Ocean County Woman - January/February 2021 by The County Woman

Ce le br at

ing

O ur

11th Year!

An Educational Resource for Women and Their Families

FREE ~ Please Take One THE UROLOGY GROUP OF CHOICE.

Treating patients with compassion, dignity, mutual respect, and trust remains our steadfast goal.

AMRI was founded in 2013 by Dr. Sanjiv Sharma.

Pages 28 & 29

EXPERIENCE THE DIFFERENCE.

Take time to make a memory and preserve your times together with a beautiful family portrait. Page 43

Photo by Tracy Harman Photography.

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TREATING MEMORY LOSS.

True independence and understanding are at the core of Garden State Trust Companyâ&#x20AC;&#x2122;s unique value proposition. Caring for and thoughtfully guiding our clients has created the strong trusting relationship they have nurtured over many decades. Read more about this extraordinary professional team on pages 18 & 19.

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Medical Professionals

Total Hip Arthroplasty Anterior Approach vs. Posterior Approach David Walinger, PTA

Total hip arthroplasty (THA) is used worldwide as one of the most effective procedures for relieving pain, restoring function, and improving quality of life in patients with painful or deformed hip joints. Improvements in hip arthroplasty procedures have led to faster recovery, shorter hospitalization, and higher patient satisfaction.

In the United States, more than 300,000 patients between 50-80 years of age undergo total hip replacement. The most common cause for requiring a THA is due to osteoarthritis or injury. Symptoms of osteoarthritis include pain, joint stiffness, and decreased range of motion. THA has the ability to relieve pain and improve quality of life. Among all the joints in the human body, the hip joint has a faster, more durable and successful recovery following replacement. The hip joint is a ball-and-socket joint. The prosthetic (artificial) portion of the hip joint consists of two parts, a cup-like component that is attached to the acetabulum (portion of the pelvic bone), and a shaft with a round top that attaches to the femur (thigh bone of the leg). The damaged parts of the hip bone are removed, contoured and replaced with the prosthetic. These material combinations can include metal-on-polyethylene ,metal-on-metal, and ceramic-on-ceramic. Total hip replacements can be performed with two techniques which include an anterior approach or posterior approach. The anterior approach is considered less invasive in comparison to the posterior approach. During a posterior approach, while lying on your side, your orthopedic surgeon will create a 4-7 inch incision behind the hip along the outer buttock

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area. The gluteus maximus muscle is split but will not require repair. Two hip external rotator muscles are detached and then reattached to bone and will heal within 4-6 weeks. The anterior approach is usually performed creating an incision along the front upper thigh separating but not detaching muscle to avoid nerve damage. Following surgery, your physician will discuss your hip precautions to ensure a successful recovery.

Hip Precautions

Posterior Approach: What to avoid: • Sitting on low chair/toilets • Bringing you knee past you hip ( >90 degrees of hip flexion) • Bending at the waist to pick up objects off the floor • Standing “pigeon toed” (inward rotation of feet) • Crossing of legs

Anterior Approach: What to avoid:

• Stepping backwards on your surgical leg • Crossing of legs • Lying on your stomach • Standing with your feet rotated outward *Please consult with your physician regarding hip precautions

We’re open and here for you! All-Care is following all CDC guidelines to keep you (and us) safe! • Telehealth • In-Clinic • In-Home Therapy • In-Network

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Physical Therapy

Early postoperative therapeutic exercises are necessary for preventing blood clots and increasing blood circulation to your lower extremities. Early exercises are also important to strengthen muscles and maintain joint integrity. Following surgery, you will meet your supervising physical therapist in the recovery room to begin exercises implemented in your personal treatment plan. It may feel uncomfortable at first, but these exercises will speed your recovery and reduce your postoperative pain. Outpatient physical therapy sessions will help restore range of motion and increase your proximal hip stability. Weight-bearing activities will help restore strength to optimal levels as well. This level of physical therapy focuses on activity-specific rehabilitation for your personal goals, such as a return to work or other activity. Your physical therapist will incorporate exercises that simulate those activities. These may include lifting techniques, pushing, pulling carts, climbing ladders, agility exercises, or light jogging depending on your recovery and activity level. Today, 80% of all hip replacements last for up to 20 years. Some are not always successful, leaving various factors which increase the chances of failure including an individual’s weight, compliance of hip precautions as well as level of activity and overall health status. Performing strengthening exercises is essential for stabilizing the hip during recovery. Excessively high impact exercises can cause too much force and can increase the likelihood of complications. Skilled manual therapy and rehabilitation is very important in order to regain full potential and proper recovery. For more information on the importance of physical rehabilitation following a total joint replacement surgery, please call (609) 660-1900 to schedule an appointment at our Barnegat location.

David Walinger, PTA David graduated from Union County College where he earned his Associates Degree in Applied Science with successful completion of the Physical Therapist Assistant Program. Prior to this, he attended Bloomsburg University where he studied exercise science. During his clinical rotations he has treated many patients with a variety of pathologies including musculoskeletal injuries, Parkinson’s disease, cerebrovascular accidents, traumatic brain injuries, and more. David is an active member of the American Physical Therapy Association and is delighted to be a part of the All-Care team.

January/February 2021

Medical Professionals

3 29

We At Advocare Stafford Orthopedics Would Like To Wish Everyone Happy Holidays! Written by Dr. Samuel E. Epstein

What is this?

renewals, rest assured This is a surgical technique that is performed throughour veryclinicians, tiny incisions,pre-certification only a few millimetresdepartment, long. This is in contrast to traditional performed largescheduler incisions onwill the foot. Baskin billing surgery department orthrough surgical getDr. back tooffers you We know the holidays can be a stressful thistime, technique with advantages over open surgery. Much less soft tissue stripping and dissection is promptly. You won’t have to call more than once to get an especially this year with COVID-19. We have required to gain access to the bone in order to make the corrections. This may alleviate the need for answer. We are frequently complimented on how competent and implants, or screws. procedures in place for social distancingwires, and efficient our office staff is. sanitizing to help reduce your stress about coming We are grateful to all of our patients, new and old, who have to the office. Our door handles and tabletops are This may lead to: entrusted us with their What conditions treated health for overcan 50be years. Wethis see way? entire frequently cleaned and sanitized with Clorox Wipes • Reduced surgical timefamilies for their musculoskeletal • Bunions (hallux needs, valgus) from grandparents to • Walking in a surgical shoe. • Lumps, bumps, corns, calluses on or in between or 70% alcohol. Our exam tables and chairs arethe same daychildren. Over the years we have seen many children of children. • Less damage to tissues the toes. sanitized after each patient. When you arrive in our the trust • Less internal scarringThis is a testament to• Hammer toesand relationship we’ve developed parking lot, you call us on your mobile phone. Then with patients and their families. (pain There is no higher • Minimal external scarring • Metatarsalgia under the balls of thecompliment. toes) once an exam room is ready, we phone you and (sometimes stitches are toe the arthritis not Weneeded) are thankful to• Big have medical technology to improve • Less joint stiffness (Cheilectomy Rigidus) you’re brought to the exam room. You no longer Minimally Invasive Surgery Open Surgery our patients’ lives. This includes for theHallux latest minimally invasive Sameof dayour surgery • Morton’s Neuroma have to wait in a crowded waiting room. •All techniques to repair •orPlantar reconstruct the foot and ankle to • Quicker recovery time Fasciitis staff wear masks and/or shields to protect you. Our newestactivities minimally• Some invasive fix hip fractures. • Faster return to work the and normal aspectsdevices of flat feettosurgery policy is to see patients as soon as possible. If you Arthroscopic techniques devices ussurgery to repair the • No need for pins or implants in the toes • Someand aspects of ankleallow arthritis think you have broken a bone, we will see you • Possibly a better resultmeniscus tear in the •knee Diabetic ulcers placescuff on thetear foot in the and themost rotator within a day. With other less urgent conditions, we shoulder, and to reconstruct the anterior cruciate ligament. strive to see you within a few days to a week. Small Components for total joint replacements have become more Can any surgeon perform this kind of surgery? things like prompt appointments can reduce No. Verythe specific training in minimally invasive are required and thesethe training have wear-resistant and techniques last longer. In addition, use courses of tranexamic restricted access. A new range of surgical tools, not normally used in traditional open surgery are used stress of waiting. acid and multimodal pain management have reduced bloodand loss these require a new set of technical skills in order to master the different surgical techniques. This requires We are blessed to have courteous, competent, caring staff who and postoperative pain and have allowed total joint patients to go training and experience. Not all foot and ankle surgeons perform minimally invasive foot surgery. respond to our patients’ needs. From the people who answer home earlier. Is it for me? the phones and schedule the appointments to the front desk Most people have minimally invasive it is holiday not for everyone. Some deformities have a surgery, safe, however happy season with personnel, you are greeted with courtesy and kindness. Our are eligible toPlease are too large to be corrected using minimally invasive techniques. A consultation with Dr. Baskin will allow clinicians pride themselves on their experience, knowledge and your family you to discuss this in detail and decide whichand methodfriends! of foot correction is appropriate for you. n training. If you call us with questions, problems or medication

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January/February March/April 2021 2019

The County Woman

Welcome to the January/February 2021 Issue of the Ocean County Woman! Monmouth County Monmouth County Since 2008

Since 2008

Woman

Dear Readers, I know I am not the only one excited to say farewell to 2020. It has been a year like no other. Although we are not quite “back to normal,” there is undoubtedly more hope in the air these days. During times of great strife, it is so important to try and stay positive. After all, with hard times comes growth and change. We all know the pandemic has wreaked havoc on the economy and has caused illness for so many. Now more than ever, we must create some positivity in our lives. Maybe it’s practicing a random act of kindness for a friend, or supporting a small business. I know I am very much looking forward to what the new year has to bring. The month of February is American Heart Month. Let’s try and raise some awareness about the importance of heart health and urge our friends and loved ones to prevent heart disease. Did you know that 47% of all Americans have at least 1 in 3 key risk factors for heart disease? These days, when it comes to factors we can control, we must do just that! Live a healthy lifestyle and keep your blood pressure and cholesterol levels normal. Also in the month of February we have Valentine’s Day. Send someone you love some red roses, or better yet some chocolate. Did you know that dark chocolate is packed with antioxidants and can improve brain function?

“The New Year stands before us, like a chapter in a book, waiting to be written.” —Melody Beattie

Inside... Medical Professionals

All-Care Physical Therapy Center LLC.......................... 2 Advocare Stafford Orthopedics..................................... 3 Advanced Dermatology................................................. 5 Wishing you and your loved ones all the best Shore Vascular All correspondence should be addressed to: correspondence should be addressed to:& Vein Center.................................... 6, 7 for the comingAllyear! New Jersey Hematology Oncology Associates........ 8, 9 The County Woman The County Woman Best Wishes, Kathy A. Banks, DMD.................................................. 12 P.O. Manager, Box 619& the Staff at the P.O. Lauren Shover, Production OceanBox County 619 University Urology Associates of New Jersey............. 13 Reproductive Science Center of New Jersey............. 14 Woman Publication Turnersville, NJ 08012 Turnersville, NJ 08012 Institute for Complementary & Alternative Medicine... 15 The County Woman’s Newspaper is published bi-monthly and isWoman’s available Newspaper free of charge at The County is published bi-monthly and Gastroenterologists is available free of charge of at Ocean County......................... 17 display stands in approved private and public establishments and authorized display stands in approveddistributors private andonly, public establishments and authorized only, ............................................. 20 Intuitive distributors Womens Health. or by paid mail subscription. or by paid mail subscription. Bella Derma Medi Spa................................................. 21 Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No Laws part ofprotect The County Woman’s Trademark and U.S. Copyright Newspaper. No part of Toms River X-Ray, CT & MRI Center........................... 23 this paper may be reproduced without the written permission of the publisher. this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper is not responsibleThe for any editorial comment (other isthan Relievus....................................................................... 24 County Woman’s Newspaper not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any its own), typographical errors fromreproducadvertisements submitted as camera ready Dr. or any reproducGo Feet: Stuart W. Honick..................................... 25 tions of advertisements submitted as camera ready. tions of advertisements submitted as camera ready. Paonessa Colon & Rectal Surgery.............................. 26 If an advertisement does not meet our standards of acceptance, we may does revisenot or meet cancelour it atstandards of acceptance, we may revise or cancel it at If an advertisement Memory Research Institute.................. 28, 29 any time, whether or not it has been already acknowledged previously The acknowledged and/orAdvanced time,and/or whether or not itpublished. has been already previously published. The Publisher • Chrisfor Lam • any chris@thecountywoman.com Personal Enhancement advertiser assumes sole responsibility all statements contained in submitted copy and will advertiser assumes sole responsibility for all statements contained in submitted copy and will Center.................................... 38 Ce leb ra

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Jersey Shore Pharmacy.............................................. 27 AccuCare............................................................... 30, 31 Living Healthy Naturally............................................... 31 Hypnosis for Women................................................... 33

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January/February 2021

Medical Professionals

EXPERTS

IN ALL AREAS OF

CUTANEOUS MEDICINE: Adult and Pediatric General Dermatology Mordechai M. Tarlow, MD, FAAD Clinical Assistant Professor of Dermatology University of Pennsylvania School of Medicine Diplomate, American Board of Dermatology Fellow, American Society of Mohs Surgery Fellow, American Society of Dermatologic Surgery

Esther Stern, NP-C Fay Prag, NP-C

Oncologic Skin Disease (skin cancer) Surgical Treatment Cosmetic Dermatology Mohs Micrographic Surgery

Pesha M. Cohen, NP-C

Most major insurance plans accepted.

At Advanced Dermatology and Skin Surgery our goal is to provide you with the highest quality skin health care in a nurturing and compassionate environment.

Visit our website at adssnj.com

CALL:732.905.9200

Our experienced providers work side by side in an atmosphere of collaboration.

We are located a short five minutes from the Garden State Parkway:

We look forward to creating a trusting relationship, in which we can work together to keep your skin looking and feeling its best!

Genovese Counseling Services

456 Chestnut Street, Lakewood, NJ 08701

Health & Wellness We Are Partners In Healing

Christine Genovese, LPC

Psychotherapist • Brainspotting Practitioner 125 E. Main Street, Suite 6 • Tuckerton, NJ 08087 553 New Road, Suite E • Somers Point, NJ 08244

609 568-6299

Email: healing@genovesecounseling.com

genovesecounseling.com

Christine Genovese works with educators and other adults experiencing grief, anxiety and major life change. We are partners in healing.

Being invited into another person’s space to help them heal is an honor and a privilege. Seeking counseling is actually selfeducation, and learning about grief, anxiety and major life change, is a partnership. The focus of this practice is structured to support all adults including educational professionals who are experiencing stress, grief, anxiety, depression and major life change. Working through life changing experiences, no matter how great or small, can be difficult especially when navigating

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multiple situations at once. I am here to listen, validate what you are experiencing, discuss possible solutions, and hold space with you. Having worked in an agency setting as well as the school system has allowed me to develop a wide variety of methods for reaching people who are hurting or simply want to sort things out. Through the use of a pointer and a strong relationship, Christine and the client use the natural gaze to incorporate Brainspotting into the therapeutic session.

January/February 2021

Medical Medical Professionals Professionals

10 6

The Most Common Questions And Answers Concerning Varicose Veins

Varicose veins are one of the most common vascular conditions affecting women...and men of all ages. Treatment options have improved greatly in recent years. In spite of these advancements, many people mistakenly still believe that treatment for this problem is difficult, painful, and simply considered “cosmetic.” Other people may experience leg pain and other symptoms but they don’t realize what is causing their condition. This article will answeraricose some common questions regarding associated and treatment. veins are one of the most common vascular varicose How are veins, varicosethe veins and venoussymptoms, reflux diagnosed? conditions affecting women...and men of all ages. An experienced vascular specialist can make the diagnosis with techniques, allowoffor treatment history, physical examination and a Treatment greatly in a combination a medical Jeffreyoptions S. Gosin,have MD,improved FACS WITHOUT the need painful recent years. In spite of these advancements, painless vascular test for called a Doppler ultrasound (also known as surgery. One of the best, most many people mistakenly still believe that treat- a proven venoustreatments duplex scan.) Making the correct diagnosis is essential for venous reflux What are varicose veins? ment for this problem is difficult, painful, and inisproperly treating this This condition. the Closure® Procedure. Varicose veins are swollen veins that simply considered “cosmetic.” Other people minimally invasive procedure is venous reflux treated? How are varicose veins and can be seen through the skin. They often performed right in the office in may experience leg pain and other symptoms Sometimes compression less stockings will be sufficient to control have a bulging, twisted appearance. than 30 minutes, with no incisions, but they don’t realize what is causing their and prevent complications. When procedures are needed, Some varicose veins may be very large symptoms minimal discomfort, and excellent condition. This article will answer some results. technology and techniques, allow for treatment WITHOUT and discolored. Others may be smaller. current common questions regarding varicose veins, the need for painful surgery. One of the best, most proven treatments They can occur anywhere on the legs, How long is the recovery Jeffrey S. Gosin, MD, FACS the associated symptoms, and treatment. for venous reflux is the Closure® Procedure, now referred to as Venefit™. including the groin area.

What are varicose veins? What causes varicose veins? veins areup,swollen canthe belegs seenandthrough Varicose Blood must flow against veins gravity,that to exit return tothe theskin. heart. They often have a bulging, twisted appearance. Some varicose veins Our leg veins have one-way valves that assist in this process. Those valves can may be very large and causing discolored. be smaller. TheyThe canblood malfunction and leak, blood Others to flow inmay the wrong direction. then pools in the legs, increasing the pressure in the veins. This is known as venous occur anywhere on the legs, including the groin area. reflux disease or Chronic Venous Insufficiency (CVI). Venous reflux is one of the What varicose mostcauses common causes ofveins? varicose veins. Blood must flow up, against gravity, to exit the legs and return to thelegsymptoms of varicose veins and venous reflux theWhat heart.are Our veins have one-way valves that assist in this process. disease? Those valves can malfunction and leak, causing blood to flow in the People with varicose veins and venous reflux may feel leg pain, leg heaviness, leg wrong direction. The blood then pools in the legs, increasing the pressure fatigue and/or leg swelling. Itching of the skin of the legs is also a very common in complaint. the veins. Standing This is known as venous refluxMany disease or Chronic may worsen symptoms. people will noticeVenous the Insufficiency reflux is one of the most causes appearance of(CVI). bulgingVenous legs veins. However, some people willcommon only feel discomfort not notice any cosmetic changes. of but varicose veins. I thought are just a cosmetic problem. What are thevaricose symptomsveins of varicose veins and venous reflux disease? with varicose veins and venous reflux may feel leg pain, leg IsPeople that true? It is important to understand varicoseItching veins and reflux are NOT heaviness, leg fatigue and/or legthat swelling. of venous the skin of the legs is necessarily simple cosmetic problems. This can be a sign of an abnormal condition also a very common complaint. Standing may worsen symptoms. Many in the circulation. In addition to pain, some individuals may be at risk for chronic people will notice the appearance of bulging legs veins. However, some swelling, permanent skin discoloration, open wounds and even blood clots. With people will onlyand feeltreatment, discomfort but not notice any can cosmetic early diagnosis long-term complications usuallychanges. be prevented. Treatment often has the added benefit of improving aesthetics, even cases that I thought varicose veins are just a cosmetic problem. Is thatintrue? areItnot considered “cosmetic.” is important to understand that varicose veins and venous reflux areWho NOT cosmetic problems. This can be a sign of isnecessarily at risk forsimple varicose veins? Prolongedcondition standing orinsitting on one place,Infamily history varicose veins, and an abnormal the circulation. addition toofpain, some indibeing overweight are all known risks. In addition, increasing age and pregnancy viduals may be at risk for chronic swelling, permanent skin discoloration, are risk factors. Some people may develop varicose veins without having any of open wounds and even blood clots. With early diagnosis and treatment, these known conditions. long-term complications can usually be prevented. Treatment often has arebenefit varicose veins and venouseven reflux diagnosed? theHow added of improving aesthetics, in cases that are not An experienced vascular specialist can make the diagnosis with a combination considered “cosmetic.” of a medical history, physical examination and a painless vascular test called a Who is atultrasound risk for varicose veins? Doppler (also known as a venous duplex scan.) Making the correct diagnosis is essential in properly treating thisplace, condition. Prolonged standing or sitting on one family history of varicose veins, overweight all venous known risks. addition, increasing Howand arebeing varicose veinsare and refluxIntreated? age and pregnancy are risk factors. Some people may develop varicoseand Sometimes compression stockings will be sufficient to control symptoms prevent complications. When procedures areconditions. needed, current technology and veins without having any of these known

from vein treatment? This minimally invasive procedure is performed right in the office In most cases individuals can inreturn less than 30usual minutes, with no incisions, minimal discomfort, to their activities within and excellent results. a day of the procedure.

How long is the recovery from vein treatment? Is varicose vein treatment In mostby cases individuals can return to their usual activities within covered health a insurance? day of the procedure. Venous reflux is a medical condition. Therefore, in many cases, varicose Is varicose vein disease treatment covered by health insurance? vein treatment is covered by is health insurance. An experienced vein treatment Venous reflux disease a medical condition. Therefore, in many center will have insurance specialists who will work with your insurance company cases, varicose vein treatment is covered by health insurance. An to confirm coverage. experienced vein treatment center will have insurance specialists who will work with your insurance company to confirm coverage.

Visit www.GetGreatLegs.com

VISIT www.GetGreatLegs.com • The The Venefit Closure Procedure Procedure • Microphlebectomy

• Sclerotherapy for treatment of spider veins • Excel V Vascular Laser for treatment of spider veins and unsightly facial veins • IAC Accredited Noninvasive Vascular Laboratory on site • Enlighten(TM) Laser Tattoo Removal

442 Bethel Road Somers Point, NJ 08244

(609) 927-VEIN (8346) www.GetGreatLegs.com

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May/June2021 2016 January/February

Medical Professionals Medical Professionals

Medical P7 rofe

Groundbreaking NewRemoval Technology Groundbreaking New Technology For Laser Tattoo Groundbreaking New Technology for Laser Tattoo Removal

Cost Shore Vascular & Vein Center treatmen Cost will vary depending on a number of factors including the size of ones, wit / Aesthetic Laser Shore Center Vascular & Vein Center / Aesthetic Laser Center number o the tattoo and the number of treatments needed. Keep in mind that with announces enlighten™, the ™ enlighten™, shouldnewest, anticipate requiring fewer treatmentssolution than required Numbe announces enlight en you , the mostfarcomplete newest, most complete solution People o with other lasers. You can also anticipate more complete results. However, available anywhere for available laser be remov anywhere for laser tattoo removal. since the exact number of treatments will not initially be known, we offer tattoo removal. That is be

complete tattoo removal packages. That gives you a set price in the beginning are neede and eliminates the uncertainty of not knowing the exact number of treatments of variou that will requiring ultimately needed. Ourthan staffrequired can givewith youother more information about are more anticipate farbe fewer treatments lasers. You can also know in pricing after we examine your tattoo. anticipate more complete results. However, since the exact number of treatments will Shore Vascular & Vein Center / Aesthetic Laser Center not initiallyUs be known, we offer complete tattoo removal packages. That gives you a set how com About ™ announces en light en , the newest, most complete price the beginning and eliminates uncertainty of not knowing the exact number Ourin medical director, Dr. Jeffreythe Gosin, is a Board Certified Vascular Surgeon.laser has solutionthat available anywhere laser ofHe treatments will ultimately needed. for Our staff cantattoo give youremoval. moreprocedures information tattoo rem has years of experience in be performing cosmetic vascular laser about pricing after we your tattoo.laser. Over those years, he has been asked the numb ™examine Excel using highly enthe light enacclaimed is the most V™ advanced laser system available a good id About Us byfor many patients if he could safe and effective tattoo removal. It is the world’s first examined Our medical director, Dr. laser system to combine also remove their tattoos with both picosecond and nanosecond Partial Jeffrey Gosin, is a Board Certified technology with dual V™ wavelength lasers. This allows his laser. While the Excel Due to Vascular Surgeon. He has years of individualized treatment of all colors of ink and skin types for other fact laser is best-in-class for vascular experience in performing cosmetic changed. the fastest, complete laser tattoo removal ever available. The “Pico” Difference The “Pico” Difference applications, it most is not designed vascular laser procedures using the leaving o Lasers remove tattoos by delivering high energy overbya very shorthigh period of forThe removing highly acclaimed Excel V™Other laser. Lasers remove tattoos delivering energy “Pico”tattoos. Difference Cost Over those years, hassignificant been asked time to break up ink. Inks of different types, depth can provide prior lasers alsohe had Lasers remove tattoos by delivering high energy over a very short period of time over a very shortcolors periodand of time to break up ink. Cost wi many patients if he could also to break up Therefore, ink. Inks ofhe different types, colors and depth can provide significant significant challenges to remove.Inks It has been shown duration pulses by limitations. of different types, that colorsshorter and depth can provide including remove their would tattoos withprovide his laser. challenges to remove. It has been shown that shorter duration pulses are more to remove. has beenpulses. shown are more effective in completely significant removingchallenges tattoos than longer Itduration previously not treatmen While the Excel V™ laser is besteffective in completely removing tattoos than longer duration pulses. Our new shorter duration pulses are more effectiveAin Our new enlighten™ laser canthat deliver energy at picosecond intervals. this service. requiring enlighten™ laser can deliver energy at picosecond intervals. A picosecond is for vascular applications, removing than times longer shorter durationthan in-class anticipate picosecond is one trillionth of a completely second. This is onetattoos thousand it isWhen the new enlighten™ one second. This is one thousand times shorter than prior lasers nottrillionth designedof fora removing pulses. Our new enlighten™ laser can deliver energy will not i prior lasers for tattoo removal. Picosecond, sometimes referred to as “pico,” laser became available, for finally tattoo removal. Picosecond, tattoos. Other prior lasers also had sometimes referred to as “pico,” lasers have been at picosecond intervals. A picosecond is one trillionth of a second. This is one thousand you a set lasers have been to remove tattoos more completely and with fewerto that completely changed shown to remove tattoos more completely and with fewer treatments, than with significant limitations. Therefore, times shorter than shown prior lasers for tattoo removal. Picosecond, sometimes referred exact num lasers used in the past. treatments, than in the tattoos past. more completely and with fewer things. Dr. would Gosin researched he previously not provide this as “pico,” lasers havewith beenlasers shownused to remove more info service. Flexibility theFlexibility technology, attended treatments, than with lasers used in the past. About U ™ Picosecond lasers are the most advanced tattoo removal technology light ennewest, When the new en Flexibility Picosecond lasers are the newest, most advanced tattoo removal technology conferences, and personally Our me available. Our laser enlighten™ laser combines this “pico” technology with the laser finally became available, that available. Ourlasers enlighten™ lasermost combines this “pico” technology withavailable. the consulted with experts Picosecond are the newest, advanced tattoo removal technology He has ye flexibilitychanged of boththings. 1064nmDr. and 532nm dual wavelength lasers. Never before has completely the highl Our enlighten™ laser1064nm combinesand this 532nm “pico” technology with the flexibility of both flexibility of both dual wavelength lasers. Never before from around the country who thisresearched combination of power and versatility been available. This now allows for the Gosin the technology, p 1064nm and 532nm dual Neverbeen beforeavailable. has this combination of power were involved in the very early has this combination ofwavelength power andlasers. versatility This now allows attended conferences, and personally E and the versatility been of available. now allows for the treatment of alltraditionally color tattoos and for treatment all colorThis tattoos and skin types, even the use of this remarkable new consulted with laser experts from f skin types, even the traditionally very difficult ones, with a single device. This provides very difficult ones, with a single device. This provides effective results in device.theItcountry becamewho clear that “University Quality Care at the Jersey Shore” Th around were effective results in approximately half the number of treatments of prior lasers. approximately half the number of treatments of prior lasers. this technology set of the involved in the verywould early use Number of Treatments Required and Results this remarkable new device. It Number of Treatments Required and Result new standard in laser tattoo c People often ask how long it will take to remove their tattoo, and will it be able to became clearWe thatare this technology c “University Quality Care People often ask how long it will take to remove their tattoo, and will removal. very pleased be removed completely. Laser tattoo removal typically takes multiple treatments. That would set the new standard in laser c it be able tattoo to be ink removed completely. tattoo typically takes to be the first center in the at the Jersey Shore” is because is deposited deep intoLaser the skin and removal multiple treatments are needed d tattoo removal. We are very pleased multiple That is itbecause tattoo ink is deposited deep into thesizes, entire Delaware Valley to be to reach alltreatments. of the ink and break up completely. In addition, tattoos of various l to be the first center in the entire skin are needed to reachSome all ofcolors the ink it up able to offer this cutting-edge colorsand andmultiple ages may treatments respond differently to treatment. are and morebreak difficult to D Delaware Valley to be able to offer clear completely others.tattoos Therefore, it is impossible to know the very completely. In than addition, of various sizes, colors andinages maybeginning respond technology. this cutting-edge technology. how many treatments will ultimately be needed or how completely it will be removed.than differently to treatment. Some colors are more difficult to clear completely t However,Therefore, our new enlighten™ picosecond laser has shown to be fasterhow and many more IfIfyou are experiencing others. it is impossible to know in been the very beginning you are c effective thanwill the ultimately prior lasers used for tattoo In fact, many can expect to “tattoo regret” and would like treatments be needed or removal. how completely it willpeople be removed. experiencing “tattoo obtain excellent results in half the number of treatments, or less, than with prior lasers. to have your tattoo removed However, our new enlighten™ picosecond laser has been shown to be faster JEFFREY442 S.Bethel GOSIN, MD FACS Our doctor can give you a good idea of the number of treatments that will be needed regret” andcall would or changed, us forlike a Road and more effective than the prior lasers used for tattoo removal. In fact, many after your tattoo is examined. consultation. to have your tattoo Somers Point, NJ 08244 people can expect to obtain excellent results in half the number of treatments, or Partial Tattoo Removal (609) 927-VEIN (8346) removed or changed, call 442 Bethel Road less,Due than prior lasers. Our doctor can give you afactors, good idea the number to with change in circumstances, relationships and other someofpeople desire Somers Point, NJ 08244 www.EndTattooRegret.com Forformore information, of treatments that changed. will be needed your tattoo is examined. us a consultation. to have their tattoos We canafter remove parts of tattoos, while leaving other parts Partial Tattoo Removal intact, to allow for tattoo changes. call 609-927-8346 Cost Due to change in circumstances, relationships and other factors, some people The County Woman Magazine(609) 927 VEIN www.TheCountyWoma (8346) or visit desire have their tattooson changed. can remove parts while Costtowill vary depending a numberWe of factors including theof sizetattoos, of the tattoo and the number of treatments Keep in mind that with enlighten™, you should www.EndTattooRegret.com. www.EndTattooRegret.com leaving other parts intact, toneeded. allow for tattoo changes.

enlighten™ is the most advanced laser system enavailable lighten™for is the most advanced safe and effective laser system available for safe and tattoo removal. It is the effective tattoo removal. It is the world’s world’s first laser system first laser system to combine bothto combine both picosecond and picosecond and nanosecond technology withwith dual wavelength lasers. Thislasers. allows nanosecond technology dual wavelength individualized treatment of all colors of This allows individualized treatment of all colors of ink ink and skin types for the fastest, most and skin types for the fastest, most complete laser tattoo complete laser tattoo removal ever removal ever available. available.

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The County Woman Magazine www.TheCountyWoman.com

November/December 2018

January/February 2021

Medical Professionals Newer Cancer Diagnostics And Their Impact On Cancer Treatment Dr. Apurv Agrawal

Oncologists need detailed information on a patient’s cancer prior to creating an effective treatment plan. Traditionally this information has included pathology, which is typically obtained from results of a biopsy on a patient’s tumor. Additionally, CT scans and/or PET scans provide details as to the extent and distribution of a patient’s cancer. This testing remains vital to cancer care. More recently cancer biomarkers have become very important to developing treatment plans for patients. Cancer biomarkers are typically proteins, genes, and other molecules that play a role in growth and multiplication of cancer cells. When medically appropriate, comprehensive tumor profiling to identify biomarkers present on a patient’s cancer/tumor can be performed. This testing can be performed on the tumor sample itself and, in some cases, on a patient’s blood or urine sample. By doing so we are able to offer our patients “personalized cancer care” and choose treatments that will target biomarkers that are present on their specific cancer cells. This targeted approach helps us to develop individual, cancer-specific treatment plans for our patients. These results can help us decide which treatments would offer benefit over an alternate treatment and sometimes identify treatments that may not have been considered otherwise. Additionally, knowledge of specific biomarkers can aid in identifying clinical trials that may be available. There has been an increase in development of targeted cancer therapies. Targeted cancer therapies are drugs that slow or stop the growth of cancer by blocking or inactivating specific molecules that are involved in the growth of cancer cells. Targeted cancer therapies are different than chemotherapy. Targeted therapies act specifically on molecular targets, whereas chemotherapy acts on all rapidly dividing normal and cancerous cells. Targeted therapies block tumor growth or spread, whereas chemotherapy is designed to destroy cancer cells. In some cases chemotherapy and targeted therapies are used together to fight cancer. Examples of targeted therapies include hormone therapies; modulation of the expression of cancer New Jersey Hematology Oncology Associates genes; angiogenesis inhibitors, which block the blood supply of tumors; immunotherapies, which trigger the immune system to destroy cancer cells; and monoclonal Girish Amin, M.D. antibodies, which stick to their target on the cancer and Apurv Agrawal, M.D. destroy it. In some patients hereditary cancer screening can also Jayne Pavlak-Schenk, D.O. be useful in creating a treatment plan. Sometimes this Randi Katz, D.O. can be done in conjunction with molecular profiling Sara Kovaly, A.P.N of tumors. There are now cancer treatments available that can be beneficial in patients with certain hereditary cancer markers. Brick • 1608 Route 88 West, Suite 250 • (732) 840-8880 Targeted therapies are a very effective addition to an Toms River • 508 Lakehurst Rd., Suite 1-B • (732) 244-1440 oncologist’s armamentarium in cancer care. Whiting • 63D lacey Rd. • (732) 206-6226

For more information, call 732-840-8880 or visit www.NJHOA.com.

Neptune • 19 Davis Ave. • (732) 206-6226 Fax • (732) 840-3939 • www.NJHOA.com

Exceptional Care Without Exception

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Professionals

Dr. Apurv Agrawal is a lifelong New Jersey resident. He was born in Hackensack, and grew up in Edison/ Jackson. Dr. Agrawal completed his Internal Medicine Residency from UMDNJ-Muhlenberg Regional Medical Center. He then went on to Boston University Medical Center where he completed fellowships in Medical Oncology, Hematology, and Geriatric Medicine. He subsequently completed an additional year of a Clinical Trials F ellowship at Boston University/VA Healthcare System of Boston. While at Boston University Medical Center, he served as Chief Fellow in the Section of Hematology/ Oncology. Dr. Agrawal has completed course work towards a Masters in Science in Health Policy and Management from The Boston University School of Public Health. Dr. Agrawal is a member of Community Medical Centers Cancer Committee. He is currently a Clinical Assistant Professor at Robert Wood Johnson Medical School. He is also an Assistant Professor at Seton Hall – Hackensack Meridian School of Medicine and Rowan School of

Osteopathic Medicine. Dr. Agrawal values patient education and shared decision making which help provide an individualized, evidence based treatment plan for all of his patients. Dr. Agrawal is very active in clinical research and is the co-founder of New Jersey Center for Cancer Research. Dr. Agrawal is Board Certified in Medical Oncology, Internal Medicine, and Hospice and Palliative Care Medicine. Dr. Agrawal has been voted as one of “America’s Top Oncologists’ by Consumers’ Research Council of America from 2012-2016. He was recognized by a group of his peers and received the “Peer Reviewed Physician Award” in 2013. He was selected as a Castle Connelly Top Doctor in 2016, 2017 and 2018. He received the Vitals “Patient Choice Award” in 2016 and 2017. In 2017,2018,2019, and 2020 he selected as “NJ Top Doc” and featured in Inside Jersey Magazine. In 2015,2016,2017,2018 and 2019 he was featured in the NJ Monthly magazine and recognized as a “Jersey Choice Top Doc”. In 2019, Dr. Agrawal was recognized by the American Cancer Society as “Visionary of the Year”.

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Cosmetic & General Dentistry

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Professional Dentistry

What’s With The CBD Craze? The Endocannabinoid System (ECS) In order to understand what cannabidiol (CBD) is, we first need to learn more about the endocannabinoid system or ECS. This system was discovered in the early ’90s and has been researched ever since. The ECS is a network of receptors (CB1 and CB2) that are present throughout our body. They reside in places like the heart, lungs, brain, gut, skin, etc. Our bodies produce molecules (endocannabinoids) such as anandamide (AEA) and 2-arachidonoylglycerol (2-AG), which bind to these receptors, allowing our internal functions to run smoothly. This is known as homeostasis. CB1 receptors are mainly found in the central nervous system, and CB2 receptors are found in the peripheral nervous system, especially immune cells. When our bodies don’t produce enough molecules to bind to these receptors, we go toward a state of imbalance. This can lead to inflammation, free radical production, immunodeficiency, etc. CBD is a naturally occurring component derived from the hemp plant. People often confuse the cannabis plant with the hemp plant. The cannabis plant contains tetrahydrocannabinol (THC) while the hemp plant contains little to no THC. You will not get the “psychoactive” effect or “high” with hemp-derived CBD. CBD’s molecular structure is similar to that of our own endocannabinoids so it has the ability to bind to the CB1 and CB2 receptors. When CBD binds to these receptors, it allows for balance or homeostasis. Our bodies are bombarded daily with free radical production as a result of stress, poor diet, obesity, inflammation, smoking, etc. By offering our ECS high-quality CBD products, it gives our bodies a fighting chance to combat any potential imbalances we may have.

What to look for in CBD

It is important to know that since the Farm Act of 2018 was passed, it took the hemp plant off the controlled substances list. That being said, there are many companies that source low-grade CBD from hemp plants that aren’t grown in organic soil. It is important to know that poor soil will result in toxins that can be laced within the hemp plant. You should also look for a CBD that is full spectrum so that you get the added benefit of all the healthy components of the whole hemp plant, which include terpenes and other cannabinoids. Since CBD is an oil, it is important to find a water-soluble product so that you get the most for your money. If it separates like oil and water, it likely won’t have a significant effect on your ECS. And finally, the CBD you purchase should have the United States Hemp Authority stamp of approval to show it has met the stringent requirements of a high-quality CBD. Feel free to email or call us to learn more about the high-quality CBD products we offer.

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Professionals

A Safe, Clean, And Friendly Environment

Kathy A. Banks, DMD Oral & Maxillofacial Surgery

Your Expert in the Face, Mouth and Jaws 249 S. Main Street Barnegat , NJ Specialty Lic #4070

609-488-2325 www.drbanksoms.com Office Hours: 8 AM - 5 PM (Mon. - Fri.)

• Bone Grafting •Dental Implants • General and Intravenous Anesthesia • Jaw Pathology and Reconstuctive Jaw Surgery

Mothers in particular have been forced to deal with COVID-19, quarantine, on-line school learning and home schooling, civil unrest, and the uncertainty and stress that accompanies the world we now live in.

You have had to hold the family together through shortages of food and household items, and to comfort your loved ones and reassure them that they will be alright when our lives become more normal. You have had to explain to your children hand hygiene, social distancing and wearing a mask. The health and well-being of you and your family is of paramount concern. If you or your family members are suffering from any conditions regarding the face, mouth, and jaws, please know that our office is a safe, clean, and friendly environment for treatment. We have always adhered to the highest standards of asepsis and sterilization, a topic I have lectured on many times. We have changed our patient scheduling to allow for social distancing, and our office team members have always worn appropriate PPE to prevent transmission of diseases. We have continued these practices and have added further protective practices to enhance our safety. We are open every weekday and offer our full scope of services including injectable facial cosmetic enhancements, RevitaliZe dental implant solutions, wisdom tooth extractions, and treatment of children and adolescents for various oral and maxillofacial conditions with local, sedation, or general anesthesia options available. Please know that treatment is available for you and your family here in our modern, clean and friendly office where our number-one concern is your safety and comfort.

For more information, call 609-488-2325 or visit www.drbanksoms.com.

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Professionals

New Wh iting er /Manchest Location in Ocean County!

University Urology Associates of New Jersey is Proud to welcome Nabet G. Kasabian, MD to the group.

Telehealth appointments available for your safety

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Professionals

Endometrial Receptivity Array (ERA) Endometrial Biopsy Since the birth of the first in vitro fertilization (IVF) baby 40 years ago, the field of reproductive endocrinology has undergone major advances in medications, retrieval procedures, and laboratory techniques. Despite these innovations, the cumulative live pregnancy rate per egg retrieval is 35-48% for women 35 to 37 years old and 13-18% for women over the age of 40. Even though we are able to obtain eggs and sperm to create an embryo, the live birth rate is still less than 50 % nationally. The area that is still an enigma is the “window of implantation.” This denotes the appropriate time to transfer an embryo to maximize the implantation potential of an embryo. Over the years we have found that a specific sequence of events must occur for an embryo to implant and grow. Currently, it is preferable to transfer a blastocyst embryo, which occurs 5 days after fertilization. The blastocyst is transferred into the uterine cavity and the embryo hatches out and makes direct contact with the uterine lining. When it does, both the endometrium and the blastocyst adhere to each other. The embryo begins to undergo a process of invasion to establish a blood supply with the mother. For this sequence of events to occur, the lining of the uterus must have a specific component; this is called receptivity. In the past, we would assess uterine receptivity indirectly using an ultrasound. The lining had to be a specific thickness and pattern. In recent

years, studies have shown this is not an accurate assessment. As a result, we may be transferring embryos at the inappropriate time. A test has been developed that directly evaluates the uterine lining for receptivity: endometrial receptivity analysis (ERA). This is a genetic test which uses a small sample of a woman’s endometrial tissue to evaluate whether or not the uterine lining is prepared and is able to accept an implanting embryo. This test analyzes the endometrial lining at the molecular level, evaluating for 248 genes. It detects a specific genetic signature which identifies the lining as being receptive for an embryo. If it is not ready (pre-receptive) or over-mature (postreceptive), the test will denote changes required to make the lining receptive. In the era of personalized medicine, a “one size fits all” policy is no longer acceptable. With IVF, we individualize ovarian stimulation protocols based on a patient’s/couple’s medical situation. We now recognize the importance of individualized uterine preparation protocols to facilitate an appropriate uterine environment to optimize treatment outcome. ERA is the most objective and accurate test available today for diagnosing endometrial receptivity. It has been used to define an altered “window of implantation,” and thus establish a personalized protocol for each patient. It has been shown to be beneficial in improving reproductive performance in patients with recurrent pregnancy loss, IVF failures, and unexplained infertility.

For more information call Reproductive Science Center of NJ, 732-240-3000.

Happy New Year

Helping Small Miracles Happen

• Comprehensive Fertility Care • InVitro Fertilization (IVF) • Intrauterine Insemination • Intracytoplasmic Sperm Injection (ICSI) • Preimplantation Genetic Testing • Egg Freezing • Donor Egg • Treatment for Recurrent Pregnancy Loss • Advanced Robotic Reproductive Surgery

The Compassionate Connection

Pictured (L-R): Dr. William F. Zeigler • Dr. Alan M. Martinez

We are Open and Offering Telehealth Appointments Toms River • Eatontown • Lawrenceville

732-240-3000 • FERTILITYNJ.COM

Personalized Treatment Plans Free Phone Consultations

Wishing you and your family a happy and prosperous New Year in 2021! “Year’s end is neither an end nor a beginning, but a ‘going on’, with all the wisdom that experience can instill in us. Cheers to a new year and another chance for us to get it right.”

- Oprah Winfrey

“Your success and happiness lies in you. Resolve to keep happy, and your joy and you shall form an invincible host

- Helen Keller

“We will open the book. Its pages are blank. We are going to put words on them ourselves. The book is called Opportunity and its

- Edith Lovejoy Pierce

“Each New Year, we have before us a brand new book containing 365 blank pages. forgotten things from last year—the words we forgot to say, the love we forgot to show, and the charity we forgot to offer.”

- Peggy Toney Horton

The County Woman Magazine www.TheCountyWoman.com

“We spend January 1st walking through our lives, room by room, drawing up a list of work to be done, cracks to be patched. Maybe this year, to balance the list, we ought to walk through the rooms of our lives... not potential.”

- Ellen Goodman

January/February 2021

Do You Need an Attorney if You’ve Been Injured at Work?

Medical Professionals

For minor injuries, you probably don’t need the services of an attorney unless you need help getting your medical bills paid. If any of the following is true, however, you probably do need the services of an attorney who is well-versed in the area of Workers’ Compensation law. • You need surgery. • Your injuries will impair your ability to function as you did before the accident. • You can no longer do your job because of limitations or pain. • You have to change your job to accommodate your limitations. • The insurance company is contesting your claim and will not pay technique, your medical bills or wage Platelet-Rich Plasma, a phenomenal replacement. extracting one’s own blood, separating it to isolate • Your doctors have released you from treatment prematurely. the “Platelet-Rich Plasma,” then activating it to • You would like a second opinion regarding your condition. release multiple growth factors, is often used at • You’ve been fired or have had your hours significantly reduced as a result of your work accident. ICAM (Instituteand foryou Complementary Alternative • The process is overwhelming would like the opinionand of someone who is well-versed Medicine) as the promotion of collagen and in this area.

Dealing with insurance companies regarding your Workers’ Compensation claim can be daunting, especially when you should be concentrating on feeling better. Without the assistance of an experienced attorney to represent your interests, you’ll be subject to the actions and opinions of those who may have interests contrary to yours. Don’t go through this process alone. Contact the Law Office of Kathleen M. Dotoli for courteous and experienced legal representation for your Workers’ Compensation matter.

Platelet Rich Plasma Facial

Happy New Year!

elastin in the skin. It is also used to treat orthopedic

Kathleen Dotoli receivedWhen recognition from the AmericanPlasma Institute of Legal Counsel for “10 Best Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016 and 2017 injuries. Platelet-Rich (PRP) is injected

If you need guidance, call 732-228-7534 today for a free consultation.

into a damaged area, it causes mild inflammation, which triggers a healing cascade. As the platelets organize in the treated area, they release several enzymes to promote healing and tissue response, including attracting stem cells and releasing growth factors to repair damaged tissue. As a result, new collagen and elastin fibers begin to develop. As the collagen matures, it begins to shrink, causing a strengthening and tightening of the tissue in the damaged are.

PRP has been shown to have an overall rejuvenating effect on the skin, including: Medical Professionals • Improving skin texture edical rofessionals • Decreasing appearance of fine lines use one’s own human body for healing is common practice at ICAM. • Increasing tissue volume via production of With the knowledge of how truly amazing your own body can help you, we are inviting you to come to ICAM and enjoy a 10% discount collagen and elastin (rebuilding the off of any PRP procedure for the months November andlevels December conditions A popular scaffolding trend is now sweeping acrossskin) the coun- with both acute and chronic inflammatory achieve optimalofand therapeutic both in terms of your 2020. try that is utilizing a simple concept to assist our body the including but not limited • Diminishing and improving appearance ofto: fibromyalgia, heart dis- of daily dosage and weeks Love your body for everything amazingofittime can requiring do and fall in love versus months in achieving our daily requirements through what ease, depression, Lyme and other infectious diseases, HEAT STROKE: We all enjoy the summer season but NOT the humidity and uncomfortable scars and stretch marks taking care of of yourself… wehigh-dosing are herethat to schedules. help so. It some IV Nutrition. chronic fatigue, disc disease and more. Most patients •with Most severe form heat these related illness can you leaddo todoes death if not treated heatcall associated with record breaking temperatures. According to the Centers • Improving texture and thickness of skin come at a price, however—meaning after receiving IV Supplementation report increased new “FAD” hasand been sweepingon across America as an emergency forADisease Control Prevention, average, over 600 people die from A comment regardingout-of-pocket this month’s expense. theme…Drips range in by of radiation enhanced mood, stress and anxiety, • Same symptoms of heat exhaustion plus…… complications related to extreme heat each yeartherapy in theenergy, United States - more thandecreased that is openingdamaged the eyes and minds those suffering Grateful, Thankful, and Blessed… just over $100 to as high Body temperature greaterprice thanfrom 104 degrees tornadoes, flooding, lightning any other weather event combined. improved sleep, more energy, •heightened immunity, Minimal down timeor and with fatigue,•hurricanes, generalized malaise, aches/pains At ICAM, these three words speak volumes. asmuscle, $400 forkidney, highly heart specific formulations. • These tempstime leadafter to brain, and total body failure if no improved and quicker recovery just about the everything in between. From • difference Considered safe and effective as stroke? ithydration, is derived What’s between heathousewives exhaustion and heat Collectively, as Providers and Staff, we are abundantly grateful, appropriately treated THE BOTTOM LINE: to construction workers, to athletes, children Heat exhaustion is one’s theactors precursor to blood heatstroke and is aexercise. direct result of the body from own thankful and blessed for all of the healing and health-promoting

Sick? Tired?Heat Fatigued? Therapy Is Here! Stroke IV Vs.Nutritional Heat Exhaustion First And Foremost Is To Listen To Your Body!

Once again ICAM is offering tooverheating. grandparents, literally thousands Americans are HOW DO neck, THESE IV’s WORK? Using med PRP can be used as aofmicroneedle procedure of the face, chest ICAM we offers a variety of intravenous medical drips that benefit many patients services have been able to provide our clients over the years… OPTIONS to and for your Healthcare self-searching answers to their medical needs and a HEAT EXHAUSTION: icalthe grade other chemicals, or stretch marks, which uses microneedles into skinvitamins, utilizingminerals your and and conditions from “fatigue to fantastic”. Whether you think you healthy or To all of our dear patients, nearFor andmore far, who have followed usare from Needs. information, contact • Heavy to Sweating resolution theirPRP. troubling symptoms. “custom-made” IV’s are you similar to IV’s used in own PRP can also be injected into thethese skin (after appropriate are not, IVand supplementation is a quick efficient to promote health Manahawkin MedfordICAM to Whiting andand are humbled, • Rapid to speak toWayne: one of We theway highly WHYPulse IV NOT ORAL? IV Vitamin Drips deliverimprove outpatient clinics and hospitals where the illness. ingredients anesthetic is applied). Both procedures the appearance, and combat grateful, thankful and blessed… • Dizziness medical staff members vitamins, minerals and amino acids directly to the are based on desired outcomes and patients’summer defi- seasonknowledgeable ICAM is offering our “Hydrator IV” for those who During To ourthe mentor, colleague and fearless leader, Dr. Mark • Fatigue texture and integrity of the skin. Microneedle PRP, as well as PRP to see how you may benefit fromBartiss: His body for maximal absorption, thus allowing for nourciencies/specific needs. The IV route of medication wish to optimize their hydration either before and/or after extreme sun/heat jointSkin injection, are all comfortably done in the office in about 30-90 • Cool, Moist heartfelt dedication to helping people is beyond compare. We are IV Nutrition. ishment on aminutes, cellular level. In addition, higher doses delivery allows for a much higher dosageWhether of nutrients exposure. you choose the IV or oral route of fluid administration, always depending on the procedure. • Goose Bumps When In The Heat grateful, thankful and blessed… can be given, higher, yet future safe levels sure to keep to be administered safelyhis and be effectively whilehydrated. having This is especially important in the very old and the very providing “The doctor of the willwithout give no medicine, but will interest • Muscle Cramps all of us at ICAM, young and of course our furry littleinfriends! the• Nausea limitation these doses oral route Yours HealthFrom and Wealth, the potential of cause 100%and absorption on a cellular level, patients in thehave careupon of thethe human frame, in diet, and in the (gastrointestinal side effects, etc.). – Thomas Edison which far exceeds that of the oral, sublingual and topMany Blessings, Good Health and • Headache prevention of disease.” ical vehicles of administration. For many, this decreasThese symptoms may develop over time or come on suddenly, especially IV nutrition/supplementation has been used sucMarK Read the full article at www.Icamnj.Com This is, in fact, the model of medicine that is practiced at ICAM. Abundant Happiness to You All during as or primary following periods of prolonged exercise AND IF NOT ADDRESSED, cessfully and adjunctive therapy for those Mark James Bartiss, MD es the amount of oral supplements one may need to “Promotion of wellness and prevention of disease.” The ability to



heatstroke can follow.

63 Lacey Rd., Unit C, Whiting, NJ Medford Manahawkin Wayne • • Wayne • 609-978-9002 609-978-9002 973-790-6363 609-654-5900 The County Woman Magazine Massage www.TheCountyWoman.com The CountySchool Woman Magazine

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November/December January/February 2021 201

Elder Law Establish a plan, diffuse a crisis, or ask a question...

ANNEMARIE SCHREIBER, ESQ. Certified Elder Law Attorney*

has the knowledge and experience to help you!

Executor’s Responsibility You have been named the executor of an estate. The individual has passed away. You are thinking to yourself: now what? What does it exactly mean to be an executor? What do I do? When do I do it?

Once the executor is formally appointed, he or she is now ready to administer the estate. An important step in estate administration is the marshaling of the decedent’s assets. Marshaling assets is the term used to describe the process of collecting or securing the assets of the estate of the decedent. These questions are common. Many people feel overwhelmed This act of marshaling the assets is one of the major duties of and a bit confused when they need to take on the the personal representative of an estate and must be completed responsibilities of being an executor. Most people have never so the assets can be distributed according to the the is also known as a health careterms proxy of directive, served as an executor and as such they have no idea what to do Will. Afterpower the assets have for been marshaled, the executor must a durable of attorney health care or an advance directive. An or when or how to do it. payindividual the debts of the estate. The debts of the estate are paid appoints a trusted person to be his or her representative in the Generally speaking, the executor is responsible to oversee from thetheestate assets have can been in the estatedecisions bank for event creator of thethat document no placed longer make medical the administration of the estate. The executor’s responsibilities account. him- or Upon herself. payment of the estate debts, the executor include probating the decedent’s Will, marshaling the makes the distribution to the beneficiaries named in the Will. decedent’s assets, paying the decedent’s debts and making the is a legal document in which an individual states his or Although an executor has no duties or responsibilities before distributions in accordance with the Will. The first step in her wishes regarding medical treatment and end of life care. An individual’s a death has occurred, it may be beneficial to discuss the preferences for medical treatment and end of life care are often included in the administration process is for the executor to probate the nature of your estate with the person you’ve chosen to be your decedent’s Will and to be formally appointed by the Surrogate executor. This can help the person you have named as your to serve as the executor. The executor must wait ten (10) days executor to feel prepared for the job. In addition, an executor after the decedent’s passing before he or she can probate the can always seek the assistance of an attorney to help make Will. In order to probate the Will, the executor must take the the process go more smoothly and to ensure the executor is decedent’s original Will to the Surrogate’s office in the County complying with the legal requirements. If you are looking for where the decedent lived together an original death certificate, assistance with the administration of an estate, Annemarie will personal identification and payment for the fee to probate the be happy to provide that assistance. Will. In New Jersey, it is relatively inexpensive to probate a Will. It usually costs less than $200.00. Certified Elder Law Attorney, Annemarie Schreiber answered questions and offered informaton on the Caregivers First TV show, hosted by Lynette Whiteman, Executive Director of Caregiver Volunteers Of Central Jersey. The episode aired last December 12th on local TV stations (visit www.scannj.com for listings). It is also be posted on www.CLDDS.com.

Estate Planning, Probate, and Administraton Wills and Trusts Powers of Attorney Advance Medical Directives Disabillity Planning

Guardianships/ Conservatorships Medicaid/Medicare Planning Asset Preservation and Protection Elder Abuse Cases

Healthcare Decisions Nursing Home Issues Social Security Counseling and Document Preparation Estate and Gift Taxes ...and More.

* As a Certified Elder Law Attorney (CELA) by the ABA approved National Elder Law Foundation, Annemarie Schreiber is one of only 400 or so attorneys in the entire United States who is a qualified CELA. She is certified by the ABA approved Natonal Elder Law Foundation and has years of experience offering clients in Ocean and Monmouth counties the legal counsel they need to plan ahead for their future or the future of their loved ones work through difficult situations.

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January/February 2021

Medical Professionals

COVID-19 and the Digestive Tract By Jill Collier, M.D. Medical Director Endoscopy Center of Toms River COVID-19 is an illness caused by infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Although widely known to affect the respiratory system, in many cases gastrointestinal symptoms may play a role or be part of the presentation. It is important for the general population to recognize these symptoms in order to act upon them with appropriate testing and quarantine.

What gastrointestinal symptoms are seen with COVID-19 infection?

Although fever, loss of taste, cough, fatigue and shortness of breath are common presentations of COVID-19 infection, gastrointestinal symptoms are frequently noted. Complaints of loss of appetite, nausea and diarrhea are often seen in infected patients. These digestive symptoms may be noted in combination with typical respiratory symptoms, but some patients will experience the intestinal symptoms first or as their only manifestation of the illness.

During this troubling time the doctors and staff at Gastroenterologists of Ocean County remain available to care for your needs. We offer telemedicine visits as well as in person visits for screened patients. Our endoscopy centers remain open for procedures , with pre-procedure COVID testing as mandated. Please call if you have any questions or concerns 732-349-4422 infection. This is obtained through nasal swab or saliva to detect active infection via polymerase chain reaction (PCR). This is one of many ways patients and staff at endoscopy facilities are protected. In addition, routine measures of masking, safe distancing, thorough facility cleansing and universal personal protective equipment (PPE) for staff are required. It is not recommended for patients to delay needed care during the epidemic as this may lead to adverse outcomes. In conclusion, COVID-19 can be understood as a viral illness with potential to affect not just the respiratory system but also the digestive system. If you think you may have contracted the infection, you are advised to call your health care provider, who can direct you to proper testing.

How is COVID-19 transmitted?

COVID-19 is thought to be transmitted by respiratory droplets. This has led to the widespread advice to wear face coverings such as masks and to safe distance with six feet between individuals to prevent transmission. In addition, the virus is believed to remain viable on surfaces and therefore strict hand washing and avoidance of touching surfaces which may have harbored the virus is also recommended. Recent studies have also revealed that the virus can be detected in stool specimens of infected patients. In addition the virus may continue to be detected in the stool well after the respiratory symptoms have resolved.

Omar Tamini, MD Jill Collier, MD Edgar Bigornia, MD Kenneth Glazier, MD

How are the digestive symptoms of COVID-19 treated?

Jai Mirchandani, MD

Symptoms of diarrhea can be treated with over-the-counter medications like loperamide. Hydration is important so patients are encouraged to drink fluids. Symptoms of nausea can be treated with prescriptions to reduce nausea. If patients are unable to maintain hydration orally, intravenous fluids may be required.

Teresa Menadier, MD

How does COVID-19 affect the liver?

Many patients hospitalized with COVID-19 are noted to have elevated liver enzymes upon blood testing. Those who progress to the more severe lifethreatening stage of multisystem organ involvement may experience further deterioration in liver function. Patients with underlying liver diseases like cirrhosis do not appear to have an increased risk of contracting the virus, but like anyone with poor health or advanced age, their prognosis may be worse.

• Colonoscopy and colon polyp removal • Colon cancer detection and screening • Rectal bleeding evaluation • Ulcer pain evaluation and treatment • Swallowing disorders

• Endoscopic treatment of hemorrhoids • Capsule Endoscopy • Breath testing • Esophageal and anorectal manometry

Do patients with inflammatory bowel disease (IBD) have an increased risk of COVID-19 infection?

Many patients with ulcerative colitis and Crohn’s disease take medications that suppress their immune system. These patients are also more likely to be hospitalized for their disease or to be seen at medical facilities for infusion therapies. Despite this, studies have not shown any increased risk of contracting the infection, or adverse outcomes. Adverse outcomes continue to be associated with other concurrent medical issues such as diabetes and advanced age. It is not recommended for patients with IBD to stop their medications, unless in the setting of documented COVID-19. All patients with flares of their IBD should be tested for COVID-19 infection.

TOP DOCTOR

2020

NJTopDocs

I am scheduled for a colonoscopy or an endoscopy, will I be at increased risk?

A Division of Allied Digestive Health

Currently in New Jersey all patients undergoing elective procedures such as endoscopy and colonoscopy are required to have testing for SARS-CoV-2

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January/February March/April 20182021

Financial Management

Emotional Investing “Only when you combine sound intellect with emotional discipline do you get rational behavior.” - Warren Buffet We like to think that since the advent of modern portfolio management practices, investing in stocks and bonds has become a cerebral, analytical process with no room for emotion. The truth is that most investors, even institutional investors, are buffeted (no Pun intended) by emotional turbulence from time to time, and that truth is reflected in the volatility of the financial markets. But if a little emotionalism when it comes to investments is unavoidable, too much emotion can be hazardous to your wealth. Here are four symptoms of problem emotions, financial behavior that is inconsistent with sound investment practice. • Fear of loss. Investors are generally motivated by fear or by greed. Behavioral scientists have learned that, for many people, the pain of loss is larger than the sense of satisfaction from a gain of the same size. Similarly, some investors will accept larger risks in order to avoid a loss than they will in seeking a gain. Taken to an extreme, fear of loss leads to investment paralysis. An excessively risk-averse investor may park funds in ultra-safe, low-yielding bank deposits or short-term Treasury securities until a decision is made, accepting long periods of low returns. Or winning investments may be sold off too quickly in an attempt to lock in gains, while losing investments manage to stay in the portfolio indefinitely. • Following the herd. It’s difficult to be a contrarian, to find value that everyone else has overlooked. Many people find it easier to go with the crowd, to own the current hot stock or hot mutual fund. At least that way, if the investment does poorly, one has plenty of fellow sufferers with whom to commiserate. But when “crowd” is defined as one’s family and friends, the crowd’s investment goals may be very different from one’s own. • Hair-trigger reflexes. Markets move on news. In many cases, the first market response is an overreaction, either to the up side or to the down. Sometimes “news” is only new to the general public, and it’s already been reflected in the share price through trading

by those with greater knowledge. The true importance of any news event can only be discerned over the longer-term. Generally, it’s better to watch the market react to news than to be a part of the reaction. Remember that market dips may present the best buying opportunities but they’re also the toughest times, emotionally, for making a commitment to an investment. • Betting only on winners. Some 85% of the new money going into domestic equity mutual funds goes to funds with Morningstar ratings of four or five stars, according to one estimate. This may be one reason that the government requires this disclosure for investment products: Past performance is no guarantee of future results. The disclosure is required because it is true. High returns are usually accompanied by high risks; ultimately, those risks may undermine performance. Abnormal returns, whether they are high or low, tend to return to the average in the long run. Investing on the basis of the very highest recent returns runs a significant risk of getting in at the top of the price cycle, with a strong chance for disappointment. To avoid impulsive decisions that may be tainted with emotion, one needs an investment plan. The best way to moderate the impact of stock and bond volatility in difficult markets is to own some of each. Assets do not move up down in lockstep. When stocks rise, bonds may fall. Or at other times, bonds also may rise when stocks do. The movements of each asset class can be mathematically correlated to the movements of the other classes. Portfolio optimization involves the application of these relationships to the investor’s holdings. Expected returns need to be linked to the investor’s time horizon. Longer time horizons give the investor more time to recover from bad years, more chances to be in the market for good years. We like to say it is time not timing that is most important when developing a portfolio for a client.

Wishing all a very Happy, Prosperous and above all a Healthy 2021! Ira J. Brower

Lifestyle & Money Management Trust & Estate Planning Investment Services True independence and understanding are at the core of our unique value proposition. Caring for and thoughtfully guiding our clients has created the strong trusting relationships we have nurtured over many decades. That’s why so many people rely upon our independent company for wealth management and trust & estate services:

Our focus is where it should be…

Garden State Trust Company. To learn how we can focus on you and your family, contact Adam Brower or Siobhan Connolly.

On You. On Your Family. On Your Future. 2101 Highway 34 South • Suite A • Wall, NJ 07719

WALL, NJ

| CHERRY HILL, NJ

| LEBANON, NJ | LINWOOD, NJ

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732.255.5000 | gstrustco.com January/February 2021

Featured On The Cover

WE’VE MOVED!

(But our personalized service isn’t going anywhere.) Even though we’ve headed up the Parkway, only our address is changing. WALL

MAIN OFFICE

2101 Highway 34 South Suite A Wall, NJ 07719 (732) 255-5000

LEBANON

1390 Route 22 West Suite 101 Lebanon, NJ 08833 (908) 287-7188

CHERRY HILL

1236 Brace Road Suite A Cherry Hill, NJ 08034 (856) 281-1300

LINWOOD

2021 New Road Suite 9 Linwood, NJ 08221 (888) 323-5535

After 12 years in Toms River, Garden State Trust Company has moved its headquarters to Wall. Don’t worry, though, we’re making sure to pack the reliable, relationship-based services we have always provided our clients and will continue to provide in our new location. We’re proud to have so many people rely upon our independent company for wealth management and trust & estate services, no matter where we are.

gstrustco.com

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January/February 2021

Medical Professionals

Embracing Your Inner Beauty with an Integrated Approach to Women’s Health

Intuitive Women’s Health is a unique femaleprovider practice. We are honored to provide OB/GYN services to women of the South Jersey community. Dr. Natalia Rezvina strives to provide competent, compassionate, and individualized care for women of all ages—from adolescence to menopause. Only a woman can fully understand and relate to another woman’s concerns about PMS, painful sex, leaking urine, heavy periods, pregnancy aches and pains, and many other challenges we face in everyday life.

Uninsured or Underinsured?

You can qualify for a free preventative exam, Pap smear and mammogram screening through the CEED program at Shore Medical Center.

Natalia Rezvina Dr. Rezvina completed her residency in Obstetrics and Gynecology at University of Medicine and Dentistry of New Jersey in 2006. She is a well- respected Ob/Gyn physician servicing patients from Ocean, Atlantic, and Cape May Counties. She specializes in treating pelvic prolapse, urinary incontinence, painful intercourse, minimally invasive surgeries to treat variety of GYN problems. Natalia Rezvina, MD, FACOG Dr. Rezvina is known as “baby whisperer” at the maternity unit at Shore Medical Center. Her primary C/S rates are the lowest among all Ob/Gyn providers in the Department (13-25 %).

Uninsured or Underinsured?

We participate in the Cancer Education and Early Detection (CEED) Program at Shore Medical Center, which coordinates FREE GYN EXAM, PAP SMEAR, and MAMMOGRAM.

803 New Road, Somers Point NJ 08244

(609) 788-8158 Save Time And Book Your Appointment On Line www.intuitivewomenshealth.net Intuitive Women’s Health provides wide range of services to women: • Comprehensive prenatal care, childbirth and postpartum care • Family planning (preconception counseling, infertility, contraception) • Quick and easy “90 seconds” IUD placement • Routine women wellness exams • Menstrual abnormalities (fibroid uterus, adenomyosis, PMS, heavy periods) • Intractable pelvic pain, painful intercourse, painful bladder syndrome • Pelvic floor relaxation (bladder/uterine prolapse) • Evaluation and treatment of urinary incontinence, medical and surgical (TVTO sling) • Minimally invasive gynecological surgeries (laparoscopic hysterectomy, vaginal hysterectomy) • Laparoscopic treatment of ovarian cysts, endometriosis

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January/February 2021

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New Year Special

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Coolsculpting Package (Minimum Four Treatments) Expires 4/30/18 Expires 10/31/18 Expires 2/28/21

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Nursing & Rehabilitation Center

Happy ! r a e Y w e N

Proudly celebrates being named one of the

Best Nursing Homes, 2021 in the State of New Jersey

Rankings are based on: 1. Performance Data 2. Reputation Survey 3. Covid-19 Response

To learn more about why Tallwoods Care Center is consistently ranked so well, visit

Tallwoodscarecenter.com or call (732) 237-2220

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January/February 2021

Medical Medical Professionals Professionals

23 37

3D Mammography Nuclear Medicine Thyroid Scans suspicious, patients need to be called Breast cancer is the second leading cause of death back for additional views. The multiple among women. One in 8 women will develop breast images created by 3D mammograms Cancer in cancer in her lifetime. Each year it is estimated that over have such increased accuracy that this breast 252,710 women in the United States will be diagnosed there is decreased need for this. On is difficult to with breast cancer and more than 40,500 women will average 3D mammograms reduce detect on die from the disease. This is why early detection is so callbacks by up to 40% compared to this standard important. With early detection, the five-year survival traditional mammograms. This means mammogram. CyrusisKhorrami, rate nearlyM.D. 100%. The latest weapon in the fight against less radiation exposure, increased - Hyperactive thyroidand gland Normal - Normal appearing thyroid Decreased - Poorly(also functioning thyroid breast cancer is 3D mammography known as breastHyperactive convenience for our patients, more take up a lot of the radiotracer and looks gland gland takes up less radiotracer tomosynthesis). This new technology has increased early peace of mind. bigger and brighter detection over traditional mammograms, especially in Q: What can I expect when women with dense breasts. Greater accuracy means thyroid gland is overactive. It can also help in distinguishing between benign (nonThyroid overview better breast cancer detection. having a 3D mammogram?

The main function of the thyroid gland is to make hormones. Hormones are chemicals that are released into the bloodstream. They act as Q: What is a 3D mammogram? How is it different from messengers, affecting cells and tissues in distant parts of the body. Thyroid regularcontrol mammograms? hormones metabolism, a chemical process that regulates the rate at which the bodymammogram--also converts food to energy. A: 3D called breast tomosynthesis--is one of the most advanced Becauseforms the thyroid gland produces hormones travel theof blood and affect of breast cancer detection. It usesthat a very lowin level radiation to body systems, a problem with the gland usually leads to symptoms in other parts take multiple pictures of the breast. The x-ray tube moves over the breast in an of the Symptoms andimages signs vary depending on the thyroid disease problem. arc,body. capturing multiple of each breast from different angles. A or computer Tests to checkthese the thyroid include blood tests, ultrasounds of breast. the neck, reconstructs picturesgland to create a 3-dimensional picture of the A regular biopsies, and thyroid mammogram takes a scans. single picture of the breast.

Q: What the advantage What areisthyroid scans?of 3D mammogram?

of the challenges of interpreting mammograms is normal breast A:AOne thyroid scan is a diagnostic nuclear medicine test that providesdense information tissue the hiding breast and cancer. Additionally, overlapping of normal about structure function of the thyroid. It canareas do this by usingdense smallbreast tissue can look suspicious. This is why detecting breast cancer in women withThese dense doses of radioactive chemicals to create special pictures of the thyroid gland. breasts is more difficult. The 3-dimensional images of breast tomosynthesis help pictures can help doctors see the structure of the thyroid gland and assess how well the tissue overlap that can obscure cancers. It also helps distinguish normal itdecrease is functioning. breast from breast cancer. a chemical called a radionuclide. A overlapping Prior to the scan,tissue the patient is administered Studies have shown that 3D mammograms the like x-rays. radionuclide emits a type of radioactivity called significantly gamma rays –improve which are detection of breast cancer, especially in women with denser breast tissue. It also The gamma rays that are emitted from inside the body are detected by a special picks upCells breastthat cancer at anactive earlierinstage, whichtissue may be missedwill by traditional camera. are most the target or organ take up more mammography. 3D mammograms find 20-65% more invasive breast of the radionuclide. Therefore active parts of the tissue will emit more cancers gamma rays compared to traditional 2D mammograms, increase of 41%. The than less active or inactive parts. The gammawith rays an areaverage then sent to a computer. computer displays the different intensities of radioactivity emitted into different Q: Isofthere increased performing a 3D shades grey. This color map radiation shows the physician possible cold or hot spots of mammogram? cellular activity. A: Mammograms expose patients to very low levels of radiation. The level of radiation exposure fromthyroid a 3D mammogram is the same as that from a traditional Why do we do scans? mammogram. So a patient receives all the benefits increased risk. Your doctor may refer you for a nuclear medicinewithout thyroidany scan if it is believed traditional when a radiologist an see areawhether that is the partsWith of your thyroid mammograms, gland are not functioning properlyfinds and to

cancerous) and malignant (cancerous) thyroid nodules or lumps. Thyroid scans can A: The process of having a 3D also be used to evaluate changes in the gland following medication use, surgery, mammogram is the same as a radiotherapy or chemotherapy. conventional 2D exam. The technologist will position you, How toyour prepare thyroid scan compress breast, andfor takea images from Thedifferent referringangles. physician or the imaging center performing the exam will provide There’s no instructions on how to prepare. theitdays prior to the3D examination, blood tests Using mammogram additional compression required,Inand may be performed to measure the level of thyroid hormones in the blood. Often, technology, the only takes a few extra seconds. the patient will be advised not to eat for severalcancer hours prior to the exam and was able to be wear loose, comfortable clothing. It is also important to leave jewelry Q: Do insurance companies clearly seen. and other metallic accessories at home or remove them prior to the exam, as these objects may cover 3D mammograms? interfere with the procedure. Medicare, and many insurers, cover 3D mammograms. In the past, not A:Depending on the typeprivate of exam, the radionuclide is either injected intravenously all private insurance companies covered 3D mammograms. However, in August (IV), swallowed, or inhaled as a gas. If necessary, a nurse or technologist will insert 2018, New Jersey a mandate requiring nearly major health insurers an IV catheter intoenacted a vein in the patient’s hand or arm.all If the an oral radiotracer is to cover 3D mammograms. used, it is typically swallowed up to 24 hours in advance.

Toms River X-ray has been performing mammograms What to expect and serving the community for over 30 years. Our 3D mammogram To begin the imaging partlatest of the on exam, themarket patient will lie flat onthe an most is the the and has examination table with their head tipped backward to expose the neck. The advanced technology. It is our mission to provide the very patient must remain still for short periods of time while the gamma camera takes best for our patients. We thank you for trusting us with your the images. These images will take approximately 8 to 10 minutes each. After health and the health of your loved the examination is complete, the technologist will check the images to ensure all ones. We look forward to offering areas were captured successfully. Occasionally, additional images are needed for you this significant advance in breast clarification. This should not cause concern, as the need for more images does not cancer screening. necessarily mean an abnormality was found. The nuclear medicine physician will provide a report to the doctor who ordered the thyroid scan.

Cyrus Khorrami, If your doctor has ordered a scanM.D. of your thyroid, please call Toms River X-ray at (732) Medical Director 244-0777. PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. Founder Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.

732-244-0777

PET/CT Ultrasound CT Scan Diagnostic X-Ray

1.5 T and 3 T High Field Open Bore MRIs 3-D Mammography Nuclear Medicine Bone Densitometry

Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 • Fax: 732-244-1428

www.TomsRiverXray.com5

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January/February 2021 September/October 2018

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Professionals

Plantar Fasciitis Not Intense During Exercise

Pain from plantar fasciitis is usually not felt during exercise. However, the stress of running or other weight-bearing activity aggravates the inflammation, so your pain may be worse after your workout or the next morning. Running, jumping, high-impact aerobics, and dancing are particularly irritating to an inflamed plantar fascia.

Long-Term Dysfunction

Plantar fasciitis is an inflammation of the thick band of connective tissue that connects your toes to your heel. It helps absorb shock as you run or walk, but can become stretched or injured. When the plantar fascia becomes inflamed, you feel stabbing pain that’s worst in the morning and can interfere with daily activities, too. Those at greatest risk for developing plantar fasciitis are runners as well as those who are overweight or who wear unsupportive shoes. At Go Feet, Dr. Stuart W. Honick and his team of expert podiatrists are experienced with helping patients, in the Hammonton, Linwood, and Mays Landing communities in New Jersey, deal with the day-to-day pain of plantar fasciitis and offer treatments to help you heal.

Pain In The Heel

Plantar fasciitis is extremely painful. The sensations of stabbing in the heel are the most acute first thing in the morning, when you first stand up from a night of sleep. The pain is also evident when you’ve been immobile for a while and begin moving again, such as walking after long periods of sitting or standing. Stuart W. Honick, D.P.M., P.T. Podiatric Medicine & Surgery Diplomate American Board of Podiatric Surgery Board Certified In Foot Surgery

4 Arthritis 4 Athlete’s Foot 4 Bunions 4 Diabetic Foot Care 4 Foot & Ankle Injuries 4 Foot Surgeries 4 Fungal Nails

4 Hammertoes 4 Heel Pain 4 MLS Robotic

Laser Therapy 4 Nail Problems 4 Neuromas 4 Orthotics 4 Warts

392 N. White Horse Pike Suite # 2 Hammonton, NJ

609.704.9001

5401 Harding Highway Suite # 5 Mays Landing, NJ

609.625.5400

If you ignore plantar fasciitis and don’t seek treatment from an expert like Dr. Honick, you risk long-term complications. You may change the way you walk or run in an effort to decrease pain, resulting in back, foot, knee, or hip problems. This may result in you altering your workouts or skipping them altogether, which can lead to weight gain and a diminished quality of life.

Daily Exercises

Luckily, there are measures you can take to help your plantar fasciitis. Daily exercises that stretch the plantar fascia and Achilles tendon can help. Our team can also help you strengthen the lower leg muscles to better stabilize your ankle and heel. These exercises don’t take a lot of time, but are instrumental in your healing. Although you will come to our office for regular appointments, it’s important to also perform any appropriate exercises at home as well. If more intense physical therapy is required, we would be happy to refer you.

Wearing A Night Splint

Living with plantar fasciitis may involve wearing a night splint that puts your foot into a position that stretches your arch and calf as you sleep. The night splint helps discourage tightening of the plantar fascia and Achilles tendon, which aggravates pain.

Daily Orthotics

At Go Feet, you may be fit for custom orthotics to wear in your shoes – daily. These orthotics help improve foot placement and function, so you distribute pressure on your feet more evenly. A custom orthotic can also prevent the formation of heel spurs and bunions, a common side effect of plantar fasciitis. If you experience intense pain in your heel and suspect plantar fasciitis, consult Dr. Honick at Go Feet. The practice can help you alleviate immediate pain and work on a long-term solution. Call the office, or schedule your appointment online.

For more information or to schedule an appointment, call 609-704-9001 or visit www.GoFeet.com. For Your Convenience, We’ve Added A 3rd Location! Central Square - 199 New Road, #47 • Linwood, NJ

www.GoFeet.com

Dr. Stuart W. Honick

Diplomate American Board of Podiatric Surgery, Board Certified in Foot Surgery

The County Woman Magazine www.TheCountyWoman.com

Dr. James R. Williamson Board Certified American Board Podiatric Medicine

January/February 2021

Medical Professionals

Got An Itch That Can’t Be Scratched? Nina Paonessa, DO, FACOS As we enter the New Year, a common ailment affects many individuals. This is the time of year when people make New Year’s resolutions to eat “healthy” and diet in order to lose weight for spring break or in preparation for the summer. This is also the time of year for football season and tailgating parties and all of the foods that are associated with it. Because of these unique situations, many people suffer from aggravating symptoms of perianal itching, burning, and discomfort as well as a “wet” or moist feeling in the perianal area.

What is pruritus ani? Pruritus ani is a Latin term literally meaning “itchy anus.” It is an uncomfortable sensation around the anus which produces the desire to scratch. Scratching causes irritation of the perianal skin, which in turn causes the desire to scratch more. The skin becomes more irritated and damaged, which causes the desire to scratch even more. This becomes a vicious cycle. Pruritus ani affects 1% to 5% of the population. Although it affects both men and women, it is four times as common in men. This condition is most often encountered in patients in their 40s to 60s. Pruritus ani is treated medically. An accurate diagnosis is mandatory for proper care.

What causes pruritus ani?

The symptom of pruritus or itching is common to many anorectal conditions. Disorders such as hemorrhoids, skin tags, fecal soilage and/or incontinence, anal fistulae, anal fissures and anal warts all may be associated with itching. This is termed secondary pruritus ani. However, pruritus ani may be independent of these conditions. This is called primary pruritus ani. The cause of the syndrome in these cases is usually from topical agents applied to the perianal skin and/or the pH of the stool. The pH of the stool is determined by foods which we eat. In addition to inadequate hygiene, overzealous or aggressive hygiene using irritating soaps, fragrances and lotions may cause pruritus ani. Overzealous cleaning and the use of topical steroids can destroy natural skin barriers and cause trauma to the anal skin, making the problem worse. As such, attempting to keep the perianal skin too clean, is harmful and may worsen the problem. The use of baby/toilet wipes is a common culprit for many patients suffering from pruritus. It is very important to note that there are many medical conditions that may cause perianal itching and are treated differently from basic, primary pruritus ani. There are infectious conditions such as bacterial skin infections, fungal infections, parasitic infections (pinworms or scabies) and viral infections (anal warts). Skin conditions such as psoriasis, seborrheic dermatitis, contact dermatitis, and lichen sclerosus may cause secondary perianal itching. Local cancers such as Bowen’s disease or Paget’s disease are also potential causes of pruritus ani.

How is pruritus ani diagnosed?

In order to accurately diagnose pruritus ani, your physician will obtain a complete history and physical examination. The timing and duration of the symptoms are important factors. Toileting rituals/behaviors, stool frequency and consistency, and hygiene/cleansing routines are noted in order to help make a diagnosis. Travel history, medical history and medications taken are also important. It is crucial to include any supplements taken, topical ointments/creams used and whether or not baby/toilet wipes are being used. A careful diet history is also taken in order to identify any possible contributing agents. Your doctor will perform a physical examination. This will include a careful inspection of the perianal skin and a digital rectal examination. Common findings are irritated, swollen, reddened skin that may have linear ulcerations/cracks. Sometimes the perianal skin may be thickened. An examination of the anal canal via an anoscope will also be performed in order to ensure there is not any intra-anal pathology causing

the symptoms such as hemorrhoids, warts, a polyp or tumor. Considering the serious diseases that may cause the symptoms of pruritus ani, it is very important not to selfdiagnose, but rather to seek consultation with a physician. In certain situations, a small skin biopsy may need to be performed.

How is pruritus ani treated?

The first goal of treatment of pruritus ani is to make a correct diagnosis. That means determining if the condition is primary pruritus ani or secondary pruritus ani caused by a medical condition/disease. Once this has been accomplished and it is confirmed that the patient has primary pruritus ani, the goal of therapy is to restore clean, dry and intact perianal skin. This will help to alleviate the symptom of itching. The first step is to alter the consistency of the stool so as to avoid seepage of stool from the anus. This may be accomplished with diet modification and adding a fiber supplement. The second step in treatment is to discontinue any offending agents such as cortisone ointments, hemorrhoid creams, lotions, perfumes, soaps and baby/toilet wipes. Topical agents containing alcohol are very irritating to the perianal skin. Likewise, any topical agent that causes the perianal skin to remain moist should be avoided. This includes Vaseline, witch hazel, A & D ointment, antibacterial ointments, etc. Additionally, it is important to remember not to over-clean the perianal area. This causes further skin breakdown and irritation. Believe it or not, plain water is the best way to keep the perianal skin clean and healthy. Finally, the last step in treatment is to modify the diet to avoid a change in pH. Foods related to pruritus ani include caffeine, colas, citrus, dairy, tomatoes, nuts and beer. As mentioned earlier, these foods are very common during this time of year while watching football or trying to lose weight.

Where can you find help?

Dr. Paonessa is very familiar with diagnosing and treating pruritus ani as well as all the other diseases/conditions that may be mistaken for pruritus ani. Since there are many serious diseases that may be mistaken for primary pruritus ani, it is very important to see a physician trained in treating this condition. It is incredible how a fairly simple ailment such as pruritus ani can alter a patient’s daily life and affect his/her quality of life. Don’t hesitate to pick up the phone and call for a consultation. Stop suffering and begin to live life again.

Colon and Rectal Surgery

Board Certified in General Surgery and Proctology • laparoscopic surgery • abdominal/pelvic surgery • fecal incontinence • endoanal/rectal ultrasound • anorectal surgery 603 Higgins Avenue Brielle, NJ 08730

The County Woman Magazine www.TheCountyWoman.com

• pelvic floor disorders • office proctology • anorectal manometry/ physiology

1364 Route 72, Suite 5 Manahawkin, NJ 08050

Phone: (732) 282-1500 • Fax: (732) Office Hours: M-F 9AM to 5PM

292-9600

www.paonessacrs.com January/February 2021

Health & Wellness

Cough And Cold Season Is Hereâ&#x20AC;&#x201D; I G H Are You Ready? G G I

Believe it or not, cough and cold season is upon us. Our nights are becoming very cold and children have been back in school for about six months now. This is the season everyone dreads. It VHHPV ZH VHH SHRSOH ZLWK WKH VQLIĂ HV HYHU\ZKHUHÂłDW ZRUN DW WKH mall and even at home. Now is the time to take some steps that will reduce your risk of catching a cold and stock up on things that will help with the symptoms when the inevitable happens. <RX FDQ UHGXFH \RXU ULVN RI FDWFKLQJ D FROG RU Ă X Here are some helpful hints: WASH YOUR HANDS FREQUENTLY: This will help stop the spread of germs. Everything you touch potentially has cold germs on itâ&#x20AC;&#x201D; doorknobs, handrails, pens, PIN pads, etc. Also, keep hand sanitizer easily accessibleâ&#x20AC;&#x201D;keep it in your car and your desk at work. REDUCE STRESS: Whenever a big day is coming up, or a deadline you have been rushing to meet, you are more likely to become sick. Relax, your health is more important. Also, try to get at least eight hours of sleep per night. EAT WELL: Certain foods combat colds. Try to include as much of the following as possible in your diet: EURFFROL FDXOLĂ RZHU JDUOLF RQLRQV citrus fruits, and whole grains. Some evidence also exists supporting using vitamin C and Echinacea to boost your immune system.

DRINK PLENTY OF WATER: 'ULQNLQJ SOHQW\ RI ZDWHU KHOSV Ă XVK germs out of your body. Water also helps keep your mucous membranes moist, allowing them to trap the virus and dispose of it. BREATHE FRESH AIR: Try to breathe as much fresh air as possible. Recycled, contaminated air can make you sick! Get outside as much as possible. Cold air will not give you a cold! For the most part, everyone catches some degree of a cold at least once a year. Once you feel the symptoms coming on, then what? For starters, continue the above tips. Also, cover your mouth and nose when you sneeze or cough (no one else wants your germs). And most importantlyâ&#x20AC;&#x201D; CONTINUE TO WASH YOUR HANDS FREQUENTLY. There are many cough and cold medications on the market that can help with your cold or cough symptoms. Decongestants in a pill form or a nasal spray can help with a stuffy nose. Antihistamines can help with itchy, watery eyes. Cough suppressants help control a nagging cough. Cough drops or throat lozenges help with a sore throat. Tylenol or Motrin can help any body aches or fever. Before taking any medications, please consult with your pharmacist or doctor to be sure the medication you are buying doesnâ&#x20AC;&#x2122;t aggravate any existing medical conditions or interact with any current medication you are taking. THIS IS VERY IMPORTANT. Many over-the-counter cough and cold medications can cause adverse effects. Donâ&#x20AC;&#x2122;t be afraid to ask us, that is what we are here for.

Once you have determined which medications are safe, keep some at home so that you are prepared when that cold comes along.

Jersey Shore Pharmacy is an independently owned and operated full service pharmacy. Our pharmacists and technicians are here to answer your questions. Stop by and see what a pharmacy experience should be!

For more information, call 609-660-1111 or visit www.jerseyshorepharmacy

The County Woman Magazine

www.TheCountyWoman.com

January/February 2021

Medical Professsionals

TREATING MEMORY LOSS CLINICAL TRIALS OFFER ACCESS TO ADVANCED MEMORY TREATMENTS Do you or someone you know have concerns about memory loss? At AMRI, we are dedicated to preventing your loved oneâ&#x20AC;&#x2122;s memories from fading away. We stand by our work and invite you to our center for a free consultation.

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January/February 2021

Medical Professsionals

dvanced Memory Research Institute of New Jersey (AMRI) was founded in 2013 by Dr. Sanjiv Sharma. Dr. Sharma is a board-certified geriatrician who specialized in memory loss. He noticed the increasing incidence of memory loss in Ocean and Monmouth County and began to think of ways to offer support to the region. AMRI offers an opportunity for individuals who feel that their concerns are not being heard. “The most common story we hear is, ‘I complained about my memory to my primary care physician, but they told me there was nothing I could do about it. If it happens, it happens’. Which is so discouraging”, says Lal Ramani, one of the many professionals at AMRI that work with individuals and their families to discuss the problems with their memory. By founding AMRI, Dr. Sharma brought clinical trials and memory research to Central New Jersey. Clinical trials and research are the cornerstone to developing new medical treatments whether it be disease knowledge or actual medications. “Clinical trials offer an opportunity for individuals to make a significant contribution to science.” says Dr. Sharma. AMRI currently offers more than ten protocols in mild cognitive impairment, Alzheimer’s disease, and dementia. TREATMENT FOR MEMORY LOSS During a 60-minute evaluation with one of the AMRI doctors, they will review your complaints and symptoms associated with your memory loss, the potential cause of the loss, and how participation in clinical research could benefit the individual. Part of the clinical trial process is “can we find the earliest cause of this disease so we can make a difference and make the changes,” says Dr. Sharma. Clinical trial participation is a chance for participants to receive high quality care and diagnostic tests that are not widely available to the general population. Through the clinical trial process, a participant does not need to stop their current memory medication and do not require insurance to contribute. “Through clinical research we are trying to target the core cause of disease. By doing this we hope to preserve the current memory of a patient,” says Anna Brocco, PharmD, MBA, Director of Operations and Clinical Research at AMRI. It is her role to bring research opportunities to the center. “I want to make sure we have a protocol for all stages of the disease so that if someone is willing to participate, we have the opportunity for them to do so.”

To learn more about memory evaluations or clinical trials, Call AMRI at 732.341.9500 or visit amrinj.com

Sanjiv Sharma, MD, CPI, Founder & Principal Investigator at Advanced Memory Research Institute of New Jersey suggests early neurological evaluations for memory loss. The team at AMRI has more than 50 years of combined experience conducting clinical trials. All team members also take training though the Alzheimer’s Ass association to work with those living with the disease and those who care for the disease. By doing this training, the AMRI team has more compassion and understanding of the disease. This creates an atmosphere of comfort and joy when being in our office. As one patient said, “From the minute I got here, I loved everyone who I talked to. They all had such a great sense of humor. It has been two and a half years now and they are my family.” “Right now we can diagnose Alzheimer’s disease much earlier. All hope we have in science, can we prevent this disease? To do this we need those who are in the very earliest stages of the disease,” says Dr. Sharma, “That is the gift of clinical trials.”

9 Mule Road, Suite E8, Toms River, NJ 08755

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Health & Wellness AccuCare Wellness & Recovery Zone Is Now Open!

Focusing on all things to feel, perform, live and be at your best, let AccuCare help you start living your best, pain-free & healthiest life!

While treating patients from all walks of life and for all different impairments; Pamela has learned that pain is not caused from musculoskeletal injuries alone. Burdened with stress headaches, poor sleep, depression, chronic sickness and fatigue; we see so many who suffer on a daily basis, just accepting it as the norm. Chalking it up to “life”, genetics or just getting older; Pamela & her amazing team at AccuCare are here to tell you that it doesn’t need to be this way! Especially during these times of sickness and threats to our health, being at your best is an absolute necessity. Focusing on all things to feel, perform, live and be at your best, let Accucare help get to the root of your problems and start living your best, pain-free & healthiest life. • Cryotherapy Reported benefits of whole body cryotherapy for health & wellness include: • reduce inflammation • reduce psychological stress, anxiety & depression • increase energy • improve sleep • enhance immune function • reduce migraines • numb nerve irritation • help treat mood disorders • reduce arthritic pain • may help prevent dementia & Alzheimer’s • treat atopic dermatitis, eczema & improves skin condition • pain relief & muscle healing • weight loss • Sunlighten Infrared mPulse Sauna • detoxification - shown to be helpful with colitis, chronic fatigue, fibromyalgia, autoimmune disease, Lyme disease, rheumatoid arthritis, lupus, Grave’s disease, immune deficiency states, autism, ADD, ADHD & Hashimoto’s • strengthens immune system • improve circulation • cleanse circulatory system & improve cell oxygenation • decrease inflammation

• speeds muscle recovery • improve white blood cell & T-cell production to ward off viruses • pain relief* • wound healing • decrease nerve-ending soreness • reduce muscle spasms • relaxation & stress relief • weight loss (increased heart rate, cardiac output, metabolic rate & calorie burning) • reduce blood pressure *Some conditions in which infrared sauna therapy has been successfully used for pain relief include peripheral artery disease, rheumatoid arthritis, ankylosing spondylitis, fibromyalgia, and emotional pain • Wellness Cocoon • detoxification • relaxation • weight loss • pain management • cellulite reduction • skin purification • reduce blood pressure • improve circulation • wound healing • alleviates stress, stiffness & cramping • reduces water retention & bloating • promotes quality sleep • strengthen immune system • rapid muscle recovery • Massage Therapy • reduce muscle tension • improve circulation • stimulation of lymphatic system • reduction of anxiety & stress hormones • relaxation • increase joint mobility & flexibility • improve skin tone • improve recovery of soft tissue injury • relieve tension headaches • enhance exercise performance • decrease fascial restrictions and associated fibromyalgia pain • improves digestion

• NormaTec Recovery • enhance blood flow • speed recovery • increase range of motion • lessen pain sensitivity • decrease muscle soreness • improve adaptive responses to exercise • decrease muscle fatigue • lower blood lactates / decrease lactic acid build-up • reduce swelling • decrease pain • remove toxins • eliminate first-stage varicose veins • Acupuncture • reduce stress • decrease headaches • improve immune system • enhance mental clarity • increase energy • relieve digestive conditions • relieve allergies • reduce cigarette craving • decrease pain • improve sleep • improve mood • Kangen Alkaline Water Program • decrease acidity in bloodstream • blood more alkaline / less acidic • increase energy • better hydration • improve skin • weight loss • improve metabolism • decrease acid reflux • slow aging • improve digestion • reduce bone loss

Focusing on all things to feel, perform, live and be at your best, let AccuCare help you start living your best, pain-free & healthiest life!

2211 Rt. 88 •Brick, NJ 08724

Pamela Anthony

ACCUCARE

732-785-5500 www.accucarept.com

Recovery Zone

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January/February 2021

Health & Wellness

ACCUCARE Recovery Zone

TOUR PASS New Clients: Take a tour of our services & receive

1 FREE WellnessorCocoon Session 1 FREE Normatec Recovery Lounge Session New clients only. Locals only. Valid email address required.

RESTORE • RELIEVE • REVIVE

2211 Rt.88 Brick, NJ • WWW.ACCUCAREPT.COM • 732-785-5500

Health & Wellness

Dawn Ferrentino : Health & Wellness Coach Now Is The Time To Take Your First Step To A Healthier You!

Dawn Ferrentino

Health & Prosperity Specialist

Did you gain a few extra pounds recently due to stress eating? Did you find yourself eating more than normal during these times? Has your exercise been limited due to gyms being closed or limited? Did you lose an income during this time and you;re looking for something to help fill the gap? Now is the time to take your health and your wealth back. Diets fail us. Living a healthy lifestyle is what works! Are you sick and tired of feeling sick and tired? Are you having trouble losing weight? Do you struggle to get out of bed when that alarm clock goes off? Or maybe an extra $500 a month would help relieve some stress. If you answered yes to any of the above, keep reading! Dawn Ferrentino specializes in helping thousands of people achieve their desired physical goals and feel their absolute best they possibly can! If you are ready to make a healthy lifestyle change that will help you shed weight and be healthy at the same time, this is exactly what you are looking for. Here are some main points to know about this program: • Easy, convenient and sustainable lifestyle • Guaranteed results - get your body back or get your money back • Weight loss/ energy/improved performance • One on one coaching • Customized packages to fit everyone with an opportunity to create some extra money if you so chose by sharing your results with others! Contact Dawn today at 908-208=0002 for your free consultation.

Call: 908.208.0002 Email: dawnferrentino07@gmail.com Web: dawnferrentino.com

The County Woman Magazine www.TheCountyWoman.com

dawn.baronferrentino January/February 2021

Legal Professionals When Abuse is Profuse, Always Refuse to Lose! Surviving and Thriving – Domestic Violence By Ehsan F. Chowdhry, Esq.

New Jersey has one of our nation’s strongest set of laws in place to protect victims of domestic violence. Domestic violence appears in many forms, including cyber abuse, emotional / mental abuse, financial abuse, physical abuse, sexual abuse and a whole host of other combinations.

The Prevention of Domestic Violence Act of 1991 is a statute found within New Jersey’s Code of Criminal Justice, specifically at N.J.S.A. 2C:25-17 through 2C:25-35. The law is found within the criminal laws; the court process is considered civil in nature and final restraining order (FRO) hearings / trials are held in the New Jersey Superior Court, Chancery Division, Family Part. Given the state of COVID-19 and the attendant stressors accompanying it, our practice has seen a tremendous spike in domestic abuse and violence cases, giving us all a great cause for concern. This article aims to give an extremely basic and brief overview to a complex area of the law in New Jersey. Victims of domestic abuse and violence can use these set of laws through a skilled attorney to navigate through a difficult period of their life and through a legal process that seems intimidating. First, who exactly qualifies as a victim? Our state law defines a victim of domestic violence as any person who is eighteen (18) years of age or older or who is an emancipated minor and who has been subjected to domestic violence by a 1) spouse, 2) former spouse, 3) present household member, 4) past household member, 5) any person, regardless of age, with whom the victim has a child in common, 6) anticipates having a child in common (pregnancy), or 7) has or has had a dating relationship with. See N.J.S.A. 2C:25-19d. When victims of domestic abuse and violence muster the courage, strength and temerity to finally say enough to their abusers, the process usually begins with a 911 call if there is an active situation or when the victim can safely escape the situation and goes to either the municipal police department or Superior Court. The process can seem overwhelming but either a police officer or court staff will take the initial information and connect the victim before a municipal court judge, a domestic violence hearing officer or a Superior Court judge to obtain a temporary restraining order (TRO). This is known as an ex parte proceeding, meaning that the abuser is not present nor an attorney from their side. An interpreter can be made available and accommodations for any disability if needed. By law, the victim is put under oath and a copy of the testimony is supposed to be kept, either through stenographic medium, tape or longhand notes (if he or she is not physically present). See Rule 5:7A(d). The victim is asked information regarding the predicate (underlying) act or set of acts causing them to seek out a TRO. There is a box to be checked off on the first page of the TRO and the law provides nineteen (19) categories that can fit, including false imprisonment, sexual assault, harassment and stalking. See N.J.S.A. 2C:25-19a(1)-(19). Additionally, they are asked for information about past history regarding domestic violence and abuse. If during the shock or pressure of this harrowing ordeal a victim forgets information, he or she can either themselves, or better yet, through an attorney, get an amended TRO that includes past acts of violence not initially included. See State of New Jersey Domestic Violence Procedures Manual § 4.5.7. For most victims at the onset of seeking a TRO, an attorney is not involved; however, it is imperative that the first call they make after getting safe from a current act(s) of domestic abuse and violence is to one. At that point, the judge either grants or denies the TRO. If the TRO is granted, you will be provided a copy of the TRO, which indicates certain things the abuser is prohibited from doing, including, but not limited to, contacting you by any means nor through third parties, to have the abuser vacate the household, prevent them from showing up to your work and other protective measures. Law enforcement are directed to serve a copy of this TRO to put the person on notice that a judge has granted this protection. Then by court rule, this event must be heard within ten (10) days to determine whether an FRO is to be granted. See Rule 5:7A(e). Usually, and especially during COVID-19, a reasonable postponement to get an attorney, from either the victim or the abuser, is honored. It should be noted that unlike the criminal justice system, where an attorney will be appointed for you if you cannot afford one, this is inapplicable

in the domestic violence arena in New Jersey. It is common, however, for the abuser to be charged criminally as well in either municipal court or Superior Court, depending on the severity of the underlying domestic violence act. Once the day arrives for the FRO hearing / trial, you will need all your witnesses present along with any evidence that supports your case. This holds true even during the pandemic wherein FRO hearings / trials are being held through virtual court, usually on a Zoom or Microsoft Teams platform. In our state court system, as the victim / plaintiff, you bear the burden of proof. Fortunately, for domestic violence victims it is the lowest burden of proof, a preponderance of the evidence which essentially means that the evidence is more likely true than not true (essentially slightly over a fifty [50] percent standard). See N.J.S.A. 2C:25-29a. In order for the victim of domestic violence / plaintiff to win, he or she must prove, by a preponderance of the evidence, that 1) the court has jurisdiction to hear this case or, in other words, whether they are a victim of domestic violence as defined above; 2) that they have proven by preponderance of the evidence that at least one predicate act occurred and 3) that they have proven by a preponderance of the evidence that issuance of an FRO is necessary to prevent further abuse or future harm. See generally N.J.S.A. 2C:25-29a(1)-(6); Silver v. Silver, 387 N.J. Super. 112 (App. Div. 2006). If the victim is successful in obtaining an FRO, it is a major victory for him or her and a major impediment for the defendant / abuser. A judge has the power under this comprehensive act to order a host of things, including, but not limited to, exiting the residence, revocation of a person’s firearms identification purchaser card, a monetary penalty, subject the person to drug testing, fingerprinting, a financial penalty, payments of restitution, payments for rent or mortgage, custody of a pet, parenting time, mandated professional domestic violence counseling. An FRO can have immigration consequences for a non-citizen, can affect a background check, military or security clearance, and if violated, will subject the violator to prosecution in the Criminal Part of the Superior Court for an indictable crime of contempt. An FRO in New Jersey, unlike other jurisdictions, is permanent – it does not need to be renewed and generally it is not removed absent an exception. This is an extremely simplified version of the major parts of the process. Please call us to utilize our specialized skills, knowledge, education, experience and training to help you break free of the cycle of domestic violence!

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Health & Wellness

Hypnosis for Women Professional Hypnosis & Coaching Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com

Mind Your Heart . . . Heart-Healthy Often Means Mind-Healthy Following a healthy lifestyle can prevent a myriad of heart conditions and heart-related deaths. You are probably aware that heart disease is the leading cause of death for women and men in the U.S., but you may not know that there appears to be a significant correlation between heart health and brain health. That means that reducing risk factors for heart disease may very well reduce risk factors for cognitive decline and dementia. For those who are prepared to take positive steps, it’s a win-win situation. Many of the risk factors for heart disease are generally preventable: • High blood pressure • High cholesterol • Overweight and obesity • Pre-diabetes and diabetes • Smoking • Inactivity • Poor eating habits • Poor sleep quality • Chronic stress

Make Your Mind Work FOR You – Instead of Against You! Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification in complementary medical hypnotism. She earned a B.S. degree in Biomedical Communications from Richard Stockton College of N.J., has an academic background in nursing, and 20+ years’ experience in community health education and coaching. Rhoda adheres to strict ethical standards of the National Guild of Hypnotists.

Look at this list again, and you’ll notice there’s a common thread – lifestyle habits. By changing your unhealthy patterns, you improve your health and wellbeing. Choosing to stay stuck may carry a hefty price. Even if you’ve been caught up in unhealthy patterns for a long time, that doesn’t mean you’re doomed to stay stuck forever. With the right guidance, tools, and techniques, you are absolutely capable of changing. Using hypnosis and coaching can transport you from merely knowing what steps to take, to actually taking those steps. This approach is based on neuroscience – the study of how the mind works. The latest research

Hypnosis For Women ❀ ❀ ❀ ❀

Weight Control Smoking Cessation Relaxation/Comfort Fear Release

in neuroscience has taught us more about how the brain operates, and how that impacts our behavior, thoughts, and feelings. Your brain is constantly rewiring itself. That means that you are capable of making the changes you want to make. You can do your own rewiring, so to speak. By accessing your subconscious mind, negative patterns are much easier to neutralize, and positive patterns can be embedded. Your private sessions will be comfortable, positive, and nonjudgmental. Clarifying what you want to change and why, along with barriers you’ve encountered, will help create a customized approach that boosts your ability to be successful. A full explanation will be provided so you’re totally comfortable and at ease. Each follow-up appointment includes a discussion of progress and a tailored hypnosis session. You’ll be provided with a comprehensive informational packet, one or several appropriate recordings, and instruction in self-hypnosis. Depending on the specific issue(s) you’re addressing, you’ll have three to six inperson (or virtual) hypnosis sessions after the initial information-gathering session. Reinforcement and repetition are vital to making changes. Hypnosis is an efficient, holistic, and empowering modality. It works wonderfully for people who are motivated to change, believe that with the right tools and techniques they are capable of changing, and understand they need to be a partner in the process.

(COVID safety precautions are in place to insure the well-being of all.) For a No-Cost Phone Screening / Consultation, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.

Make Your Mind Work FOR You – Instead of Against You!

PROFESSIONAL HYPNOSIS AND COACHING SERVICE ❀ ❀ ❀ ❀ ❀

Focus/Concentration Sleep Improvement Studying/Testing Lifestyle Changes Interviewing/Auditions

❀ ❀ ❀ ❀ ❀

Athletics Public Speaking Flying/Driving Socializing Confidence

Make Your Mind Work For You – Instead of Against You

732-270-0080 • www.HypnoForWomen.com 1541 Rt 37 East, Suite E, Toms River, NJ 08753

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Education

New Year + OCC Classes = A Fresh Start

The holidays are behind us, and a new year has dawned. There may be no better time to take the next step to advance your education. Whether you are a recent high school graduate, a current OCC student or returning to college after time away, the Enrollment Services staff at Ocean County College is ready to help you select your courses and to register. OCC offers four convenient ways for you to take this step: Spring Semester and Spring Accelerated 1 begin on January 25. The Spring Quick Term starts on March 2, and Spring Accelerated 2 begins on March 29. Advisers will provide guidance and additional resources, including information about financial aid, for each level and type of student, whether you have been away from a classroom for weeks, months or even years. Since 1964, OCC has educated and served residents of Ocean County and beyond and is highly regarded for its affordable, student-centered, innovative and high-quality education. Its students go on to complete higher degrees at top universities and colleges or move directly into fulfilling careers in fields that are in-demand and lucrative. Its faculty are well-known for their expertise in their respective areas and dedication to their students. OCC’s more-than 1,500 alumni consistently report that they credit their OCC professors with helping them become successful and remember them as mentors. Don’t delay. There is still time to register in one of OCC’s spring 2021 classes. Visit https://www.ocean.edu/remote-student-services/spring-2021registration/ today.

THERE’S NO BETTER TIME TO ADVANCE YOUR EDUCATION. The Enrollment Services staff at Ocean County College is ready to help you!

Spring Semester and Spring Accelerated 1 begin on January 25 Spring Quick Term starts on March 2 Spring Accelerated 2 starts March 29

www.ocean.edu • 732-255-0482

Legal Professionals

Unable To Work?

We May Be Able To Help! James Treanor, Esq. Social Security Disability And SSI Specialist Over 20 Years Experience Handling SSD/SSI Cases Intitial Applications • Hearings • Federal Court Free Consultation Located in Toms River, NJ

732-228-7996 • Fax: 732-228-7637 • Jim@TreanorLaw.net

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Community

St. Francis Counseling Service

St. Francis Counseling Service offers individual, family, couples and group therapy to all residents of southern Ocean County on a sliding scale fee based on annual household income. Survivors of sexual violence and victims of crime are eligible for grant funded services. Our staff consists of Masters level therapists specially trained in Sand Play and EMDR therapies.

St. Francis Servicio de Consejería está ofreciendo consejería centrado en el trauma para los residentes Latinos de Ocean County. Si usted ha sufrido abuso o asalto sexual y está listo para hablar, por favor llamenos para mas información. Servicios de consejería están previstos sin costo para los sobrevivientes. Locaciones seguras y confidenciales disponibles en la comunidad para mejor servir nuestros clientes.

Confidential Sexual Violence Advocates serve as 24 hour support to survivors reporting a sexual assault to any Ocean County hospital or police department. They also provide 24 hour support through our Confidential Sexual Violence Hotline at 609-494-1090.

If you are interested in joining our team, please call 609494-1554 for more information.

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Wigs & Hair Restoration

p a

N e w y Ye p

ar !

2494 Moore Rd., Ste. #1 • Toms River, NJ 08753 (In the Stone Hedge Prof. Bldg.)

732-255-1733 • www.abstraxhair.com email: gerry@abstraxhair.com

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Community

The County Woman Magazine www.TheCountyWoman.com

January/February 2021

Medical Professionals

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January/February 2021

Business &&Finance Business Finance Business & F inance

25 23 39

Service Is Our Specialty Founded in 1986, Copies Plus takes pride in serving as South Jersey’s premier office equipment company with over 30 years of experience servicing clients just like you. Our continued success is the result of a total commitment to a customer satisfaction and loyal customers who refer Copiers Plus to others. We are grateful for their continued support and look forward to building new relationships well into the future.

Exceptional Equipment And Support Multi-Function Print Technology

A black and white or full color multi-function printer provides an excellent option for a company with limited space and a need to improve productivity. • Print, copy, scan and fax from one device • Small footprint, physically and environmentally • Reduce overhead by investing in one MFP to do the job of multiple devices • Ideal for small and mid-sized businesses

Production Printing Equipment If you’re an organization that produces a high volume of critical communications, promotional pieces or general office documents then a high-speed print production solution from Copiers Plus will help you save time and money by boosting efficiency and lowering cost. • Ownership advantages of flexibility and quality control • Enhance security • Reduce overhead by keeping it “in-house” • Advanced finishing options • Ability to run a broad spectrum of paper stocks

Large Format Print Equipment A large format printer from Copiers Plus will extend your in-house production capabilities by producing large blueprints, design plans, technical documents and more right from the convenience of your office. • Reduce print cycle time • Get documents in the field faster • Eliminate production delays • Produce multiple designs quickly and accurately

Managed Print Services Managed Print Services from Copiers Plus allows you to take control of your print environment, save money and boost productivity by leveraging the power of FMAudit, the #1 MPS Solution in the market today. • Optimize Print Output • Monitor • Automatic Supply Replenishment • Audit • Proactive Maintenance

Managed IT and Network Support With managed IT and network support from Copiers Plus, business owners can focus on the important core functions of their company. • Simplicity • Accessibility • Flexibility • Reliability

Group Purchasing Organizations and Purchasing Alliances Copiers Plus proudly partners with some of the country’s premier GPOs and Purchasing Alliances to bring cost savings and efficiencies to government agencies, educational institutions, non-profits, healthcare providers and faith-based organizations.

Service, Support & Supplies Here at Copiers Plus “Service is our Specialty”. It’s what separates us from the competition. • Professional installation and network connectivity • Rapid remote and on-site support • Comprehensive, all-inclusive maintenance agreements • Efficient and cost effective solutions for your office technology needs • Genuine OEM supplies and consumables

Document Management Solutions A customized document management solution from Copiers Plus will allow your organization to transition into a 21st century digital workflow. • Store • Manage • Search • Collaborate • Secure

TWO GREAT LOCATIONS SERVING ALL OF SOUTHERN NEW JERSEY INCLUDING OCEAN AND MONMOUTH COUNTIES Equipment Showroom & Commercial Printing 3112 Fire Road/Unit C Egg Harbor Township, NJ 08234 Office: 609-645-7587 info@copiersplus.com

Commerical Printing 935 West Avenue Ocean City, NJ 08226 Office: 609-398-7676 RPM@copiersplus.com

For more info contact: Robert Matthews 609-645-7587 • info@copiersplus.com

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Community

Happy Valentine’s Day

X and O Rice Krispy Treats- A Fun Unique Craft For Kids

1. In large saucepan melt butter over low heat. Add marshmallows and stir until completely melted. Remove from heat. 2. Add KELLOGG’S RICE KRISPIES cereal. Stir until well coated. 3 tablespoons butter or margarine 3. Using buttered spatula or wax paper, evenly press mixture into 15 x 10 x 1-inch pan coated with cooking spray. Cool slightly. Using 1 package JET-PUFFED Marshmallows cookie cutters coated with cooking spray cut into X and O shapes. Decorate with frosting and/or candies. Best if served the same day. 6 cups Kellogg’s® Rice Krispies® cereal Microwave Directions: In microwave-safe bowl heat butter and marshmallows on HIGH for 3 minutes, stirring after 2 minutes. Stir Canned frosting or decorating gel until smooth. Follow steps 2 and 3 above. Microwave cooking times may vary. Food coloring Note: For best results, use fresh marshmallows. 1 jar (7 oz.) marshmallow crème can be substituted for marshmallows. Diet, reduced Assorted candies calorie or tub margarine is not recommended. Store no more than two days at room temperature in airtight container. To freeze, place in layers separated by wax paper in airtight container. Freeze for up to 6 weeks. Let stand at room temperature for 15 minutes before serving.

You will need:

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January/February 2021

Community

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January/February 2021

Women Of Ocean County

Christine Genovese, LPC Genovese Counseling Services, LLC Christine Genovese is a Licensed Professional Counselor with offices in Tuckerton and Somers Point. Raised in Absecon, she has combined her love of education and healing and started her private practice in 2018. After a successful career in education, Christine retired as a teacher and school counselor from the Galloway Township school system. During that time, Christine earned a Master’s Degree in Education from Marygrove University and a Master’s Degree in Counseling Psychology from Georgian Court University. In 2005, she received the Governor’s Teacher Recognition, and in 2009, she received the School Community Advocate for Education award along with her fellow school counselors. From 2012-2016 Christine worked as a per diem therapist for JFS in Margate. Christine is a Brainspotting Practitioner, which uses a person’s natural gaze along with the therapeutic relationship to process strong emotions. Christine’s practice is limited to adults experiencing major life change, grief and anxiety, and she is especially passionate about working with educators. She is a member of the New Jersey Counseling Association and has enjoyed being in private practice since 2012. Christine enjoys learning about neuroscience, taking metalsmith classes, and hunting for sea glass. Please call 609 568-6299 or visit genovesecounseling.com for more information.

Anna Brocco, PharmD, MBA Director of Operations and Clinical Research Advanced Memory Research Institute Anna Brocco grew up in Toms River, New Jersey and currently lives in Forked River with her husband and toddler son. She is a graduate of Rutgers, The State University of New Jersey, Ernest Mario School of Pharmacy with her doctorate in pharmacy and later, a master’s degree in business. Throughout pharmacy school and after graduation, Anna worked at Community Medical Center in the pharmacy department where she specialized in IV medication preparation. Anna joined Advanced Memory Research Institute of NJ in 2014 as a clinical research pharmacist and then in 2015, she became the operations manager and then the director of operations and clinical research. Anna uses her clinical trial and business knowledge to bring more research opportunities to the center so that all those who wish to participate in research can have the opportunity. Anna is also an adjunct clinical professor of pharmacy practice at Fairleigh Dickinson University, School of Pharmacy and Health Sciences. In this role, she educates future pharmacists about clinical research and about Alzheimer’s disease and memory loss. If you would like to learn more about AMRINJ, please reach out at 732-341-9500 or www.amrinj.com.

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Rhoda Kopy, CH Nationally Certified Consulting Hypnotist & Wellness Coach, Founder, Hypnosis for Women Rhoda helps people break free of negative habits, and limiting fears and beliefs, as a master hypnosis practitioner and wellness coach with specialty certification in Medical and Dental Hypnotism. Building each client’s sense of calm, focus, confidence, and empowerment is the hallmark of her approach. She firmly believes that when you learn to make your mind work for you, instead of against you, anything is possible. Rhoda recently celebrated her 16th anniversary as a clinical hypnotist. Ms. Kopy’s Toms River practice, Hypnosis for Women, which she founded in 2005, serves primarily women, teens, and children, throughout the tri-state area. After studying nursing and earning a B.S. in Biomedical Communications in 1984, she worked for various organizations providing community health education and counseling services. She later segued into career services and founded A Hire Image, which offered motivational coaching, marketing, and training services. As a result of success she achieved using hypnosis to improve her life, she completed an advanced training program in 2004, parlayed her education and experience, and opened her private practice. Rhoda also co-founded Jersey Shore Hypnosis Practitioners, a peer support and networking group, and is a certified member of leading professional hypnosis organizations. Born in Bayonne and raised in North Plainfield, she has lived in Toms River for most of her life. She enjoys coordinating Bookie Babes, watercoloring, watching meteor showers, traveling with her husband, and connecting with friends and family. She has a daughter, two grandsons, and an adopted cockapoo, Gracie. Rhoda can help you determine if hypnosis and coaching are appropriate for you. She offers confidential in-person and online sessions. Call her at 732-270-0080 for a brief complimentary phone screening, and visit www.HypnoForWomen.com

Teresa Menadier, MD,

Gastroenterologists of Ocean County

Doctor Teresa Menadier recently joined Gastroenterologists of Ocean County after completing her Gastroenterology fellowship at the University of Virginia. She is a graduate of Tufts University. She obtained her medical degree from Rutgers-New Jersey Medical School in 2012 where she was elected President of the NJMS chapter of the Alpha Omega Alpha Honors Society. Dr. Menadier went on to complete her Internal Medicine residency at the University of Pennsylvania. Sponsored by the ANMS Clinical training program in GI Motility and Neurogastroenterology in October 2017, Dr. Menadier received specialized training in high resolution esophageal and anorectal manometry and pH/impedance interpretation under the supervision of Dr. Henry P. Parkman at Temple University. Her clinical interests include esophageal and anorectal motility disorders, as well as liver diseases. Doctor Menadier loves spending time with her family, baking, dancing and listening to flamenco guitar. For more information, call 732-349-4422 or visit www.GastroOfOcean.com.

Photo by Tracy Harman Photography

Photo by Donna Andrews Photography

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January/February 2021

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January/February 2020

Healthy Legs Are Strong Legs! GET YOUR LEGS FEELING AND LOOKING GREAT! ��:��:��:��:��:��:��:��:��:�� :��:��:��:��:��:��:��:��:��:��:�� :��:��:��:��:��:��:��:�� :��:��:��:��:��:��:��:��:��:��:��:��:��: ��:��:��:��:��:��:��:��:��:��:��:��: ��:��:��:��:��:��:��:�:�� Jeﬀrey Gosin, M.D. F.A.C.S. Board Certiied Vascular Surgeon

SOME OF OUR SERVICES: : e Closure Procedure

609-927-VEIN (8346)

ee • Microphlebectomy • Sclerotherapy (Asclera) for treatment of spider veins t • Excel V Vascular Laser for treatment of spider veins and unsightly facial veins. • IAC Accredited noninvasive vascular laboratory laborato on site

442 Bethel Road • Somers Point, NJ 08244 • www.GetGreatLegs.com

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January/February 2021

Ocean County Woman - January/February 2021

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Women of Ocean County

Health & Wellness

e County Womans Newspaper is published bi-monthly and is available free of charge at e County Womans Newspaper is published bi-monthly and is available free of charge at Gastroenterologists of Ocean County

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