Thanksgiving and a blessed Christmas. We are looking forward to a prosperous New Year!

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Local Supplier of Jacquelyn Wigs

Stone Hedge Professional Building 2494 Moore Road, Ste. #1

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November/December 2013

Home Care

& Hospice

Medication Use: The Prescription For Staying At Home Holy Redeemer Home Care and Hospice offer tips for senior adults to avoid unnecessary hospital care due to medication mismanagement. Written by: Kathy Zonin, RN, Director of Nursing, Holy Redeemer HomeCare

For patients returning home from a stay in the hospital, the recovery process, especially adhering to a routine for prescribed medicines, can be a bitter pill to swallow. According to research presented in the Journal of American Geriatrics Society, about one in three older persons taking at least five medications will experience an adverse drug event each year, and about two thirds of these patients will require medical attention. “Regardless of whether senior adults are recovering at home due to surgery, a serious injury, or being treated for medical condition such as high blood pressure, proper medication usage is of the upmost importance,” says Kathy Zonin, RN, Holy Redeemer Home Care and Hospice. “It enables senior adults to move the healing process forward and recover to achieve an optimal level of well-being.” Holy Redeemer Home Care and Hospice, the largest non-profit provider of home care and hospice services in New Jersey, offers the following tips for proper medication management: Keep an accurate list of medications – Whether working with a home care clinician or visiting physician, make sure you have a list of all the medications you’ve been instructed to take. The list should include new medications, over-the-counter medicines, eye-drops and injections. This will ensure you take your medicines properly and avoid any potential side effects.

Follow your physician’s instructions – Take only those medicines currently

prescribed for you. Problems occur when patients don’t strictly adhere to their doctor’s orders. Taking medication inconsistently, taking too much or too little, stopping medication on your own or taking someone else’s medication can cause harm or injury. Learn the facts about new medications – When being placed on a new medication, be aware of the important facts, including: the specific name for your new prescription, the reason why you’re taking it, any possible adverse effects, the number of pills to take and the frequency and timing of your dosage. Also, learn if there are any lifestyle alterations needed with this new medication, such as changes in diet or activity. Many pharmacies provide full documentation with your medications. Keep a copy for your files.

usage is a first step towards self-management of your illness,” adds Zonin. “With just a minimal amount of effort, you can take steps that pay much bigger dividends towards living healthier, safer, and more independently.”

Fill all your prescriptions at one pharmacy – By this simple practice, you’ll enable the pharmacist to have a full profile of all the medications you’re taking and can alert you of any interactions between the different medications.

Keep in touch with your physician – It is very important to build and maintain good communication with your local physician, especially if you live in more than one geographical area during the year. This physician will know you and your medical history. When several doctors (e.g. specialists) provide care, your primary doctor coordinates the care you receive, which includes the medications that have been prescribed. This greatly reduces the chances of a medication error occurring.

when you

eel better about your

surroundings, you just eel better.

Be aware of how you feel – You are the best judge of how you’re feeling. If you notice dramatic changes such as nausea, dizziness, or fatigue, let your doctor know right away. While some side effects are common, more serious ones may require

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.

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.

medical attention. At the very least, your doctor may want to change your dose, try a different medication in the same drug class, or recommend some type of dietary or lifestyle change. “Taking steps towards proper medication

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Holy Redeemer HomeCare and Hospic 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 HomeCare and Hospice provides care to patients and their families 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, supportive 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 1-888-678-8678 or visit us on the web at www.holyredeemer.com.

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November/December 2013

Medical Professionals

FLU SHOT – IS THERE AN ALTERNATIVE? Flu Season is upon us. In fact, as of October 1st, my office reported one of the first cases of flu in Ocean County. As usual, not only are physicians preparing for the potential “epidemic”, pharmacists, grocery clerks and Wal-Mart greeters are all encouraging you to get your flu shot! For those of you who are seasoned readers of the OCW Magazine, you know my take on this and other Conventional Mainstream Medical Myths. For you novices, my prior history in conventional medicine resulted in my existence as a frustrated Family Physician. Having had the fortitude to break away from the “conventional wisdom” taught to me in medical school, it is appalling how much of that instruction I later found to be misguided, if not completely inaccurate. Today in my practice, it is my personal and professional goal to thoroughly research the most cutting-edge solutions for the medical problems that are brought before me. I assure you that anything I ever write or say is not based solely on my opinion but rather on factual evidence-based medical literature. Most of you know that I am not a fan of any vaccination with perhaps the exception of the rabies vaccine for those at very high risk since the death rate of rabies once contracted is not less than 100%. Although the discussion of general immunization practices in America is not the purpose of this article, it will soon be available to you once I launch my new website. I hope that it will give parents more information and guidance in making an informed decision as to how to approach options for their own as well as their children’s immunization schedule.

The Flu Vaccine Is “Lacking” Do you remember reading about the 1918 flu pandemic involving H1N1 influenza virus that killed 5 percent of the world’s population? Fear of this recurrence has brought about the multitude of vaccines given to our children and adults in America today (which has also provided a fat payday for Big Pharma). Once again: a great idea by man but a bad idea for mankind. This is because the flu shot is ineffective in protecting those most vulnerable from the life threatening effects of the flu, namely the very young and the elderly above age 65.1 In a 2012 study conducted by the Center for Infectious Disease Research & Policy at the University of Minnesota, the authors concluded that evidence for “consistent high- level protection is elusive.” Although vaccination was found to provide modest protection from infection in young healthy adults who rarely have complications of flu, the authors found that “evidence for protection in adults 65 years of age and older [who represent over 90% of deaths from flu] . . . is lacking.2” The same has been concluded in dozens of similar studies in infants and toddlers. Yet, in spite of the evidence disputing the benefits of the flu vaccines, hospitals and state legislators around the nation have been implementing flu vaccine mandates for employees, under threat of termination. This includes everyone working for the hospital, whether they have patient contact or not. This is only the tip of the iceberg. The CDC plans to revaccinate all children and adults; hospital workers just have the misfortune of being at the top of the list.

What are the options?

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

Dr. Bartiss’ Daily Vitamin D Recommendations for this season’s Flu    1. Get a blood test for Vitamin D (OH-25) 2. Make sure your whole family has adequate blood

levels of Vitamin D this flu season (>65-80ng/ml). Most children and adults vitamin D blood level is <30ng/ml.    3. Adult (and children >100lbs) maintenance.................................... 10,000 IU daily.  4. Children’s maintenance: <100lbs....... 5,000 IU daily. 5. At the first symptoms of a cold or flu .............1,000IU/ lb. daily for 7 days. Examples:  1. 50 lbs .......................................... 50,000 IU daily as a single dose for seven (7) days.  2. 100 lbs....................................100,000 IU daily as a single dose for seven (7) days.  3. 150 lbs.............................. 150,000 IU daily as a single dose for seven (7) days.  4. 200 lbs.......................... 200,000 IU daily as a single dose for seven (7) days.   1. CDC. Interim Adjusted Estimates of Seasonal Influenza Vaccine Effectiveness—United States, February 2013. MMWR Feb. 22, 2013; 62:119-23. 2. www.cidrap.umn.edu

ICAM

There are multiple preventive things you can do such as hand washing, and covering your nose and mouth

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

when you cough or sneeze. Eating healthy and getting adequate sleep is also very helpful, as are many herbs and supplements. But none are as effective as vitamin D. It has been well established that obtaining and maintaining high optimal levels of vitamin D will prevent the flu far better than the flu shot with literally no risks attached to its use. In fact if you develop the flu you should take excessive amounts to combat the symptoms and length of disability associated with it.

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.

November/December 2013

Assisted Living

Spring Oak Assisted Living Knows The Holidays Can Be Emotional ...

You May Notice Changes In Your SpringOak Loved One This Holiday Season Assisted Living of Forked River

10 Warning Signs Senior

Neglected home - it’s not as clean or sanitary as you remember growing up.

have a problem. But conflict often surfaces when family members have to agree on a solution, especially when the senior has dementia or Alzheimer’s and family members don’t know how to handle it. We at Spring Oak Assisted Living strongly recommend getting your loved one professional care, where they can be surrounded amongst everything they need to live a “quality life”. We have gathered a Family Meeting Guideline to help making decisions for your loved one easier and stress free.

Inappropriate behavior - acting loud, quiet, paranoid, or making phone calls at all hours.

Holiday Family Meeting Guide:

commit to support the plan.

♣ The person leading the meeting can be the elderly

♣ Write it down. Good intentions are often forgot-

Loved Ones Need Help

1 2 3 4 5 6 7 8

Poor eating habits resulting in weight loss, no appetite, or missed meals. Neglected hygiene - wearing dirty clothes, body odor, neglected nails and teeth.

Changed relationship patterns that friends or neighbors have noticed.

relative who anticipates needing care in the future. If that person already needs care, an adult child, friend, or relative can lead.

♣ Encourage discussion and get input from everyone. Make sure everyone makes their feelings known.

♣ Discuss money. Who will pay? How? If the money

is coming from the elderly relative’s estate, who will be the executor? Is Assisted Living affordable?

♣ Does the Assisted Living accept Medicaid if our loved one should need to apply for this?

♣ At the end of the meeting, everyone present must

ten over time and family members must have their responsibilities right in front of them.

Burns or injuries resulting from weakness, forgetfulness, or misuse of alcohol or medications.

We at Spring Oak are here for tours 7 days a week to help family and friends of aging loved ones. We offer a full service Assisted Living and Memory Care

Decreased participation in activities such as attending the senior center, book club, or church.

neighborhood for those in need of dementia and Alzheimer’s care. Call Cathy today for your tour 609-607-6002

Scorched pots and pans showing forgetfulness for dinner cooking on the stove.

9 10

Unopened mail, newspaper piles, missed appointments.

Mishandled finances such as losing money, paying bills twice, or hiding money. When family members get together, it’s great to finally recognize and see firsthand that their elderly loved ones may Community

Call for an Appointment Today

609.242.2661 www.SpringOak.net

601 N. Main St. (Route 9)

Lanoka Harbor, NJ

The Jersey Coast Shark Anglers Ladies Auxiliary Is Hooked On The Cause!!!! The Ladies Auxiliary Team, ‘ANGELS’ participated in the Making Strides Walk Against Breast Cancer in Point Pleasant on October 20th. Team ANGELS raised almost $1,000.00 to support the American Cancer Society’s mission to fight against breast cancer. The Ladies Auxiliary participated for the first time and honored a fallen club member and family members offering a message of strength for those fighting the disease. Since its 1995 inception, the JCSA Ladies Auxiliary participates in community events and tries to ‘pay forward’ as often as possible!

Jersey Coast Shark Anglers Ladies Auxiliary Vice President 385 Herbertsville Road Brick, NJ 08724

The County Woman Magazine

In Picture: Kathy Cunningham- Ladies Auxiliary Vice President and Team Leader, Barbara Tuttle, Jeanne Fritts, Carol Havanki, Jean Hrynkiewicz, Eileen Nerlick, Dene Durrenburger- Ladies Auxiliary Secretary, Lynn Dos Santos, Ladies Auxiliary Treasurer and Team Leader, Back Row: Lisa Corris, the Team Mascot,” King Octoberbreast”and Yve Everson.

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November/December 2013

Medical Professionals

â&#x20AC;&#x153;Iâ&#x20AC;&#x2122;ve Gone Past My Due Dateâ&#x20AC;Ś Now What?â&#x20AC;? 3) Utilize known date of conFor my patients, the non-stress or equivocal at best, we move Before I delve into this ception. Example: in someone test is performed on labor and towards delivery. If we arrive topic, please allow me to who has undergone ART (assisted delivery. An external transducer at 41 weeks and the patient is get â&#x20AC;&#x153;a little Hallmarkâ&#x20AC;? and reproductive technology), or IUI is placed on the gravid maternal still undelivered, we typically thank all the women who (intrauterine insemination). abdomen to measure fetal heart pick a date to deliverâ&#x20AC;Ś Route 21 edical rofessionals rate reactivity. This is thought to of delivery is determined/ grant me the honor and Ok, now that weâ&#x20AC;&#x2122;ve estabbe a good indicator of fetal autoaccomplished by many different privilege of taking care of lished how we estimate a nomic function. NST (non-stress variables and will be discussed patientâ&#x20AC;&#x2122;s due date, back to them during their pregtest) results are either reactive at a later time. Part II of IIPart I what happens when that date nancy. As your due dates (favorable), or non-reactive (unfacomesâ&#x20AC;Ś Having addressed some of the common a decrease estrogen production, the this phase of life. Forinall my pregnant Over the then goes. therapies for treating addressed Smoking cessation, weight loss, article has imparted some insight into what approach, I often reflect Having vorable). The typical NST takes signs/symptoms of menopause/peritissues of the vagina/urethra become While it is not Iâ&#x20AC;&#x2122;mthe sure most of my patients menopausal temperature regulation and relaxation is â&#x20AC;&#x153;normalâ&#x20AC;?, and will encourage women to some of of the common course moms who are steadily 20 minutes, but may be extended on our initial encounter atsigns/symptoms menopause, what aretheir available options â&#x20AC;&#x153;atrophicâ&#x20AC;?; i.e. thin, pale, less elastic, known what causes who have seen me/experienced the techniques are additional methods used to discuss the issue with physician. After symptoms (hot last few weeks I approaching their delivto 40 minutes or longer, taking for treatment of said symptoms? more easily traumatized as a result of hot flashes, they address hot flashes. taking a careful history and conducting a flashes) are of menopause or aforementioned can quote these your suppression visit andhave encounless ery lubrication, etc. Oftentimes patients areavailable. thoughtinWhile tofetal be into account variations While the menopausal is thorough work-up, hereâ&#x20AC;&#x2122;s to hoping that perimenopause date, this oneâ&#x20AC;&#x2122;stransition for you. next lines verbatim- in fact, it subsequent new OB visits.tered Stayyour tunedclinician for the can answers the will complain dryness, pain caused thersomething mostofwomen willirritation, experience, it you and find aintreatment nonebyofathem in the what previous sleep-wake cycles. probably sounds an awful lot like Hoping to see youthat very soon! still appears to be a topic is viewed as regimen, if necessary, that is right for you. are as what May/June issue of The County during intercourse, etc. as a result of moregulatory How time does fly (per- isissue, The biophysical profile is the seembeing somewhat â&#x20AC;&#x153;tabooâ&#x20AC;?. Hopefully this effective as the are theCharlie Brownâ&#x20AC;&#x2122;s mother or teacher Very truly yours, Woman. previously mentioned physiological dysfunction NST + an ultrasound. estrogen, During this haps not for you with youringly speaking to him: â&#x20AC;&#x153;Wah-wah-wah, available initiated at changes. Angela R. Jones, MD, FACOG. ultrasound, the following paramsame they options for swollen feet, lower back the wah-wah-wahâ&#x20AC;?in other words, if the level of eters are assessed: are treatment themore hypoyou of pass your EDD, we will now pain, indigestion, sleeplesspatient effective than these symptoms? 1) Fetal breathing movements Call Woman to Woman at 732-797-1510 thalamus by initiate antepartum fetalÂ surveilplacebo and nightsâ&#x20AC;Ś.). After all this, over and 2) Fetal movement to get your questions answered. estrogen withlance. If youSymptoms arrive at 41 over again. Vasomotor (i.e.weeks provide relief for many women. 3) Fetal tone your due date has arrived drawal. Core body hot flashes): majority of delivgestation andThe STILL havenâ&#x20AC;&#x2122;t Woman to Woman Obstetrics & Gynecology, LLC. temperature is normal at the beginning 4)Alternative Amniotic Fluid Volume. options include: mild symptoms She ered, is experiencing a middle-aged woman who - and in some cases, gone. women in our practice (pleaseismake Ocean Countyâ&#x20AC;&#x2122;s first and only all-female Obstetrics of the hot flash and falls below normal fetal is an 1.Assessment Gabapentin: of (Neurontin) usually doabout not require treatment. concerned herthat menstrual cycle, said special note I CLEARLY Now what? and Gynecology practice. after it; yielding a rapidutilized dissipation of anti-seizure medication in some For those experiencing moderate to

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

movement is also a form of which, up until a few months ago, was practice, not all ob-gyns heat. Untreated, hotflashes. flashesIt in most women to treat hot is generally severe â&#x20AC;&#x153;OURâ&#x20AC;? symptoms, goldasstandard â&#x20AC;&#x153;normalâ&#x20AC;?. Now shethe is skipping months antepartum fetal assessment. followisthis dictate), we there pick a datewomen given as a single dose at bedtime. of treatment estrogen. While n a daily basis, I find myself will stop spontaneously in 4-5 at a time or having multiple periods maternal perception 2.Decreased Anti-depressants: this category are non-hormonal options available, to deliver you. NowÂ halt the press! years. 9% of women report hot flashes laying out the â&#x20AC;&#x153;blue printâ&#x20AC;? per month; she is having occasional of fetal oftentimes, of medications is70. first line for treating none of themnot appeardiscussing to be as effective of after the age ofmovement I will of management when a patient hot flashes which be are keeping hermode up

hot flashes in women who cannot take as estrogen. Granted a woman has but not invariably, precedes delivery, induction of labor, atnonight, or ruining hertoclothing with who estrogen. goes beyond her due date. By this Insomnia ~Hence, A(Effexor) majorone sequela of Venlafaxine and contraindications its use, for fetal death. of the bouts perspiration does orofdoesnâ&#x20AC;&#x2122;t aduring C-section time, youâ&#x20AC;&#x2122;re already seeing me onrandom hot flashes is either Escitalopram (Lexapro) areinsomnia, common or example coronary arteryneed disease, a commonly asked questions at day;and shestroke noteswe intercourse isnâ&#x20AC;&#x2122;t thatâ&#x20AC;&#x2122;sbeing medications in this category how determine such; awakened from sleep.that Of are interest, history of orthat thromboembolism, a weekly basis hoping for a morethe astudies routine OBthat visitnocturnal is, â&#x20AC;&#x153;is the same; in fact, she notes signifiutilized to treat vasomotor symptoms. activethe disease, a history of breast noted hot aliver whole other articleâ&#x20AC;Ś So letâ&#x20AC;&#x2122;s getsleep favorable cervical exam, bloody quite baby moving ok, or the baby 3. Progesterone: while not utilized as cant vaginal dryness and pain with sex. cancer or a considerable risk for the the back to antepartumÂ fetalÂ surveil- flashes were more common isduring showâ&#x20AC;Ś ANYTHING that might routinely as the previously mentioned, aforementioned, short-term course â&#x20AC;&#x153;Dr. Jones, what isa going on, and is this first moving as much as normalâ&#x20AC;?? If 4 hours of sleep while REM sleep lance.is generally recommended. indicate that your baby is coming Depo-Provera (progesterone of estrogen normal? How long will this last? Can mom states no, or notes in theafollowing 4 hours wasonly notedthat to The goalabout of antepartum contraceptive) is effective in treating hot soon. Before we get into any spe-anything (Short term being defined as two tofetal suppress be done these symptoms arousals, and awakshe hot hasflashes, perceived a decrease flashes. surveillance is to prevent fetal threeIâ&#x20AC;&#x2122;m years, but no longer than five cifics, lets take a step or two backthat experiencing?â&#x20AC;? enings. fetalEstrogens movement, (plantoftentimes derived For patients risk factorsmodes of 4.inPhyto There with are numerous and revisit how we actually datedyears.)death. estrogens): are contained in numerous she will be sent to labor precluding estrogen use, or those seeking sleep disordersand are fetal surveillance; Theantepartum transition leading up to this is they foodsPrimary this pregnancy. suchcommon as soybeans, chickpeas, lentils, continued management of hot flashes delivery for said antepartum very in the perimenocalled perimenopause. On average, this include: The best obstetrical EDD, or after five flax seed, grains, etc. Often marketed as years of treatment, alternative pausal population. In a report of 102 fetalÂ surveillance. Regarding of menopausal transition begins a more â&#x20AC;&#x153;naturalâ&#x20AC;? or â&#x20AC;&#x153;saferâ&#x20AC;? alternative to estimated date of delivery, can be period therapies exist. Of note, in women who women 1) Fetal Movement Assessment ages 44-56 who reported sleep fetal menopausal kick countssymptoms, and what is is years before thea final menstrual managing there retain their uterus, progestational determined a variety of ways: four 2) Contraction Stress Test disturbances as a symptom of periperiod. As experienced by a majority of normal, there are two modes of no convincing evidence that these products agent would need to be administered in 1) Sure Last Menstrual menopause/menopause, 54 (53%)There had 3)into Non-stress Test period, hot are effective in reducing women this addition thetransitional estrogen. performing fetalsymptoms. kick counts. an underlying diagnoses ofsome restless leg Period. The EDD that is derived is also someissuggestion that phyto flashes,4) vaginal dryness,Profile sleep disturBiophysical (BPP) One counting fetal movesyndrome/sleep apnea or both. Also of estrogens may exert an estrogen-like effect using a patientâ&#x20AC;&#x2122;s last menstrual bances, Vaginal Atrophy: and mood lability are commonments over a 2-hour period. Modified Biophysical Profile interest, psychiatric issues anxiety/ on some tissues in the body of leading some Vaginal estrogen is an excellent period is compared to the dat- place. 5) Perception 10 movements experts to recommend that women depression can be of common in thiswith forUmbilical addressing vaginal Doppler atrophy. The6) average age of Artery menopause is ing obtained via a first trimester choice a history of breast cancer avoid their use perceived during this time population and can contribute to sleep The years. advantage of vaginal estrogenare Velocimetry Smoking and genetics ultrasound. As long as there isnâ&#x20AC;&#x2122;t51.4 altogether. in comparison to systemic estrogen disturbances as well. So while vasomotor is considered reassuring. factors thatFor maythe impact the age one article, I 5.frame greater than a week difference, we Herbal treatments: the mosttopopular of this is that the effect ofpurpose vaginal estrogen symptoms may beinvolves contributing sleep The other counting enters menopause. Smokers tend to of which is black cohosh, have not proven go with the due date obtained byis morewill local withbriefly minimal systemic only mention the onesdisturbances, it is important to recogan hour enter menopause earlier and are more to befetal moremovements effective than for placebo in clinical Vaginal estrogen use remains using the last menstrual period. absorption. you (the pregnant mom) anda I nize that treating the hot flashes alone apt to experience hot flashes. The age three times weekly. The count trials. As with the phyto estrogens, there is controversial in patients with a history If there is more than a week dis-patientâ&#x20AC;&#x2122;s(the may not solve the issue of sleeplessness physician) routinely reference mom/sister entered menopause some concern that these regimens may is deemed reassuring if it is also of breast cancer and consultation with a asexert there may be other underlying factors crepancy, we utilize the due datemay provide duringsome yourinsight routine, estrogen-like on some tissues. as touncompliwhen gynecologist and/or oncologist prior to greater thaneffects or equal to the contributing. obtained via ultrasound. an aside, with regard to As the patient can expect to enter cated pregnancy; i.e. , menoback to initiation should be undertaken. previously established baseline. identical 2) Estimated Date. If, for pause, the mom/sisterâ&#x20AC;&#x2122;s entry into Angiven alternative to you vaginal my spiel; â&#x20AC;&#x153;if go estrogen beyond your compounded Vaginalbiodryness ishormone another treatment, there is nopractice, data to support In our at 40+ woulddue be adate, vaginal moisturizer such as was a we â&#x20AC;&#x153;naturalâ&#x20AC;? entry. whatever reason, the patient is menopause symptom experienced byif,women will now implement superiority claims ofthe theseantepartum products over Replens. Replens, in addition to a heavy weeks, this stage of life. The epithelial lineither unsure of, or doesnâ&#x20AC;&#x2122;t know Hot antepartum fetal 80% surveillance for inconventional flashes affect methods of treatment. These lubricant such as Astroglide, is of a popular ing fetal surveillance isadditional reassuring, of the vagina/urethra are estrogen her last menstrual period, we remedy compounds also may pose risks which I will send you to labor and women in the menopausal tranfor issues attributable to vaginal the patient can remain pregtissues. With the declining in that they lack safety and efficacy data due establish an estimated due date sition making it for the amost commontest and dependent delivery non-stress atrophy; i.e., painful intercourse. function of If theitovaries, which leads to nant. isinnon-reassuring to their variations purity and potency. experienced by women in with a 1st trimester ultrasound. symptom Non-hormonal or estrogen

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

Lesley P. Furman, MD

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

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Ď˛ĎĎą DÄ&#x201A;Ĺ?Ĺś ^Ć&#x161;Ć&#x152;Ä&#x17E;Ä&#x17E;Ć&#x161; Ĺ?Ĺś dĹ˝ĹľĆ? ZĹ?Ç&#x20AC;Ä&#x17E;Ć&#x152; Íť ĎłĎŻĎŽÍ˛ĎłĎľĎłÍ˛ĎĎąĎĎŹ Ď˛ĎĎą DÄ&#x201A;Ĺ?Ĺś ^Ć&#x161;Ć&#x152;Ä&#x17E;Ä&#x17E;Ć&#x161; Ĺ?Ĺś dĹ˝ĹľĆ? ZĹ?Ç&#x20AC;Ä&#x17E;Ć&#x152; Íť ĎłĎŻĎŽÍ˛ĎłĎľĎłÍ˛ĎĎąĎĎŹ Ď´ĎŻĎŻ >Ä&#x201A;Ä?Ä&#x17E;Ç&#x2021; ZĹ˝Ä&#x201A;Ä&#x161; Ĺ?Ĺś &Ĺ˝Ć&#x152;ĹŹÄ&#x17E;Ä&#x161; ZĹ?Ç&#x20AC;Ä&#x17E;Ć&#x152; Íť Ď˛ĎŹĎľÍ˛ĎŽĎ°ĎŽÍ˛ĎŻĎŻĎŹĎ

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biophysical profileâ&#x20AC;?.

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March/April 2013

November/December 2013

Medical Professionals

Caring Heart & Brain Imaging Is Truly Saving Lives Lorraine Catalano is the

Imaging Director at Caring Heart & Brain Imaging. Lorraine said, “They offer many different scans but the Cardiac PET Perfusion Scan allows them to assess how well the cardiac arteries are distributing blood flow to the myocardium, or heart muscle. They are the only facility in Monmouth and Ocean counties offering this type of scan.” She adds, “This scan detects preclinical disease, i.e., coronary artery disease that is not yet obstructive and may not be causing symptoms. The scan will enable a practitioner to recommend lifestyle changes and introduce lipid and blood pressure medication to prevent the disease from accelerating to more advanced stages that require

invasive interventions and compromise lifestyle activity.” The scan also evaluates progression of disease in patients with known coronary artery disease and quantifies the presence and extent of obstruction to insure that correct decisions are made about necessary procedures or medication and lifestyle adjustments. Aside from the obvious preventative benefits of the scan, patients fully appreciate that the entire process takes only 45 minutes, as opposed to 3 to 5 hours with the older, alternative SPECT Cardiac Scan. “Above all, patients trust that the results are accurate, specific and conclusive enough to address their concerns and provides answers that they can trust.” This scan also delivers a much lower dose of energy and that means less exposure to radiation. Unfortunately, when it comes to seeking treatment for chest pain education does not always mean people do the right thing. Many studies have

SPECT

PET

CARDIAC PERFUSION

found that when heart patients received counseling about heart attack symptoms and when to get treatment were no more likely to get immediate care than those who had not received counseling. This is problematic because patients who do receive care within 90 minutes after the onset of symptoms fare much better in the long run.

Elizabeth Canning received a Perfusion Scan simply because

she was feeling out of breath and was due for an overall checkup and blood work. As a smoker, not only was her cholesterol high but so was her blood pressure.

The County Woman recently discussed what the scan did for her and why she feels it saved her life.

CHCI TECHNOLOGY

EC: High blood pressure for me was usually 120 over 80, so for my blood pressure to be even higher was a red flag. My physician, Dr. Deluca scheduled the scan for me but I was rushed to the ER at 5am with chest pains before it was performed. I felt like I was unable to breathe and actually did not even want to breathe. It seemed the only relief was doing my Lamaze breathing. I had five kids; so I was quite familiar with it.

EC: My symptoms sounded like reflux however there was some indication of irregular heart symptoms. The hospital kept me for three days perform-

Caring Heart & Brain Imaging 2414 Highway 35, Manasquan, NJ 08736 Phone: 732.292.1008 E-Mail: service@caringheartcoronaryimaging.com

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CW: How was your experience

with the staff and doctor at Caring Heart & Brain?

EC: The Center is very nicely decoCW: What made you decide to have rated and provides a warm atmosphere. the Perfusion Scan?

CW: What were some of your symptoms?

OLD TECHNOLOGY

ing numerous EKG’s, a chest X-ray (my second in a week), an Echo and a nuclear stress test. Even though there was some indication of irregular heart, the tests were clear and I was sent home with medication for reflux. I returned to Dr. Deluca still complaining and he changed the reflux medication. I returned again because my blood pressure was still high even on medication and I was still having several episodes a day of severe chest pains. Dr. Deluca was convinced it was the heart and once again rescheduled the Perfusion Scan. Sure enough, my left circumflex was 90% blocked and two stents were inserted by way of a heart catheterization.

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The doctor and staff are pleasant and made me feel very comfortable and restful, not anxious. CW: What do you recommend that

people do to avoid this sort of misdiagnosis happening to them?

EC: Firstly, this scan should definitely be a covered expense with all insurance. What I went through – three days in the hospital with numerous time consuming tests that did not even show any results was frustrating. This non-intrusive, low radiation, 45 minute scan cannot be compared. Chest pain is chest pain – dangerous to ignore. CW: How was your recovery and

what concerns do you currently have regarding your heart?

EC: Hardly any recovery from the catheterization but a couple days of rest and no heavy lifting for a short time. Thankfully, I now feel great and am relieved to have found the right solution.

Tell your doctor you want only the best.

At Caring Heart & Brain Imaging, you are in our caring hands. November/December 2013

Medical Professionals

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November/December 2013

Business

& Finance

Solving The Retirement Puzzle W hen my kids were small, we loved to work on puzzles. At first they would seem so overwhelming. So many pieces and shapes, how would they all fit together perfectly to create a final picture? What I would teach them is to first create the framework by looking for all the corner pieces-the ones with two straight edges. Next, I would have them search for pieces with at least one flat edge to complete the “frame”. Once this was completed, it wasn’t so complicated anymore. We would build on that framework by matching colors, shapes, and themes until before you know it, the masterpiece was finished and the kids would feel such a sense of pride and accomplishment. I thank our puzzle play for making them good problem solvers. You see, we had a process, the same one every time, and just followed that method over and over.

The Retirement Puzzle The retirement puzzle can be approached in much the same way, only this time we’ll call our “framework” a foundation. It is critical to first build a secure foundation before you can even think about the rest of the puzzle.

So what is the foundation, and how do you begin to build it? The foundation, my friends, is INCOME. There is nothing more important than to start here. If you have not addressed your present and FUTURE income needs, the rest of the puzzle will never come together just right. You’ll be

wishing, and hoping and praying and be filled with anxiety about your future. This just isn’t right. Retirement should be a rewarding, happy and fulfilling time. You deserve to feel secure and safe, not stressed and worried. Now, everyone’s situation and income needs will be different. Some will have a pension, some will not. Some have a higher monthly spending need, others, not so much. One thing we will all have in common is we’ll need the monthly check to show up in our bank account like clockwork-predictably and consistently, for as long as we live.

How do I accomplish my goals? One of the best ways I have found to accomplish this is with annuities, specifically, fixed annuities, not variables. Contractual guarantees and the strength of the underlying insurance companies are what make fixed annuities a reliable source of retirement income. They can help to supplement other income you may be receiving from, Social Security, company pension plans, and other investments. Newer fixed annuities, called fixed index annuities, are actually a “hybrid” of the traditional fixed kind that has a set rate of interest, and the variable kind which tout potential stock market gains (and high fees to go along with them). A FIXED INDEX ANNUITY is not a security like its variable cousin. It is an insurance product. Insurance companies have been in the protection and income business for hundreds of years. They are individually state mandated by a legal reserve system to maintain a capital surplus and to have enough liquidity to be able to pay all of their policyholders. They are also limited as to what they

are allowed to invest in so that they do not take on too much risk. In addition, most of the top insurance companies have “reinsurance,” other top companies to insure them, just in case. Insurance companies are among some of the most financially sound institutions in the world. That’s what I call a pretty strong foundation. Today, there are various features of the fixed index annuity, depending on the company and the product. Some offer an inflation rider, a healthcare rider, and enhanced death benefit for heirs, and several other options for a small fee. Again, each individual’s situation and needs are unique and should be thoroughly discussed with your advisor. Although fixed index annuities may be appropriate for tax deferral, or to leave a legacy, the most frequently used feature is the guarantee of lifetime income-predictable and consistent. After a secure foundation is laidsecuring income for your lifestyle needsnow you can consider the rest of the retirement puzzle with a bit more confidence and a lot less anxiety. Investing

appropriately for your time horizon and individual risk tolerance can really help to ward off the effects of future inflation, potentially higher taxes, and the unknown expenses of healthcare needs due to sickness and longevity. All that’s left to the puzzle is to be proud that you’ve figured it all out and enjoy a long happy life with those you love. It’s that simple.

Call us at Family Focus Financial Group. We love puzzles and we love helping people put them together. All initial discovery consultations are complimentary.

732-276-1429 www.fffgonline.com

*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. Any comments regarding safe and secure investments, and guaranteed income streams refer only to fixed insurance products. They do not refer, in any way to securities or investment advisory products. Fixed Insurance andAnnuity product guarantees are subject to the claims paying ability of the issuing company and are not offered by Global Financial Private Capital.

Call your friends at Family Focus Financial Group at WE SUPPORT CASA of Ocean County. See how you can help a child in need of your support. www.FFFGonline.com

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Kathy Nolan Investment Advisor Representative President/Founder

Our philosophy at FFFG is to provide intelligent solutions for you, our clients, so that you have confidence and security in knowing that your www.TheCountyWoman.com strategies are consistent with your objectives and values.

or visit them at 2042 West County Line Road, Jackson NJ 08527

November/December 2013

Alzheimer’s Care Community

“Making a Difference” Nazha Lakrik is one of those rare individuals that can change the chemistry of a room just by her mere presence. Whether it’s her sunny smile, or her large brown exotic eyes, her impact is palpable. When you meet and get to know Nazha, it’s easy to understand what makes her so special. Nazha is originally from Morocco, a country that continues to hold an esteemed spot in the imaginations of many a traveler, especially those that have the pleasure of experiencing the beguiling city of Marrakesh, which has a diverse and multicultural background. One of seven children, all sisters, Nazha is fluent is several languages, including English, French and Arabic. She came to America in 2000 and was immediately drawn to Brandywine Senior Living at The Gables. “I love Brandywine,” she says. “It’s like I’m coming home. Brandywine is family to me.” And in many ways, Brandywine has become her family. Nazha is the only one in her family that lives in the United States. With the exception of one aunt, most of her family is still in Morocco. Nazha works in the dietary department and says she does everything. Cooking, cleaning, serving, and filling in for those who get sick or go on vacation. She started at Brandywine in 2002 and worked for five years until she enlisted in the armed forces. When asked ‘why the military?’ she says, “Well, my friend who was in the Army said that they really needed people who could speak Arabic. So, I decided that the country needed me and I joined the Army.” Nazha has served, with distinction, two tours of duty in Iraq as a ‘linguist’.

Winning

WINNING

The County Woman Magazine

We are so lucky to have her back! Although she’s traded in her fatigues for the classic Brandywine black and gold, she says, with a smile, “they feel just as comfortable.” She brings that same selfless dedication, loving patience and compassion back to her Brandywine family. Marilyn Goldstein, Brandywine Senior Living at The Gables Executive Director says of Nazha, “She is just extraordinary in every way…you almost know that when you see her eyes. She brings a tireless and caring dedication to her job. Her uplifting attitude, her patience and her smile makes everyone feel good about themselves.” “I just love the residents,” says Nazha. “I just want to make them smile.” And indeed she does.

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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November/December 2013

Health

& Wellness

Don’t Be Stuck With Last Year’s Health Plan

Employer Open Enrollment: Make Timely Choices Restoring Hormone Balance 3

About this time every year, employees have a brief chance to enroll in or make changes to their company’s benefits plans for the coming year. If you’re like most people, though, your eyes start to glaze over when you finally sit down to sign up. It does take a little planning. But it’s in your best interest to give this some thought. The choices you make protect you and your family and can save—or cost—you some money. Take advantage of any benefits materials, online tools or calculators, or benefit plan meetings your company provides. If you need further help, talk to a human resources professional. This person can explain the full range of benefits such as health, vision, dental, and life insurance as well as other offerings.1 Here’s more information to help the process go a bit more smoothly: Compare Health Plans Carefully look over your company’s options. Look at all the pieces, not just the total cost. That includes premiums, deductibles, co-pays, and out-of-pocket limits. Know what a provider network is and what happens if your doctor is outside the network. Also, see how your spouse’s plan compares with yours. 1 Assess And Adjust Not every year is the same. Just had a baby? Then, life and disability insurance may be a higher priority than in the past.2 Not been taking advantage of low-cost options yet have been paying a higher regular premium? Then, you might do be better off with a high deductible plan.3

Consider An HRA Health reimbursement accounts can be particularly helpful in a year when you know you’ll have some extra expenses. Middle-schooler about to get braces? Time for an elective surgery? With an HRA, you can set aside pre-tax money in a separate account to use for medical expenses. The tax benefits can really add up. But remember: many plans require that you use the money in this account before the end of the year.1 Don’t Overlook Other Offerings A CareerBuilder survey found that many employees leave up to $1,000 on the table simply because they don’t know about all the benefits their company provides.4 This can include flexible spending accounts (FSAs), wellness benefits, tuition reimbursement, banking programs, and special discount programs.4 Private Health Insurance If your employer does not provide health insurance and you’re not on Medicare or Medicaid, you may be eligible for a plan that fits your budget and meets your needs — including subsidies that can reduce your monthly cost — under the Affordable Care Act. Enrollment begins October 1, 2013 and ends on March 31, 2014. Coverage starts as soon as January 1, 2014. Still confused? I’ll do what I can to help point you in the right direction.

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

Jay Greco, RPh

For more information on customized For morecall information on customized hormones, hormones, our professional call our professional compounding pharmacy. compounding pharmacy.

Jersey Shore Pharmacy ships prescription orders, within 300 miles of the Jersey Shore Pharmacy, by UPS. Arrival Next Day! Call 609-660-1111

609.660.1111

We also offer a 609.927.8900 medication disposal program.

Jay Greco, RPh Jersey Shore Pharmacy JSRX Holdings LLC, Rx Development LLC , 580 North Main St., Barnegat, 08005 www.jerseyshorepharmacybarnegat.net Phone: 609-660-1111 Sources 1. About.com: “Take Advantage of Your Employer’s Open Enrollment Period.” Available at: http://financialplan.about.com/ od/insurance/a/open-enrollment.htm Accessed March 18, 2013. 2. Financial Planning Association: “Be Wise at Work: Use Open Enrollment to Your Benefit.” Available at: http://www.fpa-

www.jerseyshorepharmacybarnegat.net

The County Woman Magazine

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November/December 2013

Elder Life Management

Older Adults And The Affordable Care Act What The Affordable Care Act Means For Individuals With Medicare In 1965, health care coverage for older adults in America changed dramatically with the passage of Medicare. This program has basically remained unchanged for 45 years, until 2010 when the Patient Protection and Affordable Care Act (ACA) was signed into law. Today, the ACA is the health care legislation that will revolutionize health insurance coverage for all ages. For older Americans who already have health insurance, it is the aim of the ACA to better control costs, enhance the quality of some existing services and the development of innovative programs, as well as some increases in benefits. Before the ACA, most adults over the age of 65 typically qualified for Medicare. People under the age of 65, who were fortunate enough to retire early, would need to purchase their own private policy or remain working at a job that provided health care coverage as part of its benefit package, but needed to wait until 65 to receive Medicare benefits.

The problem is that Medicare costs have been

rising at an unsustainable level. From 1985 to 2009, Medicare costs grew at almost a nine percent rate every year. In addition, Medicare did not provide sufficient coverage for many seniors, particularly those with high prescription drug costs. And the more than 5 million early retired adults, individuals between the ages of 55-64 (i.e. not eligible for Medicare) could find no affordable insurance coverage at all.

The Affordable Care Act attempts to address these problems by strengthening Medicare coverage in the following ways:

within specified targets. These recommendations will be sent to Congress, and can only be overridden with a supermajority vote.

• Prevention – Older Adults can now take advantage of expanded benefits like preventive services: flu shots, diabetic and cancer screenings, and yearly “Wellness visits” – without paying a dollar out of pocket. Some practitioners are using this annual visit as an opportunity to review Advance Medical Directives, and the new NJ POLST form regarding goals for health care.

Finally, for those who do not qualify for Medicare, the ACA law now makes private insurance more widely available, also mandating that all individuals purchase some type of health insurance plan. All of which remains highly controversial.

• Closing The Medicare Donut Hole – The traditional Medicare drug coverage program forced many seniors to pay thousands for prescription drugs that were not covered under Medicare. New provisions provides for up to a 50% discount on brand name drugs during the “donut hole” in coverage, the ACA will also eliminate the “donut hole” in coverage as of 2020. • Enhanced Tools To Manage Health Care Records – Medicare’s Blue Button and www.MyMedicare.gov allows seniors to better monitor and review current and historical health records, test results, payments, etc. • Controlling Medicare Cost – The ACA requires tougher screening procedures and stronger penalties for those who commit Medicare fraud. The ACA reduces payments to providers and Medicare Advantage Plans. This will, however, reduce the number of participating physicians, who may now be deciding to no longer accept Medicare patients. In addition, a new Independent Payment Advisory Board will issue recommendations to keep Medicare costs

However, for older adults and their families

attempting to navigate the long term health care maze, the most significant change with the ACA and its effects on Medicare patients, is the increase utilization of Observation Status (see article March/April 2012) as well as hospital financial sanctioning by the Federal government, for the “frequent flyer” or older adult who is returning to the hospital within 30 days of discharge. (See article November/December 2011.)

Only by being educated consumers will it be possible to understand the present state of health care changes.

Judith S. Parnes, L.C.S.W., C.M.C., Executive Director, Elder Life Management, 931 West Park Avenue, Ocean, New Jersey, 07712

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.

Testimonials Say It All . . .

Without your assistance in helping me to get my dad Medicaid approved, I would not have been able to maintain my sanity. I’ve enjoyed our friendship and want to say, simply, but sincerely, thank you!. M.N. ~ Clifton, NJ

I will always be grateful to you for guiding me through the dreadful process of getting my mother on Medicaid. The people you help next will never know how lucky they will be! With much appreciation. ~ P.C., Somerset, NJ

I just wanted to say thank you. I don’t know what I would do without you. You are the one that keeps me going. It is so difficult to manage my parents and try to work. I don’t live near my mom and she get so confused. I would lose my sanity without your help! A long overdue thank you! ~ L.C., Toms River, NJ

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November/December 2013

Health

Wellness

Be Brain Smart We pump iron to build our muscles. We eat foods that are good for our hearts. But did you know that your brain could benefit from mental exercises and “brain healthy” foods and vitamins? Generating new neurons and synapses is not limited to babies but continues as adults. In other words, it is possible to improve your “noodle’s” function, protect against dementia and enhance focus and clarity. After all, we can all use a little help up there.

Here Are Some Tips For Improving Cognitive Function: Brain Food: What we put into our

mouth has an impact on our brain. Just as Popeye ate spinach, there are brain super foods. • Nuts: Walnuts are rich in alpha linolenic acid (ALA). That means they help promote blood flow, which in turn allows for efficient delivery of oxygen to the brain. • Fish: Unlike land animals, the fattier the fish, the better the brain boost. Fatty fish like sardines and salmon contain omega-3 fatty acids, EPA and DHA, which have been linked to a lower risk of dementia, improved focus and memory. • Vegetables: Green leafy veggies are not just heart healthy but brain healthy too. A study at Harvard Medical School showed that women who consumed green vegetables had significantly decreased rates of cognitive decline. • Fruit: A diet rich in berries, whether they come in blue or red or black, is associated with a slower decline of memory and focus. • Eating breakfast has been shown to improve the memory and acquisition skills of schoolchildren. • AVOID Dehydration: Not having enough water can cause brain tissue to shrink and affect your ability to think. It can also impair short-term memory and decision-making. • AVOID Saturated Fats: They have been shown to damage neurons.

Brain Vitamins And Nutrients: When bodybuilders try to build muscle, they often take protein supplements. The same can be said about supplementing your brain “muscle.” Certain vitamins and nutrients are needed to help your brain function at maximal capacity. • Omega’s: The human brain is mostly fat (approximately 60%). Omega-3 fatty acids play an important function in cell membrane and intercellular nerve connections. Therefore it is no surprise that it is required for proper growth, development and function of brain tissue. Diets rich in omega’s have been shown to delay cognitive decline. Conversely, diets low in omega’s are associated with mood disorders and depression.

Dr. Radcliff completed her medical school and residency training at UCLA and has served on the medical faculty at The University of Pennsylvania. She has authored over 100 textbook chapters, research articles, medical opinions and reviews. She is the editor of the hugely successful textbook “The 5-Minute Anesthesia Consult.”

You may contact her at drninaradcliff@aol.com, follow her on Twitter.com/DrNinaRadcliff or Facebook.com/DrNinaRadcliff.

The County Woman Magazine

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Brain Exercises: Although not quite the same as pumping iron, certain brain exercises can help improve your thinking without breaking out a sweat. • Puzzles: Using your problem solving skills for crosswords, brainteasers and other word-oriented games can help build new connections in the brain. Similar to physical exercise, do not get comfortable with one form or intensity. Challenge yourself! Switching to different types of puzzles stimulates new brain activity and learning because your brain has to generate new memories in order to master the new challenge. So consider trying Sudoku or Candy Crush. • Become A Student Again: Learning in a classroom setting is not just for the young. Continuing education courses are available at many community colleges and high schools in the evening and on weekends. They offer a wide variety of topics from poetry, cooking, foreign languages, poker playing, and public speaking to computer skills. The great part is that they are relatively inexpensive. • Take Up A New Hobby: We have heard the term “the pursuit of happiness.” I would like to coin a new term “the pursuit of preserving and enhancing brain cells.” Taking up a new hobby such as learning a foreign language, gardening, playing a musical instrument, or creating artwork can develop new connections between neurons. Numerous studies have shown that it can also delay the onset of dementia and memory loss. • Physical exercise. Walking, jogging, biking and other forms of physical movement can increase blood flow to the hippocampus, the tissue in the brain responsible for memory. Exercise has also been shown to improve the ability to learn and recall facts.

November/December 2013

Medical Professionals

Think Twice Before Ignoring That Pain In Your Shoulder AAsNew Cure For An Old Problem! time goes on, everyone experiences aches and pains. The difficulty lies in figuring out

what pain we can endure and ignore from those that are more serious. At the top of the list is shoulder pain. Usually shoulder pain hurts with overhead activity. The pain radiates down the arm between the shoulder and the elbow, and it interferes with sleep. Unlike other parts of the body that experience wear and tear and develop arthritis, shoulder pain most commonly involves the rotator cuff tendon, not an arthritic condition. The rotator cuff tendon’s main function is to assist in raising the arm above shoulder height. It can be injured traumatically by a fall, by repetitive overuse in throwing or participating in racquet sports, and frequently can be torn without any injury or overuse. Unfortunately, the rotator cuff tendons can degenerate and tear with age. Most importantly, once they are torn they do not heal. Once torn, the tear will increase with activity and eventually become unfixable.

Q. What About Conservative Treatment?

With early detection, medication, physical therapy, and sometimes a steroid injection (frequently referred to as a cortisone injection), the pain can be stopped and a full tear prevented. When a full tear of the tendon is caught early, it can be repaired with an arthroscopic shoulder surgery. However, if left untreated for a long period of time, a rotator cuff tear will become irreparable. Over the years, a chronic rotator cuff tear will cause arthritis of the shoulder joint referred to as rotator cuff arthropathy.

Q. How Is It Diagnosed?

If there is weakness on exam or pain that does not respond to medication or therapy, an MRI is usually obtained. This radiologic exam will show rotator cuff tendons and the size of a tear. MRIs also can give clues to the chronicity of the tear. This will aid in the surgeon’s decision if the tear is repairable. Some massive, chronic tears are irreparable. Rotator cuff arthropathy is a painful condition, and in its worst form patients cannot lift the injured arm. This phenomenon is described as a pseudoparalysis of the shoulder. When this stage of a rotator cuff tendon tear is reached, the patient has developed a massive, chronic and irreparable tear. Until recently, the only treatment was to ease the pain with medication or an occasional steroid injection. In the past several years, a new procedure called reverse total shoulder arthroplasty has evolved to treat this dreadful condition. A conventional shoulder replacement cannot be performed when the rotator cuff is not functional because that surgery relies on the function of a healthy rotator cuff tendon to be successful.

Q. Why Is It Called A Reverse Shoulder?

Reverse total shoulder arthroplasty gets its name because the ball is placed on the socket side of the joint and the cup is placed on the ball side of the joint. Reversing the placement of the components gives this prosthesis a bio-mechanical advantage which allows the patient to regain overhead use of the limb as well as alleviating pain. In the last couple of years, second and third generation prosthesis have been developed, and the surgical technique has been refined. This combination has lead to increased patient function, longer lasting replacements, and lower rate of complications from surgery. The recovery of the procedure entails an arm sling for approximately four weeks and several months of out-patient physical therapy. Furthermore, the surgery usually only requires a onenight hospital stay. So the next time you experience shoulder pain, especially if it hurts at night or with overhead activities, think twice before just living with it. Rotator cuff problems are more easily treated if recognized early. However, if you have a massive irreparable rotator cuff tear or have had a rotator cuff repair surgery which failed to heal (failure of rotator cuff surgery can be as high as 10%), there now is a reliable solution to your problem, which did not exist several years ago.

The moral of this story is ... “Don’t sit on that ache in your shoulder! Get it evaluated before it’s too late!”

Seaview Orthopaedic & Medical Associates

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

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

■ BARNEGAT OFFICE 500 Barnegat Blvd, Bldg. 200 Barnegat, NJ 08005 Ph: 609-488-3988

■ SATELLITE OFFICE

IN LAKEWOOD

Seaview Orthopaedic & Medical Associates has provided the highest quality of care in Monmouth and Ocean Counties for over 30 years.

Dr. Spagnuola, who is a Board Certified orthopaedic surgeon, Fellowship trained in Sports Medicine for shoulder and knee injuries, is a New Jersey native. He graduated with honors from Villanova University in 1992 and then continued his education at UMDNJ-New Jersey Medical School. He graduated medical school in 1996 and was inducted into the Alpha Omega Alpha National Medical Honor Society. Following medical school, he trained for five years in orthopaedics at Monmouth Medical Center, including six months of pediatric orthopaedic training at Children’s Hospital of Pennsylvania. Dr. Spagnuola completed his training with a year of sub-specialty training in sports medicine and shoulder injuries at Thomas Jefferson University in Philadelphia.

www.seaviewortho.com • 732-660-6200

The County Woman Magazine

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November/December 2013

Knitting

& Crocheting

For The Love Of Yarn A Message From the Owner…

started A Stitch in Time as a result of my reaching the end of one career, and my need to begin another. After having spent 25 years in Corporate Americathe last 16 of those in Human Resources – I was Michele Vail, Owner ready for a change. One day, my best friend called A Stitch In Time and asked me if I wanted to take knitting lessons with her. This was a learning experience that forever changed my life. At the time, I didn’t know “yarn shops” existed. However, my inspiration/ education came from a local yarn shop in Colts Neck and its owner. The experience was such a positive one, that I promised myself someday I’d have a new career. Several years later that promise was fulfilled.

^I opened A Stitch in Time on Nov.15, 2011.

It truly has been a labor of love. I’ve learned many facets of owning my own business, and I consider myself very lucky to have so many years of corporate experience Health & Wellness

to fall back on. It’s a constant source of amazement to me how often I still use my Human Resource and negotiating skills. I have made a lot of new friends, and have broadened my needle art knowledge (not to mention my new-found addiction to spinning fiber!). I could not have accomplished any of this on my own. I owe a great deal to my very supportive friends and family, including those who scratched their heads and said, “You want to open a WHAT?” Thank goodness they all allowed me the opportunity to be creative and take the risk. A Stitch in Time is located in historic Farmingdale, NJ. A charming yarn shop for knitting and crocheting enthusiasts, offering brand name yarns, knitting and crocheting needles and hooks, published patterns, notions, inspiration and guidance for all levels of knitters and crocheters. The shop is easily accessible from Route 34, the Garden State Parkway, and Route 9. Join in for a lesson, monthly sales/events, or daily open knitting and crocheting. Additional information can be found on my website: www.sityarn.com or by calling the Shop directly at 732-938-3233. There is a wooden sign next to the cash register that reflects the true nature of A Stitch in Time. It states simply: Enter as strangers, leave as friends. Here’s hoping that I will have the opportunity to make many more friends for many more years to come.

“Gratitude is not only the greatest of virtues, but the parent of all others.” Unique Jewelry, Bags & Gifts From Around the World

The County Woman Magazine

732-938-3233 Hours: Tues. - Thurs. 10 am to 6 pm Fri. 11 am to 7 pm • Sat. 10 am to 6 pm

Easily accessible from Route 34, Garden State Parkway, and Route 9.

www.sityarn.com

11/1 - 11/3 - Thai Massage Workshop (LBI) 11/10 - Graham Schweig - Samadhi Now! The Perfection of Imperfection 11/15 - 11/17 - Jim Bennett - Tantric Vinyasa Yoga 12/15 - Holiday Retreat - Escape the Season Stress

Organic Cosmetics, Green Products & Therapeutic Massage

Photo by Donna Andrews

93 Main Street, Farmingdale, NJ

NOV-DEC 2013 Upcoming Events WINTER WORKSHOPS

- Marcus Tullius Cicero

Practice your passion.

Brand name yarns, knitting and crocheting needles & hooks, published patterns, and various supplies, notions, lessons and guidance for all levels of knitters and crocheters.

500 Hour Teacher Training Begins in November (Smithville) call for information

Yoga 101

5 Week Course • For Real First Time Beginners

Sessions Start Sun, Weds or Thurs November 6, 7 or 10 Hammonton then Smithville

Space Limited • CALL FOR DETAILS AND/OR PRE-REGISTRATION Includes holiday special 6 weeks of unlimited classes 1 extra week free open classes and a “green” top quality latex/jute mat. call NOW or sign up at www.yoganine.com

Rope Wall Classes -12:30p-1:30p Smithville 11/2 - Inversion Immersion 11/23 - Strength & Standing Postures 12/14 - Hip Hip Hooray

See we b class sc site for hedule

Live Music & Flow in Smithville Thursday Nights 6:00pm

for our e door $5 at th us artists lo u b fa

11/14 Bob Fowler & Steve Branca 12/5 Gina Roche

H o l i d a y S h o p In Our Fair Trade Store Giving Gifts That Give Twice is Nice O P E N C L A S S E S 7 D AY S A W E E K • Yoga • Bellydance

• Meditation • Tai Chi

• Therapeutic Massage • Holistic Services

Gift Certificates Available for Classes or Massages

WWW.YOGANINE.COM MIND/BODY STUDIO

609.404.0999 609.481.2455 609.494.9299 SMITHVILLE

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HAMMONTON

SHIP BOTTOM LBI

November/December 2013

Education

Welcome To Your Child’s Home Away From Home: The Peppermint Tree In Toms River

e provide a warm and nurturing home-like setting, filled with passionate, loyal, long-term teachers that truly become an extension of your family. We take a personal interest in each child, and in your family. Your child will feel right at home.

child captivated and motivated to learn throughout the school year. We respect the unique individuality of each child, and therefore we teach each child, based on their unique style and interests. Another reason we say...Your child will feel right at home.

“Family-Like Environment” “Peppermint tree is a great place for your child to start school. The staff and feeling is so comforting and family like! 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. My experience with Peppermint Tree has been amazing and I’m glad I chose this school.” -Bethany Landero

“An Atmosphere of Fun, Active Learning” “The Peppermint Tree School has created an atmosphere in which children actively participate in the learning process and have 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

Our Curriculum and Teaching Philosophy Research shows that children learn best in an environment that allows them to explore the world and learning materials in their own way, at their own pace. For our Preschool and Pre-K programs we use the research-based The Creative Curriculum ® as our guide, which is the same curriculum that the Toms River School System has chosen for it’s preschool initiatives. The curriculum is comprehensive and aligned to essential early learning standards, using exploration and discovery as a way of learning. • We believe that children deserve individual attention, and that they do not thrive as well with a “canned” approach that you may see at larger centers. Our teachers are skilled at tailoring The Creative Curriculum ® to each of our students to assure that every child enjoys learning and grows in all areas of development. Our goal is to keep your

• Academically gifted children are never bored, as we do not “drill” on learning facts, instead, our curriculum is infused with hands-on activities, where critical thinking skills such as predicting and analyzing are required. In addition, children engage in discussions about the books the class is reading, such as “What would you do?” and “What do you think will happen next?” and making connections to their lives such as “What does your family do at the beach?” • Children who need extra help get the support needed, as our experienced teachers differentiate the instruction and spend time one-on-one to assure each child is taught at their appropriate developmental level.

Valerie Frost-Lewis, MS Ed.

to the children and have made teaching young children their life’s work. Their length of employment at Peppermint Tree not only shows their dedication, it also provides your child with a stable, consistent environment where mutual trust and respect abounds. The depth of our teachers’ experience is reflected in our students, who are confident, happy and motivated learners. Our warm, nurturing and experienced staff will help your child feel right at home.

Kids enjoy fun activities like cooking (above) and doing the “bean bag dance” (below).

“Exceptional 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. 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

The Peppermint Tree Child Development Center, serving Toms River for over 35 years is state-certified and privately owned, offering a research-based curriculum developed for young, inquisitive minds. Our highly qualified, dedicated and creative faculty has been with the school on average, for fifteen years or more, providing a warm and stable environment for the children.

Our Staff Our passionate and energetic teachers have been with Peppermint Tree on average over twenty years. They are dedicated

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.

The County Woman Magazine

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November/December 2013

Acupuncture

Can Acupuncture Help Arthritis?

cupuncture is a safe and natural therapy that has been proven to be effective for treatment of acute and chronic pain. It can manage pain and improve range-ofmotion throughout the body. In Chinese medicine, arthritis is viewed as a painful obstruction of the body’s Qi (pronounced chee). Qi is the body’s life force or vital energy. Hair-thin needles are inserted into the skin to stimulate the body’s qi. This removes the obstruction and encourages the free flow of qi, therefore, relieving pain and increasing range of motion. Osteoarthritis (OA) is the most common form of arthritis. It is caused by a degeneration of the cartilage within the joints. As the joint weakens, from age or overuse, pain, swelling, and limited rangeof-motion may occur. Overtime, this can advance from a nagging pain or ache to a disabling pain. Treatment consists of using supportive points for the individual’s constitution and points in the area of pain. Because osteoarthritis is degenerative, most cases require some degree of maintenance. Acupuncture helps to manage your pain and improve joint mobility without side effects, reactions or fear of dependency.

Rheumatoid Arthritis (RA) is a systemic autoimmune disorder that causes inflammation, pain, swelling and stiffness in joints, usually of the hands. Eventually RA can cause the joints to become deformed. Acupuncture treatment for RA will have points in the area of pain, but focuses on regulating the immune system and increasing the overall health of the patient. Once again, acupuncture can help manage the condition with less use of medications. Gout is arthritis caused by the deposit of uric acid crystals within the cartilage of joints. It most commonly affects the big toe and knees. This is usually due to a diet rich in protein, or alcohol consumption, but can also be related to genetic factors. The focus of treatment for gout is relieving pain and decreasing swelling. Acupuncture points around the area of pain are the most useful. Treatment When initially treating any type of arthritis with acupuncture, consistency is essential. Significant relief can usually be seen within two weeks. Once the condition is controlled, some maintenance may be required to keep the pain from returning. During treatments the needles are retained for 20 – 40 minutes. Most people become very relaxed during treatments and some even fall asleep.

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

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

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

www.koehleracupuncture.com

Enter to Win a Consultation & Treatment

at Koehler Acupuncture Name: ________________________________________________________________ Address: ______________________________________________________________ City: ________________________________ State: _________ Zip: _______________ Phone: (______)______________________ Email: ____________________________ Please Clip Out And Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012 ❏ Check Here to Receive Specials from Koehler Acupuncture One entry per person. Valid for new patients/clients only. Value not to exceed $100. Multiple entries will be disqualified. Entries will be accepted through November 30, 2013. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

The County Woman Magazine

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November/December 2013

Adult Community

Do You Know The Many Benefits Of Living At Fountainhead? Submitted by: Nancylu Mannuccia

and lease communities are a perfect blend of the independence of owning your own home within your financial means and living in a comfortable neighborhood.

hood design is often cited as an important and favorable aspect of residing at Fountainhead. With mature trees and off-street parking, it is a great place to retire and is enjoyed by responsible homeowners displaying pride in their investments. All homes are owneroccupied. Jackson, recently voted one of the

best communities in NJ, offers bits of everything that is good about living between 2 major metro areas. Fresh air, great schools, excellent recreation areas, good roads and all the services are easily accessible to all the residents of this 100 square mile township. The Fountainhead location is just off the major artery in town- County Line

Road, 2 miles from I-195, and 5 miles to Route 9. It’s a good idea to call ahead for a visit, but not necessary, home consultants are available Monday thru Friday 10-4:30 and Saturday from 11 a.m. For more information, please visit our website or like us on Facebook- FountainheadNJ.

Usually several homes to the acre, life in a land lease community is somewhat like the familiar days of enjoying the changing seasons on the stoop of the old homestead. Land leased communities often offer the camaraderie of shared life experiences where most people on the block know each other. Another fact that makes this home ownership choice so appealing is the lower cost of buying the home. Leasing the lot is as financially efficient as any other leasing experience; lower cost, paying for exactly what you need and owning a home that is just the right size. Fountainhead in Jackson, NJ is a land lease community for people at least 55 years of age. The neighbor-

Fountainhead AN ACTIVE 55+ ADULT COMMUNITY

The Source of a New Worry-Free Lifestyle in Jackson! • • • • • • • •

Quality Constructed Manufactured Homes Central Air & Gas Heat Deluxe Appliances Energy Efficient Insulation 2 and 3 Bedrooms Beautiful Kitchens Land Leasing Saves You Money Spacious Lots, Mature Trees, Wide Streets, Off-Street Parking • 25 min. to Trenton, 20 min. to the Shore • New and Pre-owned Homes Available

1 Rose Drive, Jackson, NJ 08527 For directions call or visit our website 732-928-3100 • njfountainheadhomes.com

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November/December 2013

Education

The New Kean-Ocean Gateway Building Opens On Toms River Campus!

O p d e n ning a r G Ocean County College, Kean University and the Ocean County Board of Chosen Freeholders are proud to announce the Grand Opening of the

Kean-Ocean Gateway Building

___ Toms RiveR Campus of oCean CounTy College ___

 5 FlOOrs

 AtriUm

 26 ClAssrOOms

 225-seAt leCtUre HAll

 stUdent stUdiOs And lABs

 envirOnmentAlly Friendly

Over 1,500 students are already taking classes in the Kean-Ocean Partnership at OCC! For information, call (732) 255-0356 or visit www.ocean.edu.

Footwear

Are you looking to complete a four-year college degree but don’t want to travel outside Ocean County?

If so, Ocean County College’s (OCC) partnership with Kean University provides students with the opportunity to pursue their education beyond an associate degree – right on OCC’s beautiful main campus, located on College Drive in Toms River! The new Kean-Ocean Gateway Building is now open! A joint venture between Ocean County College and Kean University, this magnificent building sits on OCC’s upper campus. The 74,000-square foot, five-story structure is an impressive academic facility. OCC’s wing includes 14 classrooms, two laptop labs, a conference room, along with faculty and staff offices. The Kean wing includes 12 classrooms, four seminar rooms, two specialty labs, a conference room, and office space for faculty and staff. In addition, this state-of-theart building houses a 210-seat lecture hall, student lounge, and a coffee/snack kiosk. “Here at OCC, we strive continually to augment our campus such that we improve the bigger picture, and persist in realizing our primary ambition:

an atmosphere where our students are comfortable but challenged, happy, and fulfilled,” said Dr. Jon H. Larson, OCC President. For your convenience, students can first complete an associate degree at OCC, and then continue on to earn a Kean bachelor’s degree without ever leaving Ocean County. Currently, there are 25 bachelor’s degrees including accounting, biology, computer science, criminal justice, elementary education, English, finance, graphic design, history, management, marketing, nursing, physical education, psychology, public administration, sociology, and special education. Several majors include teacher certification options in special education, K-5, or 5-8 subjects. Kean also offers master’s degrees through the Kean-Ocean partnership. Master’s degree programs include counselor education (state certification for school counseling), educational leadership (state certification for supervisor/principal), nursing (options in clinical management or school nursing), and public administration (option in nonprofit management). For more information about Ocean County College, and the Kean-Ocean partnership, call 732-255-0356 or visit www.ocean.edu.

We We Accept Accept Medicare! Medicare!

When Whenwas was the the last last time time youyou had hadyour your feet feet measured?! measured?!

(732) (732) 849-5013 849-5013

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Now Carrying Now Carrying Jobst Jobst Support Support Stockings! Stockings! November/December 2013

Consignment Shop

Treasures From Heaven~ The Consignment Connection house into a home in such a way that would please any home decorator.

Treasures From Heaven ~The

Consignment Connection is registered with the Toms River Chamber of Commerce. Colleen, as well as her entire family, are also members of The Church of Grace and Peace and always participate in countless community causes and events. Colleen went on to add, “As we participate together as residents of Ocean County in this project, you will be supporting the community now when they need it most after the recent destruction of the Jersey shore. People can come and get affordable luxury items to help rebuild their homes.” Written By: Colleen Pisacreta, Owner, Treasures From Heaven

Treasures From Heaven is a

Samaritan’s Purse is a ministry of the Billy Graham Association that has been helping the residents in Ocean County since the start of Hurricane Sandy. We have selected this ministry as one that Treasures From Heaven’s profits will support. Samaritan’s Purse initially sends a disaster team that helps residents pump out water, takes down trees, and salvage items from their homes. “We watch Americans from all over the country come to the shore’s aid in time of need. Samaritan’s Purse workers have been sleeping at the church and going out everyday, working and even praying with our neighbors who lost so much,” stated Colleen. “There is love, grace, and beauty that subsides in this ministry that inspires us, and often times brings us to tears, as we watch them help our friends and families here.” After the disaster team, a rebuild team comes in to help those without insurance or finances to restore the places they call home.

consignment shop that allows everyone to both sell and buy products, and participate in the support of two major causes, one of which supports residents devastated by Hurricane Sandy, and the other an organization helping women and children in need who are in recovery from the pain and emotional/ physical trauma of abuse. A consignment store concept encourages residents to bring in items they would like to sell and, of course, purchase. As a consignor, you receive a percentage of the selling price. The store has set the goal to be a high-end quality retail establishment in the community. They accept only quality items- in style and in excellent condition. The consignment period is sixty days, and all items The second organization are priced by the Treasures From Heaven staff and supported from the shop is Harvest Home in Holden, agreed upon with consignor. MO. This ministry is a refuge and restoration home The store is the dream of Toms River resinestled on a beautiful farm, which provides a safe and dent Colleen Pisacreta. Colleen said, “The Consignment Connection grew out of a very important lesson that someone else’s giveaways can become someone else’s treasures.” Colleen, along with her husband Joe, are also the owners of the very wellestablished Italian restaurant, IL Giardinello, for over 25 years now, and Treasures From Heaven is just four stores down from the restaurant in the same plaza. Colleen tells the story of when they were just newlyweds and they did most of their shopping in thrift stores and garage Hours: sales to decorate their quaint and beautiful We offer new, gently used, and Tuesday & Wednesday: 10a-6p designer clothing, furniture, home. Many have noted Colleen’s “keen eye Thursday-Saturday: 10a-8p housewares, jewelry, handbags, Closed Sunday and Monday for great treasures” that help to turn their shoes and more!

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20% of all business proceeds go to charity! loving environment to help women and children to transform their scattered lives. Colleen said that during a women’s retreat, she had met the founder of the ministry, Rhonda Calhoun, who later asked her to come to the center to help minister and cook for women going through the program. After seeing first-hand the establishment and the work being done there, Colleen knew in her heart that this was a job much needed in the world, and it became her vision to one day help support such a mission. “One of the goals here is to feature stories on our site from these ministries so that the community can see the people they are helping to support by participating in the Treasures from Heaven Connection,” added Colleen.

Treasures From Heaven ~The Consignment Connection is seconds away from the Garden State Parkway entrance in Toms River.

November/December 2013

Fashion

Beauty

What Is Cosmetic & Medical Tattooing? Amy Druding has been in the medical and cosmetic tattooing industry since 2003. Here she answers some questions you may have.

Does it hurt?

Numbing agents are applied directly to the skin prior to and during the procedure to eliminate any discomfort. These numbing agents are used to help ease any discomfort to make it a comfortable procedure. Every procedure is different depending on your pain tolerance.

Millions of men and women are great candidates for cosmetic tattooing. It could be great for you or your loved one. Consider the following:

• Do you have vision problems? • Do you have an active lifestyle? • Do you have Alopecia? • Are you battling Cancer and experiencing hair loss? • Do you have Thyroid issues? • Do you have Parkinson’s? • Have you had physical trauma to your face? How long does it last? • Have you had a Stroke? It depends on the pigments used in your • Do you feel like you have a “washed out” look? procedure. There are a wide range of colors • Do you feel you need a “lift”- maybe some color? used in permanent cosmetics. As time passes If you’re not sure about cosmetic tattooing, come in for a consultation. your cosmetic procedure will fade due to your body’s normal 28-day exWe can talk about what you want your desired cosmetics to look like. I will foliation of the skin and because cosmetics are located on your face where show you photos and thoroughly explain what to expect from the beginning you are exposed to the sun at all times unlike a conventional tattoo, which to the end of your cosmetic experience. The pigments we use are MRI safe!! most likely will be hidden. Due to sun exposure, medicine, retinoal, or One rule I always go by is “different strokes for different folks!” Whether Retin-A, pigment may change size, appearance, or shape over time. Usually you prefer hairline-stroke eyebrows or something a bit different, everyone the lighter the color, the quicker it will fade. However, with a 6-month to has their OWN style and I cater to YOUR NEEDS. yearly color refresher, your Permanent Cosmetics can look fresh all the time Call to schedule your appointment today! Consumers beware of cheap tattooing. It may cost you MORE in the long run to fix that $60 set of eyebrows. Look and feel younger with our skin

care, massage and Cosmetic & Medical tattooing at Permanent Makeup by Amy! The holidays are coming and this is a great gift for you or your loved ones. A true daytime cosmetic tattooing can give you color all of the time!

This is a life-changing experience!

Brows

Before

After

"Wake up with Makeup” and look refreshed all day!

Permanent Makeup ^ ^ ^ ^ ^ ^

Areola Restoration Scar Camouflage Eyebrows Eyeliner Lash Coloring Eye Shadow

^ ^ ^ ^ ^ ^

Amy

Lips Facials Peels Massage Toe Nail Reconstruction Cosmetic Correction

Before

Existing Clients: Earn Brow Bucks. Get PAID for your referral!

After

Eyeliner

After

Lips

After

800 Route 50, Suite E-1 Mays Landing Square Mays Landing, NJ

207 Stone Harbor Blvd. (Same Office As Dr. Carrusso) Cape May Court House, NJ

Before

www.facetats.com • www.permanentakeupbyamy.net

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November/December 2013

Community

Historic Dennisville Christmas House Tour ~ December 21, 2013 Submitted by: Dennisville Historic Home Owners Association

he 25th Anniversary Historic Dennisville Christmas House Tour is our premier fund raising event. On the 3rd Saturday of December each year a minimum of 8 beautifully decorated 18th and 19th century historic homes, and 2 bonus houses, as well as several public buildings and 2 churches, are open to the public. Please think about starting your holiday season with a festive glimpse of history in Dennisville at Christmas time! • Sponsor – Dennisville Historic Home Owners Association, Inc., [501 (c)(3)]. • Date – Sat., Dec. 21, 2013. • Time – 4:00 pm to 9:00 pm. Bonus hour for 25th Anniversary Tour.

“Preserve what you have—you can never replace it.” Jef Buehler, Main Street New Jersey, NJDCA

• Tickets - $10.00 - sold at the Dennisville Post Office, 24 Hall Ave. in Dennisville the night of the tour only beginning at 3:30 pm. Greeters will distribute programs and get tour goers started on their way. Houses open at 4:00 pm. The Post Office will be open for stamp sales as well. • Soup and sandwich supper at the South Dennis Trinity United Methodist Church beginning at 4:00 pm until food runs out ($8.00 adults, $3.50 children under 12). • Refreshments and comfort stations at the Dennisville United Methodist Church Social Hall and Dennis Volunteer Fire Station. • The Middletones Carolers (Middle Township High School) will perform through the village. • Dennis Volunteer Fire Company – will be open with equipment (new and antique) on display. Light refreshments will be available here.

FEATURE HOUSE

The Capt. Charles J. and Lydia Crawford House - 1852 From the Personal Perspective:

In July 1988, the current owners purchased the house. The house was in deplorable condition: few windows or doors, floors that had more openings to the dirt than floor boards and holes in the roof and walls. Trees and shrubbery hid the house almost entirely from the street and the yard. In fact the house was slated for demolition and resale of the land. One of the earliest projects after closing in the house was the construction of a large 2 car garage. This served more as a place to store supplies, tools and furniture as work progressed on the house and the property in general. This work included the cleanup of the fallen in back porch, the cleanup of the remains of the outdoor shed/stable area which had been badly burned and the salvage of the original root cellar. This cellar has been converted to a beautiful Koi pond. The original outhouse remains on the property and now serves as a garden shed. There are also 2 other outhouses which were brought into the property and serve as storage buildings. The current owners’ stewardship of the Captain Charles J. and Lydia Crawford house will help to insure a long standing history for this house within the Dennisville Historic District. Many years of hard work are reflected in this house’s “finished product”. The house itself is a living documentary of how a house that was once slated for demolition was actually saved and lovingly restored to its present condition. They have tried to be as faithful to its original glory as possible not only by intermingling original materials and components with newer ones, but by a lot of TLC in hopes of giving this house at least another 161 year lifespan.

We suggest bringing a flashlight on the tour for dimly lit areas.

DHHOA MISSION The Dennisville Historic Home Owners Association is a private, non-profit 501 (c) (3) corporation incorporated in April, 1990. Its mission is: “to study the history of the area and to encourage the preservation of the historic homes in the Dennisville Historic District and Dennis Township so that future generations will be able to view them and learn about the area’s rich history”. The village of Dennisville is on both the National and State Registers of Historic Places as a Historic District comprising more than 60 structures. As a result of its long term preservation, beautification, and educational efforts, the DHHOA is considered the Custodian of the Dennisville Historic District.

Further information http://dhhoa.dennistwp.org or contact Jack Connolly at (609) 861-1338 or email Dennisvillechristmashousetour@verizon.net

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November/December 2013

Women Of Ocean County

62 Stefanie Resnick

Tina Hedin

Stefanie was born in Point Pleasant, NJ and raised in Lakewood, NJ. Stefanie graduated in 2009 from The Richard Stockton College of NJ with a doctorate degree in physical therapy. She also holds a bachelor’s degree in biology from Ramapo College and an associate degree in liberal arts from Ocean County College of NJ. After graduation, Stefanie joined the All-Care team as a physical therapist in 2009 and currently works in the Manchester location. As a physical therapist, Stefanie believes in All-Care’s mission to provide exceptional care for all patients. She believes in developing treatment programs tailored to each patient, as each patient is unique in presentation. Stefanie utilizes manual therapy consisting of joint mobilization, soft tissue mobilization, and myofascial release techniques. She also believes in educating her patients in order to improve the quality of life, as well as assisting in achieving their personal goals to restore prior level of function. For more information about All-Care Physical Therapy, please go to www.allcareptc.com or call 1-844-3ALLCARE.

Tina Hedin is the office coordinator for Dr. Balaji at Aesthetic Dental Creations. She started in dentistry 19 years ago. A former Middletown, NJ native she now resides in Ocean County with her husband, Eric, and their funloving 6 year old, Isabella. Tina loves being a mom and enjoys all the precious moments of raising Isabella, who is “the joy of their lives.” She has had the privilege of working with Dr. Balaji and the team at Aesthetic Dental Creations. Tina prides herself in providing the highest quality of care for her patients. She handles their insurance claims, finances and treatment plans. She enjoys the relationships she has built with her patients and is thrilled when they receive the exceptional dentistry Dr. Balaji provides. The team and Tina work very hard to provide excellent customer care. When Dr. Balaji opened his state of the art office in 2007 it was a dream come true for Tina to be able to give her patients the experience of “Life Changing Dentistry”. This is Tina’s most rewarding part of her career! www.aestheticdentalcreations.com (732) 363-5370

Photo by Tracy Harman Photography

Physical Therapist, All Care Physical Therapy

Diane Delaney, LNHA

Executive Director, Whiting Healthcare Center

Diane has been a licensed nursing home administrator for over 18 years, and is currently an Executive Director with Revera Health Systems at Whiting Healthcare Center. She holds a BA in psychology and began her career as a Social Worker. In 1993 she moved to Ocean County and started working as a Social Worker in a nursing home, a career choice that changed her life. In 1995 she received her nursing home license and has worked in the healthcare industry since. Diane has enjoyed seeing her center grow and progress over the past year; she is especially proud of the center’s pulmonary / cardiac unit which recently partnered with a local hospital system. Diane states that she “is fortunate to work with great professionals, both at a center level and at a corporate level.” In her free time, Diane enjoys being with her two teen-agers, going to the beach, and working with local shelters to foster pet rescues.

Office Coordinator, Aesthetic Dental Creations

Kathy Zonin, RN

Holy Redeemer HomeCare Director of Nursing

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, Atlantic and Cape May counties. 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. 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. www.holyredeemer.com 1 (888) 678-8678

Photo by Tracy Harman Photography

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Photo by Tracy Harman Photography

November/December 2013

Women Of Ocean County Lorraine Catalano

Certified Nuclear Medicine Technologist at Caring Heart & Brain Imaging

Lorraine is a member of the American Registry of Radiologic Technologists (ARRT) and the American Society of Radiologic Technologists (ASRT). Lorraine is not only a technologist, but she and her partner, Dr. Anthony DeLuca, are the brains behind the startup and operation of CARING HEART CORONARY IMAGING. As a technologist performing Nuclear Cardiology scans for more than 15 years, Lorraine brings a technological expertise to the Caring Heart team that is unparalleled. Lorraine is dedicated to, and successful in, developing patient care resources in the Jersey Shore area. She has been active in the medical field long enough to guarantee absolute patient care without compromising imaging results. Lorraine has great compassion for her patient’s well being and comfort, often playing their favorite music and offering them a cup of coffee/tea and snack after the scan is complete. Next to her patients her greatest passion is for her Cavalier King Charles Spaniel, Dillinger. As a matter of fact, she has had him certified as a therapy dog and he can often be seen at Caring Heart & Brain Imaging bringing smiles to patients and their families. CARING HEART & BRAIN IMAGING 2414 Highway 35, Manasquan, NJ 08736 732-292-1008 www.CHCI.biz

Dr. Nina Paonessa, Colon and Rectal Surgeon

Dr. Paonessa was born and raised in Albany, NY. She was raised to value a strong work ethic and to take pride in her work. Two principles she grew up on were “if you are going to do something , do it right or don’t do it at all” and “do unto others…” This is how she lives her life and runs her practice. Dr. Paonessa knew from a very young age that she wanted to become a surgeon. She volunteered as a candy striper in high school and then as an Emergency Medical Technician in college. She attended the Lake Erie College of Osteopathic Medicine in Erie, PA and completed a general surgery residency at Wyckoff Heights Medical Center in Brooklyn, NY. Dr. Paonessa completed a colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA, where she remained in private practice before moving to New Jersey . She loves the Jersey shore and taking care of its community. In her spare time, Dr. Paonessa loves to read, travel and cook. She unwinds by taking tap and classic jazz classes. Her most cherished times are those spent with her family and playing with her four nephews and niece. You can contact Nina at her office by calling 732-557-2153.

Photo by Tracy Harman Photography

Susan Walter, LPN Office Manager and Nurse, Stephen L. Newman, MD, MBA

Photo by Tracy Harman Photography

Brianna Kinglsey

Fitness Director at The Ocean Club

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.

Originally from Toms River, Brianna Kingsley is the Fitness Director at The Ocean Club in Stafford Township. Brianna received her bachelor’s degree in Broadcast Journalism from Suffolk University in Boston, Massachusetts in 2011, where she also competed for the Suffolk Dance Company and Hip Hop Troupe. Immediately following graduation, Brianna moved home to New Jersey and accepted a position within the fitness department as the Assistant Fitness Director with a local fitness affiliate. “While I always enjoyed competitive dance, it wasn’t until I began working in the fitness industry that I truly found my passion for exercise.” After only a few short months, the science of bodybuilding and the opportunity to change lives through fitness piqued Brianna’s interest. She quickly decided to pursue her AAAI Personal Training certification. Currently, Brianna specializes in Youth Programming, Bodybuilding, Strength and Endurance Training, Cheerleading and Dance. Today, Brianna manages The Ocean Club’s fitness department, assisting new members as they navigate all of the health and wellness options offered at the club. In addition, Brianna teaches INSANITY, 30/30, Fit Club, PREP55, Parent/Child, 30 Minute Blast and is newly certified in Piloxing. “Health and fitness has had such an impact on my life and I now strive to help others experience it themselves.” To contact Brianna, please call The Ocean Club at 609-978-2244 or visit www. OceanClubFitness.com.

Photo by Tracy Harman Photography

Photo by Randee Rosenfeld

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November/December 2013

Community

I Am For The Child This Holiday Season

he end of the year is fast approaching and the Holiday Season is here. Child abuse and neglect is an issue in Ocean County that we don’t like to think about as the holidays draw near, but for children in foster care in our community, the issue is a hard reality for the children CASA serves.

regarding the placement and service plan for the child to the Family Court Judge. CASA Volunteers will investigate and report objectively by reaching out to family members, health care providers, and teachers and report back to the Judge, so he/she may make the best possible decisions regarding the future of each child. The CASA volunteer will truly be an advocate for a child in need. If you cannot make a donation to the program, we ask you consider holiday season the gift of your time and serve as a volunteer.

We hope to reach as many concerned citizens in our community as possible so that we may help serve more children this upcoming year by bringing the necessary funding to this organization to help abused and neglected foster children.

Please call our office today if you are interested in learning more about the CASA program, sponsoring a child, or becoming a child advocate. Ask for Vicki Weiss, the Executive Director, at (732)-797-0590.

Monetary Donations Needed In the holiday spirit of giving, CASA needs monetary donations to help sustain its program operations and promote awareness to gain board members, train volunteers, and attract giving partners. With CASA’s limited resources, we are financially able to serve only 122 of these children. CASA’s one wish for the holidays is for all of Ocean County to speak up for a child and make a donation to our program. The funds will be used to recruit, train and supervise a CASA Volunteer for each foster child in our community that needs a voice in the system.

www.casaofoceancounty.org

History and Mission of CASA: Since 2006, the Court Appointed Special Advocates (CASA) of Ocean County, Inc., which is an independent, non-profit organization located in downtown Toms River, has been committed to advocating for the best interest of at risk children in foster care who are victims of abuse and neglect. The CASA volunteer serves as the child’s voice in court and is committed to moving the child towards a safe and permanent home.

Volunteers Needed In addition, CASA needs more volunteers to serve the children to help make their time in foster care a smoother transition. We provide a thirty-hour training program, which gives volunteers the proper skills necessary to make recommendations

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. If you would like to sponsor a child and would like more information, please call the Executive Director, Vicki Weiss, 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

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

For more information contact Vicki Weiss, Executive Director CASA of Ocean County • Phone: 732-797-0590.

Like us at Ocean County CASA Lets be friends on facebook

www.oceancountycasa.org Vicki Weiss Executive Director CASA of Ocean County 1108 Hooper Ave. Bldg. 1 Suite C Toms River, NJ 08753 Phone: 732-797-0590 Fax: 732-797-0594 www.casaofoceancounty.org

CASA OF OCEAN COUNTY, INC.

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November/December 2013

Community

Ocean County Animal Facilities Ocean County Health Department

ANIMALS FOR ADOPTION 360 Haywood Road, Manahawkin, NJ

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

609-978-0127

615 Freemont Avenue, Jackson, NJ

732-657-8086 “Give A Homeless Pet A Second Chance”

Why not start your pet search at our local Northern or Southern Ocean County Animal Facilities? Critter Corner featured pets 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? We still have a number if kittens and cats as “kitten season” winds down. We also have a number of smaller dogs and full breeds. 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.

Lucy- Dilute Torti DSH ~ “I Love Lucy! ”

Lucy is a 1 year old, female, dilute, torti domestic short hair (DSH). Lucy is an amazing cat! She is easy going, affectionate, and “oh so cuddly.” Lucy gets along with everyone -- she’s lived with other cats, dogs, and children. Lucy is a staff favorite. She’s a very special girl.

Call 732-657-8086 to find out more.

Juliet- Terrier Mix ~ “Little Sweetheart!”

Juliet is a 6 month old, female, black and white, terrier mix. Juliet is a precious, little, sweetheart. She is quiet, calm playful, friendly, social, and loving. Juliet is very smart and so eager to learn. She already knows a number of commands, including “sit” and “stay.”

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.

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November/December 2013

Community

Wounded Warrior Weekend Fundraiser Successful Submitted by: Marie Tansey

Wounded Warrior Weekend at Four Seasons Mirage was held on August 23rd and 24th. The Wounded Warrior Fundraiser was co-sponsored by the Mirage Men’s Club, Mirage Women’s Club, Mirage Social Committee, Italian American Cultural Club and Mirage Board of Trustees. Under the leadership of Bruno Iamonte, Fundraiser Coordinator, the weekend began with a social on Friday evening. The social was catered by Touch of Elegance, located in Barnegat, who provided hot and cold hors d’oeuvres and assorted pinwheel wraps. Also served were three inspired variations of pasta, prepared by our resident chefs, Cosmo Levenziano and Frank Gambino. Guests socialized and circulated on our beautiful veranda, overlooking our picturesque fountains and lake, while others gathered in our clubhouse lounge.

all the dancing shoes were put away, the residents of Mirage put on their walking shoes and Wounded Warrior tee shirts. One hundred fifty residents participated in a “Walk for a Warrior”. The walk was followed by a continental breakfast. Two hundred residents attended the breakfast. Richard A. Stieglitz, CT, MS, Physical Health & Wellness Executive Vice President of the Wounded Warrior Project, Washington, D.C., and son of resident Barry Stieglitz, gave a brief synopsis of the services provided by the “Wounded Warrior Project” and how our donations are used. Heartfelt thanks to the committee members and to all of the volunteers who worked tirelessly with the committee. A special note of thanks goes to Moira Flynn for publishing our Journal. Lastly, we would like to extend our appreciation to the Mirage Clubhouse staff for their support. To quote Bruno Iamonte, “Once again the Mirage Community opened their hearts and wallets, this time to sup-

port wounded warriors and their families who have sacrificed so much in order that we can enjoy our freedom.” Thanks to the generosity of the Mirage Community we are proud to report the twoday event was tremendously successful and raised thirteen thousand dollars ($13,000) for the Wounded Warrior Project! We all send a heartfelt, THANK YOU TO BRUNO IAMONTE, FUNDRAISER COORDINATOR!

Photos taken by Morris Enyeart, Tom Sangemino and Carol Lomberk

After the cocktail social had concluded, the 250 guests assembled in the ballroom, which was decorated in red, white and blue. Our resident veterans proudly carried flags representing each branch of our armed forces, along with the American flag.

A successful event which raised 13,000 for the Wounded Warrior Project!

The men, some of whom are wounded warriors themselves, were introduced by Command Sergeant Major Charles Thomas, Retired. Following the ceremony, we paid tribute to our wounded warriors and sang the “National Anthem”. After which, the festivities were in full swing. Music was provided by “Living Proof ”. Snacks and beverages were available, as well as cupcakes, which were donated by our very talented bakers of the Mirage Women’s Club. Several lucky guests won raffle baskets, which were donated by the sponsoring clubs and organizations. On Saturday morning, after

The County Woman Magazine

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November/December 2013

Community

Annual Autism Beach Bash Sets Record With Over 6,000 Attendees Autism Family Services of New Jersey hosted the 9th Annual Beach Bash on Sunday, September 8th for families in NJ and surrounding areas living with autism and related disorders. The Beach Bash is held each year on the 7th Ave. beach in Belmar, NJ and features a surf camp with Surfer’s Healing, a California based nonprofit specializing in working with children with special needs. “The Beach Bash presents an opportunity for the autism community to gather in support of one another, to challenge society’s boundaries and most importantly to enjoy a day on the beach free of judgment,” explains Eric Joice, Executive Director of Autism Family Services of NJ. The event includes an exhibitor tent featuring local and statewide services for individuals with autism, an activity tent, arts and crafts area, waterslide, dancing and interactive sessions throughout the day. The Annual Beach Bash remains the largest gathering in NJ of individuals with autism and their families. Families also attended from surrounding states such as New York, Pennsylvania, Maryland and Virginia. This year’s event welcomed over 6,000 attendees of individuals with autism along with their families and friends, exhibitors, sponsors, volunteers and more. One mother, Georgetta of Jackson, NJ described her experience as “A day where we can truly feel at ease. A day we can relax and put our guard down because we know no one is judging our children or looking at us with pity in their eyes. It is a day of love, compassion and education.”

For more information about Autism Family Services of New Jersey, please call toll free 1-877-237-4477 or visit www.autismfamilyservicesnj.org.

Families enjoy a fun day in the sunshine!

Autism Family Services of New Jersey, founded 2004, is dedicated to ensuring a better quality of life for individuals and their families affected by Autism and related disorders throughout the lifespan. It is a statewide non-profit organization dedicated to developing programs such as respite care, after school and recreation programs.

The County Woman Magazine

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November/December 2013

Theatre

&Entertainment

S ee D ee D ee B riDgewater in the P erformance of a L ifetime !

DESIGN: FRAVER

Ben Brantley, New York Times

PHOTO: JOAN MARCUS

the

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Barrow Street Theatre 27 Barrow Street at 7th Ave.

Billie Holiday musical

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The County Woman Magazine

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little Shubert Theatre 422 W. 42nd St.

November/December 2013

Theatre

&Entertainment

A Mesmerizing Story Told Through Music, Dance & Technology

“BEST NEW ACT IN AMERICA!” -Piers Morgan, America’s Got Talent

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PATSC.NJCountyWomen-FW.4.75x11.5.4C.indd www.TheCountyWoman.com

10/17/13 1:20 PM November/December 2013

Community

Letter From NJAWBO Shore Region President Jackie Berman Happy Holidays!!

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! Nov. & Dec. Meeting Dates All Women Networking Nov. 11, 6:00pm Draft House, Long Branch Holiday Shopping Expo & Silent Auction Nov. 21, 6:00pm Expo Tables Available Marlboro Jewish Center Marlboro Breakfast & Networking Dec. 4, 8:30am Freehold Microsoft Store Freehold Raceway Mall Holiday Luncheon/ Gift Exchange Dec. 12, 11:30am Bella Vista Country Club Marlboro 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

2013 is quickly coming to an end, but at NJAWBO Shore Region, this is the most fun time of the year!!! For the next two months our region has two great events, intervened with our education/networking meetings. It’s the time when NJAWBO Shore sits back, relaxes and laughs!!! This year our annual gift auction is combined with a holiday shopping extravagance, scheduled for November 21st. The public is invited to enjoy the auction and shop at the same time. Members and outside vendors are invited to purchase an expo table where they may sell items for direct purchase. Bring your unwanted gold, get cash on the spot (you’ll have more money for shopping). You can eat, shop, party with friends and meet new ones too!!! A truly fun day is our annual Holiday Luncheon on December 12th at Bella Vista Country Club. All are invited to participate in our holiday exchange gift game where those who wish to bring a wrapped item valued at $25 can join in the fun.

Make Y Reser our vatio Today n !

At this year’s Holiday Luncheon the winner from our Donna Myers Entrepreneurial Scholarship raffle will be drawn. Only 200 tickets at $20 are being sold. Winners do not have to be present. Eight prizes will be awarded with the top prize being $1,250 (if all tickets are sold). If you are interested in purchasing a ticket, please call Jackie at 732-610-1567. We are not just all fun. November 11th an all women networking event is scheduled and December 4th is breakfast at the Freehold Microsoft Store, the topic is Skype & Lync for Business Communications. Please check our website for updates. 2013 has been a very difficult year for many. We are still recovering from Sandy and the economy. I wish you a wonderful new year filled with abundance, joy and treasured moments. May 2014 be your best year yet! Energize!! Empower!!! Engage!! Warmest Regards, Jackie Berman President, NJAWBO Shore Region

Networking • Holiday Expo • Gift Exchange

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 November/December 2013

Business

&Personal

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Community

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Community

Central Ocean Rotary Club Makes A Difference Written By: Michael Bucca

The membership of the Central Ocean Rotary Club is proud to be a part of the Ocean County community with a continued pledge of “Service Above Self”.

Rotary is an international organization that has helped millions across the entire world by assisting those in need, curing disease, and providing many other types of community service. One of the amazing benefits of being a member of the Central Ocean Rotary Club is sharing a desire to help others. The extraordinary contributions by each member shows how giving can be an enlightening and touching experience. We encourage local business leaders and employees who want to make a difference in

the lives of others to join us and see what the Rotary is all about. We meet every Tuesday at Artisan’s restaurant on Hooper Avenue each week at 12:15PM. Come by to talk to us, meet some new friends and help make a difference!

Michael Bucca is the Public Relations Chair for the Central Ocean Rotary Club. He can be reached at centraloceanrotary@gmail.com.

e strive to provide support to our local community in the form of financial assistance, guidance, and mentorship, or just an extra pair of hands. The club is comprised of local business leaders and employees who take time from their workday to better the lives of Ocean County residents. Our diverse members use their own skills acquired through their professions to make a difference for people who need a helping hand. Ocean County has been hit very hard by tragedies in the past year and the club has gone into overdrive to help in any way it can. From raising funds through events such as our annual auction and raffle, to partnering with charities to get donations of food and supplies directly to people who need them, our commitment to helping the area recover from recent events has never been stronger.

The County Woman Magazine

www.TheCountyWoman.com

November/December 2013

Community

Our Families Thank You! Another exciting year for Ronald McDonld House of Long Branch & New Brunswick! We held 9 different events this year and each one was a great sucess due to the support of our sponsors, attendees, donors and the volunteers. Every photo tells a story. As we look back at the fun we had, we look forward to 2014 with excitment of what is to come.

The County Woman Magazine

www.TheCountyWoman.com

November/December 2013

Health

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

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

Business

& Finance

Toms River - Ocean County Chamber of Commerce News

Maureen Stankowitz, President

Dina M. Vicari, Esq. Chairwoman

Our fall & winter calendars are full of exciting events, designed to accommodate all of our members schedules & interests. Our goal is to have something for everyone! Our monthly General Membership Meetings are in full swing. September’s General Membership Meeting with guest speaker, NJ Lt. Gov. Kim Guadagno was a huge success, informative & extremely well attended. October’s General Membership Meeting with guest speaker, Micheal Dolega, TD Bank, Economist discussed an overview of the regional economy & what the business community might look forward to seeing in the year ahead particularly in the aftermath of Sandy, was held on October 9, 2013 at Clarion Hotel & Conference Center. Looking ahead: Our Annual Fall Multi Chamber Expo at Martell’s is currently being scheduled for the month of November. Please continue to check our website www.oc-chamber.com for application information. TOMS RIVER-OCEAN COUNTY CHAMBER OF COMMERCE Sun National Bank will be hosting a Business After Hours on November 12, 2013 from 5:00 p.m. – 7:00 p.m. at Tuscan Bistro Bar. GENERAL MEMBERSHIP Our General Membership Holiday Luncheon is scheduled for Wednesday, December 11, 2013 HOLIDAY at HolidayLUNCHEON Inn Toms River, 290 Route 37, Toms HonoringBig Sisters of Ocean County with “A Season of River, Registration begins at 11:30 a.m. The Chamber will be honoring Sue Sedivec of Big Brothers Giving – A Season of Living Award.” Ad journal advertising opportunities are available. Sue Sedivec OCVTS will be hosting and sponsoring a General Membership Luncheon at their Brick Chambers Bridge Road, on January 7th, Big Brothers Biglocation, Sisters 350 of Ocean County registration starts at 11:30 a.m., lunch will be served at noon. The topic & guest speakers to be announced. Avenue, accepting Toms River,reservations NJ We will be hosting our annual Ocean County Mall Expo on February 1 & 2. 20 WeHadley are currently for exhibit space! With Our Chamber members, board of directors, executive board & staff have also been heavily involved in the Chamber revitalization! Our newly “Abased Season of Giving A Season of Living formed technology committee is now available to answer basic technology questions for- our members. TheyAward” will also be hosting a seminar in the month of November, please continue to check our website for information. Our membership, At ecomonic development & golf committees are meeting regularly & the Chamber Facebook page is growing daily!HOLIDAY INN OF TOMS RIVER, 290 Route 37 East, Toms River We encourage you to continue to check our Chamber website for the most up to date information on Chamber events & for all event flyers! If Wednesday, December 11, 2013 you are interested in registering for any of the above mentioned events please contact the Chamber at info@oc-chamber.com or 732 349-0220.

Welcome New Members Treasures From Heaven Colleen Pisacreta 1240 Route 166 (Stella Towne Center) Toms River, NJ 08753 732 505-0150 732 505-0186 www.treasuresfrom heavenconsignment.com Shopping/Retail Grunin Properties Jeremy Grunin 1027 Hooper Avenue, Toms River, NJ 08753 732 341-5800 732 505-0818 Real Estate Waters Edge John Zigler 125 Bayview Avenue, Bayville, NJ 08721 732 269-3000 732 269-2102 www.wateredgeonthebay.com Restaurants The Liberty Dental Program of America Danielle Wittenberg, Account Manager 1144 Hooper Avenue, Suite 301, Toms River, NJ 08753 732 503-5813 732 914-8267 www.thelibertyprogram.com Insurance

New Members Always Welcome

Real Data Technologies Russell E. Harrison 34 Hampshire Blvd., Jackson, NJ 08527 917 626-6093 732 276-5974 www.rdtechnologies.net Information Technology & Telecommunications Lang Insurance Group Rose Macnish 19 Niagara Drive, Toms River, NJ 08753 732 282-2700 ext. 304 732 255-5610 Insurance Thompson Healthcare & Sports Medicine Alicia Wright Ryan Howell Dr. Robert Thompson 810 Hooper Avenue, Toms River, NJ 08753 732 281-3200 732 276-9885 Doctors & Chiropractic The Goddard School Alisa Khaitan 255 Route 70, Toms River, NJ 08755 732 363-5530 732 363-2930 www.goddardschools.com Education Insurance Restoration Specialist Jon Jarema 30 Abeel Road, Monroe Township, NJ 08831 908 406-1474 Construction & Home Services

The County Woman Magazine

TOMS

Registration: 11:30am ~ Buffet Luncheon: 12:00pm Luncheon Cost: $35.00 Members / $40.00 Non Members RIVER-OCEAN COUNTY CHAMBER OF COMMERCE Limited number of Exhibit Tables Available: $25.00

General Membership Holiday Luncheon

Entertainment Entertainment Co. Honoringby. .Versatile . Sue Sedivec Please bring an unwrapped gift for of a needy childCounty, - any age (voluntary) PrizesToms with your business Big Brothers Big Sisters Ocean 20 HadleyDoor Avenue, River, NJ card attached are welcomed! With “A Season of Giving - A Season of Living Award” ****LIMITED ADVERTISING SPACE IN PROGRAM AVAILABLE**** At HOLIDAY INN OF TOMS RIVER, 290 RouteBOOKLET 37 East, Toms River CALL TODAY TO RESERVE YOUR SPACE Wednesday, December 11, 2013

Registration: 11:30am ~ Buffet Luncheon: 12:00pm Back Page 5 ½Luncheon x 8 ½ - $150.00 Inside/ $40.00 Front / Back 5 ½ x 8 ½ - $100.00 Cost: $35.00 Members NonCover Members Full Page 5 ½ x 8 Limited ½ - $50.00 Half Page 5 ½ x 4 ¼ $25.00 number of Exhibit Tables Available: $25.00 DEADLINE TO ADVERTISE DECEMBER 2, 2013 Entertainment by Versatile Entertainment Co. Please bring an unwrapped gift for a needy child - any age (voluntary) Door Prizes with To register please call: 732 349-0220 Fax: 732 349-1252 Email: info@oc-chamber.com your business card attached are welcomed! Go to www.oc-chamber.com to view our Calendar of Events ****LIMITED ADVERTISING SPACE IN PROGRAM BOOKLET AVAILABLE**** **GENERAL MEMBERSHIP HOLIDAY LUNCHEON - R.S.V.P by Monday, December 2, 2013** CALL TODAY TO RESERVE YOUR SPACE No Shows will be charged NAME(S): COMPANY NAME: ADDRESS: PHONE:

EMAIL:

# ATTENDING:

VISA

M/C

I’D LIKE TO RESERVE AN EXHIBIT TABLE AT THE EVENT EXP. DATE: