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FREE ~ Please Take One CHRONIC ANKLE INSTABILITY. With
every step you take, your feet are the only connection between your body and the ground.
Stress levels have exploded over the past year.
YOUR PAINFUL HEEL COULD MEAN A VISIT TO THE PODIATRIST.
Pain on the bottom of your foot deserves a visit to the podiatrist. Page 29
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HEALING YOUR RELATIONSHIP WITH FOOD.
Advanced Memory Research Institute (AMRI) is the leading clinical research center in the northeast specializing in Alzheimer’s disease, memory loss, and dementia. Read more about this extraordinary team on pages 20 & 21.
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Medical Professionals
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Chronic Ankle Instability Rebecca Kashdan, DPT
With every step you take, your feet are the only connection between your body and the ground. Your feet support you and transmit the force from each step through your ankles, through your lower leg, and to the rest of your body. Many people have, or will have, a sprained ankle at some point throughout their lifetime. An ankle sprain can impact the way you move, whether you are a competitive athlete or simply walking around the grocery store, and can lead to a chronic condition called ankle instability. What is a sprained ankle and why is chronic ankle instability a big deal?
Your ankle is made up of several bones that not only allow you to point and flex your ankle, but also allow you to tilt your foot inward (inversion) and outward (eversion) so that you can adjust to uneven surfaces such as cobblestones, a sandy beach, or divots in your backyard. The bones in your ankle are connected by several ligaments, a type of connective tissue, on both the inside and outside to increase the stability of the joint. When you experience a sprained ankle, usually the ankle rolls inward, resulting in overstretching the ligaments on the outside of the ankle. Occasionally the ankle is forced outward, resulting in overstretching of the ligaments on the inside of the ankle; however, that is much less common. Ankle sprains are often graded based on the severity of overstretching with grade I meaning the ligaments are overstretched but not torn, grade II meaning there is a mild to moderate tear, and grade III meaning there is a significant tear in the ligaments. Symptoms may also include swelling, pain, bruising, and difficulty putting weight on the affected
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foot. If you have experienced a sprained ankle with any of these symptoms, you should see your doctor. Chronic ankle instability is the result of several factors causing a person to sprain their ankle repeatedly. The first factor is overstretched or torn ligaments, resulting in decreased ankle stability. The second factor is muscle imbalance. When the ligaments are stretched or torn, the muscles and tendons surrounding the ankle may also be stretched and irritated, resulting in muscle weakness. The third factor is impaired proprioception. Proprioceptors are tiny nerve receptors located in soft tissue throughout the body that sense your position in space (these receptors allow you to touch your pointer finger to your nose with your eyes closed). The proprioceptors in the ankle are extremely important when it comes to balance and the ability to adjust your ankle on uneven surfaces to prevent falling. When the tissues surrounding the ankle are disrupted, the proprioceptors do not collect the information that they need to help you adjust. All of these factors combined make up an ugly recipe for repeated ankle sprains as well as increasing the risk for falling. An unstable ankle can change the way the forces are transmitted from the foot through the rest of your body, causing problems beyond your foot and ankle.
Physical therapy can help!
Physical therapy can help to break the cycle of chronic ankle instability by preventing future ankle sprains. We use exercises that focus on normalizing muscle imbalances, restoring normal motion, and improving ankle proprioception. Your physical therapist will evaluate your imbalances in order to create a program specifically designed for you. For instance, if you feel fine while standing on flat, stable surfaces but you have difficulty on a plush carpet or an uneven sidewalk, your therapist may have you practice standing and walking on unstable surfaces to functionally strengthen your ankle-stabilizing muscles.
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Physical therapy will not repair a torn ligament; however, the therapists at All-Care are trained to develop a program that will promote healing as well as maximize the stability in your ankle by strengthening the surrounding musculature.
Is barefoot exercise good for me?
While proper footwear can provide excellent support for a person with chronic ankle instability, exercising barefoot in a controlled environment helps build natural stability. Often patients with ankle instability perform physical therapy exercises without shoes to increase reliance on the natural stabilizing muscles instead of relying on support from your shoes. You may notice that if you stand on one foot with a supportive sneaker and compare it to standing on one foot without shoes, you tend to “wobble” more without the shoes. That is exactly why we focus on barefoot stability. While barefoot exercise in a controlled environment can be beneficial, high-impact barefoot training such as running or jumping without proper conditioning can lead to many other injuries. Make sure to speak with your doctor or physical therapist before beginning your own barefoot program.
Rebecca Kashdan, DPT Physical Therapist
Rebecca graduated from Rutgers University in 2012 with a Bachelor of Science degree in Exercise Science. She continued her education at Rutgers University and received her Doctoral degree in Physical Therapy in 2015. Rebecca has completed clinical rotations at Duke Regional Hospital in North Carolina as well as Applewood Estates Rehab in New Jersey with a focus on post-op orthopedic, cardiovascular, bariatric and neurological conditions. Rebecca has a particular interest in manual therapy, athletic injuries, balance dysfunction and pathologies of the foot and ankle. She has also worked with several pre-professional dancers from The Rock School for Dance Education as well as the University of the Arts in Philadelphia and is currently a member of the International Association for Dance Medicine & Science. Rebecca firmly believes that understanding the needs of her patients is the key to successful recovery.
March/April 2021
Medical Professionals
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Jeffrey Gosin, M.D. F.A.C.S. Board Certiied Vascular Surgeon
March/April 2021
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Welcome to the March/April Issue of the Ocean County Woman! Monmouth County Monmouth2021 County Since 2008
Since 2008
Woman
Woman
Spring Has Sprung
It’s hard to believe that it was just over one year ago that the world as we know it changed forever. Although the physical (and mental) effects of Covid-19 are daunting, we can still find the silver lining. One thing the virus has shown us is that we were all guilty of taking the “little” things for granted. Whether that means the ability to visit grandparents, or sending your kids to school, or attending a concert, we will never look at those things the same way again. After the long months of isolation and quarantining, spring 2021 is a welcome distraction. Between the longer days and mild weather, it’s hard to feel anything but hopeful. In fact, studies show that taking your workout outside can improve your mental and physical well being. Whether you indulge in a post dinner walk or a recreation adult sports league, the warmer temperatures will allow you to enjoy the time outside. Spring is the ideal time of year to enjoy simple pleasures. The flowers are blooming, the sun is shining, and we can enjoy the benefit of extra daylight. “Springing forward” has benefits for all. There is much to look forward too on the horizon. Besides the promise of time spent outdoors, St. Patrick’s Day is just around the corner on March 17th and Easter follows in April. Did you know that the reason we wear green on St. Medical Professionals Patrick’s Day is that it makes you invisible to leprechauns (which like to pinch All-Care Physical Therapy Center LLC.......................... 2 anyone they can see)? Folklore also says that sporting the color will surely bring Shore Vascular & Vein Center........................................ 3 you good luck. And who among us would not be interested in a little of that in Toms River X-Ray, CT & MRI Center............................. 5 2021? University Urology All correspondence should addressed to: Speaking of luck and magic in the air,be I All am thrilled to report that I got correspondence should be addressed to: Associates of New Jersey........... 6, 7 New Jersey Hematology & Oncology Associates......... 8 engaged over the holidays! I could not be more excited to embark on this new The County Woman The County Woman Gastroenterologists of Ocean County........................... 9 journey. There is no doubt about it, happy days are fast approaching.
“If we had no winter, the spring would not be so pleasant: if we did not sometimes taste of adversity, prosperity would not be so welcome.” – Anne Bradstreet
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Medical Medical Professionals Professionals
5 37
Prostate MRI 3D Mammography Prostate cancer the most common cancer Breast cancer is is the second leading cause of death in men. women. The American Association among One inCancer 8 women will develop breast predicts will be 164,690 newit cases of cancer inthere her lifetime. Each year is estimated that over prostate cancer in in the 2018. It is typically diagnosed 252,710 women United States will be diagnosed in men 65 years and older. One out40,500 of every 41 will with breast cancer and more than women men will die of prostate cancer. Despite these die from the disease. This is why early detection is so ominous statistics, most men diagnosed with survival important. With early detection, the five-year prostate cancer will not die from this disease. rate is nearly 100%. The latest weapon in the fight against This is due to early and treatment. breast cancer is 3Ddiagnosis mammography (also known as breast One of the newest diagnosinghas prostate tomosynthesis). Thistests newintechnology increased early cancer is the prostate MRI. detection over traditional mammograms, especially in women with dense breasts. Greater accuracy means Q:better Whatbreast is the cancer prostatedetection. gland?
suspicious, patients to be is called Q:need What prostate MRI? back for additional The is multiple A:views. The MRI a machine that uses a powerful magnet instead of images created byradiation 3D mammograms Cancer to create images of the body. A in prostate MRI is able to have such increased accuracy thatimages of the prostate this breast create excellent gland. It is used to diagnose there is decreasedprostate need forcancer this. On is difficult and to determine whethertothe cancer is contained average 3D mammograms reduce detect on within the prostate gland or has spread outside of the prostate callbacks by up togland. 40% It compared to this standard is also able to detect other non-cancerous diseases of traditional mammograms. This means mammogram. the prostate such as prostatitis (infection of the prostate gland), less radiation exposure, increased an abscess of the prostate gland, and benign enlargement of the convenience for our patients, and moreBPH (benign prostatic hyperplasia). prostate gland called peace of mind. Some centers use an endorectal coil. This is an instrument that is inserted into the rectum and is used to help obtain the images Q: What canof Itheexpect when prostate gland. Our powerful cutting-edge MRI is state of having a 3Dthemammogram? art and uses the most sophisticated computer system available A: The prostate gland is found in men, located in the pelvis just to create A: The process of having athe 3Dmost detailed images possible. Our MRI does not This subtle prostate below the bladder at the base of the penis. Its function is to excrete require mammogram is the samethe as ause of an endorectal coil and therefore creates a much Q: What is amake 3Dup mammogram? is it different from cancer is located fluid which helps semen. It is the sizeHow of a walnut, but experience for our patients. conventional 2D more exam.comfortable The in an area that is regular it can grow.mammograms? As men get older, most prostate glands grow in a technologist will position you, biopsy. condition called benign prostatic hypertrophy. It is not known A: 3D mammogram--also called breast tomosynthesis--is one ofwhy the most difficult to compress Q: Are there limitation of the prostate MRI? your breast, and take images This to MRI guided this enlargement it is not cancer, does causeof radiation advanced forms ofoccurs; breasthowever, cancer detection. It uses anor very lowitlevel A: Certain have implanted devices such as pacemakers, from different angles. There’spatients no the to the take multiple pictures of the breast. The x-ray tube moves over the breast in an urologist cancer. Using 3D spinal stimulators, implants, andmammogram blood vessel stents that additional compression required, andcochlear it exact location of the are not compatible with an MRI arc, capturing multiple images of each breast from different angles. A computer technology, the and therefore can pose a danger only takes a few extra seconds. Q: What these is prostate reconstructs pictures tocancer? create a 3-dimensional picture of the breast. cancer A regular so it could cancer was able to to beenter an to the patient. Patients with hip replacements are safe be removed mammogram takesoccurs a singlewhen picture theofbreast. A: Prostate cancer the of cells the prostate gland grow Q:with Do insurance companies clearly seen. can distort the MRI; however, the metal of the hip replacement surgery uncontrollably. Some cases of prostate cancer can grow and spread images of the prostate gland. cover 3D mammograms? Q: What is the advantage of 3D mammogram? quickly; however, in a great majority of cases the prostate cancer Prostate MRI is a new and exciting test to detect prostate A: Medicare, and many private insurers, cover 3D mammograms. In the past, not A: Onevery of slowly. the challenges interpreting is normal dense breast grows In mostofcases, men willmammograms never know they have prostate cancer cancer in men. You may wonder why I would be discussing prostate cancer in a all private insurance companies covered 3D mammograms. However, in August tissue hiding breast cancer. Additionally, overlapping areas ofItnormal dense breast because it is not causing symptoms or affecting their health. has been shown newspaper dedicated to women. I have found that in many households, women New Jersey enacted a mandate requiring nearly all the major health insurers tissue70% can of look This is whywho detecting breast cancer women dense 2018, that all suspicious. men in their eighties die from other causesinwill havewith prostate manage the healthcare for their families. Most questions I am asked about prostate to cover 3D mammograms. breasts found is moreincidentally difficult. The 3-dimensional images of breast tomosynthesis help MRI have been from women inquiring for their husbands, fathers, or uncles. cancer at autopsy. decrease the tissue overlap that can obscure cancers. It also helps distinguish normal Therefore TomsitRiver X-rayforhas performing mammograms is important bothbeen men and women to have the information they overlapping breast tissue from breastprostate cancer. cancer? Q: How do you diagnose and serving theprostate community will need regarding health. for over 30 years. Our 3D Studies have shown thatis 3D significantly improve A: The digital rectal exam the mammograms most commonly used physical exam the to diagnose mammogram is the latest on the market and has the most Toms River X-ray uses the most advanced technology detectioncancer. of breast in women with denser tissue. It also prostate Thecancer, doctorespecially inserts a gloved, lubricated fingerbreast into the rectum to advanced technology. It is our mission to provide the very picks up the breast cancerThe at andoctor earliercan stage, whichthe may be missed by traditional available on the market. We believe this is the best thing examine prostate. evaluate texture and size of the gland, and best for our patients. We thank you for trusting us with your mammography. 3D mammograms find 20-65% more invasive breast cancers we can provide for our patients. As is able to feel for suspicious nodules. health and the health of your loved mammograms, with an average increase of 41%. always, if you have any questions, compared There istoatraditional blood test 2D called a prostate-specific antigen (PSA) test that is used ones. We look forward to offering to determine the presence of prostate cancer. PSA is a protein produced by the please feel free to contact our staff Q: Is there increased radiation performing a 3D you this significant advance in breast prostate gland. It is normally found in the bloodstream in very small quantities. at (732) 244-0777. cancer screening. mammogram? If there are elevated levels of PSA in the blood, this could be a sign of different diseases of the prostate gland, including cancer. A: Mammograms expose patients to veryprostate low levels of radiation. The level of If thereexposure is a suspicion prostate cancer, aisurologist perform radiation from aof3D mammogram the samewill as that fromaabiopsy. traditional Cyrus Khorrami, M.D. Usually 12 individual core samples willany be increased performedrisk. in Cyrus Khorrami, M.D. mammogram. So a patient receives of all the the prostate benefits gland without Medical Director Medical Director With traditional mammograms, various locations to detect cancer. 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
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Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 • Fax: 732-244-1428
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March/April 2021 September/October 2018
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Medical Professionals 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).
www.uuanj.com
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November/December March/April2018 2021
# Medical Professionals 7 Medical On Professionals 43 Featured The Cover 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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Medical Professionals
What Is Hemoglobin And What Causes Anemia? Dr. Apurv Agrawal
Blood in the body is produced by the bone marrow. Bone marrow is tissue found in the center of large bones. Erythropoiesis means red blood production. The origin of erythropoiesis comes from Greek where “erythro” means “red” and “poesis” means “to make.” Erythrocytes are the primitive red blood cells made in the bone marrow. Hemoglobin is a protein component of your red blood cells. It gives blood its red color. Iron is one of the most important ingredients to make hemoglobin. When the blood passes through the lungs, the hemoglobin attaches to the oxygen. Hemoglobin is responsible for carrying the oxygen in your blood throughout your body, including to all your organs. The average red blood cell has a life span of 120 days. After that the remains of the red blood cells are transported to the liver and spleen for “recycling.” Anemia is a condition where your body has a reduced amount of red blood cells or hemoglobin. Symptoms of anemia include fatigue, shortness of breath, palpitations, dizziness, leg cramps, and difficulty concentrating. Anemia is usually due to blood loss, vitamin deficiency, decreased production of red blood cells by the bone marrow, or destruction of red blood cells. The most common cause of anemia is blood loss from the gastrointestinal system through bowel movements or excessive blood loss during menstruation. An evaluation with a hematologist (blood specialist) entails testing to identify the cause of decreased hemoglobin in the bloodstream. Typically testing starts with checking iron, B12, and folic acid levels in your blood. A deficiency in any of those vitamins can lead to low hemoglobin. Additionally, a test to check the bowel movements for blood will be ordered. Besides blood loss being the most common cause of anemia, it can also lead to diminished iron in the bloodstream. Replacing any deficient vitamins will help improve anemia. In the event that all of your vitamin levels are normal, blood testing will also include an evaluation to see if your blood is breaking down in the bloodstream. Breakdown of the blood can be seen in cases of autoimmune disease, viruses, or valvular heart disease. The hematologist will typically perform a detailed intake regarding your medications and medical problems. Certain New Jersey Hematology Oncology Associates medications, as well as chronic diseases such as chronic kidney disease, decrease the bone marrow’s Girish Amin, M.D. ability to produce blood. Lastly, if all of your blood Apurv Agrawal, M.D. tests are unremarkable, a bone marrow biopsy will be considered. The purpose of performing a bone Jayne Pavlak-Schenk, D.O. marrow biopsy is to see if there is a problem in the Randi Katz, D.O. bone marrow leading to the decreased production of blood. Sara Kovaly, A.P.N Most causes of anemia are reversible. It is important to seek care for any altered blood count in Brick • 1608 Route 88 West, Suite 250 • (732) 840-8880 a timely fashion. Toms River • 508 Lakehurst Rd., Suite 1-B • (732) 244-1440 Whiting • 63D lacey Rd. • (732) 206-6226
For more information, call 732-840-8880 or visit www.NJHOA.com.
Neptune • 19 Davis Ave. • (732) 206-6226 Fax • (732) 840-3939 • www.NJHOA.com
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Medical Professionals
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March Is Colon Cancer Awareness Month Written by: Jai Mirchandani, MD Gastroenterologists of Ocean County
What is a Cancer Screening?
A screening test is a recommended medical test to examine for precancerous lesions prior to the development of cancer. Examples of those kinds of tests include: Mammography to detect breast cancer; Pap Smears to detect cervical cancer and a Prostate Exam, which examines for early prostate cancer. Colonoscopy is a screening test to detect and prevent colorectal cancer. What is the colon and rectum? The colon is a 6 feet long tube, which absorbs excess water and salt into the blood, and converts waster into stool. The rectum is the end of the colon, where waste/stool os stored until it leaves the body during a bowel movement. What is a polyp and why are they important? A polyp is a growth out of the wall of the colon. Polyps are either benign (noncancerous), or pre-malignant (pre-cancerous). Polyps are important because certain polyps can grow large over time into colon cancer. Usually patients have NO SYMPTOMS, if they have a polyp. Polyps are caused by genetic and hereditary factors, as well as dietary and environmental factors.
What is a colonoscopy? A colonoscopy is a test where a flexible tube is inserted into the rectum. Through this tube, a gastroenterologist can visualize the inside of a patient’s colon. Using a colonoscope the gastroenterologist can identify small polyps, and remove them internally. The procedure takes approximately 30 minutes. Patients are given sedation to make them comfortable throughout the entire procedure. The day before the procedure patients must drink a solution to clean their intestines prior to the procedure. If a patient’s colonoscopy is normal, they most likely will not need another procedure for 10 years. What happens to patients who develop Colorectal Cancer? Patients who develop colorectal cancer must undergo further treatments, including possible surgery, chemotherapy and radiation. Ultimately they have a shorter life expectancy. What is the most important thing to know about Colorectal Cancer? The most important thing to know about colorectal cancer is that it is a common form of cancer, and all patients, including men and women are susceptible to developing colon cancer. Most types of colorectal cancer are preventable however, with appropriate screening. Colonoscopy is covered as a screening tool by Medicare and most insurances. Make sure to talk to your doctor to see if you should be screened for colon cancer.
Call to schedule your appointment at gastroenterologists of Ocean County.
How common is Colorectal Cancer, and do I have to worry about it? Colorectal cancer is the 3rd most common cause of Cancer in both men and women. It is estimated by the American Cancer Society that colorectal cancer will be the second most common cause of cancer death in 2016. The lifetime probability of developing colorectal cancer is approximately 1 in 20 for both men and women, making it very common. What are some potential symptoms of Colorectal Cancer? Symptoms of Colorectal cancer include blood in the stool, anemia (low blood counts), changes in bowel habits, abdominal pain and weight loss. Often, however, patients have no symptoms at all.
Omar Tamini, MD Jill Collier, MD Edgar Bigornia, MD
What are risk factors for developing Colorectal Cancer? Family history and genetic factors are one of the biggest predisposing factors to the development of colorectal cancer. If you have a close family member who had either colorectal cancer or colon polyps, you are at an increased risk for developing colorectal cancer. Environmental or dietary factors, such as diets high in red meats, alcohol or tobacco use can predispose patients to colorectal cancer. Also patients who are overweight or have advanced diabetes are also at an increased risk for developing colorectal cancer. What are protective factors for Colorectal Cancer? Diets high in fruits, vegetables and fiber are protective for colorectal cancer. Also, a diet high in calcium has been seen to be a protective for colon cancer as well. Exercise has been seen to be a protective factor as well to prevent colon cancer. Who should be screened for Colorectal Cancer? Any man or woman over the age of 50 years old should be screened for colorectal cancer. Patients with family members with a history of colorectal cancer, or colon polyps, as well as certain symptoms may need to be screened at an earlier age. How do patients get screened? A patient can get screened by stool tests to check for blood, X-ray or CT scan tests, as well as certain blood tests that can assess if patients are at risk for developing colorectal cancer. The best test for screening for colorectal cancer is a colonoscopy, as this test can visualize pre-cancerous polyps, as well as remove these polyps before they have a chance to grow and become colorectal cancer.
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
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Patient Testimonials
“Dr. Mirchandani and his staff were very professional and caring. They made me comfortable and less apprehensive.” - Joan, age 49, Whiting “I felt comfortable and safe! The warmth I felt from Dr. Mirchandani and his team left me feeling relieved. ‘A piece of cake!’ Excellent!” - Dortha, age 84, Toms River
A Division of Allied Digestive Health
“ The Nursing and Technical staff displayed extraordinary compassion and put me at ease from the moment I arrived. Since I have no memory of the procedure, I commend Dr.Mirchandani and the staff. Overall, I was extremely satisfied.” - Joe, age 46, Toms River
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Financial Management
10
Spring Cleaning
“Have nothing in your home that you do not know to be useful or believe to be beautiful.” — William Morris The winter is finally over and with spring comes new fragrances and pollens outside. To fully embrace the new season, some decide to clean their homes by moving everything and doing a full clean and assessment of what should be kept or thrown out. We collect treasures over our lifetimes that represent memories and letting go of those treasures can be hard. An article from the Journal of Gerontology: Series B, titled “The Material Convoy after 50” discusses how people divest themselves of possessions as they age. David J. Ekerdt and Lindsey A. Baker through analysis of data from a national panel conclude that “After age 50, people are progressively less likely to divest themselves of belongings. After age 70, about 30% of persons say that they have done nothing in the past year to clean out, give away, or donate things, and over 80% have sold nothing.” Although the authors suggest that with a larger set of possessions, “their continued keeping can be a predicament for oneself and others,” they explore many reasons why less is divested as we age. The reasons they bring up that we find compelling are: 1. The longer we live, the more possessions we accumulate that signify our identity and “The ongoing collection of belongings can secure continuity of the self in the face of aging and vulnerability.” 2. As we age, we feel less up to the task of assessing value and divesting where there isn’t any: “a major reason for less possession management is the rising
risk of poor health at older ages that can limit the capacity to carry out the cognitive, physical, social, and emotional tasks of divestment.” 3. We’ve divested already: “Most obviously, people may have already divested (perhaps by having moved) and so are content with their collection of belongings.” At Garden State Trust Company, we deal with inter-generational wealth transfer and help people make the transition easier for their beneficiaries. Here are some questions to consider when you’re deciding if something should be kept for a beneficiary: In regard to pragmatic value: Have I used this possession in the last five years? Would any of my beneficiaries use this possession, or do they have something already that replicates it’s use they prefer? As an independent trust company, Garden State Trust Company has served as executor to administer and settle many, many estates. Without question, one of the most difficult tasks in an estate is the distribution of non-financial possessions one has accumulated during one’s lifetime, especially when you have multiple beneficiaries with no direction from the deceased as to who is to receive what! We have witnessed relationships between children irreparably damaged because of a fight over a ring, a picture or some other item that they thought would belong to them someday. It’s truly a shame that this happens; however, it happens more than you think. The next time you meet with your estate planning attorney to discuss your Will, make sure the distribution of your “things” is discussed. Spring cleaning may solve some of this problem. Ira J. Brower
Lifestyle & Money Management Trust & Estate Planning Investment Services Caring for and thoughtfully guiding our clients creates the strong, trusting relationships we have nurtured over the decades. That’s why so many people rely upon our independent company for wealth management and trust & estate services. True independence and understanding are at the core of our unique value proposition.
Our focus is where it should be…
Garden State Trust Company To learn how we can focus on you and your family, contact Adam Brower or Siobhan Connolly.
On You. On Your Family. On Your Future. 2101 Highway 34 South • Suite A • Wall, NJ 07719
WALL, NJ
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Financial Management
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WE’VE MOVED TO
MONMOUTH COUNTY
Garden State Trust Company is proud to announce the opening of our new headquarters in Monmouth County. We are excited to expand our focused, responsive and personalized service to our Monmouth County community. Let us show you how a Locally Based Independent Trust Company can work with you to achieve peace of mind for you and your family for generations. Garden State Trust Company offers • Individualized Investment Management • Trustee Services including expertise in special needs trusts • Estate settlement services. Please call us at (732) 255-5000 to arrange a complimentary Will and Retirement Plan Review with our experienced team. In-person and virtual meetings are available.
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Cosmetic & General Dentistry
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Aesthetic Dental Creations is Pleased to Offer the Following Services: • General and Family Dentistry • Free Cosmetic Consultations • Aesthetic Onlays and Inlays • All Porcelain Crowns (Non-Metal) • Invisalign® • Implant Crowns • Periodontal Therapy • Dentures/Aesthetic Partial Dentures • Facial Esthetics (such as Botox®) • Non-Invasive Facial Rejuvenation
Dr. Balaji Srinivasan
graduated from Creighton University School of Dentistry in Omaha, NE in 1994. He completed his residency in Advanced Education in General Dentistry at Temple University in Philadelphia, PA in 1995. He is the alumni of the world famous Las Vegas Institute for Advanced Dental Studies and member of the International Association of Physiologic Aesthetics. He also lectures at Monmouth Medical Center.
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March/April 2021
Medical Professionals
13
Colorectal Cancer: Are You Aware? What’s The Big Hype? Nina Paonessa, DO, FACOS
Nina Paonessa, DO, FACOS, an established colorectal surgeon practicing in Ocean and Monmouth Counties, answers questions about colorectal cancer, one of the leading cancers in both men and women.
How common is colorectal cancer and who is at risk? Colorectal cancer is the second most common cancer in the United States among both men and women. It affects 140,000 people annually and causes 50,000 deaths. The average person has a one in 20 chance of developing colorectal cancer in his/her lifetime. This risk is increased if there is a family history of colorectal polyps or cancer, and is even higher still in those patients with a history of breast, uterine or ovarian cancer, and patients with a history of extensive inflammatory bowel disease such as ulcerative colitis or Crohn’s colitis. Additionally, a person’s risk for developing colorectal cancer increases significantly with age.
What causes colorectal cancer?
How is colorectal cancer treated? Nearly all cases of colorectal cancer require surgery. Radiation and chemotherapy are sometimes required in addition to surgery. If the cancer is diagnosed and treated in the earliest stages, approximately 80-90% of patients are restored to their normal health. The cure rate decreases to 50% or less when the cancer is diagnosed in the later/advanced stages. Less than 5% of all colorectal cancer patients require a colostomy or “bag,” thanks to modern technology. Additionally, modern technology has made possible minimally invasive colorectal surgery using laparoscopic or robotic surgery techniques. Both laparoscopic and robotic colorectal surgery are types of minimally invasive surgery in which small incisions are made to perform major surgery. This allows for shorter hospital stays, decreased incisional pain and earlier return to work and other activities.
Can colorectal cancer be prevented? Colorectal cancer is one of the few cancers that is preventable. Obtaining a screening colonoscopy at regular intervals is the single best way to prevent colorectal cancer. Your colorectal surgeon or specialist is able to review the guidelines for screening colonoscopy based upon your age, medical history and family history. Although not definitively proven, studies published in the literature mention additional factors that may lower your risk of developing colorectal cancer and include eating a high-fiber, low-fat diet, maintaining a healthy weight, and engaging in regular, vigorous exercise.
It is generally agreed that nearly all colon and rectal cancer begins in benign polyps, called adenomas. These pre-malignant polyps, or growths, occur in the wall of the colon and/or rectum and may eventually increase in size and become cancer, or medically speaking, carcinoma. This is known as the “adenomacarcinoma sequence.” Several factors have been mentioned in the literature that may increase a person’s risk for developing colorectal cancer, including age, a diet high in fat and cholesterol, an inactive/sedentary lifestyle, obesity, smoking and environmental exposures.
What are the symptoms of colorectal cancer? Unfortunately, polyps and early cancers do not produce any physical signs or symptoms. Therefore, symptoms usually indicate late or advanced disease. The most common symptoms of colorectal cancer are rectal bleeding and changes in bowel habits such as constipation or diarrhea. These symptoms are common in many other disorders of the gastrointestinal tract, so it is very important to have a thorough examination should you experience them. NOT ALL RECTAL BLEEDING IS DUE TO HEMORRHOIDS. It is very important for patients to remember this and seek evaluation if they are experiencing rectal bleeding. Other symptoms such as abdominal pain and weight loss are usually late symptoms and quite possibly indicate advanced/extensive disease.
How is colorectal cancer diagnosed? Evaluation of colorectal cancer is first begun with a complete history and physical exam, including a digital rectal exam and possibly testing the stool for blood. A colonoscopy is the most definitive test used to diagnose colorectal cancer. A colonoscopy is performed by a colorectal surgeon or other specialist in order to get a direct visualization of the inside of the colon and rectum. A colonoscopy is a safe, painless, outpatient procedure performed under a light sedation. Based upon the findings on colonoscopy, your colorectal surgeon or other specialist may recommend other testing such as blood work, a CT scan of the abdomen and pelvis, pelvic MRI and/or ultrasound.
Colon and Rectal Surgery
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Health & Wellness
The Hansen Foundation Written by Lisa Whitley, PMP – Executive Director There is no shortage of stories when it comes to the challenges of a person in the throes of addiction. While hitting rock bottom often serves as a familiar turning point, the story is far from over, and the road to recovery remains a difficult one. Physical struggles are compounded by emotional ones, and without the right resources and support systems in place, the chance for a full recovery often remains out of reach. In this, the first of a six-part series, we will share the valuable work of The Hansen Foundation (a non-profit organization dedicated to providing exceptional care and support for those recovering from addiction), and the commitment to our mission: To Transform Humanity, One Person at a Time, One Day at a Time. It is what we do in our work every day: helping people learn how to LIVE after enduring the depths of addiction. Under the direction of President and Founder Jennifer Hansen, The Hansen Foundation provides affordable, long-term safe recovery residences called Serenity Estates and Serenity Houses. We provide life-skill training and holistic health and wellness workshops to individuals through our recovery support programs at our Enlightened Farm, Enlightened Café, and the Hansen Foundation Resource Center, as well as access to treatment through our partnerships with Enlightened Solutions Detox and Enlightened Solutions. RECOVERY RESIDENCES Detox, treatment, or primary care alone are not enough for long-term recovery success. The Hansen Foundation Residences, Serenity Estates and Serenity Houses, provide an affordable, long-term, home-like atmosphere and necessary recovery support. Whether a person needs legal guidance, help regaining a driver’s license, guidance concerning child custody, or simply learning how to do laundry, food shop, cook and clean – we help people put their lives back together. ENLIGHTENED FARM As a non-profit farm cultivating a sustainable and healing environment for all, our roots run deep within the recovery community. We work to nourish people through horticulture and employment programs… bringing together those affected by substance-use addiction in a setting focusing on holistic wellness.
ENLIGHTENED CAFÉ Rooted in a health mindset, Enlightened Café brings the recovery community together through good food, good music, and good vibes. The Enlightened Café nourishes the community by offering a locally grown organic menu as well as live music, poetry, and events. The Café’s robust organic menu is created from locally sourced vendors, including organic produce from the Enlightened Farm. THE HANSEN FOUNDATION RESOURCE CENTER The Hansen Foundation Resource Center is a safe, welcoming environment that allows clients to access a variety of programs to help individuals in recovery plan, create, invent, improve life skills, and make things happen in their lives. The programs range from family support groups, community yoga and meditation classes, peer-to-peer recovery support services, 12-step meetings, and allrecovery programs to various other holistic and community-based programs.
MORE ABOUT THE HANSEN FOUNDATION The Hansen Foundation transforms lives… helping ALL people become healthier and happier. I will be sharing more about the life-changing work we are doing in future issues. For more information about The Hansen Foundation, please visit us at www. hansenfoundation.org or reach me directly at Lisa Whitley, Executive Director, at lwhitley@hansenfoundationnj.org.
See page 36 to learn more about The Hansen Foundation!
The Hansen Foundation, Inc.
4 East Jimmie Leeds Road, Suite 3 | Galloway, NJ 08205 Mobile : 609-968-3873 | Main: 609-270-4443 | Tax ID #31-1667973 lwhitley@hansenfoundationnj.org | hansenfoundationnj.org
Employment Opportunity
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March/April 2021
Medical Professionals
15
Helping Small Miracles Happen
Recurrent Pregnancy Loss Pregnancy loss is a devastating yet common event that occurs in about 15-25% of pregnancies. Most of these losses take place before the end of the first trimester. However, fewer than 5% of all women will experience two consecutive losses. About 1% of women may be afflicted by three or more losses. Recurrent pregnancy loss (RPL) is defined as having more than two pregnancies identified by ultrasound which did not result in a live birth. The most common cause of these losses, or as more commonly called, “miscarriages,” is an embryonic chromosomal abnormality such as Down syndrome. Other conditions that may contribute to RPL include the antiphospholipid syndrome and anatomic factors. Less likely causes include hormonal or metabolic factors, infections, or clotting disorders. Although the overall prognosis for patients afflicted by RPL is quite good, this diagnosis is emotionally difficult to deal with for the patient. The immense sense of hopelessness that patients may experience can be devastating. For this reason, it is important to understand the patient’s feelings and concerns in order to provide adequate care. As a woman gets older, her chance of miscarriage increases. This happens mainly because age affects the machinery responsible for genetic recombination within her eggs. In women under 35, the risk of sporadic miscarriages is at most 12%. For women over 40, this risk is close to 50%. In a small proportion of cases, the cause for pregnancy loss is due to abnormality. Preimplantation genetic screening can be done to reduce the chance of a chromosomally abnormal pregnancy. Another entity responsible for RPL is called antiphospholipid syndrome. In this case, the mother carries antibodies which can affect the ability of the
embryo to adequately grow and be nourished within the uterus. Blood tests on the mother can be done to identify these antibodies, and a blood thinner may be indicated to improve on the chance of a live birth. Uterine abnormalities are anatomic factors which are responsible for up to 37% of all RPL. The most common uterine abnormality is a uterine septum. Other conditions, such as doubling of the uterus or defects in the shape of the uterus, are less common. Nonetheless, a sonohysterogram or a hysterosalpingogram can be done to evaluate the shape of the uterus. These abnormalities are more commonly associated with second trimester losses. Surgical interventions can lead to very successful pregnancy outcomes. Hormonal problems such as thyroid, prolactin, and poorly controlled diabetes can account for a small proportion of RPL. A blood test can identify these conditions. Depending on the results, medications can be used to optimize these problems. Other inherited clotting disorders are less likely to contribute to pregnancy losses. A thorough history from the patient can help identify if there is a need for additional blood tests to identify a propensity to blood clotting. In summary, it is imperative to provide a diligent investigation of RPL as well as give emotional support in the form of psychological counseling. These patients deserve a caring provider who can listen and help reduce anxiety by clearly communicating and answering all questions and concerns in a timely fashion.
For more information call our Toms River office number at 732-240-3000 or visit www.FertillityNJ.com.
• 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
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We are Open and Offering Telehealth Appointments Toms River • Eatontown • Lawrenceville
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Recipe Spring Time Brunch Entrees Crab Quiche-Serves 6
Compliments of Chef Steph
Prepared pastry for 1 pie crust 4 eggs 2 cups heavy cream 1/8 tsp ground nutmeg 1 cup swiss cheese, shredded 3 T butter 2 T green onion, minced 12 oz crabmeat, well drained 2 T dry vermouth 1/8 tsp cayenne
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Preheat oven to 425. Prepare and place pastry in pie plate. Chill well. With a wire whisk beat the eggs, cream, and nutmeg. Stir in cheese and set aside. In sausepan, melt the butter. Add the green onions and cook until tender. Stir the onions and remaining ingredients into the egg mixture and pour into the prepared crust. Bake for 15 minutes. Reduce temperature to 325 and bake an additional 35 minutes or until knife inserted in the center of the quiche comes out clean. Serve the quiche with salad or toasted English muffins. For dessert, enjoy fresh fruit topped with whipped cream.
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March/April 2021
16
Elder Law Establish a plan, diffuse a crisis, or ask a question...
ANNEMARIE SCHREIBER, ESQ. Certified Elder Law Attorney*
has the knowledge and experience to help you!
Springing Power of Attorney With the theme of this edition being ‘Spring into Happiness,’ it seemed only fitting to talk about Springing Powers of Attorney. A Power of Attorney, also known as a POA, is a document that allows you to appoint an agent to transact financial, legal, or business transactions on your behalf. In the POA document you are known as the principal, and the person you appoint to act on your behalf is known as your agent or attorney in fact. Keep in mind your agent or attorney in fact does not have to be an attorney; it can be your spouse or some other relative, a friend, or an associate. For Powers of Attorney known as Durable Powers of Attorney, the authority granted to your agent takes effect immediately. Many people mistakenly think a POA does not take effect until they become incapacitated. There is another type of Power of Attorney, known as a Springing Power of Attorney, that does not become effective unless or until you are incapacitated. This kind of POA ‘springs’ into life when it is needed. The key to a Springing Power of Attorney is the event that triggers the POA’s effectiveness: the principal’s inability to handle his or her own affairs due to his or her incapacity. On its face this may sound like an easy precaution to take, but in reality it can be problematic. A Springing Power of Attorney requires a doctor’s examination and report. Oftentimes, two doctors’ certifications are required. It can take weeks to get the 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.
doctors’ certifications, and during that time no one will have the authority to take care of your affairs. An issue may arise as to the level of the principal’s incapacity. For a principal who is in a coma, the doctors may willingly provide the certifications. But for someone with dementia, who has moments of lucidity, the doctors may be less inclined to sign certifications as the doctors may be reluctant to allow the agent complete control of the principal’s financial affairs. Another complication may alsoshare known a health caremedical proxy directive, relate to the doctors’ abilityis to theasprincipal’s a durable power of attorney for health care or an advance directive. An condition and information as the doctors are bound by the Health individualPortability appoints a and trusted person to be hisAct or her representative in the Insurance Accountability (HIPAA). Unless event the creator of the document can no longer make medical decisions for the agent under the Springing Power of Attorney can provide or herself. thehimproper authorization, the doctors may be unable to provide the certifications is due to HIPAA constraints. cost associated a legal document in which anThe individual states his or with obtaining the doctors’ certifications is another consideration. her wishes regarding medical treatment and end of life care. An individual’s Finally, the Springing Power of Attorney, together with theincluded in preferences for medical treatment and end of life care are often doctors’ certifications, will need to be reviewed by the banks and other financial institutions. This scrutiny by the financial institutions may further delay your agent’s ability to act on your behalf. In an effort to avoid the complications presented by a Springing Power of Attorney, choose a Durable Power of Attorney and consider appointing an agent you know you can trust. If you need a Durable Power of Attorney or if you have any questions about POAs, please contact me. Estate Planning, Probate, and Administraton Wills and Trusts Powers of Attorney Advance Medical Directives Disabillity Planning
Guardianships/ Conservatorships Medicaid/Medicare Planning Asset Preservation and Protection Elder Abuse Cases
Healthcare Decisions Nursing Home Issues Social Security Counseling and Document Preparation Estate and Gift Taxes ...and More.
* As a Certified Elder Law Attorney (CELA) by the ABA approved National Elder Law Foundation, Annemarie Schreiber is one of only 400 or so attorneys in the entire United States who is a qualified CELA. She is certified by the ABA approved Natonal Elder Law Foundation and has years of experience offering clients in Ocean and Monmouth counties the legal counsel they need to plan ahead for their future or the future of their loved ones work through difficult situations.
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March/April 2021
Medical Professionals
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17
March/April 2021
Women’s History
18
The Magnificent “Wordologist” Amanda Gorman
Theguardian.com
As I sit down to write the next feature, I am reflective over the past year, January 6, 2021 and most recently the inauguration of our nation’s President. Regardless of your political views, the inaugural poem read by Amanda Gorman was an incredibly moving piece. As I logged into my computer at work to watch the inauguration, I was just in time to view the 22-year-old Harvard graduate’s presentation of hope and peace to the world. The ability to put into words the current climate of the world with such elegance and power leaves a person, well, speechless.
I was so enamored by Amanda Gorman I had to learn more about her. I watched her speech about 10 times and then as many YouTube interviews I could find. Amanda has a twin sister and another sibling. Amanda was raised by a single mother in California. Amanda was interested in writing at a young age due to her limitations with her speech. Amanda’s writing became her voice. Amanda began performing her written work in the second grade. Amanda’s interest in literature continued to grow, and it has been reported that a speech by Nobel Prize laureate Malala Yousafzai inspired Amanda to become a youth delegate for the United Nations in 2013. By 2014, Amanda received the award of Youth Poet Laureate of Los Angeles. Amanda used her words to advocate for social change and the underserved. In the same year, Amanda “founded” “One Pen One Page,” which is known to be a non-profit organization that “encourages youth advocacy, leadership development and poetry workshops.” All of this greatness before college! By 2015 she was published. At the young age of 19, Amanda was awarded the United States first female African American National Youth Poet Laureate award. Amanda credits former First Lady Michelle Obama for her work in the national award. First Lady Jill Biden was moved by Amanda’s writings after observing Amanda recite her famous poem “In this Place” at the Library of Congress in Washington, DC. Amanda has contagious energy and is incredibly positive. I particularly enjoyed her presentation of a poem that was created from her experience during an audition for The Lion King on Broadway. Amanda Gorman described real-life interactions with her mother and sister that are Poets.org. hilarious, horrifying and a true portrayal of family life. Amanda reflected feeling “broken” at not getting her big break for a part in The Lion King and yet she ends up being selected to write the inaugural poem with few restrictions. Amanda very openly shares that she grew up with a speech impediment and, even when she was a finalist for the inauguration presentation, had her doubts of being selected to write and deliver “The Hill We Climb.” A poem that was started conservatively over the course of a few weeks and then, after the event of January 6, 2021, Amanda seized the opportunity to be the voice of peace. Amanda Gorman has already made an incredibly significant impact on the world and specifically young girls. Amanda has overcome obstacles that have included a Latimes.com
speech impediment, poverty, single-parent households, and the pressures of an Ivy League education. In an interview with James Corden (January 21, 2021), Amanda shared the events that happen after an inauguration. As any young adult would do after getting a good grade, scoring the winning goal or making their bed, Amanda’s reaction and mindset was “maybe she could get a new iPhone.” A young individual so talented, it is quite humbling to see that yes, she is real! Amanda is very self-aware as she described herself as “a skinny black girl, descendant from slaves and raised by a single black mother can dream of becoming a president.” On inauguration day, Amanda Gorman stood before the nation poised, strong, articulate, and delivered a message that will continue to resonate with us for decades. Amanda Gorman has made it known to America that Instagram.com she has a dream to be on the ballot in the 2036 Presidential election. Amanda is not stopping at the inauguration. Amanda recently debuted a children’s book entitled Change Sings. The book is about how a young girl has the power to change through music. Amanda shared in an interview with James Corden that she wanted to write a book in which young girls are activists and not observers in the story. Additionally, it has been reported that Amanda was offered a modeling contract with IMG Models, and by the time of this publication she will have performed before Super Bowl 2021 to honor three pandemic heroes. There is no doubt that Amanda will continue to shine bright through her powerful prose. The historic events of the world over the last year have dimmed the lights for many. I appreciated Amanda’s description of how we have “braved the belly of the beast.” A message quite fitting on many levels in each of our lives. In “The Hill We Climb,” Amanda brings back to focus that we are amazingly resilient wherein she reminds us that “even as we hurt we hope” and we will “rebuild, reconcile and recover.” Amanda gave us more than a simple poem on inauguration day; she gave us inspiration to live each day to its fullest. I encourage everyone to get Messynessychic.com out there and live Happy!
Rita King, LCSW is a mental health clinician providing psychotherapy services to adults and children. Rita has worked with individuals with mental illness in the community mental health setting, criminal justice system and private practice setting. Rita is a “De-escalation for Individuals with Special Needs” training facilitator and has trained approximately 1,200 law enforcement professionals to date. Rita is also a CIT trained mental health professional. Rita has a strong passion for women’s history and in her free time she continues to raise awareness of the importance of women’s history through lectures and community speaking engagements.
The County Woman Magazine www.TheCountyWoman.com
March/April 2021
Do You Need an Attorney if You’ve Been Injured at Work?
Medical Professionals
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For minor injuries, you probably don’t need the services of an attorney unless you need help getting Dealing with insurance companies regarding your your medical bills paid. If any of the following is true, however, you probably do need the services of an Workers’ Compensation attorney who is well-versed in the area of Workers’ Compensation law. claim can be daunting, • You need surgery. especially when you should • Your injuries will impair your ability to function as you did before the accident. be concentrating on feeling • You can no longer do your job because of limitations or pain. better. Without the assistance • You have to change your job to accommodate your limitations. of an experienced attorney to • The insurance company is contesting your claim and will not pay your medical bills or wage represent your interests, you’ll replacement. be subject to the actions and • Your doctors have released you from treatment prematurely. opinions “dark side” of of those mostwho may have interests contrary to yours. Don’t go Withyour thecondition. ever-increasing spread • You would like a second opinion regarding through this process alone. Contact the Law Office of Kathleen M. things. (Murphy COVID andreduced its mutating associate • You’ve been fired or have had yourof hours significantly as a result of your work accident. Dotoli for was a realist,courteous in my and experienced legal representation for your • The process is overwhelming and you would like the the opinion of someone who is well-versed invaders, world is continuing to Workers’ Compensation matter. opinion.) in this area. experience the (negative) mental, At the request of emotional, financial, and for psychological Kathleen Dotoli received recognition from the American Institute of Legal Counsel “10 Best Attorneys for Social Security andpatients Disability Law Division for Client Satisfaction” 2016 and 2017 many of our impact that “COVID” implies in terms of as well as student colleagues, I have overall health and well-being. been asked to give an opinion as to the It is life’s cumulative stresses that are the cause of all chronic illness and, ultimately, death. It is wrong to believe value that may be obtained through that if we do not experience adverse symptoms as a result various therapies of a stressful situation, it does not negatively impact us. offered at ICAM. A series of bad days and weeks of chronic pain and lack It is believed that if of sleep affects our immune system just as much as does we provide a tired the loss of a job or loved one if the stress is not addressed and/or is sustained. Moreover, throw on social distancing, and weakened body a physiological home schooling, loss of income, social isolation, and fear “boost,” we can of the unknown situation that is about to become evident awaken and recharge Medical Professionalsover the next several months throughout the world. f our immune system with the intent I have seen trends to indicate that “COVID-STRESS” of decreasing the has affected several measurable biologic markers of infectivity of various viral loads, including the flu as well, immune function in nearly all people of all backgrounds any other infectious or disease-causing antigen/invaders with both acute and chronic inflammatoryorconditions A popular trend is now sweepingand across the counachieve optimal and therapeutic levels both in terms all ages. The continued exposure to these stressors such as COVID-19. of daily dosage and weeks try that is utilizing a simple concept eventually to assist ourwill body including but not limited immune to: fibromyalgia, heart disdeplete our already dampened versus months of time requiring in achieving our daily requirements through what ease, depression, Lyme and other infectious diseases, expressed fatigue, depression, anxiety, HEAT STROKE: We all enjoy the summer season system but NOTand the be humidity andasuncomfortable form The of medical staff high-dosing at illness ICAMthat have putlead together some schedules. It some IV Nutrition. chronic fatigue, disc functioning. disease and more. Most patients chronic illnesses, and suboptimal • Most severe heat these related can todoes death if not treated heatcall associated with record breaking temperatures. According to thebodily Centers come at a price, however—meaning suggestions as to what therapies (in addition to isolation after IV Supplementation increased even if people thereceiving vaccines prove to be successful new “FAD” hasand been sweepingUnfortunately, across America as anreport emergency forADisease Control Prevention, on average, over 600 die from out-of-pocket range in andanxiety, safe distancing) canexpense. be usedDrips prophylactically, enhanced mood, decreased stress and and safe, the mental, emotional, financial, and of •course Same symptoms ofsocial heat exhaustion plus…… complications related to extreme heat each year in theenergy, United States - more than that is opening the eyes and minds of those suffering price from just over $100 to as high both at home and in our clinic, that may help prevent •heightened Body greater than 104 degrees tornadoes, lightning or responses any other we weather event combined. improved sleep, morefacing energy, immunity, physical have already been from the temperature with fatigue, hurricanes, generalized flooding, malaise, aches/pains and asmuscle, $400 forkidney, highly specific formulations. •asThese temps leadafter to brain, and total failure if no further spread and perhaps reduceheart symptoms andbody reduce improved hydration, quicker recovery time merehousewives mention of the word willand remain an just about the everything in between. From What’s difference between heat exhaustion and heat“COVID” stroke? appropriately treated LINE: recovery time inTHE thoseBOTTOM afflicted with COVID-19. These imprint of inevitable futureresult dentsof inthe ourbody immune system. to construction workers, to athletes, children Heat exhaustion is theactors precursor to heatstroke and is aexercise. direct are the same protocols I provide for myself and staff. Once again ICAM is offering tooverheating. grandparents, literally thousands of Americans are HOW DO THESE IV’s WORK? Using medICAM offers a variety of intravenous medical drips that benefit They are also what I used when infected early many in thepatients OPTIONS to andI was for your Healthcare self-searching answers to their medical and do a we HEAT EXHAUSTION: icaldo grade minerals other chemicals, Soneeds what tovitamins, reduce if notand and conditions from “fatigue to fantastic”. Whether you think you are healthy or pandemic. Please be considerate of others when making Needs. For more information, contact • Heavy to Sweating resolution their troubling symptoms. these “custom-made” IV’s are similar to IV’s used in you are not, IV supplementation is a quick and efficient way to promote health eliminate our stress? • Rapid to speakfor to their one of the highly and keeping anICAM appointment safety as well as your WHYPulse IV NOT ORAL? IV Vitamin Drips deliver outpatient clinics and hospitals where the illness. ingredients and combat Well, my answer has always been “do what works for • Dizziness knowledgeable medical staff members own and that of the ICAM staff. vitamins, minerals and amino acids directly to the are based on This desired outcomes and patients’ defiDuring the summer season ICAM is offering our “Hydrator IV” for those who you that you will faithfully do!!” could be in the form • Fatigue to see how you may benefit from body for maximal absorption, thus allowing for nour- ciencies/specific needs. The IVwish route of medication their hydration either before and/or after extreme sun/heat of exercise, prayer, meditation or teasing [not sure this to optimize • Cool, Moist Skin Disclaimer of Medical Advice: The information obtained within IV the Nutrition. ishment on a cellular level. In addition, higher doses delivery allows for a much higher dosageWhether of nutrients exposure. choose IV or oral route of fluid and administration, always this textyou is strictly to provide you with information present • Goose Bumps When In The Heat is something that should be encouraged?] the neighbor’s can be given, providing higher, yet safe levels without be sure to keep hydrated. This is especially important in the very old and the very to be administered safely and effectively while having you with an option that may be right for you to boost your • Muscle Cramps dog or cat. Whatever it is, it needs to be done daily and immune system. It is not intended to diagnose, treat, or cure young and of course our furry little friends! the• Nausea limitation these doses have upon the oral route Yours in Health and Wealth, the potential 100% outlook absorption level, from the heart. Awakening with aofpositive is aon a cellular any illness or condition. (gastrointestinal side effects, etc.). which far exceeds that the on oral, • Headache great first step for those of you who are, likeofme, thesublingual and topical vehicles of administration. For many, this decreasThese symptoms may develop over come especially IV nutrition/supplementation has time been or used suc-on suddenly, Read the fullMarK article at www.Icamnj.Com during or following periods of prolonged exercise AND IF NOT ADDRESSED, cessfully as primary and adjunctive therapy for those Mark James Bartiss, MD es the amount of oral supplements one may need to
Spring into Happiness with Good Health!
If you need guidance, call 732-228-7534 today for a free consultation.
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Medical Pro
essionals
Sick? Tired?Heat Fatigued? Therapy Is Here! Stroke IV Vs.Nutritional Heat Exhaustion First And Foremost Is To Listen To Your Body!
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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Featured On The Cover
ALZHEIMER’S DISEASE: AFFECTING WOMEN DISPROPORTIONATELY TO MEN
A
DR. ANNA BROCCO, PHARMD, MBA
lzheimer’s disease also affects women disproportionately to men. “The Alzheimer’s Association estimates that nearly two-thirds of those diagnosed with AD are women.” reports Dr. Anna Brocco, PharmD, MBA, Director of Operations and Clinical Research at Advanced Memory Research Institute of NJ. It is also estimated that 60% of those giving care to those with Alzheimer’s and dementia are women.”1
1. Alzheimer’s and Dementia. (n.d.). Retrieved January 29, 2021, from https://www.alz.org/alzheimer_s_dementia
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March/April 2021
Featured On The Cover
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“BY WORKING TO HELP SLOW THE PROGRESSION OF ALZHEIMER’S, WE ARE WORKING TO IMPROVE THE QUALITY OF LIFE OF WOMEN.”
Left, left to right Lauren Bawiec and Julia Carey, Clinical Research Coordinators. Right, Caitlyn Wojcik, Clinical Research Coordinator and Caring for Caregivers support group leader.
The female driven team at Advanced Memory Research Institute of NJ (AMRI) is just one example of a femaleled care team. AMRI offers more than 50 years of combined expertise conducting clinical trials. AMRI is the premier research center for Alzheimer’s disease and dementia in the tristate area. The AMRI team is working hard to discover new pieces to the Alzheimer’s puzzle to help further diagnosis and develop treatments to help this disease. Caitlyn Wojcik, clinical research coordinator and Caring for Caregivers support group leader at AMRI, shares more statistics from the Alzheimer’s Association. “The statistics show that the caregiver role for someone with Alzheimer’s falls to women. Three out of five unpaid caregivers are women. Women are also 19% more likely to leave their job to assume a full-time caregiver role.” These are startling statistics. “By working to help slow the progression of Alzheimer’s, we are working to improve the quality of life of women,” - Lauren Bawiec, clinical research coordinator. “This is a worldwide public health issue that I hope to be a part of the answer.” Part of the clinical trial process is “can we find the earliest cause of this disease so we can make a difference and make the changes,” says Dr. Sanjiv Sharma, president and principal investigator for AMRI. Clinical trial
To learn more about memory evaluations or clinical trials, call AMRI at 732.341.9500 or visit amrinj.com
The County Woman Magazine www.TheCountyWoman.com
participation is a chance for participants to receive high quality care and diagnostic tests that are not widely available to the general population. Through the clinical trial process, a participant does not need to stop their current memory medication and do not require insurance to contribute. “I adore working with my patients and study partners. Their commitment to research and finding a cure drives me to continue to do my best at AMRI.” states Julia Carey, clinical research coordinator. “Their passion and trust empowers me to be part of the Alzheimer’s solution.” 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 consultation will look at the patient’s general memory health and capacity for recollection. 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.
9 Mule Road, Suite E8, Toms River, NJ 08755
March/April 2021
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Nursing & Rehabilitation Center
A Premier Nursing, Rehabilitation & Long-Term Care Center 18 Butler Blvd. Bayville, NJ 08721 www.TallwoodsCareCenter.com 732-237-2220
Discover Ocean County’s Fountain of Youth 527 River Ave. Lakewood, NJ 08701 www.FountainViewCareCenter.com 732-905-0700
Hilda Brown
Celebrates Turning 110 Years Old & Beating COVID-19 That is what happened for Tallwoods Care Center resident Hilda Brown, who turned 110 on January 20th, 2021. Hilda was diagnosed with COVID-19 in December 2020 and beat it with the great care from the staff at Tallwoods Care Center. Hilda also was alive during the Spanish Flu Pandemic of 1918 and has become a survivor of both. Hilda is the oldest resident at Tallwoods Care Center, she is one of the oldest citizens in the State of New Jersey, and now has become the oldest COVID-19 patient to recover in the State of NJ. Hilda was born on January 20, 1911 in Newfoundland, Canada. She is the only living member from her family of 10. Hilda moved to the United States and settled in Fort Lee, NJ, where she worked as a waitress for more than 40 years. She was loved and admired by all of her co-workers and clients alike until she decided to retire from her waitress job at the age of 70 and move to Bayville, NJ. Hilda became an active member of the community and her church. She participated in all church functions, hosted church events and played the organ for church causes. She would knit scarves, blankets and hats to be given out to needy members of the church and veterans. Hilda traveled the world with church
missionaries, taking her to places as far as Jerusalem, Egypt and Africa. At the age of 88, when most people are enjoying their retirement years, Hilda decided that she wanted to do more for the community. She joined a local senior resident center, where she worked as a housekeeper and helped the residents wherever and whenever possible, although most of the residents were a lot younger than she was. She ended up retiring in her 90s. In 2014, Hilda came to Tallwoods Care Center, where she now currently resides.
The staff celebrated with Hilda on January 20th with birthday balloons, decorations, a very large birthday cake and 110 beautiful roses! Happy 110th Birthday, Hilda.
The County Woman Magazine www.TheCountyWoman.com
March/April 2021
Health & Wellness Hypnosis for Women Professional Hypnosis & Coaching Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com
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.
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Healing Your Relationship With Food Stress levels have exploded over the past year. People are contending with their own personal and family problems, further complicated by the pandemic, job concerns, political and social issues, and on and on. For many, this layer upon layer of stress and worry has created or exacerbated unhealthy eating habits. It’s not unusual to hear, “I’ve gained 15 lbs. since the start of all this.” Maybe you’ve noticed yourself visiting the fridge or kitchen cabinets more often – hunting for food as a way to soothe your worries or calm your fears – as you escape for a few blissful moments into a dish of creamy ice cream, or a piece of gooey pizza, or a bunch of chocolate peanut butter cups. After a while, you may find yourself reaching for food simply because it’s become an automatic behavior. Whether you’ve gained weight or stayed the same, if you’ve gotten stuck in unhealthy eating patterns, your health and well-being can suffer. When you use food as a way to deal with emotions, you’re creating an unhealthy relationship with food – and embedding troublesome habits. But you are capable of changing that. To begin healing your relationship with food, it’s important to remind yourself that food is for fuel. Yes, you should enjoy and savor it – but always remember that eating is a way to provide nutrients so that your body and mind can function optimally. Consider the following questions. For any “yes” response, consider more appropriate, commonsense ways to handle those feelings and situations – and start making the changes you need to make: • Do you use food as a way to deal with unpleasant feelings (i.e., stress, anger, sadness)? • Do you use food as a way to reward yourself? • Do you use food as a substitute for companionship and love? • Do you use food to procrastinate? • Do you use food as a way to handle boredom or entertain yourself?
Hypnosis For Women ❀ ❀ ❀ ❀
Weight Control Smoking Cessation Relaxation/Comfort Fear Release
Imagine yourself responding more effectively. Notice the details. Mental rehearsal can help you do this. Once you start changing your mindset, amazing things can happen. If you find that you need help with this, using hypnosis and coaching can transport you from knowing what steps to take, to actually taking those steps. This approach is based on neuroscience – the study of how the mind works. Research in neuroscience has taught us that the brain is constantly rewiring itself, which means you are always capable of changing. By accessing your subconscious mind, negative patterns are much easier to neutralize, and positive patterns can be embedded. An important side benefit of this approach is that it bolsters your ability to relax. Hypnosis is an efficient, holistic, and empowering modality. It works wonderfully for people who are motivated to change, believe that with the right tools and techniques they are capable of changing, and understand they need to be a partner in the process. (Virtual and in-person sessions available. COVID precautions are in place.) For a Free Phone Consultation, call me at 732270-0080. 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
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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
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March/April 2021
Business &&Finance Business Finance Business & F inance
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March/April 2017 November/December 2019 September/October 2019 March/April 2021
Medical Professionals
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March/April 2021
31 Professionals HowMedical Do Medical I Know If My Wisdom Professionals H ealth &W ellness If You Have Been Told You Are Not A Candidate For Dental Implants: Teeth Need Treatment? How Do I Know If My Wisdom Teeth Need Treatment? 26
Law
SEE DR. BANKS!
create gum disease. the University of North The initial decision to remove third molars By FUNCTIONAL, we mean Carolina. Importantly, teeth) most often by aimplants Often, patientsthat are(wisdom toldtooth that contacts they areis not candidates for dental the another partmade of the project con- because they during chewing. Usually, on what hap“don’t have enoughtooth bone” or their “sinus isorthodontist. too low.”centrated general dentist or Most butpatients not always, a non-functional pens when whoproblems are referred to the oralthird andmolars Both conditions are correctable in almost all patients, according to Dr. Banks. tooth will be in a location that are not removed. maxillofacial surgeon (OMS) do not have When the gumisridge where and teethwill arebecome missing is tooThird thin to place a dental implant, not normal molars with healthy wisdom teeth that have erupted, or is that a bone because it causes periodontal infection bone grafting can bothersome be performed to correct the problem. What that means grown a cleansable and/or functional cheek ulcerations orown otherbone, don’t replacement product, orbiting, eveninto the patient’s cannecessarily be placedcause into the deficient Impactedarea, wisdom tooth Wisdom tooth and Wisdom tooth with related problem. pain or show overt signs Kathy A. Banks, DMD position in the mouth. stabilized, and allowed to heal. Following healing, dental implants can be placed into that hy A. Banks, DMD with cyst causing bone periodontal pathology neighboring tooth So,with removal of wisdom of infection like swellarea and then restored porcelain teeth.teeth This procedure is called “ridge augmentation” loss and damge to the with decay iswe always appropriate when there ing(dental or pus.decay). The studies By HEALTHY, mean free of gum disease and caries So and can be accomplished in both the top and bottom jaws. second molar tooth. initial decision to no pockets is pathology such as gumthe wisdom mentioned actually there are present inpresent the gums between toothabove and the teeth aredisease, missing, thethe sinus that lies above the there top will dental decay, or infecthatjaw some of downward next tooth forward, or around wisdom tooth itself,show and will be60% noexpand move thirdWhen molars pocketing depths-and that the periodontal status is expected in the area obvious reason patients asymptomredness or swelling or Another other signs ofin infection. healthy wisdom will the andtion. cause bone loss the gumAtoridge. This is with atooth correctable problem as well, according isdom into teeth) is ridge most seek the advicetoofworsen your general that the third molars change of the and third molars abouttime, 40% of dentist, the patients within 2 years. haveBanks. no cavities, or therewisdom wasSinus a cavity that has been treated successfully with remove teeth is when third molars (wisdom teeth Dr. “A Sub-Antral Augmentation –atic commonly called aa ‘Sinus Liftsecond Procedure’ can be in over orthodontist or oralThe and position in–the mouth de by atogeneral good news is that the study also showed that the periodontal disease is likely to dental filling. there is a cyst or a tumor present with no symptoms of pain) had maxillofacial surgeon. Every and the eruption of these teeth performed, sometimes even at the time of implant placement. This procedure increases the amount of r orthodontist. improve following removal of the third molars. patient considering wisdom By CLEANSABLE, meanthe thatwisdom the wisdom is in aof position in the at or we around tooth,tooth signs infection withaincreased is unpredictable. There are other bone in the area where we would like to place a dental implant. Again, bone replacement product or patients whomouth are where allor The study also showed that among the patients whose third molars were visible theifsurfaces of thetooth toothiscan be successfully maintained, the wisdom causing pocketing depths--atand that the tooth surgery is unique. Based publications that discuss the even the patient’s own bone can Ifbethe used.” in the 28-77% of the patients will have cavities in these teeth, depending o the oral and maxilhome, by brushing and flossing. area is difficult to clean, then bacteria damage to a neighboring tooth. periodontal status is expected to mouth, on an examination of your movement, or eruption of third on their rgeon (OMS) do not misconception colonize and create gumifdisease. Acan common is thatdentist the bone into theage. sinus BUT… your or is placed worsen in the the sinus. area of In thereality, second mouth, and a dental panoramic molars;membrane generally speaking, the Inthe patients who chose to retain their third molars, it was shown that mechanical By FUNCTIONAL, we mean that the tooth contacts another tooth during thy wisdom teeth that determines that molars in about is actually lifted uporthodontist (hence to name “sinus lift”) backand to third where it should be, 40% and bone graft material x-ray or cone beam scan, your position and angulation of the cleaning of the third molar teeth did not lower the levels of pathogenic bacteria and chewing. Usually,your but wisdom not always, a non-functional tooth willpatients be in a location ted, or is grown into a teeth are not of the within 2 years. placed under the sinus membrane, restoring the gum ridge and the sinus contour together in one OMSthese canbacteria tell youcan about thefrom conwisdom tooth within jaws, inflammatory mediators. There isthe new evidence that travel that is not normal and will become bothersome because it causes e and/or functional healthy, cleansable or functional, The good news is that the study dition of your wisdom teeth, and and the presence or absence of procedure. the mouth to the bloodstream, and may cause illnesses affecting the heart, kidneys cheek biting, ulcerations or other related problem. n the mouth. or that retaining your wisdom also showed that the periodonthe position of the wisdom teeth available space to accommodate other organs. So, removal of wisdom teeth always appropriate whenprocedures, there is pathology Dr. Banks diagnostic such 3Dand cone beam CT scanning EALTHY we mean freeincorporates teeth maystate-of-the-art leadis to these probtal disease is likely to as improve in the change jaws. The OMSincan the teeth, seem to be the best And finally, theaccurately study showed that the third molars position thetell present such gumto disease, dental or infection. Another obvious reason “That sease and caries (dental of the face and asjaws, herdecay, patients for bone grafting procedures. way, I can lems inevaluate the future, you will need following removal of the third if there is pathology associpredictive But again, time, andfactors. the eruption of these teethyou is unpredictable. There are other to remove teeth is when there is a cyst or a tumor present at or around mouth over o there are no pockets diagnose the wisdom magnitude of the bone to loss in the areamolars. where we would like to place implants and the quality expert consultation further ated with the wisdom teeth there is no formula for predicting publications that discuss the movement, or eruption of third molars; generallythat the wisdom or if the wisdom tooth is causing the gums between thetooth, review your options and seek The study also showed that of the patient’s bone ridge in that area, and pre-plan the surgery to ensure the best possible outcome.” you are notwithin aware the of, jaws, or theand wis-the what a wisdom is going speaking, the position andtooth angulation of the wisdom tooth damage to a neighboring tooth. ooth and the next tooth treatment. among the patients whose third She also prepares and usesoradvanced biologic materials intowisdom grafting procedures suchorto asabsence L-PRFof available space to accommodate dom teeth are likely do. presence the teeth, seemtoto be the BUT… if your dentist orthodontist determines that your teeth are or around the wisdom molars wereoffice visibleatinthe thetime mouth, Pain free doesn’t necessarily causefor future problems. (Leukocyte-Platelet Rich which are retaining made right inwisdom the surgery. bestof predictive factors. again, there is no formula predicting what a wisdom orFibrin) functional, or that your When in But doubt—get them lf, and therenot willhealthy, be no cleansable 28-77% of the patients will have free… tooth is going to do. teeth may lead tomean these disease problems in the future, you will need expert checked out! Schedule your appointment And finally, procedures are painful procedures. “There r swelling or other signs there is a preconceived notion that these cavities in these teeth, depending consultation to further review your options and seek treatment. When in doubt—get them checked out! If you have wisdom teeth, Results Of A Study... with Dr. Banks by calling on. A healthy wisdomanesthesia are multiple options for the surgical part on of their the bone she says. “We offer age. grafting process,” If you have wisdom teeth, the bestis course of actionTo is toOral seek the & advice of your Pain free doesn’t necessarily mean disease free… the best course of action to Practice Limited have no cavities, or general anesthesia Dr. Banks was asedation, member ofnitrous oxide 609-488-2325. intravenous and and local anesthesia” so that all her patients can In patients who chose to general dentist, orthodontist or oral and maxillofacial surgeon. Every RESULTS OF A STUDY... Maxillofacial surgery a cavitybethat has been the American Association of their was considering wisdom tooth surgery is unique. Based on an examination of treated comfortably. Dr. Banks was a member of the American Associationretain of Oral andthird molars, it patient ccessfully with a dental Oral and Maxillofacial Surgeons shown mechanical your mouth, and a dental panoramic x-ray or 249 cone beam scan, Street, your OMSUnit can tell Maxillofacial Surgeons (AAOMS) Task Force onthese Thirdprocedures Molar that Clinical in cleaning “Of course, I’m making itTask sound easy but are Trials technically demanding and take years S. Main 4 (AAOMS) Force on Third of thesome third80 molar teeth didyou notabout the condition of your wisdom teeth, and 2011 and 2012. The Task Force was charged with reviewing different Barnegat, NJ 08005 of practice to gainMolar the proper expertise. You only want your grafting procedures performed by a EANSABLE, we mean Clinical Trialsa in 2011 lower the bone levels of pathogenic the position of the wisdom teeth in the jaws. The OMS can tell you if there is scientific publications resulting from long term, ongoing study of third and maxillofacial surgeon.” wisdom well-trained, tooth is in (wisdom a ABOMS-certified and 2012. The oral Task Force was of Kentucky bacteria and medi- associated with the wisdom teeth thatTel: you are609-488-2325 not aware of, or the molars teeth) conducted at the University andinflammatory pathology n the mouth where charged with reviewing some Thereconcentrated is new evidencewisdom that teeth are likely to cause future problems. the University of North Carolina. Importantly, part of ators. the project faces of theon tooth Kathy A. Banks, DMD different scientific kbanks@drbanksoms.com whatcan happens80 when third molars arepublicanot removed. these bacteria can travel from the Practice Limited To Oral & Maxillofacial Surgery sfully maintained, at tions resulting from a long term, mouth to pain the bloodstream, and Third molars with periodontal infection don’t necessarily cause or show 249 S. Main Street, Unit 4 CallPractice Dr. Banks Today! brushing and flossing. Kathy A. Banks, DMDBarnegat, NJ 08005 ongoing study of third molars overt signs of infection like swelling or pus. The studiesmay mentioned above affecting the cause illnesses Fellow of The American Association Limited To Oral & Maxillofacial Surgery a is difficultactually to clean,show that of Oral & Maxillofacial Surgeons (wisdom teeth) conducted www.drbanksoms.com Tel: 609-488-2325 some 60% of patients withatasymptomatic molars heart, third kidneys and other organs. 609-488-2325 • 249 S. Main Street, Unit 4 Diplomate of The American Board Fax: 609-488-2342 eria can colonize and Barnegat, NJ 08005 the no University of of Kentucky (wisdom teeth with symptoms pain) hadand signs of infection with increased And finally, the study showed of Oral & Maxillofacial Surgery
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KATHY A. BANKS, DMD
For more information, call 609-488-2325 or visit www.drbanksoms.com
Fellow of The American Association of Oral & Maxillofacial Surgeons
Diplomate of The American Board of Oral & Maxillofacial Surgery Tel: 609-488-2325 Specialty Permit # 4070 Specialty Permit #4070 Fax: 609-488-2342
Your Expert in the Face, Mouth and Jaws KATHY A. BANKS, DMD Fellow of The American Association of Oral & Maxillofacial Surgeons Diplomate of The American Board of Oral & Maxillofacial Surgery Specialty Permit # 4070
Banks is a graduate of Rutgers University College of Arts and Sciences, Camden with a B.A. in y, and Temple University School of Dentistry, Philadelphia. She completed a one year Advanced Practice Limited To Oral & 249 tion in General Dentistry Residency Program at the University of Medicine and Dentistry of S. Main Street Maxillofacial surgery ersey in Camden and Stratford, NJ, and then completed a four year Post- Graduate Residency Barnegat , NJ 8 AM - 5 PM (Mon. - Fri.) S. Main Unit 4 m in Oral and Maxillofacial Surgery at the University of Medicine and Dentistry of New Jersey in Newark. She is a Diplomate of the 249 American BoardStreet, of Oral and Specialty Lic #4070 Bone Grafting • Dental Implants Barnegat, NJ 08005 ofacial Surgeons and the American Board of Dental Anesthesiology. 609-488-2325 General and Intravenous Anesthesia is a member of the dental staff at Jersey Shore University Medical Center in Neptune, New Jersey and is involved with teaching the postgraduate GPR residents in the Tel: Jaw Pathology and 609-488-2325 Reconstuctive Jaw Surgery www.drbanksoms.com and in her private office setting. She has been instrumental in the development of several New Jersey State Board of Dentistry approved continuing education courses Kathy A. Banks, DMD kbanks@drbanksoms.com by J.S.U.M.C Department of Dentistry Continuing Education Department for dentists, hygienists and dental assistants. Practice Limited To Oral & Maxillofacial Surgery www.TheCountyWoman.com The County Woman Magazine November/December 2017 249 S. Main Street, Unit 4 Kathy A. Banks, DMDBarnegat, NJ 08005 Fellow of The American Association Practice Limited To Oral & Maxillofacial Surgery www.TheCountyWoman.com The County Woman Magazine March/April 2021 ounty November/December 2014 of Oral & Maxillofacial Surgeons Tel: 609-488-2325 www.TheCountyWoman.com 249 S. Main TheMagazine County Woman Magazine www.TheCountyWoman.com January/Feb www.TheCountyWoman.com ounty Woman Woman Magazine July/August 2015 Street, Unit 4 Diplomate of The American Board
Kathy A. Banks, DMD Oral & Maxillofacial Surgery
Barnegat, NJ 08005
Fax: 609-488-2342
Theatre & Entertainment
27
Join Us For Our 2021 Virtual Season Go to acballet.org/attend Premier Subscription and Solo Passes Available
www.acballet.org 609-348-7201
The County Woman Magazine www.TheCountyWoman.com
March/April 2021
Pet Services
28
“Spring Is Here!” Pets
Springtime is one of the busiest times at the Funny Farm. It’s also known as kitten season. On average, over 120 kittens and cats get adopted from the Funny Farm. These kittens and cats get acclimated to dogs, other cats, ducks, geese, horses, and cows. Funny Farm Rescue & Sanctuary is a place where people and animals can be themselves without pressure or criticism of any kind. One of the best places in the world to learn the meaning Everyoneof can forget about the sadness, regrets, and pain that sometimes life gives. It’s an “unconditional love” is the Funny Farm Rescue & Sanctuary in Written by Matt Reeves emotional escape. Mays Landing, NJ. Cowboy, the baby goat, once lay in Everyone needs painyou for and daysget after getting kicked in the If you’ve ever had a pet, you have a pretty good idea how much they love something to look excited when you come home and how sad they are when you leave. Those leg are by thealucky horse ones. on another farm in South Not all animals are so lucky to have forward someone loveto, them. Jersey. A little neighbor girl heard his cries animals The animals at the Funny Farm Rescue are the exceptions. They have thousands and begged the farmer to take the baby and of people each year who come to visit and humans give them thealike. love they need. Most animals goat to the Funny Farm, where she knew come to the farm from very difficult situations. Many were disabled, abused, injured, or Flowers are blooming, Laurie unwanted. Some people simply didn’t make arrangements for their pets after they would were be able to help. She believed in Laurie and in miracles. Laurie rushed gone and the animals had nowhere to go. How that and must be for these sweet animals skies arescary blue the to a specialized vet, 2 hours away in that gave their owners so much love. sun is shining brightly! him One example is a nameless little black and white baby goat with a broken leg. At lessCowboy had immediate Pennsylvania. than a month old, he was injured and was in a is lot here. of pain. His future was dark. Through Spring New surgery and 5 ayears later, you’d never ts series of miracles, Laurie Zaleski, the Founder of the Funny Farm Rescue, found out about was ever wrong with him. believe anything life. any New this little goat’s situation and didn’t waste time beginnings. rescuing him. We made a custom splint to stabilize leg because he couldn’t on healed. it at all. People He from all over the world Newhishope. Fresh air. stand He fellmade in lovejust with needed food and water brought to his mouth while he lay in a new warm bed forhim and his story, and donated so that he could have the lifehishewing now lives. him. Farley the Farm Manager, a 1-year-old Australian Shepard, took him under y in If you tell your kids that tomorrow they are going to visit the and gave him a lot of love and attention. Cowboy doesn’t remember his past. He remembers love. Love animalsThe at the Farm, it’sand likely theyand willlooked not sleep! If we like tell those get littleFunny goat was black white so much a cow thatreplaces he earned the Love and friendship are never forgotten. In sad so much! y ones. same your Over kids are visit,and theyvisits won’t nameanimals “Cowboy.” thecoming next fewtodays, tosleep manyeither! veterinarians, Zaleski took times, remembering happy times and love can change everything. to There 600 animals at the Funnywhere Farm;they all are him toare theover University of Pennsylvania, hadrescues. the bestThis equipment. Several When you walk or drive through the gates of the Funny Farm, you thousands of dollars werehad spent save now his leg from possible nerve damage and means animals that once littletrying or notohope have new life, new feel different. You can’t help but think to yourself that if it wasn’t for ls amputation. beginnings and new friends too! this place, almost all of these animals would have been euthanized. ess He lived in the house so he could be cared for properly and received much Something magical is in the air. People get to mingle with the ha Who would do this? socialization with other animals and people. And because of this interaction, he has no idea he’s Who a goat,would take on the responsibility of feeding out animals. They are not behind ditches or thick glass windows. The he thinks he’s a dog! He and providing vet care for so many animals. Who would commit to the animalsSeven at themonths Funnylater, Farmnot areonly free to and just happy. for hasroam Cowboy’s leg be healed, heWhen has capturedtime the hearts allthem? over ng it takesoftopeople care for you drive in,He youmakes driveeveryone into a whole new the globe!! laugh and gets into everything! He is now known as the “Donations the You quickly realize that no one person could do world. Inspector.” When visitors come and donate food for the animals, they barely have time to get out of this alone, not on this scale. It’s a team effort. No one has cars whenyou theylook, discover is already inside their car! their Everywhere thereCowboy are animals to tell you that there are no paid employees at the Funny haspeople a wonderful, sweetyou personality and will stop at nothing to make you laugh and has playingHe with or vice lovable, versa. When dea he’s a goat, Farm. Everyone is a volunteer. The goodness of people is an unlimited supply of kisses! Everyone is his friend! Somehow he knows what was done for him and he see the bright smile on a 99-year-old lady f people all over appreciates his life now. something you can literally feel. “Donations who’s holding a friendly skunk, or acomes little from an animal is astounding, but the unconditional love that comes from an animal that to get out of The unconditional love that At the Funny Farm Rescue, life is about making the boy his isarm around Cowboy ou laugh and has waswalking once in with distress nothing short of miraculous! Nearly 400 of these animals at the Funny & Sanctuary are waiting best of Farm every Rescue single day, love and kindness, not about the e for him and he the or a and momyour holding theComing hand of to a the Farm is easy but leaving your new furry friends is very difficult. to goat, meet you family!! past. The bond between humans and animals is real. Spring tional love that comes from an animal that life is precious. If this thereplace is something you know is like we can do as humans to preserve and protect it, in nearly all cases, unny Farm Rescuegolden & Sanctuary All areretriever, waiting iends is very difficult. the unconditional love you receive in return is something you will simply never forget. is such a wonderful time! no other! ect it, in nearly all cases,
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“Unconditional Love”
e”
Photos by Matt Reeves and Laurie Zaleski Follow on Facebook: “Funny Rescue” The Funny Farm Rescue is openusSundays and Tuesdays fromFarm 8am-4pm at 6908 Railroad Blvd., Mays Landing, NJ 08330. Follow us on Facebook: The Funny Farm Rescue is open Sundays and Tuesdays from 8am-4pm at Railroad Blvd., Mays Landing, NJ 08330. “Funny Farm Rescue” There is no admission as we operate entirely by donations and we don’t have any paid positions. Come see 6908 us! www.funnyfarmrescue.org us on Facebook: to: Funny Farm There Rescue • 6908is RailRoad Mays Landing, NJ 08330. noBlvd., admission as we operate entirely by donations and we don’t have any paid positions. Come see us!Follow www.funnyfarmrescue.org For information on scheduling your next event, please contact Robin at: funnyfarmrobin@gmail.com “Funny ________________________________________ For information on scheduling your next event, please contact Robin at: funnyfarmrobin@gmail.comFarm Rescue” Gift Amount:
ailroad Blvd., Mays Landing, NJ 08330. itions. Come see us! www.funnyfarmrescue.org : funnyfarmrobin@gmail.com
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To donate to the_____________ Funny Farm Rescue, fill out the below information and mail to: Funny Farm Rescue • 6908 RailRoad Blvd., Mays Landing, NJ 08330.
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Phone: Email: ___________________________________________________________________________________________ Thank you, in advance, for your generous donation! www.TheCountyWoman.com The TheCounty CountyWoman WomanMagazine Magazine www.TheCountyWoman.com
2017 March/April 2021
Medical Professionals
29
Your Painful Heel Could Mean A Visit To The Podiatrist
Pain on the bottom of your foot, whether sharp or dull, that lingers for days or weeks deserves a visit to the podiatrist. Heel pain can interfere with your ability to do the activities you love and become chronic, making simple tasks such as standing or walking uncomfortable or impossible. At Go Feet, the podiatry team can evaluate your heel pain and offer relief. They can also help determine if the heel pain is a symptom of a structural problem of the feet or ankles. Don’t just tolerate heel pain – in most cases, heel pain can be treated with conservative measures. A visit to the podiatrist may help you resolve it before it becomes chronic and debilitating.
Symptoms Of Heel Pain
You should see a podiatrist if you have a sharp pain at the bottom of your heel. It might be most intense when you first wake up in the morning or when you stand up from a chair after a period of inactivity. The pain feels like a knife stabbing your heel at first, then becomes a dull ache over the course of the day. If you’re active – as in running or playing
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
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sports – the pain may fade during your activity, only to return with a vengeance later in the day or the next morning.
Causes Of Heel Pain
A common cause of heel pain is plantar fasciitis, a strain of the ligament that supports your arch. Plantar fasciitis often develops due to overuse, such as lots of running or wearing shoes that are unsupportive or too tight. Flipflops, high heels, and worn-out tennis shoes are often to blame. A heel spur, which is a growth of bone on the front part of the heel bone, is another common cause of heel pain. A spur forms when the plantar tendon pulls away from its attachment to the bone and a calcified spur forms. Causes include wearing worn-out or poorly fitting shoes, carrying excess weight, running on hard surfaces, or gait abnormalities. Heel pain can also develop due to warts or cuts or cracks that just don’t heal.
Help From A Podiatrist
At Go Feet, the podiatrists can evaluate your heel pain to find the cause. If you have an underlying problem such as a flat foot or a bunion, heel pain may just be a secondary symptom caused by the irregular gait these structural problems cause. A podiatrist can treat bunions or flat feet, and your heel pain disappears along with the primary structural issue. If you have plantar fasciitis, going for a long time without treatment only prolongs your pain – it takes longer to heal the longer you allow it to fester. The Go Feet podiatrists can advise you how to amend your activity temporarily to reduce symptoms and let your heels rest. They can also help you find shoes that fit properly, so you don’t aggravate heel pain. In some cases, you might benefit from orthotics or other custom inserts. Podiatrists can also remove warts or help heal abrasions, blisters, cracks, and sores that aren’t healing because of a compromised immune system. Heel pain rarely requires surgery. Call the podiatry team at Go Feet if you’re experiencing heel pain to get the issue resolved as quickly as possible.
Don’t go another day.
For more information or to schedule an appointment, call 609-704-9001 or visit www.GoFeet.com.
609.625.5400
www.GoFeet.com
Dr. Stuart W. Honick
Diplomate American Board of Podiatric Surgery, Board Certified in Foot Surgery
Dr. James R. Williamson
Board Certified by the American Board of Podiatric Medicine
The County Woman Magazine www.TheCountyWoman.com
March/April 2021
Home Health Care
30
The Hope And Joy Of Spring Deborah Walsh,
Executive Director, HomeWorks
This is the time for switching over from winter to spring, embracing hopefulness and creativity, and enjoying sunshine and outdoor activities. But the COVID-19 pandemic has shifted all of that. This spring will be much different from what we were expecting.
Fear is in the air. We are worried for ourselves and others. We are all dealing with altered daily rhythms and an unknown future. We don’t know how long this pandemic will last. How long we will be cut off from our loved ones. How long until life feels “normal” again. Eckhart Tolle writes, “If uncertainty is unacceptable to you, it turns into fear. If it is perfectly acceptable, it turns into increased aliveness, alertness and creativity.” Uncertainty is not going away anytime soon, so we are forced to go through a process of acceptance. This acceptance can foster that kind of “increased aliveness, alertness and creativity” that we all long to feel in springtime. It is still possible, even in this time of anxiety and the restrictions of this season, to experience the hope and joy of spring. Here are some ways you can tend to yourself to make sure that your garden will blossom. Care for your body Our bodies hold energy, anxiety, and trauma. So often we go through the motions of things and ignore what our bodies are experiencing. Eat nourishing food. Sleep well. Take some deep breaths.
Care for your heart Our feelings and emotions are vital to staying present and making this season sustainable. Find a way to process your emotions. Some people process their emotions through art, writing in a journal, or talking about feelings with a trusted friend. Find a way that works for you. Care for your mind Our minds are trained to quickly go into “fix-it” mode. The coronavirus pandemic is beyond our control and there is no easy fix. Meditation, writing down your thoughts, reading, and focusing on something else can help. Don’t let yourself get caught up in pandemic panic; care for your mind so it doesn’t fixate on fear. Care for your spirit To care for your spirit, do something that fills you up. Go for a walk, paint, hug your pet, listen to your favorite music. Pick something that you know is restorative for you. Every challenge in life can be an opportunity for growth, learning, and change. We can be inspired this season by the beauty of stillness, home, family, and nature. We can all practice gratitude and love each other into blooming, even from a distance.
For more information, call 732-838-1950 or visit www.UMCHomeworks.org. In-home care for seniors. Call today for a free in-home assessment.
732-838-1950 • UMCHomeworks.org. 54 Olin St, Ocean Grove, NJ
Genovese Counseling Services
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
The County Woman Magazine www.TheCountyWoman.com
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.
March/April 2021
Health & Wellness
31
Diabetes, Cholesterol, and Blood Pressure—Oh My! 3. Are you managing your medicines? story about diabetes. Diabetes is the disease that makes it tough for your body to control blood sugar. Here’s a snapshot: In the last 20 years, the number of adults with diabetes has more than tripled.1 Nearly one in 10 now has the disease.2
Jay Greco, RPh
But there are some bright spots in recent reports. In general, control of blood sugar has improved and rates of serious complications from diabetes have declined a great deal. If you’re at risk for diabetes or already have it, consider these three questions:
1. Are you making good lifestyle choices? Where people haven’t made progress, lifestyle has a lot to do with it. For example, it’s no secret that the obesity epidemic is growing, right along with the diabetes epidemic.1 Yes, you’ve heard it all before, but it still holds true: Make healthy food choices—and understand diabetes meal planning. Exercise 30 to 60 minutes most days of the week, move to or stay at a healthy weight, and manage your stress as well as you can.3
2. Do you know your diabetes ABCs? Knowing your numbers is also a big piece of the diabetes story, especially if you are at risk for or have high blood pressure or high cholesterol. High blood pressure is when blood moves through your vessels with too much force. Cholesterol is a fat-like substance that can cause plaque buildup in arteries. Combined, these three give your heart and blood vessels a triple whammy.4
t
A
t
your blood sugar levels have been the past three months. In most cases, you want to shoot for a number below seven. B is for blood pressure. A great goal is below
t
pressure when vessels relax between beats.5 C is for cholesterol. Ask your doctor or me for the numbers you need.4
If you have type 1 diabetes, you must use insulin. Some people with type 2 diabetes need pills and/or insulin to meet target blood glucose levels.6 Although cholesterol levels.7 As for high blood pressure, there are many classes of drugs to keep this silent killer at bay.5 It may not be easy keeping track of all this, especially if you’re taking multiple
So, what’s your diabetes story? Together, let’s make sure it has a happier ending. Any questions, call Jersey Shore Pharmacy and have a happy and safe summer. Nothing herein constitutes medical advice, diagnosis or treatment, or is a substitute for professional advice. You should always seek the advice of your physician or other medical professional if you have questions or concerns about a medical condition. SOURCES
1. CDC: New CDC Data Show Declines in Some Diabetes-Related Complications Among US Adults. Available at: http://www.cdc.gov/media/releases/2014/p0416-diabetes-complications.html Accessed 4/22/15. 2. MedlinePlus: Nearly 10 Percent of U.S. Adults Now Have Diabetes: Study. Available at: http://www.nlm.nih. gov/medlineplus/news/fullstory_145673.html Accessed 4/22/14. gov/publications/PublicationDetail.aspx?PubId=28 Accessed 4/23/14. 4. Diabetes Education Program: Know Your Diabetes ABCs. Available at: http://ndep.nih.gov/i-have-diabetes/ KnowYourABCs.aspx Accessed 4/22/15 5. ADA: Treating High Blood Pressure in People with Diabetes. Available at: http://professional.diabetes.org/ ADA%20CMR%20Toolkit_20HighBloodPressure.pdf Accessed 4/22/15. 6. American Diabetes Association: Medication. Available at: http://www.diabetes.org/living-with-diabetes/ treatment-and-care/medication/ Accessed 4-23-14. 7. Mayo Clinic: Cholesterol Medications: Consider the Options. Available at: http://www.mayoclinic.org/ diseases-conditions/high-blood-cholesterol/in-depth/cholesterol-medications/art-20050958 Accessed 4-23-14.
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“Your Our Pleasure To Fill!” YourSpecial HomeOrder TownIsFamily Pharmacy For more information, call 609-660-1111 or visit www.jerseyshorepharmacybarnegat.com. For more information, call 609-660-1111 or visit, www.jerseyshore.pharmacy
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March/April 2021
Education
32
Earning a College Degree May Cost Much Less Than You Think Ocean County College offers many options to help students pay for their college tuition. Prospective students who meet the financial requirements can enroll and reach their goals to receive an excellent college education without facing crushing debt. An online college degree is affordable at OCC, which has one of the lowest tuition rates in the country. And fully half of all students who complete the Free Application for Federal Student Aid (FAFSA) for Ocean County College attend tuition-free. Among the many scholarship and financial aid programs are federal grants — Pell Grant, Educational Opportunity Grant, Educational Opportunity Fund — and New Jersey grants and scholarships, including the NJ State Tuition Aid Grant, New Jersey Student Tuition Assistance Reward Scholarship (NJ STARS), and New Jersey Dreamers. At OCC, students receive fully remote, high-quality and affordable instruction in more than 150 courses that allow students to earn their associate degree from home. Tuition, books and select fees have been bundled together so students pay one low price for everything. OCC makes it easy to learn more about these cost-saving ways to earn a college degree — a ticket to well-paying jobs, fulfilling careers, and personal growth and satisfaction. Visit https://www.ocean.edu/admission_and_aid/free-college-tuition/ to learn more. We are Ocean, and we are here for you!
YOU CAN AFFORD A COLLEGE DEGREE Find out if you qualify for free college tuition! Ocean County College offers many different ways to fund your college education. OCC can match you with funding and aid that makes an affordable college degree a reality.
REGISTER TODAY! go.ocean.edu • (732) 255-0482
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
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dawn.baronferrentino March/April 2021
Community
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March/April 2021
Health & Wellness AccuCare Wellness & Recovery Zone Is Now Open!
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Focusing on all things to feel, perform, live and be at your best, let AccuCare help you start living your best, pain-free & healthiest life!
While treating patients from all walks of life and for all different impairments; Pamela has learned that pain is not caused from musculoskeletal injuries alone. Burdened with stress headaches, poor sleep, depression, chronic sickness and fatigue; we see so many who suffer on a daily basis, just accepting it as the norm. Chalking it up to “life”, genetics or just getting older; Pamela & her amazing team at AccuCare are here to tell you that it doesn’t need to be this way! Especially during these times of sickness and threats to our health, being at your best is an absolute necessity. Focusing on all things to feel, perform, live and be at your best, let Accucare help get to the root of your problems and start living your best, pain-free & healthiest life. • Cryotherapy Reported benefits of whole body cryotherapy for health & wellness include: • reduce inflammation • reduce psychological stress, anxiety & depression • increase energy • improve sleep • enhance immune function • reduce migraines • numb nerve irritation • help treat mood disorders • reduce arthritic pain • may help prevent dementia & Alzheimer’s • treat atopic dermatitis, eczema & improves skin condition • pain relief & muscle healing • weight loss • Sunlighten Infrared mPulse Sauna • detoxification - shown to be helpful with colitis, chronic fatigue, fibromyalgia, autoimmune disease, Lyme disease, rheumatoid arthritis, lupus, Grave’s disease, immune deficiency states, autism, ADD, ADHD & Hashimoto’s • strengthens immune system • improve circulation • cleanse circulatory system & improve cell oxygenation • decrease inflammation
• speeds muscle recovery • improve white blood cell & T-cell production to ward off viruses • pain relief* • wound healing • decrease nerve-ending soreness • reduce muscle spasms • relaxation & stress relief • weight loss (increased heart rate, cardiac output, metabolic rate & calorie burning) • reduce blood pressure *Some conditions in which infrared sauna therapy has been successfully used for pain relief include peripheral artery disease, rheumatoid arthritis, ankylosing spondylitis, fibromyalgia, and emotional pain • Wellness Cocoon • detoxification • relaxation • weight loss • pain management • cellulite reduction • skin purification • reduce blood pressure • improve circulation • wound healing • alleviates stress, stiffness & cramping • reduces water retention & bloating • promotes quality sleep • strengthen immune system • rapid muscle recovery • Massage Therapy • reduce muscle tension • improve circulation • stimulation of lymphatic system • reduction of anxiety & stress hormones • relaxation • increase joint mobility & flexibility • improve skin tone • improve recovery of soft tissue injury • relieve tension headaches • enhance exercise performance • decrease fascial restrictions and associated fibromyalgia pain • improves digestion
• NormaTec Recovery • enhance blood flow • speed recovery • increase range of motion • lessen pain sensitivity • decrease muscle soreness • improve adaptive responses to exercise • decrease muscle fatigue • lower blood lactates / decrease lactic acid build-up • reduce swelling • decrease pain • remove toxins • eliminate first-stage varicose veins • Acupuncture • reduce stress • decrease headaches • improve immune system • enhance mental clarity • increase energy • relieve digestive conditions • relieve allergies • reduce cigarette craving • decrease pain • improve sleep • improve mood • Kangen Alkaline Water Program • decrease acidity in bloodstream • blood more alkaline / less acidic • increase energy • better hydration • improve skin • weight loss • improve metabolism • decrease acid reflux • slow aging • improve digestion • reduce bone loss
Focusing on all things to feel, perform, live and be at your best, let AccuCare help you start living your best, pain-free & healthiest life!
2211 Rt. 88 •Brick, NJ 08724
Pamela Anthony
ACCUCARE
732-785-5500 www.accucarept.com
Recovery Zone
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March/April 2021
Health & Wellness
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ACCUCARE Recovery Zone
TOUR PASS New Clients: Take a tour of our services & receive
1 FREE WellnessorCocoon Session 1 FREE Normatec Recovery Lounge Session New clients only. Locals only. Valid email address required.
RESTORE • RELIEVE • REVIVE
2211 Rt.88 Brick, NJ • WWW.ACCUCAREPT.COM • 732-785-5500
Legal Professionals
Unable To Work?
We May Be Able To Help! James Treanor, Esq. Social Security Disability And SSI Specialist Over 20 Years Experience Handling SSD/SSI Cases Intitial Applications • Hearings • Federal Court Free Consultation Located in Toms River, NJ
732-228-7996 • Fax: 732-228-7637 • Jim@TreanorLaw.net
The County Woman Magazine www.TheCountyWoman.com
March/April 2021
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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
March/April 2021
Women Of Ocean County Jennifer Hansen
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Siobhan M. Connolly, CTFA
CEO, Enlightened Solutions Founder and President, The Hansen Foundation
Vice President and Trust Officer Garden State Trust Company
Jennifer Hansen is the CEO of Enlightened Solutions Treatment Center and the President and Founder of the Hansen Foundation. During the past 20 years, she has built a thriving recovery community which encompasses body, mind and spirit. Jennifer is selfless with her time when it comes to mentoring those who struggle with addiction. She went from living on the street with a $300-a-day heroin habit to becoming a role model and advocate for those struggling with substance abuse issues. Jennifer is now 24 years clean. Through establishing The Hansen Foundation in 1999, she has continued her efforts to help those in need. She is a Certified Yoga Teacher, mother of three and wife. Jennifer was awarded the Sea Award for Advocacy in 2018 by the Mental Health Association, the Brian H. Early Community Leadership Award by the Caron Foundation and received the 2017 South Jerseyan of the Year Award, Not-for-profit sector by the Walter Rand Institute for Public Affairs at Rutgers University-Camden. ” In 2005 Jennifer was awarded Woman of Distinction by the American Association of University Women, Atlantic County, for excellence and leadership in furthering gender equity. For more information call 609.270.4443 or visit www.hansenfoundationnj.org.
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. Photo by Tracy Harman Photography
Amy Hatt, CNMT, NMTCB(CT)
Christine Genovese, LPC
Amy is a nuclear medicine and PET/CT technologist who began her career 12 years ago. She has earned her BS in Allied Health Technologies from UMDNJ, now known as Rutgers, and is licensed in both nuclear medicine and CT. Before joining Toms River X-Ray, she was the lead nuclear medicine technologist at Monmouth Medical Center Southern Campus and worked as a technologist at Community Medical Center. Amy currently performs among the highest volume of Alzheimer’s disease PET/CT studies in the nation. She has always had a passion for helping others, making a career involving patients the perfect fit for her. Born and raised in Toms River, Amy currently resides in Bayville with her husband and two dogs. In her free time she enjoys indoor rock climbing, is an avid runner, volunteers with Northeast Boston Terrier Rescue, and is an Independent Consultant with Arbonne. For more information, call 732-244-0777 or visit www.tomsriverxray.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.
Lead Nuclear Medicine Technologist, Toms River X-Ray, CT & MRI Center
Genovese Counseling Services, LLC
Photo by Tracy Harman Photography
The County Woman Magazine www.TheCountyWoman.com
Photo by Donna Andrews Photography
March/April 2021
Community
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Saturday,, May 8th with Scenic Marina Walk
10AM to 3PM
Traders Cove marina
Brick,, NJ
Rain
or
Shine
The Fair is Free Admission and Open to the Public $10 Registration is Required for the Marina Walk - Includes T-shirt MENTAL, PHYSICAL AND SPIRITUAL FOR WHOLISTIC HEALTH
Vendors Yoga Sessions Beach Walk Health Screenings and
More...
Sponsorship and Vendor Opportunities available
Recipe Chicken In Puff Pastry Compliments of Chef Steph
Serves 4
1 sheet puff pastry, thawed and rolled out into a 14in square. 4 boneless chicken breasts, cooked 1/3 cup herbed soft cheese 1/4 cup fresh parsley , chopped 1 large egg Optional ingredients-chopped spinach, diced roasted red peppers, additional cheese, etc.
Preheat the oven to 400 degress. Roll out puff pastry, cut into four equal sized pieces. Place 1 1/2 tablesoons of herbed cheese in the center of each piece. Top herbed cheese with a chicken breast and then chopped parsley Next, fold the corners of the pastry over the chicken breast. Place chicken pastry seam side down on a baking sheet covered in parchement. Lightly brush the top with a whisked egg. Bake for 20-25minutes or until crust is golden brown.
Feel free to add any of the optional ingredients as well & enjoy!
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March/April 2021
Fine Art Photography
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March/April 2021
Jersey Shore Pharmacy
Customizing Medications From Juniors to Seniors to Pets Pain Management
Jay Greco, RPh
Owner, Jersey Shore Pharmacy
We specialize in making topical pain cream formulations (both prescription and over the counter). These creams incorporate many different medications in a propietary base that penetrates the skin directly to the painful area. The advantages of topical pain management are: Less side effects, no addiction and the creams can be applied where you need them.
Jay has been a pharmacist since 1992, after graduating from Northeastern University in Boston, MA. He moved to the Jersey Shore and then worked at Thrift Drug in Tuckerton, NJ. After working for several different chains and small independent pharmacies he decided to open his first pharmacy in Barnegat in 1999. After selling the franchise in 2007, Jay now owns and operates his own private retail 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.
Hormone Replacement for Men & Women Hormone replacement involves treating menopausal symptoms (women), andropause (men) and thyroid deficiency just to name a few. Hormones can be made into many different dosage forms including creams, troches, injections and oral drops or capsules.
Veterinary
Since veterinarians treat animals as small as a mouse and as large as an elephant, the dose of medications vary greatly. With compounding, we can create a dosage form that treats the issue at hand and if necessary, make it taste great! We also specialize in veterinary flavoring so that your pet will not know it is getting medication. We have over 30 flavors to choose from!
580 North Main St., Barnegat, NJ 08005 P: (609) 660-1111
Podiatry
Podiatrists treat many different issues on a daily basis. Some examples of issues that compounding may help would include: wart treatment, painful feet, sweaty feet, callouses and nail fungus infections.
Wound Care/Scar Care
Wound care can sometimes be helped greatly with compounding. We can incorporate antibiotics, steroids and medications that promote tissue growth into a gel that is applied topically. For scars, there are new products on the market that greatly reduce or eliminate scars appearance and/or color.
Free Rx Pick-Up and Delivery!
20 % OFF
Valid for Over-the-Counter Items ONLY. Cannot be combined with any other offers. Expires April 30,31, 2021 Expires August 2016
We have everything you need for a healthier tomorrow!
The County Woman Magazine www.TheCountyWoman.com
March/April 2021