Ocean County Woman - September/October 2019 by The County Woman

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BACK TO SCHOOL IEP TIPS. Does your child have an Individualized Education Program (IEP)?

GETTING OLDER IS INEVITABLE. AGING IS OPTIONAL! NAD: COULD THIS BE THE ANSWER TO GROWING YOUNGER? Modern medicine does not consider aging as Page 43 an illness.

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Dr. Christine Ally and her team at Advanced Sleep and TMJ Center are dedicated to providing exceptional service in the treatment of Obstructive Sleep Apnea and TMJ disorders. They truly love their patients and are committed to creating lasting relationships with their patients. Read more about Dr. Ally and her professional team on pages 26 and 27.

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SHOULDER PAIN IN THE OVERHEAD ATHLETE. Shoulder pain in the overhead athlete is a very common complaint.

Sept./Oct. 2019

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Medical Professionals

Shoulder Pain In The Overhead Athlete stabilizers. These allow your shoulder blade to move properly as to not cause your tendons to get pinched in your shoulder, resulting in damage and pain. Core strength is also an important component of proper throwing form and to decrease injury risk. Core strength, along with lower body strength and flexibility, allows the proper distribution of forces along the body as to not stress the shoulder more than necessary. There must exist in the body the proper balance of mobility and stability to create a strong throw and to limit injury risk. If this balance does not exist, injuries can occur, including rotator cuff tears, labrum tears, and ligament tears. Some of these injuries may be severe enough to require surgical repair. A thorough physical therapy evaluation can assess limitations in all the above areas. An exercise program can then be created to address these impairments and allow a return to pain-free and proper throwing.

by Joel Maietta

Shoulder pain in the overhead athlete is a very common complaint.

Considering the fact that separation forces

in the shoulder during throwing can equal someone’s own body weight, it is no surprise that pain can occur. This activity requires a combination of strength, coordination, synchronicity, and body control. Because of these factors, shoulder pain is often seen in athletes of all ages as well as any adult who may decide to throw a ball just one time. During a physical therapy evaluation for shoulder pain from throwing, there are multiple parts of the body that need to be assessed. These include shoulder motion, shoulder strength, shoulder blade strength, core strength, as well as lower body strength and flexibility. When you throw a ball, your arm has to cock back in a motion called “external rotation” and then come forward in a motion called “internal rotation.” If the internal motion of the shoulder is limited, then excessive forces can travel through the arm and cause pain. There are various stretches that can be used to improve this motion to decrease throwing pain. In addition to motion, the tendons in your shoulder, known as the rotator cuff, need to be strong and stable to allow a proper throwing motion. They control the “ball” in the “ball and socket” of your shoulder, and without proper strength and stability, you can have a shoulder injury while throwing. In conjunction with your rotator cuff, it is also necessary to have proper strength of your shoulder blade, known as your scapular

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The County Woman Magazine www.TheCountyWoman.com

Joel received his Doctorate of Physical Therapy from Quinnipiac University in 2010 after receiving his Bachelor’s Degree in Health Sciences from Quinnipiac University in 2007. He has completed clinical rotations in acute care, inpatient rehabilitation, and outpatient orthopedic settings. Since graduation, he has taken extensive continuing education courses and has earned multiple certifications. He is a Certified Integrated Manual Therapist (CIMT) through the Great Lakes Seminars as well as a certified LSVT BIG provider for the treatment of Parkinson’s Disease. He has also taken courses and is experienced in the application of KinesioTaping, and the use of Instrument Assisted Soft Tissue Mobilization. Joel believes in a whole body approach to treatment with a focus on individualized care to help people return to their lives. Joel is currently the facility manager in our Wall location.

September/October 2019

Fine Art Photography

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September/October 2019

Manager’ s Note Psychotherapy

All correspondence should beAll addressed to: correspondence should be addressed to:

The County Woman The County Woman Ce leb ra

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Welcome to the September/October Issue of the Ocean County Woman!

Recovery From Trauma P.O. Box 619 Turnersville, NJ 08012

P.O. Box 619 Turnersville, NJ 08012

Dr. Sharon Flaherty

Publisher • Chris Lam Change is in the air and with the new season approaching (my favorite one, by the way), 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 is available free of charge at chris@thecountywoman.com display stands in approved private and public establishments and authorized distributors only,

display stands in approved private and public establishments and authorized distributorsIonly, would like to introduce the newest member of my family: our seven-month-old Chocolate or by paid mail subscription. or by paid mail subscription. When someone goes through any kind research since then has confirmed its Production Manager Lauren Shover Lab, Allie. She has brought muchDecades joy to ouroflives and keeps us quite Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No Laws part ofprotect The County Woman’s Newspaper. No part of Trademark and U.S. Copyright staff@thecountywoman.com effectiveness. Peter at UCLA took PET ofbetrauma, he ortheshe may healof over time. busy. I am looking forward to introducing her to Dr. all that fallLevine in this paper may reproduced without written permission thebepublisher. this paper may reproduced without the written permission of the publisher. scans of the brains of patients Regional Sales Director Kathy Sabol The County Woman’s Newspaper is not responsible for any editorial comment (other than The County Woman’s Newspaper is not responsible for any editorial comment (other than New Jersey has to offer, from taking her on hikes to see the foliage to before and after But if the trauma is too much for its own), typographical errors from advertisements submitted as camera ready or any its own), typographical errors fromreproducadvertisements submitted as camera ready or any reproducsales@thecountywoman.com EMDR, and significant differences; areas bringing her to the many dog-friendly restaurants our found county has to the mind to handle, help be submitted as camera ready. tions of advertisements submitted as camera ready. tionsmay of advertisements of overactivity, or “hot spots,” disappeared, Billing Manager offer. If an advertisement meetover our standards acceptance, weHartsig may does revisenot or meet cancelour it atstandards of acceptance, we may revise or cancel IfJennifer an advertisement it at Did you know that New Jersey is a very dog-friendly state, and neededdoestonot get it. Ifofthe person billing@thecountywoman.com any time, whether or not it has been already acknowledged previously The acknowledged and/or previously published.there with the any time,and/or whether or not itpublished. has been already The are a plethora of restaurants, parks,along and beaches thatpatient's welcome symptoms. EMDR develops symptoms likeadvertiser nightmares, advertiser assumes sole responsibility for all statements contained in submitted copy and will assumes sole responsibility for all statements contained in submitted copy and will your canine? has been placed in the “A” category by the Graphic Newspaper, Designerits owners, Golden Design LLC against protect and flashbacks, indemnify the Woman’s publishers, andthe employees, protect and indemnify Woman’s Newspaper, its owners, publishers, and employees, against anxiety, fear or depression, Interestingly enough, Labs are excellent hunting companions and were known of for Veterans their ability Department Affairs as “strongly any and all liability loss or expense arising out of claims forK. libel, unfair loss tradeornames, any and allWolf liability expensepatents, arising out of claims for libel, unfair trade names, patents, CEO Lynn Lauren’s Dog Allie they may fitandthe criteria for copyrights and propriety rights, all violations ofcopyrights the rightPTSD, ofand privacy or other violations to ofretrieve their owners. Although I may not be doing anyrecommended” traditional hunting, I will offer propriety rights, and all violations the right ofducks privacy for or other violations for the treatment of trauma. resulting from the publication of this newspaper its advertising resulting from copy. the publication of this newspaperAllie or its advertising copy.of playing fetch. a lifetime Post Traumatic Stress orDisorder. One EMDR has been used with veterans, crime The publisher shall no liability for failure, for any reason, to insert ancall: advertiseThe publisher shall be under no liability for failure, for any reason, to insert an advertiseForbe under advertising inquiries, please As for fall in New Jersey, it is a sight to behold. As summer fades, our entire state comes alive with the most amazing does shall notnothave to and/or benefit victims, police officers, and victims of crime, ment. The publisher be liabletoby have reason ofPTSD error, omission failure to insert anyreason of error, omission and/or failure to insert any ment. The publisher shall not be liable by part of an advertisement. The publisher will not be liable forandelay or failure inThe performance display of colors. The average peak color is sometime around October 19th – 29th. Of course, variables like temperature part of advertisement. publisher will not be liable for delay or failure in performance abuse and accidents. It works on large or small from talking to a professional about an in publication and/or distribution if all or any portion of an issue isand/or delayed or suspended in publication distribution if allfor or any portion of an issue isalso delayed or suspended and rainfall play a part for in when the leaves begintraumas to change.for people of all ages, including children. In upsetting However, ifinsymptoms over judgment in these instances and will make any reason. The publisher willevent. exercise reasonable judgment these instances will andlinger will make any reason. The publisher exercise reasonable Another great incentive of the fall seasonmost is football! me, there’s nothing enjoyingpsychotherapy. a Sunday well spent adjustments for the advertiser where and when appropriate. cases For it works much fasterbetter than than traditional adjustments for the advertiser where and when appropriate. time, counseling/psychotherapy ismaterial recommended. on theforcouch watching good game of football, especially if it is the Philadelphia Eagles! The Woman’s Newspaper assumes no responsibility The for unsolicited orassumes reproducWoman’s Newspaper no responsibility unsolicited material or a reproduc“talking” therapy can be very aeffective with tions made by advertisers. tions made by advertisers. Thereinare countless ways to make theTraditional most of the season, like taking a walk through corn maze or visiting an One treatment that has shown tremendous success treating This newspaper will be published by the 15th of every month.will be published by the 15th of every other month. Thisother newspaper these problems, too. Dr. Sharon Flaherty has advanced training in for the orchard to stock up or on 2008. apples. This is a time of year we can still enjoy being outdoors before we all hunker down 2008. County Representations by TheisMonmouth Woman, LLC TM COPYRIGHT trauma called County Eye Movement Desensitization and Reprocessing, Representations by The Monmouth Woman, LLC TM COPYRIGHT

•

1.866.398.0898

856.885.8066

EMDR, and years of experience doing EMDR and traditional winter. EMDR. EMDR involves a series of eye movements, sounds or tapping at 908-242-4618 or at via her www.TheCountyWoman.com FIND US ON THE WEB! FIND US ON THE We hope all our beautifulShe statecan hasbe to reached offer! WEByou ! take advantage ofpsychotherapy. while recalling the upsetting event. EMDR was discovered by Dr. website www.sharonflahertyphd.com. Veterans who are having WWW .T HE COUNTY OMAN .COM Best,WOMAN WWW .THEshe COUNTY COM Find us on Twitter Francine Shapiro in Facebook, theW late 1980s when was working at the.Veterans difficulty with issues likes these can call their local Veterans Services Lauren Shover, Production Manager, and the Staff at the Ocean County Woman Publication And follow us on Facebook and and Instagram AndTwitter follow us on Facebook and Twitter Officer: in Ocean County 732-929-2096. Administration. @TheCountyWoman Sharon

Law

The County Woman’s Newspaper is published bi-monthly public establishments and authorized distributors only, or by paid mail subscription. Trademark facebook.com/TheCounty Woman facebook.com/TheCounty @TheCountyWoman Wom an and is available free of charge at display stands in approved private and Flaherty, PhD • 908-242-2618 •The County dr.sharon@verizon.net www.sharonflahertyphd.com and U.S. Copyright Laws protect Woman’s Newspaper. No part of this paper may be reproduced without the•written permission of the publisher. The County Woman’s Newspaper assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published by the 15th of every other month. Representations by CW Media Group, LLC, COPYRIGHT 2008.

Legal Professionals

Did You Protects Know? You and Your Family How Workers’ Compensation Many people have heard of Workers’ Compensation, but few people know You can receive Workers’ what it really means until they themselves are injured at work. Here’s a primer Compensation for many types meant to give you a basic understanding of yourbenefits rights. Over a 100 years ago, business and labor of injuries. We encourage you to know came to a compromise that benefits both workers your rights in case you or a loved one and employers in the event of a work injury. For is in needand of wage Workers’ Comp benefits. workers, it allowed for prompt medical replacement benefits as wellHere as an opportunity is a list oftothe most common receive compensation for the ongoing physical claims: limitations that occur after a trauma. It also created a no-fault system, one where an employee • Traumatic is an injury resulting from an accident with the need not haveinjury: to proveThis negligence in order to potential to benefits. cause prolonged Thethe time, date, and location of the receive these The goal disability. was to lessen injury is readily available. A traumatic event negative health impact for injured workers and can be as a result of a slip and fall, lifting injury or motor vehicle accident, etc. maintain their financial stability.

Employers benefit frominjury: workers’ also.you Highly managed • Occupational exposure If compensation your job exposes to chemicals, healthcare by workers’ compensation insurance companies are thought to keep noise, fumes, contaminants or hazardous materials and you become ill, costs down return injured workers work more if they pursued benefits mayand be available to you even iftothe claim is quickly denied. than You will most treatment independently. likely need an attorney who has experience handling occupational claims in Overall, the system has benefited society by reducing order to prove your case and we can help. Diseases arising from occupational conflict, improving work safety and protecting taxpayers exposures can include hearing loss, allergies, pulmonary issues, and cancer. from the burden of paying for the care and needs of • Total disability: If andisabled injury prevents workers.you from being able to work in any capacity, we can helpThis you all prosecute that claim as It does not are times works theoretically, of well. course, but there matter if you have somewhen pre-existing since that maywage actually aid us is medical injuries treatment is withheld, replacement in resolving your claim not for total disability. We also handle Social Security paid or a workers’ comp claim is completely denied. Disability claims so your is handled fromatstart toand finish thearesame firm. If file you’ve been injured work feelby you being Don’t rely on word of mouth or the advice of your employer regarding your shortchanged, call us for a free consultation to discuss work injury. Let a dedicated advocate fight forasyour your case immediately thererights! are important deadlines to which you must you must adhere.

Kathleen Dotoli received recognition the American Institute of Legal Counsel forBest “10 Best Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016 and Kathleen Dotoli received recognition fromfrom the American Institute of Legal Counsel for “10 Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016, 2017 and 2017 2018.

If you need guidance, call 732-228-7534 today for a free consultation. With respect and compasson, Kathleen has helped thousands of Ocean and Monmouth County residents receive the benefits they deserve for over 20 years.

www.lawofficeofkathleenmdotoli.com

Call today to learn more about how you may qualify for Workers Compensation Benefits

Testimonial “Kathleen is that very special person you pray to meet in your life time. She took her personal time to listen to me and explained each any every step that was necessary throughout my case. She worked very hard for me and won my disability case. I would recommend her to anybody looking for a strong lawyer to present their case.” Pamela S. May 8, 2019

The information on this article is legal advertising and is not to be considered legal advice. If you have already hired or are represented by an attorney, you should disregard the information in this article. If this article is inaccurate or misleading, report same to the Committee on Attorney Advertising, Hughes Justice Complex, CN 037, Trenton, New Jersey 08625.

The County Woman Magazine www.TheCountyWoman.com www.TheCountyWoman.com The County Woman Magazine

September/October 2019 March/April 2018

Table of Contents Medical Professionals

All-Care Physical Therapy Center, LLC........................................ 2 Shore Vascular & Vein Center....................................................... 9 Jasper Spine Institute................................................................. 11 Reliance Medical Group............................................................. 12 Reproductive Science Center of NJ........................................... 13 New Jersey Hematology Oncology Associates......................... 14 Advanced Dermatology.............................................................. 15 Gastroenterologists of Ocean County........................................ 16 Ocean Otolaryngology Associates............................................. 18 Shore Clinical TMS..................................................................... 18 Kathy A. Banks, DMD................................................................. 20 Bella Derma Medi Spa................................................................ 21 Hypertension and Kidney Group of OC..................................... 22 Atlantic Neurosurgical Specialists.............................................. 29 Advocare Stafford Orthopedics.................................................. 31 Toms River X-Ray, CT & MRI Center.................................... 32, 33 University Urology Associates of NJ.......................................... 34 Be Well Women’s Health............................................................ 40 Institute for Complementary & Alternative Medicine.................. 43 Paonessa Colon & Rectal Surgery, PC................................. 46, 47 Dr. Park Avenue.......................................................................... 54 Personal Enhancement Center............................................. 70, 71

Fine Art Photography

Tracy Harman Photography......................................................... 3

Legal Professionals

Kathleen M. Dotoli, Esq................................................................ 4 Carlucio, Leone, Dimon, Doyle & Sacks, LLC.............................. 6 The Matus Law Group.................................................................. 7 Kevin B. Riordan, Esq................................................................ 19 Straffi & Straffi, Attorneys at Law............................................... 30

Organic Dry Cleaner

Green Apple Organic Cleaners..................................................... 5

Nutrition & Wellness

Breast Cancer Awareness

Cake Shoppe & Tea Room

Wigs & Hair Replacement

Professional Dentistry

Education

Vitality FYI..................................................................................... 7 A Sweet Memory Cake Shoppe & Tea Room............................... 8 Aesthetic Dental Creations......................................................... 10

Financial Management

Garden State Trust Company..................................................... 17

Upholstery & Décor

Superior Upholstery & Décor..................................................... 19

Nursing & Rehabilitation Center

Tallwoods Care Center............................................................... 23

Pediatric Services

Seashore Pediatric Therapy Center..................................... 24, 25

Featured on the Cover

Advanced Sleep & TMJ Center............................................ 26, 27

Holistic Substance Abuse Treatment

Enlightened Solutions................................................................. 28

Health & Wellness

Living Healthy Naturally.............................................................. 28 Health & Weight Loss................................................................. 37 Hypnosis for Women.................................................................. 38 Hot or Not Yoga.......................................................................... 44 Jersey Shore Pharmacy............................................................. 49

Insurance

Arocho Insurance Agency.......................................................... 35

Podcast

Breast Cancer Awareness.......................................................... 41

Abstrax Hair Designs.................................................................. 42 Ocean County College............................................................... 44

Theatre & Entertainment

Atlantic City Ballet...................................................................... 45 Gazillion Bubble Show............................................................... 56 Drunk Shakespeare.................................................................... 57 Cape May Stage......................................................................... 60 Two River Theater....................................................................... 63

The County Woman

Testimonials................................................................................ 48 Instagram................................................................................... 62 Subscription Form...................................................................... 53

Acupuncture

Koehler Acupuncture.................................................................. 50

Women’s History

Tina Morrison............................................................................. 52

Baking Supply Store

Shore Cake Supply..................................................................... 55

Radio

Thunder 106.3............................................................................ 57 Women of Ocean County............................... 68, 69 Community................................... 51, 56, 58, 59, 61, 66, 67

The Hol-Truth Podcast............................................................... 36

Business & Finance

Copiers Plus............................................................................... 39 Brick Township Chamber of Commerce.................................... 55

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

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The County Woman Magazine www.TheCountyWoman.com

September/October 2019

Legal Professionals 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!

Death with Dignity On August 1, 2019, New Jersey became the eighth jurisdiction to allow a terminally ill adult to end his or her own life in a dignified and humane manner. Six other states and the District of Columbia have similar laws. This law is referred to as New Jersey’s “Death with Dignity” law or it is more formally known as “Medical Aid in Dying for the Terminally Ill.” This law allows a terminally ill adult patient to legally request and self-administer medication to end his or her life. To be eligible a person must: • be a terminally ill adult resident of New Jersey; • have a prognosis of 6 months or less to live; • be mentally capable; • be able to self-ingest medication; • be able to voluntarily express his or her decision to request a prescription;

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 SCAN’s YouTube channel and www.CLDDS.com.

• be able to present a written request to his or her treating doctor. The request must be witnessed by at least 2 individuals who attest to the patient’s competency and voluntary desire; is also known care proxy directive, • have a consulting doctor verify hisasora health her eligibility; a durable power of attorney for health care or an advance directive. An • make 2 verbal requests to his or her treating doctor within individual appoints a trusted person to be his or her representative in the aevent 15-day waiting period; the creator of the document can no longer make medical decisions for • be advised by his or her doctor that they have the right to himor herself. rescind the request; is a legal document in which an individual states his or • be referred to a qualified health care professional toindividual’s her wishes regarding medical treatment and end of life care. An preferences for medicaloptions, treatment such and end life care arecare oftenor included in discuss end-of-life asofpalliative hospice.

To find out more about this new law, contact either: Annemarie Schreiber, Esq. or Joseph LaCosta, Esq. at Carluccio, Leone, Dimon, Doyle and Sacks, LLC.

Call 732-797-1600 for more information!

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.

The County Woman Magazine www.TheCountyWoman.com

September/October 2019

Legal Professionals

Back To School IEP Tips HELPING PEOPLE PROTECT ASSETS FOR SPECIAL NEEDS CHILDREN AND CONDUCT SMOOTH REAL ESTATE CLOSINGS FOR ALMOST TWO DECADES. • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies • Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts 81 East Water Street Suite 2C, Toms River NJ 08753 732.281.0060 www.MatusLaw.com 125 Half Mile Road, 200 Red Bank, New Jersey 07701 This office by appointment only.

Christine L. Matus, Esq.

Written by Colleen Clark, Esq.

Does your child have an Individualized Education Program (IEP)? Here’s what you can do to start the year off the right way. 1. Read your child’s IEP. Be familiar with the accommodations the school should be providing. 2. Write an introduction letter. Introduce your child to his teachers on paper. Tell them how he performs best and describe unique qualities that the teacher should know about your child. 3. Hand deliver a copy of your introduction letter and your child’s IEP to his teachers. Try to schedule a meeting either before the start of school or in the early weeks. You can confirm your child’s schedule and talk about accommodations with his teacher. 4. Review the IEP with your child. Tell your child what accommodations he should be getting in class. Depending on his age, tell him how to remind his teachers to provide his accommodations. 5. Schedule a Progress Review Meeting with the Child Study Team. Schedule a meeting with the child study team for October to review implementation of the IEP. Talk about what is working in your child’s new classes and what can be improved upon. 6. Keep communication open. Let your child’s case manager know what is working for your child as well as what is not.

Nutrition & Wellness Let’s Do It With Food

Sharon Garland’s

Sharon Garland FDN-P Certified Functional Diagnostic Nutrition Practitioner

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Seasonal 5 Day Detoxes A delicious educational experience

5 Day Meal Plan Includes: • Recipes for breakfast, lunch & dinner • Recipes for snacks & sweet treats • Complete Shopping List • Detailed Daily Prep Guide • Daily emails plus unlimited email support • Private 5 Day Detox Facebook group because support ensures success

Participants typically experience increased energy, improved sleep, 3-7 lb weight loss and a greater understanding of which foods serve their body and which foods cause inflammation.

The County Woman Magazine www.TheCountyWoman.com

(hurry spaces limited)

September/October 2019

Cake Shoppe & Tea Room

Committing to ‘Memory’ –

Designer Turns Her Baking Hobby Into a Full-Blown Career AnnMarie Cooney did not grow up dreaming of becoming a baker. Visions of sugar plums and intricately decorated cakes were not dancing through her head as a young girl. By trade, Cooney was a kitchen designer, but retired early to raise her daughters. “With three girls, my job was to raise good women,” Cooney says. It was a special request from her daughter that would eventually turn her into a AnnMarie Cooney highly sought-after cake designer and baker. “It all started because my daughter wanted a cake,” Cooney says with a smile. Cooney’s middle girl, was born with health issues that resulted in special needs. So when she wanted a circus cake for her fifth birthday, Cooney made her the best circus cake around. That was 14 years ago, and her girls quickly caught on to their mom’s special talent. At every birthday, they requested a special cake. “It became, ‘what can we do next’ and ‘how can we top that,’ Cooney says. Then she began making cakes for friends. Cooney’s husband had to build an additional kitchen at her house just to accommodate all of the special cake requests. When Cooney’s youngest daughter entered kindergarten six years ago, Cooney decided she wanted to go back to work. “But, I needed to figure out what I was going to do,” Cooney says. Sadly, Cooney’s grandmother, with whom she was very close, passed away during this time. “I was sitting at home, just very sad, and my cousin called me to meet her at the park with her kids,” Cooney says. However, in the midst of grief, she didn’t feel up to it. “My cousin sad, ‘come on grandma would want us to.’ So I went, Cooney says. On the way to the park, she saw the real estate sign. She checked it out and immediately knew that it would be the perfect location for her bakery, A Sweet Memory Cake Shoppe & Tea Room. “My grandmother left each of her grandchildren a small inheritance and it was just enough for me to open my business,” Cooney explains. Cooney spent about five years at that location before moving to another larger space six months ago just two miles down the road in Waretown. A beautiful picture of her grandmother has watched over her since the day she opened. It’s difficult to simply call Cooney’s creations “cakes.” Some designs are so intricate that they look like art. Cooney and her team created a three-dimensional depiction of Van Gogh’s “Starry Night” that captured the essence of this masterpiece with sweet, swirly curves and lines of vividly hued icing. Then there’s the adorable panda birthday cake that could easily be mistaken for a cuddly toy. The list of unique, edible masterpieces goes on and on, That’s because they average a minimum of 30 specialty cake orders per week, mostly by working with different catering and special event venues in and around Long Beach Island. However, they also have a long list of loyal customers. “Some of our customers started with a gender reveal and now we’re doing their fifth birthday cake,” Cooney says. Customer Kathy Helm of Waretown got her grandson’s birthday cake from Cooney close to five years ago. “It was perfect, I brought a couple pictures of what I wanted and they just did their thing,” Helm says. And she has been coming here ever since. “I’m in sales, so I bring my clients treats from here all the time,” Helm says. She’s also brought her granddaughter to Sweet Memory’s princess tea parties. “Our clients really do become our friends,” adds Cooney. In addition to the special-order cakes, A Sweet Memory, has a selection of seasonal cakes, mini desserts, cookie sandwiches and other baked goods readily available daily. Other creative creations include their cake pies; 521 Route 9 • cakes topped with pie filling and decorated to look exactly like a pie. “Our baking is very seasonal,” Cooney explains.

Winter flavors includes a tasted snowball cupcake, which is a chocolate cake filled with marshmallow and chocolate fudge, frosted with coconut buttercream, rolled in toasted coconut, drizzled with chocolate and topped with marshmallows. Or their gingerbread scone with maple cream. Or the orange, cranberry Christmas scone with orange cream. “My grandmother used to always have her ‘lady friends’, as she called them, over for tea,” Cooney explains, adding that she wanted to honor her grandmother by adding a high tea to her bakery. “We squeezed one table in our previous location and began hosting afternoon teas.” They were all so well-received Cooney has expanded her operation to include a full-time tea room. Decorated with a lovely mix of china and flowers, the tea room serves tea, lunch and snacks from 11 a.m. to 4 p.m. Wednesdays through Sundays. They also offer a high tea, but reservations are required. “Our clients have really created the charm of this place,” says Cooney, who adds almost of her china, platters and place setting have been donated by her customers. High tea ($27.95) is served on tiered platters and begins with an individual pot of tea, chosen from their selection of more than 50 teas. Followed by seasonally inspired salad and homemade soup, four varieties or tea sandwiches, freshly baked scones served with their specialty creams, and completed with a selection of their miniature desserts. “Everything from our meats to spreads, our dressings and chutneys, our soups are all made fresh in-house,” Cooney says. Cooney also places an emphasis on healthy fare. “We source organic whenever possible and offer a large selection or vegetarian friendly dishes,” she says. With the extra space the tea room has added to A Sweet Memory Cake Shoppe and Tea Room, Cooney is able to host special events. “We’ve done cake-decorating classes and other ladies events,” Cooney says. They’ve also hosted princess teas, American Girl teas, unicorn teas and more. They even carry a line of tea geared towards little ones. “We even have a dress up section that ladies and little ladies love,” Cooney says. A little help from above has turned Cooney’s one-time hobby into a business that brings customers joys bite by bite. The business that Cooney started out of her home has grown into a full-time operation with a staff of eight. “We work hard and we work a lot, but we really do love each other,” Cooney says. She says they have become a great team and she couldn’t do all of this without them. Cooney’s brotherin-law, Paul Cooney, recently joined the team as chef and baker. There’s also Sarah Rod, the head decorator, and Cindi Reider, head fondant who works in fine detail. “Sarah and Cindi are so talented, they really are the best around, they’re artists,” Cooney says. Together, what they create can easily be considered art, but at the end of the day-or party or wedding or afternoon tea- and after the last bite, their masterpiece has been turned into a sweet memory.

Our tea room serves lunch Wednesday to Sunday 11am to 4pm.

Specialty Cakes • Wedding Cakes Cupcakes • Cookie Favors Loose Leaf Tea • Vintage & New Tea Pots Tea Related Gifts & Baskets 609-242-0153 • www.asweetmemory.net Waretown, NJ • asweetmemorycakeshop@gmail.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2019

Medical Medical Professionals Professionals

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? Varicose veins areup,swollen canthe belegs seenandthrough 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 The The County Woman Magazine County Woman Magazine

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/June2019 2016 September/October

Cosmetic & General Dentistry

Balaji Srinivasan, DDS

Creating relationships are the hallmark of Aesthetic Dental Creations office operations. Located in Jackson NJ our dental office offers dental services for both Monmouth and Ocean County NJ residents along with other surrounding towns and counties.

What our happy patients have to say… “Dr. Balaji and his team are the best. They explained everything they were doing, kept checking to see if I was okay, and made me feel at ease. Dr. Balaji was excellent with the Novocaine injection, so much so that I barely felt anything. And Kara called the next day to check and see how I was feeling. Top notch office!” - DP ———————————————————————————————————————————— “Dr. Balaji and his entire staff are outstanding! So if you’re looking for dentist or afraid of going to the dentist but needs to go, I truly recommend Aesthetic Dental Creations. Super professional and oh so friendly. And Dr. Balaji ... so very nice, comforting, and gentle. They really care about their patients.” - GC ———————————————————————————————————————————— “All my life I wanted to get my teeth fixed. I never had that perfect smile. My fear of the dentist stopped me from ever getting any work done. Finally I got up the nerve and was referred to Dr. Balaji. Immediately when I went for my consultation I knew I was in good hands. Dr Balaji talked through my fears with me and put me completely at ease. After a couple of visits I have the smile I always wanted. My favorite moment was when the temporaries went in he handed me a mirror and when I smiled, tears immediately started falling. Perfection! I owe it all to Dr. Balji and his AMAZING staff. They care about their patient and you feel that way everytime you walk through the door. Even a cleaning is a pleasure now! Thank You, Thank You, Thank You!!” - CR

Scan here for more testimonials, including videos!

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September/October 2019

Medical Professionals

You Don’t Need Open-Back Surgery www.jaspermd.com • 732-262-0700 74 Brick Blvd., Bldg. 3, Suite 124 Brick, NJ 08723

4• After walking for a short time

you need to sit to relieve the pain. • Leaning over the shopping cart at the grocery store helps with your pain. • Weakness & difficulty walking up stairs without pulling yourself up by the bannister. • You lean forward when walking. • You are unable to stand straight up. • You have been told by your Doctor/MRI that you have Spinal Stenosis.

4 4 4 4 4

You don’t have to be hunched over in pain!

SPINAL STENOSIS You Might Just Have It “My legs felt 30 lbs. lighter when I stand to work. I called Dr. Jasper from home the same day, excited. I was able to walk up the stairs without pulling myself up by the railing for the first time in months.” – Patient Vinnie Dr. Gabriele Jasper is now known as New Jersey’s leading pain physician due to his widespread reputation in the medical community here and abroad. This status was established by the various presentations of advanced minimally invasive procedures he has perfected and taught to fellow physicians.

See why Dr. Jasper is known throughout New Jersey as the Master of Pain.

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September/October 2019

Medical Professionals

Reliance Medical Group For A Healthier Happier You! Routine Testing Is The Secret To Living Well

About Adult Medicine: 5 Reasons To Check Your Blood Sugar! 1. You are hungry. If you are hungry, it’s possible your blood sugar is on the low

side or you are in an official state of hypoglycemia. It’s better to know your number before treating versus eating, without testing, based on hunger.

“Quality Healthcare Is A Right, Not A Privilege”

2. You are thirsty. Thirst is one of the symptoms of hyperglycemia (high blood

ADULT MEDICINE I NEUROLOGY

sugar). Again, it’s always better to test than to assume you just need a glass of water. Testing can reveal a high blood sugar that requires your attention. If you are high, drinking plenty of fluids is important to rehydrate.

35 BEAVERSON BLVD, SUITE 7C BRICK, NJ 08723 732-920-8022

3. You are tired. One can become tired when levels are high or low, so if you’re feeling especially exhausted, check your blood sugar!

4. You are going to drive. Getting behind the well with a high or low blood

Your Family Is Our Family

sugar not only endangers you and your passengers, but other people on the roads and sidewalks as well. Consider driving to be a privilege and a great responsibility. If you are too low to drive, it is best to treat your low, check fifteen minutes later to see where you stand.

5. You are going to bed. Some people are incredibly deep sleepers, and a high or a low blood sugar (called hypoglycemia unawareness) will not awake them. Be sure to have a good number before you hit the sack! Remember, you hold most of the power in your diabetes management, and of course a key component of living well with diabetes is testing, testing, and testing more. May you find the conviction and motivation to keep your meter handy!

About Neurology: Might You Benefit From Seeing a Neurologist? What does a neurologist treat? Neurologists treat disorders of the nervous system, brain, spinal cord, nerves, muscles and pain. How are neurological disorders treated? Many disorders can be treated. Treatment or symptomatic relief is different for each condition. To find treatment options, neurologists will perform and interpret tests of the brain or nervous system. Treatment can help patients with neurological disorders maintain the best possible quality of life. Why do patients need a neurological examination? An examination is used when a family doctor seeks a specialized opinion about a patient whose symptoms may involve the brain or nervous system. The examination may also be performed when a patient wants a second opinion from a neurologist. The neurologist’s expertise in disorders of the brain and nervous system can give patients effective diagnosis and treatment for neurological disorders. Call our Brick office today to schedule your appointment with one of our highly-trained providers!

NEW PATIENTS & WALK-INS WELCOME ADULT MEDICINE • Chronic Condition Management - Osteoporosis - Arthritis, Gout, & Diabetes - Asthma, Sleep Apnea, COPD, & Hypertension - Disorders of Thyroid - Anxiety • Comprehensive Primary Care Office for Adults • Convenient Location in Lions Head Medical Plaza • Accepting All NJ Insurances and Some Out-of-State • Annual Checkup and Medications Refill • Laboratory Services Onsite

NEUROLOGY Board Certified Neurologist providing consultation and treatment of pain management. • Medical Marijuana • Suboxone Treatment (meds and injections) • Botox Injections for Migraines • Joint Injections for Pain • Alternative Pain Management: - Nerve Blocks - EMG/NCV Testing - Memory Screening / Management - Cognitive Screening / Management

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Ludys Katz

Briana Boyer

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RELIANCEMEDICALGROUP.NET September/October 2019

Medical Professionals

Could I have Polycystic Ovary Syndrome (PCOS)? What is PCOS?

What are the long-term health risks?

Polycystic Ovary Syndrome (PCOS) is a common reproductive disorder in women, affecting approximately 4-12% of reproductive age women. It is found in both normal weight and overweight/obese women and can present with varying symptoms—the most common of which is infrequent or absent menstruation. There is some evidence of a genetic predisposition to developing PCOS, as first-degree relatives of women with PCOS are at increased risk of having PCOS as well.

What are the symptoms?

PCOS symptoms include a history of irregular menstruation, varying degrees of male pattern hair growth (hirsutism), and acne. Menstrual changes can range from irregular, infrequent, to even absent menstrual bleeding. As the time between periods increases, so does the risk for developing precancerous changes and ultimately uterine cancer. Therefore, women with irregular cycles should consult their gynecologist so they may be properly evaluated for these potential conditions.

How is PCOS diagnosed?

Women with PCOS are diagnosed after obtaining a detailed medical history, performing a physical exam and pelvic ultrasound, and relevant blood testing. Medical history is consistent with either irregular or missed menstrual periods, and/or increased male pattern hair growth and adult acne. Ultrasound findings may include enlarged ovaries with numerous small follicles (fluid collections). Blood testing may reveal high levels of male hormones such as testosterone.

What causes PCOS?

Helping Small Miracles Happen

The exact cause of polycystic ovary syndrome is unknown. PCOS is thought to stem from alterations in ovarian hormone production which creates an increase in the level of male hormones. These hormones disrupt the feedback system to the brain and also result in insulin resistance.

PCOS is associated with several long-term health risks including diabetes mellitus, high cholesterol, and cardiovascular disease. Therefore, it is recommended that women with PCOS be screened for these disorders, so that early intervention can be implemented. How does PCOS affect fertility? The fundamental fertility issue in women with PCOS is a lack of regular ovulation, which is a critical component to successful conception. Fertility medications can improve the chances of ovulation and achieving a successful pregnancy. In addition, weight loss in the overweight woman with PCOS can increase the chances of spontaneous ovulation and pregnancy.

How is PCOS treated in women not interested in pregnancy?

In women not attempting pregnancy, menstrual irregularity is often treated through the use of oral contraceptives. When abnormal hair growth is the primary concern, oral contraceptives, with or without the addition of anti-androgen medications, can directly inhibit hair growth. Excess hair can be removed through shaving, tweezing, waxing or the use of electrolysis and laser treatment. In the case of insulin resistance, the use of metformin may be indicated to help restore normal glucose parameters, and this treatment option is also safe and acceptable in women interested in becoming pregnant. At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation, and discuss individualized options for conception—all in a comfortable and caring setting. We are a full service fertility center experienced in all the latest technologies and look forward to helping you achieve success, whatever your goals.

For more information call our Toms River office number at 732-240-3000 or visit www.FertillityNJ.com.

Recipe

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

The Compassionate Connection

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

Toms River • Eatontown • Lawrenceville

732-240-3000 • FERTILITYNJ.COM

Personalized Treatment Plans Free Phone Consultations

Making the Most of Fall Harvest, Compliments of Chef Steph Autumn Vegetable Medley with Rosemary and Nutmeg

Serves 6

9 ounce(s) fennel bulb with stalks 2 cup(s) butternut squash cut into 1/2 cubes 1 1/2 cup(s) parsnip cut into 1 inch thick slices 1 1/2 cup(s) carrot cut into 1 inch thick slices 1 tablespoon(s) olive oil 1 1/2 teaspoon(s) rosemary, fresh chopped 1/2 teaspoon(s) salt 1/4 teaspoon(s) pepper 1 dash(es) nutmeg freshly grated 1/3 cup(s) Parmesan cheese

Preheat oven to 425°. Trim tough outer leaves from fennel. Cut fennel bulb in half lengt wise; discard core. Cut each half into three wedges. Combine fennel, squash, and next 7 ingredients (through nutmeg) in a large shallow roasting pan coated with cooking spray. Bake at 425° for 35 minutes or until vegetables are tender, stirring occasionally. Sprinkle vegetable mixture with cheese, if desired, just before serving.

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Recipe by: Cutting Board Creations

September/October 2019

Medical Professionals

Cancer/Tumor Molecular Profiling And Targeted Therapy specific molecules that are involved in the growth of cancer cells. Targeted cancer Cancer biomarkers are therapies are different than chemotherapy. typically proteins, genes, Targeted therapies act specifically on and other molecules that molecular targets, whereas chemotherapy play a role in growth and acts on all rapidly dividing normal and cancerous cells. Targeted therapies multiplication of cancer block tumor growth or spread, whereas cells. When medically appropriate, comprehensive tumor chemotherapy is designed to destroy cancer cells. In some cases chemotherapy and profiling to identify biomarkers targeted therapies are used together to fight present on a patient’s cancer/ cancer. tumor can be performed. Examples of targeted therapies include This testing can be performed on the hormone therapies; modulation of the tumor sample itself and, in some cases, expression of cancer genes; angiogenesis on a patient’s blood or urine sample. By inhibitors, which block the blood supply doing so we are able to offer our patients of tumors; immunotherapies, which trigger “personalized cancer care” and choose the immune system to destroy cancer cells; treatments that will target biomarkers that and monoclonal antibodies, which stick to are present on their specific cancer cells. their target on the cancer and destroy it. This targeted approach helps us to develop individual, cancer-specific treatment plans For more information, call 732-840-8880 for our patients. These results can help or visit www.NJHOA.com. decide which treatments would offer benefit over an alternate treatment, and sometimes identify treatments that may not New Jersey Hematology Oncology Associates have been considered otherwise. Additionally, Girish Amin, M.D. knowledge of specific Apurv Agrawal, M.D. biomarkers can aid in Jayne Pavlak-Schenk, D.O. identifying clinical trials that may be available. Randi Katz, D.O. There has been an increase in development Brick • 1608 Route 88 West, Suite 250 • (732) 840-8880 of targeted cancer Toms River • 508 Lakehurst Rd., Suite 1-B • (732) 244-1440 therapies. Targeted Whiting • 63D lacey Rd. • (732) 606-4060 cancer therapies are drugs Neptune • 19 Davis Ave. • (732) 206-6226 that slow or stop of the growth of cancer by Fax • (732) 840-3939 • www.NJHOA.com blocking or inactivating Exceptional Care Without Exception Dr. Apurv Agrawal

The County Woman Magazine www.TheCountyWoman.com

September/October 2019

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. Our experienced providers work side by side in an atmosphere of collaboration. We look forward to creating a trusting relationship, in which we can work together to keep your skin looking and feeling its best!

Visit our website at adssnj.com

CALL:732.905.9200 We are located a short five minutes from the Garden State Parkway: 456 Chestnut Street, Lakewood, NJ 08701

Happy Halloween For Parents:

Decorate children’s costumes with reflective tape or stickers. If possible, choose a light-colored costume for them and use face paint, as masks can obstruct vision. Make sure the costumes fit and are not too long to prevent tripping. z Children under the age of 12 should be trick-or-treating with an adult. If kids are old enough to go out without supervision, make sure they stick to familiar, well-lit areas. z Always check your children’s candy before they eat it! z

Halloween Safety Tips For Kids: z z z z z z

Look both ways before crossing the street. Carry a flashlight. Only go to homes that have a front light on. Only accept treats at the door. Do not eat candy without your parents’ permission. Do not eat opened candy.

The County Woman Magazine www.TheCountyWoman.com

September/October 2019

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MMedical edicalProfessionals P rofessionals Medical Professionals Medical Professionals Medical Professionals

What You Need To Know About Celiac Disease

Celiac Disease is a common disorder that affects 1 in 133 people. In this disease, individuals have a reaction to gluten, which is contained in certain food products. This reaction injures the lining of the digestive system and causes a wide variety of symptoms. What are the symptoms of Celiac Disease?

The most common symptoms of Celiac Disease are diarrhea, bloating and abdominal pain. Some patients may experience weight loss, anemia or other vitamin deficiencies. There may be delayed growth or delayed puberty in children. Other symptoms may include fatigue, bone pain, headaches and muscle aches. Some people with the disease may have no symptoms at all. The disorder is often attributed to Irritable Bowel Syndrome or Fibromyalgia as the symptoms are so varied.

What causes Celiac Disease?

Certain individuals have a genetic susceptibility to Celiac Disease and something then triggers the disease to develop, such as stress or other illness. If you have a parent or sibling with this disorder, you will have a 1 in 20 chance of developing the disease. Celiac Disease may be diagnosed in childhood. Others may not find out about the disease until adulthood due to later onset of the disease or a delay in the diagnosis.

What is gluten and what foods contain it?

Gluten is a mixture of proteins contained in wheat, rye, barley and malt. Due to crosscontamination, oats may also contain gluten if not labeled strictly gluten free. As you might imagine, gluten is therefore in many food staples such as bread, pasta, cakes and pizza.

specific and if positive, almost certainly reflect the underlying disease. Some patients with immune deficiencies may have the disease even with negative blood testing. Genetic testing is also available. Once positive blood tests are identified, your doctor will need to obtain a biopsy of the small intestine to confirm the disorder. A procedure called an upper endoscopy can be scheduled to obtain the necessary tissue. This procedure takes only about five minutes and is performed by a gastroenterologist with the patient asleep with intravenous sedation.

How is Celiac Disease treated?

Celiac Disease is treated with a gluten-free diet. This diet means avoiding all foods that include wheat, barley, rye, malt or oats (unless specified gluten-free oats). All prepared foods are labeled and required to list these ingredients, which makes shopping easier than it had been in the past. Many foods are also clearly marked as gluten free. Foods such as meats, eggs, fruits, vegetables and cheeses are naturally gluten free. There are many glutenfree prepared foods now available in the local supermarket and many restaurants have gluten-free menu options.

Jill Collier, MD, Medical Director, Endoscopy Center of Toms River

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

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

Who helps to manage Celiac Disease?

Once a patient is diagnosed, it is important to meet with a nutritionist to learn about a gluten-free lifestyle. Patients and family members can educate themselves about the disease from numerous books and websites. Local support groups are also available.

Conclusion…

How does gluten affect the bowel in Celiac Disease?

When patients with Celiac Disease eat products containing gluten, an inflammatory reaction started by their body’s own immune system takes place in the digestive system. This reaction causes the surface lining of the small intestine to become damaged. An injured small bowel cannot function properly and absorb the nutrients in food. This causes the patient to develop malabsorption or the inability to process food products.

As you can now understand, Celiac Disease is a common disorder, which may lead to diarrhea and abdominal pain. It is often misdiagnosed as other common illnesses. It can be diagnosed with lab and endoscopic testing. Treatment is available in the form of diet modification. If you think you may have Celiac Disease, contact your gastroenterologist to initiate the proper testing.

How is Celiac Disease diagnosed?

Celiac Disease can be detected with blood testing. Blood tests can show elevated antibody levels in affected patients. The blood tests are very

For more information, Call 732-349-4422 or Visit www.GastroOfOcean.com

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Financial Management

Special Needs Planning 101: Why you should act NOW Sean Rice, CTFA, a Garden State Trust Company VP and Trust Officer working out of our Cherry Hill and Linwood offices, recently wrote this blog we want to share with you. “Advocacy group Autism Speaks reports that the cost of caring for a person with autism can run an estimated $1.4 million over the course of their lifetime.” https://blog.mint.com/planning/the-cost-of-raising-aspecial-needs-child-0713

Unfortunately, caregivers of special needs children and adults know all too well the financial and emotional challenges they face now, and often dread the idea of trying to plan for when they’re no longer around. But taking the time to properly plan ahead for a child’s care in the future will help to alleviate some of the stress being felt currently. First and foremost, visit with an estate planning attorney with extensive experience in the field of special needs planning. These are experts in a complex and dynamic field, in which the rules are frequently changing. For loved ones who may be eligible for governmental assistance programs such as Medicaid or SSI, that eligibility could be lost if the child receives a lump sum from a lawsuit or inheritance (for example, 2018 Medicaid eligibility requires that an applicant own no more than $2,000 in countable assets). If you are planning to leave a relatively large sum of money to a child who may currently be or may eventually be eligible for these types of “means-tested” benefits, it’s critical that the family speak with an attorney about creating a third party Special Needs Trust (SNT) (also referred to as a Supplemental Benefits Trust). These specially designed trusts allow those assets to be made available for supplemental needs or

qualified disability expenses, and yet still allow the beneficiary to retain eligibility for certain governmental benefits. If you will be creating a third party SNT during your lifetime or under your will, it is critical to ensure that beneficiary designations for any qualified plan (401(k), IRA, pension, annuity, insurance policy, etc.) are made payable to the third party SNT and not to the disabled child outright. Failure to do so could result in disastrous consequences such as causing the child to become ineligible for valuable governmental benefit programs. You will also want to speak to your tax advisor regarding any special needs planning you undertake. They will be able to provide necessary advice regarding the tax laws surrounding the gifting or bequeathing of various assets to a loved one. If you haven’t already done so, introduce all of your trusted advisors to one another to ensure that everyone is up to speed with the latest planning taking place. Lastly, if a third party SNT is created, it’s extremely important to consider the use of a professional trustee to manage the trust on behalf of a loved one. While many individuals’ first thought is to name a family member or friend as trustee, there are almost always significant drawbacks to that decision. SNTs are extremely complex, and the laws governing them are frequently changing. Individual family member/friend trustees almost never have the necessary time, experience, expertise, objectivity or energy to devote to the role of trustee, and they may not even be available to serve as trustee because of death or disability. A corporate (professional) trustee is not faced with these issues. In this age of rising health care costs, it becomes even more critical to plan NOW for the care of loved ones with special needs. Assembling a team of professionals ahead of time will ensure peace of mind for the family, as they will know that there is a proper plan in place to care for their loved one when they are no longer able to do so.

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Professionals MMedical edical Professionals

Thyroid ThyroidDisorders DisordersAnd and Surgery Surgery What is a thyroid disorder? Diseases of the thyroid gland are very common, affecting millions of Americans. The most common thyroid problems are: • An overactive gland, called hyperthyroidism (e.g., Graves disease, toxic adenoma or toxic nodular goiter) • An underactive gland, called hypothyroidism (e.g., Hashimotos thyroiditis) • Thyroid enlargement due to overactivity (as in Graves disease) or from under-activity (as in hypothyroidism). An enlarged thyroid gland is often called a goiter. Patients with a family history of thyroid cancer or who had radiation therapy to the head or neck as children for acne, adenoids, or other reasons are more prone to developing thyroid malignancy. What are thyroid nodules? Thyroid nodules are very common, occurring in 15-65 How is a diagnosis made? percent of people of all ages. They occur in both women and The diagnosis of a thyroid function abnormality or a men but are especially common in women (50 percent of thyroid mass is made by taking a medical history and a physical women ages 50 or older have had a thyroid nodule). examination. In addition, blood tests and imaging studies or Usually patients and their physicians first notice thyroid fine-needle aspiration may be required. As part of the exam, Dr. nodules during a routine physical exam of the neck area. Peters will examine your neck and ask you to lift up your chin to Sometimes they are found incidentally during a radiographic make your thyroid gland more prominent. You may be asked to evaluation of the neck (such as a CT scan, X-ray, MRI or swallow during the examination, which helps to feel the thyroid ultrasound). Although the vast majority of thyroid nodules and any mass in it. Tests your doctor may order include: are benign, the physician should evaluate a significant thyroid nodule, as approximately 5-10 percent of thyroid nodules • Evaluation of the larynx/vocal cords with a fiber optic are cancerous. In general, a thyroid nodule is considered telescope “significant” if it is one centimeter or larger and/or presents • An ultrasound examination of your neck and thyroid concerning features on ultrasound. • Blood tests of thyroid function • A nuclear thyroid scan What is thyroid surgery? • An ultrasound guided fine-needle aspiration biopsy There is no medical treatment for thyroid nodules. If a • A CT or MRI scan decision is made that the thyroid nodule needs to be removed,

surgical treatment is recommended. Nodules that are suspicious or cancerous on biopsy require surgical removal. Large nodules are often removed for a number of reasons. Benign large thyroid nodules may cause pressure symptoms in the throat or cause difficulty swallowing. Thyroid nodules that produce excess thyroid hormone may also need to be removed. Lastly, some thyroid nodules are large enough that standard diagnostic approaches prevent accurate assessment of the possibility of cancer and, therefore, need to be surgically removed. Thyroid surgery is an operation to remove part or all of the thyroid gland. It is performed in the hospital and general anesthesia is usually required. Typically, the operation removes the lobe of the thyroid gland containing the suspicious nodule or lump. A frozen section (immediate microscopic reading) may be used to determine if the rest of the thyroid gland should be removed during the same surgery. Based on the result of the frozen section, the decision will be made in the operating room if removal of any remaining thyroid tissue is necessary. Dr. Peters will discuss these options with you preoperatively. As an alternative, Dr. Peters may choose to remove only one lobe and wait for the final pathology report before deciding if the remaining lobe needs to be removed. If a malignancy is identified in this way, he may recommend that the remaining lobe of the thyroid be removed at a second procedure. What happens after thyroid surgery? The surgery usually takes 2-3 hours, and most patients are watched carefully in the hospital overnight. The pain is often minimal, and most patients take four to seven days off from work.

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Bruce Petersstarted is a board certified Otolaryngologist who established his practice Ocean InDr. 1997, Dr. Peters as a sole practitioner in Ocean County and laid the foundation forinone of theCounty area’s in 1997. A graduate of Philadelphia of of Osteopathic residencyMedicine at Thomas University Hospital, premier Otolaryngology practices. College A graduate PhiladelphiaMedicine College ofand Osteopathic and Jefferson residency at Thomas Jefferson University Philadelphia. Peters then his Fellowship in Facial Plastic Surgery Philadelphia, Dr. PetersHospital, then completed his Dr. Fellowship in completed Facial Plastic Surgery and Reconstructive Surgery at the and Reconstructive Surgery at the University of MiamiinHospital. He and specializes in functional and cosmetic nasal thyroid University of Miami Hospital. He specializes functional cosmetic nasal surgery, sinus surgery, surgery, sinusand surgery, and cancer Dr. of Peters is a Diplomate of theofAmerican Board surgery skinthyroid cancersurgery surgery. Dr.skin Peters is asurgery. member the American College Surgeons, the of Academy of Otolaryngology, Head and Neck A Fellow the of the AmericanofCollege Surgeons, a member of N.J. the Academy Otolaryngology, Head andSurgery, Neck Surgery, Academy Facial of Plastic Surgery and the Academyofof OtolarynFacialgology. Plastic He Surgery, thein N.J. Academy of Otolaryngology, anddaughters the Academy Otolaryngology, Head and surgery. resides Wall, N.J. with his wife and two andofenjoys golf and fishing in Neck his leisure time. Bruce W. Peters, DO, FACS He resides in Wall , N.J. with his wife and two daughters and enjoys golf and fishing in his leisure time. Bruce W. Peters, DO, FACS

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January/February 2018 September/October 2019

Legal Professionals

7 19

PERSONAL INJURY CLAIMS – WHEN YOU NEED A LAWYER When bad things happen to good people, a lawyer’s services are necessary to ensure that you get the most compensation for your injuries. Why do I need a personal injury attorney?

Experience and expertise. Personal injury attorneys often have: • Trial experience (whereas other types of attorneys may not); • Negotiation experience; • An in-depth understanding of medical diagnoses and processes associated with personal injuries; and • An in-depth understanding of negligence law and other torts.

Factors to consider

When you begin the process of choosing a personal injury attorney, you will want to understand what makes a good lawyer. One important factor is trial experience. While not all cases go to trial and most settle out of court, you will want to hire an attorney who is a certified trial attorney and is not intimidated by a trial.

Know the facts of your case and have as much documentation as possible.

Before meeting with an attorney for an initial consultation, write down and know as many facts of your case as possible. The attorney may want to see any or all of the following: • Police or incident report • Medical documents, including bills, diagnoses, and test results • Pictures of the location of the incident or accident, damage, injuries or anything from the scene • Written statements from witnesses • Your insurance policy (if applicable)

Feel comfortable with the attorney

You are going to be spending a good amount of time with your lawyer, so you want to make sure they make you feel comfortable, will be available to answer any questions you may have, and will have a positive outlook about your case.

TESTIMONIAL “I am a long-time client of Kevin Riordan. Among other things, he has represented my mother for a fall and me in a worker’s compensation case, with great results. Sometimes the process gets complicated, but I feel confident when he is battling on our side because I know he has a great reputation as a trial attorney.”— William H., Manahawkin

Size Matters

Law offices range in size from sole practitioners to firms with hundreds of lawyers. While large firms may be more attractive, there are undeniable benefits to hiring a smaller firm.

Small Firm

Small firms can be an excellent choice and so you may want to consider retaining one if it makes sense, given the nature of your legal problem. Although no two firms are the same, potential benefits of hiring a small firm include: • A more direct working relationship with your lawyer.

Your case is not going to get lost in the shuffle.

• Lower fees and costs. It is not unusual for a small firm to charge less than a big firm might charge for doing the same type of work. • A more informal working relationship. You are likely to get to know everyone in your lawyer’s office if he or she is with a small firm. This can lead to a better working relationship, which may make you feel more comfortable.

For a free consultation, please contact Kevin Riordan, Esq., at 732-240-2250. Kevin B. Riordan, Esq. With over 20 years of trying cases in New Jersey, you can rest assured that if you hire Kevin Riordan he will not settle for less than the fair amount. A lawyer’s services are necessary to ensure you get the most compensation for your injuries. Kevin attended Kalamazzo College and received his law degree from New York Law School. He is a member of the Ocean and American Bar Associations. He is certified by the Supreme Court as a Civil Trial Attorney.

Kevin B. Riordan

Certified by the Supreme Court of New Jersey as a Civil Trial Attorney

732-240-2250 kriordan@kbrlawfirm.com

20 Hadley Ave., Toms River, NJ 08753

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Medical Professionals

If You Have Been Told You Are Not A Candidate For Dental Implants:

Oral And Maxillofacial Surgery In Dr. Banks’ Office: SEE DR. BANKS! It’s More Than Just Wisdom Teeth

Often, patients are told that they are not candidates for dental implants because they “don’t have enough bone” or their “sinus is too low.”

Both conditions are correctable problems in almost all patients, according to Dr. Banks. Wisdom teeth, or third molars, can teeth. These can occur When the gum ridge wherebe teeth are missing isand too thin to place a dentalanywhere implant, in the mouth troublesome painful if there bone grafting can be performed to correct the problem. What means is and thatusually a boneneed to is not enough space for thethat teeth replacement product, or even the patient’s own erupt bone, can placed into thebe deficient area, removed, especially to completely intobethe mouth stabilized, and allowed to heal.into Following healing, dental implants can be placed into that when the presence a useful position. Wisdom area and then restored with porcelain teeth. This procedure is called “ridge augmentation” of the extra tooth is teeth that have not surfaced out and can be accomplished in both the top andthrough bottom jaws. impeding the eruption of the bone the gums into causing damage mouth are called impacted When teeth are missing, thethe sinus that lies above the top jaw will expand or downward to the other teeth. teeth and usually will need to be into the ridge and cause bone loss in the gum ridge. This is a correctable problem as well, according The supernumerary tooth could be impacted, as removed to prevent gum disease to Dr. Banks. “A Sub-Antral Sinus Augmentation – commonly called a ‘Sinus Lift Procedure’ – can be in the case of a mesiodens, an extra tooth that and other types of infections and performed, sometimes even at the time of implant placement. This procedure increases the amount of forms in between the two upper front teeth. If the cysts from forming. bone in the area where we would like to place a dental implant. Again, a bone replacement tooth product or supernumerary is impacted, Dr. Banks will Sometimes other teeth do not erupt into even the patient’s own bone the can mouth be used.” assess the position of the supernumerary tooth in properly, and this is generally noted Kathy A. Banks, DMD the jaws cone beam CT scan in the office, so a child is in what we call thethe “mixed A common misconceptionwhen is that the bone is placed into sinus. In reality, the with sinusamembrane that the surgical can be discussed and planned. dentition” (when to there are “sinus some baby some adult is actually liftedphase up (hence name lift”)teeth backand to where it should be, and boneremoval graft material Dr. Banks removes supernumerary teeth in the office teeth). Impacted teeth can occur anywhere in the mouth: incisors, is placed under the sinus membrane, restoring the gum ridge and the sinus contour together in one canine teeth, bicuspids and molars. In most cases, once the child is under setting or the operating room, depending on the procedure. the care of an orthodontist, Dr. Banks will assess the position of the tooth difficulty of the procedure. Dr. Banks incorporates state-of-the-art diagnostic procedures, such as 3D cone beam CT scanning in the jaw precisely with a cone beam CT scan in the office, and will show Some patients have congenitally missing teeth; that is when all the of the face andand jaws, evaluate her the patients bone grafting whether procedures. can accurately teeth way, don’tIdevelop. This condition is also called partial agenesis of teeth. the patients thetoparents where toothfor is and determine it “That diagnose the to magnitude the with boneorthodontic loss in the area where we would place implants and the lateral incisors andquality lower second bicuspids are common areas for is possible move the of tooth traction or whether thelike to Upper of the patient’s bone ridge in that area, and pre-plan the surgery to ensure the best possible outcome.” this condition to occur, but it can occur in any area of the mouth. In tooth is so badly positioned in the jaw that it must be removed. She also prepares andtooth uses isadvanced biologic materials into grafting procedures as the L-PRF somesuch cases, primary tooth, if present, will be retained until the patient If the impacted a candidate to be moved orthodontically, (Leukocyte-Platelet Richand Fibrin) are made right the in the office at the time of surgery. matures and facial bone growth is complete. At this stage, using a cone Dr. Banks will discuss plan which a procedure to expose tooth crown beam CT for guidance, and bond there a special orthodontic bracket an attachment forare thepainful Andto finally, is a preconceived notion with that these procedures procedures. “There Dr. Banks will coordinate with the dentist and orthodontist, and a plan orthodontist to use to move the tooth into its correct position. These are multiple anesthesia options for the surgical part of the bone grafting process,” she says. “We offerwill be formulated to remove the primary tooth and so place restoration proceduresgeneral are performed in the with the comfort of and sedation intravenous anesthesia andoffice sedation, nitrous oxide local anesthesia” thatanallimplant her patients can in the area to replace the tooth. anesthesia. In all these situations, Dr. Banks will coordinate care with your be treated comfortably. If the unerupted or orthodontist “Of course, I’m making it sound easy butimpacted these procedures are technically demandingand andyour takegeneral years dentist to ensure the optimal outcome tooth cannot be and experience. As a Board-Certified Oral and Maxillofacial Surgeon and of practice to gain the proper expertise. Youmoved only want your bone grafting performed by a orthodontically, then procedures board certified by the National Dental Board of Anesthesiology, well-trained, ABOMS-certified oral and maxillofacial surgeon.” Dr. Banks will discuss and Dr. Banks is your surgical expert in conditions of the face, mouth and plan a surgery to remove jaws. the unerupted or impacted tooth, and together with the orthodontist, Dr. Banks will discuss options for future tooth replacement. Extra teeth: Some patient have extra teeth, called supernumerary

For more information, call 609-488-2325 Call Dr. Banks Today! or visit www.drbanksoms.com 609-488-2325 • www.drbanksoms.com

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 www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com

8 AM - 5 PM (Mon. - Fri.) Bone Grafting • Dental Implants General and Intravenous Anesthesia Jaw Pathology and Reconstuctive Jaw Surgery

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Medical Professionals

All About Hyponatremia

f you are dealing with any type of kidney issue, then a visit to Dr Fatima Asghar at the Hypertension and Kidney Group is highly encouraged. Since 1983, this highly professional practice has been providing topnotch treatment to their patients suffering from kidney disease, kidney transplants, and hypertension.

Dr. Asghar has over 25 years of experience working to provide an improved quality of life for her patients. Dr. Asghar is affiliated with Community Medical Center as well as Monmouth Medical Center in Lakewood. One of the conditions they treat is Hyponatremia. Sodium is a critical electrolyte and helps to regulate the amount of water that is in and around your cells. It also helps to maintain normal blood pressure and regulates your body’s fluid balance. There can be a variety of factors which contribute to its onset, from an underlying medical condition, to even drinking too much water. This can actually cause the sodium in your body to become diluted. When this occurs, your body water levels rise and your cells begin to swell. Drinking excessive amounts of water can cause low sodium by overpowering the kidneys ability to excrete water. Because you would normally lose sodium through sweat, drinking too much water during any type of endurance activity, specifically a marathon can also dilute the actual sodium content of your blood. Another contributing factor is Addison’s disease, which is Adrenal gland insufficiency. This affects your adrenal glands ability to produce hormones that help maintain your body’s balance of sodium, potassium, and water. Older adults may have more potential for hyponatremia especially if they take certain medications, for example diuretics, or have other chronic conditions.

Nephrology

If you suspect that there is something wrong with your kidneys, it’s best to act now before it’s too late. Some common disorders we treat include hypertension (high blood pressure), kidney stones, chronic kidney disease (CKD), acute kidney injury, hematuria, proteinuria dialysis, and more.

When it comes to Hyponatremia, it is imperative that you resolve the underlying condition. Depending on the cause, you may need to cut back on how much you drink, while other cases will require you to get intravenous electrolyte solutions and medications. There are a multitude of symptoms and signs that you could be suffering from this condition which include: • Nausea and vomiting • Headache • Confusion • Loss of Energy • Fatigue • Seizures • Muscle Weakness

Interestingly enough, most patients with hyponatremia are actually asymptomatic. True symptoms will not appear until the plasma sodium level drops below a certain number. In the most severe cases, neurologic and gastrointestinal symptoms can occur. As the sodium level decreases, the risk of seizures and coma come into play. Other lifestyle factors that contribute to the condition include medications like water pills, antidepressants, and some pain medications. These can all interfere with normal hormonal kidney processes that keep sodium concentrations within the healthy range. The most critical thing you can do is educate yourself and understand the condition in order to safeguard against it. Be sure to always consult with your doctor before taking any new medications. If you do have a demanding exercise session, consider drinking a sports beverage that contains electrolytes. Finally, although drinking water is vital don’t overdo it.

Internal Medicine

If you are looking for treatment for non-kidney related diseases, please call us! Our physicians also practice Internal Medicine and can treat a variety of diseases including acute respiratory infections, chest pain, fatigue, diabetes, and more.

Fatima Asghar M.D. Dr. Fatima Asghar is a Board Certified Nephrologist, who has been practicing in the Ocean County area since 1994.Dr. Asghar completed her Internship and Residency in Internal Medicine at Raritan Bay Medical Center (Perth Amboy, N.J.), followed by a Fellowship in Nephrology, at Robert Wood Johnson University Hospital ( New Brunswick, N.J.) She co-founded Hypertension and Kidney Group, where she practices as a Board Certified Nephrologist/Internist. Dr. Asghar is a member of The American Society of Nephrology, The National Kidney Foundation, as well as The New Jersey Medical Society. Her clinical experience, as well as her informed approach with her patients, demonstrate Dr. Asghar as a highly respected Nephrologist in the Ocean County area. Dr. Asghar and her staff welcomes you to Hypertension and Kidney Group.

HYPERTENSION AND KIDNEY GROUP 368 Lakehurst Road, Suite 303 Toms River, NJ 08755

t: 732.341.2211 f: 732.505.8229 www.hypertensionandkidneygroup.com Office Hours by Appointment

Fatima Asghar M.D.

Recipe

Caponata~Compliments of Chef Steph 3/4 cup olive oil 1 large eggplant (about 2 lbs) cut into bite size pieces 6 medium zucchini (about 2 lbs) cut into bit size pieces 1/2lb mushrooms, thinly sliced 1 1/2 cups onion, chopped 1 cup celery, sliced

1 garlic clove minced 1/2 cup red wine vinegar 1/4 cup capers, drained 2 T sugar 3 large tomatoes, cut into bite size chunks 4 1/2 oz pimento stuffed olives, drain & cut in half

In a large saucepan over high heat, cook eggplant, zucchini, mushrooms, onions, celery and garlic in the oil for 10 minutes, stirring occasionally. Stir in the vinegar, capers, sugar, salt and pepper to taste. Reduce heat to low, cover and simmer for 10 minutes or until vegetables are fork tender. Stir in tomatoes and olives and bring to a boil over high heat. Spoon mixture into a bowl, cover and refrigerate at least 3 hours or until well chilled. Recipe by: Cutting Board Creations

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Serves-12

September/October 2019

Nursing & Rehabilitation Center

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September/October 2019

Pediatric Services Tips For Preparing Your Child To Go Back To School

Written By Meg Czaszynski, PT, DPT Seashore Pediatric Therapy Center.

It is that time of year: the ever-hectic back-toschool time when many of us start to run around preparing our children for the new school year. There are school supplies to purchase, sports to train for, homework, and planning exactly how to schedule it all in while still leaving a little time for family and fun. As a physical therapist and a mom, there are a couple of things that I pay special attention to this time of year. Picking the Right Backpack For my children, picking the right backpack is all about the aesthetics. However, as parents, we have a couple of other factors to consider to ensure our children’s backpacks are safe and appropriate for their growing bodies. First, the fit. Not every backpack is made to fit every child. When helping your child choose a backpack, you want to make sure that it fits their body size well, hugging the contours of their back so that as much of their back as possible is in contact with the backpack. The width of the backpack should not be wider than their shoulders. To calculate the proper length of the backpack, measure from the top of their shoulder blade down to their waist. A good backpack also should include double padded straps to distribute the weight evenly across your child’s shoulders, and a chest and/or hip strap to evenly distribute the weight of the backpack across their hips and chest. Once you have the fit down, the next part gets trickier…the weight. Research shows that children should carry no more than 10-15% of their body weight in their backpacks. When children carry more than 15% of their body weight in their backpack, it causes physiological and biomechanical adaptations, which increases children’s risk for musculoskeletal injury, discomfort, and fatigue. As parents, we want to be mindful of how much our kids are carrying and how their bodies are feeling. If the weight of their backpack is dictated by the structure and demands of their school day, it is appropriate to discuss your concerns with their teachers. You are your child’s best advocate. It is not typical or appropriate for a child to report frequent soreness, pain, or fatigue from their backpack. If it is a frequent occurrence, it may be time to follow up with your child’s pediatrician and a PT to take a look into what is going on and how it can be remedied.

Physical Activity Selection Much of my efforts as a parent are spent encouraging my children to be physically active throughout the school year and ensuring they get at least an hour of physical activity a day, as recommended by the

American Academy of Pediatrics (AAP). When helping my children to choose their extracurricular activities, I encourage participation in a variety of physical experiences so they can discover what they like and what they don’t. Not every child is going to be a ‘team sport’ kid; however, that doesn’t mean that they can’t be healthy and active individuals. You just have to find what is fun and motivating for your child. I try to encourage children to pick one activity that will improve the strength in their core muscles, such as swimming, yoga, or gymnastics. Often I see children in PT who are active, but have re-occurring ankle, knee, or shoulder injuries, in part because their core and postural muscles are not as strong as they need to be.

Sleep It is so important that children get enough rest to be able to successfully make it through their day. Sleep is a restorative biological process that replenishes the body on all levels. Sleep deprivation results in reduced energy levels, a weakened immune system, decreased short-term memory, a lower threshold for stress, depressed mood, impaired wound healing, and higher instances of errors and accidents. It significantly affects a child’s academic performance and their ability to successfully participate in extracurricular activities. It has an even greater effect on children with sensory processing disorders or with autism spectrum disorders. We can often see a clear difference in an individual’s ability to self-regulate, motor plan, and problem solve when they are well rested compared to when they are not. Of course, getting your children to sleep isn’t always as easy as saying, “Okay! Bedtime!” However, it is well worth the effort of encouraging your child on to a schedule where they are getting an adequate amount of sleep for their age so they can successfully tackle whatever tasks the school day presents. If you notice that your child is getting adequate sleep, but is still having difficulty processing sensory input, motor planning, or successfully interacting with others, it may be appropriate to reach out to a physical, occupational, or speech therapist to try and problem solve what can be done to address those issues. At Seashore Pediatric Therapy Center, we are here to help and happy to work with you and your child to address any concerns in an effort to ensure that this is a healthy, happy and wonderful school year!

Toms River: 950 Hooper Ave • Unit 2 Toms River, NJ 08753 848-251-5355

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Manahawkin: 230 Division Street Manahawkin, NJ 08050 609-607-7400 September/October 2019

Business Spotlight

A Calling Of The Heart

Seashore Pediatric Therapy Center Makes Huge Impacts In The Lives Of Children For the therapists at Seashore Pediatric Therapy Center it’s all about helping families reach their absolute full potential. By utilizing a combination of a creative and progressive approach, they achieve results and create an environment full of opportunities. Play takes center stage for the occupational therapists and children have fun while “working” to develop their areas of weakness. Kayla Irwin, OT

Brielle Caucino CCC-SLP

OCW: What interested you about the field of Occupational Therapy?

OCW: What is the most rewarding part about your job?

KI: I was drawn to the field of

Occupational Therapy through a variety of personal and professional experiences, including coordinating and volunteering with an adaptive sports program for children with disabilities, working as a paraprofessional in a special education classroom, and seeing the positive impact that OT had for my grandmother diagnosed with Amyotrophic Lateral Sclerosis (ALS).

OCW: What is a typical day like for you?

KI: As a pediatric occupational therapist, I spend my day working in both

schools, as well as in the outpatient setting. A typical day at the clinic consists of reviewing previous documentation for the children I will be seeing that day, preparing any necessary materials or activities for sessions and evaluations, and ultimately helping children learn and improve on various skills to help them become more successful and independent in their daily roles and routines.

OCW: What is the most challenging part about your profession?

KI: The most challenging part of my profession is time management.

Sometimes there are multiple areas or skills to be addressed, making it critical to plan ahead to ensure I am providing the highest quality of care. It is also important to leave enough time to provide education to family members and to complete the necessary documentation.

OCW: What is the most rewarding part?

KI: The most rewarding part is working with the child and their family and

getting to see the excitement as they achieve their goals. I love to hear the joy and see the smiles when the children and their families share stories of their accomplishments with me.

OCW: How do you stay current with new developments made in your field?

KI: There are exciting discoveries and research studies being done every day, making it important to stay current in order to provide appropriate evidence-based practices. Being a member of the American Occupational Therapy Association (AOTA), working as an interdisciplinary team with other professions, as well as attending conferences and continuing education courses are ways I have worked to keep myself up to date. Some continuing education courses I have had the opportunity to complete throughout my profession include the Sequential Oral Sensory (SOS) Approach to Feeding and the Zones of Regulation.

BC: Each day is satisfying in and of

itself. Watching patients succeed and be able to become confident in their own voice is highly rewarding. I especially enjoy working in a collaborative environment with other professionals, including physical and occupational therapists, who always want their patients to succeed in the same way that I do. It provides plenty of opportunities for camaraderie and support. I work in both a hospital based setting and at Seashore Pediatric Therapy Center and having experiences in both professional settings allows for me to provide the best treatment to individuals across their lifespan.

OCW: What are the ages of the children that you typically see?

BC: I see children from birth to 18 years old with a range of speech, language,

and swallowing disorders including: expressive/receptive language, articulation/ phonology, apraxia of speech, auditory processing, stuttering/fluency, pragmatic, dysphagia, cognition, and memory.

OCW: Please tell us about the PROMPT training and how it is effective.

BC: PROMPT stands for “Prompts for Restructuring Oral and Muscular

Phonetic Targets.” It is a holistic, tactile-kinesthetic approach to speech therapy. Essentially, it is used to restructure the speech production capabilities of children with a variety of communication and speech disorders. The program utilizes specific techniques based on touch pressure, proprioceptive, and tactile cues to help reshape the way the brain and mouth work together to articulate and produce speech. PROMPT is a hands-on approach and requires the involvement of a trained speech-language pathologist to administer treatments. I utilize the technique with all of my patients with a variety of speech-language difficulties including articulation, phonology, motor speech disorders, and fluency. Using tactile cues allows for patients to physically feel where sounds should be produced within the mouth.

OCW: What sets Seashore apart from other facilities like it?

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BC: The stellar inter-professional relationship that we have

with other caregivers, including physical and occupational therapists really sets us apart. Our therapists are collaborative, compassionate, and have a mutual understanding of the challenges that families may face. There are many ways and endless possibilities to help a child and when we find success, there is nothing more rewarding. At Seashore, we understand that caring for children is not a business or job; it is a calling to the heart and mind to make a difference in the lives of all children.

September/October 2019

Featured On The Cover

Obstructive Sleep Apnea Christine Ally, DDS, FICOI, FAGD Member, American Sleep and Breathing Academy Member, American Academy of Dental Sleep Medicine Qualified Dentist, American Academy of Dental Sleep Medicine Obstructive sleep apnea is a sleep disorder in which a person stops breathing periodically throughout the night due to physical blockage of the airway. These stops in breathing usually last for around ten seconds and are often followed by snorts, gasps, or choking sounds as a person’s body fights to resume breathing again.

When you stop breathing during the night, your brain responds by partially waking to send signals to the respiratory system to work harder to get past the obstruction. This repeated stop in breathing is very detrimental to overall health and is linked to a number of medical conditions. These range from depression and sexual dysfunction to increased risk of heart attacks, strokes and premature cardiac death.

Appliances Available for Sleep Apnea

Before any treatment options can be determined, a sleep study must first be performed to determine the severity of one’s symptoms as it can have a direct influence on the recommended therapy. However, a diagnosis of obstructive sleep apnea (OSA) should be treated and monitored by a trained clinician. There are various types of comfortable dental appliances which can be made by an experienced doctor such as Dr. Ally to treat OSA and improve patients’ health. For moderate to severe sleep apnea patients, most sleep professionals will recommend CPAP therapy as a first-line treatment option. For mild to moderate sleep apnea, a dental device is often the recommended therapy. Dental devices may also be recommended to be worn in conjunction with a CPAP device.

Who Qualifies for These Appliances?

• Patients with mild to moderate sleep apnea (not recommended for moderate to severe sleep apnea) • Patients with primary snoring (in absence of sleep apnea) • Patients who have tried and failed at CPAP therapy may qualify • Patients who were unsuccessful with or refused surgeries such as tonsillectomy, adenoidectomy, craniofacial operations, or tracheostomy • In combination with CPAP device to help lower patient’s apnea/hypopnea index for more tolerable air pressure settings If you’re concerned you have sleep apnea, you should contact your physician to discuss or contact a highly trained dental professional to discuss treatment options. Dr. Ally at Shore Premier Dental Arts/Advanced Sleep and TMJ Center of New Jersey offers a complimentary consultation to discuss your concerns or treatment options. She is a highly trained and skilled clinician with extensive experience in treating OSA patients with oral appliances. Give us a call to see how we can help with your concerns.

Schedule a FREE CONSULTATION with Dr. Ally to learn about our comfortable and convenient sleep apnea treatment.

180 White Road, Suite 212 Little Silver, NJ 07739

732-842-6370 advancedsleepcenternj.com

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September/October 2019

Featured On The Cover

Meet the Team at Advanced Sleep & TMJ Center Christine Ally, DDS, FICOI, FAGD Dr. Christine Ally, originally from Toronto, has found herself fulfilling her passion as a dentist on the Jersey Shore, which she now calls home. As the owner of Advanced Sleep & TMJ Center of New Jersey, she is a highly skilled clinician with extensive experience in the treatment of patients with obstructive sleep apnea (OSA) using oral appliance therapy. Dr. Ally obtained her undergraduate degree from the University of Toronto and her dental surgery degree from the University of Western Ontario. Graduating among the top in her class, she completed internships at New York Presbyterian Hospital and Massachusetts General Hospital, followed by a residency at Yale. She has spent a significant part of her career offering dental care to medically compromised patients. Dr. Ally has had years of advanced training in the treatment of patients with OSA who are unable to use a CPAP and has helped countless patients overcome this condition with dental appliances. In her spare time, she is an avid photographer. She also treasures her time with her family, traveling, and trying new cuisines.

Kelly Riley, Assistant Born and raised in Ocean County, Kelly Riley brings her dental experience to Advanced Sleep & TMJ Center of New Jersey. Kelly graduated from the Advantage Career Institute. Since then she has enjoyed being a part of the dental team, where she gives her utmost care to her patients. She is enthusiastic in learning more each day in order to have the most up-to-date knowledge, especially in dental sleep medicine. The most rewarding aspect of her job is seeing her patients gain more confidence in themselves after undergoing dental treatment as well as helping patients overcome their fear of the dental office. She still resides in Ocean County. In her spare time she enjoys baking, outdoor activities, traveling, and spending time with her family and her two rescue dogs.

Corrine Casiano-Torres, Registered Dental Hygienist Born and raised in New York, Corrine Casiano-Torres brings 18 years of hygiene experience to Shore Premier Dental Arts. She has been a registered dental hygienist since graduating Hostos Community College with an A.A.S. Corrine loves educating and interacting with her patients. The most rewarding aspect of her job is teaching her patients how to improve their oral health and, in turn, their overall health. She now resides in Kenilworth, NJ, and in her free time loves being a hands-on mom, serving as her daughter’s Girl Scout leader, as well as staying active doing her favorite sport, swimming. Whether it’s having family night at home or traveling, she enjoys her time with her husband, two daughters, and her dog.

For more information, call 732-842-6370 or visit www.advancedsleepcenternj.com. What our happy patients have to say…

“Dr. Ally and her staff are extremely professional and truly care about your dental health. They always make the “dreaded” dental experience a very pleasant one. Everyone is so friendly. I never have to wait and my teeth look and feel amazing!” - KA “Highly recommend Dr. Ally! She is a very professional, caring, observant and thorough dentist who makes you feel completely at ease. Note only is she greta but her entire staff is as well. You will not be disappointed!” - LW “Awesome experience from the moment I walked in the door. Professional and friendly staff; completely put me at ease!” - LC

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September/October 2019

Holistic Substance Abuse Treatment

Health & Wellness

Now Is The Time To Take Your First Step To A Healthier You! Are you sick and tired of feeling sick and tired? Are you having trouble losing weight or can’t believe summer is over and you have indulged barbecue after barbecue? E

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 lifetsyle 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:

Dawn Ferrentino Health & Prosperity Specialist

• Easy, convenient and sustainable life style • Guaranteed results - get your body back or get your money back • Weight loss/energy/improved performance • One on one coaching • Customized packages to fit your needs.

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

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dawn.baronferrentino September/October 2019

Medical Professionals

NJ Neurosurgeon SpearGAME heads Effort to Enhance CHANGER! Comfort, Reduce Recovery Time for Stroke and Brain Aneurysm Patients Atlantic NeuroSurgical Specialists,

leaders in brain, spine and neurovascular

care and a proud partner of Altair Health, now accepts Aetna and Horizon

Dr. Paul Saphier from Atlantic NeuroSurgical Specialists says a patient’s wrist is the key to taking endovascular neurosurgery to the next level

Blue Cross Blue Shield of New Jersey.

What does the future of brain surgery for patients with strokes and aneurysms look like? According to Dr. Paul Saphier, a board-certified neurosurgeon at Atlantic NeuroSurgical Specialists – one of the largest neurosurgical practices in New Jersey and one of the most advanced in the country – in many cases, there won’t be a need for general anesthesia. And patients may be able to walk away 30 minutes after the procedure with nothing more than a compression bracelet around their wrist. “We’re actually doing this today by taking a radial approach to endovascular neurosurgery,” says Dr. Saphier, who performs hundreds of procedures per year. “With endovascular neurosurgery, neurosurgeons Atlantic NeuroSurgical Specialists’ can access – and treat – a brain aneurysm or rupture by navigating Dr. Paul Saphier is leading the through a blood vessel to deliver devices like coils and stents, rather than industry and taking endovascular performing open brain surgery. Neurosurgeons traditionally go through a neurosurgery to the next level. blood vessel in the upper thigh, but by using the radial artery in the wrist instead, we can take patient comfort to the next level and reduce recovery time.” The radial approach carries less risk of bleeding and improves patient comfort compared to the traditional transfemoral approach, which is when physicians advance their devices through the main artery in the thigh. Plus, instead of needing to stay off the leg to recover, patients can walk off the table after the procedure and be discharged in as little as 30 minutes. “Neither endovascular approach carries a significant risk of complications, but if we can reduce the risk even further and simultaneously make the experience faster and smoother for our patients, it’s our duty to deliver on that,” adds. Dr. Saphier. While radial access is widespread in the cardiology community for interventions like stenting and catheterization, it is not commonly used in neurosurgery. “This isn’t an indication of its efficacy,” notes Dr. Saphier. “Because the radial artery is so much smaller, the procedure requires a higher level of skill to perform. Even if a neurosurgeon is highly skilled, the traditional approach is very much the status quo and most physicians’ comfort level.” Dr. Saphier is such a strong proponent of radial artery access for neurosurgery that he is spearheading a physician-led study that will formally examine its benefits. “Since seeing how successful radial access has been with my patients – in terms of their outcomes and their satisfaction – I haven’t looked back. I’m energized to lead the industry forward on this front and to help more patients get the best treatment available.” If you’re interested in learning more about a radial approach to endovascular neurosurgery and how it can benefit you or a loved one, contact Dr. Saphier at ANS at 973-285-7800 or www.ansdocs.com. Atlantic NeuroSurgical Specialists (ANS) is New Jersey’s largest neurosurgical practice and one of the most advanced in the country. Since its founding in 1958, ANS has specialized in the diagnosis and treatment of disorders affecting the nervous system. For more information, visit www.ansdocs.com.

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Morristown | Jefferson | Neptune Pompton Plains | Summit ansdocs.com | (732) 455-8225

7/24/19 2:02 PM

September/October 2019

Legal Professionals

Finding The Light At The End Of The Tunnel

he theme of this article is that you do have control over your debt; it’s just a matter of taking action. There is no hole too big or too difficult to dig out from underneath. Here are a few things to keep in mind as you take that first step: Don’t be afraid. I cannot tell you how many clients come into my office with unopened envelopes of credit card bills and mortgage statements. It’s a coping mechanism. If I don’t open the mail, then it is not a concern...it’s not real. Don’t be afraid of your position. It is what it is – it’s about how we are going to fix it that matters. Acknowledging the problem is an important first step. Communicate. Being in debt can be a very lonely feeling. We all want to pay our bills. It is a matter of pride. In fact, many of the people I help are current on their present obligations and have outstanding credit, but are overwhelmed with the amount in which they owe. Many of my clients feel isolated from their friends and family – even their spouse – because of trying to “keep up” an image or lifestyle that is simply no longer sustainable. Communicate with those who

matter and seek help. I can assure you, that you are not alone. Be proactive. There are solutions to any and all debt related problems. Every situation is unique and requires a different analysis based upon the specific circumstances pertaining to one’s assets and liabilities. No two cases are alike. The important thing to remember is that, unless you are proactive, nothing will change. I treat every consultation as an information session. It’s an opportunity for you to receive the information you need about bankruptcy and other debt solution options, and it is an opportunity for me to set a strategic course for helping a client find relief. I hope this article proved helpful in not giving up hope and trying to move forward. Like with this dream of Spring passing, there is a light at the end of the tunnel.

For more information or to schedule an appointment, Contact : Daniel Straffi Jr. at 670 Commons Way Toms River, NJ, CALL: 732-341-3800

Daniel Straffi, Jr., Esq. VISIT: www.straffilaw.com. Protect Yourself Against Foreclosures, Judgments, & Harassing Creditors

We are a debt relief agency that helps people file for relief under the bankruptcy code.

Recipe Chicken In Puff Pastry Caponata~Compliments of Chef Steph Compliments of Chef Steph 3/4 cup olive oil 1 large eggplant (about 2 lbs) cut into bite size pieces 6 medium zucchini (about 2 lbs) cut into bit size pieces 1/2lb mushrooms, thinly sliced 1 1/2 cups onion, chopped 1 cup celery, sliced

In a large saucepan over high heat, cook eggplant,

Preheat the oven to 400 degress. 1 sheet pastry, thawed and rolled 1 garlic clovepuff minced zucchini, mushrooms, onions, celery and garlic in the oil Roll out puff pastry, cut into four equal sized pieces. out red intowine a 14in square. for 10 minutes, stirring occasionally. 1/2 cup vinegar Place 1 1/2 tablesoons of herbed cheese in the center of each piece. 4 boneless cooked 1/4 cup capers,chicken drainedbreasts, Stir in the vinegar, capers, sugar, and pepper taste. Top herbed cheese withsalt a chicken breastto and then chopped parsley 1/3 cup herbed soft cheese 2 T sugar Reduce heat to low, cover and simmer for 10 minutes or Next, fold the corners of the pastry over the chicken breast. 1/4 cup fresh parsley , chopped 3 large tomatoes, cut into until vegetables arechicken fork tender. Place pastry seam side down on a baking sheet covered in parchement. 1 large egg bite size chunks Stir in tomatoes and olives and bring to a boil over high Lightly brush the top with a whisked egg. Optional ingredients-chopped spinach, 4 1/2 oz pimento stuffed Bake forinto 20-25minutes or until is goldenatbrown. Spoon mixture a bowl, cover andcrust refrigerate diced roasted additional olives, drain & cutred in peppers, half heat. cheese, etc. least 3 hours or until well chilled.

Serves 4

Feel free to add any of the optional ingredients as well & enjoy! Recipe by: Cutting Board Creations Serves-12

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Medical Professionals

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What is this?

This is a surgical technique that is performed through very tiny incisions, only a few millimetres long. This is in contrast to traditional surgery performed through large incisions on the foot. Dr. Baskin offers this technique with advantages over open surgery. Much less soft tissue stripping and dissection is required to gain access to the bone in order to make the corrections. This may alleviate the need for wires, implants, or screws.

This may lead to:

Minimally Invasive Surgery

Open Surgery

• Reduced surgical time • Walking the same day in a surgical shoe. • Less damage to tissues • Less internal scarring • Minimal external scarring (sometimes stitches are not needed) • Less joint stiffness • Same day surgery • Quicker recovery time • Faster return to work and normal activities • No need for pins or implants in the toes • Possibly a better result

What conditions can be treated this way? • Bunions (hallux valgus) • Lumps, bumps, corns, calluses on or in between the toes. • Hammer toes • Metatarsalgia (pain under the balls of the toes) • Big toe arthritis (Cheilectomy for Hallux Rigidus) • Morton’s Neuroma • Plantar Fasciitis • Some aspects of flat feet surgery • Some aspects of ankle arthritis surgery • Diabetic ulcers most places on the foot

Can any surgeon perform this kind of surgery?

No. Very specific training in minimally invasive techniques are required and these training courses have restricted access. A new range of surgical tools, not normally used in traditional open surgery are used and these require a new set of technical skills in order to master the different surgical techniques. This requires training and experience. Not all foot and ankle surgeons perform minimally invasive foot surgery.

Is it for me?

Most people are eligible to have minimally invasive surgery, however it is not for everyone. Some deformities are too large to be corrected using minimally invasive techniques. A consultation with Dr. Baskin will allow you to discuss this in detail and decide which method of foot correction is appropriate for you. n

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September/October March/April 2019 2019

Medical Medical Professionals Professionals

3D Mammography Breast cancer is the second leading cause of death among women. One in 8 women will develop breast cancer in her lifetime. Each year it is estimated that over 252,710 women in the United States will be diagnosed with breast cancer and more than 40,500 women will die from the disease. This is why early detection is so important. With early detection, the five-year survival rate is nearly 100%. The latest weapon in the fight against breast cancer is 3D mammography (also known as breast tomosynthesis). This new technology has increased early detection over traditional mammograms, especially in women with dense breasts. Greater accuracy means better breast cancer detection.

Q: What is a 3D mammogram? How is it different from regular mammograms?

A: 3D mammogram--also called breast tomosynthesis--is one of the most advanced forms of breast cancer detection. It uses a very low level of radiation to take multiple pictures of the breast. The x-ray tube moves over the breast in an arc, capturing multiple images of each breast from different angles. A computer reconstructs these pictures to create a 3-dimensional picture of the breast. A regular mammogram takes a single picture of the breast.

Q: What is the advantage of 3D mammogram?

suspicious, patients need to be called back for additional views. The multiple images created by 3D mammograms have such increased accuracy that there is decreased need for this. On average 3D mammograms reduce callbacks by up to 40% compared to traditional mammograms. This means less radiation exposure, increased convenience for our patients, and more peace of mind.

Cancer in this breast is difficult to detect on this standard mammogram.

Q: What can I expect when having a 3D mammogram? A: The process of having a 3D

mammogram is the same as a conventional 2D exam. The technologist will position you, compress your breast, and take images from different angles. There’s no additional compression required, and it only takes a few extra seconds.

Q: Do insurance companies cover 3D mammograms?

Using 3D mammogram technology, the cancer was able to be clearly seen.

A: One of the challenges of interpreting mammograms is normal dense breast

A: Medicare, and many private insurers, cover 3D mammograms. In the past, not

Q: Is there increased radiation performing a 3D mammogram?

Toms River X-ray has been performing mammograms and serving the community for over 30 years. Our 3D mammogram is the latest on the market and has the most advanced technology. It is our mission to provide the very best for our patients. We thank you for trusting us with your health and the health of your loved ones. We look forward to offering you this significant advance in breast cancer screening.

tissue hiding breast cancer. Additionally, overlapping areas of normal dense breast tissue can look suspicious. This is why detecting breast cancer in women with dense breasts is more difficult. The 3-dimensional images of breast tomosynthesis help decrease the tissue overlap that can obscure cancers. It also helps distinguish normal overlapping breast tissue from breast cancer. Studies have shown that 3D mammograms significantly improve the detection of breast cancer, especially in women with denser breast tissue. It also picks up breast cancer at an earlier stage, which may be missed by traditional mammography. 3D mammograms find 20-65% more invasive breast cancers compared to traditional 2D mammograms, with an average increase of 41%.

all private insurance companies covered 3D mammograms. However, in August 2018, New Jersey enacted a mandate requiring nearly all the major health insurers to cover 3D mammograms.

A: Mammograms expose patients to very low levels of radiation. The level of

radiation exposure from a 3D mammogram is the same as that from a traditional mammogram. So a patient receives all the benefits without any increased risk. With traditional mammograms, when a radiologist finds an area that is

Cyrus Khorrami, M.D. Medical Director 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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Medical Professionals

Our Family Take Care of Your Family

Let

Cyrus Khorrami, MD (second from left), with his wife Ladi Khorrami, MD, along with his father Parviz Khorrami, MD, and mother, Parvin Motemaden Khorrami, MD

“Providing our patients with the most advanced technology is the best thing we can do for them.”

Facts Every Woman Should Know About Breast Cancer:

240,000 New Cases of Breast Cancer Are Diagnosed Each Year 1 Every 2.5 Minutes

25-30% Reduced Mortality Rate for Women Ages 50 - 70 with Early Detection

Women Age 40+ Should Have A Yearly Mammogram Screening Don’t Forget Self-Exams!

EARLY DETECTION SAVES LIVES We Offer Digital Mammography: The Most Effective Weapon in the Fight Against Breast Cancer

Mammograms are all about early cancer detection. Schedule yours today!

732-244-0777

154 Route 37 West, • Toms River, NJ 08755 Please Visit Our Website: www.TomsRiverXRay.com

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Medical Professionals Medical Professionals Medical MedicalProfessionals Professionals

THE UROLOGY GROUP OF CHOICE

Experienced Specialists. Compassionate Staff. State of the Art Treatments.

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July/August2019 2019 September/October May/June 2019 May/June 2019

Insurance Insurance

MORE PLANS. MORE CHOICE. MORE CONTROL. That’s why we are exploring UnitedHealthcare® Medicare Advantage plans. Plans may include:

$5 COPAY PER PRIMARY CARE VISIT

VISIT DOCTORS WITHOUT A REFERRAL

$0 MEDICAL DEDUCTIBLE

$0 COPAY FOR PREVENTIVE CARE

You may be able to enroll in or switch your Medicare Advantage plan today. Even though Medicare Open Enrollment may be over, you could be eligible for a special enrollment period if you have just moved into a different service area, are losing your retiree health coverage or receive assistance with the cost of your prescriptions.

Call me to find out if you qualify to enroll today. Kenneth Arocho AROCHO INSURANCE AGENCY 732-877-7680, TTY 711 kennetharocho@ymail.com If you have this card, call UnitedHealthcare today.

You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/coinsurance may change on January 1 of each year. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare. UnitedHealthcare Insurance Company pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. You do not need to be an AARP member to enroll. AARP encourages you to consider your needs when selecting products and does not make specific product recommendations for individuals. AARP does not employ or endorse agents, producers or brokers. Y0066_170818_140335_FINAL_00027784 Accepted SPRJ34914

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September/October 2019 November/December 2018

Podcast

The Hol Truth Holistic Health Coach Jon Levine is on a mission to help his clients claim the health and happiness that is their God-given right. After a job in pharmaceutical sales and seeing his father die from Parkinson’s and brain cancer, it was time for him to create change when it comes to true health. With all the conflicting health info in our busy world, this passionate health nut will help guide you through the storm and into clear waters.

CW: What got you into health coaching?

I have always been interested in health, whether it was playing sports or figuring out the right nutrition for my body. I sold high blood pressure medication to over 131 doctors in Florida after college, and although it was a nice job financially, it didn’t feel good seeing what I saw. What we have in this country is a disease management model that isn’t working very well. Ironically, my father was diagnosed with Parkinson’s and brain cancer at the same time. It’s very important to me to do something that I am very passionate about and enjoy, and make a difference in people’s lives.

CW: Tell me about your family.

I am a very lucky guy with a beautiful wife and three beautiful kids ages 10, 8 and 5. My wife, Anya, and I have been married for 13 years. We also have a guinea pig named Cherry and a white rabbit named Nibbles.

CW: What do you specialize in?

Nutrition drives a lot of what makes us healthy, but it’s really so much more than that. I believe strongly in looking at the whole person and that’s why my business name is the Hol Truth Health Coach. I deal with mind, body and soul.

CW: What is health to you?

Everyone is a unique individual with different needs and goals. I have to understand my client’s specific needs and address those needs appropriately. Some people need less stress while others need more sleep. Whatever it is, I am the guide on the side to help them reach their health goals.

CW: What is the best approach to health coaching?

You obviously have to have knowledge in a wide range of health topics. Mine being nutrition, but it’s asking high-mileage questions and active listening that comes before everything else. I don’t tell people what to do because that doesn’t work. Instead, I listen to what they are telling me they need.

CW: Tell me about your The Hol Truth Podcast with Jon Levine.

I have several friends who urged me to start a health podcast. I use a local studio called A Shared Universe in Eatontown and interview doctors, health experts and people who have reversed diseases through what I call lifestyle medicine. I carefully screen guests because I will only bring on people I believe in. I love it and it’s a lot of fun. The goal is to educate, empower and entertain.

Call for a free consultation!

CW: How do you help clients?

A good health coach is someone who truly cares and listens to their patients. When a patient feels safe and comfortable, they will open up and the healing process will begin. There is a root cause for every health ailment, and it’s my job to show compassion and help my clients uncover what their health problem stems from. We work as a team and make it happen.

CW: Describe your coaching style.

Positive, Positive, Positive. Energy is contagious. If I’m in a bad mood, then my client will take on that negative energy. If I’m upbeat and passionate, they will know they are in good hands.

CW: Do you sell any products or supplements?

Yes, but I will not push them on people unless they are interested. Quality supplements have a place in our lives because of the mineral depletion in our soil. I have partnered with Shaklee because they are pure, safe, proven products that have been around for over 60 years. They have an in-house team of PhD’s and scientists who perform over 100,000 quality tests each year and have over 135 scientific papers published to date. I use the products myself and they make a big difference in how I feel, so I’m comfortable recommending them to others.

Jon Levine • 908-420-4297 Jon@HolTruthHealth.com HolTruthHealth.com Facebook-@HolTruthHealth Instagram-@HolTruthHealth ITunesThe Hol Truth Podcast with Jon Levine SoundCloudThe Hol Truth Podcast with Jon Levine

The County Woman Magazine www.TheCountyWoman.com

September/October 2019

Health & Wellness

THIS IS NOT A 500 CALORIE DIET!

Make Fall A Time For A Healthier, Better You Written by Jill Houston, Clinical Director, Weight Loss Specialits

As I write this it is pushing 100 degrees outside and you probably wish the cool Fall weather was here! Problem is if you haven’t lost weight this summer, when you have more opportunity to be active and outdoors, it’s not going to be any easier once you retreat indoors during the colder months – unless you get a better understanding of how your body works and how it impacts your weight gain and your weight loss.

So, before you put your kids on the school bus and do a “Made it Through Another Summer” victory dance, please take time out for yourself NOW and start shedding those pounds for a healthier, better-feeling you…new body, new fashions, better life! Your hypothalamus is a vital part of the brain, which controls all automatic functions of the body including breathing, heartbeat, digestion and the complex functions of the endocrine system. One of the many functions of the endocrine system is regulation and control of hormones that impact your metabolism. That busy, stressful life you’ve been living – your endocrine system will release high levels of the stress hormone cortisol in response to it. Cortisol not only increases your appetite, but it also makes you crave foods high in fat and sugar. Talk about a double whammy! This means that adding a few

simple, stress-reducing activities into your routine will help any weight loss program. Here are a few ideas: • Walk 10 minutes a day • Find a quiet place to meditate • Get 8 hours of restful sleep • Enjoy a weekly therapeutic massage As we age, Mother Nature plays a cruel trick on women. Estrogen levels drop and metabolism slows down. As a result, women lose muscle and gain fat, especially around the middle. That’s where a diet that resets your metabolism, like HCG, comes in handy. HCG has another distinct advantage – it helps the body to get rid of the “abnormal” fat and preserves muscle. HCG appears to act on the hypothalamus, signaling the body to release stored fat into the bloodstream, where it is then available to be used by the cells for nourishment. This alone will not cause weight loss – you will need to reduce your food intake. This forces the body to use the mobilized fat from the bloodstream. The HCG diet is balanced, unlike many “fad” diets. A vast majority of clients report not feeling hungry, feeling in control, and having lots of energy. Perhaps most appealing for busy professionals, exercise is not a mandatory part of the program. In fact, strenuous activity is avoided until you are finished with the HCG regimen Michael Nagy, Post Weight Loss and are back on a regular diet.

• Amazing results in the first week • Lose 1/2 pound per day and sometimes more • Easy to make recipes • For Men and Women!

PROFESSIONAL CERTIFIED STAFF!

Health & Weight Loss of Toms River 732-608-9681 1735 Hooper Ave., Suite 1 Toms River, NJ 08753

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Physician, MD/FACS

All Credit Cards Accepted

Enter To Win Two Tickets To The Cape May Stage Theater! Name: __________________________________________ Address:_________________________________________ City:_____________________State:______Zip:___________ Email:___________________________________________ Clip and Mail to: The County Woman • P.O. Box 619 • Turnersville, NJ 08012* *Only one entry per person.

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405 Lafayette St. Cape May, NJ

609-660-8311 www.capemaystage.org

September/October 2019

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

Health & Wellness A Safe, Natural Way to De-Stress, Relax, and Gain Control of Your Life We all feel stressed at times, but too much stress can wear us down and take the joy out of life. Fortunately, as a society, we’re gravitating toward

more natural, holistic approaches as a way to improve well-being. “I don’t want to have to take drugs to deal - hypnosis with stress” is a comment often heard by practitioners. So it’s not surprising that more people are using hypnosis / coaching as a way to manage stress, and improve their ability to relax the mind and body. The tools and techniques acquired in several sessions can be used for a lifetime – leading to a greater sense of optimism, the ability to handle challenges, improved health, and better immune system functioning. If you feel that you’re someone who stresses and worries a lot, know that there are steps you

can take to manage that. There are many factors that determine how we respond to stress; fortunately, we can change and become more adept at calming down, and effectively handling challenging people and situations.

Maybe you’re someone who normally tends to manage stress fairly well, but have a particular issue causing undue stress – like an upcoming

presentation, performance block, testing fear, concern about flying, driving discomfort, worry about medical / dental procedures or health conditions, etc. Whether stress is more global in nature or related to a specific challenge, hypnosis and coaching can help.

If you identify with one or several of the following, you would likely benefit from this approach:

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.

• Often feeling jumpy, tense, irritable, angry, super-sensitive • Constantly worrying about all the “what-ifs” • Expecting terrible things to happen • Feeling overwhelmed, pulled in a million directions • Feeling foggy, lacking clarity • Having trouble making decisions or solving problems • Difficulty sleeping • Dealing with muscle tension, jaw clenching, etc.

Hypnosis For Women ❀ ❀ ❀ ❀

Weight Control Smoking Cessation Relaxation/Comfort Fear Release

• Engaging in unhealthy coping habits, like overeating, junk food eating, excessive drinking, nail biting, etc. More than just training the mind and body to relax deeply, this approach allows you to identify the issues causing stress and deal with them effectively. Most practitioners provide recordings for reinforcement, as well as training in self-hypnosis, which is extremely empowering. When deep relaxation is used to induce a hypnotic state (which is actually a state of focused concentration), there are many physical benefits, including:

• Muscle relaxation • Lowered blood pressure and pulse rate • A slowing of brain wave activity • Subtle changes in breathing

After several sessions – and with practice – the vast majority of clients enjoy:

• Greater feelings of well-being • Improved sleep quality • Improved clarity and problem-solving abilities • Higher productivity • Better ability to focus, concentrate, recall • Improved physical comfort • Emotional calm This approach works best 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.

For a Free Phone 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

September/October 2019

Business &F Finance Business & inance

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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March/April 2017 September/October 2019

Medical Professionals

Be Well Women’s Health

Range of Services

• Fibroid Management • Abnormal Bleeding • Ovarian and other Pelvic Masses • Vaginal and Urinary Problems • Endometriosis • Poly-Cystic Ovarian Disease (PCOS) • Menopause and Peri-Menopause • Osteopenia and Osteoporosis • Pelvic Pain • Painful Intercourse • Painful Cycles • Premenstrual Symptoms • MonaLisa TouchTM

This Fall Focus On Good Health! Wellness and mindfulness are words you see everywhere lately. These words immediately pull up images of beautiful people in serene environments, yoga poses, faces at peace, and of course in the all white billowing tunic outfit. Don’t let the magazine covers misrepresent wellness. Wellness may require hard work and difficult choices. While mindfulness is being able to feel like you are on that magnolia homes’ front porch swing, even while in the midst of your hectic life. The ability to float on your back instead of treading water, to let go of all the things we attempt to control in order to appreciate the here and now, can be very challenging. One way to pursue both wellness and mindfulness is to focus on good health. Stop postponing that doctor’s appointment or that lifestyle change. Start that plan today, right now, do not wait for tomorrow. Make a call or send a text to reconnect with that friend or relative right now. Say a prayer to renew PRACTICE NAME your faith this hour. Be Well Women’s Health ADDRESS 611 New Road, Northfield, NJ 08225 Stop being CITY, STATE ZIP dissatisfied with Millions of women experience changes to their gynecologic health that affect their yourself and personal lives as a consequence. Now there’s a solution! MonaLisa Touch® is a simple, proven laser to help you feel like yourself again. recommit to loving • Thousands of women have chosen yourself, yes love MonaLisa Touch since 2012 handles and all, • Fast: <5 minute in-office procedure • Non-hormonal, chemical-free while taking steps to • Virtually No downtime being well. - Dr. Nnewihe

We offer evening appointments.

LET YOUR YOUTHFUL ENERGY

DR. ADEBOLA NNEWIHE, MD. FACOG

Dr. Nnewihe is Board Certified by the American Board of Obstetrics and Gynecology, a Fellow of the American College of Obstetrics and Gynecologists, and a member of the American Medical Association. She has been practicing medicine in the Pennsylvania/ Southern Jersey region for over 12 years. She founded Be Well Women’s Health to focus on providing a holistic approach to women’s health. Dr. Nnewihe graduated from Case Western Reserve University School of Medicine, in Cleveland, Ohio and completed her medical residency at Thomas Jefferson University Hospital in Philadelphia, Pennsylvania. Upon graduation, she was recruited and served as an Attending Physician at Thomas Jefferson Hospital, where in addition to seeing her own private patients, she dedicated time to academics, research, teaching and supervising residents. Dr. Nnewihe believes that how we navigate the journey defines who we are at the destination. She resides in South Jersey with her husband and two children.

Shine

MonaLisa Touch is a registered trademark of DEKA M.E.L.A. Srl – Calenzano - Italy. Cynosure is a registered trademark of Hologic, Inc. ©2019 Hologic, Inc. AMP-1701 01/19 The SmartXide Touch Laser (MonaLisa Touch) is indicated for incision, excision, ablation, vaporization and coagulation of body soft tissues in medical specialties including aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology, neurosurgery, orthopedics, general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery. Use with the scanning unit is indicated for ablative skin resurfacing. Like all medical procedures, not all patients are suitable. Your medical provider will review the risks and benefits of MonaLisa Touch.

611 New Road, Northfield, NJ 08225

JENNIFER HAWKINS, MS, PA-C

Jennifer Hawkins is a board certified Physician Assistant (PA) who has been practicing in Southern New Jersey for 15+ years. She graduated from Northeastern University in Boston, MA and completed her clinical Obstetrics and Gynecology rotations at Massachusetts General, Dana Farber and Brigham and Women’s Hospitals. A member of the NCCPA and AAPA governing boards for Physician Assistants, she not only is well trained but stays updated on all current recommendations. Jennifer has experience in all aspects of caring for women in all stages of life, from adolescence to menopause and beyond. She was born and raised in Long Island, New York, and currently resides in Southern Jersey with her husband and two children.

(609) 383-4042

info@bewellgyn.com • bewellgyn.com

Comprehensive Gynecology

Evening Hours Available!

THE ONLY MONALISA TOUCHTM PROVIDER IN ATLANTIC AND CAPE MAY COUNTIES! THE LATEST NON-HORMONAL TREATMENT FOR VAGINAL HEALTH.

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September/October 2019

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B reast C ancer wareness M onth B reast C ancerA A warenessMonth M onth Breast Cancer Awareness

Have You Had Your Annual Mammogram? Breast Cancer Awareness Month

(BCAM), also referred to in America as National Breast Cancer Awareness Month (NBCAM), is an annual international health campaign organized by major breast cancer charities every October to increase awareness of the disease and to raise funds for research into its cause, prevention, diagnosis, treatment and cure. The campaign also offers information and support to those affected by breast cancer. NBCAM was founded in 1985 as a partnership between the American Cancer Society and the pharmaceutical division of Imperial Chemical Industries (now part of AstraZeneca, producer of several anti-breast cancer drugs). The aim of the NBCAM from the start has been to promote mammography as the most effective weapon in the fight against breast cancer. In 1993 Evelyn Lauder, Senior Corporate Vice President of the Estée Lauder Companies founded The Breast Cancer Research Foundation and established the pink ribbon as its symbol, though this was not the first time the ribbon was used to symbolize breast cancer. In the fall of 1991, the Susan G. Komen Foundation had handed out pink ribbons to participants in its New York City race for breast cancer survivors. A variety of events around the world are organized in October, including walks and runs, and the pink illumination of landmark buildings. In the United States, the National Football League promotes breast cancer awareness by incorporating pink on and off the field, and comic strip artists use pink on one day in October. (1)

The County County Woman Woman Magazine Magazine The

What are the key statistics about breast cancer?

Breast cancer is the most common cancer among American women, except for skin cancers. About 1 in 8 (12%) women in the US will develop invasive breast cancer during their lifetime. The American Cancer Society’s estimates for breast cancer in the United States for 2014 are: • About 232,670 new cases of invasive breast cancer will be diagnosed in women. • About 62,570 new cases of carcinoma in situ (CIS) will be diagnosed (CIS is non-invasive and is the earliest form of breast cancer). • About 40,000 women will die from breast cancer After increasing for more than 2 decades, female breast cancer incidence rates began decreasing in 2000, then dropped by about 7% from 2002 to 2003. This large decrease was thought to be due to the decline in use of hormone therapy after menopause that occurred after the results of the Women’s Health Initiative were published in 2002. This study linked the use of hormone therapy to an increased risk of breast cancer and heart diseases. Incidence rates have been stable in recent years. Breast cancer is the second leading cause of cancer death in women, exceeded only by lung cancer. The chance that breast cancer will be responsible for a woman’s death is about 1 in 36 (about 3%). Death rates from breast cancer have been declining since about 1989, with larger decreases in women younger than 50. These decreases are believed to be the result of earlier detection through screening and increased awareness, as well as improved treatment. At this time there are more than 2.8 million breast cancer survivors in the United States. (This includes women still being treated and those who have completed treatment.) (3)

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How can National Breast Cancer Awareness Month make a difference? We can use this opportunity to spread the word about steps women can take to detect breast cancer early. Take action to increase awareness about breast cancer and breast cancer screenings. • Ask doctors and nurses to speak to women about the importance of getting screened for breast cancer. • Encourage women ages 40 to 49 to talk with their doctors about when to start getting mammograms. • Organize an event to talk with women ages 50 to 74 in your community about getting mammograms every 2 years. • Display posters about breast cancer screening in your organization’s break room. • Ask health professionals from your local hospital or clinic to share information about mammograms and early detection with your employees or members. • Distribute materials about breast cancer screening at a local health fair. • Partner with local women’s organizations, community groups, and senior centers to reach women ages 40 and older with important information on breast cancer screening. • Host a breast cancer walk with your organization’s members. (2) Sources: (1) Wikipedia: http://en.wikipedia.org/wiki/National_Breast_Cancer_ Awareness_Month (2) American Cancer Society: http://www.cancer.org/cancer/breastcancer/ detailedguide/breast-cancer-key-statistics (3) Susan G. Komen Foundation: http://ww5.komen.org/BreastCancer/ UnderstandingBreastCancer.html

September/October 2015 2014 September/October

September/October 2019

Wigs & Hair Replacement

Give Your Scalp What It Needs Chemotherapy And Radiotherapy IS YOUR SCALP HEALTHY? Often a necessity in cancer treatments, chemotherapy Scalp conditions are a common occurrence and symptoms can be and cranial radiotherapy reduce or stop cellular activity at thecases follicular level some hair thinning andand hair in loss.sebaceous glands. Hair will fail withinIt days of starting the treatment. is possible to stabilize or delay hair thinning or hair loss in the same

Even if you have a full head of hair, it may be time to take LOCALIZED HAIR LOSS your scalpsmooth health consideration. solutions for the Round, and into soft bald patches that appearWe very have suddenly are the symptoms of most common problems and conditions that can affect scalp. localized hair loss. This kind of hair loss is not always permanent. Oftenyour associated with an emotional trauma, it’s an auto-immune reaction where the body attacks the hair follicle

The hair on the of the bald patches •comesSkin off easily, but the hair follicle under • cells.Hair Loss in edge Women Inflammation

The scalp may become sensitive, irritated and dry during treatments. When these are the skin is still there, ready to resume growth at the right signal from the body. But this way that scalp conditions can be controlled or checked. It is essential to start over, hair will regrow. The hair cycle will start again, but the hair is still fragile and more at • may Hair Loss infrom Men • years. DryWhile Hairthere & Scalp take anywhere a few weeks up to several is no miracle cure, the targeted treatment as soon as problems arise. risk of being damaged by processes such as dyeing, perms and some hair care products. oddsChemotherapy to stimulate regrowth are vastly improved• whenItching acting quickly. • WHAT The amount of hair FIRST? loss and the rate of regrowth are different for each individual. Every IS HEAD cancer therapy program is different and so is every patient. • Radiotherapy • Pregnancy

Alleviating the effects of treatment? We can!

assessment, including treatment an analysis of based your scalp a sophisticated microOur 3-step personalized plan on theusing science of Trichology will help camera and a unique software. A Head First hair and scalp specialist will alleviate the effects of your treatment! then be able to elaborate a treatment plan to meet your needs. Your plan

Step 1: ASK YOUR HAIR AND SCALP EXPERT FOR A PERSONAL could include in-salon treatments, home care products and laser therapy. Act CONSULTATION. and to book an appointment for a private consultation withscalp oneanalysis, of our we will now Thanks a comprehensive questionnaire and in-depth hair and trichology hair and scalp specialists. get a thorough understanding of your needs and be able to recommend the specific Terapo Medik care products suitedCapilia to yourproducts hair condition. We and are proud to best say that use biocompatible processes

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Step 2: THE WELL-BEING HOME CARE KIT. Scalp Care line, Capilia extremely richnourish in natural Advanced The activity of the sebaceous glands products and papillaarethat sustain and the follicles decreases as a result of the therapy. Skin and scalp become thinner and drier, and the hair eventually falls off. That’s why your body needs additional hydration and nutrition from the very therapy. hair,start andofhair loss. The Terapo Medik Well-Being Home Care Kit is specially designed so you can take care of your scalp yourself before, during and after chemotherapy or radiotherapy.

Need help with localized hair loss? Try Capilia! 3-step personalized treatment plan based •on theLocalized science of Trichology will help you • Our Dandruff Hair Loss •

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Step 1: ASK YOUR HAIR AND SCALP EXPERT FOR A PERSONAL CONSULTATION. Thanks to a comprehensive questionnaire and in-depth hair and scalp analysis, we will get a thorough understanding of your needs and be able to recommend the specific Capilia Head First care and products best suited to your hair condition. We may also recommend a hair replacement solution alongside your treatment. Step 2: GET OFF TO A HEALTHY START WITH A RESIDUE-ON-SCALP TREATMENT. Tailor-made for any stage of alopecia areata, this proven treatment has been scientifically formulated to provide your scalp with the necessary nutrients. Step 3: START A PROVEN HOME CARE ROUTINE. For a healthy scalp and hair that thrives, we recommend the Capilia Advanced Scalp Care line. Tested and improved for over 40 years, it will protect and maintain the natural balance of your hair and scalp.

We are60your River, NJ certified experts and resellers of Step 3: MAKE A FOLLOW-UP APPOINTMENT DAYSlocal AFTER Toms THERAPY During this follow-up, your expert will recommend an exclusive hydration bath. Head First Callis 732-255-1733 for more information or to Specifically developed to calm the side effects of therapy, thisproducts. relaxing treatment exclusively provided by your certified Capilia Head First center. It has been proven and schedule an appointment with one of our certified specialists. tested for more than 40 years.

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September/October 2019

MedicalLaw Professionals

3943

Do You Need an is Attorney if You’ve Been Injured at Work? Getting Older Inevitable – Aging is Optional!!!!! NAD: Could This Be The Answer To Growing Younger?

For minor injuries, you probably don’t need the services of an attorney unless you need help getting Dealing with insurance companies regarding your your medical bills paid. If any of the following is true, however, you probably do need the services of an Workers’ Compensation attorney who is well-versed in the area of Workers’ Compensation law. claim can be daunting, •Written You need surgery. 6. What are the contraindications for NAD by Dr. Mark Bartiss FAQ REGARDING NAD: especially when you should • Your injuries will impair your ability to function as you did before the accident. therapy? not consider be concentrating on feeling 1. How is NAD administered? • Modern You can nomedicine longer do yourdoes job because of limitations or pain. Other than a sensitivity to the NAD itself, there as an illness like heart your limitations. better. Without the assistance Do not waste your money on any other method •aging You have to change your job ittodoes accommodate are no known contraindications to using NAD except attorney to delivery other than IV. routes absorb a of an experienced strokes, autoimmune diseases •attacks, The insurance company is contesting your claim and willofnot pay your medical billsOral or wage perhaps pregnancy. (This is only because of the litigious represent your interests, you’ll maximum 20% in healthy individuals. Other routes of and chronic infections. Yet all these world we live in.) replacement. be subject to the actions and administration are nasal, sublingual, and I believe an conditions – including aging, on a • Your doctors have released you from treatment prematurely. 7. Side-effects? opinions inhaler form has also been developed. Various doses haveof those who may have interests contrary to yours. Don’t go level are due to the same •cellular You would like –a second opinion regarding your condition. The side effects seenthe in those receiving the purestM. through this process alone. Contact Law Office of Kathleen been tried but it would appear, after testing clinically form of IV NAD are minimal and differ in •thing: You’veINFLAMMATION. been fired or have hadInflammation, your hours significantly reduced as a result of your work accident. Dotoli for courteous and experienced legal representationevery for your as well as anecdotally, that the IV method of NAD along with inefficient use of oxygen by individual (for unknown reasons). The speed or rate at • The process is overwhelming and you would like the opinion of someone who is well-versed Compensation matter. administration is the most effective at a dose ofWorkers’ 750 theinmitochondria (commonly referred to which the infusion is given is directly proportionate to this area. mg per dose over a 60- to 120-minute (1-2 hour) time

as the powerhouses or batteries of our the presentation of the side-effects. The most common Kathleen recognition from the American Instituteframe. of Legal Counsel for “10 Best Attorneys for Social Security and Disability Laware Division Client Satisfaction” 2016 andand 2017 side effects chest for discomfort, abdominal pain cells), is Dotoli whatreceived ultimately determines our The IV route bypasses the liver and all the NAD goes fate. In fact, many anti-aging specialists to the bloodstream and into the tissues – especially when cramping, flatulence and belching, headache, nausea, vomiting, diarrhea and dizziness. I have not personally refer to aging as “INFLAMM-AGING”! given rapidly as mentioned above.

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

experienced nor have I treated a patient who experienced 2. How often do you need to receive treatments? any or many of these symptoms that lasted beyond For over two decades, Dr. Bartiss/ICAM has been The answer is based on the diagnosis you are treating offering services “outside the box” to thousands of a few minutes after the IV infusion was completed. and your past medical history. Suffice it to say, most patients with multiple conditions and diagnoses. Admittedly, NAD infusions are uncomfortable; they are people require between 5 and 10 treatments given over a certainly not troublesome enough to stop any patient Among these therapies are the various forms of BIO7- to 14-day time frame as a “loading dose,” followed by thus far from receiving another NAD infusion. OXIDATIVE THERAPY (BOT), which, in simple one drip per month to provide optimal results. Do not terms, is a therapeutic modality that provides the body’s 8. Where do I find a practitioner who offers IV consider this therapy if you are not able to financially cells, tissues and organs with oxygen to promote healing NAD? follow these guidelines. and repair as well as maximizing the immune system. At this time, there are only perhaps 100 physicians Dr. Bartiss is recognized as one of the country’s leading 3. How long do the therapies take to do? in the United States who advertise they offer this authorities in Bio-Identical Hormone Replacement As mentioned above, the most comfortable drips are service. Unfortunately, there is no medical society nor and is a founding and board member of the American when the therapy lasts between 1 and 2 hours. We have association that NAD practitioners belong to that Association of Ozone Therapy (AAOT). Anti-aging had a few patients take the drip over 20 to 30 minutes! Medical Professionals provides a list of NAD physicians. Google is likely your therapies such as growth hormone and various BioThis is insane and not necessary, andfonly serves to best bet next to word of mouth. Energetic Therapies are also among the non-traditional give you an additional 90 minutes during the day to 9. Will my insurance cover the expense of NAD? modalities offered at ICAM. Now NAD is next in line do something else crazy that these people generally do. It is unlikely that any insurance company will cover as a promising therapy that will provide thousands with There is no medical reason or advantage that would the cost of a NAD therapy unless perhaps you have “out a new lease on life and change the course of Health and be obtained by receiving the drip in under 2 hours. both acute and chronic inflammatory conditions A popular trend now sweeping across the coun- with achieve optimal andortherapeutic levels both inasterms of network” benefits are receiving the therapy part Wellness in those whois receive it. Some take 3 hours to lessen the “discomfort” frequently daily dosage and weeks try that is utilizing a simple concept to assist our body of an inpatient service. including but not limited to: fibromyalgia, heart dis Please keep in mind that as impressive and experienced with this drip. months of find timea requiring inpromising achieving daily requirements through depression, Lymeitand infectious diseases, versus Below you will brief but very informative asour NAD issummer portrayed, neither nor what any humidity other ease, HEAT STROKE: We all enjoy the season butitNOT the and uncomfortable 4. How much does cost?other these high-dosing schedules. does some IV treatment, Nutrition. chronic fatigue, disc disease and more. Most patients YouTube Video explanation of It NAD by one of the NAD medication, therapy,breaking supplement, etc., is a According • Most severe form of heat related illness that can lead to death if not treated heatcall associated with record temperatures. to the Centers This also depends on where in the country you get come at a price, however—meaning after receiving IV Supplementation report increased pioneers and my mentor, Dr. Craig Konivar. Research panacea and it does have its limitations. Suffice it to A new “FAD” has been sweeping across America as an emergency for Disease Control and Prevention, on average, over 600the people diethe from drip and clinic performing the service. The range out-of-pocket expense. Drips rangefrom in those who more sites and listen to testimonials say, there werethe truly fountain of youth forsuffering reversing enhanced mood, stress and anxiety, Same symptoms of heat plus…… complications related to extreme heat each year in theenergy, United States - more thandecreased that isif opening eyesa and minds of those is between $750 and $1500 per• drip. Most clinics offer a exhaustion price from just over $100 to as high experienced NAD firsthand. Then, once you have aging, restoration of cellular energy,aches/pains eradication of other weather •heightened Body temperature greaterhave than 104 degrees tornadoes, hurricanes, flooding, lightning or and any event combined. improved sleep, more with fatigue, generalized malaise, discounted price if youenergy, purchase in bulk. Atimmunity, ICAM our asmuscle, $400 forkidney, highly heart specific formulations. found a practitioner, ASK and QUESTIONS??? addictions and elimination the severest forms of mood • These temps lead to brain, total body failure if not improved hydration, and quicker recovery time after bulk prices are less than $750 per drip. just about everything in between. From housewives What’s the difference between heat exhaustion and heat stroke? Website: http://www.koniverwellness.com/brain-refuel/ disorders, NAD would be it. In my clinical and personal appropriately treated THE BOTTOM LINE: to construction workers, to athletes, children 5. What conditions are helped with NAD? Heat exhaustion is theactors precursor to heatstroke and is aexercise. direct result of the body with NAD after reviewingofand analyzingare the Once again ICAM is offering The simplest response this questionUsing is what doesn’t toexperience grandparents, literally thousands Americans overheating. HOW DO THESEfor IV’s WORK? meddata and trial of therapies with hundreds of treatments ICAM offers a variety of intravenous medical drips thatHealthcare benefit many patients OPTIONS to and for your NAD help?! Let me just say that NAD acts as “spring self-searching answers to their medical needs and a HEAT EXHAUSTION: ical grade vitamins, minerals and other chemicals, toFor more information please (NAD-IV) given to our patients, we see one consistent and conditions from “fatigue fantastic”. Whether you think you arecall healthy or cleaning” of the mitochondria throughout yourused body.inIn Needs. For more information, contact • Heavy to Sweating resolution their troubling symptoms. these “custom-made” IV’s are similar to IV’s ICAM at 609-978-9002 and schedule you areofnot, IV that supplementation is a quick and efficient way to promote healthan finding…….“IT WORKS!!!” so doing, we are limiting the amount toxins build ICAM • Rapid Pulse to speak to one of the highly WHY IV NOT ORAL? IV Vitamin Drips deliver outpatient clinics and hospitals where the ingredients and combat illness. • Dizziness Thousands of people worldwide are now beginning appointment withstaff onemembers of our providers up in the mitochondria and lead to premature aging and knowledgeable medical vitamins, minerals amino directly to the are based on desired outcomes and patients’ defi- season ICAM is offering During summer our “Hydrator IV” for those who to reap the benefitsand of NAD foracids multiple conditions, • Fatigue disease. As we age, we get a build-up of a the metabolite or to see how you may benefit from are most to discuss which therapies body for maximal absorption, thus allowing for nour- ciencies/specific needs. The IVwish route medication to of optimize theirIthydration either before and/or after extreme sun/heat including but notSkin limited to: Anxiety, Depression, • Cool, Moist by-product of cellular metabolism known as NADH. IV Nutrition. ishment on a cellular level. In addition, higher doses delivery allows for a much higher dosage of nutrients suitable to your needs. exposure. Whether you choose the IV or oral route of fluid administration, always Mood Disorders, ADD/ADHD, Schizophrenia, Mania/ • Goose Bumps When In The Heat is this lowered ratio of NAD:NADH that causes cellular can be given, providing higher, yet safe levels without be sure to keep hydrated. This is especially important in the very old and the very to be administered safely and effectively while having Bipolar Disorder, Addiction, Autism Spectrum Disorder. aging and apoptosis (cell death) through shortening of • Muscle Cramps Until then, we are Yours in Health…… young and of course our furry little friends! the limitation the these doses have theinoral Interestingly, majority of theupon patients myroute clinical Yours in Health and Wealth, the 100% absorption on a cellular level, • Nausea ourpotential telomeresof and chromosomal damage. With that population are receiving IV NAD as a “rejuvenating (gastrointestinal side effects, etc.). which far exceeds that of the oral, sublingual and top• Headache being said, cellular repair of the mitochondria will likely therapy” to obtain themay feeling of well-being, promote ical Forconditions many, this decreasThese symptoms develop over come IV nutrition/supplementation has time beentoor used suc-on suddenly, Read theIVfullMarK article at www.Icamnj.Com helpvehicles anyespecially andofalladministration. acute and chronic if given health longevity, and to improve and extend quality duringand or primary following periods of prolonged exercise AND es IF NOT ADDRESSED, cessfully as and adjunctive therapy for those Mark James Bartiss, MD the of oral supplements one may need to and inamount appropriate dosages and frequency. of life. heatstroke can follow.

Medical Pro

essionals

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

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September/October 2019 November/December 2017

Education

Free College Tuition At Ocean County College

Are you looking to finish your degree or enroll in college for the first time? You can attend Ocean County College (OCC) tuition-free this fall thanks to the Community College Opportunity Grant (CCOG)! Free college tuition at OCC can help you earn more money, improve your credentials, or prepare you for a career change. Ocean County College provides a simple 3-step process to receive the CCOG grant. First, apply to OCC – even if you’ve previously attended, all CCOG recipients must provide a new application and select a degree program. Next, complete your Free Application for Federal Student Aid (FAFSA). This application must be completed prior to September 15, 2019 in order to qualify. Finally, complete your HESAA profile at hesaa.org. Once you have completed these steps and meet the eligibility requirements, you will automatically be qualified to receive the CCOG grant. CCOG is a grant program funded by the state of New Jersey that covers the cost of tuition and select educational fees for eligible students for the Fall 2019 and Spring 2020 semesters. If you have a household income of $65,000 or less, do not have a prior college degree, and are registered for 6 to 18 credits, you likely qualify to receive the Community College Opportunity Grant. The CCOG grant can be used for face-to-face, hybrid, and online classes at Ocean County College, and is available to all Ocean County residents who meet the eligibility requirements. This grant provides a great opportunity to begin or finish your associate degree while still maintaining your work-life balance. Students can attend classes at the Toms River campus, the Southern Education Center in Manahawkin, or get their degree entirely online for select degree programs. If you’re ready to enroll, you can attend an upcoming Express Enrollment day at the Toms River campus on Wednesday, August 21 from 3:00PM to 7:00PM, or Thursday, August 29 from 9:00AM to 1:00PM. If you have more questions about CCOG, including eligibility and program requirements, you can speak to an expert enrollment technician at OCC by calling 732-2550481. To learn more about the program, read all the eligibility requirements, and apply, visit go.ocean.edu/free.

FREE COLLEGE TUITION!

FAFSA completion deadlines: Fall 2019: September 15, 2019 Spring 2020: February 15, 2020

For more information, visit Ocean County College

1 College Drive | Toms River, NJ | 08753

go.ocean.edu/free

HUB@ocean.edu | 732-255-0481

*Eligibility requirements apply. Please see go.ocean.edu/free for a full list of eligibility requirements.

Health & Wellness

The County Woman Magazine www.TheCountyWoman.com

September/October 2019

Theatre & Entertainment

Atlantic City Ballet Sunday September 22, 2019 4pm

Cinderella Join Us For Our Gala Opening Brunch Sunday, September 22, 2019 • 1:30pm

Nero’s & Betty’s Backroom

Sunday Dec. 15, 2019 - 4pm

It’s A Shore Holiday

Papa & Sinatra: Their Way

Dracula Nutcracker

Sunday Nov. 24, 2019 - 4pm

Saturday, Mar. 28, 2020- 7pm

Saturday October 26, 2019 7pm

Dec. 22, 2019 - 4pm

Sunday, Apr. 19, 2020 - 4pm

Midsummer Night’s Dream

Sunday, May 17, 2020- 4pm

Romeo and Juliet

Season 37 Circus Maximus Theater • Caesars Atlantic City Tickets On Sale Now

www.acballet.org • 609-348-7201

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September/October 2019

Medical Professionals Hemorrhoids: The Bottom Line

Medical Professionals

How hemorrhoids are treated depends on how severe the condition is. If the Did you know we are born with hemorrhoidal tissue, it’s a part of symptoms are mild, your doctor may simply have you increase your fiber intake in your our anatomy? Hemorrhoidal tissue lies within the anal canal and diet (i.e., fruits, vegetables, breads and cereals) or by adding an oral fiber supplement. perianal area and consists of blood vessels, connective tissue, It is recommended that you consume 20-35 grams of fiber per day. It is very important and a small amount of muscle. Hemorrhoids are described as to make sure that you drink 8-10 glasses per day of water. Other beverages that contain varicose veins of the anus and rectum because they are enlarged, caffeine or alcohol will dehydrate you, so try to decrease your intake of those beverages. bulging blood vessels in the anus and lower rectum. The only time These measures help to create a soft, formed stool, thereby eliminating excessive straining we actually feel hemorrhoids is when they become enlarged during bowel movements. This, in turn, will decrease the pressure on the hemorrhoids. or symptomatic. Dr. Paonessa likes to use the analogy: “We all The use of warm water soaks (sitz baths) will also provide relief. herhave patients, but she a majority of her colorectal cancer that surgeries have teeth, but we allcancer don’tand have cavities.” How common is colorectal who is at risk? Likewise, we all performs There are several outpatient treatments may using be performed in the office to laparoscopic surgery. colorectalhemorrhoids. surgery is a minimally invasive Colorectal cancer is thebut second most cancer in the United Stateshemorrhoids. among hemorrhoids, we allcommon don’t have symptomatic helpLaparoscopic treat symptomatic These include rubber band ligation, infrared

Colorectal Cancer: Are You Aware? What’s The Big Hype?

surgery in which small incisions are made to perform major surgery. This allows both men and women. It affects 140,000 people annually and causes 50,000 photocoagulation, and sclerotherapy. All of these procedures are painless. Dr. Paonessa’s shorter hospital stays, decreased incisional pain and earlier return to work and There are two typeshas of ahemorrhoids: internal and external. Bothcancer can havefordifferent deaths. The average person one in 20 chance of developing colorectal other activities. procedure of choice in the office is sclerotherapy. Sclerotherapy involves an injection of a in his/her lifetime. risk is increased if there isInternal a family (inside) history ofhemorrhoids colorectal form symptoms andThis often different treatments. in the chemical irritant into the hemorrhoid, which causes scarring and shrinkage of the blood polyps or beneath cancer, and is evencalled highermucosa, still in those patients a history of breast, anus a lining which is notwith sensitive to touch, pain, stretch or vessels present within the hemorrhoidal tissues. This procedure is painless and has few, Can colorectal cancer be prevented? uterine or ovarian cancer, and patientshemorrhoids with a historyare of commonly extensive inflammatory temperature. As such, internal associated with painless any,ofcomplications. is safeObtaining for patients Colorectal cancer isif one the few cancersSclerotherapy that is preventable. a on blood thinners. As with any bowel disease such as ulcerative colitis or Crohn’s colitis. Additionally, a person’s bleeding and protrusion during bowel movements. It is only when the hemorrhoid screening colonoscopy at regular intervals is the best way to prevent risk for developing colorectal cancer increases significantly with age. procedure, you will need tosingle discuss this with your physician. completely prolapses from the opening of the anus and cannot be pushed back insidecancer. Your colorectal surgeon or specialist is able to review the colorectal External hemorrhoids may also be treated on an outpatient basis as well. Excision thatcauses it becomes severelycancer? painful. guidelines for screening based uponcan your medical history What colorectal of thecolonoscopy hemorrhoidal tissue beage, performed. The hemorrhoid will be injected with a and family history. Although not definitively proven, studies published in the Internal hemorrhoids fourbegins grades: It is generally agreed that nearly all are colonclassified and rectal in cancer in benign numbing agent, and excising of the hemorrhoid along with all blood clots (thrombus) is literatureofmention additional factors that may lower your risk of developing polyps, called One: adenomas. pre-malignant or growths, occur in the the opening Grade TheThese hemorrhoid is polyps, not protruding from done. In this case the entire external hemorrhoid is removed, not lanced, so as to avoid colorectal cancer and include eating a high-fiber, low-fat diet; maintaining a wall of the colon and/or rectum and may eventually increase in size and become the anus (no prolapse). any residual skin tag once healed. This procedure provides instant pain relief for those healthy weight; and engaging in regular, vigorous exercise. cancer, or medically speaking, carcinoma. This is known as the “adenomaGrade Two: The hemorrhoid protrudes anus but it goes patients suffering from severe pain. Often hemorrhoids that are not thrombosed can be carcinoma sequence.” Several factors have been mentionedfrom in thethe literature that may increase person’s riskown. for developing colorectal cancer and include age, a diet backa in on its treated with dietary change and sitz baths. highGrade in fat andThree: cholesterol, inactive/sedentary lifestyle, obesity, and the patient “After I had out I had myan outpatient basis at surgery centers There are and otherfound procedures that colon can becancer, done on Theanhemorrhoid protrudes andsmoking requires to my colonoscopy environmental exposures. primary physician recommended see Dr. traditional Paonessa. Not only is she or hospitals. TheseIinclude hemorrhoidectomy, transanal hemorrhoidal

push it back inside the anus. an excellent surgeon, I would recommend Dr.stapled Paonessa to anyone and As with any surgery, you will dearterialization (THD), and hemorrhoidectomy. Grade Four: The hemorrhoid anus What are the symptoms of colorectalcannot cancer?be placed back into the everyone.” need to have your physician evaluate your condition and see what the best option for you by thepolyps patient. Thiscancers is often very painful. Unfortunately, and early do not produce any physical signs or - Josephine B. is. With advances in local anesthetic and surgical technique, hemorrhoidectomy is not symptoms. Therefore, symptoms usually indicate late or advanced disease. The External (outside) hemorrhoids form around the anus and are covered the painful procedure it had been associated with in the past. most common symptoms of colorectal cancer are rectal bleeding and changes in “I credit Dr. Paonessa for are saving my life. Her andorattention If you experiencing any thoroughness of the symptoms conditions discussed, please contact bowel as constipation or most diarrhea. These complaints symptoms are common with in external byhabits very such sensitive skin. The common associated to detail made the difference for my recovery. I’ve never met doctor like with Dr. Paonessa. Dr. many other disorders the gastrointestinal so it or is very important to have Paonessa Colon and Rectal Surgery to make ana appointment hemorrhoids areofoccasional swelling, tract pressure discomfort. When a hemorrhoid is attentive and caring. a thorough examination should ayou experience them. NOT ALLoutside RECTAL Paonessa is well trained in all aspects of hemorrhoid management and surgery. In fact, symptomatic, it becomes bluish-colored, painful lump the anus. Ifher-so the external BLEEDING IS DUE TO HEMORRHOIDS. It is very important for patients to - Patricia E. she is the co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition, and hemorrhoid develops a clot (thrombosis), it becomes a hard, painful lump. When the remember this and seek evaluation if they are experiencing rectal bleeding. Other authored three of the chapters within this textbook. pressure becomes elevated, it can cause the thrombosed hemorrhoid to break down the symptoms, such as abdominal pain and weight loss, are usually late symptoms and skin, and the clot begins todisease. leak out. Even after the hemorrhoid has healed, quiteoverlying possibly indicate advanced/extensive some patients complain about soft tissue outside the anus called an anal skin tag. An anal skin tag is the residual effects from the thrombosed external hemorrhoid. A skin tag may How is colorectal cancer diagnosed? Evaluation colorectalability cancer to is first a complete historyAlthough and physical hinder of a patient’s cleanbegun afterwith a bowel movement. there is no treatment exam, digitalthey rectal and possibly testing the stool for A the patient. forincluding anal skina tags, canexam be removed if hygiene becomes anblood. issue for colonoscopy theseveral most definitive test used to diagnose colorectalalthough cancer. Athe exact cause is Thereisare factors that can cause hemorrhoids, colonoscopy is performed by a colorectal surgeon or other specialist in order to unknown. Upright posture, alone, increases pressure on the rectal veins and can cause get a direct visualization of the inside of the colon and rectum. A colonoscopy thempainless, to bulge. Additional factorsperformed include aging, constipation is a safe, outpatient procedure underchronic a light sedation. Basedor diarrhea, straining during pregnancy, heredity, straining during bowel movements, upon the findings on colonoscopy, your colorectal surgeon or other specialist may overuse of laxativesother or enemas, and extended periods of scan timeofonthethe toilet (i.e., recommend testing such as blood work, a CT abdomen and reading). pelvis, and/or ultrasound. pelvic Here MRI are some symptoms you should be aware of to determine if you may have a hemorrhoid problem: if you are having bleeding during bowel movements, itching in Colon and ReCtal SuRgeRy How colorectal cancer treated? theisanal area, pain, sensitive lumps or prolapsing during bowel movements. If you do Nearly all cases of colorectal cancer require surgery. Radiation and chemotherapy experience any of the symptoms, do not treat with over-the-counter medication. CallBoard and Certified in General Surgery and Proctology are sometimes required in addition to surgery. If the cancer is diagnosed and make an appointment with your doctor. It is very important to understand that NOT all Colon and surgery Rectal Surgery treated in the earliest stages, approximately 80-90% of patients are restored to • laparaoscopic surgery • anorectal rectal bleeding is caused by hemorrhoids. As such, it is crucial to seek consultation with their normal health. The cure rate decreases to 50% or less when the cancer is Board Certified in floor General Surgery and Proctology • abdominal/pelvic surgery • pelvic disorders a specialist as a colonstages. and rectal sure that the rectal bleeding is not diagnosed in thesuch later/advanced Less surgeon than 5% to of be all colorectal cancer • fecal incontinence • office proctology patients require colostomy or “bag,” technology. • laparoscopic surgery • pelvic floor disorders caused by aaserious disease such thanks as analtoormodern colorectal cancer. Dr. Paonessa • endoanal/rectal ultrasound • anorectal manometry/ prides herself in being able to maintain this standard of care in her own practice. • abdominal/pelvic surgery • office proctology Not only is she able to minimize the number of colostomies/“bags” created for

physiology • fecal incontinence • anorectal manometry/ Board-certified in general surgery and proctology and a • endoanal/rectal ultrasound 2101 Route 34 South, Suite H 1172 Beacon Avenue, Suite physiology B fellow of the American College of Osteopathic Surgeons, Nina Paonessa, DO, FACOS, an established Wall, NJ 07719 Manahawkin, NJ 08050 • anorectal surgery Dr. Paonessa specializes in in colon and rectal surgery. She colorectal surgeon practicing Ocean and has been inCounties, practice for 15 years. Sheabout completed her colon Monmouth answers questions and rectalcancer, surgery at Lehigh Valley Hospital in colorectal onefellowship of the leading cancers in Allentown, PA. She is co-editor of the textbook Surgical both men and women.

Treatment of Hemorrhoids, 2nd edition. Dr. Paonessa believes in patient-centered care and preserving each patient’s independence, well-being and dignity. She provides the latest, up-to-date www.TheCountyWoman.com The County Woman Magazine treatments and tailors each plan of care to the individual patient’s needs.

Phone: (732) 282-1500 603(732) Higgins Avenue Fax: 282-1501

Brielle,M-F NJ 08730 Office Hours: 9AM to 5PM

www.paonessacrs.com

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1364 Route 72, Suite 5 Manahawkin, NJ 08050

Phone: (732) 282-1500 • Fax: (732) Office Hours: M-F 9AM 2018 to 5PM March/April

292-9600

www.paonessacrs.com September/October 2019

Business Spotlight

Interview with Dr. Nina Paonessa An Expert in Offering Concentrated Expertise in All Areas of Colon and Rectal Surgery As a board-certified general surgeon and proctologist, Dr. Nina Paonessa believes in patientcentered care and preserving each patient’s independence, well-being and dignity. Specializing in colon and rectal surgery, Dr. Paonessa has been in practice for over 15 years. She completed her undergraduate education at Siena College in Loudonville, NY with a Bachelor of Science in Biology, Magna Cum Laude, and a member of the honor society, Alpha Kappa Alpha. After completing her undergraduate studies, Dr. Paonessa completed medical school at Lake Erie College of Osteopathic Medicine in Erie, PA and completed her colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA. CW: When did you first decide to become a surgeon? Dr. Paonessa: I discovered my love for the specialty during my second year of general surgery residency. I began to notice how patient outcomes varied based upon the training/skill of the surgeon. Colorectal surgery is a field in which specialized training truly impacts patient outcome. For example, in certain cases, the difference between patients having a permanent colostomy versus bowel continuity after colorectal resection is dependent upon the skill/training of the surgeon. Additionally, I had the privilege of doing a one-month rotation on the colorectal surgery service of Dr. Douglas Wong at Memorial Sloan Kettering Cancer Center in New York City. It was here that I truly fell in love with the specialty of colorectal surgery. CW: What do you like the most about being a colorectal surgeon? Dr. Paonessa: For me, the most rewarding part is when I can make a positive impact on a patient’s quality of life and well-being, whether it be curing a patient of colon or rectal cancer and restoring bowel continuity, to ridding a patient of their hemorrhoid symptoms, to freeing a patient from the social isolation caused by their symptoms of fecal incontinence. A fringe benefit of my specialty is that I have the privilege of meeting so many wonderful and unique individuals. It is truly rewarding working with each of my patients.

CW: How would you describe your practice’s philosophy? Dr. Paonessa: In my practice, my staff and I share the same philosophy of “the patient comes first.” No matter what if it is benign or malignant disease for which a patient is coming to the office, we understand that it is a stressful and oftentimes an embarrassing situation for them. In my office, each patient’s privacy and dignity is preserved and respected to the utmost degree. We realize that just because we take care of colorectal problems every day, does not mean that patients are used to dealing with these issues. CW: What are the most common reasons why a patient would schedule an appointment at your practice? Dr. Paonessa: Men and women of all ages schedule appointments at my office for many reasons. These include hemorrhoids, fissures, colorectal cancer screenings via colonoscopy, treatment of colorectal cancers/including laparoscopic surgery, squamous cell carcinoma of the anus, fecal incontinence and pelvic floor dysfunction. CW: Tell us a success story that you have experienced over the years. Dr. Paonessa: We have had many success stories over the last 15 years. One of my favorite success stories is that of a woman who was hospitalized for perforated sigmoid diverticulitis with a large intraabdominal abscess. I was requested to see her as a second opinion as the first surgeon proposed immediate surgery consisting of sigmoid colon resection and end colostomy. After careful history and physical exam and review of her CT scans, I proposed a plan of bowel rest, IV antibiotics and percutaneous drainage of the abscess. This allowed for the abscess to reduce in size to merely a small cavity. The patient was eventually taken to surgery, during which she had a sigmoid colon resection and colorectal anastomosis, without even a temporary stoma (bag). She recovered uneventfully and was able to return to work. CW: describe some of your favorite leisure activities. Dr. Paonessa: Outside of being a surgeon, I enjoy spending time with my family. I also enjoy cooking and trying new recipes, reading, dancing and spending time at the beach.

CW: What is the most difficult part of being a colorectal surgeon? Dr. Paonessa: Explaining to a patient about their diagnosis of cancer is the most difficult part of being a colorectal surgeon. Even in many cases in which the cancer can be cured, dealing with a diagnosis of cancer is stressful road ahead of them a bit easier.

The County Woman Magazine www.TheCountyWoman.com

September/October 2019

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“We have been working with Lauren and the team at Ocean County Woman for more than a year and we could not be more pleased. After a few issues into OCW, we decided to also advertise in the Atlantic County Woman. As an advertiser, the caring and professionalism shown us is exhibited in the quality of their publications.”

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“Advertising in the Ocean County Woman Publication has proven to Koehler Acupuncture be one of my smartest advertising 128 Drum Point Road • Brick, NJ 08723 decisions. Within the first two weeks 732.262.0637 www.koehleracupuncture.com I had received at least six calls of interest. By the end of the first month I had several more calls and seven new patients in my office. The article also worked great for my existing patients who showed it to their friends to encourage them to come in.”

– Keith Koehler, Owner, Koehler Acupuncture

“Your paper has given us a great venue for advertising our practice. My husband and I love the opportunity to customize our ads with subjects that are relevant to our practice and our patients. Atlantic County Woman has given us great exposure within the community. We have gotten many new patients thanks to your publication. We look forward to advertising with you for many more years to come.”

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March/April 2019 September/October 2019

Health & Wellness

Back To School Time Already? Health Problems That Spread At School Kids should learn to share, right? But, gee whiz…. When it comes to bugs and other contagious health problems in school, does your kid have to get everything that’s passed around? Whether kids are packed into a classroom or messing around on the playground, they do tend to share lots of health p problems in n should you school. What can you do about it? And when be concerned? Here are a few things to thinkk about. Does head lice top your list of concerns?

ust Although these creepy insects might disgust you, it may help to know that they don’t cause diseases or other health problems – other than maybe a red, rashlike reaction. Of course, that doesn’t mean you want to ignore them since they spread really easily. Follow up with the doctor if your child complains of an itchy scalp or you catch sight of tiny white eggs firmly attached at hair roots. These are often confused with dandruff. Your child’s doctor may prescribe a treatment and other overthe-counter (OTC) shampoos or rinses. Follow ow directions closely and be sure to ask me if you ou have 1 any questions . Viral Infections And Other Diseases

Viral infections such as chicken pox are common, too. Many are contagious before skin lesions appear. Be sure to keep your child home until the sixth day after the rash appears unless all lesions are dry and crusted over. To prevent this infection, have your child vaccinated.1 Fifth disease is another viral disease. It causes a lacy rash on arms and redness on cheeks that looks like the result of a well-placed slap. Unless your child feels too sick, there’s no need to stay home. That’s because the disease only spreads before symptoms appear. However, tell the school so female employees of childbearing age can be notified. Fifth disease can severely hurt a developing fetus.1

Although there are many kinds of hepatitis, hepatitis A is the most common type in children. This virus is in blood and bowel movements, so hand washing is really important to prevent its spread. A child with hepatitis A should stay home until a week after the onset of illness and until any jaundice (yellowed skin) disappears. Another disease spread through bodily fluids is HIV/AIDS. Although it can cause anxiety among parents, casual physical contact – such as hugging, remember that casu hands, or sharing a glass – does not transfer this holding hand virus.1 Colds And Flus

Th there’s the run-of-the mill cold and flu. Then, Deciding whether or not to D ssend your child to school can be a challenge. General rule of thumb? If there’s a fever, keep ‘em home – until the fever’s been gone for at least 24 hours.2 If there’s no fever, more than likely it’s a cold and it’s okay to go to school. When in doubt, check with yyour child’s doctor. And, don’t forget the flu va vaccine, which is recommended for everyone six months and older.3

Stop by or call Jersey Shore Pharmac Pharmacy, 609-660-1111, and I can advise you o on the best way to keep your child comfortable while the cold or flu runs its course. I can also give you a brief overview of prescription or OTC treatments for the more common childhood viral infections. Sources 1. American Academy of Pediatrics: “Contagious Health Problems in Schools.” http://www.healthychildren. org/English/ages-stages/gradeschool/school/pages/Contagious-Health-Problems-in-Schools.aspx 2. WebMD: “Your Child: Too Sick for School?” http://www.webmd.com/cold-and-flu/features/your-child-toosick-for-school 3. American Academy of Pediatrics: “The Flu: A Guide for Parents.” http://www.healthychildren.org/English/ health-issues/conditions/chest-lungs/Pages/The-Flu-A-Guide-for-Parents.aspx

Acupuncture

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September/October 2019

Community

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September/October 2019

Women’s History Toni Morrison: Literary Legend

It’s not what you say but how you say it. A writer has the ability to captivate minds, young and old, and allows us to escape into a literary world of our own, even if for a brief period of time. It is easy to take for granted the amount of time, energy and emotional exhaustion that goes into writing a book. We order on Pbs.com. Amazon with the click of a button and some may even venture into a bookstore. It is not until we are immersed into the storyline and end up emotionally exhausted from a book’s ending that we can even attempt to fully understand our writer. This publication is dedicated to Toni Morrison, who was a literary legend, editor and professor with a twist of trailblazing depicting the lives of African Americans. Born with the name Chloe Anthony Wofford on February 18, 1931 in Lorain, Ohio to George and Ramah Wofford, Chloe was the second child of four in a family who came from victims of slavery. Chloe would later change her name to Toni as a pen name to identify herself in her writings. Toni was encouraged to read as a young child, and it has been reported that when she entered into an integrated school, she was one of the few NYTIMES.com who had the ability to read, which was not typical for an African American child in the 1930s and 1940s. Toni was privileged to graduate from high school and attend Howard University. After Toni completed her undergraduate degree, she continued on to obtain a Master’s degree from Cornell University. Toni continued her passion for the literary arts through her teaching, first at Texas Southern University, and then she returned to her alma mater to teach English at Howard University. Toni married Harold Morrison in 1958. Together they had two children. It would be only a few short years before Toni would enter into the struggles of single motherhood. Toni’s husband, Harold, was originally from Jamaica and he returned to his home in 1963, leaving Toni with her firstborn and another on the way. Toni, alone with a toddler and pregnant, decided to return to her home in Ohio to live with her family. It would not be long before Toni was back on her feet. After a year living at home, Toni relocated to Syracuse, New York Cnn.com to work for a textbook publisher as a senior editor before moving on to work for Random House. Toni did not only work full time as a mother of two children, she worked full time writing novels and essays, and published her first novel in 1970, entitled The Bluest Eye. By 1977 Toni had published another book, entitled Song of Solomon, which put her among the elite to have received the National Book Critics Circle Award. Toni did not stop there. In 1988 she won the Pulitzer Prize and the American Book Award for her writing in Beloved. Beloved not only was recognized as a best seller, it would later become a movie with the amazing Oprah Winfrey in the cast.

Cnn.com

In 1993 Toni received the Nobel Prize for Literature, and in 1996 she was awarded the National Endowment for the Humanities, along with another honorable recognition that included the National Book Foundation’s Medal of Distinguished Contribution to American Letters. In 2012 Toni received the Presidential Medal of Freedom from President Barack Obama, which is the nation’s highest civilian honor. President Obama described Toni Morrison as “one of our nation’s most distinguished storytellers.” Toni’s writings depicted struggles of African American females and mothers along with the trials and tribulations of African American children and, most notably, slavery. Toni wrote fiction and non-fiction along with writing librettos (opera). Toni’s amazing ability to make her characters come alive in her writings allows readers to relate to a world that one can only imagine, and the books’ characters have made lasting impressions on the many who have been faithful to Morrison’s work. Toni Morrison passed away on August 5, 2019 at the young age of 88. Her legacy will continue to live on through her literary works that will continue to provoke readers to think outside the box. Although society is littered with technology, there is nothing better than being able to physically turn the pages of a captivating novel as we anxiously anticipate what will happen next. Through her literary talent, Toni Morrison has given us hope in the face of adversity, has displayed amazing resilience and strength in the face of darkness, and has gifted society with characters that we want bring home to dinner or offer a hug through her ability to make her readers all feel part of the story. In closing, as a final farewell to Toni Morrison, I encourage the readers of this publication to write your own story! Equalrights.org

Rita King, LCSW is the Associate Director of Justice Involved Services at Jewish Family Service. In this role, Rita currently supervises a Re-Entry program for incarcerated individuals as well as a community based diversion program for consumers experiencing mental illness and involvement with the criminal justice system. Rita is a “De-escalation for Individuals with Special Needs” training facilitator and has trained approximately 1,200 law enforcement professionals to date. Rita is also a CIT trained mental health professional. Rita has a strong passion for women’s history and in her free time she continues to raise awareness of the importance of women’s history through lectures and community speaking engagements.

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September/October 2019

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September/October 2019

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September/October 2019

Community

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September/October 2019

Radio

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September/October 2019

Community Will You Be The Voice For A Child In Need? Abused and neglected children need you to be their voice

Everyday citizens like you can make an enormous difference in the lives of Ocean County’s foster children. Are you ready to become a hero? Court Appointed Special Advocates (CASA) of Ocean County is a nonprofit organization that works with the abused and neglected children placed in foster care. Our organization enlists everyday men and woman - just like you - to become CASA volunteers. Our CASA volunteers are various ages, have many ethnic backgrounds and different educational histories. As one of our volunteers, you will form a special relationship with your CASA child. CASA volunteers interact with the child, family members, social workers, healthcare providers, teachers and other relevant individuals to become a knowledgeable advocate for the child’s needs.

No child should ever feel that they are alone and without a voice. A CASA volunteer works to ensure that a foster child’s needs are recognized and their best interests are considered.

Call our office today to become a volunteer or sponsor a child.

CASA of Ocean County · 1035 Hooper Avenue, Suite 3 · Toms River, NJ 08753 · Tel. 732.797.0590 · www.CASAofOceanCounty.org

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September/October 2019

Community

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September/October 2019

Theatre & Entertainment

TWEETING, POLITICS, AND UNDYING GIDDINESS FOR JAMES MADISON--WHAT ELSE COULD YOU EXPECT TO FIND AT A MISS AMERICA PAGEANT? IN THIS HILARIOUS, RAUCOUS, ALL-FEMALE "POWER-PLAY" INSPIRED BY SHAKESPEARE'S SHREW, CONTESTANT KATHERINE HAS POLITICAL ASPIRATIONS TO MATCH HER BEAUTY PAGEANT AMBITIONS.Â ALL SHE NEEDS TO REVOLUTIONIZE THE AMERICAN GOVERNMENT IS THE HELP OF ONE ULTRA-CONSERVATIVE SENATOR'S AIDE ON THE CUSP OF A CAREER BREAKTHROUGH, AND ONE BLEEDING-HEART LIBERAL BLOGGER WHO WILL DO ANYTHING FOR HER CAUSE.

WRITTEN BY LAUREN GUNDERSON DIRECTED BY MARLENA LUSTIK

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NEW SEASON ON SALE NOW! NAMED OF THE TOP 10 REGIONAL NAMED ONE ONE OF THE 2019 2019 TOP 10 GREAT GREAT REGIONAL CHECK OUT OUR 19/20 SEASON! NEW SEASON ON SALE NOW! NEW SEASON ON SALE NOW! THEATERS IN THE NATION BY TODAY THEATERS INOF THE NATION BY USA USA TODAY NAMED ONE THE 2019 TOP 10 GREAT REGIONAL NAMED ONE OF THE 2019 TOP 10 GREAT REGIONAL THEATERS IN THE NATION BY USA TODAY THEATERS IN THE NATION BY USA TODAY

Our Our 2019/20 2019/20 season season includes includes aa new new adaptation adaptation of of the the classic classic Cyrano, Cyrano, the the world world premiere premiere Ourof2019/20 season includes aTony newnominee adaptation of the classic Cyrano, the world premiere Love Hate by Joe Iconis (Be Chill), Shakespeare's Love in inseason Hate Nation Nation by Tony nominee Joeof Iconis (Be More More Chill),the Shakespeare's Ourof 2019/20 includes a new adaptation the classic Cyrano, world premiere of2019/20 Love Night, in HateAugust Nation by aTony nominee Joethe (Be More Chill), Shakespeare's Wilson's Golf, world premiere of Hombres by OurTwelfth season includes newRadio adaptation ofIconis the classic Cyrano, the world premiere Twelfth Night, August Wilson's Radio Golf, the world premiere of The The Hombres by of Love in Hate Nation by Tony nominee Joe Iconis (Be More Chill), Shakespeare's Twelfth Night, August Wilson's Radio Golf, the world premiere of The Hombres by Tony Meneses Ruben autobiographical Lackawanna Blues. of Love in Hateand Nation by Santiago-Hudson's Tony nominee Joe Iconis (Be More Chill), Shakespeare's Tony Meneses and Ruben Santiago-Hudson's autobiographical Lackawanna Blues. Twelfth Night, August Wilson's Radio Golf, the world premiere of The Hombres by Tony Meneses and Ruben Santiago-Hudson's autobiographical Lackawanna Blues. Twelfth Night, and August Wilson's Radio Golf, the world premiere Lackawanna of The Hombres by Tony Meneses Ruben Santiago-Hudson's autobiographical Blues. Tony Meneses and Ruben Santiago-Hudson's autobiographical Lackawanna Blues.

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Theatre & Entertainment

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September/October 2019

Theatre & Entertainment “

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September/October 2019

Community

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September/October 2019

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 the office for more information.

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September/October 2019

Women Of Ocean County

Clarissa Maldonado

Law Firm Administrator

Clarissa Maldonado recently joined Carluccio, Leone, Dimon, Doyle & Sacks LLC as the Law Firm Administrator with over 20 years of operational business experience. Wearing many hats, Clarissa has worked with several prestigious law firms and brokerages in New York City before coming to Ocean County. In a mostly male-dominated field, Clarissa is instrumental in changing perceptions; enhancing each organization by transforming their information technology, human resource and operational platforms to the latest technologies, while streamlining processes, all at significant cost savings to each organization. Born and raised a true Jersey girl and graduate of the School of Arts and Sciences at Rutgers University, she wanted to bring her passions to the Garden State and set roots in Ocean County and continue to break barriers. Clarissa is an active member of her church and Latin communities while volunteering in various food pantries and food drives. As a current resident of sunny Toms River, alongside her longtime partner Adrian and stepson Adrian Jr, Clarissa enjoys morning walks on the beach, decorating and home improvement, yoga and being the biggest cheerleader for her stepson and his many baseball teams. cmaldonado@cldds.com (732) 797-1600 x247.

Dawn Ferrentino

Owner, Living Healthy Naturally

Dawn is a health and transformation specialist who has assisted thousands of people in reaching their health goals. She coaches people on weight loss, gaining extra energy, helping with increasing athletes’ performance, and overall health improvement through nutrition. Dawn’s mission is to help everyone she knows, and those she doesn’t know yet, feel good about themselves from the inside out. She works globally throughout 19 different countries. Dawn has assisted her clients in losing as much as 105 pounds. She also works with professional athletes and college students. Her programs are a fit for everyone, no matter the age or the goal! Dawn’s passion for helping others and her oneon-one coaching has led to countless success stories. Dawn grew up in West Orange and moved to Colonia after getting married before settling in Brick in 2016. She has coached, inspired and motivated thousands of people and helped transform their lives. She inspires, motivates and empowers others to be the best they can be. Dawn believes in the mind/body connection. She loves fitness and is certified in Pilates. Dawn is a trainer, speaker and author. She loves the beach, fishing and being outdoors. Living a healthy lifestyle in all areas is something Dawn is committed to doing for herself and her clients. For more informaton call 908.208.0002 or visit dawnferrentino.com.

Photo by Tracy Harmon Photography

Dr. Pavlek-Schenk,

Carolyn Peters, RN, BSN

New Jersey Hematology Oncology Associates, LLC

Office Manager, Ocean Otolaryngology Associates

Dr. Pavlak-Schenk was born in Perth Amboy, New Jersey. She grew up on the Gulf Coast and in New Jersey. Her undergraduate degree is from Rutgers University, where she also did one additional year of postgraduate training in Biochemistry. Dr. Pavlak-Schenk earned her degree from the College of Osteopathic Medicine and Surgery in Des Moines, Iowa. Her internship and residency in Internal Medicine was done at St. Michael’s Hospital in Newark, NJ. She completed a fellowship in Hematology–Oncology at St. Michael’s and UMDNJ, New Brunswick, NJ. After the fellowship was completed, Dr. PavlakSchenk was in private practice for 10 years in Edison, NJ before joining New Jersey Hematology Oncology Associates, LLC in 2000. She is Board Certified in Internal Medicine and Medical Oncology. Dr. Pavlak-Schenk is committed to bringing cuttingedge care to her patients in their own backyard. Dr. Pavlak-Schenk is happily married to her husband, Bob, a Pharmacist for the Hackensack Meridian Health System. She is the proud parent of three beautiful children and 2 adorable grandsons. In her spare time, she likes to travel. For more information call 732-840-8880 or visit www.njhoa.com.

Carolyn graduated nursing school from Community Medical Center in Scranton, PA. She then secured a job as an RN at Thomas Jefferson University Hospital in Philadelphia. While working in the ENT unit, she was able to obtain her BSN at TJU School of Nursing. She met her husband, Otolaryngologist Dr. Bruce Peters, and in 1997 opened his private practice in Ocean County. With their goal to provide the highest quality care to their patients, their practice grew quickly and has now expanded to a three-doctor group, with a new location opening in May 2019 in Wall, NJ. Carolyn’s business skills evolved with the practice as well as her ability to assist Dr. Peters in glycolic acid peels and skin care. With his background in facial plastic surgery, they offer medical-grade peels and high-grade NEOVA skin care products for aging and sun-damaged skin. She resides in Monmouth County with her husband and two daughters and loves cooking and beach activities. For more information, call 732-281-0100 or visit www.oceanentfacialplastics.com. Photo by Tracy Harman Photography

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September/October 2019

Women Of Ocean County Virginia A. Mensah M.D., FACOG Reproductive Science Center of New Jersey Dr. Virginia Mensah is a board certified specialist in Reproductive Endocrinology and Infertility. Born in Indiana but raised in New Jersey, she always felt a strong connection to the Garden State. She proudly completed her bachelor’s degree in Genetics and Microbiology at Rutgers University. She then received her medical degree from the University of Illinois at Chicago and went on to complete her Obstetrics and Gynecology residency at the prestigious Johns Hopkins Hospital. She completed her fellowship training at the Women and Infants Hospital of Brown University, with top specialists providing infertility care. Throughout her education and in part due to her love of genetics, she developed a passion for women’s reproductive health and fertility concerns. This passion led her to this career as a fertility specialist, where she assists couples in their family-building goals. Dr. Mensah is a member of the American Society for Reproductive Medicine and a fellow of the American Congress of Obstetricians and Gynecologists. Her clinical interests include in vitro fertilization, recurrent pregnancy loss, and pre-implantation genetic diagnosis. In her free time, Dr. Mensah enjoys spending time with her family, hiking, traveling, and painting. For more information, call 732-240-3000 or visit www.FertilityNJ.com.

Patricia A. Gomez Medical Office Manager, Be Well Women’s Health Patricia Ann Gomez’s passion for healthcare started with her father’s illness when she was young. That experience and subsequent loss both broke her heart and sparked her interest in medicine. Her older sister worked as a home health aide and she would sometimes accompany her to visit her clients. These visits solidified her passion for helping people. By the age of 19, she was working as a Certified Nursing Assistant and subsequently became a Certified Medical Assistant. She started working as a medical assistant in women’s health and within four years had worked her way up to office manager. Having an aunt who is a breast cancer survivor and a cousin who lost the fight with ovarian cancer has made her an advocate for preventative screening. She is currently at Be Well Women’s Health while pursuing her nursing degree. As the office manager, she challenges her staff and sets a high bar from the initial patient interaction. Creating a comfortable and trusting office environment is critical for a meaningful patient experience. When asked, “If you could be any animal, what would it be and why?” she states she would be an owl because they are majestic and exude wisdom, plus they get to see the world from above, a different perspective. Sometimes changing your perspective is all you need to navigate an impossible situation. She currently resides in Galloway, NJ. In her spare time, she enjoys reading and spending time with her family. For more information, call 609-383-4042 or visit www.bewellgyn.com.

Photo by Donna Andrews Photography

Siobhan M. Connolly Vice President and Trust Officer, Garden State Trust Company Siobhan Connolly moved from New York with her husband and two girls to Howell, NJ in 2008 to be closer to her father, who lives in Manasquan. While in New York she taught high school, worked with at-risk students teaching career skills and employment preparation, and owned a retail business. Siobhan joined Garden State Trust Company (GSTC), Toms River, NJ, in January of 2009. As Vice President and Trust Officer / Senior Relationship Manager, her responsibilities include meeting the needs of trust & estate, investment management, and charitable foundation clients. With a Master’s in Education, and having recently earned her CTFA (Certified Trust and Financial Advisor) designation, Siobhan has found her passion focusing on Special Needs Trusts, which often require navigating the dilemmas faced by special needs clients and their families. Siobhan is honored to work with these families and takes pride in helping them provide the best life possible for their loved one. Siobhan currently serves on the Board of Directors for SCAN (Social Community Activities Network), serving the large retiree population of Monmouth and Ocean Counties by providing education and resources to enhance their quality of life. To learn more about GSTC, visit www.gstrustco.com. Siobhan can be reached at 732-255-5000 or email sconnolly@gstrustco.com.

Lauren Russo Isagenix Lauren is a mom of two beautiful boys who found a simple system that allowed her to exceed her health goals and continue to maintain a healthy, balanced lifestyle for the last 4 years. After feeling the best, she had felt in a very long time, aligning herself with the global health and wellness company that got her there made perfect sense. She also wanted more time with her children and found the vehicle to deliver that in this opportunity. Lauren offers solutions for weight wellness, energy, performance, healthy aging and financial freedom to others on a daily basis. She believes that each and every woman deserves to feel inspired, encouraged, and comfortable in her own skin. With a passion for education and holistic health, she is committed to showing others that their perfection is in their imperfections, how to thrive through it all, and how to live a life with more freedom. Lauren truly lives out loud through her authenticity, her humor and her ability to always see the bright side of life. Please connect with me on Facebook or call me at 908-963-6446.

Photo by Tracy Harman Photography

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September/October 2019

Medical Professionals

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September/October 2019

Business Spotlight

63 71

Enhance Enhance Your

Natural Natural Beauty

Dr. Dr.Christopher ChristopherGodek Godek As a Board Certified Plastic Surgeon, Dr. ChristopherGodek Godekhas hasdeveloped developedaatrue truelove love Christopher forthe thespecialty. specialty.Part Partof ofwhat whatmakes makeshim himso so for successful is his ability to appreciate the way successful is his ability to appreciate the way plasticsurgery surgerycan cantransform transformaaperson’s person’slife. life. plastic He is devoted to cosmetic and reconstructive He is devoted to cosmetic and reconstructive surgery including facial, breast and body surgery facial, breast and body surgery.including His reconstructive practice includes surgery. His reconstructive practice includes breast cancer reconstruction, skin cancers, breast skin cancers, facial cancer trauma,reconstruction, and facial reconstruction. Dr. facial trauma, and facial reconstruction. Godek also has a very busy non-surgicalDr. Godek also hasincludes a very busy practice that skin non-surgical care, chemical peel programs and injectables, including Botox, practice that includes skin care, chemical peel Juvederm, Voluma, Radiesse, Belotero, and programs and injectables, including Botox, Sculptra. “These invasive techniques Juvederm, Voluma,minimally Radiesse, Belotero, and are used to improve facial balance and create Sculptra. “These minimally invasive techniques a more natural, youthful and rested look,” he are used to improve facial balance and create adds. He and his team take an individualized a approach more natural, youthful and rested he to each patient they see. look,” He adds, adds. andstrives his team take anresults individualized “Our He team to achieve that approach to each patient they see. He adds, “Our team strivesthe to achieve results that complementing beauty of your natural features.” enhance specific areas of concern, while also complementing the beauty of your natural features.” Dr. Godek: I originally trained as a biomedical engineer

at Syracuse University and then went on complete CW: How did you become involved in to this field?

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at HarvardinMedical School. While in Boston, I hadthis the surgeons the country. After spending time with opportunity to work alongside one of the top plastic surgeon, I came to realize the unique aspects of Plastic surgeons in the country. After spending time with this surgeon, I came to realize thewith unique Plastic wonderful interactions I had myaspects teachersofand patients Surgery. I became involved in this field due to the while training at Boston University, Harvard Medical wonderful I hadofwith my teachers andIpatients School, andinteractions the University Pennsylvania, where while training at Boston University, Harvard Medical completed my Plastic Surgery residency. School, and the University of Pennsylvania, where I MCW: What is the most rewarding part about your completed my Plastic Surgery residency. profession? CW: What is the being most rewarding your Dr. Godek: I love able to help part othersabout in need. Patients often come to me with a problem or concern and profession? Dr. Godek: I love being able to help others in need. Patients often come to me with a problem or concern and from helping young children withup-to-date birth defects or injuries, being able to offer them the most options to to helping who rewarding. have lost a This breastincludes due to breast help them iswomen incredibly everything from helping young children with birth defects or injuries, tremendously rewarding. to helping women who have lost a breast due to breast cancer. The ability to feel “whole” again is MCW: What is the help mostsomeone challenging? tremendously rewarding. Dr. Godek: is thatWhat not allisdeformities can be corrected. Additionally, CW: the most challenging?

not Godek: all patients seechallenging us in our practice arethe candidates for Dr. Thethat most aspect of profession duealltodeformities other health issues or medicalAdditionally, conditions. issurgery that not can be corrected. My all number onethat priority safety of our not patients see usisinthe our practice arepatients. candidates for Havingdue to tell patient thatissues they cannot undergo a certain surgery to aother health or medical conditions. procedure their health very challenging and can My numberdue onetopriority is theissafety of our patients. be quitetoupsetting to thethat patient. work very closely with Having tell a patient they We cannot undergo a certain our patients to help them overcome these obstacles when, procedure due to their health is very challenging and can andquite if they occur. to the patient. We work very closely with be upsetting

our patients to help thempractice overcomeapart thesefrom obstacles when, MCW: What sets your others like and if they occur. it? Dr. Godek: We provide a great deal of from extra care before, CW: What sets your practice apart others like it? during, and after surgery. For facial procedures, patients Dr. Godek: We provide a great deal of extra care before, meet with of surgery. our BellaFor Derma during, andone after facialaestheticians procedures, for patients skin care and make-up advice beforehand; then for meet with one of our Bella Derma aestheticians for microdermabrasion andadvice facial beforehand; massages following skin care and make-up then fortheir surgeries. microdermabrasion and facial massages following their For body procedures, patients visit the Bella Derma surgeries. Medi Spa for massage and ultrasound to reduce any For body procedures, patients visit the Bella Derma swelling or bruising and to help diminish downtime after Medi Spa for massage and ultrasound to reduce any surgeries. My patients receive so much more than just a swelling or bruising and to help diminish downtime after procedure. Our state-of-the art spa treatments speed our surgeries. My patients receive so much more than just a

procedure. Our state-of-the art spa treatments speed our patient’s recoveries and help them look and feel healthy so patient’s recoveries and help them look and feel that they may return to their everyday activities ashealthy soon asso that they may return to their everyday activities as soon as possible. possible.

MCW: What are the most common procedures that CW:perform? What are the most common procedures that you you perform? Dr. Godek: Dr. Godek: Thenasal mostsurgery, common procedures I breast perform include eyelid lifts, facethat lifts, perform include nasal eyelid lifts, faceaslifts, enlargement, breast liftssurgery, and breast reductions, wellbreast as enlargement, breast lifts and breast reductions, as well as number breast cancer reconstructions, facial cancer tummy of tucks, and liposuction. I also perform a significant reconstructions, reconstruction after facial number of breastand cancer reconstructions, facialtrauma. cancer reconstructions, and reconstruction after facial trauma. MCW: Are there any cases that stick out in your mind? CW: Are there any cases that stick out in your mind? Dr. Dr.Godek: Godek:One Oneofofmy mymost mostmemorable memorablecases casesisisfrom from early earlyin inmy mycareer. career.Upon Uponcompleting completingmy mytraining trainingatatthe the University Universityof ofPennsylvania, Pennsylvania,I Istarted startedworking workingininNew NewJersey Jersey and was on staff at several hospitals in both Monmouth and Ocean OceanCounties. Counties.At Atthat thattime, time,I Iwas wastaking takingtrauma traumacalls callsatat Jersey JerseyShore ShoreUniversity UniversityMedical MedicalCenter Centerand andwas wason onPlastic Plastic Surgery Surgerycall. call.IIreceived receivedaaphone phonecall callfrom fromthe theemergency emergency room roomabout aboutaayoung younggirl girlwho wholost losther herhand handinina arollover rollover motor motorvehicle vehicleaccident accidenton onthe theGarden GardenState StateParkway. Parkway.I Iwas was able ableto totake takethe thepatient patienttotothe theoperating operatingroom roomand andre-attach re-attach her her hand handwith withtechniques techniquesand andmicrosurgery microsurgerythat thatI Ihad had learned learnedwhile whileatatthe theUniversity UniversityofofPennsylvania. Pennsylvania.She Shemade made an an incredible incrediblerecovery recoveryand andwas wasable abletotokeep keepher herhand. hand. consistently puts his patients Dr. Godek consistently puts his patients first. Beginning with Beginning withthe theconsultation consultationvisit, visit,he hespends spends quality time getting to know each of them quality time getting to know each of themand andtoto better understand their goals. He adds, “I want better understand their goals. He adds, “I want to to be be sure surethey theyfeel feelcomfortable comfortableexpressing expressingtheir their aesthetic goals to me. All of my patients aesthetic goals to me. All of my patientsare are very very special specialto tome. me.I Ithoroughly thoroughlyenjoy enjoygetting gettingtoto know each one of them on a personal basis know each one of them on a personal basisand and developing developingaalifelong lifelongrelationship relationshipwith withthem.” them.” He grew up in a small town in Western He grew up in a small town in Western Massachusetts where he met his wife, Kristen, Massachusetts where he met his wife, Kristen, when they were both in high school. The couple when they were both in high school. The couple now lives in a small ocean community with their now lives in a small ocean community with their two boys. Outside of Plastic Surgery, they enjoy two boys. Outside of Plastic Surgery, they enjoy and time at the beach paddle time at the beach paddle surfing and fishing.

Face Lifts Eyelid Lifts Rhinoplasty Skin Care Breast Enhancement Body Contouring Facial Rejuvenation Injectables and Fillers Ave., Suite 200A• • 1959 Toms River,34, NJBuilding 08753A, Wall, NJ 07719 1430 Hooper Ave.,1430 Suite Hooper 200A • Toms River, NJ 08753 Highway

732-281-1988 • www.drgodek.com • bella-dermamedispa.com

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