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FREE ~ Please Take One SLEEP APNEA IS A SILENT KILLER. Many people who snore may not simply be snoring but could be suffering from a more serious health condition called Obstructive Sleep Apnea (OSA). Pages 31 & 32
FINDING THE LIGHT AT THE END OF THE TUNNEL. There is no debt problem too big or too difficult to dig out from underneath. Page 41
Photo by Tracy Harman Photography.
ENDOMETRIAL RECEPTIVITY ARRAY (ERA) ENDOMETRIAL BIOPSY. Since the birth of the first in vitro fertilization (IVF) baby 40 years ago, the field of reproductive endocrinology Page 14 has undergone major advances.
Since their founding in 2004, Garden State Interventional Pain Management has become one of the leading pain management centers in the area. The group at GSMC has developed second-to-none expertise in the diagnosis, treatment, and care for a wide variety of pain conditions. Read more about this extraordinary team on pages 69, 70 & 71.
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Medical Professionals
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What is Spinal Stenosis?
A A diagnosis diagnosiswe wefrequently frequentlysee seeinin our physical therapy clinics our physical therapy clinics associated with back and neck pain is spinal stenosis. Spinal associated with back and neck pain is spinal stenosis. Spinal stenosis stenosis is a condition in the or narrowing pinching the is a condition resulting inresulting the narrowing pinching or of the spinal of cord spinal cord pressure that causes pressure on the spinal cord and that causes on the spinal cord and the nerves thatthe flownerves through Spinal stenosis is stenosis most commonly in individuals that flowit.through it. Spinal is mostfound commonly found in 45 years of age and older; however, it can be found thebe younger individuals 45 years of age and older; however, it in can found population as well. Some cases of spinal stenosis may also be in the younger population as well. Some cases of spinal stenosis congenital, which means itwhich is present at birth. Spinal stenosis may also be congenital, means it is present at birth. can Spinal occur throughout the spinal cord, ranging from the cervical spine to the stenosis can occur throughout the spinal cord, ranging from the lumbar spine. However, thoracic stenosis is very uncommon because cervical spine to the lumbar spine. However, thoracic stenosis is there is very little movement of these vertebrae, resulting in lower very uncommon because there is very little movement ofathese chance of degeneration. vertebrae, resulting in a lower chance of degeneration.
Normal Normal
Lumbar Stenosis Lumbar Stenosis
Cervical Spinal Stenosis Cervical Spinal Stenosis
Cervical Stenosis Cervical Stenosis
Signs and Symptoms of Spinal Stenosis Signs and Symptoms of Spinal Stenosis Overall, spinal stenosis symptoms are often characterized as: Overall, spinal stenosis symptoms are often characterized as: • Developing slowly over time, or slow onset • Developing slowly over time, or slow onset • The pain you feel is not constant, or some describe it as coming and going The pain you feelcertain is not activities constant,(such or some describe as coming and and/or going positions •• Occurring during as walking foritlumbar stenosis) •(such Occurring during certain activities (such as walking for lumbar stenosis) and/or positions as standing upright for lumbar stenosis) (such as standing upright for lumbar stenosis) • The pain is relieved by rest (sitting or lying down) and/or any flexed forward position. • The painareis many relieved byinvolving rest (sitting or lying down) any flexed forward There cases spinal stenosis whereand/or the person does not presentposition. with any symptoms There are many cases involving spinal stenosis where the person does presentof at all. However, more times than not, a person will show signs and not symptoms with any symptoms at all.from However, moreoftimes than to not, personMore will specifically, show signs signs and spinal stenosis which differ one region the spine thea other. symptoms of spinal differ oneand/or regionnumbness of the spine the other. More and symptoms for thestenosis cervical which spine can be from weakness andtotingling in the arms and hands, wellsymptoms as local pain thecervical neck. Inspine lumbar the spinal nerves become specifically, signsasand forinthe canstenosis, be weakness and/or numbness compressed produce sciatica, such as numbness andIntingling, pain and tinglingand in can the arms andsymptoms hands, asofwell as local pain in the neck. lumbarand/or stenosis, radiating the buttock legs. the spinalinto nerves becomeand compressed and can produce symptoms of sciatica, such as Can Spinal be Treated? numbness andStenosis tingling, and/or pain radiating into the buttock and legs. The answer is yes, spinal stenosis can be treated with several different methods, most Can Spinal Stenosis be Treated? of which do not require surgery. Courses of treatment include physical therapy, activity The answer is yes, spinal stenosis can be treated with several different methods, most modification, epidural injections, and medication. of which do not require surgery. Courses of treatment include physical therapy, activity Physical Therapy – A physical therapy program consisting of strengthening, stretching,
modification, injections, modalities, andepidural manual work from aand licensed therapist is a great course of treatment to decrease medication. or eliminate pain. Activity PhysicalModification Therapy – A–physical Patients are usually counseled to avoid activities that worsen their therapy program consisting spinal stenosis symptoms. Forof lumbar stenosis patients, certain positions are more comfortable, strengthening, stretching, modalities, such as flexed positions. Example would be getting relief when leaning over onto a shopping cart at themanual grocerywork store.from a licensed and Epidural – An epidural injection is a shot of cortisone into the epidural space, which therapist Injections is a great course of can temporarily relieve or symptoms of spinal stenosis. This procedure would be performed by a treatment to decrease eliminate licensed pain. physician. Medications – There are several medications that can help alleviate some of the pain that Activity Modification – Patients is caused by spinal stenosis. However, it is always recommended that you consult with your are usually counseled to avoid physician prior to taking any medications. activities that worsen their spinal Unfortunately, not all cases of spinal stenosis are cured or managed with non-invasive stenosis symptoms. For lumbar treatments. In some cases an orthopedic surgeon will have to perform surgery to decrease the stenosis patients, certain positions compression of the nerves that are more comfortable, such asofflexed exit the vertebrae. This course positions.isExample would getting treatment usually done as be a last relief when leaning over onto shopping cart at the grocery store. resort if the non-invasive coursesa of Epidural Injections – An epidural injection is a shot of cortisone into the epidural space, treatment have failed. which can temporarily relieve symptoms of spinal stenosis. This procedure would be Spinal stenosis can be a very performed by a licensed physician. painful and debilitating condition, Medications – ThereIf are but it can be treated. youseveral suffer medications that can help alleviate some of the pain that from neckby or spinal low back pain, you is caused stenosis. However, it is always recommended that you consult with your should talkprior to your physician make physician to taking anyormedications. an withnot an all orthopedist appointment Unfortunately, cases of spinal stenosis are cured or managed with non-invasive to be properly You treatments. Inevaluated. some cases anand orthopedic surgeon will have to perform surgery to decrease your physician should come up with the compression of the nerves that exit the vertebrae. This course of treatment is usually adone treatment plan that is safe and as a last resort if the non-invasive courses of treatment have failed. suitable for stenosis you. Spinal can be a very painful and debilitating condition, but it can be treated. If you suffer from neck or low back pain, you should talk to your physician or make an appointment with an orthopedist to be properly evaluated. You and your physician should come up with a treatment plan that is safe and suitable for you.
New Location: Brick/Ramtown! January 1st
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Free Transportation For Patients In Need www.AllCarePTC.com www.AllCarePTC.com
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Joe graduated with an Associate’s Degree in Physical Therapy Assisting from Essex County College in 2015. He completed his clinical rotations at two orthopedic outpatient settings. He worked with several sport and non-sport related injuries. He takes an interest in working with shoulder and knee dysfunctions. During his clinical rotation at a skilled nursing facility, he worked with post CVA patients, pre and post-operative orthopedics as well as elderly patients with general weakness and balance deficits. He uses a variety of techniques such as joint mobilization, soft tissue massage, and therapeutic exercises to treat many dysfunctions.
January/February 2019 2019 January/February
Table of Contents Publisher’ s Note
4
5
Welcome to the January/February Issue of the Ocean County Woman!
All correspondence be addressed to: be addressed to: Allshould correspondence should
Medical Professionals The County
Elder Law Woman The County Woman Ce leb ra
r ea ting Our 9th Y
Carluccio, Leone, Dimon, Doyle & Sacks, LLC ........................... 8 All-Care Physical Therapy Center, LLC ....................................... 2 Holistic Substance Abuse Treatment P.O. Box 619 P.O. Box Shore Vascular & Vein Center ..................................................... 6 619Health & Wellness Enlightened Solutions................................................................ 45 Quality Dermatology .................................................................... 7 NJ 08012 Turnersville, NJTurnersville, 08012 Living Healthy Naturally ............................................................... 9 Acupuncture Hypertension and Kidney Group of Ocean County ..................... 9 or Not Yoga ......................................................................... 32 year Koehler Hot Welcome 2019!at2018 has been a wonderful and Acupuncture................................................................. 45 The County Woman’s Newspaper is published bi-monthly and is available free10 of charge atHypnosis The County Woman’s is published bi-monthly and is available free of charge Publisher Chris LamNewspaper Reproductive Science Center of• NJ .......................................... for Women ................................................................. 33 Wigs & Hair Designs display stands inStafford approved private and public establishments and authorized display stands in approved private and publicdistributors establishments andstaff authorized distributors only, County Woman Publication and myself theNina at the chris@thecountywoman.com Advocare Orthopedics ................................................. 11 only, Radcliff, MD Ocean ...................................................................... 44 Abstrax Hair Designs ................................................................. 51 or Ocean by paid mail subscription. or by paid mail subscription. Otolaryngology Associates, PA...................................... 15 Lice Lifters ................................................................................. 49 would to take the the Manager •andThe Lauren Shover Trademark Production and U.S. Copyright County Woman’s Trademark U.S. Copyright LawsNewspaper. protect TheNoCounty Woman’slike Newspaper. No part of opportunity to thank you all forFuneral Planning Advanced Sleep Center ofLaws Newprotect Jersey..................................... 17 part ofYoga Nine Mind/Body Studio .................................................... 50 this paper may be reproduced without the written the publisher. this paper may be permission reproduced of without the written permission of the publisher. staff@thecountywoman.com support we have received this entire year. It is due to the DeGraff Funeral Home............................................................... 52 Personal Enhancement Center .................................................. 22 Jersey Shore Pharmacy ............................................................ 53 The County Woman’s NewspaperThe is not responsible forNewspaper any editorial comment (otherforthan County Woman’s is not responsible any editorial comment (other than Regional Sales Director • Kristina Wheeler Pruitt Hackensack Meridian Int. Health & Medicine ........................... 26 Theatre & Entertainment many contributing writers, readers, distributors, Facebook its own), typographical errors from advertisements submitted camera ready or anysubmitted reproducits own), typographical errors asfrom advertisements as camera ready or any reproducProfessional Dentistry Kathy A. Banks, DMD ................................................................ 27 kristina@thecountywoman.com Cape May Stage ........................................................................ 54 tions of advertisements submitted as camera ready. tions of advertisements submitted as camera ready. Aesthetic Dental Creations ............................................ 12, able 13, 14to continue and Twitter followers, and staff that we are Gastroenterologists ................................. 28, 29 The Other Josh Cohen .............................................................. 56 If an advertisement doesof notOcean meet ourCounty standards of acceptance, we our maystandards revise or cancel it at we may revise or cancel it at If an advertisement does not meet of acceptance, Billing Manager • Jennifer Hartsig Cake Shoppe & Tea Room bringing you six issues Wellwhether Women’s ........................................................... 31 The anyBe time, or notHealth it has been already acknowledged previously published. any time, whether or not it and/or has been already acknowledged and/or previously published. The a year full of educational articles, Show-Score............................................................................... 57 A Sweet Memory Cake Shoppe & Tea Room............................ 16 billing@thecountywoman.com advertiser sole responsibility for allassumes statements in submitted copy will advertiser sole contained responsibility for all 34, statements in submitted copy and will Atlanticassumes Neurosurgical Specialists ....................................... 35 andcontained Atlantic City Ballet ..................................................................... 59 written by professionals who are leading experts in their fields. Financial Management protect indemnify theDesigner Woman’s its owners, publishers, and employees, against and indemnify the Woman’s Newspaper, its owners, publishers, and employees, against TomsandRiver X-Ray, CT &protect MRINewspaper, Center ......................................... 37 Graphic • Golden Design LLC Two River Theater ...................................................................... 73 anyBella and all liabilityMedi loss orSpa expense of claims libel, unfair trade patents, anyarising and allout liability loss for or expense arising outnames, of38 claims for names, patents, libel, Asunfair2019 begins, we look forward to the upcoming year as another year of hard work and dedication 5 Tips fortrade Sustained Financial Health ........................................ 18 Derma ............................................................... Women of Ocean County ........................ 60, 61, 62 CEO copyrights propriety rights, and •all Lynn violations ofWolf the right of and privacy or 46, other 47 violations copyrights and K. propriety rights, all violations of the rightGarden of privacyState or other violations Trust Company .................................................... 19 Ocean and Hematology & Oncology ......................................... to growing the Ocean County Woman Publication. The New Year is the time for fresh opportunities resulting from the publication ofresulting newspaper its advertising copy.newspaper or its advertising copy. from theorpublication of this Radio Paonessa Colon & Rectalthis Surgery, PC ...................................... 48 Bakery The publisher shall be under no The liability for failure, for any reason, to insert an advertisepublisher shall be under no liability for failure, forfor any reason, to insert an advertiseThe As Bosswe 107.1 ......................................................................... 63 success and the potential for much joy and happiness. reflect on what we have been grateful Bio-Behavioral Health................................................................ 49 Simply Sweet Cupcakes ........................................................... 23 For advertising call: ment. The publisher shall not bement. liableinquiries, by reason of error, omission and/or failure of to error, insertomission any The publisher shallplease not be liable by reason and/or failure to insert any Education Institute for Complementary Alternative Medicine ............. 52 inor2018, it is the support we have received from our writers and readers in the form of emails, Dentistry part of an advertisement. The publisher willadvertisement. not be liable for delay or failure part ofand an The publisher will in notperformance be liable for for Pediatric delay failure in performance Ocean County College .............................................................. 67 Park Avenue ......................................................................... 55 of an Ocean Pediatric Associates ........................................... 24 a privilege and honor to continue to supply the most in Dr. publication and/or distribution all or any portion of an issue isifdelayed or portion suspended for in ifpublication and/or distribution all or any issue is delayed or suspended for Facebook posts,Dental tweets and phone calls. It has been State Medical Center .................................................... 75 Women’s History anyGarden reason. The publisher will exercise reasonable judgment in these instances and will make any reason. The publisher will exercise reasonable judgment in these instances and will make Removal Permanent Hair informative articles, events coverage and exclusive deals to the residents of Ocean County! Susan Burton ............................................................................. 69 adjustments for the advertiser where and when appropriate. adjustments for the advertiser where and when appropriate. Fine Art Photography Brick Electrolysis ....................................................................... 25 Contact us: The Woman’s Newspaper assumes noWoman’s responsibility for unsolicited material or reproducThe Newspaper assumes no responsibility material or reproducTracy Harman Photography......................................................... 3 for unsolicited Holistic Life Coach We wish you a prosperous, happy and successful 2019! Nursing & Rehabilitation Center tionsP.O. made byBox advertisers. made by advertisers. NJ • 08012 619 •tions Turnersville, Jessica L. Conrad, M.A., B.A. .................................................. 71 Legal Professionals Tallwoods Best, This newspaper will be publishedThis by the 15th of every other month. newspaper will be published by the 15th of every other month. Care Center .............................................................. 30 Community ...................... 58, 64, 65, 66, 68, 70, 71, 72, 74 TM TM Kathleen M. Dotoli, Esq. .............................................................. 4 COPYRIGHT 2008. LLCBusiness Representations by The Monmouth County Woman, LLC Representations by The Monmouth County Woman, &2008. Finance ChrisCOPYRIGHT Lam, Publisher, & The Staff at the Ocean County Woman Publication The Matus Law Group ............................................................... 25 Copiers Plus .............................................................................. 39 Straffi & Straffi, Attorneys .............................................. 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Table of Contents Psychotherapy
Fine Art Photography
Tracy Harman Photography......................................................... 2
Medical Professionals
Financial Management
Garden State Trust Company....................................................... 7
Psychotherapy
Copiers Plus Inc......................................................................... 11 Brick Township Chamber of Commerce.................................... 56
Women’s History
Business & Finance
Recovery From Trauma
All-Care Physical Therapy Center LLC......................................... 3 Shore Vascular & Vein Center....................................................... 6 Reproductive Science Center of New Jersey............................ 14 Personal Enhancement Center................................................... 15 Whenandsomeone goes through any kind 17 Hypertension Kidney Group of OC..................................... ofHackensack trauma,Meridian he or she may Health heal &over time. Integrative Medicine. ................ 18 Atlantic Neurosurgical Specialists. . ............................................ 19 But if the trauma is too much for University Urology Associates of New Jersey............................ 23 the mind to handle, help may be Ocean Otolaryngology Associates, PA........................... 24, 25, 26 needed to get over it. IfCounty. the person Gastroenterologists of Ocean ....................................... 28 Be Well Women’s Health............................................................ 29 develops symptoms like nightmares, Advanced Sleep Center of New Jersey............................... 31, 32 flashbacks, anxiety, fear or depression, Institute for Complementary and Alternative Medicine.............. 32 they mayStafford fit theOrthopedics. criteria ................................................. for PTSD, Advocare 34 Post Stress Disorder. One KathyTraumatic A. Banks, DMD. ................................................................ 38 Bella Derma Medi Spa. . .............................................................. 39 does not have to have PTSD to benefit Toms River X-Ray, CT & MRI Center.......................................... 44 from talking to a professional about an Paonessa Colon and Rectal Surgery, PA................................... 45 upsetting event. However, if symptoms linger 48 over Dr. Park Avenue. ......................................................................... time, counseling/psychotherapy is recommended. Bio-Behavioral Health................................................................ 54
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Professional Dentistry
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Dr. Sharon Flaherty
Aesthetic Dental Creations......................................................... 12
Elder Law
Sharon Flaherty, PH.D ............................................................... 42 Audrey Hepburn......................................................................... 43
Insurance
Arocho Insurance Agency.......................................................... 47
Education Decades of research since then has confirmed its Carluccio, Leone, Dimon, Doyle & Sacks, LLC.......................... 13 effectiveness. Ocean County Dr. College............................................................... 49 Peter Levine at UCLA took PET Cake Shoppe & Tea Room Wigs & Hair Restoration scans of brains of patients before and after50 A Sweet Memory Cake Shoppe & Tea Room............................. 20 Abstrax Hairthe Designs. ................................................................. EMDR, and found significant differences; areas Holistic Substance Abuse Treatment Men’s Clothing Enlightened Solutions................................................................. 20 Lou of Marchiano for Men.............................................................. overactivity, or “hot spots,” disappeared,56 Health & Wellness Women Ocean Countysymptoms. ............................... 58, 59 along of with the patient's EMDR Travel Hypnosis for Women.................................................................. 21 has been placed........................................................... in the “A” category by the62 Vagabond Travel Agency. Yoga Nine Mind/Body Studio..................................................... 30 Department of Veterans Affairs as “strongly Radio Living Healthy Naturally.............................................................. 35 The 107.1 Boss.......................................................................... 66 recommended” for the treatment of trauma. Nina Radcliff, MD....................................................................... 40 Happy New Year EMDR has been used with veterans, crime Hot or Not Yoga.......................................................................... 42 Resolution Reboot...................................................................... 68 Lice Lifters.................................................................................. 49 victims, police and victims of crime, Featured Onofficers, The Cover Jersey Shore Pharmacy............................................................. 51 abuseGarden and accidents. works on large or small State Medical It Center. ........................................ 69, 70, 71 Nursing & Rehabilitation Center Community . . ..................... 33, 46, 55, 57, 60, 61, traumas for people of all ages, including children.63, In67, 68 Tallwoods Care Center............................................................... 22 most cases it works much faster than traditional psychotherapy. Theatre & Entertainment
Atlantic City Ballet...................................................................... 27 Traditional “talking” therapy can be very effective with OneForm. treatment that has shown tremendous Cape in Maytreating Stage ........................................................................ 53 Subscription ....................................................................... 4 success Advantage these problems, too. Dr. Sharon FlahertyPlease has Take advanced training in Show-Score................................................................................ 64 Testimonials. ................................................................................. trauma is called Eye Movement Desensitization8 and Reprocessing, or OfEMDR Our Manyand “Entertraditional To Win” EMDR, and years of experience doing The Otheror Josh Cohen............................................................... 65 Contests Throughout The Paper Instagram..................................................................................... 9 EMDR. EMDR involves a series of eye movements, sounds tapping psychotherapy. She can be reached at 908-242-4618 or! at via her And On Facebook Pet Services Meet the County Woman Team.................................................. 10 while recalling the upsetting event. EMDR was discovered by Dr. website www.sharonflahertyphd.com. Veterans who are having Jolly Pets Supplies & Grooming. . ............................................... 36 Legal Professionals Funny Farm Rescue................................................................... 52 Francine Shapiro in the late 1980s when she was working at the Veterans Kathleen M. Dotoli, Esq................................................................ 5 difficulty with issues likes these can call their local Veterans Services Acupuncture The Matus Law Group................................................................ 16 Officer: in Ocean County 732-929-2096. Administration. Koehler Acupuncture............................................................ 36, 37 Straffi & Straffi, Attorneys at Law............................................... 41
Sharon Flaherty, PhD • 908-242-2618 • dr.sharon@verizon.net • www.sharonflahertyphd.com
Law
Legal Professionals
You’ve Been Hurt at Work. Do You You Need anYour Attorney? How Workers’ Compensation Protects and Family
How Can benefit a Lawyer Help? For Serious Injuries, Yes! Many people have heard of Workers’ Compensation, but few people know Employers from workers’ compensation also. Highly managed I help my clients with all sorts of things youcompanies cannot anticipate afterto keep themselves Your work result in lifelong physical healthcare what it really means until they areinjury injuredmay at work. Here’s a primer by workers’ compensation insurance are thought a work injury. Sometimes the workers’ compensation insurance carrier limitations. Protect yourself and know your rights! You meant to give you a basic understanding of your rights. costs down and return injured workers to work more quickly than if they pursued terminates treatment prematurely as a cost-savings measure, often at the are entitled fully paid medical benefits including Over a 100 years ago, business andto labor treatment independently. expense of the injured worker’s health. I filehas motions to correct diagnostic studies and physical therapy came to a compromise that hospital benefits stays, both workers Overall, the system benefited societythat. by reducing Sometimes a second medical opinion is necessary or bills aren’t being without co-pays or deductibles. You are also entitled and employers in the event of a work injury. For conflict, improving work safety and protecting taxpayers paid. I make sure thatfrom my clients are protected andand financially. to permanency workers, it allowed for prompt medical andbenefits, wage something most insurance the burden of payingmedically for the care needs of Sometimes the entire claim is denied, often leaving the injured worker will not to tell you about even if they pay for replacement benefits as wellcompanies as an opportunity disabled workers. with no assistance whatsoever. we get these cases but backthere on are times allongoing of your medical receive compensation for the physical treatment and wage replacement. This all Fortunately, works theoretically, of course, track. Calculating permanency benefits can be a complicated limitations that occur after a trauma. It also when medical treatment is withheld, wage replacement is negotiation addresses the injury, doctors’ opinions, How Does a Lawyer Get Paid? created a no-fault system, one where anthat employee not paid or a workers’ comp claim is completely denied. pre-existing conditions, and occupation. In that No worries! There isIf never a fee for a consultation andfeel ouryou feesare arebeing set need not have to prove negligence in order to you’ve been injured at work and scenario, hiring an attorney experienced in workers’ by an experienced judge of workers’ compensation only if we win your receive these benefits. The goal was to lessen the shortchanged, call us for a free consultation to discuss compensation case. negative health impact for injured workersmatters and is a smart thing to do. your case immediately as there are important deadlines to maintain their financial stability. which you must you must adhere. Kathleen Dotoli received recognition fromfrom the American Institute of Legal Counsel for “10 Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016, 2017 2018. Kathleen Dotoli received recognition the American Institute of Legal Counsel forBest “10 Best Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016 and 2017
If you need guidance, call 732-228-7534 today for a free consultation. With respect and compasson, Kathleen has helped thousands of Ocean and Monmouth County residents receive the benefits they deserve for over 20 years.
www.lawofficeofkathleenmdotoli.com
Call today to learn more about how you may qualify for Workers Compensation Benefits
Testimonial “Kathleen handled my workers comp case. Our first meeting set the bar on what I realized would be above any expectations I may have envisioned. Kathleen was extremely detailed, caring and very professional.” - Denise 2018 The information on this article is legal advertising and is not to be considered legal advice. If you have already hired or are represented by an attorney, you should disregard the information in this article. If this article is inaccurate or misleading, report same to the Committee on Attorney Advertising, Hughes Justice Complex, CN 037, Trenton, New Jersey 08625.
The County Woman Magazine www.TheCountyWoman.com www.TheCountyWoman.com The County Woman Magazine
January/February 2019 March/April 2018
Medical Professionals
10 6
Medical Professionals
The Most Common Common Questions Questions And AndAnswers Answers Concerning Varicose Veins Concerning
V
Varicose Veins
aricose veins are one of the most common vascular Varicose are onemen of the most conditions affectingveins women...and of all ages. common vascular conditions affecting Treatment options have improved greatly in of all ages. Treatment recentwomen...and years. In spitemen of these advancements, options have improved greatly recent many people mistakenly still believe thatintreatspite of these advancements, ment years. for thisInproblem is difficult, painful, and many people mistakenly still believe simplythat considered “cosmetic.” Other people treatment for this problem is may experience leg painand andsimply other symptoms difficult, painful, considered but they don’t realize whatpeople is causing their “cosmetic.” Other may condition. This article will answer some experience leg pain and other common questions varicose veins, symptoms butregarding they don’t realize what is Jeffrey S. Gosin, Jeffrey S. Gosin, MD, FACSMD, FACS the associated and treatment. causingsymptoms, their condition. This article will answer some common What are varicose veins? questions regarding varicose veins, the associated symptoms, and treatment. Varicose veins are swollen veins that can be seen through the skin.
They oftenare have a bulging, twisted appearance. Some varicose veins What varicose veins? be Varicose veinsand are swollen veinsOthers that canmay be seen throughThey the skin. may very large discolored. be smaller. can They oftenanywhere have a bulging, appearance. occur on thetwisted legs, including the Some groin varicose area. veins may be very large and discolored. Others may be smaller. They can occur anywhere on What causes varicose veins? the legs, including the groin area. Blood must flow up, against gravity, to exit the legs and return to What causes varicose veins? the heart. Our leg veins have one-way valves that assist in this process. Blood must flow up, against gravity, to exit the legs and return to the Those valves can malfunction and leak, causing blood to flow in the heart. Our leg veins have one-way valves that assist in this process. Those wrong The blood inblood the legs, increasing the pressure valvesdirection. can malfunction andthen leak, pools causing to flow in the wrong in direction. the veins.The Thisblood is known as venous or Chronic Venous then pools in thereflux legs, disease increasing the pressure in Insufficiency (CVI). Venous reflux is one of the most common causes the veins. This is known as venous reflux disease or Chronic Venous of Insufficiency varicose veins. (CVI). Venous reflux is one of the most common causes
of varicose What are theveins. symptoms of varicose veins and venous reflux disease? What are the symptoms veinsmay andfeel venous reflux People with varicose veins of andvaricose venous reflux leg pain, leg disease? heaviness, leg fatigue and/or leg swelling. Itching of the skin of the legs is aPeople with varicose veins and venous reflux may feelsymptoms. leg pain, legMany also very common complaint. Standing may worsen heaviness, leg fatigue and/or leg swelling. Itching of the skin of thesome legs is people will notice the appearance of bulging legs veins. However, also awill veryonly common complaint.but Standing may worsen symptoms. Many people feel discomfort not notice any cosmetic changes. people will notice the appearance of bulging legs veins. However, some I thought varicose veins are justbut a cosmetic problem. Is that true? people will only feel discomfort not notice any cosmetic changes. is important to understand veins problem. and venousIsreflux I Itthought varicose veins arethat justvaricose a cosmetic that aretrue? NOT necessarily simple cosmetic problems. This can be a sign of an abnormal condition in the circulation. In addition pain, some It is important to understand that varicose veins andtovenous reflux individuals maynecessarily be at risk for chronic swelling, permanent skin are NOT simple cosmetic problems. This can be discoloration, a sign of an open wounds and eveninblood clots. With diagnosis treatment, abnormal condition the circulation. In early addition to pain,and some individuals long-term can usuallypermanent be prevented. often has may be atcomplications risk for chronic swelling, skinTreatment discoloration, open thewounds added and benefit improving aesthetics, even in cases that are not evenofblood clots. With early diagnosis and treatment, longterm complications considered “cosmetic.”can usually be prevented. Treatment often has the added benefit of improving aesthetics, even in cases that are not considered Who is at risk for varicose veins? “cosmetic.” Prolonged standing or sitting on one place, family history of varicose Who is at risk for varicose veins? veins, and being overweight are all known risks. In addition, increasing Prolonged standing or sitting on one place, family history of varicose ageveins, and pregnancy are risk factors. Some people may develop varicose and being overweight are all known risks. In addition, increasing age veins having anyfactors. of these known conditions. andwithout pregnancy are risk Some people may develop varicose veins
How are varicose veins and venous reflux diagnosed? How are varicosevascular veins and venous diagnosed? An experienced specialist canreflux make the diagnosis with An experienced vascular specialist can make the diagnosis a combination of a medical history, physical examinationwith and aa combination of atest medical physical examination and a painless painless vascular calledhistory, a Doppler ultrasound (also known as vascular test called a Doppler ultrasound (also known as a venous duplex a venous duplex scan.) Making the correct diagnosis is essential Making the correct diagnosis is essential in properly treating this inscan.) properly treating this condition. condition.
How varicose veins andand venous reflux treated? Howare are varicose veins venous reflux treated? Sometimes compression stockings will be sufficient to control Sometimes compression stockings will be sufficient to control symptoms symptoms and prevent complications. When procedures are needed, and prevent complications. When procedures are needed, current current technology and techniques, allow forWITHOUT treatment WITHOUT technology and techniques allow for treatment the need for the need surgery. for painful One of proven the best, most proven treatments painful Onesurgery. of the best, most treatments for venous reflux the Closure® This minimally procedure is performed foris venous refluxProcedure. is the Closure® Procedure,invasive now referred to as Venefit™. rightminimally in the office in less than 30 minutes, with no incisions, minimal This invasive procedure is performed right in the office discomfort, and excellent results. in less than 30 minutes, with no incisions, minimal discomfort, How long isresults. the recovery from vein treatment? and excellent In most cases individuals can return to their usual activities within a day
How long is the recovery from vein treatment? of the procedure. In most cases individuals can return to their usual activities within Is varicose vein treatment covered by health insurance? a day of the procedure. Venous reflux disease is a medical condition. Therefore, in many cases, Isvaricose varicose vein treatment covered by health insurance? vein treatment is covered by health insurance. An experienced vein Venouscenter refluxwill disease a medical condition. Therefore, in many treatment haveisinsurance specialists who will work with your insurance company to confirm iscoverage. cases, varicose vein treatment covered by health insurance. An experienced vein treatment center will have insurance specialists who will work with your insurance company to confirm coverage.
Visit www.GetGreatLegs.com
VISIT www.GetGreatLegs.com • The Venefit Procedure • Microphlebectomy • Sclerotherapy for treatment of spider veins • Excel V Vascular Laser for treatment of spider veins and unsightly facial veins • IAC Accredited Noninvasive Vascular Laboratory on site • Enlighten(TM) Laser Tattoo Removal
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without having any of these known conditions. www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com
May/June 2016 January/February 2019
Financial Management
7
Solo Agers – Individually Alone, But Growing As A Group Wishing you a Healthy and Happy 2019!
As president and founder of Garden State Trust Company, an independent trust company, I have experienced a noticeable growing demographic: the solo ager.
As the boomer generation is aging and, I might add, living longer, there has been a lot of focus of late on what is becoming known as Solo Agers, the childless baby boomer. The traditional model of children helping their parents navigate the obstacles of old age can’t work for everyone, because a large fraction of baby boomers won’t have children to rely upon. In many instances, as boomers are living longer, they are outliving another source of support: siblings and friends. Estimates from The Pew Research Center found that the rate of childlessness among boomers is around 20 percent – double what it had been in previous generations. Those without a support system of relatives need a plan—for daily living, for financial management, for health maintenance. This is the “not much fun” part of retirement planning. The sooner a plan is developed and implemented, the better the chances of success.
Life Planning for Solo Agers
Here are three real-life examples we have encountered with Solo Agers (identities hidden). • Mrs. A, a widow, needed to transition from living on her own to a facility that could provide greater support for her medical needs. Mrs. A had no idea how to find a facility that met her needs. • Mr. B, a client for 30 years, entered a nursing home. He had no family or friend to supervise his care there, and he couldn’t do it himself as dementia was setting in. • Mr. and Mrs. C were managing their retirement quite nicely until Mr. C began showing signs of Alzheimer’s. He couldn’t handle their finances any longer, and Mrs. C was overwhelmed by the new medical issues she had to deal with.
“Solo Agers need to arrange future legal guardianship for themselves – someone who will take over in a fiduciary capacity if they are unable to make decisions for themselves. That person may be a relative or a friend or even a professional fiduciary or private guardian. Of course, everyone needs the legal protection of a health care directive and an estate plan, but Solo Agers have a heightened need to have those in place while they are still relatively young and healthy since no adult child will be rushing in from the hinterlands to provide that assistance and guidance,” says Sara Zeff Geber, Ph.D., the author of Essential Retirement Planning for Solo Agers: A Retirement and Aging Roadmap for Single and Childless Adults. In my examples, in each case a living trust was in place to provide a solution. A trust officer accompanied Mrs. A on her visits to care facilities and helped articulate criteria for making a decision. A care manager was hired to make certain that Mr. B was seen regularly by his doctors and treatments handled appropriately. Because Mr. B, as a client, had absolutely no living relatives or friends, we accepted the role as his Medical Power of Attorney. We took over the expense payments and asset management duties through the living trust created by Mr. and Mrs. C, relieving her of the financial concerns. Don’t think you need to consider these issues yet, but you know you will one day? Here is what you should do today: meet with an elder law attorney who is knowledgeable with the planning needs of a solo ager. If you are not ready to commit to a living trust today, discuss the option of a standby trust with your elder law attorney. You do the prep-work together today, knowing you have a viable plan in place for when you can no longer manage your personal financial matters. The trust will remain unfunded and inactive unless you become incapacitated and need your named trustee to jump in to help you.
Ira J. Brower
Lifestyle & Money Management Trust & Estate Planning Investment Services True independence and understanding are at the core of our unique value proposition. Caring for and thoughtfully guiding our clients has created the strong trusting relationships we have nurtured over many decades. That’s why so many people rely upon our independent company for wealth management and trust & estate services:
Our focus is where it should be…
Garden State Trust Company. To learn how we can focus on you and your family, contact Adam Brower or Siobhan Connolly.
On You. On Your Family. On Your Future. 1886 Hinds Road • Suite 2 • Toms River, NJ 08753
TOMS RIVER, NJ | CHERRY HILL, NJ | LEBANON, NJ | LINWOOD, NJ
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732.255.5000 | gstrustco.com January/February 2019
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Testimonials
Interested In Advertising In The County Woman Publications?
This Is What Our Happy Advertisers Have To Say “The staff at the County Woman is wonderful to work with, and we love being a part of such an informative and interesting publication in our community.”
– Annie Jones, All-Care Physical Therapy Center, LLC
“I have been featured and advertised in the Atlantic County Woman publication and have always been impressed with how professional my advertisement looks. The publication allows me to hit my target market of women business owners and be seen as the expert in my niche as a Metaphysician and Metiphisical Counselor and Business Coach helping women business owners clear emotional blocks to success. I highly recommend Atlantic County Woman for your publication needs.”
- Lisa Scott, Owner, Lisa R. Scott Consulting, LLC
“We have been writing articles and advertising our business with Monmouth County Woman for the past few years. Their staff is wonderful and eager to help you collaborate your business needs as well as graphic design. We have found many of our clients continue to read our content and we have increased our clientele as a result.”
- Laurie Lombardi, CDN, The Natural Pharmacy
“We have been working with Lauren and the team at Ocean County Woman for more than a year and we could not be more pleased. After a few issues into OCW, we decided to also advertise in the Atlantic County Woman. As an advertiser, the caring and professionalism shown us is exhibited in the quality of their publications.”
- Ira J. Brower, President, Garden State Trust Company
“Advertising in the Ocean County Woman Publication has proven to Koehler Acupuncture be one of my smartest advertising 128 Drum Point Road • Brick, NJ 08723 decisions. Within the first two weeks 732.262.0637 www.koehleracupuncture.com I had received at least six calls of interest. By the end of the first month I had several more calls and seven new patients in my office. The article also worked great for my existing patients who showed it to their friends to encourage them to come in.”
– Keith Koehler, Owner, Koehler Acupuncture
“Your paper has given us a great venue for advertising our practice. My husband and I love the opportunity to customize our ads with subjects that are relevant to our practice and our patients. Atlantic County Woman has given us great exposure within the community. We have gotten many new patients thanks to your publication. We look forward to advertising with you for many more years to come.”
- Dana Carfagno, Practice Administrator, Advanced Care Ob/Gyn Infertility
Reaching 120,000+ readers throughout Atlantic, Ocean and Monmouth Counties Don’t you think it’s time for your business to be featured in the County Woman Publications?
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January/February 2019
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The County Woman Team Chris Lam, Publisher What do you enjoy most about publishing? I derive a great deal of satisfaction from being able to partner with our clients and learn about who they are, what services they provide, and how they wish to present themselves to their audience. To me, publication media is a fantastic way to convey a message quickly while providing engaging and informative content for our readers. I am so proud of our tremendous team and the passion they have for our clients and readers.
Kristina Pruitt, Regional Sales Director Why should businesses advertise in The County Woman? Our readers depend on us for helpful information that can improve their lives. Our contributors provide relevant information, useful in choosing medical care, life coaching, beauty and wellness choices, tutoring, college education, and so much more. Through these helpful articles they establish their expertise as leaders in their field while informing our readers. It is that connection that creates success for those who are in the publication, as well as for those who read it.
What do you find to be the greatest challenge? I view challenges as opportunities. For The County Woman, there are opportunities for us to continue growing our coverage areas and to strengthen our online presence. We continually challenge ourselves to be the number one educational resource for our readers. What are your goals for The County Woman this year? First and foremost, my primary goal is to continue the same high standard of magazine content, client service, and sense of community that our readers deserve. Beyond that, we will be undertaking a project this year to survey our readers for their insight and feedback so that we can provide the best readership experience possible. So be sure and keep an eye out for that! Have you learned anything new about yourself since starting this new endeavor? Yes, there are so many discoveries I have made. In particular, I have enjoyed using my creative side more than ever, and have been mastering the art of time management. There are countless things that happen behind the scenes of each issue and to be able to produce and distribute The County Woman on a bi-monthly basis takes an enormous amount of work. It would not be possible without team members performing to their full potential.
Lauren Shover, Production Manager What are your goals for The County Woman for 2019? The magazine must stay on top of social media trends as well as maintain current relationships with our clients. As important as that is it’s also critical to work on building relationships with new clients too. And finally, I want to continue to work as a team with all of the individuals who help make TCW what it is today. What do you enjoy most about being the Production Manager? I love designing the layout for each issue and developing the different themes. Another part I enjoy is creating beautiful ads so that the client’s vision comes to life. It’s a pleasure to work with all of the professionals who allow the publication to be what it is today.
What are you excited about in the coming year? With increasing methods of marketing that businesses face today, I am excited to see how our magazine can continue to accompany those efforts effectively in the coming year. What do you enjoy most about working for the County Woman? I love meeting new people and working to develop effective strategies with our clients to create results. Do you have any New Year’s Resolutions for 2019? No! The minute I declare anything, I break my own rule! I do have plans for myself involving better self-care and healthier choices. In the New Year, I will make small decisions to achieve my personal goals every day, but I won’t mention it to anybody!
Jennifer Hartsig, Billing Manager What do you enjoy most about working for the County Woman Publications? I like working at The County Woman because everyone shares the same vision and is dedicated to the mission. I enjoy being a part of the collaborative process and look forward to seeing how each article comes together in the new issue. What do you enjoy doing in your spare time? I enjoy going on adventures with my family, practicing yoga, and doing volunteer work. As the Billing Manager, what do you enjoy most about your job? I enjoy the flexibly in my daily assignments and work schedule.
Do you have any New Year’s Resolutions in 2019? Yes, I would like to travel more. I recently went to Jamaica and California and I really enjoy seeing new things and meeting new people. I am looking forward to see what the future at TCW has in store for me.
www.thecountywoman.com
For advertising inquiries, call 856-885-8066
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January/February 2019
Business & Finance
11
Cars, Trucks, Vans, and Trailers
Make a great first impression. Vehicle lettering and wraps are a very memorable way to
spread your business’s message. Vehicle wraps for sales, service and delivery vehicles are a powerful branding and marketing tool. Stand out. Brightly colored, attractive vehicle wraps make your company vehicles stand out from all the other cars on the road. Passing drivers won’t pay much attention to a plain white van on the road, but they will notice a well-designed vehicle wrap. Colorful vehicle wraps are so engaging that peoples’ eyes naturally gravitate towards them. Cost effective method to promote your business. You can make an initial investment for a fraction of the cost of other long term advertising campaigns and generate results for years. Advertise locally. The people who will see your vehicle wrap the most are the people in your area. Local marketing produces outstanding results because people like to deal with nearby businesses.
Special: 10% off
design, production, and installation now through December 31st.
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January/February 2019
12
Professional Dentistry
Dear Friend, I am a dentist, but, like everyone else, my teeth need regular care to preserve them and to make them as attractive as possible. So, just like everyone else, I go to the dentist to receive many of the procedures I deliver to my own patients. When I sat down to write goals for my practice, it occurred to me that the kind of dentistry I want to give to my patients was exactly the kind of dentistry that I wanted to receive. And I can assure you that I would hold my dentist to some pretty high standards. I would want my dentist to know me personally. I wouldn’t want to be a number or “the next patient.” And I wouldn’t want to be taken for granted, even years into the relationship. Maybe I am spoiled, but I get annoyed if I have to do too much waiting. I’d prefer my dentist and staff to be ready for me when I arrive. I’m also a stickler for quality. I would pay a little more if I am receiving top-of-the-line treatment. These teeth are the only ones I get, so I wouldn’t want to choose a dentist because his fees are the lowest. I would choose a dentist who could provide me with the highest level of care, which is what I feel I deserve. So what I want as a dental patient is what I hope you want, because the result of this kind of treatment is my true goal: optimal dental health and appearance. If you want this kind of care, I would be happy to be your dentist.
Sincerely, Dr. Balaji
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January/February 2019
Elder Law
13
Establish a plan, diffuse aa crisis, Establish crisis,ororask aska question... a question...
ANNEMARIE ESQ. ANNEMARIESCHREIBER, SCHREIBER, ESQ. Certified CertifiedElder ElderLaw LawAttorney* Attorney*
hashas thethe knowledge knowledgeand andexperience experienceto tohelp help you! you!
A Snowbird’s Checklist If you are one of the fortunate snowbirds headed south for the winter, you know it is more than just a matter of packing up a suitcase and heading out the door. Many of you prepare a checklist to ensure that you have not forgotten to take care of the numerous tasks needed to secure your northern home before you leave for the winter. When reviewing your checklist of things to do before you go, make sure you add these things to your list: First, ensure that your power of attorney is up to date and that your family knows how to access that document in the event the need arises. Remember, your power of attorney allows your agent to handle your financial matters. Second, like your financial power of attorney, your medical directive, also referred to as living wills, should be updated and copies provided to your healthcare representative and healthcare providers. Even though these documents were prepared in New Jersey, they will be enforceable in that warm weather state where you are headed. Third, advise a trusted family member where your original Last Will and Testament can be located.
Certified Elder Law Attorney, Annemarie Schreiber answered questions and offered informaton on the Caregivers First TV show, hosted by Lynette Whiteman, Executive Director of Caregiver Volunteers Of Central Jersey. The episode aired last December 12th on local TV stations (visit www.scannj.com for listings). It is also be posted on SCAN’s YouTube channel and www.CLDDS.com.
Finally, make sure you have compiled a list of your assets and ensured that the beneficiary designations are up-to-date. This usually means the accountsis are up toas be payable yourdirective, spouse alsoset known a health caretoproxy initially (if power applicable) and then payable your kids (if that isAn a durable of attorney for health care to or an advance directive. your estate plan) upon your person death. to be his or her representative in the individual appoints a trusted Although it is suggested that these items be added to the decisions for event the creator of the document can no longer make medical snowbirds’ to-do list before they head to the warmer locations, it him- or herself. is good advice for everyone (not just snowbirds) to make sure they a legaltodocument in which have added theseisitems their checklist toan getindividual done. states his or her wishes regarding medical treatment and end of life care. An individual’s Obviously, if you lack these documents or information, preferences for medical treatment and end of life care are often included in it is advisable to contact an estate planning attorney who can help you get it done before you leave for the warmer climates. The estate planning team at Carluccio, Leone, Dimon, Doyle and Sacks are always glad to help. Making sure you’ve completed these items on your checklist will make your well-deserved reprieve from snow and ice even more relaxing.
Call 732-797-1600 for more information!
* As a Certified Elder Law Attorney (CELA) by the ABA approved National Elder Law Foundation, Annemarie Schreiber is one of only 400 or so attorneys in the entire United States who is a qualified CELA. She is certified by the ABA approved Natonal Elder Law Foundation and has years of experience offering clients in Ocean and Monmouth counties the legal counsel they need to plan ahead for their future or the future of their loved ones work through difficult situations.
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Medical Professionals
14
Endometrial Receptivity Array (ERA) Endometrial Biopsy
Helping Small Miracles Happen
Since the birth of the first in vitro fertilization (IVF) baby 40 years ago, the field of reproductive endocrinology has undergone major advances in medications, retrieval procedures, and laboratory techniques. Despite these innovations, the cumulative live pregnancy rate per egg retrieval is 35-48% for women 35 to 37 years old and 13-18% for women over the age of 40.
years, studies have shown this is not an accurate assessment. As a result, we may be transferring embryos at the inappropriate time. A test has been developed that directly evaluates the uterine lining for receptivity: endometrial receptivity analysis (ERA). This is a genetic test which uses a small sample • Comprehensive Fertility Care of a woman’s endometrial tissue to evaluate • InVitro Fertilization (IVF) whether or not the uterine lining is prepared and • Intrauterine Insemination is able to accept an implanting embryo. This test • Intracytoplasmic Sperm Injection (ICSI) analyzes the endometrial lining at the molecular • Preimplantation Genetic Diagnosis and Screening level, evaluating for 248 genes. It detects a • Egg Freezing specific genetic signature which identifies the • Donor Egg lining as being receptive for an embryo. If it is • Treatment for Recurrent Pregnancy Loss not ready (pre-receptive) or over-mature (post• Advanced Robotic Reproductive Surgery Even though we are able to obtain eggs and receptive), the test will denote changes required sperm to create an embryo, the live birth rate is to make the lining receptive. still less than 50 % nationally. The area that is In the era of personalized medicine, a “one still an enigma is the “window of implantation.” size fits all” policy is no longer acceptable. This denotes the appropriate time to transfer an With IVF, we individualize ovarian stimulation embryo to maximize the implantation potential protocols based on a patient’s/couple’s medical of an embryo. Over the years we have found situation. We now recognize the importance of that a specific sequence of events must occur for individualized uterine preparation protocols to an embryo to implant and grow. Currently, it is facilitate an appropriate uterine environment Pictured (L-R): preferable to transfer a blastocyst embryo, which Dr. Alan M. Martinez • Dr. William F. Zeigler to optimize treatment outcome. ERA is the begin your personalized occurs 5 days after fertilization. The Fertilization blastocyst (IVF) • Comprehensive Fertility Care Dr. Virginia A. Mensah • InVitro most objective and accurate test available today fertility treatment plan today • Egg Freezing is transferred into the uterine cavity and the • Intrauterine Inseminationfor diagnosing endometrial receptivity. It has Toms RiverDR. • Eatontown • Lawrenceville WILLIAM F. ZEIGLER embryo hatches out and makes direct contact Sperm • Treatment for Recurrent Pregnancy • Intracytoplasmic been used to define an altered “window of DR. ALAN M. MARTINEZ Loss with the uterine lining. WhenInjection it does, (ICSI) both the 732-240-3000 • FERTILITYNJ.COM DR. VIRGINIA A. MENSAH implantation,” and thus establish a personalized endometrium and the blastocyst adhere to each • Preimplantation Genetic • Donnor Egg protocol for each patient. It has been shown to be other. The embryo begins to undergo process Diagnosisa and Screening • Advanced Robotic Reproductive beneficial in improving reproductive performance Surgery TOMS RIVER • EATONTOWN • LAWRENCEVILLE of invasion to establish a blood supply with the in patients with recurrent pregnancy loss, IVF 732-240-3000 • FERTILITYNJ.COM mother. For this sequence of events to occur, failures, and unexplained infertility. the lining of theFREE uterusSECOND must haveOPINION a specific • FREE PHONE CONSULTATION • PERSONALIZED TREATMENT PLANS component; this is called receptivity. For more information call In the past, we would assess uterine receptivity Reproductive Science Center of NJ, indirectly using an ultrasound. The lining had Personalized Treatment Plans 732-240-3000. to be a specific thickness and pattern. In recent
The Compassionate Connection
elping Small Miracles Happen
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Recipe
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q Chicken Breasts With Grilled Pineapple and Tomatillo Salsa Grilled chicken topped with a delicious sweet and spicy combination of savory onions, sweet pineapple and rich tomatillo salsa (Serves 4)
2 Tsp olive oil ½ large sweet onion, cut into thick rings 8 fresh pineapple spears 1 ½ c tomatillo salsa (store bought, or make your own!) 2 Tsp cilantro, fresh, chopped 1 Tsp lime juice 4-6 oz chicken breasts, boneless, skinless (or your personal preference)
oil then season with salt and pepper. Grill, flipping once, until just charred in spots and softened, 6 to 8 minutes total; transfer to a plate. When cool enough to handle, roughly chop onions and pineapple and transfer to a bowl. Add tomatillo salsa, cilantro, lime juice, salt and pepper and toss gently to combine. Brush chicken all over with remaining tablespoon of oil and season with salt and pepper. Grill, flipping once, until deep golden brown all over and cooked through, 8 to 10 minutes total. Transfer chicken to a platter, spoon grilled pineapple salsa Oil grill grates and preheat grill to mediumhigh over the top and serve immediately. heat. Brush onions and pineapple with 1 tablespoon of the
Recipe inspired by Stephanie Hopkins, Cutting Board Creations
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Medical Professionals
The County Woman Magazine www.TheCountyWoman.com
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January/February 2019
LegalLaw Professionals
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11
Four ReasonsIs Why Medicaid Is Usually Not a Your Dropping School District Giving Good Even AfterChild a Large Award or Settlement Your Idea, Special Needs Equal Opportunities? the provider charges, called “balance billing.” Here’s an example from an actual case for the total cost of all services rendered to a Medicaid beneficiary over a two-and-a-half-year period:
L. Matus, Esq. ByWritten ColleenByL.Christine Clark, Esq.
Say you or a loved one with special needs Parenting a special needs child is hard. By the just won a multi-million-dollar lawsuit award • Providers billed: $1,034,079.35 or settlement. While the case was pending, time your son or daughter starts school, you have Medicaid was paying the medical bills. By • Medicaid paid: $129,524.04 setting upaa whole special needs trust, you can preserve gained new language of medical terms You can see that with these kinds of costs, the beneficiary's eligibility for Medicaid and and goals. even a large award could be quickly consumed otherdevelopmental government benefits. But manyYou newlyhave relied on “wealthy” clients ask doctors what the value of staying by non-Medicaid medical bills. therapists and toislet you know what your on Medicaid. After all, shouldn’t millions of Finally, Medicaid’s bill doesn’t come due dollarsneeds be sufficient to pay for to health care? Why child and how provide it. until the beneficiary dies, which could be 40 do we need a special needs trust? or 50 years down the road. And there is no So itare might comeofasreasons a surprise then, There a number why this is when your child starts interest on this Medicaid debt. To the contrary, usuallythat not aitgood ideaup and Medicaid exactly what your school, is now tostaying you toondetermine the inevitable march of inflation should reduce is the far better choice. services that child needs to be a successful student. And it ishome your and rolecommunity-based to make the size of the debt in real dollar terms. And Medicaid often provides. Moreover, Medicaid First, insurance, sure that thewithout schoolhealth provides it. the person Medicaid is, of course, repaid only if there are can provide residential services that you’ll never with special needs may not be able to get any funds remaining at time death. treatment Once specialproviders needs child school needed to receive an individualized free and of appropriate public findyour covered in standard private insurance at your all. Medical – suchturns as three, This is why special needs planners district ishospitals, requiredlaboratories to meet his– typically or her developmental needs until policies. education. For example, if your child has hearing loss, the school doctors, want recommend settingamplifying up a specialsystem. needs trust to bill some type of insurer. This is an area age 21. This starts with an Individualized EducationThird, Program a personal If to with Medicaidmay you be willrequired not be to provide where cash is definitely not king. Medicaid preserve Medicaid in most cases, even after a paying the provider’s regular (IEP) by aaccess teamproblem of special education teachers, therapists the“fee-for-service” child cannot write, seemingly the schoollarge may be required to provide a solvesdeveloped this health care (as long as award or settlement. If you are rate but rather the state’s far lower pre-negotiated and, importantly, You. of course). dictation system. It is more than likely that you will have to ask the most provider accepts Medicaid, wondering about the value of a special needs rates for services. And according to federal Your school district is going to offer your child trust for yourself orhowever. a loved one, the specifically for these accommodations, So,contact remember, law, the provider can’t bill the patient for the Second, even the best private health Matus Law group today. insurance does not provide the full range of difference between what Medicaid pays and what accommodations that are already in place in the district. They you know what your child needs. Don’t be afraid to ask the school
are required by law, however, to provide your child whatever is
for it. For more information, call 732-281-0060 or visit www.MatusLaw.com.
HELPING PEOPLE PROTECT ASSETS FOR SPECIAL NEEDS CHILDREN AND CONDUCT SMOOTH REAL ESTATE CLOSINGS FOR ALMOST TWO DECADES. • •
Special Needs Trusts Wills & Estate Planning
• • •
Guardianships Health Care Proxies Long Term Care
• • •
Powers of Attorney Inheritance Tax Planning Trusts
81 East Water Street Suite 2C, Toms River NJ 08753 732.281.0060 • www.MatusLaw.com Enter to Win
Christine L. Matus, Esq. with her family
Happy New Year
Wishing you and your family a happy and prosperous New Year in 2019! Enter to Win a $100 Gift Certificate
to Koehler Acupuncture
“We spend January 1st “Your success and happiness “Each New Year, we have walking through our lives, lies in you. Resolve to keep before us a brand new book room by room, drawing up happy, and your joy and you containing 365 blank pages. Name: ____________________________________________________ a list of work to be done, shall form an invincible host Let us fill them with all the cracks to be patched. Maybe Address: __________________________________________________ forgotten things from last against difficulties.” this year, to balance the list, year—the words we forgot ______________________State: ______ Zipthrough Code: ___________ - Helen Keller City: to we ought to walk say, the love we forgot to - Oprah Winfrey of our outrooms and mail to: lives... not show, and the charityPlease we clipthe looking for flaws, but NJ for08012 The County Woman • P.O. Box 619 • Turnersville, forgot to offer.” “We will book. Its• pages blank. We are going to put 128open Drumthe Point Road Brick,are NJ 08723 Coupon expires April 30, 2018. Company does not provide any personally identifiable potential.” information to these third party ad servers or ad networks without your consent. words on them ourselves. The book is called Opportunity and its 732.262.0637 www.koehleracupuncture.com - Peggy Toney Horton - Ellen Goodman first chapter is New Year’s Day.” - Edith Lovejoy Pierce “Year’s end is neither an end nor a beginning, but a ‘going on’, with all the wisdom that experience can instill in us. Cheers to a new year and another chance for us to get it right.”
Koehler Acupuncture
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January/February March/April 2019 2018
Medical Professionals
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High Blood Pressure – Facts You Should Know High blood pressure is a common condition in which the long-term force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease. Blood pressure is determined both by the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries. The more blood your heart pumps and the narrower your arteries, the higher your blood pressure, which can lead to stroke.
You can have high blood pressure (hypertension) for years without any symptoms. Even without symptoms, damage to blood vessels and your heart continues and can be detected. Uncontrolled high blood pressure increases your risk of serious health problems, including heart attack and stroke. High blood pressure generally develops over many years, and it affects nearly everyone eventually. Fortunately, high blood pressure can be easily detected. And once you know you have high blood pressure, you can work with your doctor to control it. Symptoms Most people with high blood pressure have no signs or symptoms, even if blood pressure readings reach dangerously high levels, which may lead to stroke. A few people with high blood pressure may have headaches, shortness of breath or nosebleeds, but these signs and symptoms aren’t specific and usually don’t occur until high blood pressure has reached a severe or life-threatening stage. Causes There are two types of high blood pressure. Primary (essential) hypertension For most adults, there’s no identifiable cause of high blood pressure. This type of high blood pressure, called primary (essential) hypertension, tends to develop gradually over many years. Secondary hypertension Some people have high blood pressure caused by an
Nephrology
If you suspect that there is something wrong with your kidneys, it’s best to act now before it’s too late. Some common disorders we treat include hypertension (high blood pressure), kidney stones, chronic kidney disease (CKD), acute kidney injury, hematuria, proteinuria dialysis, and more.
underlying condition. This type of high blood pressure, called secondary hypertension, tends to appear suddenly and cause higher blood pressure than does primary hypertension. Various conditions and medications can lead to secondary hypertension, including: • Obstructive sleep apnea • Kidney problems due to narrowing of the renal arteries • Adrenal gland tumors • Thyroid problems • Certain defects you’re born with (congenital) in blood vessels • Certain medications, such as birth control pills, cold remedies, decongestants, over-the-counter pain relievers and some prescription drugs • Illegal drugs, such as cocaine and amphetamines Uncontrolled high blood pressure can lead to complications including heart attack or stroke, aneurysm, heart failure, weakened and narrowed blood vessels in your kidneys, metabolic syndrome, trouble with memory or understanding, and/or dementia and renal failure. Make sure to have your blood pressure checked regularly. By living a healthy lifestyle, you can help keep your blood pressure in a healthy range and lower your risk for heart disease and stroke. A healthy lifestyle includes: • Eating a healthy diet. • Maintaining a healthy weight. • Getting enough physical activity. • Not smoking. • Limiting alcohol use. Blood pressure tip: Want to lower your blood pressure? Eat less salt! The good news is there are many low-salt products right in your grocery store. Products like reduced-sodium salt and saltfree seasonings make your foods taste great and won’t work against your goal of maintaining low blood pressure. Here’s to a new year of better health in 2019! Source: American College of Cardiology: 2017 Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults.
Internal Medicine
If you are looking for treatment for non-kidney related diseases, please call us! Our physicians also practice Internal Medicine and can treat a variety of diseases including acute respiratory infections, chest pain, fatigue, diabetes, and more.
Fatima Asghar M.D. Dr. Fatima Asghar is a Board Certified Nephrologist, who has been practicing in the Ocean County area since 1994.Dr. Asghar completed her Internship and Residency in Internal Medicine at Raritan Bay Medical Center (Perth Amboy, N.J.), followed by a Fellowship in Nephrology, at Robert Wood Johnson University Hospital ( New Brunswick, N.J.) She co-founded Hypertension and Kidney Group, where she practices as a Board Certified Nephrologist/Internist. Dr. Asghar is a member of The American Society of Nephrology, The National Kidney Foundation, as well as The New Jersey Medical Society. Her clinical experience, as well as her informed approach with her patients, demonstrate Dr. Asghar as a highly respected Nephrologist in the Ocean County area. Dr. Asghar and her staff welcomes you to Hypertension and Kidney Group.
HYPERTENSION AND KIDNEY GROUP 368 Lakehurst Road, Suite 303 Toms River, NJ 08755
t: 732.341.2211 f: 732.505.8229
www.hypertensionandkidneygroup.com Office Hours by Appointment
Fatima Asghar M.D. and Robert Arnold M.D. Our two physicians have over 20 years of experience in treating kidney related diseases.
Happy Valentine’s Day
X and O Rice Krispy Treats- A Fun Unique Craft For Kids
1. In large saucepan melt butter over low heat. Add marshmallows and stir until completely melted. Remove from heat. 2. Add KELLOGG’S RICE KRISPIES cereal. Stir until well coated. 3 tablespoons butter or margarine 3. Using buttered spatula or wax paper, evenly press mixture into 15 x 10 x 1-inch pan coated with cooking spray. Cool slightly. Using 1 package JET-PUFFED Marshmallows cookie cutters coated with cooking spray cut into X and O shapes. Decorate with frosting and/or candies. Best if served the same day. 6 cups Kellogg’s® Rice Krispies® cereal Microwave Directions: In microwave-safe bowl heat butter and marshmallows on HIGH for 3 minutes, stirring after 2 minutes. Stir Canned frosting or decorating gel until smooth. Follow steps 2 and 3 above. Microwave cooking times may vary. Food coloring Note: For best results, use fresh marshmallows. 1 jar (7 oz.) marshmallow crème can be substituted for marshmallows. Diet, reduced Assorted candies calorie or tub margarine is not recommended. Store no more than two days at room temperature in airtight container. To freeze, place in layers separated by wax paper in airtight container. Freeze for up to 6 weeks. Let stand at room temperature for 15 minutes before serving.
You will need:
• • • • • •
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Medical Professionals
18
Battling winter blues “It’s too cold.” “It’s too dark.” “I’m just going to hibernate.” “I don’t have energy.” “Give me more cookies and pie.” The days are shorter, the nights are longer, the sky is grey, the sun doesn’t shine. What do we do? The season is changing in the Northeast and not everyone embraces this change! Some people experience a seasonal depression, or Seasonal Affective Disorder (SAD) beginning in the fall and extending through the winter months. Time change, colder weather, shorter days sometimes have a negative impact on mood. Some symptoms of SAD can include lack of motivation, lack of enjoyment in regular activities, changes in sleep or appetite, persistent sadness, feelings of isolation. While you cannot control the weather, there are many things within your control to help alleviate some of the seasonal symptoms you may experience. n Exercise.
Certainly exercising can help the physical body and your health in general, but it can also have a tremendous impact on your mood and emotional health. Endorphins are released into your body and can not only increase your energy, but also your mood.
n Get outside. While this may not sound very appealing to some, soak up whatever daylight you can, as well as breathe in the fresh air. Layer up and step out the door, even for a brisk walk on your lunch break. n Let the light in. While indoors, open up the blinds and curtains to let in the natural light. Sitting near a window could actually help to boost your mood. n Make
social plans. Connection with others is a powerful mood booster. Although it may be tempting to curl up and hibernate under the blankets, making plans can literally lift your spirits.
n Eat
a balanced diet. Comfort foods are often plentiful this time of year and can be tempting, but will likely lead to that heavy, sluggish feeling. Make an extra effort to eat a balanced diet rich in vegetables, fruit, protein and healthy fats.
n Plan
some alone time. While it is certainly important to be social and connect with others, it is equally important to plan some special time for yourself, to do something you want to do. How about a pedicure, read a book, take a bubble bath.
n Plan
a vacation. What better time to get away to a sunny destination than the middle of the winter. Certainly this is not always an option, but if it is, start looking at some travel sites, look at the sandy beaches, the beautiful aqua waters, the bright blue skies and sunshine.
n Meditate. If you can’t get away on a vacation, try guided meditation and visualization. Listening to a guided meditation can literally take you (in your mind) to a warm place filled with sunshine. You can see the palm trees blowing in the breeze, hear the waves crashing, smell the salt air, feel the warm sun on your skin. Try adding a daily dose of guided meditation, such as the one below. HackensackMeridianHealth.org/GuidedImagery When struggling with a seasonal depression it is most important to know you don’t have to do this alone; check in with your doctor or mental health professional. Sometimes medication or counseling is best. Consider some of these lifestyle skills as an adjunct to your doctor recommended advice for optimum results. If you experience any thoughts of self-harm or suicide call the National Suicide Prevention Lifeline 1-800-273-8255
— By Kathleen Welshman, RN-BC, BA, NBC-HWC, Integrative Nurse Health Coach
empowering our community
to reach your highest level of health and well-being Hackensack Meridian Integrative Health & Medicine has developed a comprehensive health and well-being program like no other. Completely customized and focused around our Five Pillars of Health and Well-Being: Sleep, Activity, Purpose, Nutrition and Resilience. Begin your path to optimal health with one of our clinical experts: integrative medicine physicians, nurse practitioners, health coaches, health psychologists, acupuncturists, nutritionists, massage therapists, and movement & energy specialists. To learn about the events and classes we offer or to schedule a consultation, call 732-263-7999 or visit HackensackMeridianHealth.org/IntegrativeMedicine.
Life years ahead
HMIntegrativeHM
The County Woman Magazine www.TheCountyWoman.com
Hackensack Meridian Integrative Health & Medicine
January/February 2019
Medical Professionals
With Neurosurgery, A Doctor’s Sub-Specialties Can Significantly Impact Your Health New Jersey native Abbey Velischek was weighing the options for treating her scoliosis when she met Dr. Scott A. Meyer of Atlantic NeuroSurgical Specialists and discovered highly specialized care close to home.
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GAME CHANGER! Atlantic NeuroSurgical Specialists, leaders in brain, spine and neurovascular care, now accepts Horizon Blue Cross Blue Shield of New Jersey.
If you saw college freshman Abbey Velischek walking around campus or working out, you would be surprised to learn that just months before coming to school she underwent major spinal reconstruction surgery. Velischek, who had worn a brace for years to correct adolescent scoliosis, was finding herself in pain. Then x-rays revealed the curvature of her spine had worsened. She and her parents knew it was time to begin seriously exploring surgery. Dr. Scott A. Meyer – a board-certified neurosurgeon at Atlantic NeuroSurgical Specialists (ANS) in Morristown, NJ, who specializes in reconstructive surgery for spinal deformities, such as scoliosis – explains that even within the community of spine surgeons, there are far fewer who are comfortable addressing spinal deformities. “While neurosurgery in itself is highly specialized, a neurosurgeon’s sub-specialties can have a very significant impact on a patient’s health and long-term outcomes,” says Dr. Meyer.
After undergoing spinal reconstruction surgery to address worsening scoliosis, Abbey Velischek was quick to get on the road to recovery … and off to college.
“In Abbey’s case, it was clear that with the right approach, we could alleviate her pain and improve her quality of life,” he explains. Abbey elected to undergo spinal fusion surgery with Dr. Meyer. “Compared to the metal rods that were used to correct scoliosis decades ago, spinal fusion allows the curvature to be corrected at each point. Patients experience better results, greater stability and flexibility, and typically return more rapidly to their normal functions,” he notes. Patients also benefit from new, advanced technology. The Medtronic O-arm® Intra-operative Imaging System and the StealthStation® Surgical Navigation System, installed at Atlantic Health System’s Overlook Medical Center and Morristown Medical Center, help ensure more accurate placement of spinal hardware, often with smaller incisions, shorter surgical time, less pain and faster recovery compared with older technologies. “Undergoing this surgery wasn’t a decision I made lightly,” Abbey shares. “Dr. Meyer gave me all the confidence in the world that this was the best path for me. He was right.” Atlantic NeuroSurgical Specialists (ANS) is New Jersey’s largest neurosurgical practice
Neptune | Morristown | Jefferson Pompton Plains | Summit | Teaneck ansdocs.com | (732) 455-8225 |
and one of the most advanced in the country. For more information, visit ansdocs.com. OCW Game Changer_Senior Woman/Editorial #1276_R2.indd 1
The County Woman Magazine www.TheCountyWoman.com
11/26/18 2:07 PM
January/February 2019
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Cake Shoppe & Tea Room
Nothing Says, “I Love You” On Valentine’s Day Like Chocolate! It’s hard to think about Valentine’s Day without thinking about all the delicious chocolates that go with it. Here at A Sweet Memory Cake Shoppe and Tea Room we love Valentine’s Day because we have the opportunity to be creative while spreading love and joy with our handcrafted treats. Below are some of the chocolate related questions I received this month. Hopefully these will inspire you during the Valentine’s season!
How much Chocolate is sold on Valentine’s Day?
Valentine’s Day is a serious chocolate holiday. Let’s face it; the chocolate heart box has become a symbol of the day. Worldwide nearly 58 million pounds of chocolate are sold during the week leading up to Valentine’s Day. At our store we sell over 100 pounds of chocolate covered strawberries between the day before and Valentines Day.
What does tempering mean and what is the best way to temper chocolate at home?
Tempering chocolate is a process of heating and cooling chocolate to a precise temperature in order to keep the fat solids in the cocoa from separating out. Tempering machines are the best way to temper chocolate. However, for tempering chocolate at home without a tempering machine can be done. The best way is to heat 2/3 of the chocolate over a double boiler. Remove the chocolate from the heat and add the remaining 1/3 chocolate pieces stirring frequently until all the chocolate is melted and smooth. Tempered chocolate will appear glossy and have a nice snap when bitten.
Our tea room serves lunch Wednesday to Sunday 11am to 4pm.
Specialty Cakes • Wedding Cakes Cupcakes • Cookie Favors Loose Leaf Tea • Vintage & New Tea Pots Tea Related Gifts & Baskets
609-242-0153 • www.asweetmemory.net 521 Route 9 • Waretown, NJ • asweetmemorycakeshop@gmail.com
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Take the First Step to Your New Life & Call Today!
(844) 234-LIVE enlightenedsolutions.com
Holistic Life Coach
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Health & Wellness Hypnosis for Women Professional Hypnosis & Coaching
What You Feed Your Mind Affects Your Weight Now that the holidays are over, you may be left with more than just warm, fuzzy memories – like some excess weight that’s making it tough to fit into your clothes. And you’re ready to make lifestyle - that changes that will help you shed weight. That’s a good thing. Just make certain that your program includes more than healthy eating and exercise.
Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com The messages you give yourself are every bit as
important as what you consume or how much you exercise. Being smart about what you feed your mind can take you out of that majority of people who drop weight, then regain even more. Hypnosis practitioners who work with weight management clients know how faulty thinking can thwart the best of intentions. If you’re serious about achieving a healthy weight and staying there, here are - a mindset some “self-talk” suggestions for creating that supports your efforts and leads to permanent change.
“I am a valuable human being – regardless of my weight or size.”
You are far more than numbers on a scale or a clothing size. Recognize your qualities, your talents, your accomplishments. Take pride in being a caring, kind, empathetic human being. Develop a view of yourself that’s all-encompassing. Focus on your “wonderfulness” instead of any shortcomings. Be grateful for who you are – and your ability to change and learn and grow in positive ways.
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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“I fully live my life now.”
Jump boldly into life. Stop waiting around to be the perfect weight or size. What have you been putting on a back burner? Make that call, take that class, get back into a hobby that you used to enjoy. Get out and connect with people. Help someone who could use help. Do your thing. The world needs you!
Hypnosis For Women ❀ ❀ ❀ ❀
Weight Control Smoking Cessation Relaxation/Comfort Fear Release
“I expect to be treated with dignity and respect – and I treat others the same way.”
Hang out with people who encourage and support you – people you enjoy being around. And be that encouraging person to others. Stop the fat-shaming, too. Resist saying nasty things to yourself – about yourself. Work on treating yourself with empathy and kindness.
“I often remind myself why I’m choosing a healthy lifestyle path.” When the path gets a bit challenging (and it will), reflect on why it’s so important to you to take good care of yourself. Why do you want to be around for a long time? Who do you want to be? What do you want to see, do, accomplish? What are your goals?
“Every moment is a new beginning.”
How often have you messed up, and then waited until tomorrow or next week to re-start on your path? Decide that every moment is a new beginning – and you can choose to reboot at any time. Your private multi-session Hypnosis / Coaching program will make the weight management process easier and build your sense of empowerment. It addresses key physical, behavioral, and emotional issues. An important side benefit of this approach is that it is extremely relaxing, and enables you to better manage stress. For a Free Phone Consultation, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.
Make Your Mind Work FOR You – Instead of Against You!
PROFESSIONAL HYPNOSIS AND COACHING SERVICE ❀ ❀ ❀ ❀ ❀
Focus/Concentration Sleep Improvement Studying/Testing Lifestyle Changes Interviewing/Auditions
❀ ❀ ❀ ❀ ❀
Athletics Public Speaking Flying/Driving Socializing Confidence
Make Your Mind Work For You – Instead of Against You
732-270-0080 • www.HypnoForWomen.com 1541 Rt 37 East, Suite E, Toms River, NJ 08753
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Nursing & Rehabilitation Center
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UPCOMING EVENTS UPCOMING EVENTS Tallwoods Care Center Tallwoods Care Center April 18 - Spring Fling Brunch April 18 - Spring Fling Brunch with Musical Entertainment with Musical Entertainment 11:00 am to 12:15 pm with door11:00 am to 12:15 pm with door
Tallwoods Care Center Tallwoods Care Center ________ A Premier Nursing, Rehabilitation, Nursing, Rehabilitation, & Long-Term Care Center & Long-Term Care Center Foutainview Care Center 18 Butler Blvd., Bayville, NJ 08721 18 Butler Blvd., Bayville, NJ 08721 April 18 - Community www.TallwoodsCareCenter.com www.TallwoodsCareCenter.com Bingo 12:00 pm to 1:15 pm 732-237-2220 732-237-2220
Fountainview Care Center Discover Ocean County’s Fountain of Youth Discover Ocean County’s Fountain of Youth Foutainview Care Center 527 River Ave., Lakewood, NJ 08701 527 River Ave., Lakewood, NJ 08701 April 18 - Community www.FountainViewCareCenter.com Bingo 12:00 pmwww.FountainViewCareCenter.com to 1:15 pm 732-905-0700 732-905-0700 ________ Fountainview Care Center
Is It Getting More Difficult Being Part Of “The Sandwich” Generation”? Caring for older parents, and being needed by your own children…
We understand…
According to the Pew Research Center, one of every eight Americans aged 40 to 60 is raising a child and caring for a parent, either physically, financially or both. Seven to 10 million adults are caring for aging parents from a long distance.
This midlife group is called the Sandwich Generation, a term added to the Merriam-Webster dictionary in 2006. In some cases, kids go off to college, leaving Mom and Dad in an “empty nest.” In other cases, elderly parents need help and kids come home again, sometimes with children of their own. You Can’t Be In Two Places At Once ~ We Can Help Do you feel like you are being pulled in different directions, and torn about which way to go first? Your aging parent needs you to help, but your husband and adult children need help too. Oftentimes the guilt and anxiety is overwhelming for many of us in this situation, but we have to be careful to care for ourselves too. Relieving some of the burden of responsibility is where we come in. We meet with and help families every day with solutions for their aging loved ones. Managing Midlife Challenges For millions of working people, the challenges of midlife can quickly change and catapult you into a category called the Sandwich Generation. You fit the profile if you are “sandwiched” between the demands of the workplace and the changing needs of a multi-generation family. The circumstances can pull you, your family and your finances apart, especially if changes are unexpected and unforeseen. Try to avoid surprises by educating yourself and finding programs and assistance to help you through trying times. What Happens If Our Loved One Runs Out Of Money ~ NO PROBLEM!! We understand the concerns of finances. Of course most families are concerned about expenses and if their loved one’s monies will support them forever. We offer “peace of mind” to families by accepting Global Options Medicaid. Potential residents and their loved ones can rest easy knowing they can age in place and stay in their apartments here. We do not require
any financial information or minimum monies upon admission and even accept Medicaid at admission. Talk to your parents about how they’re doing financially and what plans they’ve made if they become ill or incapacitated, and investigate long-term care insurance or savings to cover the costs of assisted living or extended day care. Get The Power If an emergency arises, you’ll need legal authority to act swiftly on your parents’ behalf. Ask your parents to authorize a Power of Attorney to sign checks, pay bills, make financial and health care decisions and protect the wishes of their living will. If you live long distance from your parents, arrange for papers and documents to be located in a central place. Suze Orman’s fireproof kit is helpful. It’s so much easier to find what you need in an emergency if it’s all in one place. Find out what federal, state and local benefits your parents qualify for. The range of government-sponsored and social service programs varies by location. A Visit To Our Community Makes You Feel Better Oftentimes families tell us here that just walking through our doors made them feel better. Families of aging loved ones can set up an appointment to tour our community anytime. We welcome families to bring their loved ones along to make the experience positive. The sound of active and happy seniors interacting during activities, exercise and mealtime makes families smile as they tour. As they enter the dining room, families are pleasantly surprised by the aromas of home cooking. Our outstanding menu provides seniors with choices and courses of delicacies and entrees, all accompanied by fresh vegetables, fruits, and let’s not forget those desserts!! The happiness continues as families enter our lovely apartments. We offer 3 model styles to choose from ~ studios, 1 and 2 bedrooms. Our “price friendly” schedule of costs enables families to breathe a sigh of relief, especially in today’s economic times. Say Hello to Tallwoods Care Center Newest member Pet Therapy Dog “Dakota” Dakota is a well-trained, smart, caring, comforting Therapy Dog who loves people.
Dakota will be available the fourth Thursday of every Month at 10:00am
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Medical Professionals
23
Happy New Year!
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January/February 2019
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Medical Professionals
Nasal
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Meet the Professionals Physicians Medical
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Meet The Board Certified Physicians At Ocean Otolaryngology Bruce DO, FACS BruceW. W.Peters, Peters, DO, FACS
In 1997, Dr.Peters started as a sole practitioner in Dr. Bruce Peters is a board certified Ocean County andwho laidestablished the foundation for oneinof the Otolaryngologist his practice area’s practices. A graduate Oceanpremier CountyOtolaryngology in 1997. A graduate of Philadelphia ofCollege Philadelphia College Medicine of Osteopathic Medicine of Osteopathic and residency at and residency at Thomas Jefferson University Hospital, Thomas Jefferson University Hospital, Philadelphia, Philadelphia, Dr.completed Peters then Fellowship in Dr. Peters then hiscompleted Fellowshiphis in Facial Facial Plastic Surgery and Reconstructive Surgery Plastic Surgery and Reconstructive Surgery at the at the University Hospital. He He specializes specializesinin functional University of of Miami Miami Hospital. and cosmetic nasal surgery, sinus surgery, functional and cosmetic nasal surgery, sinusthyroid surgery,surgery and skin cancer surgery. Dr. Peters is a Diplomate thyroid surgery and skin cancer surgery. Dr. Peters isof the American Board of Otolaryngology, Head and a member of the American College of Surgeons, theNeck Surgery, A Fellow of the American College of Surgeons, Academy of Otolaryngology, Head and Neck Surgery, athe member of the Academy of Surgery Facial Plastic Academy of Facial Plastic and theSurgery, the N.J. N.J. Academy of Otolaryngology, and the Academy of Otolaryngology. He resides in Academy Wall, N.J. of with his wife andHead two daughters enjoys golf and Otolaryngology, and Neckand surgery. in hisinleisure fishing He resides Wall,time. N.J. with his wife and two daughters and enjoys golf and fishing in his leisure time.
Stephen MD, FACS StephenKupferberg, Kupferberg, MD, FACS Dr. Stephen Kupferberg is a board certified Dr. Stephen Kupferberg is a board certified Otolaryngologist and has been in practice since 1997. He Otolaryngologist and has been in practice for 18 is a graduate of Jefferson Medical College, Philadelphia, years. is a graduate of Jefferson Medical College, Pa. andHe completed his internship and residency at the Philadelphia, Pa. and completed his internship Medical College of Georgia, Augusta, Ga. He is and a Cancer residency at the Medical College of Georgia, Augusta, Liason Physician for Community Medical Center for Ga.commission Dr. Kupferberg practiced Maryland for College four the on Cancer ofinthe American of years before moving to Toms River where he resides Surgeons, Vice President of the Monmouth/Ocean County with his Society, wife andand twoChairman sons. He specializes in nasal Medical of the Otolaryngology and sinus surgery and head and neck surgery and Department of Community Medical Center. Dr. adult and pediatric nose and throat disorders. His Kupferberg practicedear, in Maryland for four years before leisure time is spent his family, moving to Toms Riveroutdoors where hewith resides with hiscycling, wife and camping, hiking and golfing. two sons. He specializes in nasal and sinus surgery and head and neck surgery and adult and pediatric ear, nose and throat disorders. His leisure time is spent outdoors with his family, cycling, camping, hiking and golfing.
Christina Gillespie, MD Dr. Christina Gillespie is a board certified Otolaryngoloigist who has been in practice in Toms River since 2013. She completed her internship and residency in Otolaryngology at Walter Reed Army Medical Center. Before moving to Toms River, she served as Chief of Otolaryngology at William Beaumont Army Medical Center in El Paso, Texas for eight years. At Ocean Otolaryngology, Dr. Gillespie sees patients of all ages with a variety of medical problems. Her specialties include pediatric otolaryngology, sinus surgery, and surgery for sleep apnea. She also treats common medical conditions such as hearing loss, tinnitus, hoarseness and chronic cough. Dr. Gillespie resides in Monmouth County with her husband and daughter. She enjoys spending time with her family as they explore the Jersey Shore. She is also an avid tennis player.
OCEAN OTOLARYNGOLOGY ASSOCIATES
has three convenient locations in Toms River, Brick, and Whiting. For more information or to schedule an appointment with one of these Board Certified Physicians, please call 732-281-0100 or visit www.OceanENTFacialPlastics.com.
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The Salivary Glands Written by: Dr. Stephen Kupferberg, MD, FACS There are both major and minor salivary glands. The major salivary glands are the parotids, submandibular and sublingual glands. The function of all the glands is to produce saliva to moisten the mouth, aid in digestion, and help protect the teeth from decay. The parotid glands empty into the mouth via a single tube called a duct. It is called Stensen’s duct and it is located in the cheek near the second molar of the upper teeth. The submandibular gland empties under the tongue in the front of the mouth through Wharton’s duct. The sublingual gland has many ducts in the floor of the mouth. There are multiple minor salivary glands located in the lips, cheeks and other areas of the mouth and throat. Several different problems can involve the salivary glands including obstruction, infection, tumors, and other disorders. Obstruction most commonly occurs in the parotid and submandibular glands. It may be due to the formation of stones in the gland or ducts. Strictures or narrowing can also slow salivary flow. When a person eats, the nervous system signals the gland to increase its production of saliva. This may back up and cause the gland to swell. This swelling usually decreases slowly after a meal. The most common infection in children is mumps and affects the parotid glands. This usually occurs in children who have not been immunized. Infections also happen in adults. This often occurs in the elderly who become dehydrated or with severe obstructions. This often necessitates antibiotic therapy. Tumors also occur in the salivary glands. They most commonly present as painless swellings on the side of the face or upper neck. Aggressive tumors can present with involvement of the facial nerve, causing decreased movement in portions of the face. Most tumors
are benign. Pleomorphic adenoma and Warthin’s tumors are the most common benign lesions. Mucoepidermoid carcinoma, adenocarcinoma, and adenoid cystic carcinoma are the most common malignant tumors. Diagnosis is often made by physical examination. A mass can be felt in the cheek or neck. Stones can sometimes be noted by palpation in the mouth. CT scans or MRIs are often necessary to delineate the extent or size of tumors or stones. If a tumor is found, a fine needle aspiration biopsy is often performed to figure out the pathology to guide further therapy. Small stones may be removed by sialoendoscopy. This involves removing the stones through the ducts with a small camera, graspers, baskets, or lasers. Larger stones will necessitate more extensive surgery. Tumors will often necessitate surgical intervention. Tumors involving the parotid gland will often necessitate a superficial or total parotidectomy with facial nerve dissection, as this nerve divides the gland into superficial and deep lobes. Malignant lesions may result in sacrifice of part or all of the facial nerve. Submandibular gland lesions are removed by excising the entire gland. If malignancy is noted, then radiation therapy and possible chemotherapy may be needed.
Stephen Kupferberg, MD, FACS
Dr. Stephen Kupferberg is a board certified Otolaryngologist and has been in practice for 20 years. He is a graduate of Jefferson Medical College, Philadelphia, Pa. and completed his internship and residency at the Medical College of Georgia, Augusta, Ga. Dr. Kupferberg practiced in Maryland for four years before moving to Toms River where he resides with his wife and two sons. He specializes in hearing loss, nasal and sinus surgery and head and neck surgery and adult and pediatric ear, nose and throat disorders. His leisure time is spent outdoors with his family, cycling, camping, hiking and golfing.
Bruce W. Peters, DO, FACS
Christina Gillespie, MD
54 Bey Lea Rd., Suite 3, Toms River, NJ 61 Lacey Rd., Whiting, NJ 1673 Rt. 88 W, Brick, NJ
For more information, call 732-281-0100 or visit www.OceanENTFacialPlastics.com.
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I’m Having Difficulty Swallowing – What Does This Mean and What Can I Do About It? How do I treat my problem swallowing? Written by
Teresa Menadier, MD Gastroenterologists of Ocean County
W
e take our ability to swallow for granted. It may seem like an easy, natural bodily function, but there are a lot of muscles and tissues coordinating together at just the right moment to move what we eat from our mouth to our stomach. Difficulty swallowing (referred to as “dysphagia”) is the inability to swallow solid food and/or liquid with ease. Some describe this as a sensation of food getting stuck in their throat or chest after swallowing. Others may feel chest pressure, chest tightening, or have choking or coughing after swallowing.
Treatment depends on the underlying cause. Sometimes we can stretch the esophagus if it is narrowed. Medication that reduces acid or that can relax the muscles of the esophagus can also be used. Occasionally, we can inject a muscle relaxant such as Botox into the bottom part of the esophagus. A less common condition, called achalasia, may benefit from surgery. Occasionally, a swallowing specialist can provide exercises to strengthen your swallowing muscles, train you to improve the way you swallow and teach you how to adjust the consistency of what you are eating and drinking so it goes down more easily. All in all, difficulty swallowing is an important symptom to discuss with your gastroenterologist.
Call to schedule your appointment at Gastroenterologists of Ocean County.
Omar Tamini, MD
What can cause problems swallowing?
Not chewing thoroughly, for example, in someone who might be missing teeth or has trouble using dentures is one cause. A prior stroke can produce weakness in the muscles at the top of the esophagus. Longstanding acid reflux (GERD or “heartburn”) can cause inflammation in the esophagus. A narrowing or scarring of the esophagus after many years of untreated acid reflux can create a roadblock, called a stricture, that will prevent passage of food or drink. Food allergens can also cause inflammation of the esophagus and lead to narrowing. Diseases that affect the muscles and nerves of the esophagus, such as scleroderma and achalasia, respectively, can affect the way the esophagus moves and can disrupt proper emptying of food into the stomach. In some people, the esophagus is overactive and squeezes too hard, which can be painful. Infections of the esophagus can also cause pain and difficulty swallowing. The most worrisome cause of swallowing difficulty is a cancer in the esophagus.
Jill Collier, MD Edgar Bigornia, MD Kenneth Glazier, MD Jai Mirchandani, MD Teresa Menadier, MD
• Colonoscopy and colon polyp removal • Colon cancer detection and screening • Rectal bleeding evaluation • Ulcer pain evaluation and treatment • Swallowing disorders
• Endoscopic treatment of hemorrhoids • Capsule Endoscopy • Breath testing • Esophageal and anorectal manometry
How do I figure out what is causing my swallowing difficulty? The first step in our investigation is usually an upper endoscopy (referred to as an EGD), a low-risk exam under anesthesia that allows us to examine the esophagus and stomach and to take biopsies if necessary. A second test we can do is called a pH test. This is a test you go home with that records acid exposure in the esophagus. A third test, called a barium esophagram, involves drinking a substance that lights up under X-ray. A radiologist takes pictures and videos under X-ray to see how things travel from your mouth to your stomach. Finally, we can perform a test called esophageal manometry. This requires a catheter to be placed into your esophagus for a 30 to 40-minute exam. We will measure the pressures and activity of the esophagus muscles as you swallow small sips of water.
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January/February 2019 March/April 2018
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Health & Wellness
Health & Wellness
Now the Practice of Yoga Begins…Are Dhyana: Absolute Focus You Ready? Written by Laurie Greene, PhD, ERYT, Owner Atha Yoganushasanam (yoga sutras 1.1) “Now the practice of yoga begins” The first sentence of the bible of classical yoga is this. Atha, which often Written Laurie PhD, ERYT500 opens important by Sanskrit texts,Greene, means “now” and has the connotation of auspicious beginnings…like saying “behold!”: it acts at as an imperative— Owner, Yoga Nine, Ship Bottom, LBIonce & Ventnor “wake up,” we are beginning—and as a “blessing” for those who are ready to begin. It insinuates that we are finally ready to get real, and “to discover the The ofofyoga, whether they essence of ourtechniques existence in the core our own heart and at the centerbe of our being” (Freeman). It signals our ability to be in the present moment (“now!”). practiced with stillness or movement, are Anushasanam refers to a systematic, scientific teaching; a teaching which is only meant to produce state awareness, offered to a qualified student—onea who is readyofto keen fully commit. Yoga is a very varied practice.as There are many different styles, diverse To commonly known meditation (dhyana). practices, and distinct lineages, but there is also an underlying web of similarity this meditation state, the thatarrive joins theseat different approaches. An Indian folktale tellspractitioner of a man who is digging a well. He begins by digging down five feet and when there isinput, no water, must remove the distraction of sensory he is discouraged by his hard work, and he climbs out of the hole, moves a few and their again, focus that ofdisappointment a single, again yards away narrow and begins digging onlyto to be met by andabsolute again. This goespoint on and (eka on, and he never finds water, but labors endlessly. grata). This “exercising of Most traditions of yoga inspire us to engage in deep self-exploration. They ask of focus andand attention us tothe stickmuscles” with it, work hard, and dig deeper deeper. Whatiswecalled tend to do in our lives is leave a practice (any practice) just as it becomes challenging. We dhyana, the least mentioned sixth of the eight jump from regimen to regimen, diet to diet, relationship to relationship, career to career. In yoga we are asked to stick to it,practice. so that through the body and breath limbs of ashtanga yoga we can investigate deep and subtle feelings, responses, and reflexes in relation to the conditioned mind. We do this by slowing everything down and observing Dhyana is an essential part of the process of seated it closely with fresh eyes. We try to look past the rapid evaluations of our meditation, the mind is being busypresent, with distractions, it conditioned minds.since Atha isiftherefore about here, in the moment.
“Every little gesture of the hand, every Mudra has a deep meaning – you the attempt entire philosophy of life contained in left only. As to accomplish this is “impossible” these gestures. They convey a whole God’s task, note that you begin to narrow yourhistory focus toofthe self-manifestation in the universe.” sensation of your breath entering and exiting your nostrils.
– Paramahamsa Saraswati You try to connect the “muscles” in yourOmkarananda nose with your mind’s desire. You become acutely aware of the sensation of breath out, arole sensation of which you were Mudrasgoing play a in veryand important in Taoist alchemy, Buddhist meditation, yoga, and Indian classical dance and theater. The word mudra stems from previously unaware. the Sanskrit root mud, which means “bliss.” This hints at the power of these beautiful gestures to evoke deep feeling in the observer and joy in the This “practice,” whether imperfectly or notto practitioner. The word mudra also accomplished denotes “seal” in yoga and is employed explain the process of sealing and strengthening the body’s vital energies. at all, is exemplary of dhyana, the quieting of the mind, In classical Indian dance, mudras are used to express the vast array of human through a simple technique of breath awareness. emotion and experience; to communicate deep feelings and tell intricate stories. In the yoga tradition mudras are used for spiritual concentration, healing, removing obstacles, andpractice, other subtle practices. Whatever your beenergetic it still or moving, make
and join that us at Yoga for a deeper sure Please that itcome is “yoga,” it is Nine a practice thatexploration furthers of the “now.” We will always offer challenging, guided practice to every the connection of the mind and body throughstudent focus,as we dig deeper into experience. Come dig deeper…the time is now!
concentration, and self-awareness.
Yoga 101: 5 Week Course for new beginners March 26-April 23 Sundays: 11:30 includes instructional course, free rubber mat and 5 weeks access to all classes at both locations
isThe unable observe a place detachment. It is also diversetostyles of yogafrom accomplish thisof focus and concentration in different ways. Some study and philosophy some engage in one’s the foundation of atexts mindful moving(jnana), meditation, since chanting and other forms of devotion to a higher cause (bhakti), some engage ability to focus will allow them to “feel” more precisely, and in good works (karma), and still others look to the movement of energies in and observe theirbody bodies from the more body tofully createoccupy deep experience (hatha). The in hatha yogaaisplace seen asof an arena for metaphysical Either experience. It is manipulated postures, non-attachment. practice is aboutthrough being body acutely aware bandhas (locks), and mudras (body & hand gestures), which enhance the of physical sensations, sensations which are always present channeling of energy and therefore experience. These practices are ancient rarelyin experienced without the focus dhyana. andbut are found many Eastern artistic traditions. Indianof classical theater and make Try this Close your eyes, without your dance use ofexercise. postures and mudras to feel andand express emotionusing and create transformation in the performers and the audience. Mudras in particular help hands, try to breathe into your right nostril only and out the to focus the gross body energy through delicate and precise movements of the hands. We are familiar with “anjali,” the mudra of prayer, which focuses our bodies on our vital energy and the essential energy of others, but there are many mudras with many intentions.
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January/February 2019 January/February 2017
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Sleep Apnea Is A Silent Killer An interview with Dr. Christine Ally, a renowned sleep apnea doctor. Christine Ally, DDS, FICOI Member, American Sleep and Breathing Academy Member, American Academy of Dental Sleep Medicine Member, American Academy of Craniofacial Pain
What is Sleep Apnea?
Many people who snore may not simply be snoring but could be suffering from a more serious health condition called Obstructive Sleep Apnea (OSA). Only about 10% of patients with the condition have been diagnosed. It is where a person stops breathing many times throughout the night and is caused by a physical blockage or collapse of the upper airway while asleep resulting in a chronic lack of oxygen to the brain and body. Over time it takes a toll on your body and causes or contributes to other significant and medical problems.
How does it affect our health?
Sleep apnea is called the silent killer and is a very serious condition which should not be taken lightly. If left untreated it damages your cardiovascular system and can cause high blood pressure, heart disease including arrhythmias, rapid heart rate, heart attacks and strokes. Other conditions related to sleep apnea include depression, mood disorders, memory loss, low sex drive, restless leg syndrome and acid reflux or GERD. Studies now show that in some cases a person can decrease their lifespan by as much as a decade if they have untreated sleep apnea.
What symptoms do people with sleep apnea have?
Symptoms depend on the severity of the condition and some patients may show none if their condition is mild, none the less it needs to be treated. The most frequent sign is loud snoring and sometimes gasping for air while sleeping. Other signs include waking frequently at night, frequent leg movement while sleeping, irritability, lack of focus, loss of memory, morning headaches, day time sleepiness, low sex drive, obesity, chronic exhaustion and lack of energy.
How is Obstructive Sleep Apnea treated?
The most commonly prescribed therapy is CPAP. This is where a patient wears a mask and is hooked up to a machine blowing air continuously to keep the airway open while they are asleep. Most patients do not use CPAP because they find it uncomfortable and inconvenient. Dr. Christine Ally pictured with her family.
180 White Road, Suite 212 Little Silver, NJ 07739
732-842-6370 advancedsleepcenternj.com
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January/February 2019
Medical Professionals
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The more successful and compliant treatment is Oral Appliance Therapy. This is where a mouthpiece is custom made for the patient and it is worn while they sleep to keep the airway open.
How can you help patients?
I have successfully used oral appliances to treat patients with sleep apnea for over 14 years. Some patients need appliances for snoring and others for sleep apnea. They are custom made and are small, comfortable and easy to wear. Patients find them very convenient and they are a safe, simple and effective way of treating sleep apnea. Because of the comfort and convenience of the oral appliance patients are usually very compliant.
What should patients do if they suspect they have sleep apnea or they snore?
Any person who snores loudly should be screened for sleep apnea. I offer a free consult to discuss their concerns and work closely with local physicians to get them tested. If they have sleep apnea, our treatment is very personalized and we will discuss all their options and the best mode of treatment for them. If not we can make them a comfortable and easy- to- wear appliance to relieve snoring.
Schedule a FREE CONSULTATION with Dr. Ally to learn about our comfortable and convenient sleep apnea treatment.
Testimonials: “A beautiful clean office and friendly staff. For someone like me who is uneasy at medical offices, I finally found a place I am comfortable. Thank you Dr. Ally!” - TD “Dr. Ally and her staff are very knowledgeable and professional. She is very gentle and her work is impeccable. Dr. Ally is one of the few that I trust with myself and my family. I highly recommend her practice.” - JY “The office is so clean and the team is very friendly and professional. I would recommend their services to my family and friends.” - EQ “Dr. Ally and her staff are always so kind, gentle and even run on time! Would recommend her to everyone!” - SW
Medical Professionals Medical Professionals Medical P rofessionals to Opt for Pellets Over Colonics Subcutaneous Pellet Therapy Reasons Other Forms of BHRT? Medical Professionals
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Heat Stroke Vs. Heat Exhaustion First And Foremost Is To Listen To Your Body!
NOT ALL FORMS ARE CREATED 1. Ease of administration-it is painlessly Colonic irrigationEQUAL has important benefits for your health. Colon Hydrotherapy is referred toOF asHORMONE ColonicsADMINISTRATION or colon implanted under the skin and lasts four to Here are just a hormones? few: irrigation. These are names hydrotherapy which for low or Are youfor currently receiving treatment imbalanced six months. Are you feelingHydrotherapy any better? Perhaps feeling worse? uses water for inner cleansing. Colon is ayou•are Improve bowel regularity, resolve constipation HEAT STROKE: We all enjoy the summer season but NOT the humidity and uncomfortable 2. No fluctuating levels as is seen with all clean and comfortable treatment. Whether you are a man or a woman, this month’s article is going to set you straight • Most severe form of heat related illness that can lead to death if not treated heat associated with record breaking temperatures. According to the Centers of administration. • Increase energy levelsother andforms improve mood regarding most effective safest “bio-available” of hormone restoration emergency for Disease Control A and Prevention, overthe 600 people dieand from (See Diagrams). soothing flowon of average, purified warm water is instilled gently into theas anform • Improve digestion available in theStates world-today. has been around since the 1930s. This plus…… • Same symptoms of heat exhaustion complications related to extreme heat eachtherapy year in the United morePellet thantherapy colon through a disposable colon cleansing nozzle (“size of a pencil”). 3. Maintains constant levels throughout the is similar to the oncecombined. most prescribed drug in America -Premarin, much • Body temperature greater thanlike 104 degrees tornadoes, hurricanes, flooding, lightning orconcept any other weather event • Clearer & but brighter skin complexion day avoiding the ups and downs seen with The system is designed other to allow evacuation of the contents of the bioidentical hormones, a lack of approval•from thetemps FDA has leftto anbrain, unnecessary These lead muscle, kidney, heart and total body failure if not What’s the difference between exhaustion and heat stroke? other forms of BHRT. • Boost your immune system colon during the heat administration of Colon Hydrotherapy. and unjustified public fearful of the “consequences” associated withtreated their use. appropriately Heat exhaustion is the precursor to heatstroke and is a direct result of the body ICAM’s Professional Colon In Hydrotherapy monitorto and 4. 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This is especially important in the very old and the very • Muscle Cramps utilizes 1/20th the same dose of hormone and the release of waste may be repeated many times. During the young and 63 Lacey Rd • Whiting, NJ 08759 of course our furry little friends! • PROCEDURE: Nausea that other forms would require to achieve session, most upper clothing can be kept on – you will be draped to optimal levels over the same time frame of • Headache Insertion is a simple in-office non-invasive painless minimal surgery under local anesthesia. A ¼” incision is made in the upper 609-978-9002 always ensure your privacy. pellet therapy (3-6 months). These develop oversmall timepellets or come onare suddenly, hip area symptoms followed by may placement of the which about halfespecially the size of a Tic-Tac. No suturesRead are required incision is theas the full article at www.Icamnj.Com Your dignity is always maintained! during or can following periods of the prolonged exercise bandage. 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Speech Therapy The County Woman www.TheCountyWoman.com The County WomanMagazine Magazine www.TheCountyWoman.com Massage School
September/October January/February2018 2019
Community
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January/February 2019
Medical Professionals
34
What is this?
This is a surgical technique that is performed through very tiny incisions, only a few millimetres long. This is in contrast to traditional surgery performed through large incisions on the foot. Dr. Baskin offers this technique with advantages over open surgery. Much less soft tissue stripping and dissection is required to gain access to the bone in order to make the corrections. This may alleviate the need for wires, implants, or screws.
This may lead to:
Minimally Invasive Surgery
Open Surgery
• Reduced surgical time • Walking the same day in a surgical shoe. • Less damage to tissues • Less internal scarring • Minimal external scarring (sometimes stitches are not needed) • Less joint stiffness • Same day surgery • Quicker recovery time • Faster return to work and normal activities • No need for pins or implants in the toes • Possibly a better result
What conditions can be treated this way? • Bunions (hallux valgus) • Lumps, bumps, corns, calluses on or in between the toes. • Hammer toes • Metatarsalgia (pain under the balls of the toes) • Big toe arthritis (Cheilectomy for Hallux Rigidus) • Morton’s Neuroma • Plantar Fasciitis • Some aspects of flat feet surgery • Some aspects of ankle arthritis surgery • Diabetic ulcers most places on the foot
Can any surgeon perform this kind of surgery?
No. Very specific training in minimally invasive techniques are required and these training courses have restricted access. A new range of surgical tools, not normally used in traditional open surgery are used and these require a new set of technical skills in order to master the different surgical techniques. This requires training and experience. Not all foot and ankle surgeons perform minimally invasive foot surgery.
Is it for me?
Most people are eligible to have minimally invasive surgery, however it is not for everyone. Some deformities are too large to be corrected using minimally invasive techniques. A consultation with Dr. Baskin will allow you to discuss this in detail and decide which method of foot correction is appropriate for you. n
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Health & Wellness
35
Now Is The Time To Take Your First Step! Are you tired of feeling tired? Are you having trouble losing weight or can’t believe what the holidays did to your pant size? Dawn Ferrentino has helped hundreds of people realize their desired body weight and energy level. You can read for yourself how these clients have finally realized their potential through this easy, convenient, nutritional program. Here are some main points to know about this program:
Dawn Ferrentino Health & Prosperity Specialist
• Easy, convenient and sustainable life style • Guaranteed results - get your body back or get your money back • Weight loss/energy/improved performance • One on one coaching • Customized packages to fit your needs
“One year ago, Michelle and I started our lifechanging journey. Unsure
at the time if we would like it or even see results, we were willing to say yes and give it a try. It took us less than a week to realize that Nutritional Cleansing was the lifestyle we desperately needed. I still can’t believe the outstanding positive changes it has brought to our lives in the past year. What started out as a way for me and Michelle to improve our own health and wellness has created a ripple effect throughout our entire family. Our daughter, Paige, joined us in January, followed by our son, Zane, who hopped on the health train a month later. I can say without a doubt that we’ve had many meaningful family experiences simply because we decided to make a long-term commitment to the system. This new lifestyle has changed our children’s lives in so many positive ways. I can see they have more confidence, self-esteem, energy, and enthusiasm as well as a willingness to pursue things they have never done before. To date, they’ve tried hiking, kayaking, and running, and we all have gym memberships now, too! It’s not about weight loss anymore. Reinventing our quality of life was an unexpected effect that has become the sustainable goal. We’ve easily adjusted our mindset to ‘eating to live, not living to eat,’ and collectively, we are down more than 330 pounds!* Our family is always happy and excited to share our experience with anyone who wants to learn how to make a change.”
“30 days, just give it 30 days...”
“Words of my sister repeated over and over in my head. After about 2 months of going back and forth and seeing her results, I decided to give it a shot. I was embarrassed by my appearance and knew it was time to make a change and finally do something for myself. As every mom is with kids, you live for their schedule and rarely have time for yourself. But nutritional rebalancing made it really easy for me to make the right choices. I’m fueling my body with proteins and eating clean. Something I NEVER thought I would ever be willing to do before. But I fell in love with the results and continued past my first 30 days. I’m about 2 months in and lost 24lbs and 29” overall. I have more energy and most importantly feel amazing. I cannot thank my sister enough for coaching me through this journey and for her and my husband’s support pushing me every step of the way. And I’m not done yet! If I could do this anyone with determination and the want can accomplish the same.”
E “Thankful for your friendship and your support. Down 40 pounds so far! I couldn’t have done it without you.” - John
Finally leaner, glowing and confident in her own skin... “It’s amazing what the right nutrition can do. That is the only thing that changed in these two photos.....well and a baby and working out less in the after picture. It hasn’t always been easy for me. But NOW it is and has been sustainable for years, and so I share....because more people should feel this good every dang day”!
E Call: 908.208.0002 Email: dawnferrentino07@gmail.com Web: dawnferrentino.com
The County Woman Magazine www.TheCountyWoman.com
dawn.baronferrentino January/February 2019
Pet Services
36
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Acupuncture
Acupuncture Helping Arthritis: What You Need To Know Acupuncture is a safe and natural therapy that has been proven to be effective for treatment of acute and chronic pain. It can manage pain and improve range-of-motion throughout the body. In Chinese medicine, arthritis is viewed as a painful obstruction of the body’s qi (pronounced chee). Qi is the body’s life force or vital energy. Hair-thin needles are inserted into the skin to stimulate the body’s qi. This removes the obstruction and encourages the free flow of qi, therefore relieving pain and increasing range of motion. Osteoarthritis (OA) is the most common form of arthritis. It is caused by a degeneration of the cartilage within the joints. As the joint weakens from age or overuse, pain, swelling, and limited range of motion may occur. Over time, this can advance from a nagging pain or ache to a disabling pain. Rheumatoid arthritis (RA) is a systemic autoimmune disorder that causes inflammation, pain, swelling and stiffness in joints, usually of the hands. Eventually RA can cause the joints to become deformed. Acupuncture treatment for RA will have points in the area of pain, but focuses on regulating the immune system and increasing the overall health of the patient. Once again, acupuncture can help manage the condition with less use of medications. Gout is arthritis caused by the deposit of uric acid crystals within the cartilage of joints. It most commonly affects the big toe and knees. This is usually due to a diet rich in protein, or alcohol consumption, but can also be related to genetic factors.
The focus of treatment for gout is relieving pain and decreasing swelling. Acupuncture points around the area of pain are the most useful. Treatment When initially treating any type of arthritis with acupuncture, consistency is essential. Significant relief can usually be seen within two weeks. Once the condition is controlled, some maintenance may be required to keep the pain from returning. During treatments the needles are retained for 20–40 minutes. Most people become very relaxed during treatments and some even fall asleep. Conditions Commonly Treated By Acupuncture Allergies & Asthma Anxiety & Depression Arthritis Autoimmune Disorders Back Pain & Sciatica Chronic Fatigue Genitourinary Disorders Gynecological Disorders Headache & Migraine Hypertension Infertility
The County Woman Magazine www.TheCountyWoman.com
We Feature Complementary Techniques Moxa Insomnia Tui Na Massage Menopause Cupping Nausea & Digestive Disorders Gua Sha Neuropathy Skin Disorders Electro–Acupuncture Smoking Cessation Strains & Sprains Stress Tendonitis Weight Management Whiplash
Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723
732.262.0637
www.koehleracupuncture.com
January/February 2019
Acupuncture
37
Koehler Acupuncture Will Take Care of Your Aches and Pains Keith Koehler first became interested in acupuncture when he was about ten years old. His father had been suffering from varying degrees of back and neck pain for years, and when he tried acupuncture he experienced relief quickly. He was able to return to athletic activity and the following baseball season, he became his Little League coach. As Keith went through school, he developed an intense interest in anatomy and physiology. “I wanted to know how the body worked, and what could help it enhance and improve,” he adds. Traditional Chinese medicine explains acupuncture as a technique for balancing the flow of energy or life force (known as Chi [this is “qi” in the other article]) which is believed to flow through pathways in your body. By inserting needles into specific points along these meridians, practitioners believe that your energy flow will re-balance. CW: How would you describe your practice philosophy? KK: My goal is to help my patients with whatever it is that brings them to me. This may require pain relief, stress reduction, emotional comfort, behavior modification or any combination of these. CW: How has your practice evolved since it opened? KK: One way my practice and acupuncture practices in general have evolved over the past ten years is with insurance coverage. Most insurance companies now have plans that cover acupuncture and many New Jersey state employees have acupuncture coverage. This gives people the courage to try acupuncture and allows them to come in with the consistency needed to experience significant relief quickly. CW: What are the most common conditions that you treat? KK: In my practice it would be general pain, but back and neck pain specifically remain the most common. Recently I have seen an influx of digestive issues as well as migraines. CW: What is the best part about working in this industry? KK: The best part for me is working with people. I enjoy listening to people’s problems and then finding ways to help resolve them. My patients are so appreciative when they start to get relief and feel like themselves again. CW: What is the greatest challenge you face in your field today? KK: That would be getting people to think of acupuncture as an option. So many folks don’t realize that acupuncture can help them. Others are too afraid to try it. More people are coming in and medical doctors are referring now more than ever before, but it is still a fraction of those who are suffering.
CW: What is the most popular treatment among women? KK: Aside from general pain, the most common ailment among women is dealing with menstrual issues. Acupuncture is useful for every aspect of a woman’s cycle, with significant results usually seen within three cycles. It is useful for treating painful or irregular periods, PMS, heavy periods, and menstrual migraines. Many women are getting results with acupuncture for fertility issues, with or without medical procedures like IUI and IVF. Acupuncture is also very useful during pregnancy, for symptoms like morning sickness, high blood pressure, back pain, swelling, and even breech presentation and to induce labor. For women going through menopause, acupuncture can help with hot flashes, night sweats, fatigue, and hormone balance. Keith received his Bachelor of Science in Health and Physical Education at Lock Haven University, and his Master’s in Acupuncture and Oriental Medicine from the New England School of Acupuncture. His philosophy from the very beginning has always been to treat his patients in the way that he would want to be treated. Since opening his practice in 2004, his core beliefs remain the same. His favorite Chinese principle is to treat every one of his patients as an individual. When he is not in the office you can find him surfing, practicing tai chi and spending time with his family.
732-262-0637 • www.koehleracupuncture.com
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
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? 38
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 change 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 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 January/February 2019 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
Medical Professionals
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“HALO GORGEOUS, HOW DO YOU STAY LOOKING FOREVER YOUNG? ” I N T RO D U C I N G O U R N E W L A S E R & L I G H T T R E AT M E N T S
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The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Health & Wellness
40
Cooler Temperatures May Mean A Better Night Of Sleep
W
ith freezing temperatures upon us, here’s an interesting note: cooler temperatures while we slumber may have a number of health benefits.
Let’s learn to harness the cold weather!
Dr. Nina’s What You Need To Know About The Health Benefits Of Sleeping In Cooler Temperatures Improves Sleep Our body’s temperature has a tremendous impact
on falling asleep and staying asleep. As we doze off, our core temperature drops slightly, by 1 or 2 degrees. It continues to fall throughout the night, reaching its lowest point approximately 2 hours before awakening. Experts suspect that this dip occurs because our body utilizes its energy reserves for other functions instead of maintaining normal temperatures. And, too, maintaining and reaching those deeper, rejuvenating stages of sleep requires our body temperature to stay low. These sleep stages are important for memory consolidation, optimal immune system function, and school and work performance.
Increases in Brown Fat This darker shade of fat differs from white
fat in several ways. It is capable of burning chemical energy (calories) to create heat and help maintain body temperatures. In fact, it can produce 300 times more heat than any other body organ! And what researchers found is that in response to cold, the white fat cells take on characteristics of brown fat. Scientists have also found that brown fat improves insulin sensitivity in humans, and as a result may function as an anti-diabetic tissue. And, in a study by the National Institutes of Health, researchers found that when men were exposed to a cool environment overnight for one month, they had a 42% increase in brown fat, along with corresponding changes in metabolism. Burning calories while we sleep…now, that is worthy of a Nobel Prize!
How do we achieve cooler bedtime temperatures? Experts recommend that making our bedroom like a cave—cool, quiet, dark—is key to getting a good night of sleep. Here are some tips for cooling off at bedtime: • Set our thermostat between 60 and 68 degrees Fahrenheit. • Sleep in our birthday suits. In addition to helping achieve lower body temperatures, skin-to-skin contact with our bed partner can increase levels of a hormone called oxytocin. This is the same hormone that surges when a mother sees her child for the first time. Oxytocin is responsible for social recognition and bonding, the formation of trust between people, and generosity. And, too, it can lower blood pressure and heart rate, increase immune function, relieve pain, and decrease anxiety. • Strategic sleep attire. If sleeping in the buff is not a viable option, consider wearing moisture-wicking fabrics. That way if you sweat, the fabric will wick away water from the skin, allowing the body to regulate its own temperature. Although cotton is a favorite lightweight, soft-to-touch fabric that allows for air circulation, it is poor at wicking away moisture. • Beware of foam pillows that can maintain warmth and prevent drops in temperature. • Socks on your feet. Cold feet can be very disruptive to sleep. However, warming your feet too much can cause your entire body to become too hot. If you decide to wear socks, choose lightweight ones. • Enjoy a warm shower or bath 90-120 minutes before bedtime. This facilitates drops in body temperature once you step out. However, if done too close to bedtime, the warmth can interfere with your ZZZ’s. • Avoid strenuous exercise 3 hours before falling asleep because the heat generated takes time to dissipate. It should be noted that exercise is a good method to manage insomnia when done earlier in the day. Cooler temperatures can facilitate improvements in our sleep as well as other areas of our health. So, think again before raising the temperature on the thermostat at bedtime. And as you climb into bed, it may be wise to leave the sweatshirts (it’s called a sweatshirt for a reason) and flannel pajamas behind.
Decreases Cortisol Levels During sleep, our body’s cortisol levels dip. And it has been shown that cooler bedtime temperatures can further decrease production. Cortisol is a stress hormone that prepares us for “fight or flight” by increasing blood pressure, heart rate, alertness, and blood sugar levels. It can also interfere with good quality and quantity of sleep. Consequently, acute and chronic stress states can cause sleep disturbances. As temperatures drop outside, it may help suppress this stress hormone and promote initiation and maintenance of sleep.
Increases Growth Hormone Cooler temperatures elevate growth hormone, or GH. GH is essential for tissue repair, muscle building, and bone density. Some refer to it as a rejuvenating or regenerative hormone. Healthy levels of growth hormone have also been shown to benefit the immune system and lower the risk of diabetes and heart disease.
Nina Radcliff, M.D., is a practicing physician; a Board Certified Anesthesiologist and member of the American Society of Anesthesiologists where she serves on committees for young physicians and communications. Often called upon by media to speak to medical health topics impacting our lives today, Dr. Nina is passionate about sharing truths for healthy, balanced living as well as wide preventative measures.
This article is for general information only and should not be used for the diagnosis or treatment of medical conditions and cannot substitute for the advice from your medical professional. Dr. Nina has used all reasonable care in compiling the current information but it may not apply to you and your symptoms. Always consult a doctor or other health care professional for diagnosis and treatment of medical conditions.
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Legal Professionals
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41
Finding The Light At The End Of The Tunnel
he theme of this article is that you do have control over your debt; it’s just a matter of taking action. There is no hole too big or too difficult to dig out from underneath. Here are a few things to keep in mind as you take that first step: Don’t be afraid. I cannot tell you how many clients come into my office with unopened envelopes of credit card bills and mortgage statements. It’s a coping mechanism. If I don’t open the mail, then it is not a concern...it’s not real. Don’t be afraid of your position. It is what it is – it’s about how we are going to fix it that matters. Acknowledging the problem is an important first step. Communicate. Being in debt can be a very lonely feeling. We all want to pay our bills. It is a matter of pride. In fact, many of the people I help are current on their present obligations and have outstanding credit, but are overwhelmed with the amount in which they owe. Many of my clients feel isolated from their friends and family – even their spouse – because of trying to “keep up” an image or lifestyle that is simply no longer sustainable. Communicate with those who
matter and seek help. I can assure you, that you are not alone. Be proactive. There are solutions to any and all debt related problems. Every situation is unique and requires a different analysis based upon the specific circumstances pertaining to one’s assets and liabilities. No two cases are alike. The important thing to remember is that, unless you are proactive, nothing will change. I treat every consultation as an information session. It’s an opportunity for you to receive the information you need about bankruptcy and other debt solution options, and it is an opportunity for me to set a strategic course for helping a client find relief. I hope this article proved helpful in not giving up hope and trying to move forward. Like with this dream of Spring passing, there is a light at the end of the tunnel.
For more information or to schedule an appointment, Contact : Daniel Straffi Jr. at 670 Commons Way Toms River, NJ, CALL: 732-341-3800
Daniel Straffi, Jr., Esq. VISIT: www.straffilaw.com. Protect Yourself Against Foreclosures, Judgments, & Harassing Creditors
We are a debt relief agency that helps people file for relief under the bankruptcy code.
Recipe Caponata~Compliments of Chef Steph 3/4 cup olive oil 1 large eggplant (about 2 lbs) cut into bite size pieces 6 medium zucchini (about 2 lbs) cut into bit size pieces 1/2lb mushrooms, thinly sliced 1 1/2 cups onion, chopped 1 cup celery, sliced
1 garlic clove minced 1/2 cup red wine vinegar 1/4 cup capers, drained 2 T sugar 3 large tomatoes, cut into bite size chunks 4 1/2 oz pimento stuffed olives, drain & cut in half
In a large saucepan over high heat, cook eggplant, zucchini, mushrooms, onions, celery and garlic in the oil for 10 minutes, stirring occasionally. Stir in the vinegar, capers, sugar, salt and pepper to taste. Reduce heat to low, cover and simmer for 10 minutes or until vegetables are fork tender. Stir in tomatoes and olives and bring to a boil over high heat. Spoon mixture into a bowl, cover and refrigerate at least 3 hours or until well chilled. Recipe by: Cutting Board Creations
The County Woman Magazine www.TheCountyWoman.com
Serves-12 January/February 2019
Health & Wellness
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Continuing Education Modules
YOGIS NIGHT OUT information session Q&A Free Karma Yoga Class with Illuminate Grads Dinner Included
Yogis Night Out! Information Session January 4th IDO Portal Method Damian O’Hara January 12th
ILLUMINATE TEACHER TRAINING
Integral Yoga Caitlyn Yerves January 25 & 26th
Dive Deeper with Loren Russo 200 & 300 hour trainings
Ashtanga Yoga: Nadi Shodhana Loren Russo February 24th
New Vibe Yoga Field Trip February 10th Unpacking Pranayama Ellen Mosko February 16th Advanced Transitioning & Assists Loren Russo February 17th
History of Yoga James Barkan February 2nd
Balancing the Energetic Flow: Yin Yoga Lisa Flynn February 18th
BEING Yoga: Samadhi Cory Bryant March 2nd Rhythm of the Heart Bhakti Retreat Visvambhar Sheth March 9 & 10th Create Space & Restore Lisa Flynn April 23rd
Yoga Improves Flexibility & Joint Health • Yoga Improves Balance & Stability • Yoga Improves Respiration • Yoga Reduces Anxiety • Yoga Reduces High Blood Pressure • Yoga Helps Reduce Weight 8 N. Union Street • Manahawkin, NJ 08050
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Psychotherapy
Eye Movement Desensitization and Reprocessing: EMDR One of the most revolutionary processes to come along in the field of psychotherapy is Eye Movement Desensitization and Reprocessing, or EMDR for short. This process was developed in the early 1980s by Dr. Francine Shapiro, while she was working at the V.A. She discovered that a series of eye movements could help people overcome trauma more quickly and more effectively than ever before. At that time, it was not known how EMDR worked, but more research has been done on EMDR than probably any other psychotherapy. If Dr. Shapiro had not had the wisdom to do a tremendous amount of research to establish its validity, EMDR would probably never have been accepted by the psychological and psychiatric communities.
Instead, it is now being used around the world as a treatment for trauma of all kinds, small and large. And its results are stable and long term. EMDR is very helpful for children and adolescents, as well as adults. A very readable book which clearly demonstrates the use of EMDR with adults is Emotional Healing at Warp Speed by Dr. David Grand, who went on to use EMDR for other purposes, such as cultivating people’s creativity. For more information about this wonderful technique, go to www.sharonflahertyphd.com and click on Recovery from Trauma. To find an EMDR therapist, go to www.EMDR.com. Veterans who are having difficulty with these kinds of problems may call their local Veterans Service Officer, who in Ocean County is at 732-929-2096.
The County Woman Magazine www.TheCountyWoman.com
Sharon Flaherty, Ph.D. Clinical Psychologist 902-242-4618 Middlesex, Mercer and Ocean Counties New Jersey License #2091
email: dr.sharon@verizon.net website: www.sharonflahertyphd.com
January/February 2019
Women’s History
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Audrey Hepburn Bold, Beautiful and Brave It’s a new year filled with a renewed sense of self that carries hope and perhaps goals for the coming year! Audrey Hepburn has been a captivating actress that I have watched over and over with amazement. Breakfast at Tiffany’s is an iconic movie as well as Sabrina and not to mention Funny Face. I have taken Hairdy.net for granted that such an amazing and talented actress would not have any lifestyle other than Hollywood glam. However, when I began to research the life of Audrey Hepburn, I was shocked and amazed by her past. It is an extremely moving story that displays turmoil, trauma, and violence starting from a very young age. Audrey Hepburn was born on May 4, 1929 in Belgium. First, Audrey’s parents divorced when Audrey was a young girl. Audrey attended boarding school in England. Then, during the time that Audrey was attending school in the Netherlands, the Nazis invaded and Audrey and her mother were left alone to survive with little to no means. Audrey suffered from malnourishment from being cut off from food supplies. Additionally, Audrey was uprooted from her home and relocated to an area that Audrey’s mother believed would be a safe haven, only to find out that the area was also being invaded. Audrey was subjected to observing family members gunned down in Pleasurephotoroom.worldpress.com front of her. As a means of coping, Audrey would perform ballet and at times in front of audiences in an effort to distract them from the terrors of war. Audrey was also a “courier” who was part of a group of children that would deliver messages during the war. Children were utilized as couriers as Nazis would not suspect children carrying information. After the war, Audrey returned to school and set her focus on ballet. It is reported that in 1948 Audrey made her debut as a chorus girl. From stage performance Audrey began to transition to the movie screen, first in London and then Paris. Audrey made her way to New York, where she began her American acting presentation both on Broadway and in the movies. By 1953, Audrey Vogue.co.jp Hepburn was a hot commodity in the movie
industry. Audrey cycled in between stage shows on Broadway and film productions. Audrey was living the Hollywood high life. Audrey was even considered the most beautiful woman of the “century.” Audrey had glamour, style and a presence in any arena. She also displayed a level of humility to those around her. Audrey is one of few actresses to have received Emmy, Tony, Grammy and Academy Awards. Audrey starred with many Hollywood “A” list men, including Gregory Peck, Humphrey Bogart, William Holden and Fred Astaire, to name a few. Breakfast at Tiffany’s was a role that was considered to be out of character for Audrey Hepburn. Yet the character’s sense of fashion displayed by Audrey became a new trend, and her infamous black party dress is Fineartamerica.com considered the classic look from the movie and adopted as Audrey’s signature style. Audrey displays amazing talent in her other movies with her dance moves and ability to captivate her audiences. Basically, she made acting look easy! Audrey was married twice: first to Mel Ferrer, an actor she met while filming War and Peace, and second, Andrea Dotti, who was a psychiatrist. Audrey had two sons (Sean Ferrer and Luca Dotti), one from each marriage. As Audrey matured in age, she shifted her focus from acting and dancing to humanitarian work to raise awareness of children in need and she selected UNICEF as her focus. In fact, Audrey was a goodwill ambassador for the organization and traveled around the world advocating for children. Audrey Hepburn died on January 20, 1993 from colon cancer. Audrey received a special Academy Award for her humanitarian work with UNICEF and was unable to accept it as she died before it was presented to her. However, her legacy continues to live on through the Audrey Hepburn Society at the US Fund for UNICEF. Audrey Hepburn’s life was shaped through her childhood experiences, from her acting through her humanitarian work. Audrey is proof that life experiences can direct us on a path that opens the door to limitless possibilities and to remember there are children in need who may be standing behind the door. Happy New Year and cheers to a year of opening doors! Rita King, LCSW is the Associate Director of Justice Involved Services at Jewish Family Service. In this role, Rita currently supervises a Re-Entry program for incarcerated individuals as well as a community based diversion program for consumers experiencing mental illness and involvement with the criminal justice system. Rita is a “De-escalation for Individuals with Special Needs” training facilitator and has trained approximately 1,200 law enforcement professionals to date. Rita is also a CIT trained mental health professional. Rita has a strong passion for women’s history and in her free time she continues to raise awareness of the importance of women’s history through lectures and community speaking engagements.
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Medical Professionals
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The Arthrogram A close friend hurt his shoulder. He had a MRI which showed a little arthritis and tendon inflammation. He had a few weeks of rehab and continued to have shoulder pain. At this point, his orthopedic surgeon ordered a MRI arthrogram. My friend did not know what an arthrogram was and how was it different from his first MRI. Q: What is an arthrogram? How is it performed? A: An arthrogram is the procedure of injecting dye into the joint. After the
dye is injected, images are taken. This is most commonly done by CT or MRI. An arthrogram can be performed on any joint but the most common joints are the shoulders, knees, hips, and wrists. The radiologist cleans the skin using a sterilizing antiseptic and drapes the area with sterile dressings. Using a local anesthetic such as novacaine, the skin and deeper soft tissue is numbed. A very thin needle is inserted into the joint using the x-ray images as a guide. A tiny amount of x-ray dye is injected into the joint to confirm the needle is in the correct area. Then the joint is filled with the arthrogram dye. After the arthrogram dye has been injected, the patient is escorted to either the MRI or the CT scanner (depending on what type of arthrogram they are having).
Q: What is the arthrogram dye? What happens after it is injected? A: If the patient is having an MRI arthrogram, the dye is MRI contrast that
is heavily diluted with sterile saline (mild salt water). If the patient is having a CT arthrogram, the dye is CT contrast that is heavily diluted with sterile saline. Once the dye is injected, the patient has their MRI or CT. Afterwards, the dye in the joint will naturally absorb into the body. Since the dye is mostly salt water, it is safely injected, absorbed, and eventually excreted.
Q: What is the benefit of doing an arthrogram? A: Slightly distending the joint with fluid makes it easier to see inside
the joint. The injected dye helps outline what is inside the joint to help determine whether anything is torn. This is especially helpful to detect labral tears in the shoulders and hips.
Q: Is the procedure painful? A: The joint is made numb with the local anesthetic. Afterwards the joint
can feel sore however this does not last more than 24 hours and is easily treated with Tylenol or Advil.
Q: How should I prepare for an arthrogram? A: No special preparation is usually
required. It is best to wear comfortable clothes without metal (buttons, zippers, hooks, etc.).
The white fluid help outline the structures inside the joint to determine what is intact and what is torn. This patient has a subtle labral tear that can only be seen on this arthrogram.
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January/February 2019
Medical Professionals Medical Professionals Professionals Medical
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What Is An Anal Abscess? Colorectal Cancer: Are You Aware? What’sThe TheBig BigHype? Hype? Colorectal Cancer: Are You Aware? What’s
but she performs a majority of her colorectal surgeries How An common is colorectal and who is at risk? inpatients, the hospital setting. For some patients, such ascancer diabetics or using anal abscesscancer is an infected cavity filled herher patients, but she performs a majority of her colorectal cancer surgeries using laparoscopic surgery. Laparoscopic colorectal surgery is a minimally invasive How common is iscolorectal and who is in atthe risk? Colorectal cancer the second cancer most common cancer United States among patients with suppressed immune systems, hospitalization may be laparoscopic surgery. Laparoscopic colorectal surgery is a minimally invasive with pus found near the anus or rectum. surgery in which small incisions are made to perform major surgery. This allows 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 required forsmall more significant infections. surgery in which incisions are made to perform major surgery. This allows for shorter hospital stays, decreased incisional pain and earlier return to work and 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 What is an anal fistula? for shorter hospital stays, decreased incisional pain and earlier return to work and other deaths. The lifetime. average person hasisa increased one in 20ifchance colorectal cancer in his/her This risk there isofadeveloping family history of colorectal Areactivities. antibiotics necessary to treat anal abscess or anal An anal fistula frequently the result of a previous current anal other activities. in polyps his/her orlifetime. This isis increased there is apatients family history ofor colorectal cancer, and isrisk even higher stillif in those with a history of breast, fistula? occurring in up tostill 50% ofapatients with abscesses. polyps orabscess, cancer, andcancer, is evenand higher in those patients with a history of breast, Can uterine or ovarian patients with history of extensive inflammatory colorectal Antibiotics,cancer alone,be areprevented? NOT a wise treatment for anal abscess colorectal betheprevented? uterine ovarian cancer, and are patients a history of extensive inflammatory disease Inside the anus small glands. Sometimes, these glands become Can Colorectal cancercancer is one of few cancers that is preventable. Obtaining a bowelor such as ulcerative colitiswith or Crohn’s colitis. Additionally, a person’s or fistula. Studies have shown thatthat forthe abscesses, cancer is one of few cancers isuncomplicated preventable. Obtaining a bowel disease suchand as colorectal ulcerative colitis or Crohn’s colitis. Additionally, screening colonoscopy at the regular intervals is single best way to prevent risk for developing cancer increases significantly withabscess. age. a person’s clogged become infected. This leads to an anal The anal Colorectal the addition ofYour antibiotics to surgeon surgical drainage does not improve screening colonoscopy at regular intervals is the single best way to prevent risk for developing colorectal cancer increases significantly with age. colorectal cancer. colorectal or specialist is able review the fistula is the tract or tunnel that forms between the clogged gland inside healing time or reduce the surgeon potential recurrences. are, colorectal cancer. Your colorectal or for specialist is age, able medical to There reviewhistory the guidelines for screening colonoscopy based upon your Whatthe causes colorectal anal canal and thecancer? infected skin/abscess outside of the anus. A guidelines for screening colonoscopy based upon your age, medical history and family history. not definitively proven, studies may published in theto What causes agreed colorectal cancer? however, certainAlthough circumstances in which antibiotics be added It is generally that nearly all colon and rectal cancer begins in benign fistulaagreed can present withallorcolon without an abscess. Otherincauses of anal and family history. Although not definitively proven, studies published in the literature mention additional factors that may lower your risk ofwith developing It polyps, is generally that nearly and rectal cancerorbegins called adenomas. These pre-malignant polyps, growths, benign occur in the surgical drainage. These would include those patients extensive fistula are:and/or Crohn’s disease, trauma and in malignancy/cancer. literature mention additional may lower your risk ofthose developing colorectal cancer and include eatingthat avalvular high-fiber, low-fat diet; maintaining a polyps, adenomas. These pre-malignant polyps, or growths, occur the wall ofcalled the colon rectum and radiation, may eventually increase size andinbecome cellulitis, patients withfactors cardiac disease, and patients colorectal cancer and include eating a high-fiber, low-fat diet; maintaining a healthy weight; and engaging in regular, vigorous exercise. 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 “adenomaHow does a person develop an anal abscess or fistula? with altered or suppressed immune systems. This determination is healthy weight; and engaging in regular, vigorous exercise. cancer, or medically speaking, carcinoma. This is known as the carcinoma sequence.” Several factors been mentioned in“adenomathe literature Most anal abscesses arehave the result of an acute infection in that the made by your surgeon after taking a careful, detailed medical history carcinoma sequence.” Several factors have been mentioned in and the literature thata diet may increase a person’s risk for developing colorectal cancer include age, glands inside of the anus. Occasionally, bacteria, fecal material or and performing a physical examination. may increase a person’s risk forandeveloping colorectallifestyle, cancer and include age, aand diet high in fat and cholesterol, inactive/sedentary obesity, smoking “After I had my colonoscopy and found out I had colon cancer, my foreign matter can clog the anal gland and create a condition for an high in fat and cholesterol, “After I had my colonoscopy and found out had colonNot cancer, environmental exposures.an inactive/sedentary lifestyle, obesity, smoking and primary physician recommended I seefistula? Dr.IPaonessa. onlymy is she What is the treatment for anal abscess to form. Once an abscess is drained, in approximately 50% primary environmental exposures. physician recommended I see Dr. Paonessa. Not only is sheThis an excellent I would Dr. Paonessa anyone and Surgerysurgeon, is almost alwaysrecommend necessary to treat an analtofistula. cases, a tunnel (fistula) will persist under the skin connecting the aneveryone.” Whatofare the symptoms of colorectal cancer? excellent surgeon, I would recommend Dr. Paonessa to anyone and may require a single stage or multi-staged procedure. Colorectal What are the symptoms ofoutside colorectal cancer? Unfortunately, polyps early cancersskin do not produce physical or infected gland and to the where the any abscess wassigns located. everyone.” surgeons are specialists who are trained to treat anal- Josephine fistula andB. Unfortunately, polyps andsymptoms early cancers do not produce physical symptoms. usually indicate late any or advanced disease. WhenTherefore, this occurs, patients typically experience some signs type or of The - Josephine B. are well versed in the different types of surgeries to treat anal symptoms. Therefore, symptoms usually cancer indicate late or advanced disease. The most common symptoms colorectal rectal bleeding and changes persistent drainageoffrom the site of are where the abscess had been in in the “I credit Dr. Paonessa for saving my life. Her thoroughness and attention most common of colorectal cancer areThese rectal symptoms bleeding and bowel habits symptoms such as constipation or diarrhea. are changes commoninin fistula. The surgery involves connecting the external opening perianal skin. “Itocredit Dr. Paonessa for saving my life. Her thoroughness anda attention detail the on difference I’ve never met doctor like bowel as constipation or diarrhea. tract Thesesosymptoms are common in manyhabits othersuch disorders of the gastrointestinal it is very important to have (site of made drainage the skin)fortomy therecovery. internal opening (the clogged to detail made the difference for my recovery. I’ve never met a doctor many other disorders of the gastrointestinal tract so it isan very important to fistula? have her-so attentive caring.different types of surgical procedures tolike a thorough examination should yousymptoms experience them. NOT ALL RECTAL What are the signs or of abscess or gland). There and are several a thorough should experience NOT ALL RECTAL BLEEDING IS DUEwith TO HEMORRHOIDS. It ispain, very redness important patients to her-so attentive and caring. - Patricia E. examination A patient anyou abscess may them. have orfor swelling accomplish this and a colorectal surgeon would determine which BLEEDING IS DUE TO evaluation HEMORRHOIDS. It is very important for patients to - Patricia E. remember this and seek if they are experiencing rectal bleeding. Other in this the and area around the anus. Other common symptoms are fevers, procedure is best suited to your condition. remember evaluation if they are experiencing rectal bleeding. Otherand symptoms, such asseek abdominal pain and weight loss, are usually late symptoms chills, fatigue and generally not feeling well. Those patients who symptoms, such indicate as abdominal pain and weight loss, are usually late symptoms and quite possibly advanced/extensive disease. develop an anal fistula frequently complain of perianal irritation, quite possibly indicate advanced/extensive disease. in thecancer perianal area and/or persistent, episodic drainage in How moisture is colorectal diagnosed? How isthe colorectal cancer Evaluation of colorectal is first begun with a complete history physical perianal area.cancer Adiagnosed? common complaint of patients withand anal fistula Evaluation of colorectal cancer is first begun with a complete history and physical exam, is including a digital rectal exam and possibly testing the stool for blood. A the sensation that they cannot keep the perianal clean or that they 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 feel “wet” in the perianal area. colonoscopy is is theperformed most definitive test used surgeon to diagnose colorectal cancer. A to colonoscopy by a colorectal or other specialist in order colonoscopy is performed by a colorectal surgeon or other specialist in order to or Are visualization there any of tests performed to diagnose abscess get a direct the inside of the colon and rectum. an A colonoscopy getisaadirect visualization of the procedure inside of the colon and rectum. A colonoscopy safe, painless, outpatient performed under a light sedation. Based fistula? is upon a safe,the painless, outpatient procedure performed under a light sedation. Based findings on colonoscopy, your colorectal surgeon or other specialist A majority of anal abscesses/anal fistulas are diagnosed by may upon the findings ontesting colonoscopy, your colorectal surgeon or other specialistand may recommend other such as blood work, a CT scan of the abdomen history and physical examination alone. Occasionally, additional recommend other testing such as blood work, a CT scan of the abdomen and pelvis, pelvic MRI and/or ultrasound. studies such as CT scan or MRI can assist the surgeon with the pelvis, pelvic MRI and/or ultrasound.
of deeper How diagnosis is colorectal cancerabscesses treated?or to help identify a deeper or complex fistula tract/tunnel. How is colorectal cancer treated? Nearly all cases of colorectal cancer require surgery. Radiation and chemotherapy Nearly all cases ofrequired colorectal cancer require surgery. Radiation chemotherapy are sometimes in addition to surgery. If the cancer isand diagnosed and How is an anal abscess treated? aretreated sometimes in addition to surgery.80-90% If the cancer is diagnosed and to in therequired earliest stages, approximately of patients are restored treatment of anal abscess is 50% surgical drainage. treated in theThe earliest stages, approximately 80-90% of or patients are restored to is their normal health. The cure rate decreases to less when the Once cancer the overlying and surrounding skin has been numbed local their normal in health. The cure ratestages. decreases to than 50%5% or less when the with cancer is diagnosed the later/advanced Less of all colorectal cancer anesthetic agents, anorstages. incision is made in of theallskin over the to diagnosed in the later/advanced than colorectal cancer patients require a colostomy “bag,” Less thanks to 5% modern technology. Dr.abscess Paonessa patients require a colostomy or “bag,” thanks to modern technology. Dr. Paonessa prides drain herselfthe in being maintain thisbestandard of care own practice. pus. able Thistocan usually performed in in thehersurgeon’s office prides being able to maintain thissometimes standard of require care in her own practice. Not herself only is in she able to minimize number of colostomies/“bags” created for with local anesthetic andthemay deeper anesthesia Not only is she able to minimize the number of colostomies/“bags” created for Nina Paonessa, DO, FACOS, an established NinaPaonessa, Paonessa, DO, FACOS, an established Nina DO, FACOS, an established colorectal surgeon practicing in Ocean and colorectal surgeon practicing in Ocean colorectal surgeon practicing in Ocean and and MonmouthCounties, Counties, answers questions Monmouth discusses Irritable about Bowel Monmouth Counties, answers questions aboutin colorectal cancer, one of the leading cancers Syndrome. colorectal one of the leading cancers in both mencancer, and women. both men and women.
Colon and ReCtal SuRgeRy C olon and ReCtal SuRgeRy Board Certified in General Surgery and Proctology
Board Certified in General Surgery and Proctology
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www.TheCountyWoman.com The County Woman Magazine www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com
• anorectal surgery • anorectal surgery • pelvic floor disorders • pelvic floor disorders • office proctology • office proctology • anorectal manometry/ • anorectal manometry/ physiology physiology
1172 Beacon Avenue, Suite B 1172Manahawkin, Beacon Avenue, NJ Suite 08050B Manahawkin, NJ 08050
Phone: (732) 282-1500 Phone: Fax: (732) (732) 282-1500 282-1501 Fax: (732) 282-1501 Office Hours: M-F 9AM to 5PM Office Hours: M-F 9AM to 5PM www.paonessacrs.com www.paonessacrs.com
March/April 2018 March/April 2018 January/February 2019
46
Community
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Insurance
47
MORE PLANS. MORE CHOICE. MORE CONTROL. That’s why we are exploring UnitedHealthcare® Medicare Advantage plans. Plans may include:
$5 COPAY PER PRIMARY CARE VISIT
VISIT DOCTORS WITHOUT A REFERRAL
$0 MEDICAL DEDUCTIBLE
$0 COPAY FOR PREVENTIVE CARE
You may be able to enroll in or switch your Medicare Advantage plan today. Even though Medicare Open Enrollment may be over, you could be eligible for a special enrollment period if you have just moved into a different service area, are losing your retiree health coverage or receive assistance with the cost of your prescriptions.
Call me to find out if you qualify to enroll today. Kenneth Arocho AROCHO INSURANCE AGENCY 732-877-7680, TTY 711 kennetharocho@ymail.com If you have this card, call UnitedHealthcare today.
You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/coinsurance may change on January 1 of each year. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare. UnitedHealthcare Insurance Company pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. You do not need to be an AARP member to enroll. AARP encourages you to consider your needs when selecting products and does not make specific product recommendations for individuals. AARP does not employ or endorse agents, producers or brokers. Y0066_170818_140335_FINAL_00027784 Accepted SPRJ34914
The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Medical Professionals
48
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The County Woman Magazine www.TheCountyWoman.com
January/February 2019
Acupuncture Education Funeral Planning Law
Sharon Flaherty, PhD • 908-242-2618 • dr.sharon@verizon.net • www.sharonflahertyphd.com Law
51 49
FREE COLLEGE
47 30 Ocean College Recipient EARNCounty AN ASSOCIATE DEGREE of How Workers’ Compensation Protects You and Your Family Workers’ Rights are Human Rights Community College Opportunity Grant OR CERTIFICATE WITH OCC ONLINE! Degraff Funeral Home Answers Your Questions Many people have heard of Workers’ Compensation, but few people know Employers benefit from workers’ compensation also. Highly managed
If you’ve ever had an injury at work and been met with disdain,
That kind of thinking diminishes us as a society and should not be tolerated.
My Earlier this year,auntil OCC was selected forare New JerseyatGovernor Phil Murphy’s what it really means they themselves injured work. Here’s a primer Community healthcare by workers’ compensation insurance companies are thought to keep Q. father lifeway insurance policy that administrative office management and Looking for a has flexible toyour complete distrust, orOpportunity delays concerning medical treatment and When I meet a new client for the first time, I often sense College Grant, and will receive funding for the state’s Free Community meant to give you a basic understanding of your rights. costs down and return injured workers to work more quickly than if they pursued isyour paid up in full.either He isbynow inemployer theis process bookkeeping, business studies, computer education? Online learning a or an wage replacement your something apologetic in their tone. They tell me they’ve never filed College Theago, program will be jointly administered by thejustice, Officeexercise of the Secretary Overprogram. a 100spend-down. years business and labor treatment independently. graphics, criminal science, ofsimple a Medicaid Is there any way route to earn college credits atmany insurance company, you’re not alone. So times, a claim “like this” before, they are “not one of those people,” ofsave Higher Education and the Higherboth Education Student Assistance Authority. came tothis a compromise that benefits workers Overall, the system has benefited society by reducing fire science, information technology, legal to policy to use toward funeral Ocean County College (OCC).Without workers are made to feel guiltyreceived or embarrassed or that their injuries are “real” and should be taken seriously. In addition, the College a $250,000 grant to support the implementation of this secretary, Middle Eastern studies, nutrition, and employers in the event of a work injury. For conflict, improving work safety and protecting taxpayers expenses? having maketheir any right trips to campus, when theytoexercise to receive Worker’s There is no need to feel that way! We respect our clients and
TUITION!
paralegal studies, personal training, physical programitfor the Spring 2019 semester. workers, allowed for prompt medical and wage from the burden of paying for the care and needs of OCC Online benefits. allows you to take Compensation their right to pursue these lawful benefits when they sustain therapy aides, small business management, OCC is one of a select number of institutions that will participate in the inaugural A. Yes, if thebenefits insurance policy paid in full.to replacement as well as anisopportunity disabled workers. e-learning classes asmake partsure of athat degree As a society, wethe must all workers’ serious injuries. Furthermore, criticizing workers who have sports management, aide, theatre cohort to pilot Free Community initiative in the spring.teacher The program will After making funeral arrangements, your funeral receive compensation for the ongoingCollege physical This all works theoretically, of course, but there are times program, certificate, or on anot courseproduction, and visual communications. rights are protected. We should suffered a work injury is antiquated and insulting. provide financial assistance theaccept fullItcost director can assist you in irrevocably assigning limitations that occur after afor trauma. alsoof tuition up to 18 credit hours as well as when medical treatment is withheld, wage replacement is by-coursemedical basis. care, deny wage replacement substandard If you or a loved one has suffered a work accident and educational the policy forfees. the system, insured’s expenses. created a no-fault onefuneral where an employee not paid or a workers’ comp claim is completely denied. You can also sign up for individual or fail to care for injured workers when they cannot need more information about Workers’ Compensation Through Students who register for six credits or more, and whose family incomes are within the All excess funds the insurance policy need not have to from prove negligence in order to will If you’ve been injured at County work and feel you are being OCC Online, you can complete online classes! Apply Ocean do the jobstoguidelines, for which they were Jersey hired due injury orall other federal and state grant aid, such benefits suchto as wage replacement or College medical treatment, program are eligible after applying for get paid the State of New for Asset receive these benefits. The goal was to lessen the shortchanged, call us for a free consultation to discuss an Associate in Applied Science, Associate If you need help with classwork, OCC Studying online gives you flexibility yourfor‘18-‘19 occupational exposure. We must not assume that the contactFile us today your freeFAFSA consultation. Recovery due to Medicaid requirements. There are other areas to examine which may better suit your as federal Pell Grants and New Jersey Tuition Assistance Grants. The Community College in Arts, or Associate in Science degree. negative health impact for injured workers and Online offers Smarthinking, a tutoring service your case immediately as there are important deadlines to person making the claim “trying to grant”; milk information. the system.”the amount of all state, federal, Complete your HESAA Profile around your Choose a their major incontact American Sign Language, situation. Please us for further Opportunity Grant is ais “last‐dollar therefore, that is available 24 hours a day! Plus, a 24/7 maintain financial stability. which you must work/life you must adhere.schedule. business, computer science/information Go to college for FREE Desk for technical support assists you to Ocean County College offers a variety of engaging, institutional, and community aid from received by theHelp student be applied to “10 the Best tuition Kathleen Dotoli received recognition the American Instituteshall of Legal Counsel for Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016 and 2017 technology, criminal justice, digital massto in your online studies. Chat and email professionally-relevant online degrees and classes. Courses can and approved educational fee charges reduce succeed the amount of the Community College TESTIMONIAL For visit: go.ocean.edu/free media, engineering, environmental science, support are also available. be taken ondetails, an individual course-by- course basis – or you can Opportunity Grant award. “Thank the bottom of studies, our hearts for everything you have done for us during this tragic fine arts,you gamefrom development, global earn your associate’s degree (or a certificate) completely online! 732.255.0481 For thesecurity, Spring journalism, 2019 Community College Opportunity Grant award, all students – new homeland liberal arts, time. We will be forever grateful.” Take charge of yourforeducation … and returning – mustarts, complete and file the FAFSA (Free Application Federal Student paralegal, performing psychosocial getting started is easy! Speak with Interested in Getting Started? Aid)aornote NewtoJersey Alternative Financial Aidfor Application February 15, 2019, inhelp orderand sensitive care. rehabilitation, public service, technical studies, “Just thank you ever so much your ablebyassistance, gracious an Enrollment Specialist today – call admission), occupational to apply(selective formuch all other available forms of federal and statetask needs-based and merit Email us at occadmissions@ocean.edu Itnursing meant so and helped to make a difficult easy.” grants 2960, or email to therapy assistant, visual communications, web all732-255-0400, or call us at 732.255.0400 ext. 2960 scholarships. This includes students satisfying requirements toext. determine eligibility Community College Opportunity Grant is available for eligible students enrolled in the county college that serves the student’s For state marketing, and hospitality, and grantsoccadmissions@ocean.edu. receive payments of these recreation state and federal and scholarships within established county of residence • To apply for Community College Opportunity Grant students must complete the FAFSA or NJ Alternative information completing your or prearrangement Financial Aid Application by February 15, 2019. •Students must have already earned their high school diploma or GED. tourism management. If you would like additional information on theonservices we offer www.ocean.edu deadlines. •Students must be enrolled in at least 6 credits. •The Adjusted Gross Income (AGI) requirements are no less than $0 to no If youoptions, prefer, complete a certificate associate degree online at Ocean more than $45,000. •Community College Opportunity Grant awards are “last-dollar” scholarships. The amount of an individual please do not hesitate to contact our dedicated staff at 732-657-7868 For more information, 732.255.0481, student’s award shall be the students remaining balance of Spring 2019 semester tuition and educational fees, after applying in accounting, addictions counseling, email HUB@ocean.edu, County College, visit www.ocean.edu. or you may visit our website at www.degrafffuneralhome.com. any other federal, state, or institutional aid which the student receives.
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Health & Wellness Health & Wellness The County Woman Magazine
Health & Wellness www.TheCountyWoman.com
March/April 2018
Protect Your Family – Eliminate Lice Now! Rebecca Kolas, Woman Owned and Operated
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www.TheCountyWoman.com Magazine The www.TheCountyWoman.com The County County Woman Woman Magazine Magazine
November/December September/October January/February 2019 March/April May/June 2018 2018
Wigs & Hair Replacement
50
Give Your Scalp What It Needs IS YOUR SCALP HEALTHY? Scalp conditions are a common occurrence and symptoms can be some cases hair thinning and hair loss. It is possible to stabilize or delay hair thinning or hair loss in the same way that scalp conditions can be controlled or checked. It is essential to start targeted treatment as soon as problems arise.
WHAT IS HEAD FIRST? assessment, including an analysis of your scalp using a sophisticated microcamera and a unique software. A Head First hair and scalp specialist will then be able to elaborate a treatment plan to meet your needs. Your plan could include in-salon treatments, home care products and laser therapy. Act now and book an appointment for a private consultation with one of our trichology hair and scalp specialists.
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January/February 2019
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Health Wellness Health &Wellness Health &&Wellness Health &Wellness
51 53 55
It’sCough That Time Year Season Again…Should You GetYou A Flu Shot? AndOfCold Is Here—Are Ready?
What You Need To Know
Believe it or not, cough and cold season is upon us. Our nights are becoming very cold and children have been back in school for end sniffles of December and early March.work, You can are at higherdreads. risk of developing fromwith the The flu issix a respiratory infection that’siscaused by about months now. This the season everyone It seemscomplications we see people everywhere—at atprobably the mall get the vaccine starting in September. It’s best to do it the flu. This includes people who are 65 and older and manyand different viruses. Up to one in five people get the even at home. Now is the time to take some steps that will reduce your risk of catching a cold 1 as early as possible so you can head off any infections flu inand the stock U.S. each year. It comes on suddenly, causes pregnant women. Also, people with certain chronic up on things that will help with the symptoms when the inevitable happens.
“at the pass.” Getting the flu shot early gives your body worse symptoms than the cold and can be serious for medical conditions, such as asthma or heart disease, You can reduce your risk of catching a cold or flu. some people. As you know, last year, a new strain of flu would take priority. In addition, it is also important for time to build up immunity. This means it will protect Jersey Shore hints: you better against the flu.5 these people to Pharmacy was Here thrown are into some the mix.helpful Called swine flu at first, then those coming into close contact with H1N1, it caused symptoms similar to regular flu, such get vaccinated early.3 If you haven’t gotten the vaccine by December or is an independently 2 WASHaches, YOUR HANDS FREQUENTLY: This Now, will help stoppregnant, the as fever, cough, chills and fatigue. if you’re you may wonder if it is so, or if it hasn’t been available for some reason, still owned and operated spread Everything touch potentially cold germs Did youof getgerms. a flu shot last year? Ifyou you’re someone safehas to get a flu shot.on Theit— short answer is, yes. However, go ahead and get it when you can. Remember that the service who’sdoorknobs, always thought flu shotspens, are just forpads, your etc. Also,this is not truesanitizer if you have a severefull allergy to eggs. pharmacy. nasal mist vaccine is only for healthy, non-pregnant handrails, PIN keep hand easily 5 grandparents, think again. For the 2017-18 flu season, That’s because the ingredients for flu shots are grown accessible—keep it in your car and your desk at work. Our pharmacistspeople andwho are between 2 and 49 years old. If you do develop cough and cold symptoms, stop the Centers for Disease Control and Prevention (CDC) inside eggs. Also, you should not get a vaccine if you REDUCE STRESS: Whenever a big day is coming up, or a deadline here to see us. We can help you select the best over the now recommends that almost everyone get a flu shot. have had a severe reaction to a flutechnicians shot in the past. are in have been rushingand to meet, you are more likely to become sick. Relax, Thatyou is, everyone six months older. These changes If you’re pregnant, request the flu to shot,answer not the nasal your counter medications to help put you on the road to your health is more important. Also, try to get at least eight hours of sleep will simplify guidelines that have been confusing spray vaccine. It is made from an inactivated virus. This recovery. For more information, call 609-660-1111 or questions. Stop by per night. to many people. You should know that the new flu makes it safe for you and your baby during pregnancy. visit www.jerseyshore.pharmacy. and see what a pharmacy vaccine will include the H1N1 Avoid to as getmuch pregnant weeks after a EAT WELL: Certainstrain. foods combat colds. Try to trying include of for four 4 Any shortage inas vaccine supplies this diet: seasonbroccoli, may vaccination with a nasal spray vaccine. experience should be! the following possible in your cauliflower, garlic, onions, So, when should you get a flu vaccine? Now is a slightly alter a plan to vaccinate everyone at once, citrus fruits, and whole grains. Some evidence also exists supporting using however. In that case, the CDC may prioritize vaccines good time to start thinking about it. Flu season runs vitamin C and Echinacea to boost your immune system. There are many cough and cold medications on the market that can from November to April. Most cases hit between the as it has in the past. It would first target people who DRINK PLENTY OF WATER: Drinking plenty of water helps flush help with your cold or cough symptoms. Decongestants in a pill form or a nasal spray can help with a stuffy nose. Antihistamines can help with germs out of If your Water also helps keep your mucous membranes youbody. do develop cough and cold symptoms, stop in to see us. itchy, watery eyes. Cough suppressants help control a nagging cough. moist, allowing trapselect the virus of it. We canthem helptoyou the and bestdispose over the counter medications to help Cough drops or throat lozenges help with a sore throat. Tylenol or Motrin put you on Try the to road to recovery. more BREATHE FRESH AIR: breathe as muchFor fresh air asinformation, possible. callcan help any body aches or fever. Before taking any medications, please 609-660-1111 www.JerseyShorePharmacyBarnegat.com. Recycled, contaminated air or canvisit make you sick! Get outside as much as consult with your pharmacist or doctor to be sure the medication you are possible. Cold air will not give you a cold! buying doesn’t aggravate any existing medical conditions or interact with COUPON: For the most part, everyone catches some degree of a cold at least once any current medication you are taking. THIS IS VERY IMPORTANT. OFF Validcoming for Over-the-Counter Items Only. Many over-the-counter cough and cold medications can cause adverse a year. Once you feel20% the symptoms on, then what? For starters, Expires be combined other Expires 12/31/2017 effects. Don’t be afraid to ask us, that is what we are here for. continue theCannot above tips. Also, coverwith your any mouth and offers. nose when you 12/31/18. sneeze or cough (no one else wants your germs). And most importantly— Once you have determined which medications are safe, keep some at Sources 1. MedlinePlus. “Flu.” http://www.nlm.nih.gov/ medlineplus/flu.html CONTINUE TO WASH YOUR HANDS FREQUENTLY. home so that you are prepared when that cold comes along. 2. 3. 4. 5.
MedlinePlus. “H1N1 Flu (Swine Flu).” http://www.nlm. nih.gov/medlineplus/h1n1fluswineflu.html Health Day. “Virtually Everyone Should Get a Flu Shot: CDC”http://www.nlm.nih.gov/medlineplus/news/ fullstory_95735.html MayoClinic. “Seasonal flu shot in pregnancy: Is it safe?” http://www.mayoclinic.com/print/influenza/AN00651/ METHOD=print Nemours Foundation. “Is the Flu Vaccine a Good Idea for Your Family?” http://kidshealth.org/parent/general/ body/flu_vaccine.html
Formore moreinformation, information, 609-660-1111 visit www.jerseyshore.pharmacy For call call 609-660-1111 or visit or www.JerseyShorePharmacyBarnegat.com.
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January/February 2017 2019 November/December January/February 2018 November/December 2018
Pet Services
52
Anne’s Wagon 70
Written by Matt Reeves
Pets
“Unconditional Love” Like most little girls, Laurie Zaleski’s mother, Anne, was, and still is, one of the most important influences in Laurie’s life.
One of the best places in theloved world to She learn the meaning Anne animals! would do anything for of had little to her name with 4 kids “unconditional love” isthem. the Although Funnyshe Farm Rescue & Sanctuary in to raise as a single mother without any assistance, she Fast-forward to 2018, almost 40 years later. Today, Laurie has built one of the largest Mays Landing, NJ.
knew the animals had even less. They had absolutely and most successful animal rescues in the country. It’s called the Funny Farm Rescue & nothing and she knew they could not care for If you’ve ever had a pet, you have a pretty good idea how much they love you and getSanctuary, located in Mays Landing, NJ. She didn’t do it alone. Laurie knew from her excited when you come home andthemselves. how sad they are when you leave. Those are the lucky ones. mother that she needed help. Not all animals are so lucky to have someone love them. Anne volunteered with animal control to give a Today, the Funny Farm Rescue has over 100 volunteers. She knew each person has The animals at the Funny Farm Rescue exceptions. They have thousands chance at lifearetothe animals that had no hope. She nursed unique talents and brings so much to benefit the animals in need. There are now over 550 of people each year who come to visit andanimals give them the lovethe they need. Most animals injured throughout long hours of the night animals living at the rescue, many with special needs. come to the farm from very difficult situations. Many were disabled, abused, injured, or and loved them with all of her heart. She did all she Anne passed away shortly before her daughter’s Funny Farm “shack” was purchased, unwanted. Some people simply didn’t make arrangements for their pets after they were could do for them. gone and the animals had nowhere to go. How scary that must be for these sweet animals nearly 19 years ago. Today, Anne watches over that same shack, which today is one of the thatLittle along with her brothers most beautiful places you ever saw! gaveLaurie, their owners so much love. and sisters, would watch her mother day and night.One She quickly her special andwhite helped whenever she aneeded examplebecame is a nameless littleassistant black and baby goat with brokenher. leg. At less When Anne passed away, Laurie buried her in her front yard, and on the hayride says, Laurie her old, mother’s tears and felt how her of mother loved those animals. than a saw month he was injured and wasmuch in a lot pain. truly His future was dark. Through a“…her ashes, not her body, because that would be illegal, and you too can have your ashes series of saw miracles, Laurie Founder the Funny Farm Rescue, She also firsthand the Zaleski, joys that the those animalsofbrought to her mother’s lifefound – howout theyaboutburied at the Funny Farm for a small donation” – to the roar of the crowds! this little situation and didn’t any about time rescuing took awaygoat’s her pain and almost made waste her forget her own him. problems. It was magical. Laurie says, “I first planted a tree over my mother’s ashes but the goats ate it, so I We made custom splint to stabilize his leg because hetocouldn’t stand it atday all. Heplanted another tree, and the goats ate that too, so I gave her a wagon!” What Laurieadidn’t know is that her mother’s heart helped form her own.onEach needed food and water brought to his mouth while he lay in a new warm bed made just for brought new challenges and new beginnings and sometimes sadness. Mostly, it brought him. Farley the Farm Manager, a 1-year-old Australian Shepard, took him under his wing Anne’s memorial wagon is a perfect iconic symbol of the Funny Farm, being seen and them together help one attention. of the strongest mother/daughter bonds that has ever enjoyed by thousands of people. It sets the tone for what the Funny Farm is all about: and gave him to a lot of form love and been known. The little goat was black and white and looked so much like a cow that he earned thekindness to others and real love. You cannot come to the Funny Farm and leave the same name Anne taught her 4 kids regret things didn’t do, not the things you did do. “Cowboy.” Over thetonext fewthe days, andyou visits to many veterinarians, Zaleski took person. There’s just something about it that changes you and makes you look at life a little to himthis to meant the University best equipment. Several What to LaurieofisPennsylvania, to try, becausewhere if you they don’thad try, the who’s going to? This set a differently. It makes you appreciate all that you have in just a little different way than you thousands of dollars were spent to tried save his from nerve damage and theme for Laurie’s entire life. Eachtrying day she andleg tried. Shepossible was determined. Laurie did before. Just a little caring for others can and does change the world. The Funny Farm amputation. had little experience and each challenge she faced required a ton of research. Laurie took today is proof. in the house so he be of cared for properly and received much classesHe andlived studied how to care for could all kinds animals. If something didn’t work one way, socialization with other animals and people. And because of this interaction, he has no idea he’s a goat, she’d try another way.
ts
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y in
get y ones.
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ess ha out
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he thinks he’s a dog! Seven months later, not only has Cowboy’s leg healed, he has captured the hearts of people all over the globe!! He makes everyone laugh and gets into everything! He is now known as the “Donations Inspector.” When visitors come and donate food for the animals, they barely have time to get out of their cars when they discover Cowboy is already inside their car! dea he’s a goat, He has a wonderful, lovable, sweet personality and will stop at nothing to make you laugh and has f people all over “Donations an unlimited supply of kisses! Everyone is his friend! Somehow he knows what was done for him and he to get out of appreciates his life now. ou laugh and has The unconditional love that comes from an animal is astounding, but the unconditional love that comes from an animal that e for him and he tional love that comeswas from anonce animal thatin distress is nothing short of miraculous! Nearly 400 of these animals at the Funny Farm Rescue & Sanctuary are waiting unny Farm Rescue & Sanctuary are waiting iends is very difficult.to meet you and your family!! Coming to the Farm is easy but leaving your new furry friends is very difficult. ect it, in nearly all cases, All life is precious. If there is something we can do as humans to preserve and protect it, in nearly all cases, the unconditional love you receive in return is something you will simply never forget.
the
ailroad Blvd., Mays Landing, NJ 08330. itions. Come see us! www.funnyfarmrescue.org : funnyfarmrobin@gmail.com
Follow us on Facebook: “Funny Farm Rescue”
Photos by Matt Reeves and Laurie Zaleski
Follow us on Facebook:
“Funny Farm Rescue” TheThe Funny Farm Farm Rescue Rescue is open Sundays andSundays Tuesdays from at 6908 Blvd., at Mays Landing, NJ 08330. Funny is open and8am-4pm Tuesdays fromRailroad 8am-4pm 6908 Railroad Blvd., Mays Landing, NJ 08330. to: Funny Farm Rescue • 6908 RailRoad Blvd., Mays Landing, NJ 08330. There isis no as weasoperate entirely byentirely donationsby anddonations we don’t haveand any paid positions. Comeany seepaid us! www.funnyfarmrescue.org There noadmission admission we operate we don’t have positions. Come see us!Follow www.funnyfarmrescue.org ________________________________________ us on Facebook: Gift Amount: ________________________________________ For information on scheduling your next event, please contact Robin at: funnyfarmrobin@gmail.com For information on scheduling your next event, please contact Robin at: funnyfarmrobin@gmail.com “Funny Farm Rescue” _ Zip:___________________________________ _____________
________________________________________ r generous donation!
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.
ntyWoman.com
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Name: _________________________________________________________________________________________________ Address: ________________________________________________________________________________________________
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Phone: Email: ___________________________________________________________________________________________ Thank you, in advance, for your generous donation! The www.TheCountyWoman.com TheCounty CountyWoman WomanMagazine Magazine www.TheCountyWoman.com
March/April 2019 2017 January/February
Theatre & Entertainment CAPE MAY STAGE
53
2019 SEASON
May 22-Jun 21 HEISENBERG
JUN 26-AUG 2 SYLVIA
WED-SAT | 8:00 PM SAT & SUN | 3:00 PM
TUES-SUN | 8:00 PM
AUG 7-SEP 20 SIDEKICKED
SEP 25-NOV 1 THE TAMING
BY SIMON STEPHENS
BY KIM POWERS TUES-SUN | 8:00 PM
BY A.R. GURNEY
BY LAUREN GUNDERSON WED-SAT| 7:30 PM SUN | 3:00 PM
NOV 6-DEC 29 MURDER FOR TWO: THE HOLDAY EDITION BOOK & MUSIC BY JOE KINOSIAN BOOK & LYRICS BY KELLEN BLAIR THUR-SAT | 7:30 PM SUN | 3:00 PM
Packages & Memberships for the 2019 are now for Sale! Receive discounts off of regular ticket prices. Complimentary Exchanges - change dates with no fees. Choose your seats all at once or on a show-by-show basis.
These one night only events feature stellar talent from Broadway & Beyond Steve Ross July 8th 8 PM Lucie Arnaz July 15th Carole Bufford August 12th Will & Anthony Nunziata November 30th
capemaystage.org The Robert Shackleton Playhouse 609-770-8311 405 Lafayette Street, Cape May
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January/February 2019
54
Medical Professionals
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January/February 2019
Community
55
♥
10 Ways To Love Start now. It’s never too late or too early to incorporate healthy habits.
BREAK A SWEAT. Engage in regular cardiovascular exercise that elevates heart rate and increases blood flow. Studies have found that physical activity reduces risk of cognitive decline.
Your Brain
Growing evidence indicates that people can reduce their risk of cognitive decline by adopting key lifestyle habits. When possible, combine these habits to achieve maximum benefit for the brain and body.
HIT THE BOOKS. Formal education will help reduce risk of cognitive decline and dementia. Take a class at a local college, community center or online
BUTT OUT. Smoking increases risk of cognitive decline.
Quitting smoking can reduce risk to levels comparable to those who have not smoked.
FOLLOW YOUR HEART. Risk factors for cardiovascular disease and stroke — obesity, high blood pressure and diabetes — negatively impact your cognitive health.
Visit alz.org/nj or call (973) 437-3931 to learn more. 24/7 Helpline, (800) 272-3900. Alzheimer’s Association Greater New Jersey Chapter 23 Vreeland Road, Suite 105, Florham Park, NJ 07932
HEADS UP! Brain injury can raise risk of
cognitive decline and dementia. Wear a seat belt and use a helmet when playing contact sports or riding a bike.
FUEL UP RIGHT. Eat a balanced diet that is higher in vegetables and fruit to help reduce the risk of cognitive decline.
CATCH SOME ZZZ’s. Not getting enough
sleep may result in problems with memory and thinking.
TAKE CARE OF YOUR MENTAL HEALTH. Some
studies link depression with cognitive decline, so seek treatment if you have depression, anxiety or stress.
BUDDY UP. Staying socially engaged may support brain health. Find ways to be part of your local community or share activities with friends and family.
STUMP YOURSELF. Challenge your mind. Build a piece of furniture. Play games of strategy, like bridge.
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January/February 2019
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Business & Finance
Men’s Clothes
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January/February 2019
Community
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What’s Your Superpower? Mine is being a CASA. Children in foster care need you to be their voice. CASA of Ocean County needs everyday people like you to be volunteer advocates for the hundreds of Ocean County children in foster care.
Are you ready to be a superhero?
As a volunteer advocate, you will be a real-life superhero as you advocate on behalf of a foster child.
No child should ever feel that they are alone and without a voice.
CASA volunteers provide these children with a consistent and steady presence as they navigate through the confusing and often tumultuous time in foster care. Visit us at www.CASAofOceanCounty.org to sign up now!
Join us on Saturday, March 30, 2019 for
CASA Go Bragh! Celebrate the Season with an Afternoon of Lunch, Music & Auction at P.J. Sweeney’s CASA of Ocean County · 1035 Hooper Avenue, Suite 3 · Toms River, NJ 08753 · Tel. 732.797.0590 · www.CASAofOceanCounty.org
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January/February 2019
Women Of Ocean County
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Fatima Asghar, MD,
Hypertension and Kidney Group of OC
Fatima Asghar is a board-certified nephrologist and internist who has practiced in the Ocean County area for 25 years. Dr. Asghar was born and raised in Karachi, Pakistan, and always had a passion for medicine. She graduated from Sind Medical College, placing in the upper 5 of her graduating class. Fatima completed her residency in internal medicine at Raritan Bay Medical Center, followed by a fellowship in nephrology at Robert Wood Johnson University Hospital. In addition to being co-founder and partner at the Hypertension Kidney Practice, she is a member of the American Society of Nephrology, the National Kidney Foundation, and the New Jersey Medical Society. She has annually volunteered medical treatment in underprivileged countries as part of the Imamia Medics International Organization. Dr. Fatima is a sponsor for children in various countries overseas, covering education costs. She resides in Colts Neck with her husband, son, and two daughters. In her free time, she loves to exercise and travel to different locales, becoming familiar with many cultures and nationalities. For more Information, please call (732) 341-2211.
Teresa Menadier, MD,
Gastroenterologists of Ocean County
Doctor Teresa Menadier recently joined Gastroenterologists of Ocean County after completing her Gastroenterology fellowship at the University of Virginia. She is a graduate of Tufts University. She obtained her medical degree from Rutgers-New Jersey Medical School in 2012 where she was elected President of the NJMS chapter of the Alpha Omega Alpha Honors Society. Dr. Menadier went on to complete her Internal Medicine residency at the University of Pennsylvania. Sponsored by the ANMS Clinical training program in GI Motility and Neurogastroenterology in October 2017, Dr. Menadier received specialized training in high resolution esophageal and anorectal manometry and pH/ impedance interpretation under the supervision of Dr. Henry P. Parkman at Temple University. Her clinical interests include esophageal and anorectal motility disorders, as well as liver diseases. Doctor Menadier loves spending time with her husband Todd and their young daughter, baking, dancing and listening to flamenco guitar. For more information, call 732-349-4422 or visit www.GastroOfOcean.com.
Photo by Tracy Harman Photography
Photo by Tracy Harman Photography
Melanie Appleby, Esq.,
Rhoda Kopy, BS, CH,
Born and raised in Monmouth County, Ms. Szuba-Appleby has resided in Ocean County for over 30 years. A graduate of Rutgers University, she holds a B.A. in biochemistry and biology, and a J.D. from Rutgers Law. Ms. SzubaAppleby has used her law degree in public service, having served as Municipal Attorney for many municipalities, Councilwoman-at-Large in Toms River and as a Superior Court Judge in Ocean County. Ms. Szuba-Appleby returned to private practice at Carluccio, Leone, Dimon, Doyle and Sacks, LLC, where she specializes in Land Use and Zoning and Real Estate matters. Melanie is a member/lecturer for the New Jersey Planning Officials, the organization which provides mandated training to newly appointed Land Use Board officials. She is an active member of Kiwanis, and volunteers as a mediator for Special Civil Part Court in Ocean County. Melanie is also actively involved with an interfaith group which seeks to find a solution for housing for the homeless in Ocean County. Her son, Matthew, is a lawyer and her daughter, Jaclyn, is the administrator for a long-term care health facility. Ms. Szuba-Appleby may be reached at (732) 797-1600 or at Mappleby@cldds.com.
As a hypnosis practitioner and wellness coach with specialty certification in Medical and Dental Hypnotism, Rhoda Kopy helps people break free of limiting habits, fears, and beliefs. She is celebrating her 14th anniversary as a Nationally Certified Consulting Hypnotist. Her private practice, Hypnosis for Women, in Toms River, serves primarily women, teens, and children, throughout the tri-state area. After earning a B.S. in Biomedical Communications, she worked for various organizations providing community health education and counseling services. She later segued into career services and founded A Hire Image, which offered motivational coaching, marketing, and training. As a result of success she achieved using hypnosis to improve her life, she completed an advanced training program and later opened her private practice. Rhoda co-founded Jersey Shore Hypnosis Practitioners, a peer support and networking group, and is a member of professional hypnosis organizations. Born in Bayonne and raised in North Plainfield, she has lived in Toms River for most of her life. She enjoys coordinating Bookie Babes, attempting to draw, watching meteor showers, traveling with her husband, and playing with friends and family. She has a daughter, two grandsons, and an adopted goofy shih-tzu. Rhoda can help you determine if hypnosis and coaching are appropriate for you. Call her at 732-270-0080 and visit www.HypnoForWomen.com.
Carluccio, Leone, Dimon, Doyle and Sacks, LLC
Nationally Certified Consulting Hypnotist & Wellness Coach, Hypnosis for Women
Photo by Tracy Harman Photography
The County Woman Magazine www.TheCountyWoman.com
Photo by Tracy Harman Photography
January/February 2019
Women Of Ocean County Terran Endresen, CPA, CGMA, La Vie Est Belle Terran is an avid equestrian, owning, instructing, training and showing horses most of her life. She operated her own riding academy in New York before relocating to Matawan in 1998. Terran currently keeps her horses and a select group of riding students at Harleys & Horses in Howell, New Jersey. Terran attributes the years of training and competing horses as the catalyst for her newest endeavor, La Vie Est Belle. Named after her mare, Bella, La Vie Est Belle roughly translates to a Beautiful Life, a personal mantra for Terran. Terran’s skin was witness to the effects of sun damage and environmental aggressors, like extreme cold and blustery winds, from years of being outside, working with her horses and students. After researching several skincare and dermatological companies, Terran partnered with the #1 skincare brand in North America to use and share their clinically proved skincare products. Terran and her husband, Eddie, reside in Matawan with their daughter, Hallie, who is studying fashion business management in NYC; her mom, Terry; their Saint Bernoodle, MOOSE, and Frosty, a chinchilla. An outdoorsy family, they enjoy their family time with their horses, boating, fishing, hiking and vacationing in the Adirondacks. Aside from owning La Vie Est Belle and being an entrepreneur in her skincare business, Terran is a Certified Public Accountant and holds a Chartered Global Management Accountant Certification. She is a magna cum laude graduate from Monmouth University, earning a bachelor’s degree in Business Management with an Accounting Concentration. After several years in public accounting, Terran has been and is currently financial controller for a large stone veneer distributor located in Millstone, New Jersey, for the past ten years. Terran also owns and manages her family’s fishing charter business, HALLIE LOREN SPORTFISHING, based out of Keyport. Learn more about Terran and La Vie Est Belle by visiting www.tendresen.myrandf.com, email barrbella923@gmail.com, or call 732-742-8963.
Cara Parliament
59
All-Care Physical Therapy
Cara Parliament attended undergraduate schooling at Stockton College, where she earned a Bachelor’s of Science, and also attended Stockton for graduate school where she earned her Doctorate of Physical Therapy. She completed clinical rotations at the Whiting All-Care office, Regional Day School in Jackson, and Bacharach Rehabilitation Center in Pomona, New Jersey. Through these clinical affiliations, she gained experience with a variety of patient populations, including orthopedic and neurological conditions, pediatric cases including genetic disorders, behavioral conditions, and a variety of neurological cases, and patients with cardiopulmonary conditions. Cara started her professional career with All-Care in the fall of 2016, working in the Toms River location. She was recently relocated to the Forked River facility to take an additional management position as well as continue treating patients. She is an avid learner and strives to be as knowledgeable as possible to be able to provide the best possible care for her patients, attending various continuing education courses throughout the year. She has received certifications in the LSVT-BIG program, allowing her to treat patients with Parkinson’s disease, as well as STMT-1 certified, enhancing her soft tissue mobilization skills. In each of her sessions, Cara provides a patient-specific program and diligently works with her patients to improve their functional abilities and achieve their goals to optimize their independence and overall quality of life. Cara enjoys spending time with family as well as her dog Cooper. She loves spending time at the beach and fishing, and has a passion for sports and working out. To make an appointment with All-Care Physical Therapy, call (888)974- 0986. Photo by Tracy Harman Photography
Jessica L Conrad, M.A., B.A., C.P.C.
Certified Professional Coach
Jessica was born in Passaic, NJ and moved to Toms River when she was 11 years old. She received her Bachelors in Psychology and Masters in Holistic Health Studies from Georgian Court University. She then went on to become a Certified Life Coach. She is the owner of Awakenings Holistic Learning and Wellness Center in Monmouth Beach where she practices as a Life Coach for Women with Infertility Issues. Jessica was diagnosed with Stage IV Endometriosis when she was 24. She has had multiple surgeries for it. She had been told by numerous doctors almost her entire adult life that she would not be able to conceive. But with hard work and faith, she was able to conceive at the age of 34 and give birth to a beautiful boy. Her sole mission now is to support women through the silent and sometimes painful struggle of infertility in order to help them find Hope and Healing. Jessica currently lives with her husband, son, 2 dogs, and 4 chickens. She enjoys being outdoors, the ocean, and gardening. For more information or to book a Complementary Session call 888-934-5264 or visit jessicalconrad.com.
Angela L. Kurzyna, Psy.D., BCB, Hackensack Meridian Integrative Health and Medicine
Angela L. Kurzyna, Psy.D., BCB, is a health psychologist at Hackensack Meridian Integrative Health and Medicine. She has a passion for implementing mind-body approaches to wellness and advancing the field of integrative health. Dr. Kurzyna has over eight years of experience working with people with chronic medical conditions and fifteen years of experience as a therapist. She earned her master’s degree in Counseling Services from Rider University and completed her doctoral training in Clinical Psychology at Philadelphia College of Osteopathic Medicine. Dr. Kurzyna is board certified in general biofeedback, a means of self-regulation helpful in managing stress, anxiety, and certain forms of chronic pain. She has completed a formal practicum training in mindfulness-based stress reduction and is currently working toward completing her certification in clinical hypnosis. In addition to her clinical work, Dr. Kurzyna developed wellness and burnout prevention programs for nurses, physicians and other healthcare providers. She also teaches a graduatelevel course on mind-body health, provides biofeedback mentoring and has presented on biofeedback, stress management, and coping skills for chronic medical conditions to the community and several nonprofit organizations. To make an appointment, call 732-263-7999.
Photo by Annette Jenkins Photography
The County Woman Magazine www.TheCountyWoman.com
Photo by Annette Jenkins Photography
January/February 2019
Community
60
ST. FRANCIS COUNSELING SERVICE WISHES YOU A HAPPY AND HEALTHY NEW YEAR!
COUNSELING
Find new ways to look at problems Find new ways to behave Find new support system Learn new information Find new sources of help
Sexual Abuse and Assault Prevention Program offers violence prevention presentations to the community at no cost.
Call us today (609) 494-1554 This ad is partially supported with grant funding from the state of New Jersey via the sexual assault, abuse, and rape care state allocation administered by Department of Children and Families, Division on Women and by the Centers for Disease Control and prevention grant funds, administered by the Department of Children and Families, Division on Women
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January/February 2019
Community
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OCEAN COUNTY LIBRARY Visit www.theoceancountylibrary.org for information about other great programs and library resources.
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January/February 2019
Travel
0
Travel TSTARRING ravel AMILY VACATIONS ROMANCE TRAVEL THE “KIDS”
55 Travel ravel 63 “Create Lasting Memories” An Extraordinary Experience River Cruising: “Create Lasting Memories” LOCATION, LOCATION, VACATION Taking With A Packing Primer More fun, more memories! PartIt of raising a family You: is making memories that
56 62
will cherish Whether you’re dreaming of a romantic escape or celebrating an anniversary or wedding, your children forever. A family vacation is part of those memories. opportunities a travel expert can create a carefully tailored itinerary to suit your desires. Discover a tropical Today’s to travel as a family arebooked as wideyour open as your imaginaYou’ve
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Everyone loves Rome, and cruises have been operating for decades. ravel Professional andand you’re 00 We have some suggested kid’s 70 focused resorts destinations with to T everyone wants be there. T ravel ready to pack your Six Hawaiian Islands , each with its own personality, special activities andhave amenities thatgame the entire family will enjoy: Cruise lines upped their with expanded suitcase. surrounded by blue waters, and where happiness is a way of life. Top choices amenities and intriguing itineraries to places ocean-going TSTARRING ravel 56 FAMILY VACATIONS THE “KIDS” are Kauai, Maui, and Big Island. ROMANCE TRAVEL BLUFF, ANTIGUA vessels can’t reach. ✿ RiverCURTAIN cruises are luring experienced What do you take 55 ravel 63 Travel Must-Dos, Done Right: ocean cruisers off the mega-ships andyou? onto intimate with If Memories” you’re cruising in the Caribbean “Create Lasting riverboats with focus on current themes. An attractions Extraordinary Experience River Cruising: “Create Lasting Certain iconic to be seen, and Taking ItMemories” With You: AneedPacking Primer Greece, think Santorini or Mykonos with small fishing iver cruising may be the hottest cruising
paradise and surround yourself with remarkable sunsets, fine dining, and world class accommodations. tion. From warm beaches to excitinglong adventures, destination offers a new awaitedevery vacation trend around in 2017 -even though river A sample of some withRomantic your Traveldestinations will let you dream of your next escape. experience.
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April’s • Whatever you can purchase on board or at the tion.carry-on warm to exciting adventures, every destination offers a new long awaited vacation and other airlines let you board first if you have no bags.beaches So was what created to be the ultimate get trend around in 2017 -even though river when to destinations go and howwill let you dream of your next escape. tulips to December’s Christmas Markets, hundreds Aofsampleknowing ofports some with your Travel or Romantic resorts. experience. are the essentials to pack? cruises have been operating for beaches decades. together getaway, where everything is Included and unlimited. The protected white sand and barges glide along Europe’s historic rivers Professional and you’re there. 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Top choices experience of your vacation, NOT (for certified divers). waterways, connecting North Sea to Blackamenities Sea. 7:30 am) to see the Sistine and intriguing itineraries toCruise places River Line Now the big ocean-going question is: Themes: are Kauai, Maui, and Big Island. the things you forgot to pack.andANTIGUA CURTAIN BLUFF, feels both country-club and cozy at the same can’t reach. ✿ River cruises aregives luring experienced are about Amazing waterparks with body slides, lazy rivers surf ForBEACHES a week inresorts the River Caribbean: Chapel you access What doRiver you take A Europe Cruisechildren. is one of the bestvessels ways we • Viking Cruises, through partnership with *Remember, your Vagabond* ocean cruisers off the mega-ships andyou? onto intimate time. This charming resort with an Alain Ducasse-trained chef for wonderful dining has Ocean views with simulator are a favorite of the kids. The Caribbean Adventure with Sesame Street and the XBOX play If you’re cruising in the Caribbean • 2 swimsuits the crowds. know to explore inland Europe, visiting cities, towns PBS “Downton Abby” offers Viking cruise guests Virtuoso Travel Professional can diving riverboats withand focus onbefore current themes. from every room, Watersports waterskiing, a game room and Ceebee Kids With so many new including fees and where in a private chapel in Florence’s coun• Add aand fewprovide more teegreat shirts and another pairthe of shorts Greece , think Santorini or Mykonos with small fishing (put 1 in your carry-on so you can go right to the beach) lounges are so popular with children and families. 19 Specialty restaurants and children’s dining areas choices. villages that traditional big ships usually can’t access. • The Colosseum top floor opened to the public last 3 days in England Countryside, and special tour assist you in planning a vacation restrictions the airlines have The beach beautiful leading to a• turquoise Caribbean Sea.poncho, and zippered plastic bags The river cruisingClub. destinations, like isa 12-day Bordeaux Lightweight sweater, rain tryside you can renew your vows and have a candlelit Dinner over the Arno River. 2 cover-ups imposed baggage, haveDanube, tovillages, stunning beaches, accentuated by whitewashed buildings. consider leaving your entire closet It•will be a great family vacation memory. with the most value andthe added year for firstfor time inyou 40 years. Smaller groups of 25 or for wet suits. ofoffer the famous house. River cruise, orwill 7-day cruise guests local home from on.without Some airlines are charging for carry-on bagsApril’s now, (1 with sleeves for evenings diningprivate on the atbeach &are 1now Pareo) experience theEarly long rides. From touches tobus make your a Whatever you forget you can • purchase on board or at the •tour Avalon Waterways tours booking is aexperience must. and other airlines available. let you board first if you have noCAICOS carry-on bags. So was what“Austrian ✿ BEACHES, TURKS & created to beHighlights” the ultimate getfrom tulips to December’s Christmas Markets, hundreds of ports or resorts. memorable one. • Yoga pants and 2 tank tops are the essentials to pack? to Munich highlighting a Beer theme. •ships Thetogether biggest crowds are at Trevi Fountain (bring getaway, where everything isVienna Included and unlimited. TheAprotected white sand and barges glide along Europe’s historic rivers were with families in mind. A deluxe Ocean view few during years from now whatbeaches , the “Jewel of the Atlantic,” Our dedication tofamily our clients before, and after every vacation Here built isriverboats a packing primer from Carole Kaiman, Travel Professional that Barbados , with beautiful beaches and great • 2 shorts and 2 tees (rated theand best in Best thewhich Caribbean by• Travel & miles Leisure) exciting watersports and unlimited scuba diving Tauck offers family river cruises with its a few pennies). way in is a hired golf cart to the youExamples will remember is the totalTauck canals, span thousands of of Continental of some of the best might help with the process. stateroom with Verandah is perfect for a family of 4 or 5. There’s amakes 3 story AquaDunk body slide for kids a world of difference. enjoy beautiful weather, pink sand beaches • 3 sundresses restaurants to rekindle your spirit and feed the soul. experience of your vacation, NOT (for certified divers).connecting waterways, North Sea to Black Sea. Bridges program, including family cooking right spot. Alsowaterslide. the 2nd floortheRiver CruisetoLine Themes: with no fearFlip onflops, deck,flat or for the younger set, there’s the AquaLab with a looping things you forgot pack.and surf • SHOES: sandals, wedges, sneakers are about children. Amazing waterparks with body slides, lazy rivers and warm friendly Conde’ Nast Traveler ForBEACHES a week inresorts thepeople. Caribbean: A Europe River Cruise is one of the best ways we • Viking River Cruises, through partnership with lessons. of the Benetton store over theSesame fountain isand the perfect *Remember, your Vagabond* Enjoy Your Travel Experience. Disney destinations vary from Caribbean cruises with Disney’s own private island or cruising Europe simulator are a favorite of the kids. The Caribbean Adventure with Street the XBOX play • 2 swimsuits • Pashmina know to explore inland Europe, visiting cities, towns and PBS “Downton Abby” Readers have voted Bermuda “Best Island in the Caribbean” 17 times! Virtuoso Travel Professional can offers Viking cruise guests Italy where in a private chapel in Florence’s coun “Facebook Like” spot. (put 1 in your carry-on so you can go right to the beach) lounges are so popular with children and families. 19 Specialty restaurants and children’s dining areas provide great choices. There are several brand new River cruise lines villages that traditional big ships usually can’t access. days in England Countryside, and special tour • Sunglasses assist 3 you in planning a vacation with special highlights for the kids to enjoy. Your Vagabond Travel Virtuoso Advisor tryside you can renew your vows and have a candlelit Dinner over the Arno River. 2 cover-ups It•will be a great family vacation memory. with the most value and added of the famous house. Having a Virtuoso travel advisor with entering the market such as Emerald Waterways • Packable sun foldable beach bag hat and A Travel Professional with years of expertise will work for you, For on over 25 years, (1 with sleeves for evenings dining the beach & 1 Pareo) touches to makeWaterways your experience a •the Avalon “Austrian and Scenic cruises to fill demand. Each line Highlights” from The go on to Mexican resorts, exciting travel to • Costume jewelry, (leave the realoptions jewels home) qualified contacts can make your travel and her only objective is to give you the best experience possible and memorable one. • Yoga pants and 2 tankall-inclusive tops Carole Kaiman Vienna to Munich highlighting a Beer theme. ✿ DISNEY CRUISE ships were built with families inas mind. Along deluxeships Ocean view Bermuda , the “Jewel of the Atlantic,” Our dedication tofamily our clients before, during and after every vacation has its highlights, such the and the • 2 shorts and 2 tees and an evening purse South Africa for families, Alaska experience tours (Perfect forTravel summer vacation) amazing! • Tauck offers family river cruises with its Tauck to help you realize your romantic dreams. Vagabond stateroom with Verandah is perfect for a family of 4 or 5. There’s amakes 3 story AquaDunk body slide for kids a world of difference. enjoy beautiful weather, pink sand beaches • 3 sundresses next generation Space-Ships. Must Haves: Bridges program, including family cooking no fear onflops, deck, or for the younger set, there’s the AquaLab with a looping waterslide. and fabulous with Tauck tours of Europe. • SHOES: Flip flat sandals, wedges, sneakers and warm friendly people. Conde’ Nast Traveler lessons. • Insect Repellent, Sun Protection (with at least 30 SPF) It’s a great new cruising experience! Enjoy Your Travel *Check out Disney destinations vary from Caribbean cruises with Disney’s own private island orExperience. cruising Europe • Pashmina Readers have voted Bermuda “Best Island in the Caribbean” 17 times! Start your unforgettable vacation by contacting Travel Advisor & Romance Specialist • Facial and body moisturizer There are several brand new Advisor River cruise lines www.virtuosolife.com • Sunglasses with special highlights for the kids to enjoy. Your Vagabond Travel Virtuoso Start your unforgettable vacation byContact contacting TravelKaiman Advisor Kaiman, at Vagabond Carole atCarole Vagabond Travel entering the market such as Emerald Waterways • Packable sun hat and foldable beach bag A Travel Professional with years of expertise will work for you, • Make up Bag: waterproof mascara, eyeliner, Carole Kaiman at Vagabond Travel, aVirtuoso Virtuoso Agency inForLittle today! over 25Silver, years, and for our Digital Magazine Agency for latest information 732-222-2792 or 732-842-2600. Travel, a Virtuoso Agency in Little Silver today. and Scenic cruises to fill the demand. Each line The go on to Mexican all-inclusive resorts, exciting travel to • Costume jewelry, (leave the realoptions jewels home) and her only objective is to give you the best experience possible and hair conditioner and shampoo Carole Kaiman and some amazing travel ideas. amenities. has its highlights, such as the long ships and the 732-222-2792 or 732-842-2600. Create that will last a lifetime. and an evening purse South Africa memories for families, tours (Perfect forTravel summer vacation) to help you realize your romantic dreams. Create memories that willAlaska last aVagabond lifetime.
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✿ BEACHES, TURKS & CAICOS
Barbados Italy
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next generation Space-Ships. Must Haves: and fabulous Tauck tours of Europe. • Insect Repellent, Sun Protection (with at least 30 SPF) It’s a great *Check out new cruising experience! Start your unforgettable vacation by contacting Travel Advisor & Romance Specialist • Facial and body moisturizer Start your unforgettable vacation www.virtuosolife.com byContact contacting TravelKaiman AdvisoratCarole Kaiman, at Vagabond Carole Vagabond Travel • Make up Bag: waterproof eyeliner, Carolemascara, Kaiman at Vagabond Travel, a Virtuoso Agency in Little Silver, today! for our Digital Magazine Virtuoso Agency732-222-2792 for latest information and or 732-842-2600. Travel, a Virtuoso Agency in Little Silver today. hair conditioner and shampoo and some amazing travel ideas.
Carole Kaiman, Travel Specialist
Vagabond Travel Virtuoso Agency amenities. 732-222-2792 or 732-842-2600. Create memories that will last a lifetime. Create memories that will last25a Years lifetime. Over 542 Prospect Ave. Little LittleSilver, Silver New NewJersey Jersey07739 07739
*Check out www.virtuosolife.com *Check out www.virtuosolife.com for our Digital Magazine and some foramazing our Digital Magazineand some travel ideas.
amazing travel ideas.
Carole Kaiman, Travel Specialist 732-859-5513 732-222-2792 Direct Vagabond Travel Virtuoso Agency 542 Prospect Ave. 732-842-2600 Office Little LittleSilver, Silver New NewJersey Jersey07739 07739
Over 25 Years
website: www.vagabondtvl.com 732-222-2792 Direct *Check out www.virtuosolife.com *Check out www.virtuosolife.com
732-842-2600 Office
for our Digital Magazine and some www.TheCountyWoman.com e County Woman foramazing ourwww.TheCountyWoman.com Digital Magazineand some The CountyMagazine Woman Magazine travel ideas. www.TheCountyWoman.com www.TheCountyWoman.com he County Woman Magazine unty Woman Magazine website: amazing travel ideas. www.TheCountyWoman.com www.TheCountyWoman.com he County Woman Magazine unty Woman Magazine
November/December 2016 January/February 2019
May/June 2014 2014 November/December www.vagabondtvl.com May/June 2014 2015 January/February
Community
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CELEBRATE YOUR LOVE WITH AN AFFORDABLE DESTINATION WEDDING WEEKEND
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Theatre & Entertainment
“
INGENIOUS BUBBLE ” WIZARDRY. -THE NEW YORKER
Telecharge.com or 212.239.6200
For groups or birthdays call 866.642.9849
New World Stages 340 W. 50th St.
GazillionBubbleShow.com
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“DELIGHTFUL! JUST RIGHT FOR
RIGHT NOW”
“IT’S ‘SEINFELD’ MEETS RODGERS AND HART!”
“FABULOUSLY FEEL-GOOD
FUNNY SHOW THAT SHOULDN’T BE MISSED.
ADCTRIUMPH!” METRO THEATER ARTS
OTHERJOSHCOHEN.COM
Westside Theatre, 407 W 43rd St. TOJC.NJCW.10x11.5-2a.4C.indd 1
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Radio
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Community
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2018 Champion Annie Park
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January/February 2019
HappyN New Happy ewYear Year
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RESOLUTION REBOOT: A New Year, A New You!
E
very year it seems we resolve to eat better, exercise more, lose ten pounds, stop stressing, and start meditating. But while our intentions are good, our follow-through is often lacking. Research has found that after just six months, more than 50 percent of us have given up the goals we set in January. Not this time! The Oprah Magazine featured a series of rules on how to make resolutions so you can set yourself up for success- all year long. We share four of them with you here!
“screw-it syndrome”- instead, say to yourself Yes, I got off track, but I don’t need to make it worse. It’s easier to dig out of a 300-calorie hole than a 3,000-calorie one.
1 2
Your Slipups Are Only Detours
Day one of the new year may seem like the perfect time for a fresh start, but let’s face it: After a season of indulgence, going cold turkey on anything is iffy at best. Spend a week ramping your brain up for a new behavior and take it a little at a time.
You will give into temptation- but that doesn’t mean you should ditch your goal entirely. Don’t let yourself get sucked into
Art Gallery
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Tech Is Your Friend
Yes, this can be the year you finally give up sweets or get a new job. But why can’t it also be the year you read more books, laugh daily, and daydream freely? These habits belong on everyone’s list.
Read more in the January 2015 issue of O Magazine!
There’s Nothing Magical About January 1st
3
Resolutions Can Be Small and Fun!
There are several apps available to help you reach your goals. If you are trying to quit smoking, you may want to check out MyQuitCoach, a free app developed by livestrong.com that allows you to track cravings and devise a quitting plan with short-term and long-term goals. There are also apps to help you count calories (like Countertop) or give you tutorials on getting started with meditation (Headspace). Written by: Arianna Davis & Sarah Z. Wexler
Community You are cordially invited to view
the works of Nolan Willence
at a newly opened Contemporary Fine Art Gallery
THE OASIS GALLERY 495 Route 9, Bayville, N.J. by appointment: P: (732) 657-3930 • C: (732) 575-5851 • E: nolan2032@yahoo.com Certified Hand Therapist
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January/February 2019 January/February 2015
Featured On The Cover Dharam Mann, MD
Manjula Singh, MD
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Samir Jani, MD,MPH
Sarah Choxi, MD
Do you suffer from Spinal Stenosis? What is spinal stenosis?
Spinal stenosis is a narrowing of the spinal canal. Inside the spine, there is a channel called the spinal canal. It is surrounded by the vertebrae. This canal protects a cyclinder of nerves called the spinal cord. Spinal stenosis is the result of againg and “wear and tear” on the spine from everyday activities. These changes cause the spinal canal to narrow which can “pinch” the nerves in the lower back and may cause pain and or nerve damage.
What are the symptoms?
DISC
• Decreases endurance during physical activities
VERTEBRAL BODY
• Weakness and/or loss of balance • Symptoms improve when you sit, lean forward, lie on your back, or sit with your feet raised
SPINAL CANAL
• Aching, Dull back pain radiating (spreading) to your legs • Neurogenic Claudication • Numbness or a “tingling” feeling in your legs, calves, or buttocks
SPINOUS PROCES S
Normal
How does Superion treat Lumbar Spine Stenosis?
Stenosis
Superion is a completely new, minimally invasive approach to treating lumbar stenosis that fills a gap in the continuum between conservative care and invasive surgery. Designed with patient safety and comfort in mind, Superion is implanted through a small tube the size of a dime to reduce tissue damage and blood loss. The procedure can be performed in our outpatient surgical center. It’s a simple outpatient procedure with a rapid recovery time and no destabilization of the spine.
Indirect Decompression
Superion acts as an extension blocker, relieving pressure on the affected nerves in the manner that one would achieve relief in a seated or flexed position. Superion was developed to provide patients with a safe and effective alternative when conservative treatment has failed and laminectomy is too aggressive. Superion is placed between the vertebrae and holds them open. This relieves the pressure on the nerves in the spinal canal.
PINCHED NERVE
Pre-Operative
Post-Operative
DON’T ACCEPT PAIN. LET US HELP! Call Today: 732-202-3000
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Meet the Doctors From
732-202-3000
Since our founding in 2004 as Garden State Interventional Pain Management, Medical Director Dr. Dharam Mann has established the practice as one of the leading pain management centers in the area. The group at GSMC has developed second-to-none expertise in the diagnosis, treatment, and care for a wide variety of pain conditions for patients in Ocean and Monmouth County, NJ, with locations in Toms River, Brick, and other cities. At Garden State Medical Center, you’ll find some of the nation’s leading pain management experts serving the NJ area. Each physician specializes in treating acute and chronic pain to improve your quality of life. Our expert pain management doctors treat a variety of conditions, from head to toe, using advanced diagnostic techniques and non-surgical treatments including, but not limited to: spine pain, back pain, neck pain, joint pain, and knee pain.
PROCEDURE PERFORMED
CONDITIONS TREATED • Sciatica • Spinal Stenosis • Failed Back / Neck Surgery • Arthritis • Pinched Nerve • Herniated Disc • Degenerative Disc • Slipped Disc • Compression Fractures • Complex Regional Pain Syndrome (CRPS) (RSD) • Injuries & Trauma
• Spinal Cord Stimulator • Steroid Spine & Joint Injections • Epidural / Nerve Block Injections • Radiofrequency Ablation (RFA) • Vertiflex Superion Implant for Lumbar Spinal Stenosis • Medication Management • Back, Neck, Knee & Ankle Bracing • Pain Pump Implants • Kyphoplasty • Platelet Rich Plasma (PRP) Joint / Spine Rejuvenation • Stem Cell Therapy • SI Joint Fusion
Dr. Dharam Mann Dr. Mann is a board-certified pain management physician with over 20 years’ experience who specializes in minimally invasive interventional pain management procedures, spine surgery, and spinal cord stimulator implants. Dr. Mann performs over 5,000 procedures a year in both office and outpatient ambulatory settings. Dr. Mann was selected a Vitals.com Patient Choice Award winner 8 years in a row since 2008. He was also awarded with a Most Compassionate Doctor Award for 6 years. New Jersey Monthly magazine has awarded Dr. Mann as one of “New Jersey’s Top Doctors” for 6 years in a row since 2012. Dr. Mann is one of a select few pain management specialists to be recognized.
Whiting Office 1100 NJ-70 Entrance A Whiting NJ 08759
Toms River Office (Route 37) 780 Route 37 West Suite 110 Toms River NJ 08755
Toms River Office (Hooper Ave) 1314 Hooper Avenue Building B, Suite 101 Toms River NJ 08753
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Brick Office 1608 New Jersey 88 Suite 102 Brick NJ 08724 January/February 2019
Featured On The Cover
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Garden State Medical Center Dr. Sunita Mann Sunita Singh Mann, MD, DABR is a board-certified physician who practiced radiology for 13 years in Ocean County. Dr. Mann completed her training in neuroradiology at Mount Sinai Medical Center. In 2013, Dr. Mann had a lifethreatening anaphylactic reaction while performing a procedure on a patient and realized she would be unable to continue in her specialty without placing herself at risk. After recovering from this near-death experience, she began the journey towards wellness and decided that her newfound knowledge could help others dealing with chronic diseases. She then opened Juvenate Medical Wellness & Rejuvenation, her functional medicine practice in West Long Branch, NJ.
Dr. Manjula Singh As an anesthesiologist and pain specialist, Dr. Manjula Singh sees her fair share of patients dealing with pain. After graduating with her medical doctorate from Patna Medical College in India, Dr. Singh completed a one-year residency in internal medicine at United Hospital Medical Center-UMDNJ. She then decided to pursue her anesthesia residency at Long Island University Hospital. Dr. Singh’s background in critical care led her to the field of anesthesiology and pain management. Here, she specializes in the diagnosis and pharmacological management of acute and chronic pain. Dr. Singh works hand-in-hand with Dr. Dharam Mann to provide anesthesiology services to patients whose procedures require sedation.
Dr. Samir Jani Samir Jani, MD, MPH, is a boardcertified anesthesiologist and chronic pain management specialist. A New Jersey native, Dr. Jani completed his anesthesiology residency at Beth Israel Deaconess Medical Center/ Harvard Medical School in Boston, MA. It was during this time he was first exposed and drawn to pain medicine, dedicating part of his residency to learning from leaders in the field. He is a graduate of the prestigious Tri-Institute Pain Fellowship, training at three of the nation’s top hospitals (New York Presbyterian Hospital/Weill Cornell Medical Center, Memorial Sloan Kettering Cancer Center and Hospital for Special Surgery). This training offered a broad experience utilizing the latest methods to treat various pain syndromes including chronic spine, musculoskeletal, and cancer-associated pain.
Hamilton Office 2333 Whitehorse Mercerville Rd Hamilton Township NJ 08619
Barnegat Office 249 South Main Street Suite 5 Barnegat NJ 08005
Dr. Sarah Choxi Sarah Choxi, MD, is a boardcertified anesthesiologist and interventional pain management specialist. She completed her anesthesia residency at the prestigious Weill Cornell Medical Center in New York City, where she trained at New York Presbyterian Hospital/Weill Cornell Medical Center, Memorial Sloan Kettering Cancer, and Hospital for Special Surgery. Dr. Choxi completed her multidisciplinary interventional pain medicine fellowship at Northwestern Medicine in Chicago, where she mastered the art of integrating several areas of pain medicine including interventional pain management, chronic pain rehabilitation, cancer pain and palliative care, acute pain, pediatric chronic pain, neurology, psychiatry, and clinical research.
West Long Branch Office 100 NJ-36 Suite #1k West Long Branch NJ 07702
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Manahawkin Office 1364 Route 72 Suite 6 Manahawkin NJ 08050 January/February 2019
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Medical Medical Professionals Professionals
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New Year Special
10% Off
Coolsculpting Package (Minimum Four Treatments) Expires 4/30/18 Expires Expires10/31/18 2/28/19
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