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SURVIVING AND STAGES TO ESTATE THRIVING-DOMESTIC PLANNING. VIOLENCE. Owner, Jersey Shore Pharmacy Despite the fact that Domestic Violence most people believe Jay has been a pharmacist since 1992, forms, after appears in many estate planning is including cyber abuse, University in important, less than graduating from Northeastern emotional/mental Free Rx half have made anyBoston, MA. He moved to the Jersey Shore andabuse, then financial abuse, and plans. Pick-Up and worked at Thrift Drug in Tuckerton, NJ. After working Page 22 Page 8 much more.
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IT’S THAT TIME OF YEAR AGIN… SHOULD YOU GET A FLU SHOT? The flu is a respiratory infection that’s caused by many different viruses. Page 31
for several different chains and small independent pharmacies he decided to open his rst pharmacy in Barnegat in 1999. After selling the franchise in 2007, Jay now owns and operates his own private retail f pharmacy in Barnegat, NJ with his own compounding lab on site. Jay is a member of IACP, PCCA, NCPA, and NJPhA. Jay is an active member in the community and lives locally. He is a Board of Directors member at Coastal Volunteers In Medicine, which is a free clinic located at 239 South Main Street in Barnegat, NJ. Jay & his partners also run Jersey Shore Pharmacies, one specializing in compounding and the other specializing in long-term-care facilities.
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The doctors at University Urology Associates of New Jersey (UUANJ) have been recognized by fellow medical practitioners as among the best urologists in the Garden State. Read more on pages 27, 28 & 29.
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November/December 2020
Medical Professionals
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Understanding Bursitis How Can Physical Therapy Help You? by Lori Hueburger, DPT
Anatomy and Function of a Bursa
Bursae are fluid-filled sacs that aid in joint motion. There are over 150 bursae in the human body. Bursae are filled with synovial fluid (a lubricant) and they secrete this fluid to counter joint friction with movement. They function to provide a cushion between bones and muscles and their tendons, allowing pain-free movement. Without a bursa, the tendons would grind over the bones with each movement. When bursitis occurs, it is the inflammation of the bursa sac, causing irritation and making movements painful and difficult. Bursitis occurs most often later in life, the majority of individuals being over 40 years of age. You can see signs of bursitis if the affected joint feels achy or stiff, if it hurts more when you press on it or move it, or it looks swollen or red.
How Bursitis is Diagnosed
Bursitis is often diagnosed through ruling out other pathologies and gathering a detailed medical history and physical exam. Imaging can be useful to diagnose bursitis; while x-ray can rule out other pathologies, it cannot positively establish the presence of bursitis. Ultrasound or MRI can be used to confirm the diagnosis.
Common Causes
Bursitis can occur for a number of different reasons. Repetitive motions, muscle weakness, poor coordination, improper posture, direct trauma, surgery, calcium deposits, infection or autoimmune disorders can all directly cause bursitis and result in pain and irritation with joint movement.
Types of Bursitis
Subacromial, prepatellar, trochanteric, olecranon and pes anserine are all common areas where bursitis can occur. Subacromial bursitis presents with pain around the shoulder, usually caused by repetitive throwing or overhead reaching. This is the most common of all the types. Prepatellar and pes anserine bursitis affect the knee joint and can be irritated with kneeling or stairs. Trochanteric
affects the hip joint and can be caused by sudden increased amount of walking or jogging. This type may cause pain with lying on the affected side. Olecranon bursitis affects the elbow, also known as student elbow and can often result in swelling.
Treatment Options
Conservative treatment is usually used first for the treatment of bursitis. This involves rest, ice and taking a pain reliever or anti-inflammatory medicine. If the bursitis is caused by infection, a prescribed antibiotic by a physician can be used. A corticosteroid injection can be used to decrease inflammation. Surgery may also be done to drain the bursa or remove it altogether, which is a more rare option. Physical therapy is a highly effective and less invasive option.
Physical Therapy and Bursitis
Physical therapists are educated and trained to help treat all types of bursitis. During the physical therapy evaluation, your therapist will take measurements to see what musculoskeletal deficits are present and design a personalized exercise program. The program will be targeted to your specific needs and will aim to improve several areas. Increase Strength. Bursitis is often the result of weak musculature. Weak muscles can lead to injuries or coordination problems. By building up strength in the muscles, joints will move more efficiently and with improved mechanics, leading to decreased rubbing on the bursa and decreased irritation. Along with strength, power
and endurance should be addressed since bursitis is often linked to overuse. Exercises may include free weights, TheraBands or weight-bearing activities. Improve Range of Motion. Physical therapy will help restore normal motion in the affected joint. Over time from bursitis, joint motion may decrease due to pain or soft tissue changes. Your physical therapist may address this with passive range of motion exercises and then progress to active and stretching. Since any pressure on an inflamed bursa can increase pain, it is imperative to stretch any soft tissue structures that are tight or shortened to decrease pain. Post-Surgical Care. Although surgery is not a common intervention used for bursitis, if it is performed, then physical therapy can aid in your recovery. Your W omen O f O physical therapist will create a personalized program to cean help Co you regain strength and range of motion in the most painfree and time-efficient mannerDotoli, possible. Kathleen Esq., Workers’ Compensation & S Ms. Dotoli is a licensed NJ attorney and has been practicing law and protecting workers’ rights Reduce Pain andCounty Swelling. Modalities can be Bar Association’s Worker’s Compensation Committee and used a member of the NJ State Bar A Committee. Ms. Dotoli has received recognition from the American Institute of Legal Counsel for to address the swelling in the joint. Therapeutic agents Law Division for Client Satisfaction” in 2016. Ms. Dotolistimulation also completed ten yearscan of training the Justice James Coleman Workers’ Comp such as icing and electrical bewithgood ways Board Member of the American Red Cross, South Jersey Division and is a Member of the Paralega of her proudestswelling. achievements is being a member of the NJ Bar Foundation’s Vincent Apruz to modulate pain and One decrease This in turn will creates the challenging statewide mock trial program for high school students statewide. allow for the underlying pathologies to be treated. Relative Ms. Dotoli holds several lectures each year for the public to learn more about Workers’ Compen and maintains her law practice in Ocean County, stating, “This is where my heart is and wher rest can also alleviatelivespain. Your therapist can instruct you For more information please call, 732-228-7534 or visit www.jerseysh in activity modification and altering movement patterns to Photo by Tracy Harman Photography decrease the stress placed on the joint. Barbara Sica,Once Director of Reverse Homebr Reoccurrence Prevention. your bursitis Lending, is Born and raised in Ocean County, Barbara Sica has been a trusted source in the local mor treated, your physicalHomeBridge’s therapist will have provided you helped withthousands of local r Director of Reverse Lending, not only has Barbara assisted countless New Jersey seniors maintain their quality of life by explaining to them how a home exercise program. Bursitis can be a re-occurring Modern reverse mortgages are not the deceptive loans many thought them to be decades a leverage program the equity in theirwill home sohelp they canprevent live the life they’ve become accustomed to, in ad ailment, and your home this. vacation travel, as well as for other things of interest to themselves and their families. considers her approach in the mortgage industry “old school” and takes pride in t By keeping up with theBarbara exercises, you will maintain your customers, as well as being there for them every step of the way during these incredibly impo strength and flexibility.HomeBridge By making modifications, itself is one simple of the faster growing, mortgage specific lenders in the country, li you canFor reduce your riskor for bursitis and decrease severity ofor visit www. more information to schedule an appointment call 732-569-4830 flare-ups. Your physical therapist will instruct you in proper lifting techniques and maintaining proper posture, and Judy Kerlin, Orthopedic Nurse Practitioner, Advocar educate you on the importance of stretching and warming Judy Kerlin, APN, is currently employed at Advocare Stafford Orthopedics up prior to strenuousOriginally exercise. from Philadelphia, PA, she now resides in Ship Bottom, NJ. She h Prior to Physical returning to school to obtainCenter advanced degrees, she worked as a reg At each one of All-Care Therapy Center. After graduation, she became board certified and has worked as an O locations, our staff is past knowledgeable and qualified to for patients with musculo 20 years. Her scope of practice includes caring Judy has office hours on Monday and Wednesday and can treat all orthoped help you with bursitis. We will create an individualized chronic problems such as arthritis. With her varied experiences and caring de care from exercise program to cater toher.your specific needs. Call for an appointment today!For more information please call 609-597-6092 or visit www.advoca Photo by Tracy Harman Photography
Your safety and health are our first priority
Barnegat Brick - Ramtown Brick - Silverton Forked River Freehold Jackson Manahawkin Manchester Toms River Wall Whiting New Specialty Service Centers
Lori DPT, Physical LoriHeuberger, Heuberger, DPT Therapist, All-Care
We’re open and here for you! All-Care is following all CDC guidelines to keep you (and us) safe! • Telehealth • In-Clinic • In-Home Therapy • In-Network
• Healthy Lungs for COVID Recovered Patients • LSVT Big Parkinson’s Treatment • Certified Hand Specialists
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Lori Heuberger works at All-Care Physical Therapy Center’s Barnegat location as Bachelors of Science degree in Kinesiology with a concentration in Exercise Science Lori Heuberger works at All-Care then attended Seton Hall University where she received a Doctorate of Physical Ther Physical Therapy Center’s Barnegat of her classmates conducted extensive research on gait patterns and deviations. This the National Combined Sections Meeting in 2015. location as an outpatient physical Lori has completed clinical rotations in areas of outpatient orthopedic, acute reha therapist. earned has worked withLori and treated a wideher rangeBachelors of diagnoses andof patient populations inclu Parkinson’s, replacements, arthritis and various orthopedic post-surgical. Lori i Sciencejoint degree in Kinesiology with a herself on providing patient-first care. She believes each of her patients’ plans of care concentration in Exercise Science from personal goals.
James Madison University in 2010. Lori For more information about physical therapy at All-Care please visit their website at www.al then attended Seton Hall University where she received by Tracy Harman aPhoto Doctorate ofPhotography Physical Therapy in 2015. While at Seton LoriWoman and three of her classmates conducted extensive www.TheCountyWoman.com TheHall, County Magazine research on gait patterns and deviations. This research was later accepted to and presented at the National Combined Sections Meeting in 2015. Lori has completed clinical rotations in areas of outpatient orthopedic, acute rehabilitation and subacute skilled nursing. She has worked with and treated a wide range of diagnoses and patient populations including amputations, cerebral vascular accidents, Parkinson’s, joint replacements, arthritis and various orthopedic post-surgical. Lori is passionate about physical therapy and prides herself on providing patient-first care. She believes each of her patients’ plans of care should be tailored to fit the individual and their personal goals.
November/December 2020
The County Woman
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Welcome to the November/December 2020 Issue of the Ocean County Woman! Monmouth County Monmouth County Since 2008
Since 2008
Dear Readers, Woman
Woman
There is no doubt about it, 2020 has been a year unlike any other. While the pandemic has become a part of our everyday life and we are learning to live with it, it can still feel challenging at times to adjust to this new normal. We are approaching the holiday season and like everything else these days, it’s going to look a bit different. However, that does not mean that traditions must be cancelled. They just need to be tweaked a bit. I am really looking forward to the holiday season and its clear we could all use a reprieve from the worry and stress of the pandemic. This is a time to exercise our gratitude muscle and take notice of all the ordinary blessings we have in our life. If you are unable to spend time in person with family members this year, be sure and take advantage of technology and set up zoom calls. As we all know, travelling can bring with it risks and the safest thing we can do is stay home. While its tempting to think of all the things we may not be able to do this year, it is more important than ever to try and stay positive. New Jersey is beautiful in the winter and there is plenty to do. I personally love driving around the different towns to see the beautiful holiday lights and decorations. There really is no better time to reflect on our blessings and deliberately seek out ways to be better for ourselves and our loved ones in Fine Art Photography 2021. This is the season to spread joy, kindness, and wonder. Take time for Tracy Harman Photography.......................................... 2 yourselfAll andcorrespondence stay healthy. should beAll addressed to: Medical Professionals correspondence should be addressed to:
“Winter is the time for comfort, for good food and warmth, for the touch of a friendly hand and for a talk beside the fire:it is time for home.” - Edith Sitwell
Inside...
Happy Holidays Woman to you and yours! The County
All-Care Physical Therapy Center LLC.......................... 3
The County Woman Shore Vascular & Vein Center........................................ 6
Best Wishes, P.O. Box 619 P.O. Box 619 Advanced Memory Research Institute.......................... 7 Lauren Shover, Production Manager, & 08012 the Staff atTurnersville, the Ocean CountyNJ 08012 Advanced Dermatology................................................. 9 Turnersville, NJ Woman Publication Relievus....................................................................... 11
The County Woman’s Newspaper is published bi-monthly and isWoman’s available Newspaper free of charge at The County is published bi-monthly and Gastroenterologists is available free of charge of at Ocean County......................... 13 display stands in approved private and public establishments and authorized display stands in approveddistributors private andonly, public establishments and authorized distributors only, New Jersey Hematology Oncology Associates.......... 14 or by paid mail subscription. or by paid mail subscription. Institute for Complementary and Alternative Medicine.15 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 this paper may be reproduced without the written permission of the publisher. Bella Derma Medi Spa. . ............................................... 16 this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper is not responsibleThe for any editorial comment (other isthan County Woman’s Newspaper not responsible for any editorial comment (other than Advocare Stafford Orthopedics. . ................................. 17 Ce r leb ea ratin hY greproducOur 9t its own), typographical errors from advertisements submitted as camera ready or any its own), typographical errors from advertisements submitted as camera ready or anyScience reproduc-Center of New Jersey....... 18, 19 Reproductive tions of advertisements submitted as camera ready. tions of advertisements submitted as camera ready. River X-Ray, CT & MRI Center........................... 21 If an advertisement does not meet our standards of acceptance, we may does revisenot or meet cancelour it atstandards of acceptance,Toms If an advertisement we may revise or cancel it at Intuitive Health............................................. 25 any time, whether or not it has been already acknowledged previously The acknowledged and/or previouslyWomen’s any time,and/or whether or not itpublished. has been already published. The Publisher Chris chris@thecountywoman.com advertiser assumes sole responsibility for Lam all statements contained in submitted copy and will Go Feet: Dr. Stuart W. Honick..................................... 26 advertiser assumes sole responsibility for all statements contained in submitted copy and will protect andProduction indemnify the Woman’s Newspaper, its protect owners,and publishers, andthe employees, against Manager & Advertising Sales Lauren indemnify Woman’sShover Newspaper, its owners, publishers, andA.employees, against................................................. 27 Kathy Banks, DMD. any and all liability loss or expense arising out of claims for libel, unfair loss tradeornames, any and all liability expensepatents, arising out of claims for libel, unfair trade names, Paonessa Colonpatents, & Rectal Surgery.............................. 36 staff@thecountywoman.com copyrights and propriety rights, and all violations ofcopyrights the right ofand privacy or other violations propriety rights, and all violations of the right of privacy or other violations AccuCare. . ............................................................. 41, 42 Billing Padden Cooper Certified Public Accountants resulting fromManager the publication of this newspaper or resulting its LLC, advertising copy. from the publication of this newspaper or its advertising copy. Personal Enhancement Center. . .................................. 47 The publisher shall be under no liability for failure, The for any reason,shall to insert an advertisepublisher be under no liability for failure, for any reason, to insert an advertisebilling@thecountywoman.com ment. The publisher shall not be liable by reason of ment. error, omission and/or failure to insert any Dentistry The publisher shall not be liable by reason of error, omissionProfessional and/or failure to insert any Designer Golden Design LLC part of an advertisement.Graphic The publisher will not be liable or failure inThe performance part offorandelay advertisement. publisher will not be liable for delay Aesthetic or failure in Dental performance Creations............................................ 5 in publication and/or distribution if allCEO or any portion of an isand/or delayed or suspended Lynn K.issue Wolf in publication distribution if allfor or any portion of an issue is delayed or suspended for Elder Law any reason. The publisher will exercise reasonable judgment in these instances will and exercise will make any reason. The publisher reasonable judgment in these instances and will make Carluccio, Leone, Dimon, Doyle & Sacks, LLC............. 8 adjustments for the advertiser where and when appropriate. adjustments for please the advertisercall: where and when appropriate. For advertising inquiries, The Woman’s Newspaper assumes no responsibility The for unsolicited material orassumes reproducWoman’s Newspaper no responsibility for unsolicited material or&reproducHealth Wellness tions made by advertisers. tions made by advertisers. Hypnosis for Women................................................... 10 This newspaper will be published by the 15th of every month.will be published by the 15th of every other month. Thisother newspaper Living Healthy Naturally............................................... 23 2008. County Woman, LLC TM COPYRIGHT 2008. Representations by The Monmouth County Woman, LLC TM COPYRIGHT Representations by The Monmouth
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November/December 2020
Professional Dentistry
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November/December 2020
Medical Professionals Medical Professionals
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Medical Profe
Groundbreaking NewRemoval Technology Groundbreaking New Technology For Laser Tattoo Groundbreaking New Technology for Laser Tattoo Removal
Cost Shore Vascular & Vein Center treatmen Cost will vary depending on a number of factors including the size of ones, wit / Aesthetic Laser Shore Center Vascular & Vein Center / Aesthetic Laser Center number o the tattoo and the number of treatments needed. Keep in mind that with announces enlighten™, the ™ enlighten™, shouldnewest, anticipate requiring fewer treatmentssolution than required Numbe announces enlight en you , the mostfarcomplete newest, most complete solution People o with other lasers. You can also anticipate more complete results. However, available anywhere for available laser be remov anywhere for laser tattoo removal. since the exact number of treatments will not initially be known, we offer tattoo removal. That is be
complete tattoo removal packages. That gives you a set price in the beginning are neede and eliminates the uncertainty of not knowing the exact number of treatments of variou that will requiring ultimately needed. Ourthan staffrequired can givewith youother more information about are more anticipate farbe fewer treatments lasers. You can also know in pricing after we examine your tattoo. anticipate more complete results. However, since the exact number of treatments will Shore Vascular & Vein Center / Aesthetic Laser Center not initiallyUs be known, we offer complete tattoo removal packages. That gives you a set how com About ™ announces en light en , the newest, most complete price the beginning and eliminates uncertainty of not knowing the exact number Ourin medical director, Dr. Jeffreythe Gosin, is a Board Certified Vascular Surgeon.laser has solutionthat available anywhere laser ofHe treatments will ultimately needed. for Our staff cantattoo give youremoval. moreprocedures information tattoo rem has years of experience in be performing cosmetic vascular laser about pricing after we your tattoo.laser. Over those years, he has been asked the numb ™examine Excel using highly enthe light enacclaimed is the most V™ advanced laser system available a good id About Us byfor many patients if he could safe and effective tattoo removal. It is the world’s first examined Our medical director, Dr. laser system to combine also remove their tattoos with both picosecond and nanosecond Partial Jeffrey Gosin, is a Board Certified technology with dual V™ wavelength lasers. This allows his laser. While the Excel Due to Vascular Surgeon. He has years of individualized treatment of all colors of ink and skin types for other fact laser is best-in-class for vascular experience in performing cosmetic changed. the fastest, complete laser tattoo removal ever available. The “Pico” Difference The “Pico” Difference applications, it most is not designed vascular laser procedures using the leaving o Lasers remove tattoos by delivering high energy overbya very shorthigh period of forThe removing highly acclaimed Excel V™Other laser. Lasers remove tattoos delivering energy “Pico”tattoos. Difference Cost Over those years, hassignificant been asked time to break up ink. Inks of different types, depth can provide prior lasers alsohe had Lasers remove tattoos by delivering high energy over a very short period of time over a very shortcolors periodand of time to break up ink. Cost wi many patients if he could also to break up Therefore, ink. Inks ofhe different types, colors and depth can provide significant significant challenges to remove.Inks It has been shown duration pulses by limitations. of different types, that colorsshorter and depth can provide including remove their would tattoos withprovide his laser. challenges to remove. It has been shown that shorter duration pulses are more to remove. has beenpulses. shown are more effective in completely significant removingchallenges tattoos than longer Itduration previously not treatmen While the Excel V™ laser is besteffective in completely removing tattoos than longer duration pulses. Our new shorter duration pulses are more effectiveAin Our new enlighten™ laser canthat deliver energy at picosecond intervals. this service. requiring enlighten™ laser can deliver energy at picosecond intervals. A picosecond is for vascular applications, removing than times longer shorter durationthan in-class anticipate picosecond is one trillionth of a completely second. This is onetattoos thousand it isone When the new enlighten™ second. This is one thousand times shorter than prior lasers nottrillionth designedof fora removing pulses. Our new enlighten™ laser can deliver energy will not i prior lasers for tattoo removal. Picosecond, sometimes referred to as “pico,” laser became available, for finally tattoo removal. Picosecond, tattoos. Other prior lasers also had sometimes referred to as “pico,” lasers have been at picosecond intervals. A picosecond is one trillionth of a second. This is one thousand you a set lasers have been to remove tattoos more completely and with fewerto that completely changed shown to remove tattoos more completely and with fewer treatments, than with significant limitations. Therefore, times shorter than shown prior lasers for tattoo removal. Picosecond, sometimes referred exact num lasers used in the past. treatments, than in the tattoos past. more completely and with fewer things. Dr. would Gosin researched he previously not provide this as “pico,” lasers havewith beenlasers shownused to remove more info service. Flexibility theFlexibility technology, attended treatments, than with lasers used in the past. About U ™ Picosecond lasers are the most advanced tattoo removal technology light ennewest, When the new en Flexibility Picosecond lasers are the newest, most advanced tattoo removal technology conferences, and personally Our me available. Our laser enlighten™ laser combines this “pico” technology with the laser finally became available, that available. Ourlasers enlighten™ lasermost combines this “pico” technology withavailable. the consulted with experts Picosecond are the newest, advanced tattoo removal technology He has ye flexibilitychanged of boththings. 1064nmDr. and 532nm dual wavelength lasers. Never before has completely the highl Our enlighten™ laser1064nm combinesand this 532nm “pico” technology with the flexibility of both flexibility of both dual wavelength lasers. Never before from around the country who thisresearched combination of power and versatility been available. This now allows for the Gosin the technology, p 1064nm and 532nm dual Neverbeen beforeavailable. has this combination of power were involved in the very early has this combination ofwavelength power andlasers. versatility This now allows attended conferences, and personally E and the versatility been of available. now allows for the treatment of alltraditionally color tattoos and for treatment all colorThis tattoos and skin types, even the use of this remarkable new consulted with laser experts from f skin types, even the traditionally very difficult ones, with a single device. This provides very difficult ones, with a single device. This provides effective results in device.theItcountry becamewho clear that “University Quality Care at the Jersey Shore” Th around were effective results in approximately half the number of treatments of prior lasers. approximately half the number of treatments of prior lasers. this technology set of the involved in the verywould early use Number of Treatments Required and Results this remarkable new device. It Number of Treatments Required and Result new standard in laser tattoo c People often ask how long it will take to remove their tattoo, and will it be able to became clearWe thatare this technology c “University Quality Care People often ask how long it will take to remove their tattoo, and will removal. very pleased be removed completely. Laser tattoo removal typically takes multiple treatments. That would set the new standard in laser c it be able tattoo to be ink removed completely. tattoo typically takes to be the first center in the at the Jersey Shore” is because is deposited deep intoLaser the skin and removal multiple treatments are needed d tattoo removal. We are very pleased multiple That is itbecause tattoo ink is deposited deep into thesizes, entire Delaware Valley to be to reach alltreatments. of the ink and break up completely. In addition, tattoos of various l to be the first center in the entire skin are needed to reachSome all ofcolors the ink it up able to offer this cutting-edge colorsand andmultiple ages may treatments respond differently to treatment. are and morebreak difficult to D Delaware Valley to be able to offer clear completely others.tattoos Therefore, it is impossible to know the very completely. In than addition, of various sizes, colors andinages maybeginning respond technology. this cutting-edge technology. how many treatments will ultimately be needed or how completely it will be removed.than differently to treatment. Some colors are more difficult to clear completely t However,Therefore, our new enlighten™ picosecond laser has shown to be fasterhow and many more IfIfyou are experiencing others. it is impossible to know in been the very beginning you are c effective thanwill the ultimately prior lasers used for tattoo In fact, many can expect to “tattoo regret” and would like treatments be needed or removal. how completely it willpeople be removed. experiencing “tattoo obtain excellent results in half the number of treatments, or less, than with prior lasers. to have your tattoo removed However, our new enlighten™ picosecond laser has been shown to be faster JEFFREY442 S.Bethel GOSIN, MD FACS Our doctor can give you a good idea of the number of treatments that will be needed regret” andcall would or changed, us forlike a Road and more effective than the prior lasers used for tattoo removal. In fact, many after your tattoo is examined. consultation. to have your tattoo Somers Point, NJ 08244 people can expect to obtain excellent results in half the number of treatments, or Partial Tattoo Removal (609) 927-VEIN (8346) removed or changed, call 442 Bethel Road less,Due than prior lasers. Our doctor can give you afactors, good idea the number to with change in circumstances, relationships and other someofpeople desire Somers Point, NJ 08244 www.EndTattooRegret.com Forformore information, of treatments that changed. will be needed your tattoo is examined. us a consultation. to have their tattoos We canafter remove parts of tattoos, while leaving other parts Partial Tattoo Removal intact, to allow for tattoo changes. call 609-927-8346 Cost Due to change in circumstances, relationships and other factors, some people The County Woman Magazine(609) 927 VEIN www.TheCountyWoma (8346) or visit desire have their tattooson changed. can remove parts while Costtowill vary depending a numberWe of factors including theof sizetattoos, of the tattoo and the number of treatments Keep in mind that with enlighten™, you should www.EndTattooRegret.com. www.EndTattooRegret.com leaving other parts intact, toneeded. allow for tattoo changes.
enlighten™ is the most advanced laser system enavailable lighten™for is the most advanced safe and effective laser system available for safe and tattoo removal. It is the effective tattoo removal. It is the world’s world’s first laser system first laser system to combine bothto combine both picosecond and picosecond and nanosecond technology withwith dual wavelength lasers. Thislasers. allows nanosecond technology dual wavelength individualized treatment of all colors of This allows individualized treatment of all colors of ink ink and skin types for the fastest, most and skin types for the fastest, most complete laser tattoo complete laser tattoo removal ever removal ever available. available.
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November/December 2018
November/December 2020
Medical Professionals
7
I didn’t think that this would ever happen to me, because I remember everything. I read a lot, and I am active...
MEMORY LOSS IS NOT
A NORMAL PART OF AGING
IDENTIFYING ALZHEIMER’S DISEASE EARLY IS THE KEY TO TREATMENT PAMELA & JOHN It was during a routine visit to the Neurologist when Pamela expressed a concern for her husband John’s forgetfulness. Her Neurologist suggested they visit Advanced Memory Research Institute of NJ (AMRI) for a free memory evaluation. Memory evaluations consist of a 60-90 minute consultation with a physician and tests to measure cognitive function. John went to AMRI in Early 2018 for his evaluation accompanied by his wife Pamela. Bringing a close family member or caregiver is vital to the process, as they will provide an outside perspective during the interview. Fortunately for John, he scored very well on the tests, and the doctors said he was not showing any signs of cognitive decline. However, during the caregiver interview, the clinician noticed Pamela was having difficulty finding words, and she often had to pause to think before answering their questions. Having successfully completed John’s evaluation, Pamela was offered a screening for herself as well. After reviewing the results of her testing, Dr. Sharma diagnosed her with mild cognitive impairment (MCI). MCI can be an early sign of Alzheimer’s or the first stages of progressive decline to other dementias. It is a decline in usual cognition such as memory, language functions and
reasoning – but with no disorientation during daily activities. “After my test, Dr Sharma came back and said you have MCI, and I was stunned by that. I thought - wait me? It couldn’t happen to me. I didn’t think I had anything wrong with me. I had a great life – I mean I still do. I didn’t think that this would ever happen to me, because I remember everything. I read a lot, and I am active,” Pamela Said. In March of 2018, Pamela decided to participate in a clinical trial at AMRI. During the trial process, Pamela received a PET scan of the brain which confirmed her diagnosis for MCI due to Alzheimer’s disease. “I didn’t hesitate at all. I said what do I have to lose, and I love it here. From the minute I got here, I loved everyone who I talked to. They had all had such a great sense of humor. I was so happy – I couldn’t tell you. I could not do it without them. I am so glad – it was a gift,” said Pamela. “It has been two and a half years now – and they are my family. If I get scared, I know I am in good hands. So, I have to say you have to take the test. It is a win/win situation. Either you find out that there is not a problem, but if there is – believe me – you will fall in love with these people. I know I do. They take care of me. I am not afraid at all for my future. I have no hesitation, because without them, I could not get better.
To learn more about memory evaluations or clinical trials, call AMRI at 732.341.9500 or visit amrinj.com
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JOIN A STUDY AT AMRI Our team at AMRI has more than 50 years of combined experience conducting clinical trials. We specialize in the most innovative study options in every stage of cognitive decline. Do you or someone you know have concerns about memory loss? At AMRI, we are dedicated to preventing your loved one’s memories from fading away. We stand by our work and invite you to our center for a free consultation. This evaluation will look at the patient’s general memory health and capacity for recollection. One of our doctors will then provide a detailed analysis of those findings. All our services are 100% free of charge. There are no co-pays, and in fact, we do not even collect your insurance information. If you are concerned about yourself or a loved one, call AMRI today and put your mind at ease. SANJIV SHARMA, MD, CPI Founder & Principal Investigator - AMRINJ “We now have amyloid PET imaging – which can diagnose patients before they even know they have this disease. 90% of the clinical research protocols are focused on these early patients.”
9 Mule Road, Suite E8, Toms River, NJ 08755
November/December 2020
Elder Law
8
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!
Stages To Estate Planning
Despite the fact that most people believe estate planning is important, less than half have made any plans. Through my practice, I have noticed people fall into various groups when it comes to estate planning. Group 1: The Denier. I’m not going to die soon.
This group is under the mistaken impression that estate planning is only for people who think they are going to die soon. Unfortunately, none of us have a crystal ball to tell us exactly when our time is up. More importantly, estate planning is more than just preparing a Last Will and Testament. Estate planning also involves taking care of yourself while you are alive. A Living Will or Medical Directive ensures your medical decisions are made in accordance with your wishes. A Durable Power of Attorney ensures that your finances are protected.
Group 2: The Defeatist. I don’t care what happens after I’m dead.
An estate plan isn’t just about you. It’s about providing comfort and assistance for the loved ones you’ve left behind. Most people go through life wanting to make things easier for the people they love. Lack of planning will just add to the pain and grief your loved ones will already feel when you die. Oftentimes, loved ones are left with uncertainty about what is the right thing to do. It makes sense to try to eliminate some of the stress and anxiety by ensuring an estate plan is in place.
Group 3: The Delusionist. My family will work together and divide everything up amongst themselves.
Anyone in this group is under the delusion that their children or loved ones will amicably decide how the estate will be divided. It is all too common for estate litigation matters to revolve around the fights related to what each side believes to be the wishes of the decedent. You may think your loved ones understand what you want, but like the child’s game of telephone, each of your loved ones will have their own idea of what you wanted and what’s right and fair. Certified Elder Law Attorney, Annemarie Schreiber answered questions and offered informaton on the Caregivers First TV show, hosted by Lynette Whiteman, Executive Director of Caregiver Volunteers Of Central Jersey. The episode aired last December 12th on local TV stations (visit www.scannj.com for listings). It is also be posted on www.CLDDS.com.
Group 4: The Overconfident. I have named my kids as beneficiaries and joint owners on everything.
The overconfident person’s plan is to share everything equally with his or her kids, so they’ve named them equally on all of the accounts and properties. If nothing ever goes wrong, if no child ever gets sued, if they never face divorce, if they never have a mental illness or physical disability, if they never change, then maybe your accounts and property can get to your kids. Although the overconfident person may think he or she has considered all aspects of their estate plan, there’s always the possibility that an account was missed or that additional property may be acquired. A good estate plan takes care of all the “what if ” unexpected outcomes of life. is also known as a health care proxy directive,
Group 5: Thepower Fossil.ofI’ve madeforanhealth estatecare plan, so advance I don’t need to think a durable attorney or an directive. An about it again. individual appoints a trusted person to be his or her representative in the
Ifevent your the life creator never changes, you nevercan neednotolonger changemake yourmedical plans. The most for of the document decisions common mistake made by people who have planned is to throw that plan him- or herself. in a closet and never speak of it again. Not only does a plan need to change, because you and your change, but the needs to be shared withhis or is alifelegal document inplan which an individual states others. Your family, your beneficiaries, your helpers all should know what her wishes regarding medical treatment and end of life care. An individual’s you’ve done, what you want, and what you expect.
preferences for medical treatment and end of life care are often included in
Group 6: The Realist. Life is a process, not a destination.
This group accepts that life is a process that will change with time. The people in this group have made a plan that takes into consideration the needs of today as well as for when they are gone. The realist knows a plan is worthless if it doesn’t represent what matters in your life today. The take-away to this: Be a realist. Know that life is always changing, and review and update your estate plan regularly.
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
November/December 2020
Medical Professionals
9
EXPERTS
IN ALL AREAS OF
CUTANEOUS MEDICINE: Adult and Pediatric General Dermatology Mordechai M. Tarlow, MD, FAAD Clinical Assistant Professor of Dermatology University of Pennsylvania School of Medicine Diplomate, American Board of Dermatology Fellow, American Society of Mohs Surgery Fellow, American Society of Dermatologic Surgery
Esther Stern, NP-C Fay Prag, NP-C
Oncologic Skin Disease (skin cancer) Surgical Treatment Cosmetic Dermatology Mohs Micrographic Surgery
Pesha M. Cohen, NP-C
Most major insurance plans accepted.
At Advanced Dermatology and Skin Surgery our goal is to provide you with the highest quality skin health care in a nurturing and compassionate environment.
Visit our website at adssnj.com
CALL:732.905.9200
Our experienced providers work side by side in an atmosphere of collaboration.
We are located a short five minutes from the Garden State Parkway:
We look forward to creating a trusting relationship, in which we can work together to keep your skin looking and feeling its best!
Genovese Counseling Services
456 Chestnut Street, Lakewood, NJ 08701
Health & Wellness We Are Partners In Healing
Christine Genovese, LPC
Psychotherapist • Brainspotting Practitioner 125 E. Main Street, Suite 6 • Tuckerton, NJ 08087 553 New Road, Suite E • Somers Point, NJ 08244
609 568-6299
Email: healing@genovesecounseling.com
genovesecounseling.com
Christine Genovese works with educators and other adults experiencing grief, anxiety and major life change. We are partners in healing.
Being invited into another person’s space to help them heal is an honor and a privilege. Seeking counseling is actually selfeducation, and learning about grief, anxiety and major life change, is a partnership. The focus of this practice is structured to support all adults including educational professionals who are experiencing stress, grief, anxiety, depression and major life change. Working through life changing experiences, no matter how great or small, can be difficult especially when navigating
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multiple situations at once. I am here to listen, validate what you are experiencing, discuss possible solutions, and hold space with you. Having worked in an agency setting as well as the school system has allowed me to develop a wide variety of methods for reaching people who are hurting or simply want to sort things out. Through the use of a pointer and a strong relationship, Christine and the client use the natural gaze to incorporate Brainspotting into the therapeutic session.
November/December 2020
Health & Wellness
10
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
Train Your Mind To Curb Your Stress And Lift Your Spirits The holidays are approaching, and this year’s will clearly be different than those of previous years, and possibly more stress-provoking. Everyone feels down or stressed at times, but given the current situation (related to COVID, politics, the economy, social issues, etc.), many people are feeling an extra level of heaviness and edginess. Check in with yourself and your feelings about the holidays. Are you… • Happy about getting together with people you care about? • Sad about not being able to see family and friends you usually do see? • Stressed about preparing for the holidays? • Worried about the financial aspect? • Concerned about contracting the virus through contact with others? • Grateful for all the positive things surrounding the holidays?
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.
For many, feelings about the holidays are a mixed bag; for some, the feelings are extremely uncomfortable. So, what to do? You probably know there are immediate steps you can take to feel better – like exercising regularly, eating more healthfully, improving your sleep quality, and using relaxation techniques. There are also powerful and effective techniques used by hypnosis practitioners that allow you to train your mind to be less fearful and more encouraging. They help relieve many of the negative thinking patterns that limit you, while improving your coping skills. The latest research in neuroscience has taught us more about how the brain operates, and impacts our behavior, thoughts, and feelings. The brain is constantly rewiring itself. That means that you don’t have to stay stuck feeling stressed or down. You can do your own rewiring, so to speak. With the right strategies, you are capable of change. Here are some simple things you can do now:
Hypnosis For Women ❀ ❀ ❀ ❀
Weight Control Smoking Cessation Relaxation/Comfort Fear Release
• Reserve a few minutes daily to clear your mind. Even five minutes will help. Take a few centering breaths (deep belly breaths). As your body calms and relaxes, your mind will feel clearer and will open up to new possibilities. More oxygen will flow to your brain, and muscle tension will lessen. Your problem-solving skills will improve. • Close your eyes and imagine your holidays as you’d like them to play out (being realistic). Put yourself into that experience. Notice the details. Feel the good feelings. Amp up the colors, brightness, sounds, fragrances. Once you’ve done that, devise a plan to make it happen. • Become aware of messages you’ve been giving yourself. If you’ve been feeling stressed or down, your messages have likely been negative and unrealistic. The more you embed negative statements and expectations of unpleasant outcomes, the worse you feel. Change your self-talk. Change the messages. Allow for positive outcomes. Periodically repeat affirmations – positive statements. Your mind is a powerful tool – make it work in your favor. Using hypnosis / coaching is a gentle, effective, and efficient way to help you move forward. This approach is ideal 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 No-Cost Phone Screening / Consultation, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.
Make Your Mind Work FOR You – Instead of Against You!
PROFESSIONAL HYPNOSIS AND COACHING SERVICE ❀ ❀ ❀ ❀ ❀
Focus/Concentration Sleep Improvement Studying/Testing Lifestyle Changes Interviewing/Auditions
❀ ❀ ❀ ❀ ❀
Athletics Public Speaking Flying/Driving Socializing Confidence
Make Your Mind Work For You – Instead of Against You
732-270-0080 • www.HypnoForWomen.com 1541 Rt 37 East, Suite E, Toms River, NJ 08753
The County Woman Magazine www.TheCountyWoman.com
November/December 2020
Medical Professionals
The County Woman Magazine www.TheCountyWoman.com
11
November/December 2020
12
Financial Management
Thoughts On Retirement “Dare to live the life you have dreamed for yourself. Go forward and make your dreams come true.” – Ralph Waldo Emerson In keeping with the theme of this issue of The County Woman, I am going to share some thoughts (not financial) about retirement, because many of you may be thinking of retiring in 2021. One of the recent changes in approaching retirement has been a shift from a complete exit of the labor force to a partial one. Retiring for many may mean the freedom to work only the amount of time they want, and for work to become an optional part of their lives. This may be because transitioning into retirement can be such a difficult process. Restructuring one’s finances from the lifelong accumulation model into a lifetime distribution phase, and the new worries of running out of funds, may contribute to a piecemeal transition. Another part I want concentrate on in this article is that the retiree will have an abundance of unstructured time on his or her hands. Everyone has things to do on their bucket list, but some of those things may be inaccessible due to travel being restricted or other social avenues being shut down due to the pandemic. Newly available and unfamiliar free time at retirement should be viewed as a special gift you have worked so hard to deserve. Many of the great retirement gift ideas are specifically enjoyable time sinks, and may be more appropriate than ever to consider for you, friends and family getting ready to retire. Here are a few ideas: Gift Idea #1: The Joy of Painting – Startup kit The idea of painting without formal training or classes has long been popular. Bob Ross was one of the most successful of the “TV art teachers” with his Joy of Painting. Bob’s gentle voice and approach created a relaxing environment in which to give it a try, giving amateurs the confidence that they might paint something to be proud of. With his step-by-step instructions, even though every participant is following the same directions, they each create something that is uniquely theirs. Best of all, the startup kit has all the needed materials included, so you don’t have to
hunt separately for brushes or paints or canvas. The kit is available on Amazon and other retailers, though the bobross.com website was under maintenance at the time of this writing. If the hobby works out, more videos are available on different streaming sites, so more paintings could be done after the startup kit is finished. Gift Idea #2: Gear for outdoor hobbies such as golfing, gardening, or hiking Spending time outdoors and staying active and fit become more important as we age. Some retirees actually find that they become more fit than ever before, because they devote time to hiking, gardening, golfing. Initially during the pandemic, golf courses in NJ were shuttered. However, we have now found that being outdoors has a lower risk of transmission, and the courses have now reopened with additional safety precautions in place. Similarly, many state parks have reopened as well. If you already enjoy these hobbies, the gift may not create a new time sink, but it still encourages the activity. Some don’t realize the impact that quality hiking boots can make in terms of the enjoyability of a hike. Stability and support can be the difference between wanting to do the activity again, or shying away completely. Gift Idea #3: iPad or Kindle, preloaded with games and books Getting an iPad or Kindle and preloading it with books or games in their favorite genre provides a platform for further exploration and creates an additional use for free time. If they don’t enjoy video games, choose digital versions of things they may do already, such as jigsaw or sudoku puzzles. Many jigsaw apps allow you to create your own jigsaw puzzles, so you could load in family photos to surprise them. Let me leave you with these thoughts: “Don’t act your age in retirement. Act
like the inner young person you have always been.” “Retirement, a time to enjoy all the things you never had time to do when you worked.” “Often when you think you’re at the end of something, you’re at the beginning of something else.” (Author Unknown)
Ira J. Brower
Lifestyle & Money Management Trust & Estate Planning Investment Services True independence and understanding are at the core of our unique value proposition. Caring for and thoughtfully guiding our clients has created the strong trusting relationships we have nurtured over many decades. That’s why so many people rely upon our independent company for wealth management and trust & estate services:
Our focus is where it should be…
Garden State Trust Company. To learn how we can focus on you and your family, contact Adam Brower or Siobhan Connolly.
On You. On Your Family. On Your Future. 1886 Hinds Road • Suite 2 • Toms River, NJ 08753
TOMS RIVER, NJ | CHERRY HILL, NJ | LEBANON, NJ | LINWOOD, NJ
The County Woman Magazine www.TheCountyWoman.com
732.255.5000 | gstrustco.com November/December 2020
Medical Professionals
22
Medical Professionals
13
COVID-19 and the Digestive Tract By Jill Collier, M.D. Medical Director Endoscopy Center of Toms River COVID-19 is an illness caused by infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Although widely known to affect the respiratory system, in many cases gastrointestinal symptoms may play a role or be part of the presentation. It is important for the general population to recognize these symptoms in order to act upon them with appropriate testing and quarantine.
What gastrointestinal symptoms are seen with COVID-19 infection? Although fever, loss of taste, cough, fatigue and shortness of breath are common presentations of COVID-19 infection, gastrointestinal symptoms are frequently noted. Complaints of loss of appetite, nausea and diarrhea are often seen in infected patients. These digestive symptoms may be noted in combination with typical respiratory symptoms, but some patients will experience the intestinal symptoms first or as their only manifestation of the illness. How is COVID-19 transmitted? COVID-19 is thought to be transmitted by respiratory droplets. This has led to the widespread advice to wear face coverings such as masks and to safe distance with six feet between individuals to prevent transmission. In addition, the virus is believed to remain viable on surfaces and therefore strict hand washing and avoidance of touching surfaces which may have harbored the virus is also recommended. Recent studies have also revealed that the virus can be detected in stool specimens of infected patients. In addition the virus may continue to be detected in the stool well after the respiratory symptoms have resolved. How are the digestive symptoms of COVID-19 treated? Symptoms of diarrhea can be treated with over-the-counter medications like loperamide. Hydration is important so patients are encouraged to drink fluids. Symptoms of nausea can be treated with prescriptions to reduce nausea. If patients are unable to maintain hydration orally, intravenous fluids may be required. How does COVID-19 affect the liver? Many patients hospitalized with COVID-19 are noted to have elevated liver enzymes upon blood testing. Those who progress to the more severe life-threatening stage of multisystem organ involvement may experience further deterioration in liver function. Patients with underlying liver diseases like cirrhosis do not appear to have an increased risk of contracting the virus, but like anyone with poor health or advanced age, their prognosis may be worse. Do patients with inflammatory bowel disease (IBD) have an increased risk of COVID-19 infection? Many patients with ulcerative colitis and Crohn’s disease take medications that suppress their immune system. These patients are also more likely to be hospitalized for their disease or to be seen at medical facilities for infusion therapies. Despite this, studies have not shown any increased risk of contracting the infection, or adverse outcomes. Adverse outcomes continue to be associated with other concurrent medical issues
such as diabetes and advanced age. It is not recommended for patients with IBD to stop their medications, unless in the setting of documented COVID-19. All patients with flares of their IBD should be tested for COVID-19 infection. I am scheduled for a colonoscopy or an endoscopy, will I be at increased risk? Currently in New Jersey all patients undergoing elective procedures such as endoscopy and colonoscopy are required to have testing for SARSCoV-2 infection. This is obtained through nasal swab or saliva to detect active infection via polymerase chain reaction (PCR). This is one of many ways patients and staff at endoscopy facilities are protected. In addition, routine measures of masking, safe distancing, thorough facility cleansing and universal personal protective equipment (PPE) for staff are required. It is not recommended for patients to delay needed care during the epidemic as this may lead to adverse outcomes. In conclusion, COVID-19 can be understood as a viral illness with potential to affect not just the respiratory system but also the digestive system. If you think you may have contracted the infection, you are advised to call your health care provider, who can direct you to proper testing.
Omar Tamini, MD Jill Collier, MD Edgar Bigornia, MD Kenneth Glazier, MD Jai Mirchandani, MD Teresa Menadier, MD
• Colonoscopy and colon polyp removal • Colon cancer detection and screening • Rectal bleeding evaluation • Ulcer pain evaluation and treatment • Swallowing disorders
• Endoscopic treatment of hemorrhoids • Capsule Endoscopy • Breath testing • Esophageal and anorectal manometry
TOP DOCTOR
The County Woman Magazine www.TheCountyWoman.com County Woman Magazine
2020
NJTopDocs
www.TheCountyWoman.com
A Division of Allied Digestive Health
November/December March/April 20182020
14
Medical Professionals
Non-Small Cell Lung Cancer: Dr. Apurv Agrawal
Lung cancer causes approximately 135,000 deaths annually. Lung cancer rates have declined over the last 50 years, and that is attributed to a decline in cigarette smoking. Risk factors for developing lung cancer include cigarette smoking (accounting for 90% of lung cancers), environmental factors including asbestosis, radon, and metals, as well as pulmonary fibrosis, HIV, and genetic factors. There are multiple forms of lung cancer but for the purpose of this article, we will focus on the most common type: nonsmall cell lung cancer (NSCLC). Like most cancers, NSCLC is broken down into different stages. Treatment often varies depending on the stage. Stage I lung cancer is a group of NSCLC where there is typically a solitary tumor in the lung measuring <3 cm with no spread to anywhere else in the body. These cancers can be surgically removed by a thoracic surgeon. Following surgery, these cancers rarely require any further treatment. Patients who are not candidates for surgery or do not want surgery can be considered for “local therapies,” which include a targeted form of radiation called CyberKnife therapy. Stage II NSCLC are typically cancers that are >4 cm in size or of any size but have spread to local lymph node(s). These cancers are typically treated with surgery. However, after surgery they require roughly 3 months of chemotherapy to help reduce the risk of the cancer coming back. In some cases they may also require radiation therapy with or after administration of chemotherapy. Stage III NSCLC represents a group of up to three sub-stages. These cancers are typically treated with a course of chemotherapy with radiation therapy over 6-7 weeks. There are a limited number of stage III patients who have surgery to remove the cancer followed by chemotherapy and radiation, as well a small number who have chemotherapy and radiation therapy first, followed by surgical removal. For those patients who are not candidates for surgery, they are treated with immunotherapy for 1 year after completing chemotherapy with radiation treatments. Immunotherapy is a non-chemotherapy treatment that stimulates the patient’s own immune system to help fight cancer. Administering New Jersey Hematology Oncology Associates immunotherapy after chemotherapy and radiation reduces the risk of the cancer coming back. Stage IV NSCLC is when the cancer has spread to Girish Amin, M.D. other parts of the body. Most commonly sites that NSCLC Apurv Agrawal, M.D. spreads to include the brain, liver, and bones. For patients with spread to the brain, radiation is recommended in Jayne Pavlak-Schenk, D.O. conjunction with other treatments. Stage IV NSCLC is Randi Katz, D.O. a heterogenous group of patients, and treatment options are based on the sub-type of NSCLC as well as additional Sara Kovaly, A.P.N molecular testing that is performed on the tumor itself. Those treatment options include chemotherapy, Brick • 1608 Route 88 West, Suite 250 • (732) 840-8880 immunotherapy, and, in some cases, targeted therapies.
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Whiting • 63D lacey Rd. • (732) 206-6226 Neptune • 19 Davis Ave. • (732) 206-6226 Fax • (732) 840-3939 • www.NJHOA.com
Exceptional Care Without Exception
The County Woman Magazine www.TheCountyWoman.com
November/December 2020
Do You Need an Attorney if You’ve Been Injured at Work? 15
Medical Professionals
For minor injuries, you probably don’t need the services of an attorney unless you need help getting your medical bills paid. If any of the following is true, however, you probably do need the services of an attorney who is well-versed in the area of Workers’ Compensation law. • You need surgery. • Your injuries will impair your ability to function as you did before the accident. • You can no longer do your job because of limitations or pain. • You have to change your job to accommodate your limitations. • The insurance company is contesting your claim and will not pay technique, your medical bills or wage Platelet-Rich Plasma, a phenomenal replacement. extracting one’s own blood, separating it to isolate • Your doctors have released you from treatment prematurely. the “Platelet-Rich Plasma,” then activating it to • You would like a second opinion regarding your condition. release multiple growth factors, is often used at • You’ve been fired or have had your hours significantly reduced as a result of your work accident. ICAM (Instituteand foryou Complementary Alternative • The process is overwhelming would like the opinionand of someone who is well-versed Medicine) as the promotion of collagen and in this area.
Dealing with insurance companies regarding your Workers’ Compensation claim can be daunting, especially when you should be concentrating on feeling better. Without the assistance of an experienced attorney to represent your interests, you’ll be subject to the actions and opinions of those who may have interests contrary to yours. Don’t go through this process alone. Contact the Law Office of Kathleen M. Dotoli for courteous and experienced legal representation for your Workers’ Compensation matter.
Platelet Rich Plasma Facial
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into a damaged area, it causes mild inflammation, which triggers a healing cascade. As the platelets organize in the treated area, they release several enzymes to promote healing and tissue response, including attracting stem cells and releasing growth factors to repair damaged tissue. As a result, new collagen and elastin fibers begin to develop. As the collagen matures, it begins to shrink, causing a strengthening and tightening of the tissue in the damaged are.
M
P
PRP has been shown to have an overall rejuvenating effect on the skin, including: Medical Professionals • Improving skin texture edical rofessionals • Decreasing appearance of fine lines use one’s own human body for healing is common practice at ICAM. • Increasing tissue volume via production of With the knowledge of how truly amazing your own body can help you, we are inviting you to come to ICAM and enjoy a 10% discount collagen and elastin (rebuilding the off of any PRP procedure for the months November andlevels December conditions A popular scaffolding trend is now sweeping acrossskin) the coun- with both acute and chronic inflammatory achieve optimalofand therapeutic both in terms of your 2020. try that is utilizing a simple concept to assist our body the including but not limited • Diminishing and improving appearance ofto: fibromyalgia, heart dis- of daily dosage and weeks Love your body for everything amazingofittime can requiring do and fall in love versus months in achieving our daily requirements through what ease, depression, Lyme and other infectious diseases, HEAT STROKE: We all enjoy the summer season but NOT the humidity and uncomfortable scars and stretch marks taking care of of yourself… wehigh-dosing are herethat to schedules. help so. It some IV Nutrition. chronic fatigue, disc disease and more. Most patients •with Most severe form heat these related illness can you leaddo todoes death if not treated heatcall associated with record breaking temperatures. According to the Centers • Improving texture and thickness of skin come at a price, however—meaning after receiving IV Supplementation report increased new “FAD” hasand been sweepingon across America as an emergency forADisease Control Prevention, average, over 600 people die from A comment regardingout-of-pocket this month’s expense. theme…Drips range in by of radiation enhanced mood, stress and anxiety, • Same symptoms of heat exhaustion plus…… complications related to extreme heat each yeartherapy in theenergy, United States - more thandecreased that is openingdamaged the eyes and minds those suffering Grateful, Thankful, and Blessed… just over $100 to as high Body temperature greaterprice thanfrom 104 degrees tornadoes, flooding, lightning any other weather event combined. improved sleep, more energy, •heightened immunity, Minimal down timeor and with fatigue,•hurricanes, generalized malaise, aches/pains At ICAM, these three words speak volumes. asmuscle, $400 forkidney, highly heart specific formulations. • These tempstime leadafter to brain, and total body failure if no improved and quicker recovery just about the everything in between. From • difference Considered safe and effective as stroke? ithydration, is derived What’s between heathousewives exhaustion and heat Collectively, as Providers and Staff, we are abundantly grateful, appropriately treated THE BOTTOM LINE: to construction workers, to athletes, children Heat exhaustion is one’s theactors precursor to blood heatstroke and is aexercise. direct result of the body from own thankful and blessed for all of the healing and health-promoting
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Sick? Tired?Heat Fatigued? Therapy Is Here! Stroke IV Vs.Nutritional Heat Exhaustion First And Foremost Is To Listen To Your Body!
Once again ICAM is offering tooverheating. grandparents, literally thousands Americans are HOW DO neck, THESE IV’s WORK? Using med PRP can be used as aofmicroneedle procedure of the face, chest ICAM we offers a variety of intravenous medical drips that benefit many patients services have been able to provide our clients over the years… OPTIONS to and for your Healthcare self-searching answers to their medical needs and a HEAT EXHAUSTION: icalthe grade other chemicals, or stretch marks, which uses microneedles into skinvitamins, utilizingminerals your and and conditions from “fatigue to fantastic”. Whether you think you healthy or To all of our dear patients, nearFor andmore far, who have followed usare from Needs. information, contact • Heavy to Sweating resolution theirPRP. troubling symptoms. “custom-made” IV’s are you similar to IV’s used in own PRP can also be injected into thethese skin (after appropriate are not, IVand supplementation is a quick efficient to promote health Manahawkin MedfordICAM to Whiting andand are humbled, • Rapid to speak toWayne: one of We theway highly WHYPulse IV NOT ORAL? IV Vitamin Drips deliverimprove outpatient clinics and hospitals where the illness. ingredients anesthetic is applied). Both procedures the appearance, and combat grateful, thankful and blessed… • Dizziness medical staff members vitamins, minerals and amino acids directly to the are based on desired outcomes and patients’summer defi- seasonknowledgeable ICAM is offering our “Hydrator IV” for those who During To ourthe mentor, colleague and fearless leader, Dr. Mark • Fatigue texture and integrity of the skin. Microneedle PRP, as well as PRP to see how you may benefit fromBartiss: His body for maximal absorption, thus allowing for nourciencies/specific needs. The IV route of medication wish to optimize their hydration either before and/or after extreme sun/heat jointSkin injection, are all comfortably done in the office in about 30-90 • Cool, Moist heartfelt dedication to helping people is beyond compare. We are IV Nutrition. ishment on aminutes, cellular level. In addition, higher doses delivery allows for a much higher dosageWhether of nutrients exposure. you choose the IV or oral route of fluid administration, always depending on the procedure. • Goose Bumps When In The Heat grateful, thankful and blessed… can be given, higher, yet future safe levels sure to keep to be administered safelyhis and be effectively whilehydrated. having This is especially important in the very old and the very providing “The doctor of the willwithout give no medicine, but will interest • Muscle Cramps all of us at ICAM, young and of course our furry littleinfriends! the• Nausea limitation these doses oral route Yours HealthFrom and Wealth, the potential of cause 100%and absorption on a cellular level, patients in thehave careupon of thethe human frame, in diet, and in the (gastrointestinal side effects, etc.). – Thomas Edison which far exceeds that of the oral, sublingual and topMany Blessings, Good Health and • Headache prevention of disease.” ical vehicles of administration. For many, this decreasThese symptoms may develop over time or come on suddenly, especially IV nutrition/supplementation has been used sucMarK Read the full article at www.Icamnj.Com This is, in fact, the model of medicine that is practiced at ICAM. Abundant Happiness to You All during as or primary following periods of prolonged exercise AND IF NOT ADDRESSED, cessfully and adjunctive therapy for those Mark James Bartiss, MD es the amount of oral supplements one may need to “Promotion of wellness and prevention of disease.” The ability to
heatstroke can follow.
63 Lacey Rd., Unit C, Whiting, NJ Medford Manahawkin Wayne • • Wayne • 609-978-9002 609-978-9002 973-790-6363 609-654-5900 The County Woman Magazine Massage www.TheCountyWoman.com The CountySchool Woman Magazine
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Hiliday Special
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We At Advocare Stafford Orthopedics Would Like To Wish Everyone Happy Holidays! Written by Dr. Samuel E. Epstein
What is this?
renewals, rest assured This is a surgical technique that is performed throughour veryclinicians, tiny incisions,pre-certification only a few millimetresdepartment, long. This is in contrast to traditional performed largescheduler incisions onwill the foot. Baskin billing surgery department orthrough surgical getDr. back tooffers you We know the holidays can be a stressful thistime, technique with advantages over open surgery. Much less soft tissue stripping and dissection is promptly. You won’t have to call more than once to get an especially this year with COVID-19. We have required to gain access to the bone in order to make the corrections. This may alleviate the need for answer. We are frequently complimented on how competent and implants, or screws. procedures in place for social distancingwires, and efficient our office staff is. sanitizing to help reduce your stress about coming We are grateful to all of our patients, new and old, who have to the office. Our door handles and tabletops are This may lead to: entrusted us with their What conditions treated health for overcan 50be years. Wethis see way? entire frequently cleaned and sanitized with Clorox Wipes • Reduced surgical timefamilies for their musculoskeletal • Bunions (hallux needs, valgus) from grandparents to • Walking in a surgical shoe. • Lumps, bumps, corns, calluses on or in between or 70% alcohol. Our exam tables and chairs arethe same daychildren. Over the years we have seen many children of children. • Less damage to tissues the toes. sanitized after each patient. When you arrive in our the trust • Less internal scarringThis is a testament to• Hammer toesand relationship we’ve developed parking lot, you call us on your mobile phone. Then with patients and their families. (pain There is no higher • Minimal external scarring • Metatarsalgia under the balls of thecompliment. toes) once an exam room is ready, we phone you and (sometimes stitches are toe the arthritis not Weneeded) are thankful to• Big have medical technology to improve • Less joint stiffness (Cheilectomy Rigidus) you’re brought to the exam room. You no longer Minimally Invasive Surgery Open Surgery our patients’ lives. This includes for theHallux latest minimally invasive Sameof dayour surgery • Morton’s Neuroma have to wait in a crowded waiting room. •All techniques to repair •orPlantar reconstruct the foot and ankle to • Quicker recovery time Fasciitis staff wear masks and/or shields to protect you. Our newestactivities minimally• Some invasive fix hip fractures. • Faster return to work the and normal aspectsdevices of flat feettosurgery policy is to see patients as soon as possible. If you Arthroscopic techniques devices ussurgery to repair the • No need for pins or implants in the toes • Someand aspects of ankleallow arthritis think you have broken a bone, we will see you • Possibly a better resultmeniscus tear in the •knee Diabetic ulcers placescuff on thetear foot in the and themost rotator within a day. With other less urgent conditions, we shoulder, and to reconstruct the anterior cruciate ligament. strive to see you within a few days to a week. Small Components for total joint replacements have become more Can any surgeon perform this kind of surgery? things like prompt appointments can reduce No. Verythe specific training in minimally invasive are required and thesethe training have wear-resistant and techniques last longer. In addition, use courses of tranexamic restricted access. A new range of surgical tools, not normally used in traditional open surgery are used stress of waiting. acid and multimodal pain management have reduced bloodand loss these require a new set of technical skills in order to master the different surgical techniques. This requires We are blessed to have courteous, competent, caring staff who and postoperative pain and have allowed total joint patients to go training and experience. Not all foot and ankle surgeons perform minimally invasive foot surgery. respond to our patients’ needs. From the people who answer home earlier. Is it for me? the phones and schedule the appointments to the front desk Most people have minimally invasive it is holiday not for everyone. Some deformities have a surgery, safe, however happy season with personnel, you are greeted with courtesy and kindness. Our are eligible toPlease are too large to be corrected using minimally invasive techniques. A consultation with Dr. Baskin will allow clinicians pride themselves on their experience, knowledge and your family you to discuss this in detail and decide whichand methodfriends! of foot correction is appropriate for you. n training. If you call us with questions, problems or medication
www.TheCountyWoman.com The www.TheCountyWoman.com The County County Woman Woman Magazine Magazine
November/December March/April 2020 2019
Medical Professionals
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Male Factor Infertility…
Helping Small Miracles Happen
Why We Shouldn’t Forget about the Sperm! Oftentimes, a couple experiencing difficulty trying to conceive may presume that the cause of infertility is an inherent problem with the female partner. However, the contribution from the male fertility perspective should not be overlooked. It is estimated that in 2040% of couples experiencing difficulties conceiving, a male problem may be a contributing cause, and may be the sole factor in 20% of couples. Therefore, it is important to understand sperm abnormalities and their potential impact on fertility.
How is the male evaluated?
The first step along with a detailed medical history and physical exam is completion of a semen analysis. This test consists of collection of semen and analysis of various sperm parameters. Total volume, sperm numbers (concentration), sperm movement (motility), and sperm shape (morphology) are recorded, and abnormalities in these values can influence the likelihood of pregnancy success.
What defines male infertility?
Some cases of male infertility include low sperm count (oligospermia), lack of any identifiable sperm (azoospermia), and abnormally-shaped sperm (teratospermia). The extent of sperm abnormalities on pregnancy outcomes is constantly under re-evaluation; however it is evident that these parameters contribute to pregnancy success.
What are the causes of male infertility?
In approximately 40-50% of men with fertility issues, the cause remains unknown. Other identified causes include problems with sperm or testicle development, a problem with sperm transport, or other structural problems that affect sperm development.
Common anatomical conditions that directly influence sperm number include swollen veins around the testicles, and a current hernia or history of a hernia repair. Urological evaluation allows identification of whether the problem is due to abnormal anatomy as in the case of a blockage, or because of suboptimal production of sperm as in a hormonal imbalance. Other cases of male infertility can be attributed to poor movement (poor motility) or abnormally shaped sperm (poor morphology). Even with minor changes in sperm number or shape, there is a lower chance of pregnancy, especially when there is a low proportion of normal sperm.
What are the treatment options?
Treatment of male infertility depends both on the cause of abnormal sperm values, and the extent to which the numbers are abnormal. In some cases, mild abnormal sperm findings can be approached by performing an intrauterine insemination (IUI), which is placement of a concentrated sperm sample directly in the uterus. If the semen analysis values are grossly abnormal, a complete hormonal evaluation and examination by a male infertility urologist can help determine if the problem can be treated medically or surgically. In the case of patients with more severe abnormalities not amenable to surgery, use of in-vitro fertilization (IVF) with injection of a single sperm (ICSI) directly into a mature egg has allowed couples with male infertility to have a family of their own. At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation of both the male and female partner, and present you with individualized options for conception all in a comfortable and caring setting. Our patients are made to feel like guests in our home. We are a full service fertility center experienced in all the latest technologies and look forward to help you achieve success.
For more information call our Toms River office number at 732-240-3000 or visit www.FertilityNJ.com
Recipe
• Comprehensive Fertility Care • InVitro Fertilization (IVF) • Intrauterine Insemination • Intracytoplasmic Sperm Injection (ICSI) • Preimplantation Genetic Testing • Egg Freezing • Donor Egg • Treatment for Recurrent Pregnancy Loss • Advanced Robotic Reproductive Surgery
The Compassionate Connection
Pictured (L-R): Dr. William F. Zeigler • Dr. Alan M. Martinez
We are Open and Offering Telehealth Appointments Toms River • Eatontown • Lawrenceville
732-240-3000 • FERTILITYNJ.COM
Personalized Treatment Plans Free Phone Consultations
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
November/December 2020
Business Spotlight
19
The Physicians At RSCNJ Help Small Miracles Happen Everyday The pressure to raise a family can be enormous, especially if you are dealing with infertility. When you factor in living in a digital age where everyone advertises their every joy or milestone with their children, it can feel especially daunting. The good news is that many couples treated for infertility can go on to have babies using assisted reproductive technology.
The physicians at Reproductive Science Center of NJ are as close to miracle workers as you can get. They are charged with the incredible feat of bringing new life into the world for couples that otherwise thought it would be impossible. Widely recognized for their expertise and success in assisted reproduction, RSCNJ combines a commitment to compassionate care with a cutting-edge fertility program.
Dr. William Ziegler OCW: What is the most challenging aspect of your profession? Dr. Ziegler: Trying to balance high-quality medical care with a patient’s insurance coverage can be very difficult. When we established the first egg donor program in New Jersey insurance did not cover the procedure.
OCW: What are the pros/cons of using an egg donor as a means for treating women who can’t conceive on their own? Dr. Ziegler: The procedure allows women who have severe ovarian dysfunction to carry a child and it is highly successful. However, one of the negative aspects is that it can be expensive.
OCW: What are some common misconceptions about using an egg donor? Dr. Ziegler: Some folks believe the donor still has ownership rights to their eggs, the embryos, and the offspring. This is far from the truth. The law varies by state. However, the legal mother is determined either by birth mother or genetic partner so this possibility of the donor wanting the offspring is not possible. Additionally, the donor waives the right for ownership of the gametes.
OCW: What is the average amount of IVF cycles that a woman should try? Dr. Ziegler: Every patient is unique. There is no set (average) number of IVF cycles. When we decide to proceed with in vitro fertilization, there are several variables to consider. This includes the patient’s age, the couple’s history, and initial cause of infertility, baseline blood work, and the results of prior fertility treatments. Our decision is based on a snapshot in time. We select a protocol that is indicated based on the available test results. Fertility potential is fluent, and even though we select a protocol the ovaries may not respond as expected. If a patient is not pregnant within three completed cycles of in vitro fertilization, it is time to consider other treatment options. During a treatment cycle we are able to assess how the ovaries actually function. How a patient responds to the medication, the dose adjustments required, and the outcome of the cycle will really determine if
another IVF cycle would be beneficial. So there is not an average number of IVF cycles for a specific couple. It may go more than three cycles, depending on the patient’s response and the outcome of their treatment cycles.
Dr. Alan Martinez OCW: What is one misconception about infertility treatment you would like to dispel? Dr. Martinez: I see many patients who are overweight, as this has become more prevalent in our society. Through the course of our evaluation and treatment, success rates for achieving pregnancy and having a healthy pregnancy are greatly impacted by maintaining a healthy weight. Too often, patients that are Class II or Class III obesity (BMI >35 or 40, respectively) don’t realize this is a primary factor that can negatively impact fertility treatment success. Although treatment advances have been made in recent years, patients can directly improve their chances of success by optimizing their body weight, and patients must realize physicians can’t overcome their weight concerns through treatment.
OCW: Why do you think the rate of infertility has increased in recent years? Dr. Martinez: Unlike prior generations, today’s patients bring an increased awareness of infertility. This stems from the availability of web-based information, use of social media, and education from their medical providers. In addition, there is a general trend of delayed childbearing, for a multitude of reasons. Therefore, although overall infertility rates have remained constant, these factors result in more patients seeking infertility care.
OCW: What are some suggestions for couples trying to conceive? Dr. Martinez: I encourage my female patients to track their menstrual periods to better understand when they are ovulating. Also, a discussion of maintaining an ideal body weight is important for conception and a successful pregnancy. Finally, discussing fertility with your gynecologist during a well visit can help identify those couples that should seek consultation with an infertility specialist sooner, rather than at a later time.
OCW: Who is a good candidate for fertility testing and why? Dr. Martinez: In general, couples devoid of any significant medical conditions should initiate testing based upon the female patient’s age. In women under 35, attempting conception for a duration of one year qualifies as infertility, and in those over 35, a six-month duration is adequate. Achieving pregnancy is based largely on egg quality and this stems from overall health and maternal age. This is the primary reason why these general guidelines exist.
732-240-3000
The County Woman Magazine www.TheCountyWoman.com
FERTILITYNJ.COM November/December 2020
Wigs & Hair Replacement
20
Chemotherapy And Radiotherapy Often a necessity in cancer treatments, chemotherapy and cranial radiotherapy reduce or stop cellular activity at the follicular level and in sebaceous glands. Hair will fail within days of starting the treatment.
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Give Your Scalp What It Needs sdeeN tI tahW placS ruoY eviG Alleviating the effects of treatment? We can! •
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November/December 2020
Medical Medical Professionals Professionals
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3D Mammography Advances In X-Ray suspicious, patients need to be called Breast cancer is the second leading cause of death backofforall additional views. The multiple among women. One inThe 8 women will develop breast x-ray machine is the grandfather radiology equipment. When it was invented images created by 3D mammograms Cancer in cancer in her lifetime. Each year it is estimated that over in 1895 by Wilhelm Conrad Roetgen in Germany, it was the first time doctors could look have such increased accuracy that this breast 252,710 women in the United States will be diagnosed inside the human body without dissection. This spurred an entire science of imaging that there is decreased need for this. On is difficult to with breast cancer and more than 40,500 women will created the field of radiology as we know it today. We reduce now have amazing like average 3D mammograms detect machines on die from the disease. This is why early detection is so by upmedicine to 40% compared to ultrasounds, MRIs, CAT scans, PET/CTs,callbacks nuclear imaging, and others that can this standard important. With early detection, the five-year survival traditional mammograms. This means mammogram. image the human body like never before. Despite these new cutting-edge modalities, CyrusisKhorrami, rate nearlyM.D. 100%. The latest weapon in the fight against less radiation exposure, increased standard x-rays areknown still the ordered and most used test, and there continue to be breast cancer is 3D mammography (also asmost breast convenience for our patients, and more advances in the field of x-rays. tomosynthesis). This new technology has increased early peace of mind. detection over traditional mammograms, especially in How are with x-rays created? How doaccuracy means What are Q: What can I expect whenthe advantages of digital women dense breasts. Greater they make images? radiography? better breast cancer detection. having a 3D mammogram?
Electrons are subatomic particles that encircle all are created when we can takeis it different from Q:atoms. WhatX-rays is a 3D mammogram? How electrons use them to strike special metals. regular and mammograms? Those metals then emitcalled x-rays. This is all created one of the most A: 3D mammogram--also breast tomosynthesis--is within Those x-rays pass Itthrough a low level of radiation to advancedx-ray formstubes. of breast cancer detection. uses a very take multiple of the breast. Theand x-ray moves over the breast in an patient and pictures strike the x-ray film, thetube x-ray arc, capturing multiple images of each breast from different turns the film black. As the x-ray passes through angles. A computer these pictures to create a 3-dimensional picture of the breast. A regular areconstructs person’s body, the different densities within the mammogram takes a single picture of the breast. body block the x-ray beam. If the beam is partially blocked, theisfilm gray. If the x-ray is blocked Q: What theisadvantage of 3D mammogram? completely, the film stays white. So, for is normal dense breast A: One of thethen challenges of interpreting mammograms tissue hiding breastblock cancer.the Additionally, overlapping areas of normal dense breast example, bones x-ray beams completely, tissue can look suspicious. This is why detecting breast cancer in women with dense which is why the bones are white, the skin is gray, breasts is more difficult. The 3-dimensional images of breast tomosynthesis help and the surrounding space is black. decrease the tissue overlap that can obscure cancers. It also helps distinguish normal
There A: The process of having a 3D is markedly increased speed in using mammogram is the same as a radiography. In the past when x-rays were digital conventional 2D exam. The taken, we had to wait for the films to be processed technologist will position you, in order to see the images. Now, the x-rays taken compress your breast, and take images the no technologist are faster and the images from different angles. by There’s arerequired, createdand immediately. Our love the Using 3Dpatients mammogram additional compression it technology, the only takes a few extra improved seconds. speed and efficiency, and our radiologists cancerfaster was than ableever. to be are able to diagnose disease Q: Do insurance Much companies clearly seen. like how pictures taken on the newest cover 3D mammograms? cameras are sharper and clearer, digital radiography A: Medicare, and many private insurers, cover 3Dand mammograms. the past, not is the latest technology creates theInclearest all private insurance companies covered 3D mammograms. However, in August images. Our ability to detect subtle infections and 2018, New Jersey enacted a mandate requiring nearly all the major health insurers fractures has never been better. to cover 3D mammograms. Digital radiography uses the latest computerized Toms River X-ray has been performing mammograms images to process x-rays and there are new, more overlapping breast tissue from breast cancer. and serving the community for over 30 years. Our 3D What new advances are there in efficient metals used in the x-ray tubes. These Studies have shown that 3D mammograms significantly improve the mammogram is the latest on the market and has the most x-rays? detection of breast cancer, especially in women with denser breastBones tissue. Itofalso advances Ithave significantly reduced radiation dose the hand block technology. advanced is our mission to provide the very There havecancer been at many advances in x-ray picks up breast an earlier stage, which may be missed bythe traditional in ourWe x-rays. Keeping radiation doses as lowyour a x-ray beamsbest making for our patients. thank you for trusting us with mammography. 3Dthe mammograms find metal 20-65% more invasive breast cancers technology over decades. The used them appear white. possibleofwhile health and the health yourproducing loved the highest quality images compared to traditional 2D mammograms, with an to average increase of 41%. to create the x-ray beam has been improved is our primary goal. ones. We look forward to offering create x-rayradiation beams. Theperforming x-ray film useda to be like the Q: Is more thereefficient increased 3D you this significant advance in breast film used in a camera. Now that our cameras are digital, so are our cancer Toms screening. River X-ray uses the most advanced digital radiography mammogram? x-rays. The x-ray beams now strike a computerized “digital film.” available on the market. We believe this is the best thing we can A: Mammograms expose patients to very low levels of radiation. The level of This immediately creates an image of the patient’s body and sends it provide for our patients. As always, if you have any questions, radiation exposure from a 3D mammogram is the same as that from a traditional wirelessly to a computer that displays the image. This is called digital please feel Cyrus free to Khorrami, contact ourM.D. staff at (732) 244-0777. mammogram. So a patient receives all the benefits without any increased risk. radiography. Medical Director With traditional mammograms, when a radiologist finds an area that is 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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The County Woman Magazine www.TheCountyWoman.com www.TheCountyWoman.com The County Woman Magazine
November/December 2020 September/October 2018
22
Legal Professionals When Abuse is Profuse, Always Refuse to Lose! Surviving and Thriving – Domestic Violence By Ehsan F. Chowdhry, Esq.
New Jersey has one of our nation’s strongest set of laws in place to protect victims of domestic violence. Domestic violence appears in many forms, including cyber abuse, emotional / mental abuse, financial abuse, physical abuse, sexual abuse and a whole host of other combinations.
The Prevention of Domestic Violence Act of 1991 is a statute found within New Jersey’s Code of Criminal Justice, specifically at N.J.S.A. 2C:25-17 through 2C:25-35. The law is found within the criminal laws; the court process is considered civil in nature and final restraining order (FRO) hearings / trials are held in the New Jersey Superior Court, Chancery Division, Family Part. Given the state of COVID-19 and the attendant stressors accompanying it, our practice has seen a tremendous spike in domestic abuse and violence cases, giving us all a great cause for concern. This article aims to give an extremely basic and brief overview to a complex area of the law in New Jersey. Victims of domestic abuse and violence can use these set of laws through a skilled attorney to navigate through a difficult period of their life and through a legal process that seems intimidating. First, who exactly qualifies as a victim? Our state law defines a victim of domestic violence as any person who is eighteen (18) years of age or older or who is an emancipated minor and who has been subjected to domestic violence by a 1) spouse, 2) former spouse, 3) present household member, 4) past household member, 5) any person, regardless of age, with whom the victim has a child in common, 6) anticipates having a child in common (pregnancy), or 7) has or has had a dating relationship with. See N.J.S.A. 2C:25-19d. When victims of domestic abuse and violence muster the courage, strength and temerity to finally say enough to their abusers, the process usually begins with a 911 call if there is an active situation or when the victim can safely escape the situation and goes to either the municipal police department or Superior Court. The process can seem overwhelming but either a police officer or court staff will take the initial information and connect the victim before a municipal court judge, a domestic violence hearing officer or a Superior Court judge to obtain a temporary restraining order (TRO). This is known as an ex parte proceeding, meaning that the abuser is not present nor an attorney from their side. An interpreter can be made available and accommodations for any disability if needed. By law, the victim is put under oath and a copy of the testimony is supposed to be kept, either through stenographic medium, tape or longhand notes (if he or she is not physically present). See Rule 5:7A(d). The victim is asked information regarding the predicate (underlying) act or set of acts causing them to seek out a TRO. There is a box to be checked off on the first page of the TRO and the law provides nineteen (19) categories that can fit, including false imprisonment, sexual assault, harassment and stalking. See N.J.S.A. 2C:25-19a(1)-(19). Additionally, they are asked for information about past history regarding domestic violence and abuse. If during the shock or pressure of this harrowing ordeal a victim forgets information, he or she can either themselves, or better yet, through an attorney, get an amended TRO that includes past acts of violence not initially included. See State of New Jersey Domestic Violence Procedures Manual § 4.5.7. For most victims at the onset of seeking a TRO, an attorney is not involved; however, it is imperative that the first call they make after getting safe from a current act(s) of domestic abuse and violence is to one. At that point, the judge either grants or denies the TRO. If the TRO is granted, you will be provided a copy of the TRO, which indicates certain things the abuser is prohibited from doing, including, but not limited to, contacting you by any means nor through third parties, to have the abuser vacate the household, prevent them from showing up to your work and other protective measures. Law enforcement are directed to serve a copy of this TRO to put the person on notice
that a judge has granted this protection. Then by court rule, this event must be heard within ten (10) days to determine whether an FRO is to be granted. See Rule 5:7A(e). Usually, and especially during COVID-19, a reasonable postponement to get an attorney, from either the victim or the abuser, is honored. It should be noted that unlike the criminal justice system, where an attorney will be appointed for you if you cannot afford one, this is inapplicable in the domestic violence arena in New Jersey. It is common, however, for the abuser to be charged criminally as well in either municipal court or Superior Court, depending on the severity of the underlying domestic violence act. Once the day arrives for the FRO hearing / trial, you will need all your witnesses present along with any evidence that supports your case. This holds true even during the pandemic wherein FRO hearings / trials are being held through virtual court, usually on a Zoom or Microsoft Teams platform. In our state court system, as the victim / plaintiff, you bear the burden of proof. Fortunately, for domestic violence victims it is the lowest burden of proof, a preponderance of the evidence which essentially means that the evidence is more likely true than not true (essentially slightly over a fifty [50] percent standard). See N.J.S.A. 2C:25-29a. In order for the victim of domestic violence / plaintiff to win, he or she must prove, by a preponderance of the evidence, that 1) the court has jurisdiction to hear this case or, in other words, whether they are a victim of domestic violence as defined above; 2) that they have proven by preponderance of the evidence that at least one predicate act occurred and 3) that they have proven by a preponderance of the evidence that issuance of an FRO is necessary to prevent further abuse or future harm. See generally N.J.S.A. 2C:25-29a(1)-(6); Silver v. Silver, 387 N.J. Super. 112 (App. Div. 2006). If the victim is successful in obtaining an FRO, it is a major victory for him or her and a major impediment for the defendant / abuser. A judge has the power under this comprehensive act to order a host of things, including, but not limited to, exiting the residence, revocation of a person’s firearms identification purchaser card, a monetary penalty, subject the person to drug testing, fingerprinting, a financial penalty, payments of restitution, payments for rent or mortgage, custody of a pet, parenting time, mandated professional domestic violence counseling. An FRO can have immigration consequences for a non-citizen, can affect a background check, military or security clearance, and if violated, will subject the violator to prosecution in the Criminal Part of the Superior Court for an indictable crime of contempt. An FRO in New Jersey, unlike other jurisdictions, is permanent – it does not need to be renewed and generally it is not removed absent an exception. This is an extremely simplified version of the major parts of the process. Please call us to utilize our specialized skills, knowledge, education, experience and training to help you break free of the cycle of domestic violence!
The County Woman Magazine www.TheCountyWoman.com
November/December 2020
Treatment Center
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Staying Sober During The Holiday Season With the Holiday season quickly approaching, for many of us, our first thoughts are holiday dinners with family and friends: food, drinks, and sharing good times. However, this can also be the time of year that can trigger someone in recovery to relapse. It is easy to get caught up in the mix of all the holiday festivities, and for those in recovery, they may not have the right tools in place. This time can be very trying and detrimental to their sobriety. So, for those in recovery, whether a loved one, or yourself, here are a few things to keep in mind when celebrating the Thanksgiving or Christmas.
First, and foremost, have sober strategies in place If you are in recovery and planning on going to a holiday event or activity that could potentially trigger a relapse, please plan ahead. Possibly go to a Twelve Step meeting before or after the event, and if needed, go to both. It may also be helpful to bring your sponsor or a friend in recovery with you. Remember, an addict alone is in bad company. Have a support system, a friend in recovery that can be “on call” for you to check in with during the event. Finally, always have an exit strategy, which can mean bringing your own vehicle or figuring out the public transportation nearest to you. Whatever you choose, make sure it will enable you to leave if you are feeling tempted or uncomfortable.
Know what your triggers are
It does not matter how long you have been sober. Be aware of people, places, and things. Celebrating the New Year is full of possible triggers. If there is potential for stress or arguments that may threaten your sobriety at a dinner with family or friends, then
difficult decisions may have to be made. You could limit your time to a couple of hours at these events or refrain from attending altogether. Do not be too hard on yourself, or ever feel obligated to attend. You must do what is healthiest for you and your sobriety.
New Traditions
Many people may fall back into old habits when it comes to holiday traditions. One way to avoid this is to create new traditions. Try being of service, step out of your comfort zone into the community, and help those less fortunate. Maybe offer to help serve a meal at a homeless shelter, spend more time with others in recovery and come up with your own holiday traditions. Reach out to a neighbor who may not have family around and share a meal together. The holidays are filled with endless opportunities for spiritual growth by sharing your gratitude and joy with others.
Having loved ones in recovery
If you are lucky enough to have a loved one in recovery, please just be mindful during this time of year. This does not mean you can’t have your holiday dinner or family gatherings and it does not mean that your yearly traditions must stop. All this means is if your loved one chooses to respectfully decline an invite, leave early from a party, or offer a new tradition they would like to start, just be kind and understanding. For some, it is easier to adjust in recovery. Others know that in order to stay sober, they must change a lot of things. Not everyone’s journey in recovery is the same. Just love and support them, maybe even a little extra during the holidays. If you or a loved one is currently struggling with addiction, do not wait. Reach out now!
Please call us at Greenbranch Recovery and Wellness (833) 272-6246 • www.greenbranchnj.com
206 W. Parkway Drive, Suite 1 • Egg Harbor Twp., NJ 08234
Health & Wellness
Dawn Ferrentino : Health & Wellness Coach Now Is The Time To Take Your First Step To A Healthier You!
Dawn Ferrentino
Health & Prosperity Specialist
Did you gain a few extra pounds recently due to stress eating? Did you find yourself eating more than normal during these times? Has your exercise been limited due to gyms being closed or limited? Did you lose an income during this time and you;re looking for something to help fill the gap? Now is the time to take your health and your wealth back. Diets fail us. Living a healthy lifestyle is what works! Are you sick and tired of feeling sick and tired? Are you having trouble losing weight? Do you struggle to get out of bed when that alarm clock goes off? Or maybe an extra $500 a month would help relieve some stress. If you answered yes to any of the above, keep reading! Dawn Ferrentino specializes in helping thousands of people achieve their desired physical goals and feel their absolute best they possibly can! If you are ready to make a healthy lifestyle change that will help you shed weight and be healthy at the same time, this is exactly what you are looking for. Here are some main points to know about this program: • Easy, convenient and sustainable lifestyle • Guaranteed results - get your body back or get your money back • Weight loss/ energy/improved performance • One on one coaching • Customized packages to fit everyone with an opportunity to create some extra money if you so chose by sharing your results with others! Contact Dawn today at 908-208=0002 for your free consultation.
Call: 908.208.0002 Email: dawnferrentino07@gmail.com Web: dawnferrentino.com
The County Woman Magazine www.TheCountyWoman.com
dawn.baronferrentino November/December 2020
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Nursing & Rehabilitation Center Come & Join us for our Annual Subacute Harvest Reunion “Virtual Style” on Wednesday, November 18th Please email us at Tallwoodsevent18@Gmail.com to receive an invitation... An email will be sent to you with a Virtual Greeting Video from the staff at Tallwoods Care Center After receiving your invitation Please reply to us with your Name & Contact information to enter in the Prize Raffles at Tallwoodsevent18@Gmail.com Winners will be contacted the day of the virtual event
We look forward to hearing from you soon. Stay Safe & Well!
The Power of Connection in Trying Times As a premier regional nursing and rehabilitation facility, Tallwoods Care Center delivers service to rehab patients, long-term residents, Alzheimer’s and dementia sufferers, and loved ones in need of Hospice care. They understand that connecting with their patients is at the heart of everything they do. By providing personalized care from their physicians and therapists, residents are guided through their difficult health challenges with incredible dignity and grace. While the pandemic continues to shatter lives across the globe, the elderly community is a population at serious risk. Staying connected during this time is not only challenging for them, but also heartbreaking for their family members who feel powerless. After all, in challenging times folks need their support systems the most. Although visitors may not be allowed to physically enter the building, this does not mean connection has to stop. In fact, now is when they need it the most! Isolation among the senior population continues to be a problem and the elderly have also been more vulnerable to the physical effects of Covid-19. Feeling isolated can impart negative affects on one’s mental, emotional, and physical health. Studies have found that this type of isolation and loneliness can even exacerbate existing health conditions. In addition, the elderly population tends to rely on family and friends to bring them groceries, pick up prescptions and the like. Sadly, due to the pandemic many no longer have this time and opportunity to connect with family or friends. When you couple that with the fact that many do not have access too (or have the knowledge) to use social media, loneliness and isolation can definitely set in. Community events have ceased and some have has few reasons (or ability) to leave their homes and interact with others. The computer, smartphone, and especially social media apps have been a true life raft and an important tool in combatting loneliness and connecting with loved ones. Now is the time for families to get creative and attempt other ways to connect. Many facilities have implemented “window visits” where family members remain outside but cans till chat with their loved ones. Kids can design posters and bring handmade messages, or food. Another option is to visit your loved one and sit outside on lawn chairs placed six feet apart. After all, socially distant does not have to mean socially absent. If your loved one is proficient with Zoom and Face time, there are a myriad of ways for them to be able to connect and still enjoy each other’s company. There are a variety of free communication tools available to anyone who has access to a computer or smartphone. Some choose to play online games together or even “old school” card games. Another idea is to create your own book club with your elderly friend. Plan to read the same book and schedule a time once a week to discus the book over the phone. Some simply chose to get back to basics and write their loved one a letter or send weekly cards through the mail. Sometimes all it takes to lift spirits is a simple phone call to check in. Another idea gaining in popularity is hosting a virtual Netflix Party. This is the same idea as a book club but instead you plan to watch a movie or documentary together. Some sites allow you to chat during the show. Houseparty is also a wonderful video group chat app for smart phones that allows you to chat face-to face and play interactive games. Best of all, there is screen-sharing capabilities and it remains free. Finally, nothing can lift spirits like Mother Nature. Getting some sun and boosting Vitamin D levels has critical immune functions. Smell the fresh air, touch the grass, and listen to the sounds of the birds. You can bring your loved one a plant or start an herb garden on a windowsill. Many companies sell easy, do it yourself starter kits for beginners.
Tallwoods Care Center A Premier Nursing, Rehabilitation & Long-Term Care Center 18 Butler Blvd., Bayville, NJ 08721 www.TallwoodsCareCenter.com 732-237-2220
Fountainview Care Center Discover Ocean County’s Fountain of Youth 527 River Ave., Lakewood, NJ 08701 www.FountainViewCareCenter.com 732-905-0700
The County Woman Magazine www.TheCountyWoman.com
November/December 2020
Medical Professionals
Intuitive Women’s Health Is Expanding! Our practice providers believe that each woman should be evaluated and cared for beyond their physical complaint alone.
“We are the body and mind, yet we are the soul and spirit too.” Conflicts between spirit’s needs and body’s needs many times result in a shift in our ability to function and heal, eventually leading to the “disease.” Intuitive Women’s Health practice mission is about servicing women of the community according to their needs of both “body & spirit.” Incorporating knowledge of traditional science and medicine with the alternative therapies, like Meditation, Yoga, Acupuncture, Massage, Physical Therapy, and many more is the focus of our practice. Intuitive Women’s Health providers have a passion for teaching and we are compassionate advocates for Women’s Health spanning the ages of adolescence, through the child-bearing years to postmenopausal care. No woman is too young or too old to be seen at our Practice! We are affiliated with Shore Medical Center in Somers Point, NJ, the only “Planetree Designated® Person-Centered Hospital” in South Jersey. Uninsured or Underinsured? We participate in the Cancer Education and Early Detection (CEED) Program at Shore Medical Center, which coordinates FREE GYN EXAM, PAP SMEAR, and MAMMOGRAM.
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Natalia Rezvina Dr. Rezvina competed her residency in Obstetrics and Gynecology at University of Medicine and Dentistry of New Jersey in 2006. She is a well- respected Ob/Gyn physician servicing patients from Ocean, Atlantic, and Cape May Counties. She is specializing in treating pelvic prolapse, urinary incontinence, painful intercourse, minimally invasive surgeries to treat variety of GYN problems. Dr. Rezvina is known as “baby whisperer” at the Natalia Rezvina, MD, FACOG maternity unit at Shore Medical Center. Her primary C/S rates are the lowest among all Ob/Gyn providers in the Department (13-25 %).
We are expanding and welcome new practitioner to our practice Maggie Stanley, CNM! Maggie Stanley, ANP, CNM
Maggie is originally from Lexington, KY and received her nursing degree from University of Kentucky. During an OB clinical rotation, she discovered her passion for the magic of birthing process. She received her Master’s Degree in Midwifery from Frontier Nursing University and has over 25 years of clinical experience in OB. As a nurse midwife she believes every woman should be cared for in a respectful and inclusive manner and should play Maggie Stanley, ANP, CNMs a part in making healthcare decisions for herself. Maggie strives to provide unique, yet safe, birthing experience for all women, incorporating their desires, values and beliefs with the modern standards of care in Obstetrics.
www.intuitivewomenshealth.net
803 New Road, Somers Point, NJ 08244
(609) 788-8158
We are on the ZOCDOC.com also (site to search for medical services and book appointments on line)
“Embracing Your Inner Beauty with an Integrated Approach to Women’s Health.”
Intuitive Women’s Health provides wide range of services to women:
• Comprehensive prenatal care, childbirth and postpartum care • Family planning (preconception counseling, infertility, contraception) • Quick and easy “90 seconds” IUD placement • Routine women wellness exams • Menstrual abnormalities (fibroid uterus, adenomyosis, PMS, heavy periods) • Intractable pelvic pain, painful intercourse, painful bladder syndrome • Pelvic floor relaxation (bladder/uterine prolapse) • Evaluation and treatment of urinary incontinence, medical and surgical (TVTO sling) • Minimally invasive gynecological surgeries (laparoscopic hysterectomy, vaginal hysterectomy) • Laparoscopic treatment of ovarian cysts, endometriosis
The County Woman Magazine www.TheCountyWoman.com
November/December 2020
Medical Professionals
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10 Benefits of MLS Laser Therapy Pain, swelling, and dysfunction caused by arthritis, soft tissue injury, or necessary surgery interfere with your ability to walk and do day-to-day activities. Accelerate healing and achieve long-lasting pain relief with MLS Laser Therapy. Laser therapy reduces inflammation and stimulates your body to heal itself. MLS treatments allow you to skip the pharmaceutical solutions, invasive surgery, or injections that are commonly used to treat foot injuries and chronic pain. Go Feet was the first podiatry practice in the southern New Jersey area to use the MLS Robotic Laser. Serving members of the Hammonton and Mays Landing, New Jersey communities, Go Feet’s expert team of podiatrists can help you determine if MLS laser therapy is right for you.
may be resolved with just four to six sessions while a chronic condition, such as arthritis, benefits from 10-15 treatments. You’ll notice improvements right away and feel progressively better with each consecutive treatment.
Read on to learn the benefits of MLS laser therapy.
7. Appropriate for a wide range of ailments
1. Customizable
The Go Feet podiatrists recognize that your condition is unique to you and not deserving of a one-size-fits-all therapy plan. MLS therapy is fully customized to meet your needs and get the best healing results.
2. Noninvasive
MLS laser therapy uses concentrated light energy that penetrates your outer layer of skin and stimulates healing in the soft tissue that lies beneath. You walk out of the office without having endured any incisions, painful manipulation, injections, or blood loss.
3. Reduces post-surgical recovery time
When used after surgery, MLS laser therapy reduces recovery times. This allows you to return to a higher quality of life sooner.
4. Quick
Each MLS laser therapy session lasts about 10 minutes, and you see results in a relatively short period of time. An acute problem, such as an ankle sprain, Stuart W. Honick, D.P.M., P.T. Podiatric Medicine & Surgery Diplomate American Board of Podiatric Surgery Board Certified In Foot Surgery
4 Arthritis 4 Athlete’s Foot 4 Bunions 4 Diabetic Foot Care 4 Foot & Ankle Injuries 4 Foot Surgeries 4 Fungal Nails
4 Hammertoes 4 Heel Pain 4 MLS Robotic
Laser Therapy 4 Nail Problems 4 Neuromas 4 Orthotics 4 Warts
392 N. White Horse Pike Suite # 2 Hammonton, NJ
609.704.9001
5401 Harding Highway Suite # 5 Mays Landing, NJ
609.625.5400
5. Painless
Treatment with the MLS laser is not painful. You don’t have to tolerate any heat (or cold) during treatment, and it’s safe to use over implanted metal devices.
6. Strong anti-inflammatory effect
The energy from the MLS laser enters your damaged cells, accelerates intercellular activity, and speeds recovery. The laser encourages a metabolic response in the cells that has stalled or slowed. As a result, you experience reduced swelling and inflammation that impede your range of movement and exacerbate pain. The MLS laser is effective in encouraging healing after surgery, but it also facilitates quick healing from strains and sprains. It’s also effective in treating superficial injuries such as wounds and ulcers.
8. Improves circulation
Because your foot is so far away from your heart, circulation to it is often impeded. Blood circulation is necessary to healing as it floods an injury with oxygen and vital nutrients. MLS laser therapy encourages circulation, so you feel better faster while experiencing tissue healing, cell repair, and healthy tissue growth.
9. Accurate
MLS laser therapy delivers controlled energy. The doctors at Go Feet can provide the right therapeutic amount for your needs and repeat this accurate dosage for consistent and repeatable results.
10. Safe, with no side effects
MLS laser therapy has no side effects as the procedure is noninvasive. The use of the MLS laser is FDA-approved. If you have an acute or chronic injury that’s preventing you from doing all the activities you need to do and enjoy, call Go Feet, or book an appointment using our online tool. We can fill you in on how you can benefit from the impressive healing power of MLS laser therapy.
For more information or to schedule an appointment, call 609-704-9001 or visit www.GoFeet.com. For Your Convenience, We’ve Added A 3rd Location! Central Square - 199 New Road, #47 • Linwood, NJ
www.GoFeet.com
Dr. Stuart W. Honick
Diplomate American Board of Podiatric Surgery, Board Certified in Foot Surgery
The County Woman Magazine www.TheCountyWoman.com
Dr. James R. Williamson Board Certified American Board Podiatric Medicine
November/December 2020
Medical Professionals
27
A Safe, Clean, And Friendly Environment
Kathy A. Banks, DMD Oral & Maxillofacial Surgery
Your Expert in the Face, Mouth and Jaws 249 S. Main Street Barnegat , NJ Specialty Lic #4070
609-488-2325 www.drbanksoms.com Office Hours: 8 AM - 5 PM (Mon. - Fri.)
• Bone Grafting •Dental Implants • General and Intravenous Anesthesia • Jaw Pathology and Reconstuctive Jaw Surgery
Mothers in particular have been forced to deal with COVID-19, quarantine, on-line school learning and home schooling, civil unrest, and the uncertainty and stress that accompanies the world we now live in. You have had to hold the family together through shortages of food and household items, and to comfort your loved ones and reassure them that they will be alright when our lives become more normal. You have had to explain to your children hand hygiene, social distancing and wearing a mask. The health and well-being of you and your family is of paramount concern. If you or your family members are suffering from any conditions regarding the face, mouth, and jaws, please know that our office is a safe, clean, and friendly environment for treatment. We have always adhered to the highest standards of asepsis and sterilization, a topic I have lectured on many times. We have changed our patient scheduling to allow for social distancing, and our office team members have always worn appropriate PPE to prevent transmission of diseases. We have continued these practices and have added further protective practices to enhance our safety. We are open every weekday and offer our full scope of services including injectable facial cosmetic enhancements, RevitaliZe dental implant solutions, wisdom tooth extractions, and treatment of children and adolescents for various oral and maxillofacial conditions with local, sedation, or general anesthesia options available. Please know that treatment is available for you and your family here in our modern, clean and friendly office where our number-one concern is your safety and comfort.
For more information, call 609-488-2325 or visit www.drbanksoms.com.
The County Woman Magazine www.TheCountyWoman.com
November/December 2020
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Featured On The Cover Featured On The Cover
Meet The Physicians Of Meet The Doctors Of Meet The Doctors Of University ofNew NewJersey Jersey UniversityUrology Urology Associates Associates ofof University Urology Associates New Jersey Mukaram Gazi, MD, FACS Dr. Mukaram Gazi, the founding member of UUANJ, graduated from the University of Miami School of Medicine and completed his post-graduate training in urology at UMDNJ Robert Wood Johnson Medical School (now known as Rutgers RWJ Medical School) in New Brunswick, NJ. In practice since 2003, this exceptionally skilled, minimally invasive surgeon treats the full range of urinary tract and male reproductive disorders—from no-scalpel vasectomies, erectile dysfunction, and urinary incontinence to state-of-the-art robotic surgery for prostate cancer and enlarged prostate (BPH). Dr. Gazi is devoted to his patients, treating them like family in a Professor at Fox Chase Cancer Center and Clinical Assistant Professor at Rutgers Robert Wood Johnson Medical School. Dr. Gazi’s background and expertise, combined with honest communication, have earned him recognition as one of America’s Top Urologists by Consumers’ Research Council of America and Castle Connolly Medical, Ltd., and again this year as a Top Doctor by New Jersey Monthly. Photos by Tracy Harman Photography
Parvez Mahmood, MD, FACS Dr. Mahmood has been in practice in Ocean County since 1974. He received his training in New York City at Mount Sinai Hospital, New York University Medical Center, Bellevue Hospital Center and Memorial Sloan Kettering Cancer Center. He is currently an Adjunct Clinical Professor at Fox Chase Cancer Center and Clinical Assistant Professor at Rutgers Robert Wood Johnson Medical School. Dr. of the American College of Surgeons.
AlexanderGotesman, Gotesman,MD MD Alexander Dr. Gotesman earned his medical degree from the State University of New York at Stony Brook and completed his urology residency training program at Mount Sinai Medical Center in New York in 2005. After graduation, Dr. Gotesman he currently specializes in adult and pediatric ambulatory national medical societies and is a member of the prestigious Alpha Omega Alpha medical honor society. Dr. Gotesman has received several awards and recognition for his, patient-centered care philosophy. He Joined UUANJ in 2012.
WHAT IS A UROLOGIST? A urologist is a physician who has been trained to treat disorders of the male and female urinary tract (bladder, ureter, kidney, and urethra) and the male reproductive system. Urologists encounter many issues and must have knowledge of internal medicine, pediatrics, gynecology, and other specialties as they are used regularly. surgical subspecialty. A urologist with advanced may be a Fellow of the American College of Surgeons (FACS).
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November/December November/December2018 2020
# Medical Professionals 29 Featured On On The The Cover Cover 43 Featured Meet MeetThe ThePhysicians Doctors Meet The DoctorsOf OfOf UniversityUrology Urology Associates Associates University Urology Associatesofof ofNew NewJersey Jersey New Jersey Sam A. Qassab, MD
Imani Rosario, Imani Rosario, MD MD
HAMILTON
Dr. Qassab completed his general Dr. Rosario earned her medical surgicalWhitehorse internship and his urology 1374 Dr. Rosario earned her medical degree from the degree from the internationally residency training at the prestigious Hamilton Sq. Rd. Georgetown University School of Medicine and acclaimed Georgetown University Emory University in Atlanta, completed her post-graduate training in urology at School of Medicine and Georgia. HeNJ is a08690 DaVinci certified Hamilton, Rutgers Jersey Medical School. After completing completed herNew post-graduate robotic surgeon and is extensively her in training, Rosario was appointed Assistant training urologyDr. at Rutgers trained in minimally invasive New Professor Jersey Medical School. After of Surgery in the Division of Urology at Rutgers urologic surgery including robotics completing her training, New Jersey Medical Dr. School. In this position, she was and laparoscopy. While training in Rosario was appointed Assistant responsible for training and teaching medical students, Atlanta, Dr. Qassab had the distinct HOWELL Professor of Surgery theurologists in training. Dr. Rosario is general surgeonsinand pleasure of completing an extra Division of Urology at Rutgers 2364 Routeof9training South 18-months and research New joined Jersey Medical School. In UUANJ in 2016. in urology at the Atlanta Veteran’s Howell, NJof07731 this position, she was responsible Administration Medical Center where he took care our nation’s heroes. for training and teaching medical students, general surgeons, and Dr. Qassab joined UUANJ in 2018. urologists in training. Dr. Rosario is Board by the American BobCertified Peterson, DC, PA-C Board of Urology. She joined UUANJ in 2016. Mr. Robert Peterson is a retired Chiropractor and has been a Physician Assistant for 18 years. Mr. Peterson has been working with UUANJ for theGhosh, last six years. Propa MD He has been an Adjunct Associate Professor at Mercer County College Dr. earned her undergraduate degree at forGhosh 10 years, teaching Biology, Pathology and M.I.T., her medical degree from Mount Sinai School Anatomy and Physiology, and an Assistant of Medicine completed her surgical training at Professor and at the Philadelphia University Physician three respected hospitals in New York City. She is Assistant Studies Program. He has also mentored Fellowship-trained in Robotics and Minimally Invasive other Physician Assistants and Licensed Practical Surgery and is a Board Certified Urologist. Over Nurses. Bob joined UUANJ in 2011. the past years, Dr. Ghosh has served as a Director of a Robotic Surgery Program in a hospital-employed position, as well as a Urologist in Private Practice, giving her aChangala, breadth and Ph.D., depth ofAPN-C experience in both Bhaskara oncology and in general urology. In 2015, she enjoyed the distinction of NJ “Top 40 Under 40,” and has been Dr. Bhaskara Changala received his Ph.D. in featured in the media for her expertise on keynote toxicology South Gujrat University in India my inPSA test came back Myfrom wife were topics our field. Dr. Ghosh hasabnormal. a passion for teaching and and pridesIherself ondevastated her listening and his training as a Nurse Practitioner from skills, critical thinking, and compassion. She joined UUANJ in October 2020. Monmouth University in West Long Branch, New Jersey. He completed preclinical research in pharmaceutical toxicology also while in India. my options and discussed the pros and cons of each treatment Dr. Changala has been a registered nurse and critical care nurse since 2008 and worked in the Post Anesthesia Care Unit at Community and provided us with all the literature so we couldyears refer back to it Medical Center for several prior to joining He joined UUANJ in January 2018. when needed. I couldn’t ask forUUANJ. a better team.”
— B.B Howell, NJ
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November/December 2020
It’s That Time Of Year Again What You Health & Wellness Health &Wellness What You N Health & Wellness Health &Wellness Wellness Health &Wellness Health & It’s That Time Of Year Again…
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Displaced Homemakers
Education
If you are a woman who has lost your job (or have never worked outside the home before) and have recently lost your main source of income because of separation or divorce, or the disability or death of your family’s primary provider, you may want to consider contacting Ocean County College (OCC). Since 2007, the Displaced Homemakers Program (DHP) of Ocean County has operated out of OCC’s Main Campus in Toms River and has helped women become financially and emotionally self-sufficient through job training, help finding employment, and various support programs. The program is managed by OCC’s Career, Employment and Counseling Services, and is funded through a grant from the New Jersey Division on Women. During the pandemic, DHP is providing its services remotely, including free computer training. Women who participate in this program are of various ages and come from all ethnic and socio-economic backgrounds. What they all have in common is the need to upgrade (or learn) skills that enhance employability and earning capability while getting emotional support. Services include career, employment and life counseling; connection to social and community organizations; assistance with the job search; and help becoming economically self-sufficient. Other available services include academic advising; educational and training opportunities; career planning, pre-employment counseling and training; health and wellness programs; self-esteem and confidence building; and information and referrals to community resources and social services. All services are provided with compassion, integrity and professionalism. For additional information on the Displaced Homemakers Program of Ocean County, located at Ocean County College, call 732-255-0400 ext. 2297 (Eileen) or ext. 2497 (Marcia), or visit www.go.ocean.edu/DisplacedHomemakers.
A CLASS SCHEDULE THAT FITS YOUR LIFE The Displaced Homemakers Program is providing its services remotely, including free computer training.
REGISTER TODAY!
For additional information on the Displaced Homemakers Program of Ocean County call 732-255-0400 ext. 2297 (Eileen) or ext. 2497 (Marcia) or visit us online at go.ocean.edu/DisplacedHomemakers
www.ocean.edu
Legal Professionals
Unable To Work?
We May Be Able To Help! James Treanor, Esq. Social Security Disability And SSI Specialist Over 20 Years Experience Handling SSD/SSI Cases Intitial Applications • Hearings • Federal Court Free Consultation Located in Toms River, NJ
732-228-7996 • Fax: 732-228-7637 • Jim@TreanorLaw.net
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November/December 2020
Business &&Finance Business Finance Business & F inance
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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 November/December 2019 September/October2020 2019 November/December
34
Community
Food&Gift
DRIVE
This year for the Season of Giving consider making a difference in the community that you live in. When you donate to the OceanCares Foundation you make an impact in the life of a neighbor,colleague or friend. Every donation goes directly to the families and individuals of OceanMHS.
Mac & Cheese Ramen Noodles Peanut Butter Crackers
Granola Bars Power Bars Crackers Fruit Cups
Cereal Juice Boxes Pop-Tarts Gift Cards to Fast Food
Drop off Location: OceanMHS Administration Building, 687 Route 9, Bayville, NJ 08721 Donations Accepted Monday thru Friday 9 to 5
OceanMHS.org or 732-349-5550 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
November/December 2020
Community
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November/December 2020
36
Medical Professionals
The Holiday Survival Guide For Patients With Irritable Bowel Syndrome (IBS) Nina Paonessa, DO, FACOS As we enter into the Holiday season, those patients who suffer from Irritable Bowel Syndrome (IBS), whether it be diarrhea predominant (IBS-D) or constipation predominant (IBS-C), may be experiencing a sense of anxiety. This is a time of social gatherings and eating out. Daily routines and schedules tend to be altered. For patients with IBS, changes in diets and eating schedules can wreak havoc on the gastrointestinal system. This, in turn, causes stress and anxiety and may lessen the enjoyment that may otherwise be had by those suffering from IBS. The following are some helpful tips for patients with IBS to help manage and control their symptoms so they can enjoy the holiday season and minimize any undue stress.
First and foremost, recognize and avoid food triggers. Most patients with IBS are familiar with certain foods that aggravate or “trigger” symptoms of abdominal cramps, diarrhea and/or constipation. These are known as “food triggers.” Common food triggers are dairy, spicy foods, tomato, caffeine, leafy green vegetables and/or other fruits and vegetables high in fiber (i.e., spaghetti squash, cabbage, brussels sprouts, oranges, pineapple, etc.).
Second, keep hydrated. Be sure to drink water.
Avoid an excess of caffeinated, alcoholic or sugary drinks. This includes coffee, tea, soda, and mixed drinks containing fruit juices or other sugarcontaining mixes such as margaritas, daiquiris, punches, etc. BE AWARE: Apple cider may be a food trigger because of the sugar content and eggnog may be a food trigger due to the dairy components.
All of us at Paonessa Colon and Rectal Surgery wish you and your families a happy, healthy and safe Holiday Season. The Holiday season is a time of celebrating, and more importantly, giving thanks for all of our good fortune and blessings. The staff at Paonessa Colon and Rectal Surgery is especially thankful for all of our patients, who we consider a part of our family and friends, and for the privilege of caring for them.
Third, keep your routine as best as you can.
This includes taking a fiber supplement daily. Even when traveling, this is possible because most fiber supplements are available in travel packets. Pack your probiotics as well. Most probiotics may be left unrefrigerated for a certain amount of time. This is convenient when traveling.
Fourth, be prepared.
Always carry an IN CASE OF EMERGENCY (ICE) kit. For patients with IBS-D, pack an “ICE” dose of Imodium tablets. If you’re a patient who suffers from unpredictable, sudden bouts of diarrhea, especially after eating, take one or two Imodium prior to eating. This will help to avoid any stress or embarrassing accidents that could potentially occur. BE AWARE: This should not be done on a routine basis unless specifically discussed with your physician. For patients with IBS-C, pack stool softeners. For those patients who may suffer from severe constipation, pack a gentle laxative as well. For an added feeling of security, pack an extra pair of undergarments and/or pants in a travel bag or purse. This will alleviate an embarrassing situation or stress related to having a potential incontinent episode. Dr. Paonessa is a board-certified colon and rectal surgeon who specializes in treating all diseases of the colon and rectum, including Irritable Bowel Syndrome. If you suffer from IBS and need guidance, call Paonessa Colon and Rectal Surgery today to make an appointment with Dr. Paonessa. She will get you on the road to feeling well and managing your symptoms.
Colon and Rectal Surgery
Board Certified in General Surgery and Proctology • laparoscopic surgery • abdominal/pelvic surgery • fecal incontinence • endoanal/rectal ultrasound • anorectal surgery 603 Higgins Avenue Brielle, NJ 08730
The County Woman Magazine www.TheCountyWoman.com
• pelvic floor disorders • office proctology • anorectal manometry/ physiology
1364 Route 72, Suite 5 Manahawkin, NJ 08050
Phone: (732) 282-1500 • Fax: (732) Office Hours: M-F 9AM to 5PM
292-9600
www.paonessacrs.com November/December 2020
Cake Shoppe & Tea Room
37
Committing to ‘Memory’ – Designer Turns Her Baking Hobby Into a Full-Blown Career
AnnMarie Cooney 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 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; 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 inhouse,” 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 521 Route 9 • Waretown, NJ • asweetmemorycakeshop@gmail.com
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November/December 2020
38
Acupuncture
74 Brick Blvd. Bldg 1,Ste 102 â&#x20AC;¢ Brick, NJ 08723
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November/December 2020
Community
39
YOUTH GROUPS M M T TH FT H
YOUNG MEN'S & WOMEN’S GROUP
This group is designed to help young people explore and discuss gender specific issues and challenges. Topics include: Toxic Relationships, Body Image, and Perception. WHEN: 2nd and 4th Mondays, 7:00 p.m. – 8:00 p.m.
ART EXPRESSION
This group allows youth to express themselves through different mediums and guided practice. These activities are for any art skill level. Projects include: Drawing, Painting, Collaborative Art, Collages, and Word Expression. WHEN: 1st and 3rd Mondays, 7:00 p.m. – 8:00 p.m.
TEEN RAP
This group provides youth with the opportunity to discuss a variety of different topics that are prevalent in the daily life of youth. Topics include: Peer Pressure, Assertive Communication, Boundaries, and Social Anxiety. WHEN: Tuesdays, 7:00 pm – 8:00 pm
ANGER MANAGEMENT
This is a group to help youth explore anger and its social, emotional and physical effects, as well as ways of successfully communicating and managing it. Topics include: Fight or Flight, Coping Strategies, Triggers, and Forgiveness. WHEN: Thursdays, 7:00 pm – 8:00 pm
TEENS LIVING CLEAN
A support and prevention group for youth interested in drug or alcohol abstinence. Topics include Risks & Protective Factors, Getting Clean, Coping Skills, and Cycle of Addiction. WHEN: Fridays, 7:00 pm – 8:00 pm
FAMILY WORKSHOP
MONTHLY
F
Once a month sessions: one dedicated to parents/guardians and the other for youth. Topics include: Back-to-School, Suicide Prevention, Bullying, Stress Management/Relaxation & Mindfulness, and Family Engagement with Teenagers. PARENTS/GUARDIANS: Last Tuesday of the month, 7:00 pm YOUTH: Last Thursday of the month, 3:30 pm
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November/December 2020
40
Community
The County Woman Magazine www.TheCountyWoman.com
November/December 2020
41 Health & Wellness AccuCare Wellness & Recovery Zone Is Now Open!
Focusing on all things to feel, perform, live and be at your best, let AccuCare help you start living your best, pain-free & healthiest life!
While treating patients from all walks of life and for all different impairments; Pamela has learned that pain is not caused from musculoskeletal injuries alone. Burdened with stress headaches, poor sleep, depression, chronic sickness and fatigue; we see so many who suffer on a daily basis, just accepting it as the norm. Chalking it up to “life”, genetics or just getting older; Pamela & her amazing team at AccuCare are here to tell you that it doesn’t need to be this way! Especially during these times of sickness and threats to our health, being at your best is an absolute necessity. Focusing on all things to feel, perform, live and be at your best, let Accucare help get to the root of your problems and start living your best, pain-free & healthiest life. • Cryotherapy Reported benefits of whole body cryotherapy for health & wellness include: • reduce inflammation • reduce psychological stress, anxiety & depression • increase energy • improve sleep • enhance immune function • reduce migraines • numb nerve irritation • help treat mood disorders • reduce arthritic pain • may help prevent dementia & Alzheimer’s • treat atopic dermatitis, eczema & improves skin condition • pain relief & muscle healing • weight loss • Sunlighten Infrared mPulse Sauna • detoxification - shown to be helpful with colitis, chronic fatigue, fibromyalgia, autoimmune disease, Lyme disease, rheumatoid arthritis, lupus, Grave’s disease, immune deficiency states, autism, ADD, ADHD & Hashimoto’s • strengthens immune system • improve circulation • cleanse circulatory system & improve cell oxygenation • decrease inflammation
• speeds muscle recovery • improve white blood cell & T-cell production to ward off viruses • pain relief* • wound healing • decrease nerve-ending soreness • reduce muscle spasms • relaxation & stress relief • weight loss (increased heart rate, cardiac output, metabolic rate & calorie burning) • reduce blood pressure *Some conditions in which infrared sauna therapy has been successfully used for pain relief include peripheral artery disease, rheumatoid arthritis, ankylosing spondylitis, fibromyalgia, and emotional pain • Wellness Cocoon • detoxification • relaxation • weight loss • pain management • cellulite reduction • skin purification • reduce blood pressure • improve circulation • wound healing • alleviates stress, stiffness & cramping • reduces water retention & bloating • promotes quality sleep • strengthen immune system • rapid muscle recovery • Massage Therapy • reduce muscle tension • improve circulation • stimulation of lymphatic system • reduction of anxiety & stress hormones • relaxation • increase joint mobility & flexibility • improve skin tone • improve recovery of soft tissue injury • relieve tension headaches • enhance exercise performance • decrease fascial restrictions and associated fibromyalgia pain • improves digestion
• NormaTec Recovery • enhance blood flow • speed recovery • increase range of motion • lessen pain sensitivity • decrease muscle soreness • improve adaptive responses to exercise • decrease muscle fatigue • lower blood lactates / decrease lactic acid build-up • reduce swelling • decrease pain • remove toxins • eliminate first-stage varicose veins • Acupuncture • reduce stress • decrease headaches • improve immune system • enhance mental clarity • increase energy • relieve digestive conditions • relieve allergies • reduce cigarette craving • decrease pain • improve sleep • improve mood • Kangen Alkaline Water Program • decrease acidity in bloodstream • blood more alkaline / less acidic • increase energy • better hydration • improve skin • weight loss • improve metabolism • decrease acid reflux • slow aging • improve digestion • reduce bone loss
Focusing on all things to feel, perform, live and be at your best, let AccuCare help you start living your best, pain-free & healthiest life!
2211 Rt. 88 •Brick, NJ 08724
Pamela Anthony
ACCUCARE
732-785-5500 www.accucarept.com
Recovery Zone
The County Woman Magazine www.TheCountyWoman.com
November/December 2020
Health & Wellness
42
ACCUCARE
TOUR PASS Recovery Zone
New Clients: Take a tour of our services & receive
1 FREE WellnessorCocoon Session 1 FREE Normatec Recovery Lounge Session New clients only. Locals only. Valid email address required.
RESTORE • RELIEVE • REVIVE
2211 Rt.88 Brick, NJ • WWW.ACCUCAREPT.COM • 732-785-5500
Consignment Shop
NU2U Consignment Fashions Women’s Fashions & Accessories ers Consign Always e Welcom
Trend in Bran g ds
504 Monmouth Rd. Millstone Twp.
609-981-7077 Near the Jackson Premium Outlets, by the Gulf gas station, above the Deli.
www.nu2uconsignmentfashions.com @nu2ufashion_
NU2U Consignment Fashions
BYOB - Bring Your Own Bag!
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November/December 2020
ROMANCE TRAVEL Travel ravel
“Create Lasting Memories” River Cruising: An Extraordinary “Create Lasting Memories” Travel Taking With A Packing More fun, more memories! PartIt of raising a family You: is making memories that
55 63
Experience 43 Primer
your children will cherish Whether you’re dreaming of a romantic escape or celebrating an anniversary or wedding, forever. A family vacation is part of those memories. Today’s opportunities a travel expert can create a carefully tailored itinerary to suit your desires. Discover a tropical to travel as a family are as wideyour open as your imaginaYou’ve iver cruising may bebooked the hottest cruising tion. From warm paradise and surround yourself with remarkable sunsets, fine dining, and world class accommodations. beaches to excitinglong adventures, destination offers a new awaitedevery vacation trend around in 2017 -even though river A sample of some withRomantic your Traveldestinations will let you dream of your next escape. experience. cruises have been operating for decades.
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From April’s • Whatever you forget you can purchase on board or at a Virtuoso Advisor offers upgrades and amenities.the and other airlines let you board first “Create if you have noLasting carry-on bags.Memories” So was what created to be the ultimate get tulips to December’s Christmas Markets, hundreds Memories” of “Create Lasting ports or resorts. cleaning protocols are top priorities for their are the essentials to pack? Moreisfun, more memories! Part of raising New aThe family is making memories that beaches together getaway, where everything Included and unlimited. protected white sand riverboats and barges glide along Europe’s historic rivers A few years from now what Here is a packing primer from Carole Kaiman, Professional thatvacation guests. your children willTravel Whether you’re dreaming of a romantic escape or celebrating an anniversary or wedding, cherish forever. , with beautiful beaches and great A family is part of those memories. (rated theand best in thewhich Caribbean by Travelof & miles Leisure) exciting watersports and unlimited scuba diving youExamples will remember is the total of canals, span thousands of Continental of some the best Today’s opportunities a travel expert can create a carefully tailored itinerary to suit your desires. Discover a tropical might help with the process. to travel as a family are as wide open as your imaginaYou’ve booked your restaurants to rekindle your spirit and feed the soul. experience of your vacation, iver cruising be the hottest cruising (for certified divers).connecting North waterways, Seaparadise and surround yourself with remarkable sunsets, fine dining, and world class accommodations. to Black Sea. may These choices may beNOT the perfect fit now with tion. From warm beaches to excitinglong adventures, every destination offers a new River Cruise Line Themes: awaited vacation trend around in 2017 -even though river the things you forgot to pack. 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The Caribbean Adventure with Sesame Street and the XBOX play • 2 swimsuits know to explore inland Europe, visiting cities, townsready and to pack PBSTravel “Downton Viking cruise guests Virtuoso Professional your lines Six Hawaiian Islands , enjoy: each with Abby” its can own offers personality, where in a private chapel in Florence’s counspecial activities and amenities that the entire family will Families and friends can travel and social Cruise have upped their game with expanded (put 1 in your carry-on so you can go right to the beach) lounges are so popular with children andusually families. Specialty restaurants dining areas provide great choices. villages that traditional big ships can’t19access. suitcase. days inchildren’s England Countryside, and special tour assist 3 you inand planning a vacation surrounded by blue waters, and where happiness is a way of life. 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The river cruising destinations, like a 12-day Bordeaux , the “Jewel of the Atlantic,” Our dedication to our clients during after everybags vacation • Lightweight sweater,before, rain poncho, and and zippered plastic • 2 shorts and 2 tees imposed for baggage, youorwill haveDanube, tovillages, stunning beaches, accentuated by whitewashed buildings. consider leaving your entire closet • Tauck offers riverfor cruises with its Tauck River cruise, 7-day offer cruise guests the local for wetfamily suits. stateroom with Verandah is perfect for a family of 4 or 5. There’s a 3 story AquaDunk body slide kids makes a world of difference. at enjoy beautiful weather, pink sand beaches home from now on.without Some airlines are charging carry-on bagsApril’s now, • 3 sundresses experience the long tour busforrides. From •program, Whatever you forget you can purchase on cooking board or at the Bridges including family and other airlines let you board first if you have no carry-on bags. So what created ✿ BEACHES, TURKS & CAICOS was to be the ultimate get with no fearFlip onflops, deck,flat or for the younger set, there’s the AquaLab with a looping waterslide. tulips to December’s Christmas Markets, hundreds of • SHOES: sandals, wedges, sneakers ports or resorts. warm friendly people. Conde’ Nast Traveler areand the essentials to pack? lessons. Until the traveler feels more comfortable flying together getaway, where everything is Included and unlimited. The white sand beaches Enjoy Your Travel Experience. riverboats and barges glide along Europe’s historic rivers Aprotected fewor years from now what Here is a packing primer from Carole Kaiman, Travel Professional that Disney destinations vary from Caribbean cruises with Disney’s own private island cruising Europe Barbados , with beautiful beaches and great • Pashmina (rated the best in the Caribbean by Travel & Leisure) exciting watersports and unlimited scuba diving Readers have voted Bermuda “Best Island in the Caribbean” 17 times! will rememberof is the total of canals, whichtrip” span thousands of miles of Continental youExamples again, the carefully designed “road may be some the best might helpand with the process. 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Enjoy Your Travel Experience. for our Digital Magazine Disney destinations vary from Caribbean cruises with Disney’s private732-222-2792 island cruisinginformation Europe • Pashmina Virtuoso Agency for or latest and Readers have voted Bermuda “Best Island in the Caribbean” 17 times! orRiver 732-842-2600. Travel, Silver own today. a Virtuoso Agency in Little There are several brand new Advisor cruise lines hair conditioner and shampoo with • Sunglasses special highlights for the kids to enjoy. Your Vagabond Travel Virtuoso and some amazing travel ideas.
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The County Woman Magazine
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Carole Kaiman, Travel Specialist 732-859-5513 732-222-2792 Direct Vagabond Travel Virtuoso Agency 732-842-2600 Office 542 Prospect Ave.
Over 25 Years
Little LittleSilver, Silver New NewJersey Jersey07739 07739 website: www.vagabondtvl.com 732-222-2792 Direct
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November/December 2016 May/June 2014 2014 November/December May/June 2014 2015 January/February www.vagabondtvl.com
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November/December 2020 November/December 2016 May/June 2014 2014 November/December
Women Of Ocean County
44
Siobhan M. Connolly, CTFA 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, Toms River, NJ, in January of 2009. As Vice President and Trust Officer and senior relationship manager her responsibilities include meeting the needs of trust & estate, investment management and charitable foundation clients. With a Master’s Degree in Education and as a Certified Trust and Financial Advisor 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 providing education and resources to enhance their quality of life. Siobhan resides in Howell, NJ with her husband and her daughters. You can reach Siobhan at 732/255-5000 or Email: sconnolly@gstrustco.com. Visit www.gstrustco.com to learn how Siobhan may be able to help you.
Erin Intessimoni,
Nurse Practitioner, Relievus
Erin Intessimoni is a Jersey girl. She was born and raised in Winslow Township. She is a current resident of Waterford Township, where she lives with her husband of 12 years and their two children. From a young age Erin felt very passionate about helping others. She became a registered nurse in 2003 and worked at Thomas Jefferson University Hospital for 10 years. While working she continued her education and obtained her master’s degree in Nursing as a Nurse Practitioner. Erin presently works at Relievus pain management. She has worked for Relievus for five years. Working as a nurse practitioner in pain management has been very rewarding for Erin. Being able to help her patients have a better quality of life is her main goal. At Relievus she is able to work with a multi-disciplinary team in offering the most up-to-date procedures. Working for Relievus allows Erin to increase her patients’ productivity and self-worth, which is very valuable in pain management. When Erin is not working, she is spending time with her family. They enjoy going on road trips and outdoor activities. She and her husband recently built a new house and they are working on making it a home. For more information, call 1-888-985-2727 (ASAP) or visit www.Relievus.com. Photo by Donna Andrews Photography
Photo by Tracy Harman Photography
Mary Gonzalez,
Christine Genovese, LPC Genovese Counseling Services, LLC
Assistant Trust Officer, Garden State Trust Company Mary Gonzalez moved to New Jersey with her husband and triplet daughters in 2002 to be closer to her family. Mary began her career with Garden State Trust Company in 2010 as an Administrative Assistant and she was recently promoted to Assistant Trust Officer. Having a daughter on the autistic spectrum, Mary understands deeply the challenges faced by the families of our special needs clients. She works hard to make sure they receive the resources and assistance they need and deserve. Mary takes pride in working directly with our clients and enjoys building and maintaining a trusting relationship with an understanding of each individual’s specific goals and needs. Mary will begin working towards her Certified Trust and Financial Advisor (CTFA), a professional designation offered by the American Bankers Association, which provides training and knowledge in taxes, investments, financial planning, trusts and estates. Mary can be reached at 732-255-5000 or through email mgonzalez@gstrustco.com.
Christine Genovese is a Licensed Professional Counselor with offices in Tuckerton and Somers Point. Raised in Absecon, she has combined her love of education and healing and started her private practice in 2018. After a successful career in education, Christine retired as a teacher and school counselor from the Galloway Township school system. During that time, Christine earned a Master’s Degree in Education from Marygrove University and a Master’s Degree in Counseling Psychology from Georgian Court University. In 2005, she received the Governor’s Teacher Recognition, and in 2009, she received the School Community Advocate for Education award along with her fellow school counselors. From 2012-2016 Christine worked as a per diem therapist for JFS in Margate. Christine is a Brainspotting Practitioner, which uses a person’s natural gaze along with the therapeutic relationship to process strong emotions. Christine’s practice is limited to adults experiencing major life change, grief and anxiety, and she is especially passionate about working with educators. She is a member of the New Jersey Counseling Association and has enjoyed being in private practice since 2012. Christine enjoys learning about neuroscience, taking metalsmith classes, and hunting for sea glass. Please call 609 568-6299 or visit genovesecounseling.com for more information.
Photo by Tracy Harman Photography Photo by Donna Andrews Photography
The County Woman Magazine www.TheCountyWoman.com
Photo by Donna Andrews Photography
November/December 2020
Women Of Ocean County Anna Brocco, PharmD, MBA
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Rhoda Kopy, CH
Director of Operations and Clinical Research Advanced Memory Research Institute
Nationally Certified Consulting Hypnotist & Wellness Coach, Founder, Hypnosis for Women
Anna Brocco grew up in Toms River, New Jersey and currently lives in Forked River with her husband and toddler son. She is a graduate of Rutgers, The State University of New Jersey, Ernest Mario School of Pharmacy with her doctorate in pharmacy and later, a master’s degree in business. Throughout pharmacy school and after graduation, Anna worked at Community Medical Center in the pharmacy department where she specialized in IV medication preparation. Anna joined Advanced Memory Research Institute of NJ in 2014 as a clinical research pharmacist and then in 2015, she became the operations manager and then the director of operations and clinical research. Anna uses her clinical trial and business knowledge to bring more research opportunities to the center so that all those who wish to participate in research can have the opportunity. Anna is also an adjunct clinical professor of pharmacy practice at Fairleigh Dickinson University, School of Pharmacy and Health Sciences. In this role, she educates future pharmacists about clinical research and about Alzheimer’s disease and memory loss. If you would like to learn more about AMRINJ, please reach out at 732-341-9500 or www.amrinj.com.
Rhoda helps people break free of negative habits, and limiting fears and beliefs, as a master hypnosis practitioner and wellness coach with specialty certification in Medical and Dental Hypnotism. Building each client’s sense of calm, focus, confidence, and empowerment is the hallmark of her approach. She firmly believes that when you learn to make your mind work for you, instead of against you, anything is possible. Rhoda recently celebrated her 16th anniversary as a clinical hypnotist. Ms. Kopy’s Toms River practice, Hypnosis for Women, which she founded in 2005, serves primarily women, teens, and children, throughout the tri-state area. After studying nursing and earning a B.S. in Biomedical Communications in 1984, she worked for various organizations providing community health education and counseling services. She later segued into career services and founded A Hire Image, which offered motivational coaching, marketing, and training services. As a result of success she achieved using hypnosis to improve her life, she completed an advanced training program in 2004, parlayed her education and experience, and opened her private practice. Rhoda also co-founded Jersey Shore Hypnosis Practitioners, a peer support and networking group, and is a certified member of leading professional hypnosis organizations. Born in Bayonne and raised in North Plainfield, she has lived in Toms River for most of her life. She enjoys coordinating Bookie Babes, watercoloring, watching meteor showers, traveling with her husband, and connecting with friends and family. She has a daughter, two grandsons, and an adopted cockapoo, Gracie. Rhoda can help you determine if hypnosis and coaching are appropriate for you. She offers confidential in-person and online sessions. Call her at 732-270-0080 for a brief complimentary phone screening, and visit www.HypnoForWomen.com
Photo by Tracy Harman Photography
Patricia L. Morello Certified Medical Assistant Paonessa Colon & Rectal Surgery Patricia L. Morello lived in Manhattan with her father and two siblings before moving to New Jersey. She was always outgoing and had a passion for helping others as such she has pursued a career in healthcare. She first began working with patients as a pharmacy technician. At the same time, she attended Brookdale Community College and then went on to Star Career Academy to become a certified medical assistant in 2012. Patricia has a passion for caring for others, especially the elderly. As a certified medical assistant, Patricia has gained experience in the specialties of nephrology, cardiology, and most recently in colon and rectal surgery with Dr. Nina Paonessa at Paonessa Colon and Rectal Surgery. It is here that she has gained experience in office-based surgery and treating acute and chronic diseases of the colon and rectum. She is directly involved in the care of patients. The patients recognize her dedication and commitment to providing excellent patient care and outcomes. Throughout her career, Patricia has demonstrated her dedication and passion for working in healthcare. Her patients recognize her as being kind hearted, caring, friendly and compassionate. In her free time, Patricia enjoys cooking, baking, walking on the beach and drinking coffee. For more information, call 732-2821500 or visit www.paonssacrs.com.
Teresa Menadier, MD,
Gastroenterologists of Ocean County
Doctor Teresa Menadier recently joined Gastroenterologists of Ocean County after completing her Gastroenterology fellowship at the University of Virginia. She is a graduate of Tufts University. She obtained her medical degree from Rutgers-New Jersey Medical School in 2012 where she was elected President of the NJMS chapter of the Alpha Omega Alpha Honors Society. Dr. Menadier went on to complete her Internal Medicine residency at the University of Pennsylvania. Sponsored by the ANMS Clinical training program in GI Motility and Neurogastroenterology in October 2017, Dr. Menadier received specialized training in high resolution esophageal and anorectal manometry and pH/impedance interpretation under the supervision of Dr. Henry P. Parkman at Temple University. Her clinical interests include esophageal and anorectal motility disorders, as well as liver diseases. Doctor Menadier loves spending time with her family, baking, dancing and listening to flamenco guitar. For more information, call 732-349-4422 or visit www.GastroOfOcean.com. Photo by Tracy Harman Photography
The County Woman Magazine www.TheCountyWoman.com
November/December 2020
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Community
St. Francis Counseling Service
St. Francis Counseling Service offers individual, family, couples and group therapy to all residents of southern Ocean County on a sliding scale fee based on annual household income. Survivors of sexual violence and victims of crime are eligible for grant funded services. Our staff consists of Masters level therapists specially trained in Sand Play and EMDR therapies.
St. Francis Servicio de Consejería está ofreciendo consejería centrado en el trauma para los residentes Latinos de Ocean County. Si usted ha sufrido abuso o asalto sexual y está listo para hablar, por favor llamenos para mas información. Servicios de consejería están previstos sin costo para los sobrevivientes. Locaciones seguras y confidenciales disponibles en la comunidad para mejor servir nuestros clientes.
Confidential Sexual Violence Advocates serve as 24 hour support to survivors reporting a sexual assault to any Ocean County hospital or police department. They also provide 24 hour support through our Confidential Sexual Violence Hotline at 609-494-1090.
If you are interested in joining our team, please call 609494-1554 for more information.
The County Woman Magazine www.TheCountyWoman.com
November/December 2020
Medical Professionals
The County Woman Magazine www.TheCountyWoman.com
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November/December 2020
The County Woman Magazine www.TheCountyWoman.com
November/December 2020