Ocean County Woman - January/February 2018 by The County Woman

Ce le br a ti ng O

ur 9th Year!

An Educational Resource for Women and Their Families

FREE ~ Please Take One FRANK DISCUSSIONS ABOUT HOUSING DECISIONS. A major life change such as a change in oneâ&#x20AC;&#x2122;s life environment deserves careful and thoughtful consideration. Page 8

THYROID DISORDERS AND SURGERY. The diagnosis of a thyroid function abnormality or a thyroid mass is made by taking a medical history and a physical examination.

GIVE YOUR SCALP WHAT IT NEEDS. Scalp conditions are a common occurrence and symptoms can be unpleasant.

Page 25

Page 52

The staff and clinicians at Advocare Stafford Orthopedics believe in courteous and quality professional care. Their mission is to be the premier orthopedic and podiatric practice in Southern Ocean County. Read more about this professional team on pages 22, 23 and 24. Smartphones Scan Here

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Medical Professionals

SCIATICA By: Paul Eberle MSPT, Whiting Senior Physical Therapist The sciatic nerve is the largest nerve in the body. It begins in the lower back, travels through the buttock and the back of the thigh, divides into two nerves at the knee and ends at your toes. The term “sciatica” refers to a set of symptoms including pain in the low back, buttock, and legs, which can radiate below the knee to the feet and toes. This radiating pain can be experienced in one or both legs along with numbness, tingling and muscle weakness in the hips, knees and ankles. It is important to understand that the term “sciatica” does not describe the specific causes of the radiating pain, which many individuals from their twenties to their nineties experience. There are two common causes of sciatic pain. Sciatic pain is most commonly caused by compression of lumbar or sacral nerve roots as they exit the spinal cord. The most common cause for nerve compression causing sciatica in the younger population is lumbar disc herniation. It has been reported that as high as 90% of all cases of sciatic pain are due to spinal disc herniations which impinge upon the nerve roots where the sciatic nerve originates. The compression or pressing of the nerve roots can cause pain, tingling, muscle weakness, or poor muscle control of the areas supplied by the sciatic nerve. Individuals with lumbar disc herniations, also known as lumbar disc bulges or slipped discs, usually experience increased radiating sciatic pain with forward bending and sitting. Work and daily activities often become limited. Physical therapy and instruction in patient-specific exercises to reduce discal nerve impingement and to increase spinal flexibility and core strength have consistently been shown to decrease and eliminate sciatic and lumbar pain. The McKenzie approach is a widely used physical therapy regimen. In this approach patients repeatedly perform specific exercises which mechanically reduce the process of disc herniation as discal material (nucleus propulsus) is pressed away from the irritated nerve roots and back toward or into the outer casing of the disc (annulus fibrosus). Treatment then focuses on strengthening postural muscles of the spine and trunk to limit the possibility of symptom recurrence. The second most common cause of sciatic pain is lumbar spinal stenosis. Most people with lumbar spinal stenosis are over the age of fifty. It is estimated that more than 400,000 people in the United States have leg and/or lower back pain which is attributed to lumbar stenosis. The term stenosis means “choking” and is the result of the spinal cord or nerve roots being compressed within the spinal column. Stenosis is often the result of joint and disc degeneration. Sciatica from lumbar spinal stenosis usually progresses slowly and often becomes more severe with time. The low back pain and radiating buttock or leg pain will often subside for periods but, unfortunately, will often return. In most cases people with lumbar stenosis have pain with standing, walking and transitioning from a sitting to a standing position. This is due to the fact that when the lumbar spine is extended or straight, the nerve roots have less room as they exit the spinal cord and can be compressed. Patients with lumbar stenosis usually

have relief when sitting and often prefer to stand with a slouched posture which reduces nerve compression and pain. The exercise prescription for patients with lumbar spinal stenosis focuses on increasing flexibility in the spine and legs and maximizing patient walking and daily activity tolerance without worsening pain. Patients are often not able to tolerate exercise in the standing position due to the irritation of tight muscles; therefore focus is initially on loosening up those muscles to decrease symptoms. Once symptom reduction begins, the patient can usually tolerate exercises to strengthen the lower extremities, spine and trunk in positions, notably standing, where they had experienced pain during the day. The goal is to have the patient be able to perform exercises and stretches which allow them to increase their tolerance to walking and standing activities. The third most common cause of sciatica is piriformis syndrome. In the past it was believed to cause approximately 6% of reported cases of sciatica; however, recent EMG studies have shown that piriformis syndrome may be a more common source of sciatica. The sciatic nerve runs deep through the buttocks just beneath the piriformis muscle. In 10 to 15% of individuals, however, it is believed the nerve runs directly through the muscle. These individuals may be at an increased risk of piriformis syndrome. Patients with piriformis syndrome usually feel worse in seated positions, as increased pressure is placed on the sciatic nerve. This is often exacerbated in individuals who sit on their wallets. Common causes are overexercising and prolonged sitting and it appears to be more common in women. Buttock and sciatic pain resulting from piriformis syndrome respond well to physical therapy when properly diagnosed and treated. Physical therapy treatment begins with a thorough evaluation of the hip joint and spine, followed by specific manual therapy techniques performed by an experienced therapist. The goal of physical therapy treatment is to allow the piriformis muscle to relax and lengthen, relieving the pressure on the sciatic nerve. Modalities including moist heat and ultrasound often assist in allowing the piriformis muscle to relax. Once pain levels are reduced, specific patient exercises and stretches can be taught, allowing patients to control and eliminate their sciatica.

For an appointment, please call the Whiting location at 732-849-0700. Paul Eberle, MSPT Whiting Senior Physical Therapist Paul received his Bachelors Degree in Biology from Boston University. In 2001 Paul graduated first in his class from New York Medical College with a Master’s Degree in Physical Therapy, earning the College’s Academic Excellence Award in Physical Therapy. Paul received clinical training at the Helen Hayes Outpatient Day Hospital with a focus on mixed neurological diagnoses including Parkinson’s disease, Multiple Sclerosis, Stroke, Spinal Cord Injury and Orthopedics. Paul has worked full-time in outpatient orthopedic and neurological settings since being licensed to practice physical therapy in 2001. Paul enjoys working in the geriatric setting and plans to become a geriatric certified specialist (GCS). Paul became certified in LSVT Big, a specialized treatment for Parkinson’s disease in 2014.

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January/February 2018

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January/February 2018

Publisher’s Note

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Since 2008

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r ea ting Our 9th Y

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Welcome to the January/February Issue of The Ocean County Woman!

Welcome 2018! 2017 has been a wonderful year and the staff at the Ocean County Woman Publication and myself would like to take the opportunity to thank you all for the support we have received this entire year. It is due to the many contributing writers, readers, distributors, Facebook and Twitter followers, and staff that we are able to continue bringing you six issues a year full of educational articles, written by professionals who are leading experts in their fields. As 2018 begins, we look forward to the upcoming year as another year of hard work and dedication to growing the Ocean County Woman Publication. The New Year is the time for fresh opportunities for success and the potential for much joy and happiness. As we reflect on what we have been grateful for in 2017, it is the support we have received from our writers and readers in the form of emails, Facebook posts, tweets and phone calls. It has been a privilege and honor to continue to supply the most informative articles, events coverage and exclusive deals to the residents of Ocean County! We wish you a prosperous, happy and successful 2018! Best, Chris Lam & The Staff at the Ocean County Woman Publication

“The New Year stands before us, like a chapter in a book, waiting to be written. We can help write that story by setting goals.” – Melody Beattie Featured on the Cover - Advocare Stafford Orthopedics

FIND US ON THE WEB! WWW.THECOUNTYWOMAN.COM

Pictured L-R: Eric S. Baskin, DPM, Judy Kerlin, APN, and Samuel E. Epstein, DO. The staff and clinicians at Advocare Stafford Orthopedics believe in courteous and quality professional care. Their mission is clear, to be the premier orthopedic and podiatric practice in Southern Ocean County. Read more on pages 22, 23 and 24.

And follow us on Facebook and Twitter @TheCountyWoman

facebook.com/TheCountyWoman

20% OFF

Valid for over-the-counter items only. Cannot be combined with any other offers. Expires 2/28/2018. See page 55.

609-660-1111

Cover photo by Tracy Harman Photography Schedule your portrait and head shots today. See page 3.

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January/February 2018

^ Medical Professionals

Contents

^ Health & Wellness

University Urology Associates of New Jersey..................20

Spa Virtue @ The Body Wrap Shoppe...............................5 Fit for the King Food & Fitness Coach.............................13 Hot or Not Yoga................................................................14 Lice Lifters........................................................................19 Yoga Nine Mind/Body Studio.....................................26, 27 Hypnosis for Women........................................................34 Jersey Shore Pharmacy...................................................55

Reproductive Science Center of New Jersey..................28

Aesthetic Dental Creations.................................................6

All-Care Physical Therapy Center......................................2 Ocean Plastic Surgery PA and Laser Center......................9 Shore Vascular & Vein Center...........................................10 Quality Dermatology.........................................................17 Toms River X-Ray, CT & MRI Center................................18 Ocean Otolaryngology Associates, PA.............................25 Institute for Complementary and Alternative Medicine....29

Gastroenterologists of Ocean County........................30, 31 MonaLisa Touch® North Dover.........................................33 Bella Derma Medi Spa......................................................35 Dr. Park Avenue................................................................36 Barnabas Health Medical Group:

Obstetrics Gynecology and Obstetrical Associates.....39

Paonessa Colon and Rectal Surgery, PC...................40, 41 Kathy A. Banks, DMD.......................................................44 Hackensack Meridian Integrative Health & Medicine.......45

^ Professional Dentistry

^ Financial Management

5 ^ Featured on the Cover Advocare Stafford Orthopedics............................22, 23, 24

^ Business & Finance

Copiers Plus...............................................................42, 43 Brick Township Chamber of Commerce..........................63

^ Funeral Planning

DeGraff Funeral Home......................................................49

^ Massage School New Jersey School of Massage.......................................49

Garden State Trust Company.............................................7

^ Women’s History

Carluccio, Leone, Dimon, Doyle & Sacks, LLC..................8

^ Wigs & Hair Replacement

EFC LAW PRACTICE........................................................11 Kevin Riordan, Esq...........................................................13 The Matus Law Group......................................................16 Kathleen M. Dotoli, Esq....................................................29 Straffi & Straffi, Attorneys at Law.....................................38

^ Assisted Living

^ Elder Law

Frida Kahlo.......................................................................50

^ Law

Abstrax Hair Designs........................................................52 Spring Oak of Forked River..............................................53

^ Acupuncture

Koehler Acupuncture........................................................56

^ Nursing & Rehabilitation Center

^ Education

^ Pediatric Dentistry

^ Theatre & Entertainment

Tallwoods Care Center.....................................................12

Ocean County College.....................................................56

Atlantic NeuroSurgical Specialists...................................47

Ocean Pediatric Dental Associates..................................15

Gazillion Bubble Show.....................................................58

Memory Enhancement Center.........................................54

Brick Electrolysis..............................................................16

Barnabas Health Medical Group: Dr. Sumy H. Chang.....46 Ocean Hematology & Oncology.......................................51 Garden State Medical Center...........................................67

^ Fine Art Photography Tracy Harman Photography...............................................3

^ Permanent Hair Removal

This One’s For The Girls...................................................59

^ Holistic Substance Abuse Treatment

^ Women of Ocean County................60, 61, 62 ^ Radio

^ Mastectomy Boutique

B 98.5...............................................................................66

Enlightened Solutions.......................................................19 Karing with Kindness........................................................21

^ Community................32, 37, 48, 57, 62, 63, 64, 65

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

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January/February 2018

Professional Dentistry

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January/February 2018

Financial Management

Trusts for the Charitably Minded You may want to respond in a substantial way to a worthy cause seeking your financial support, but are concerned about how a major gift will affect you and your family in the long run. Deciding upon a beneficiary for your charitable contributions is only the first step. You may be able to do more than you realize. It’s all a matter of planning, and charitable trusts are tools that can help. Charitable Remainder Trusts With a charitable remainder trust, you retain the right to receive income from the trust for life, or for a period of not more than 20 years. Or, you can make another family member the income beneficiary. You give the charity that you have designated the right to receive the assets remaining in the trust once the income payments have been completed. The trust will be either a charitable remainder unitrust or a charitable remainder annuity trust. The unitrust pays the income beneficiary a fixed percentage of its assets, determined each year. If the trust grows in value, the income payments go up. The annuity trust, in contrast, pays a fixed dollar amount each year regardless of the trust’s investment performance. Charitable remainder annuity trusts provide greater certainty than unitrusts, but do not protect against inflation. The donor knows exactly how much that the trust will pay each year, unlike unitrust payments that fluctuate

with market conditions. Still, in the long run most of the fluctuations should be upward, creating a growing income flow that helps the donor keep abreast of the rising cost of living. Tax Advantages of Charitable Remainder Trusts Because you relinquish the right to change your mind when you set up your trust, you qualify for significant income tax benefits. Charitable Lead Trusts In some cases, charitably inclined donors can achieve greater gift-tax economy by creating what you might think of as “family remainder trusts.” Usually, they are called charitable lead trusts.

Charitable lead trusts work much like charitable

TAX BENEFITS FOR YOU 1. An immediate charitable deduction. Part of the value of your deferred gift can be deducted as if you made an immediate donation. Generally, the deductible value of a charitable remainder interest ranges from 20% to 50% of the value of the assets that are placed in trust. The exact amount is determined by actuarial tables, the nature of the income interest, and prevailing interest rates when the trust is funded.

remainder trusts, but in reverse. A charity receives unitrust or annuity payments for a specified number of years, then the trust remainder passes to family beneficiaries. When you create a charitable lead trust, you are charged with making a taxable gift of only the family “remainder.” Consequently, you use up significantly less of your exemption from federal gift and estate tax. Or, if your previous family gifts already have exceeded your exemption amount, you pay significantly lower tax on the transfer. Who can help maximize my charitable contribution? The idea behind “planned giving” is that you should look at the ways in which charitable intentions can be linked with steps that create greater financial security for yourself or members of your family.

2. Freedom from capital gains tax. Charitable remainder trusts are often funded with assets, such as securities or real estate, that have grown substantially in value over the years. By donating appreciated property, you may avoid capital gains tax that you would have paid had you sold and reinvested the proceeds yourself.

Garden State Trust is a premier New Jersey independent trust company providing investment management, IRA rollover, trust and estate services, and elder solutions for retired and soon-to-be-retired individuals. Garden State Trust was founded on three very simple guiding principles – communication, objectivity and, above all, trust.

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January/February 2018

Elder Law

Frank Discussions About Housing Decisions

Do any of these scenarios sound familiar? Your spouse has had a recent medical incident that has impacted his or her ability to live independently. You have come home to visit your mother for the holidays and realize your mother's home is in disarray, her clothing soiled, the refrigerator nearly empty, and her bills are unpaid. A neighbor has called to tell you your father seems confused and has been getting lost. Any of these scenario give rise to concern and may trigger the need to consider a safer living environment. The next questions usually include: what do we do? Where will we/our parents go? Do we/our parents try to stay at home with additional assistance? Do we/our parents move in with one of the children? Do we/our parents move into an assisted living facility or a nursing home? A major life change such as a change in one's living environment deserves careful and thoughtful consideration. The following are some tips that may make the process a little easier. 1. Open Discussion. An open, candid and honest discussion should take place. A family meeting with all interested parties will help determine everyone's views and expectations and will also help to decide the best course of action. This is a stressful time for all concerned but an open discussion can help to alleviate that stress. 2. Plan. A plan must be put into place. A decision needs to be made as to where the new home or living environment will be located. All possible residential options need to be evaluated; such as assistance

in the current living situation, or a home closer to family members, or moving in with a family member, or moving into a care facility whether it is a continuing care community, a nursing home or an assisted living facility. 3. Level of Care. The level of care required will often dictate the residential option selected. Consider the level of independence and what activities of daily living, such as bathing and eating, can be done independently. Evaluate the level of supervision or assistance that is needed. Assess the health and physical abilities of the caregiver if that caregiver is to be a family member. Determine the level of medical care needed. 4. Financial Considerations. Needless to say, the economics of affordability is always a consideration. How much money is available to pay for the needed care or available to pay for the new living arrangement must be a factor when making a decision. Of course, each family's circumstances are unique. However, it is hoped that with open discussions and careful consideration the process of making housing decisions will go more smoothly. As a certified elder law attorney, I have often been called upon to help families through this process.

If you or a loved one is facing the tough decision of a change in a living arrangement and need guidance, please call Annemarie Schreiber at 732-797-1600 for a free consultation. If you are unable to make it into the office, we are willing to visit you in your home, hospital, assisted living facility, or nursing home.

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Medical Professionals

Your Beauty We are celebrating your beauty! There is no ideal when it comes to appearance and beauty. Many people come to us to correct a body trait that has always bothered them and it is liberating for them to have a treatment that can boost their self-esteem and confidence. For others, it is a way to enhance or restore their natural beauty and to feel their best no matter their age. As your plastic surgeon, Dr. Small is bringing his dream and passion to giving you nothing but his best so you can look your best. Dr. Small’s passion began with a childhood accident which led him to his career as a plastic surgeon. He suffered significant burns to his face, chest and arm at the age of 9. He was thankful to live through that accident and, while seeing his progress in before and after photographs, he was astounded and hoped to help someone the way that he was helped. The doctor who helped him was a plastic surgeon, Dr. Richard Dabb. Dr. Small’s life course was set into motion from that injury and now, as a plastic surgeon with his own practice, Ocean Plastic Surgery, P.A. and Laser Center, his focus is to help others with cosmetic and reconstructive surgery. It is through this life perspective and his naturally artistic skill that Dr. Small looks to enrich the lives of those in his care. Additionally, he has an amazing staff that is experienced and adept at their jobs. As a select team that enjoys working together, their combined attributes make a truly exceptional experience while providing your care. Come visit us today, we look forward to seeing you.

GRAND OPENING OF OUR NEW OFFICE LOCATION! 413 Lakehurst Rd, Ste 301 Toms River, NJ 08755

Stephen E. Small, D.O., FACOS, Board Certified Plastic Surgeon Dr. Stephen E. Small, D.O., FACOS, is a board-certified plastic surgeon who specializes in cosmetic and reconstructive surgery. Dr. Small’s practice has been recognized as Best Cosmetic Surgery in Ocean County for 2014 and 2015 by Ocean’s Happening List. Dr. Small’s plastic surgery residency was at Ohio University, South Pointe HospitalCleveland Clinic Health System. Additionally, Dr. Small completed a fellowship at New York Medical College in burn and reconstructive plastic surgery while training at Westchester Medical Center in Valhalla, New York. Preceding his plastic surgery training, Dr. Small completed a 5-year general surgery residency with awards and recognition for clinical and academic excellence at the University of Medicine and Dentistry, Stratford. He earned his medical degree with honors from the Philadelphia College of Osteopathic Medicine (PCOM), and prior to medical school he was a University Scholar at Penn State, earning his bachelor of science degree with honors.

Call 732-255-7155 today of visit www.OPSNJ.net. Artistry • Beauty • Rejuvenation Non Invasive

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January/February Specials Laser Hair Removal 10% discount. Filler Promotion $ 50 dollars off any filler .........

Restrictions apply. Offer Subject to change without notice. Void where prohibited by law. Must receive treatment during promotion period. Must be 18 years of age or older. Non-transferrable. Cannot be combined with any other discount or offer. Not redeemable for cash. The patient and any other person responsible for payment has a right to refuse to pay,cancel payment, or be reimbursed for payment for any other service,examination, or treatment that is performed as a result of and within 72 hours of responding to the advertisement for free, discounted fee or reduced fee service, examination or treatment.

January/February 2018

Medical Professionals

Medical Profes

Groundbreaking New Technology

Varicose Veins: Not Just a Cosmetic Problem

ne of the most common circulatory system problems affecting individuals of all ages is venous insufficiency, also known as “Venous Reflux Disease”. This occurs when one-way valves in the leg veins begin to fail and become leaky. This causes blood to pool in the legs and can lead to the development of large protruding legs veins, known as varicose veins. It can also cause a variety of painful or uncomfortable symptoms in the affected legs. Some of the most common of these symptoms are leg pain, leg fatigue and heaviness, swelling and skin itching. In severe cases, this can lead to permanent defects in the appearance and integrity of the skin and even the development of wounds, called venous leg ulcers. It is estimated that 20 to 40 million Americans suffer from venous insufficiency. Both men and women are affected. The most common risk factors are occupations that require standing, a family history of varicose veins, pregnancy, being over weight and increasing age. However, some affected individuals do not have any of these risks. The diagnosis of venous reflux disease is made with physical examination and painless Doppler ultrasound testing. Advances in treatment now make relief of the symptoms and appearance of varicose veins possible without the need for hospitalization or painful vein stripping surgery. For some people, wearing special venous support stockings will help control symptoms. However, when stockings alone are not sufficient, or when individuals require a more permanent solution to varicose veins, new minimally invasive office procedures can often be used to cure venous reflux disease and its symptoms.

A: Varicose veins are usually caused by

diseased valves in legs veins, called venous reflux disease.

Q: Will varicose veins get worse over time?

A: As venous reflux is present for a long time, the

veins as well. The performedtattoo removal. It is the world’s first for procedure safe andiseffective in a comfortable office setting takes laser system toand combine both picosecond and nanosecond about 30 minutes. There are usually no technology with dual wavelength lasers. This allows incisions or sutures. General anesthesia individualized treatment of all colors of ink and skin types for is not required. Patients typically the fastest, most complete laser tattoo removal ever available. experience minimal discomfort and are able to return The to their usual activities in “Pico” Difference about a day or two. Lasers remove tattoos by delivering high energy over a very short period of time The Shore Vascular & Vein Center, to break up in ink.Somers Inks of different types, colors and depth can provide significant Point, is the region’s premiere vasculartoand vein care challenges remove. It has been shown that shorter duration pulses are more enter. Shore Vein & Vascular Centeriniscompletely one of Newremoving tattoos than longer duration pulses. Our new effective enlighten™oflaser can deliver energy at picosecond intervals. A picosecond is Jersey’s leading centers in performance the Closure® one procedures, trillionth of including a second. This is one thousand times shorter than prior lasers Procedure as well as other vein for tattoo removal. sometimes referred to as “pico,” lasers have been microphlebectomy and sclerotherapy for spiderPicosecond, veins. shown to remove tattoos more completely and with fewer treatments, than with lasers used in the past.

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treat varicose veins. Usually, if procedures are required, minimally invasive office based or outpatient procedures are most effective.

442 Bethel Road Somers Point, NJ 08244

however many times vein care is covered. In our center, our insurance specialists work directly The County Woman Magazine with individual’s health insurance companies to deal with that issue.

(609) 927-VEIN (8346) 442 Bethel Road www.EndTattooRegret.com Somers Point, NJ 08244

insurance?

A: That is determined on a case-by-case basis,

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Q: Who is affected by varicose veins?

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www.GetGreatLegs.com

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appearance of varicose veins may worsen, but this does not always happen. Varicose veins that develop during pregnancy will often improve after delivery of the baby.

A: Typically, men and women who have jobs

treatment

Dr. Jeffrey Gosin is a ones, with graduate of University number of of Pennsylvania One of the most effective treatments Number and Jefferson for venous reflux disease is the Closure® People of Medical College. He Procedure. This is a remarkable new be remove completed his General procedure that treats the abnormal veins Surgery Residency That is bec with radiofrequency (RF) energy. The RF and an accredited are needed energy is delivered through a device called a fellowship in Vascular of various catheter that is inserted into the diseased vein. Surgery at Robert are more d This causes the vein to close down, essentially Wood Johnson University Hospital. He is Board know in th Certified /in Aesthetic General Surgery and Vascular Surgery. removing it from the circulation. The body Shore Vascular & Vein Center Laser Center how comp Gosin is a fellow of The American College then redirects the blood into the normal announces enlighten™Dr. , the newest, most complete laser has b of Surgeons and a member of The Society for leg veins. This eliminates the venous reflux, solution available anywhere for laserThe tattoo Vascular Surgery, Societyremoval. for Clinical Vascular tattoo rem markedly relieving the symptoms and often Surgery, and numerous other national surgical andthe numbe improving the appearance ofen the ™ varicose enlight is the mostvascular advanced laser system available a good ide societies.

Frequently asked questions about varicose veins:

Q: What causes varicose veins?

Jeffrey S. Gosin, M.D. F.A.C.S.

(609) 927 VEIN www.TheCountyWoman (8346) GetGreatLegs.com January/February 2018

Law

Ehsan F Chowdhry, ESQ is the owner of EFC LAW PRACTICE, LLC, a law firm exclusively dedicated to White Collar | Criminal Defense, Juvenile Law and Municipal Court / Traffic Offenses. He is licensed in New Jersey and Pennsylvania. Ehsan is certified by the Supreme Court of New Jersey as a Criminal Trial Attorney and by the National Board of Trial Advocacy as a Criminal Trial Advocate. He has also been designated by the National Institute for Trial Advocacy as a “Master Advocate.” His experience includes a state judicial clerkship in Ocean County with the retired Assignment Judge commencing in the Criminal Part. He was also an Assistant Prosecutor in the Atlantic and Ocean County Prosecutor’s Office collectively for ten (10) years. He attended Rutgers College of Rutgers the State University of New Jersey, earned his J.D. from Widener University School of Law and his LL.M. (Master of Laws) degree in Trial Advocacy from Temple University James E. Beasley School of Law.

One Bite of the Apple Banished Adam & Eve … One Bite of the

Apple Through Pre Trial Intervention (PTI) Redeemed Them

his article serves as a general overview regarding the Pre Trial Intervention (PTI) program. PTI is a supervisory treatment program that was enacted prior to the New Jersey Criminal Code Title 2C being codified. It can be found in NJSA 2C:43-12. The goal is “it is policy of the State of New Jersey that supervisory treatment should ordinarily be limited to persons who have not previously been convicted of any criminal offense under the laws of New Jersey, or under any criminal law of the United States.” The law has gone through many modifications over the years and is constantly changing. When a person is charged with a crime, or in some instances an offense (domestic violence disorderly persons offense), that person may be eligible for supervisory treatment in PTI depending on a panoply of variables. These variables include the PTI Director (court personnel) and their willingness to accept the person into the program, the prosecuting agency and their willingness to accept the person into the program, the charge itself, a victim’s input if applicable, and many other considerations. If a person has received a prior PTI, a conditional discharge or a conditional dismissal, he or she is ineligible for this type of supervisory treatment. NJSA 2C:43-12(g)(1). Ordinarily, when you are accepted into the PTI program, you DO NOT have to plead guilty to the charge(s) subject to certain exceptions found in NJSA 2C:43-12(g)(3). The accused should consult a qualified criminal defense attorney immediately and make a timely application so as not to delay or prejudice their rights. The fee for the application is $75 and almost always no statement that is made to court personnel can be disclosed to the prosecuting agency nor can it be used in a subsequent civil or criminal proceeding. The maximum term limit that a person can be supervised in PTI is thirty-six (36) months. If a person does well, and upon approval of the program director, the prosecuting agency and its consent, and the court’s approval, the term may be shortened or even terminated early. If a person violates the terms and conditions of PTI, dismissal from the program can occur. Again, hire a qualified criminal defense attorney to motion to the court for remaining in the program. If the term is completed successfully, the charge(s) are dismissed. However, the charge and/or arrest will still remain on a person’s record and

they have to wait six (6) months in order to expunge it. NJSA 2C:52-6(c). Additionally, if a person is rejected from the program, a PTI appeal can be filed arguing that there has been a “patent and gross abuse of discretion” in rejecting the individual. An example would help illustrate how the process works. On January 1, Mr. X gets arrested at a local department store for shoplifting $650 worth of merchandise. He ultimately gets caught on surveillance video and the local police arrest him and charge him with third degree shoplifting, a crime with a maximum punishment up to 3-5 years in state prison with various fines and assessments. He is released on a summons (he has no prior record, lives locally, has no other pending charges and was born in the United States). He hires a qualified criminal defense attorney and makes a timely application for the PTI program. The program director agrees to let him in and the prosecuting agency is at first hesitant due to the department store and its concern of recent spikes in shoplifting, but nonetheless acquiesces. Mr. X comes to court on April 1 on an accusation (waives his right to have this matter presented to a grand jury) and the court admits him into the program for a period of 12 months with conditions, such as making restitution to the department store and keeping away from that department store. Mr. X finishes the program in the requisite time frame and the indictable (felony) charge is dismissed. Mr. X then waits until October 1 (6 months after) and moves to expunge his arrest, with which he is successful, and thus avoids traditional prosecution and a criminal record. As a famous proverb tell us: “Everyone makes mistakes in life, but that doesn’t mean they have to pay for them the rest of their life. Sometimes good people make bad choices. It doesn’t mean they’re bad … it means they’re human!” DISCLAIMER The foregoing is just a general overview and should not be construed as legal advice. Always hire an attorney to specifically discuss your particular facts and legal circumstances.

For more information or to schedule a FREE CONSULTATION, call 732-508-5172. A Limited Liability Company • White Collar & Criminal Defense www.efclawpractice.com • Ehsan F Chowdhry, ESQ, • efclawpractice@gmail.com 3600 NJ Route 66, Suite 150, Neptune, NJ 07753 • Tel (732) 508-5172 • Mobile (732) 552-7882

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Nursing & Rehabilitation Center UPCOMING EVENTS Our next community Bingo event for

Tallwoods Care Center A Premier Nursing, Rehabilitation, & Long-Term Care Center 18 Butler Blvd., Bayville, NJ 08721 www.TallwoodsCareCenter.com 732-237-2220

Tallwoods will be February 28th, 2018 9:30am to 11:00am

Fountainview Care Center Discover Ocean County’s Fountain of Youth 527 River Ave., Lakewood, NJ 08701 www.FountainViewCareCenter.com 732-905-0700

Compassionate Nursing Care

t FountainView and Tallwoods Care Centers, our mission is to provide the epitome of quality care for our residents. When we think about our residents’ care, we don’t just limit it to our medical and rehabilitation care. Instead, we understand that when our residents are suffering from illness or disability, they deserve so much more than just treatment. Our medical and nursing staff is above par and our therapy is expertly provided in our state-of-the-art facility. However, we take more pride in the fact that our staff is warm and caring, ensuring that our residents are always treated with the ultimate kindness and gentleness. Additionally, we provide a stimulating environment, maintain a full recreation schedule and make sure our residents are still connected to the cultural and social dynamics of the world around them. Our goal, no matter the length of one’s stay, is to treat, cultivate and inspire body, mind and spirit so that when a resident returns home, they’ve gained so much more than a rehabilitative or nursing care. Our goal is to minimize the length of our residents’ stay with us, but at the same time, we hope that every day they’re with us is one they’ll love.

TOURS Please call Admissions Department to schedule a tour! Tallwoods Care Center 732-237-2220 Ext. 111 Fountainview Care Center 732-905-0700 Ext. 103

TESTIMONIALS: “Home-like environment and very caring staff. My mom was there for years and died there. I couldn’t have chosen a better place. Her regular caregivers came in on their day off to spend time with her when she was actively dying. I’ll strongly recommend this facility.” —Christina, Tallwoods Care Center “I’m going to tell my friends to come here because it’s a fantastic place, the nurses are great and the food is great too!” —Guy, Fountainview Care Center “They not only take care of (my daughter), they care about her...excellent.” —Deborah, Fountainview Care Center

The County Woman Magazine www.TheCountyWoman.com

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

January/February 2018

Law

PERSONAL INJURY CLAIMS – WHEN YOU NEED A LAWYER When bad things happen, like a serious injury, happen to good people, a lawyer’s services are necessary to ensure that you get the most compensation for your injuries. Why do I need a personal injury attorney? Experience and expertise. Personal injury attorneys often have: • Trial experience (whereas other types of attorneys may not); • Negotiation experience; • An in-depth understanding of medical diagnoses and processes associated with personal injuries; and • An in-depth understanding of negligence law and other torts. Factors to consider When you begin the process of choosing a personal injury attorney, you will want to understand what makes a good lawyer. One important factor is trial experience. While not all cases go to trial and most settle out of court, you will want to hire an attorney who is a certified trial attorney and is not intimidated by a trial. Know the facts of your case and have as much documentation as possible Before meeting with an attorney for an initial consultation, write down and know as many facts of your case as possible. The attorney may want to see any or all of the following: • Police or incident report • Medical documents, including bills, diagnoses, and test results • Pictures of the location of the incident or accident, damage, injuries or anything from the scene • Written statements from witnesses • Your insurance policy (if applicable) Feel comfortable with the attorney You are going to be spending a good amount of time with your lawyer, so you want to make sure they make you feel comfortable, will be available to answer any questions you may have, and will have a positive outlook about your case. Size Matters Law offices range in size from sole practitioners to firms with hundreds of lawyers. While large firms may be more attractive, there are undeniable benefits to hiring a smaller firm.

Sole Practitioners Sole practitioners can be excellent lawyers and so you may want to consider retaining one if it makes sense, given the nature of your legal problem. Although no two lawyers are the same, potential benefits of hiring a sole practitioner include: • A more direct one-on-one working relationship with your lawyer. Your case is not going to get lost in the shuffle or handed off to another attorney. •

Lower fees and costs. It is not unusual for a sole practitioner to charge less than a big firm might charge for doing the same type of work.

•

A more informal working relationship. You are likely to get to know everyone in your lawyer’s office if he or she is a sole practitioner. This can lead to a better one-on-one working relationship, which may make you feel more comfortable.

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

For a free consultation, please contact Kevin Riordan, Esq., at 732-240-2250.

Kevin B. Riordan

Certified by the Supreme Court of New Jersey as a Civil Trial Attorney 732-240-2250 • kbrlaw@comcast.net •••••••••••• 20 Hadley Ave., Toms River, NJ 08753 www.kbrlaw.com

Health & Wellness

Whether lowering cholesterol or a dress size, it’s not about being a swimsuit model, but about being a better “YOU”.

I was morbidly obese and post menopausal, so I know the challenges of gravity and age.

FIT FOR THE KING

Food & Fitness Coach

Phone: 609-661-3641

Email: sandracallahan@FitfortheKing.info

The County Woman Magazine www.TheCountyWoman.com

We Offer: • Prepared Meals • One on One Training • Nutritional Education • Meal Planning • Lifestyle Counseling All Coming To You!

Individual and Group Appointments Available! January/February 2018

Health & Wellness

YOGA

HELPS YOU FEEL YOUNG We Offer Over 40 Classes A Week.

Yoga Improves Flexibility & Joint Health • Yoga Reduces Anxiety Yoga Improves Respiration • Yoga Improves Balance & Stability • Yoga Reduces High Blood Pressure

All Yoga For Health Series Classes Are Free For Everyone! Yoga For Weight Loss Jan. 4th - Jan. 25th • 4 Weeks Yoga For Heart Health Feb. 1st - Feb. 22nd • 4 Weeks

Teacher Training - Education Modules Deepen Your Yoga Practice Join Our Yoga Teacher Trainees For These Yoga Education Modules Jan 20th - 11am - 3pm Yoga Anatomy Course With April Dechas (Lunch Included) Jan 21st - 12pm - 2pm Gentle Yoga - Teaching & Assisting With Susan Seiter Feb 2nd - 7pm - 9pm Exploring Yoga Asana and Storytelling Through Myth With Advanced Jivamukti Master Class Austin Sanderson

Yoga Nidra - Sleep Yoga Mar. 1st - Mar. 29th • 4 Weeks

Feb 3rd -11am - 3pm Sanskrit Course With April Dechagas (Lunch Included)

All Levels Are Welcome

March 3rd - 11am - 3pm Pranayama, Vedic Verses, Sutras, Mantras with April Dechagas (Lunch Included)

NEW MEMBERS 4 Weeks of Unlimited Yoga

Just $40

Feb 4th - 11:30am -2:30pm Yoga Sutras With April Dechagas (Lunch Included)

March 17th -11am - 2pm Hatha Yoga Pradipika With Loren Russo (Lunch Included) March 18th -10am -1pm 8 Limbs - The Ashtanga Yoga Path With Loren Russo (Lunch Included) March 23rd - 6:30pm - 8:30pm Arm Balances And Inversions With Loren Russo April 6th - 6pm - 8pm Restorative Workshop With Malia Murphy April 20th - 7pm - 9pm Chakra Tuning With Loren Russo

Simple Moves… Dramatic Results!

*YTT Enrollees - All Modules Are Included In Training

Teacher Training - Special Events Jan 20th - 8:30am - 9:30am IDA Portal Method - Handstand Training with Damian O Hara - Regular Class Rate Applies

8 N. Union Street Manahawkin, NJ 08050 HotorNotYoga@gmail.com 1-855-SANTOSHA www.hotornotyoga.com

Feb 11th - 8am - 4pm Field Trip To New Vibe Yoga With Alex Schatzberg Ashtanga Yoga Master - 9 Saint Mark’s Place #2 New York, New York - Bus leaves Hot or Not 8 am. Trainees Free - Other Participants $45 March 1st - 8pm - 9pm Kirtan Benefit Holi Festival with Loren Russo FREE For Everyone!!

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Pediatric Dentistry

Celebrate Pediatric Dental Health Written By Dr. Elisa Velazquez, Ocean Pediatric Dental Associates

February is National Children’s Dental Month and we celebrate all winter long!

To teach kids about dental health, we visit over 2,500 students in Ocean County. Our team of pediatric dental health specialists visits with Girl Scouts, Boy Dr. Elisa Scouts, preschools, nursery schools, elementary schools Velazquez and Head Start to give them a fun and educational lesson on caring for their teeth. The teachers and the children enjoy our interactive sessions and the goodie bags with toothbrushes, educational materials and stickers. If you are a teacher or own a preschool, feel free to reach out to us to schedule a class. In February, we also host our annual Give Kids A Smile Day! The first Friday of February each year is a national event and participating offices provide FREE dental care. This program gives underprivileged children and those kids without dental insurance the dental care they deserve and allows us to reach out to our community. Each year we strive to treat 100 kids for FREE! Many families with NO dental insurance or with state plans are so appreciative of the opportunity to receive quality FREE dental care! We send out notices to school nurses, preschools, and pediatricians to spread the word about our day of FREE care. The community rallies around this event and we have received recognition from the Mayor of Toms River, The Ocean County Health Department, and the New Jersey Dental Association. Our efforts to educate children and their families are to help prevent cavities and promote proper oral health. Dental caries are caused by a

breakdown of the tooth enamel. This breakdown is the result of bacteria on teeth that break down foods and produce acid that destroys tooth structure and results in tooth decay. Although dental caries are largely preventable, they remain the most common chronic disease of children aged 6 to 11 years and adolescents aged 12 to 19 years. Tooth decay is four times more common than asthma according to the CDC – Centers for Disease Control & Prevention. WE LOOK FORWARD TO MEETING YOU AND YOUR FAMILY! TIPS TO PREVENT DECAY! • Brush twice a day with fluoride toothpaste • Clean between your teeth daily with floss • Eat nutritious and balanced meals and limit snacking/sipping • Professional cleanings and oral examination 2X a year • Ask about fluoride & dental sealants

This year our day of free dental care for uninsured children will be Friday, February 2, 2018. Appointments required. To schedule a hygiene class for your school contact us at lori@oceanpediatricdental.com.

YO U R C H I L D D E S E R V E S A P E D I AT R I C D E N TA L H O M E !

Your Child’s Dental Home Toms River 368 Lakehurst Rd. Toms River, NJ 08755 732-473-1123

Community

Manahawkin NE W 1301 Rt 72 W, Suite 305 LOCATION! Manahawkin, NJ, 08050 609-597-9195

www.OceanPediatricDental.com

Attention All Veterans

Mr. Anthony L. Pezza, Founder & President of American Standard Properties & Businesses, LLC (ASB), is offering every eligible woman veteran, from any of the six branches of the military, immediate access to its comprehensive online small business educational program. The major purpose of this program, which can be found on the website, www.bizonomics101.biz, is to provide veterans with all the tools and information they need to start a business, or operate one more effectively and efficiently. This unique program was developed to help veterans currently in their own business, and the aspiring entrepreneurs, learn more about how to successfully start, manage, run and/or grow a successful and profitable small business. It was created in gratitude to all the veterans for their invaluable services, and sacrifices for our country, and in memory of Mr. Pezza’s six brothers who served during WWll.

To register your name, go to www.bizonomics101.biz and for just the $1 it is used to fund whose mission is to support veteran’s organizations that assist those who have lost someone in the service of our country, and the forgotten wives of the fallen soldiers!

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Law

# 16

5 Considerations in Choosing a Special Needs Trustee Written By Christine L. Matus, Esq. Choosing the right person to serve as trustee of a special needs trust is one of the most important and difficult issues in creating the trust. A trustee typically manages the day-to-day operations of the trust, often making distributions to the trust’s beneficiary, investing the trust’s assets, and paying the trust’s bills – all while maintaining the beneficiary’s eligibility for public benefits programs. The law isn’t very strict about who may serve as trustee, as long as the person is over 18 years of age and is capable of managing his or her own affairs. A trustee can be the child’s parent or other relative, a trusted friend, or a professional such as a lawyer, accountant, trust company, bank or private professional fiduciary. Here are five considerations to help in the choice of who should serve. 1. FAMILIARITY WITH PUBLIC BENEFIT PROGRAMS. To ensure that your beneficiary’s eligibility is never compromised, a trustee’s knowledge of public benefit programs is crucial. Many government benefits like Medicaid, Supplemental Security Income (SSI) and Section 8 housing have very complicated and contradictory rules governing special needs trusts. 2. DOES THE TRUSTEE HAVE TIME TO DO THE JOB? Serving as the trustee of an active special needs trust can seem like a full-time job. Depending on a beneficiary’s needs, the trustee could spend a good deal of time paying bills, monitoring government benefits, helping to secure housing, paying for medical care and

serving as a link between the beneficiary and a variety of service providers. If a trustee finds that she can’t perform all of these tasks when needed, or if she is sacrificing her family life or other professional obligations in order to work as a trustee, then it may be time to look for a professional trustee. 3. CONSIDER A PROFESSIONAL TRUSTEE. This could be an attorney, accountant, trust company, investment firm, bank or private professional fiduciary. A professional allows you to take advantage of that individual’s or institution’s experience with public benefits, investments, money management and tax planning. 4. HOW COMFORTABLE ARE YOU GIVING TRUST CONTROL TO AN OUTSIDER? For those who are uncomfortable with the idea of an outsider

managing a loved one’s trust, it is possible to appoint a family member and an independent trustee as cotrustees. By doing so, you can rest assured that there is a person who is familiar with the beneficiary and has her best interests at heart and that the public benefit programs; requirements are being met. Another option is to simultaneously appoint a trust “protector,” who has the powers to review accounts and to hire and fire trustees, and a trust “advisor,” who instructs the trustee on the beneficiary’s needs. 5. IS A POOLED TRUST AN OPTION? A pooled trust, which is administered by a non-profit corporation, may be a good option for some families. Such trusts pool the resources of many beneficiaries, and those resources are managed by a non-profit association. Pooling trust resources can reduce administrative fees, increase the total funds available for investment, and permit access to better investment opportunities. Because a pooled trust accepts contributions from many beneficiaries, the trust is able to make more stable investments and provide additional management services that a conventional special needs trust might not be able to afford.

Make sure that whomever you choose as trustee is financially savvy, well-organized, and, most important, ethical. Your special needs planner can help you make the best choice.

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

Permanent Hair Removal 81 East Water Street Suite 2C, Toms River NJ 08753 732.281.0060 • www.MatusLaw.com

Permanent Hair Hair Removal Removal Permanent

Christine L. Matus, Esq. with her family

Stop Tweezing And Waxing! Yes, You!!

At Brick Electrolysis, we can help you eliminate unwanted hair PERMANENTLY! Please do yourself a favor, call us today: 732-948-9547 •

We know how it feels; we are not just Permanent Hair Removal Experts; we are clients too. “ It’s a butterfly effect …”

2/28/18.

The County Woman Magazine www.TheCountyWoman.com

Lorraine Fetherman, L.E., C.P.E. Debbie Matusas, L.E., C.P.E.

522 Brick Blvd. Brick, NJ 08723

732-948-9547 www.bhairfree.com January/February 2018

Medical Professionals

The Risks of Indoor Tanning Exposure to UV radiation increases the risk of developing skin cancer, according to the National Cancer Institute. Melanoma, the deadliest form of skin cancer, is linked to sunburns. The risk of melanoma of the skin increased by 75 percent when tanning bed use started before age 35. Sunlamps and tanning beds promise consumers a beautiful bronzed skin, vitamin D, and good mood year-round, but in reality the ultraviolet (UV) radiation from these devices has serious health consequences. A tan is the skin’s reaction to exposure to UV rays when skin produces more melanin, a pigment that darkens the skin. Over time, this damage might cause wrinkly skin and permanent brown or red pigmentation. This leathery look may not show up until many years after a tan or sunburn.

Two types of UV radiation, utilized by sunlamps and tanning beds, are UV-B and UV-A rays. UV-B rays penetrate the top layers of skin and are most responsible for sunburns. UV-A rays penetrate to the deeper layers of the skin and are often associated with allergic reactions from UV exposure that present like itchy red bumps. Most importantly, both UV-B and UV-A rays damage the skin and can lead to skin cancer. Exposure to UV radiation can cause irreversible damage to the eyes. Ocular malignant melanoma is deadly. In July 2009, the International Agency for Research on Cancer (IARC), part of the World Health Organization, concluded that tanning devices that emit UV radiation are more dangerous than previously thought. IARC moved these devices into the highest cancer risk category: “carcinogenic to humans.” Previously, it had categorized the devices as “probably carcinogenic to humans.” In addition to the serious risk of skin cancer, tanning can also cause immune suppression, impairing proper functioning of the body’s immune system and the skin’s natural defenses, leading to infections and skin cancer.

RENATA FLAKS, DNP

FOR MORE INFORMATION CALL 732-244-2666 OR VISIT WWW.QUALITYDERM.COM

(DOCTOR OF NURSING PRACTICE)

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Health& & W ellness Health Wellness

21 19

Protect Your Family – Eliminate Lice Now! Rebecca Kolas, Woman Owned and Operated

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Holistic Services Include: • Yoga • Reiki • Chiropractic • Equine • Adventure • Music & Art

Division of the Hansen Foundation

Take the First Step to Your New Life & Call Today! (844) LIVE-911 enlightenedsolutions.com www.TheCountyWoman.com The County CountySchool Woman Magazine Magazine www.TheCountyWoman.com The Woman Massage

May/June 2018 2017 January/February

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Mastectomy Boutique

Always The Perfect Fit! Professional Fitters on Staff

Did you know 8 out of 10 women wear the wrong bra size?

Bra Boutique • Certified Fitters - Complimentary fittings are available to get you in the right size bra. • Fashion Bras - Boutique bras ranging from sizes 28-58 band and A-O cups. • Active Wear - Come put your curvy body into our many styles of premium acti active wear. • Mothers Corner - Fashionable, Active Nursing Bras, Camisoles, and Swimwear. • Post-OP Compression & Reconstruction Garments

8 ES 28-5 Z I S D BAN ZES A-0 CUP SI IN Y SIZE R E V E AND EN BETWE

Mastectomy Boutique

• Post Surgical Garments/Lymphedema Products • Mastectomy Bras - We have a full selection of beautiful, feminine and fashionable mastectomy bras. •P Prosthesis - Breast forms are available in many styles, weights & colors to fit every unique individual. • Head Wear/Wigs/Turbans/Hats/Head Wraps • Certified Mastectomy Fitter (CMF) is available on staff. Mastectomy items are covered by most insurances.

Private Vocational School • Day and Evening Courses are available so you can work it within your schedule. • Need Help Paying? We have funding available from outside sources, government programs and payment plans. Charge card is accepted. Special funding available for people over 55. • Employment Opportunities are offered and we help anyone who is looking for employment after completion of the course. empl We are now accepting applications for CHHA’s and CNA's. CERTIFIED NURSE'S AIDE CERTIFIED HOME HEALTH AIDE We are an approved Private Vocational School through the Department of Labor and Workforce Development, and the New Jersey Board of Nursing.

Karing with Kindness

Durable Medical Equipment • Breast Pumps (covered by insurance) • Nebulizers - Adult or Pediatric • Incontinence Products • Commodes/Shower Chairs/Safety Bars • Rollators/Walkers/Canes/Wheelchairs • Stair Lifts/Ramps (portable or permanent) • Wound Care Supplies/Braces & Wraps • Certified Fitters Compression Stockings & Socks • Dr. Comfort Diabetic Shoes • Lymphedema Products • Lightweight Transport Chairs/Hoyer Lifts/Lift Chairs Certified Fitters For Compression Products Available! We accept Medicare and Most Insurances. We have Delivery and Set-Up Services.

www.karingwithkindness.com ON CALL 24/7

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Featured on the Cover

Your Body – What Matters Most

It is a unique combination of physical and interpersonal skills that make an orthopedic physician good at what he does. So many of the procedures require delicate, precise movements, and a steady hand. If surgery is necessary, it can involve plenty of stressful situations and doctors must be able to adapt to changes as they arise. For over 50 years the staff and doctors at Advocare Stafford Orthopedics have been serving the Southern Ocean County community in a myriad of ways. Known for caring for patients of all ages from infants, to the elderly, and treating countless conditions from diseases of the bone, to diabetic wounds. Orthopedics involves the treatment of injuries and diseases affecting the hands, feet, arms, legs, neck and back. Additionally, a large part of the practice is the treatment of broken bones and sports medicine. From total hip replacements to knee replacements the driving philosophy behind their care has always remained the same: try non-surgical forms of treatment first, and surgery only if other measures fail.

Pictured L-R: Eric S. Baskin, DPM, Judy Kerlin, APN, and Samuel E. Epstein, DO

Getting to Know the Physicians Samuel E. Epstein, D.O. OCW: What attracted you to the field of Orthopedic Medicine? Dr. Epstein: My father was a family physician and every summer he would take me to his office while he treated his patients. I knew at a very young age that I too wanted to become a doctor and help people. In high school and college I wrestled and played football. Needless to say, I had sports injuries that required treatment. Orthopedic medicine was very intriguing to me and I wanted to be able to take care of these musculosketal injuries both operatively and non-operatively. OCW: What are the most common conditions you treat on a daily basis? Dr. Epstein: We see a great deal of hip, knee, ankle, foot, shoulder, elbow, and back and neck pain due to injury or arthritis. Conditions such as carpal tunnel and trigger finger are also starting to increase.. OCW: What sets advocare/Staffford Orthopedics apart from other facilities like it? Dr. Epstein: Our office has been treating patients in Southern Ocean County for over 50 years and we are known for treating the whole patient, considering their individual needs. In most cases, we opt for conservative treatment first. Only after this fails do we recommend surgery. We understand most of our patients are in pain and usually fit them into our schedule within one day, even if it means extended hours. Our office staff is very “user-friendly” and competent. OCW: Tell about your educational background. Dr. Epstein: I received my medical degree at the Philadelphia College of Osteopathic Medicine and did my internship and orthopedic residency at Detroit Osteopathic Hospital. I also did some additional training at the University of Pennsylvania in sports medicine and spine surgery.

OCW: Are you a part of any medical associations? Dr. Epstein: I am a three time former chairman of the department of surgery at Southern Ocean Medical Center, and am a member of the American Osteopathic Association and the American Osteopathic Academy of Orthopedics. OCW: Can you tell us about some of the more cutting edge options you offer your patients? Dr. Epstein: So many of our patients are faced with joint, muscle or tendon pain that has not been resolved with medication, physical therapy, or cortisone injections. They may be contemplating surgery to alleviate their pain; or they may have resigned themselves to live with it. However, there are other options. One of those is Platelet Rich Plasma (PRP) injections. Many high profile athletes go to Europe to have these injections done. Essentially, your blood is made up of plasma (liquid part of the blood) and cells, white blood cells and platelets. The platelets help the blood to clot when you cut yourself. They also contain a high concentration of healing factors, which conveniently allow the cut to heal. To make PRP we draw your blood and spin it down in a centrifuge. When the blood is spun down, it separates into a layer of red blood cells, white blood cells and platelets. We draw off the platelet rich layer of the blood plasma (PRP) as this portion has a much higher concentration of healing factors. The PRP is then injected directly into the damaged tendon, muscle or joint. These PRP injections help the body to heal tendons and muscles damaged by injury or overuse and help to sooth the pain in arthritic joints. Although these injections are not yet FDA approved, I provide them to my patients. The reason they are not yet approved is because the FDA process of approval is very expensive. Unlike pharmaceutical drugs, PRP cannot be sold for profit since it’s obtained from your own blood. Therefore, there is no financial incentive for companies to go through the expense of getting FDA approval. Unfortunately, without FDA approval, most insurance will not cover the expense of obtaining the PRP. However, many of our patients consider the expense worth it, especially if it can alleviate their pain or help them to avoid surgery.

The staff and clinicians at Advocare Stafford Orthopedics believe in courteous and quality professional care. Their mission is clear: to be the premier orthopedic and podiatric practice in Southern Ocean County.

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Featured on the Cover

OCW: How do you stay current with the latest advances made in your field? Dr. Epstein: Being a doctor is a life long learning process. I am constantly reading journals, attending conferences, and listening to webinars to stay current. I am also involved in hospital committee’s in which I use “evidence Based Medicine” and “Best Practices” to develop the highest quality treatment protocols for my patients. However, it is critical to remember that there is no substitute for experience and we all learn by doing. I have been doing Orthopedic Surgery for 27 years and have had the opportunity to really hone my craft.

Eric S. Baskin, DPM FACFAS OCW: What attracted you to the field of Podiatric Medicine? Dr. Baskin: In college I worked in an army hospital where I shadowed different physicians from all fields of medicine. What really impressed me about podiatry is the fact that patients come into the office with pain and leave pain-free after a few minutes of treatment. There are so few areas of medicine that can claim this. OCW: What are the most common conditions you treat on a daily basis? Dr. Baskin: I see a great deal of patients dealing with pain from gait abnormalities to deformities such as flat feet, fractures, and sprains. I also see dermatological diseases, nerve related diseases, and diabetic related conditions of the foot and ankle. In addition, one of my specialties is pediatric abnormalities such as toe walkers. As a podiatrist, I wear many hats including that of plastic surgeon, orthopedist, dermatologist, and neurologist of the foot and ankle. OCW: What sets your practice apart from others like it? Dr. Baskin:: It really is all about our commitment to patient satisfaction. We strive to be the “Nordstrom’s” of orthopedics, and foot and ankle related treatment. By providing our patients with the best possible service, quality of care, and highest code of ethics, we make this happen on a daily basis. We realize when people come to our office they are trying to avoid surgery and we strive to keep them out of the operating room. This is accomplished by providing the most comprehensive and conservative treatments in modern medicine. If those treatments have been exhausted and surgery is required, we utilize the latest technology and techniques. Our primary goal is to get people back to their busy lives as soon as possible. OCW: How do you stay current with new advances made in your field? Dr. Baskin: I attend continuing education conferences yearly, as well as train residents and students when they do rotations in our office. I also love when I am asked to lecture at surgical conferences. My most recent lecture was in June where I completed my residency. It was really nice to be back with other alumni.. OCW: What can older women do to prevent diabetic related problems to the foot and ankle? Dr. Baskin: Good blood sugar control will prevent many of the diabetic related complications associated with the foot and ankle. Control of glucose levels through lifestyle and medical guidance can prevent loss of sensation, peripheral vascular disease, and foot deformities. Appropriate shoe gear and treatment of conditions such as flatfeet, high arched feet, bunions, and hammertoes are also important in preventing complications. I am always happy to educate our patients on various shoe options, conservative and surgical treatments, and foot care to keep them healthy and active.

Judy Kerlin, APN OCW: What are the most common conditions that you treat? Judy Kerlin, APN: I see patients with a variety of orthopedic conditions, including but not limited to joint pain from underlying arthritis, as well as those dealing with back and neck pain. Additionally, I treat acute injuries involving bones, muscles, and tendons. OCW: Are there any success stories that stick out in your mind? Judy Kerlin, APN: There have been many success stories in the 21 years that I have cared for patients with orthopedic problems. It is always uplifting when the patient follows-up after treatment and they are better. OCW: What is the most rewarding part about your job? Judy Kerlin, APN: The most rewarding part of my job is watching patients return to their usual activities and have the ability able to enjoy life again. OCW: What do you enjoy doing in your time off? Judy Kerlin, APN: I enjoy spending time with my family. OCW: How do you stay current with new advances made in your field? Judy Kerlin, APN: There are different requirements to maintain my license and certification. I obtain continuing medical education online, with medical journals, and at seminars. OCW: What was the most challenging aspect of working at Southern Ocean Medical Center? Judy Kerlin, APN: The most challenging aspect was being accepted as an APN, early in my career. The community understands my role better now and I have proven my competence. OCW: Tell us about some of the more cutting edge options you offer your patients. Judy Kerlin, APN: Many of our patients are faced with joint, muscle or tendon pain, which has not been resolved with medication, physical therapy, cortisone injections or viscosupplement injections (Synvisc). They may be contemplating surgery to alleviate their pain; or they may have resigned themselves to live with it. However, there are other options. One of those is Platelet Rich Plasma (PRP) injections. You may have heard of high profile athletes going to Europe to have these injections. Your blood is made up of plasma (the liquid part of the blood) and cells. The cells in your blood include red blood cells, white blood cells, and platelets. The platelets help the blood to clot when you cut yourself. They also contain a high concentration of healing factors, which conveniently allow the cut to heal. To make PRP we draw your blood and spin it down in a centrifuge. When the blood is spun down, it separates into a layer of red blood cells, white blood cells, and platelets. We draw off the platelet rich layer of the blood plasma (PRP) as this portion has a much higher concentration of healing factors. The PRP is then injected directly into the damaged tendon, muscle, or joint. PRP injections help the body to heal tendons and muscles damaged by injury or overuse and help to sooth the pain in arthritic joints. Although these injections are not FDA approved, I provide them to my patients. The reason they are not yet approved is that the FDA process of approval is very expensive. Unlike pharmaceutical drugs, PRP cannot be sold for profit since it’s obtained from your own blood. Therefore, there’s no financial incentive for companies to go through the expense of getting FDA approval. Unfortunately, without FDA Approval, most insurance will not cover the expense of obtaining the PRP. Many patients consider the expense worth it, if it can alleviate their pain or help them avoid surgery.

For more information or to schedule an appointment, call 609-597-6092 or visit www.advocarestaffordortho.com. 1168 Beacon Ave., Manahawkin, NJ 08050

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Featured on the Cover

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Medical Professionals

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

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

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Dr. Bruce Peters is a board certified Otolaryngologist who established his practice in Ocean County in 1997. A graduate of Philadelphia College of Osteopathic Medicine and residency at Thomas Jefferson University Hospital, Philadelphia, Dr. Peters then completed his Fellowship in Facial Plastic Surgery and Reconstructive Surgery at the University of Miami Hospital. He specializes in functional and cosmetic nasal surgery, sinus surgery, thyroid surgery and skin cancer surgery. Dr. Peters is a member of the American College of Surgeons, the Academy of Otolaryngology, Head and Neck Surgery, the Academy of Facial Plastic Surgery and the N.J. Academy of Otolaryngology. He resides in Wall, N.J. with his wife and two daughters and enjoys golf and fishing in his leisure time.

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January/February 2018

26 42

Health & &Wellness Health Wellness

TheofBetween Space You Ready? Now the Practice Yoga Begins…Are Written by Laurie Greene,Greene, PhD, ERYT, Owner Written by Laurie PhD, ERYT500

Owner, Yoga Nine, & LBIthe practice of yoga begins” Atha Yoganushasanam (yogaVentnor sutras 1.1) “Now

Tripsichore Yoga Theatre

“Every little gesture of the hand, every Mudra has a deep The first sentence of the bible of classical yoga is this. Atha, which often meaning – the entire philosophy of life is contained in Yoga in whatever form,“now” is premised on the principles opens important Sanskrit texts, means and has the connotation of auspicious beginnings…like saying “behold!”: it actsthat at once as anuniverse imperative—is these gestures. They convey a whole history of God’s of the natural world; recognizing the “wake up,” we are beginning—and as a “blessing” for those who are ready to self-manifestation in the universe.” singular and therefore, we are all connected. Our begin. It insinuates that we are finally ready to get real, and “to discover the – Paramahamsa Omkarananda Saraswati inability see in this from ourand lack ofcenter awareness, essence of our to existence the arises core of our own heart at the of our being” It signals our abilityof to duality. be in the present (“now!”). and(Freeman). the illusion (maya) The moment symbol yin/ Anushasanam refers to a systematic, scientific teaching; a teaching which is only Mudras play a very important role in Taoist alchemy, Buddhist meditation, yangto is an expression illusion duality; the offered a qualified student—one of whothis is ready to fully of commit. yoga, and Indian classical dance and theater. The word mudra stems from symbols intertwine, one needing the other.the Sanskrit root mud, which means “bliss.” This hints at The Yoga is a merge very variedand practice. There are many different styles, diverse thePainted powerBride of practices, and distinct lineages, but there is also an underlying web of similarity According The the Bhagavad Gita, this recognition these beautiful gestures to evoke deep feeling in the observerPhiladelphia and joy in the that joins these different approaches. An Indian folktale tells of a man who is practitioner. The word mudra also denotes “seal” in yoga and is January employed of connection compels us to “act” in ways that are Thursday, 18thto digging a well. He begins by digging down five feet and when there is no water, explain the process of sealing and strengthening the body’s vital energies. In of work, self and interest, hediscerning, is discouraged byfree his hard he climbsand out ofdedicated the hole, moves to a few at 6:00) classical Indian dance, mudras are used to express the7:00 vast(doors arrayopen of human yards away and begins digging again, only to be met by disappointment again intricate stories. something greater than ourselves. Selfless service or emotion and experience; to communicate deep feelings and tellTickets: and again. This goes on and on, and he never finds water, but labors endlessly. www.yoganine.com In the yoga tradition mudras are used for spiritual concentration, healing, SEVA, is the resultant practice. Most traditions of yoga inspire us to engage in deep self-exploration. They ask removing obstacles, and other subtle energetic practices.

THE BETWEEN SPACE

us to stick with it, work hard, and dig deeper and deeper. What we tend to do Please come and join us at Yoga Nine for a deeper exploration of the “now.” in our lives issupport leave a practice (any practice) just as it becomes We events: Come support this interconnection as wechallenging. sponsor two We will always offer challenging, guided practice to every student as we dig jump from Sculpture, regimen to regimen, diet toexploring diet, relationship to relationship, careerof Moving a workshop the creative application deeper into experience. Come dig deeper…the time is now! to career. In yoga we are asked to stick to it, so that through the body and breath Tripsichore Yoga Technique, with the originator, Edward Clark, and we can investigate deep and subtle feelings, responses, and reflexes in relation to THE BETWEEN SPACE-a SEVA fundraiser theand ATTIC youth the conditioned mind. We do this by slowing everythingfor down observing in Philadelphia. The willthefeature Edward’soflatest itcenter* closely with fresh eyes. We try to event look past rapid evaluations our touring conditioned minds. Atha is therefore about being present, here, in the moment. performance and the drag queen (Ru Paul) all-stars of Philadelphia. The diverse styles of yoga accomplish this focus and concentration in different ways. Some study texts andBRIDE philosophy (jnana),CENTER some engage in PAINTED ARTS chanting and other forms of devotion to a higher cause (bhakti), some engage Philadelphia in good works (karma), 230 and stillVine, others look to the movement of energies in the body to create deepThursday, experience (hatha).January The body in hatha yoga is seen as 18th an arena for metaphysical experience. It is manipulated through body postures, See (locks), www.yoganine.com for tickets and bandhas and mudras (body & hand gestures), which enhance the details. channeling of energy and therefore experience. These practices are ancient and are foundtogether in many Easternin artistic Indian classical theater and Come Thetraditions. Between Space. dance make use of postures and mudras to feel and express emotion and create transformation in the performers and the audience. Mudras in particular help *ThetheATTIC is the only safe space forand LGBTQ youth in Philadelphia. to focus gross body energy through delicate precise movements of the It provides these youth with opportunities to develop into healthy, hands. We are familiar with “anjali,” the mudra of prayer, which focuses our bodies on our vital energy the essential energy others, but community, there are manythat independent and civicand minded adults in a of supportive mudras with many intentions. promotes acceptance and love. https://www.atticyouthcenter.org/.

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January/February 2018

Medical Professionals

Endometriosis and Infertility WHAT IS ENDOMETRIOSIS? Endometriosis is a condition where tissue normally located in the uterus is abnormally found elsewhere in the abdomen. It affects women primarily from the late teenage years to the time of menopause. Classically, endometriosis is responsible for much of the chronic pelvic pain symptoms in women of reproductive age, and a common cause of infertility. Although the exact cause is unknown, evidence supports a genetic predisposition to developing endometriosis. WHAT ARE THE SYMPTOMS? Women with endometriosis often experience painful periods and pelvic pain varying from a mild annoyance to severe debilitating pain. It is estimated that endometriosis may be present in up to a third of reproductive age women with pelvic pain, and up to forty percent of women presenting with infertility. HOW IS ENDOMETRIOSIS DIAGNOSED? A detailed medical history, physical exam, and pelvic ultrasound are common components in the workup of a patient with suspected endometriosis. Medical history may be consistent with painful menstrual periods, including pain with intercourse and pain when having a bowel movement or voiding. Ovarian cysts can be found on ultrasound that may or may not be symptomatic. A definitive diagnosis is based on surgical exploration of the abdomen, with visual evidence of endometriosis. WHAT CAUSES ENDOMETRIOSIS? Although the exact cause of endometriosis is unknown, this benign disease is thought to arise from a combination of menstrual fluid that backflows from the uterus into the fallopian tubes and enters the abdomen. Another likely factor is cellular changes that create endometriosis implants in the abdomen, or that an altered immune system response allows these endometriosis cells to successfully survive and grow outside of the uterine cavity.

HOW DOES ENDOMETRIOSIS AFFECT MY CHANCES OF FERTILITY? Women with endometriosis have a strong association with infertility. It is estimated that between 20 and 40 percent of infertile women have endometriosis, and that the extent of infertility is directly associated with the severity of disease. WHAT ARE MY TREATMENT OPTIONS? Treatment of endometriosis depends on the clinical symptoms, which include pelvic pain and/or infertility. Medical treatment includes the use of anti-inflammatory medications or oral contraceptives in those women with mild symptoms not desiring pregnancy. Medications that decrease the production of estrogen in the body are also being utilized to treat this disease. Although medical therapies address the symptoms, they do not provide a measurable benefit regarding fertility. Therefore, on a case-by-case basis, surgical treatment may be beneficial in restoring ovarian and fallopian tube anatomy, and to remove endometriosis implants. Fertility treatments may often be required to achieve pregnancy. Endometriosis can affect many facets of a womanâ&#x20AC;&#x2122;s health. It is important that patients be educated about the implications of this condition, and that proper evaluation and care is implemented by their provider. At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation, and present you with individualized options for conception, all in a comfortable and caring setting. Our patients are made to feel like guests in our home. We are a full-service fertility center experienced in all the latest technologies and look forward to helping you achieve success.

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January/February 2018

29 Medical Professionals Medical P rofessionals to Opt for Pellets Over Other Subcutaneous Pellet Therapy Reasons Forms of BHRT?

Heat Stroke Vs. Heat Exhaustion First And Foremost Is To Listen To Your Body! NOT ALL FORMS OF HORMONE ADMINISTRATION ARE CREATED EQUAL

1. Ease of administration-it is painlessly implanted under the skin and lasts four to Are you currently receiving treatment for low or imbalanced hormones? six months. Are you feeling any better? Perhaps you are feeling worse? HEAT STROKE: We all enjoy the summer season but NOT the humidity and uncomfortable 2. No fluctuating levels as is seen with all Whether you are atoman a woman, this month’s going of to heat set yourelated straightillnessother • Most article severeisform thatforms can lead to death if not treated heat associated with record breaking temperatures. According theorCenters of administration. regarding most effective safest “bio-available” form of hormone restoration as an emergency for Disease Control and Prevention, on average, overthe 600 people dieand from (See Diagrams). 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 3. Maintains constant levels throughout the is similar to the oncecombined. most prescribed drug in America -Premarin, but much • Body temperature greater thanlike 104 degrees tornadoes, hurricanes, flooding, lightning orconcept any other weather event day avoiding the ups and downs seen with other 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 heat exhaustion and heat stroke? other forms of BHRT. 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 4. Your body absorbs only what it requires In 2008, the FDA gave its blessing to Slate Pharmaceutical’s overheating. based on activity andmany metabolic needs Testopel, a bio-identical testosterone pellet therapy designed ICAM offers a variety of intravenous medical drips that level benefit patients HEAT EXHAUSTION: during the day. exclusively for men. (To date, the FDA has yet to admit the and conditions from “fatigue to fantastic”. Whether you think you are healthy or • Heavy Sweating NEED for testosterone in women). you are not, IV supplementation is a quick5.and efficient way to promote health Convenience - other forms of hormone • Rapid Pulse and combat illness. administration require a once or twice daily • Dizziness Yours in Health and Wealth, During the summer season ICAM is offering our “Hydrator IV” for those who dosing. • Fatigue wish to optimize their hydration either before and/or after between extremeasun/heat MarK • Cool, Moist Skin 6. The difference medication and exposure. Whether you choose the IV or oral route of fluid always Mark James Bartiss, MD • Goose Bumps When In The Heat a poison is the dose.administration, Pellet form of BHRT be sure to keep hydrated. This is especially important in the very old and the very • Muscle Cramps utilizes 1/20th the same dose of hormone young and of course our furry little friends! • PROCEDURE: Nausea that other forms would require to achieve 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 pellet therapy (3-6 months). These symptoms may develop over time or come on suddenly, especially hip area followed by placement of the small pellets which are about half the size of a Tic-Tac. No suturesRead are required incision is theas the full article at www.Icamnj.Com during or following periods of prolonged exercise AND IF NOT ADDRESSED, small and can be closed through the use of a butterfly bandage.

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Massage School Law

’Tis the Season Make This Summer Worthwhile, (for Workplace Accidents) Become A Massage Therapist!

The holidays are over, the decorations have been put away until next year and due to heavy lifting, a fall off a ladder, or a slip and fall on a wet floor. They can now you can finally put your feet up and relax. It was a lot of work, but oh, so occur anywhere. A stockroom, the selling floor, loading dock or checkout counter. worth it! But even with Santa’s help, you didn’t do it all by When these accidents occur at work, you have rights yourself. and are entitled to important benefits. Protections like The New Jersey School of Massage We strive to ensure that you will be trained to enjoy a offers Every extensive year, we count on the hard work of delivery wage replacement, fully paid medical benefits and a cash training with a personal succesful massage career upon graduation. We not only prepare mentouch. and women andabout retail and restaurant settlement are things we can help you with if you’ve been We care YOU, YOURworkers life, to keep geriatric up with our holiday shopping demands, provide foodyou in spa massage, sports, medical, prenatal andinjured at work. and YOUR future. We prepare YOU to but we will also bring in Cheryl Chapman, a cancer and libations at our holiday banquets, decorate the stores massage The holidays may be over but it’s our job to help become a confident, professional and Texwork therapist and trainer for over thirty years. tbookinjury where we shop, and get those heavy items into our cars and put the financial burden of a holiday-related s and s licensed massage therapist. chool a She has presented her programs at four AMTAbehind national T homes. you as well. If you or a loved in one suffered a s hwork irt are cluded in answers and authored articles on cancer and mastectomy the tuit If you or a loved one works in any of these areas, conventions the injury this holiday season, call us today to get the ion. New Jersey School of Massage offers massage. This cancer massage training is open to existing hurried pace of the season may have resulted in an injury you need. state approved 600 hour massage massage therapists, in which they can earn 16 CEU credits. NJSchoolofMassage.com Kathleen Dotoliprograms. received recognition from certificate We can trythetoAmerican Institute of Legal Counsel for “10 Best Attorneys for Social Security and Disability Law Division for Client Satisfaction” 2016 and 2017 register online or call for SINGLE MOMS OR SEMI-RETIRED ACTIVE adjust our program to meet your needs more information ADULTS. The best thing about this career is that you can financially and your life schedule. We 732-505-0055 have your own private clients and set up your own schedule offer a full time day program, which or work for a spa or treatment center. is three days a week, completed in Located On: 6 - 7 months and a part time evening Corner of Route 37 & 166 Established in 1995, the NJ School of Massage has grown to be one of program, which is two nights a week, the preeminent institutions for massage therapy education in the state. NJ Corinne Jewlers Plaza completed in 10-12 months. School of Massage is privately owned by Alice Marin, LMT, CMA.

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

Toms River, NJ

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July/August 2017

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January/February 2018

Medical Professionals

Hepatitis C and the Baby Boomer

Written by Jill Collier, M.D. Medical Director, Endoscopy Center of Toms River

More than 75% of patients infected with Hepatitis C were born between 1945 and 1965 and are part of the Baby Boomer generation. This has prompted the Centers for Disease Control and Prevention to recommend routine testing for Hepatitis C virus for all Baby Boomers. Hepatitis C is one of the leading causes of cirrhosis, primary liver cancer, and the need for liver transplantation. Unfortunately it often progresses to severe organ damage before any symptoms are present, making it a silent killer. What is Hepatitis C and how do I get it?

Hepatitis C is a viral infection that is transmitted by blood. The virus reproduces in the cells of the liver, leading to chronic liver inflammation. Over the course of decades and without many symptoms, this process leads to a scarred and damaged liver. Risk factors for transmission include drug use,

tattoos, and blood transfusions prior to widespread blood screening practices of the 1990s. Patients with HIV are at an increased risk, as well as those in the healthcare profession, especially after needle sticks from an infected patient. Still others have become infected without an identifiable source.

How do I know if I have the infection?

A simple blood test called a Hepatitis C antibody test can detect if you have been exposed to the virus. If this is positive, then further tests are needed to see if active virus is circulating in your blood. Once your infection is confirmed by blood testing, imaging of the liver with an ultrasound and additional blood testing to further understand the extent of the infection will be required.

How is Hepatitis C treated?

In the past the treatment of Hepatitis C often required up to a year of therapy with a drug called interferon combined with oral medications. Unfortunately this treatment was not very successful and the drugs themselves caused a lot of side effects. Currently there have been major advances in the successful treatment of Hepatitis C. The treatment for some types of Hepatitis C can now be as simple as one pill a day for eight weeks, with a cure rate over 90%. The treatment of Hepatitis C is rapidly evolving, with many new drugs and regimens being developed.

How can I take charge of my risk of Hepatitis C?

The most important component to managing Hepatitis C is to know whether or not you’re infected. The first place to ask about this is with your primary care provider, who can easily order the needed lab testing. Once a positive test is found, the next step is to speak with a gastroenterologist and to set a course for a successful treatment. If you are one of the 75 million Baby Boomers in the U.S. today, speak with your healthcare professional to get the testing you need to stay healthy and one step ahead of this insidious infection.

PATIENT TESTIMONIALS “Staff here always receptive, pleasant and caring, including Dr. Collier, as always! Everyone was very attentive and efficient. It was my first time using Dulcolax and Miralax prep. It was easy to take and worked VERY well!” — Jane, 64, Brick “The medical staff was excellent. Dr. Collier has a great bedside manner and explained things very clearly. All staff double-checked and confirmed all of my information before the procedure. Very professional.” — Jeff, 49, Forked River “It was and is a real blessing to be handled by such a competent staff. Love Dr. Colliershe is awesome. — Adrienne, 74, Jackson “I was treated very well by all. In comparison to other facilities (by word of mouth with coworkers), my experience was easier than others. Thanks to Dr. Collier and staff. — Dorothy, 63, Bayville

Visit www.GastroOfOcean.com

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January/February 2018

Meet The Doctors

Meet the Doctors of Gastroenterologists of Ocean County Omar Tamimi, MD

Doctor Omar Tamimi joined our practice in 1992. He is Board Certified in Gastroenterology. He is a graduate of Rutgers University and University of St. George’s Medical School. His medical training was completed at Seton Hall University, St. Joseph’s hospital, Patterson, NJ. Since completing his medical training he has performed over 25,000 endoscopic procedures and has vast experience in all aspects of the practice of Gastroenterology. Doctor Tamimi had been a member of the executive committee at Kimball Medical Center since 2003 and served as the Chief of the Medical Staff from 2007-2009. Dr. Tamimi is currently Medical Director of the Endoscopy Center of Ocean County. Doctor Tamimi and his wife Patty have three children with whom they are very involved. Doctor Tamimi enjoys outdoor sports, coaching Toms River Little League, vacationing and spending time with his family and is a big fan of Rutgers sports teams and Bruce Springsteen.

Jill Collier, MD

Doctor Jill Collier is Board Certified in Gastroenterology. She is a graduate of the University of Pennsylvania, where she was Phi Beta Kappa and Magna Cum Laude. She attended medical school at Mt. Sinai School of Medicine in Manhattan where she was elected to the honor society, Alpha Omega Alpha. Her medical residency was also completed at Mt. Sinai. Her Gastroenterology fellowship was completed at Montefiore Hospital/Albert Einstein College of Medicine in New York. She received extensive training in all aspects of Gastroenterology and has performed over 20,000 procedures. She has been chosen as one of “America’s Top Physicians” annually since 2007. Doctor Collier is currently Medical Director of the Endoscopy Center of Toms River . She was chairperson of the Division of Gastroenterology at Community Medical Center from 2010-2104. Doctor Collier and her husband Douglas have two children. She enjoys skiing, reading, travelling and being involved with her children’s activities.

Kenneth Glazier, MD

Edgar Bigornia, MD

Doctor Edgar Bigornia is Board Certified in Gastroenterology. He is a graduate of Brandeis University and attended Medical School at SUNY Health Science Center at Brooklyn (Downstate) in New York. His Internal Medicine training was completed at Albert Einstein College of Medicine and he served as a Chief Medical Resident at Booth Memorial Hospital. His Gastroenterology fellowship was at New York Medical College. He is the recipient of the Lawlor Award for the best scientific paper submitted by a fellow at the American College of Gastroenterology meeting. He previously practiced in Poughkeepsie, NY. He enjoys outdoor sports with his family. He listens to all types of music and relaxes by playing the piano and guitar.

Doctor Kenneth Glazier is Board Certified in Gastroenterology. He graduated from the University of Michigan and Northwestern University Medical School. He completed his medical residency at Boston City Hospital and his training at Columbia University College of Physicians and Surgeons in Manhattan then Robert Wood Johnson Medical School in New Jersey. He has extensive experience in the treatment of Inflammatory Bowel Disease at the Crohn’s and Colitis Center of New Jersey and published a manuscript on the use of 6MP in treating Crohn’s disease. He is presently a Clinical Assistant Professor of Medicine at Rutgers-Robert Wood Johnson Medical School and joined the group after five years in private practice in the MarlboroFreehold area. Dr. Glazier is currently Secretary of the Medical Staff and Chairperson of the Department of Gastroenterology at Community Medical Center in Toms River Dr. Glazier was recently selected as one of New Jersey’s top doctors in NJ Monthly Magazine. Doctor Glazier and his wife, pediatrician Kim Glazier, MD are the parents of two children. Dr. Glazier enjoys sports including golf and softball.

Jai Mirchandani, MD

473 & 477 Lakehurst Rd. Toms River, NJ 08755 732-349-4422

1617 Rte. 88 W. Brick, NJ 08724 732-349-4422

Call today to schedule your procedure in one of our tranquil and private endoscopy centers! We hope this enlightens you about the consultative gastroenterlogical services that we provide. We perform endoscopic

939 Lacey Rd. Forked River, NJ 08701 609-971-5949

procedures in the convenience of our two office based endoscopy centers. We aim to provide the highest quality of compassionate medical care and perform endoscopies in a convenient, friendly, non-threatening office setting. We serve patients from many different backgrounds, which is mirrored in the diversity of our physicians.

Doctor Jai Mirchandani is Board Certified in Gastroenterology. He graduated from Johns Hopkins University and the University of Medicine and Dentistry-New Jersey Medical School. He completed his medical residency at the University of Illinois at Chicago, and his Gastroenterology training at New York Medical College in Valhalla, NY. He served as an attending physician and instructor at Maimonides Medical Center for three years, where he was the Director of Capsule Endoscopy, Director of the Colon Cancer Screening program, and the Assistant Program Director for the Gastroenterology Fellowship program. Dr. Mirchandani has presented half a dozen abstracts at the national gastroenterology meetings, and his work has won two awards at the American College of Gastroenterology. He is the author of a chapter published in “Curbside Consultation of the Pancreas”. Dr. Mirchandani and his wife, neurologist Lakshmi Nadiminti, D.O., are the parents of two young children. Dr. Mirchandani enjoys spending time with his family, listening to music, and is an avid sports fan.

www.GastroOfOcean.com

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January/February 2018

Community

Sketches Music Poetry Dance The event will showcase the tremendous talent Ocean Mental Heath Services has discovered from individuals suffering with mental illness. This is an opportunity to eliminate barriers and misconceptions surrounding mental health, encourage positive conversations to reduce stigma, and shed light on the changing climate of mental health treatment in New Jersey. The exhibit will contain paintings and drawings, mixed media, and several forms of creative expression including: poetry, music, and dance, provided by children and adults seeking services at OceanMHS.

The Ocean Mental Health Services mission is to offer a comprehensive continum of behavioral health, substance, and integrated healthcare services, which promotes full participation in community life.

Sponsorship Opportunities Available Call 732-269-4849 or visit OceanMHS.org to learn more.

Technology

OceanMHS.org FUN Educational Websites For Kids!

This is a learning site like no other: your kids will be boosting their IQ without even knowing it through games and activities about animals and places around the world. Plus, kids can keep tabs on things going on around the world! www.kids.nationalgeographic.com/kids/

www.whyville.com

Whyville is a social networking site developed specifically for tweens. A filter automatically removes the use of any foul language, so thereâ&#x20AC;&#x2122;s only appropriate chatting allowed. Kids can design their own avatar and can play games, write for the town paper, and even start a business!

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www.seussville.com Dr. Suess has been teaching young people morals in his books since the 1950s.The fun continues on this site filled with fun, entertaining activities and valuable life lessons geared towards children of all ages. January/February 2018

Medical Professionals

Recipe

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 Â˝ large sweet onion, cut into thick rings 8 fresh pineapple spears 1 Â˝ 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 2018

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

Health

Wellness

Assess Your “Life Satisfaction” Level: Does It Need a Tune-Up?

- life? While How satisfied are you with your you may not think about this very often, it is an important question and deserves your attention. You go through this life once – so shouldn’t you strive to make it as enjoyable and fulfilling as possible? Generally speaking, on a scale of 1 to 10, how would you rate your overall level of satisfaction at this point in your life, if 1 is “not very satisfying” and 10 is “super-satisfying”? Remember that number.

There’s a life satisfaction activity that I sometimes ask clients to complete. It goes beyond the general question – and it’s led to many “aha” moments. I’m tweaking it here, for the sake of brevity. So, grab a piece of paper and a pen / pencil.

The Life Satisfaction Activity Your life is divided into different aspects, as noted below. Write down the following in a vertical column, leaving several inches of space in between each: 1) Overall Health / Fitness / Nutrition 2) Career / Work or Meaningful Activities 3) Leisure / Recreation 4) Self-Enrichment 5) Spirituality 6) Close Relationships • Going with your first instincts (don’t overanalyze),

rate your level of satisfaction for each of those areas of your life, on a scale of 1 to 10. Again, 1 is “not very satisfied,” and 10 is “super-satisfied.” Write the appropriate number next to each aspect of your life.

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.

part of your life will improve by taking those actions. What will be the consequences of not taking positive action? What might hold you back from making changes? Will altering your perception or expectations change how you feel?

• How would your life be different if there were higher levels of satisfaction in each area? Imagine what that would feel like – picture it, sense it. Of course you have responsibilities and obligations, and it’s impossible to spend every moment doing something fulfilling. But you create and shape your life, so take charge of those things you can. Keep tabs on your level of life satisfaction by repeating this exercise every few months. Assess what needs to be changed, and work at changing it. You are, in fact, “the gardener of your own being.” Hypnosis and coaching can help you identify any blocks to achieving your goals and can help you establish better lifestyle habits. Through hypnosis, we work with the subconscious mind to clear unhealthy patterns and instill smarter ones. Through coaching, we work with the conscious mind to bolster these changes. The dual aspect of this process makes it extremely powerful.

• Examine your ratings. Are most 5 or over? Are several

If you would like personalized assistance to help you move forward, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.

• Under each category, write down specific actions

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

below 5? Are many below 5? What messages are you getting from this? Are these ratings in sync with the more general number you arrived at earlier? you can take to bump up the number. Imagine how that

Hypnosis For Women ❀ ❀ ❀ ❀

Weight Control Smoking Cessation Relaxation/Comfort Fear Release

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

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January/February 2018

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Medical Professionals

New Year-New You - SmartLipo Might Be The Answer If you are unhappy with the shape of your body and are in good health, then you are likely a good candidate for SmartLipo. Age and genetics alter the shapes of our bodies, causing the accumulation that is resistant to diet or exercise. SmartLipo is best suited for that healthy individual who eats right, exercises and generally lives a healthy lifestyle, but can’t seem to lose weight from a trouble area – such as hips, saddlebags, back of the arms, etc.

Here’s what our happy clients have to say! HOW MUCH DOWNTIME WILL I HAVE? Immediately after your procedure, you will walk out and be able to perform mild activities. Unlike the need for prolonged recovery and possible overnight stay when liposuction is performed with heavy anesthesia, downtime is minimized. SmartLipo significantly reduces tissue trauma and post-procedural pain while completely eliminating post-anesthesia recovery. Most patients are able to return to normal desk-type work in 1 to 2 days and some patients are able to return to work the same day, depending on the area treated. WHY DOESN’T THE SMARTLIPO PROCEDURE NEED HEAVY ANESTHESIA? SmartLipo only requires local numbing. This ensures patient safety and improved recovery. In traditional liposuction procedures, heavy anesthesia allows the surgeon to use larger instruments with more aggressive and quicker movements, which result in faster overall procedure times. Faster procedure times means more procedures can be performed, but because they are using heavy anesthesia, larger instruments and more aggressive movements, their patients are exposed to greater risks and have longer and more painful recoveries. SmartLipo is done using smaller instruments; patients have more uniformity in their result, less bruising due to the characteristics of the laser, and generally just a better cosmetic result. HOW MANY SMARTLIPO SESSIONS WILL I NEED? Ask Ab Only one session per area is needed to achieve full results. Laser Ha out Our ir Rem WILL SMARTLIPO RESULTS BE PERMANENT? Specials oval ! Small A As adults, we do not create new fat cells; when we gain weight, our fat cells fill reas $37 M 5 edium A up. When SmartLipo is done, the fat cell is destroyed and no longer has the ability to reas $47 L 5 a rge Area hold fat. The body will readjust to not having those fat cells and will place fat in cells in s $600 other parts of the body. For this reason, we advise that clients do not use this procedure as a diet. After SmartLipo it is very important that clients eat well and exercise to avoid weight gain in other parts of the body.

“I had been considering SmartLipo for the last 2 years. After meeting Dr.Fondacaro..I was sold! He was so polite and friendly. He took his time and explained everything. I am always worried about complications and risk factors with everything when it comes to my health but I felt 100% content with this doctor. Anna is great too! She is always available to answer any questions and promptly replies to all missed calls. I had my flanks done and will be going back for my lower abdomen next month. I’m very happy and have great results so far but it has only been 10 days! I would highly recommend this doctor.” “I went for laser lipo in Brick. Anna was my contact person. The experience, start to finish, was fantastic! The doctor is the best-- witty, experienced, helpful and compassionate. Anna is a kind and gentle person. So far, I am thrilled with my results. It wasn’t painful, per se, but felt very strange. They provided meds and local for the procedure. Worth every penny so far.”

For more information call 732-262-5476 or visit

www.drparkave.com 74 Brick Blvd, Bldg. 3 • Brick 732-262-5476

Insta

Happy Valentine’s Day

Valentine Marshmallow Love Bugs - A Fun Unique Craft For Kids You will need:

• spaghetti • marshmallows • wax paper • lollipop sticks • rolling pin • pink sprinkles • sugar • mini heart cookie cutter • styrofoam block • mini gumdrops • shortening • large gumdrops • knife • heart confetti sprinkles • toothpick • black edible marker • light corn syrup

1. Slide two marshmallows (or three) on a lollipop stick. Fill a deep bowl or cup with water. Dip the marshmallows in and remove quickly, dabbing excess water on a paper towel. Hold the wet marshmallows over a bowl or plate and sprinkle generously to coat with the sprinkles. Rest the stick of marshmallows on a piece of wax paper.

2. Use the marker to add two black dots to two white heart sprinkles. Use a toothpick to dab dots of corn syrup on the back of the eyes to adhere to the marshmallows. Add a red heart sprinkle to the lower marshmallow. 3. Cut two mini gum drops in half horizontally with a sharp knife. Use a small piece of dried spaghetti, about 1-inch long, to skewer the top half of the gum drop and attach to the top of the bug’s head.

4. Roll a large gumdrop with a rolling pin on a surface dusted generously with granulated sugar. Roll about 1/4 inch thick. Cut out two mini hearts. Skewer the hearts with another small piece of dried spaghetti and attach to the bug’s body for wings. Prop in a Sytrofoam block to fully dry.

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Community

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January/February 2018

Law

Ask Daniel Straffi, Jr. Esq.

Rebuilding Credit After a Bankruptcy: What You Need To Know

ne of the most common questions I hear from clients is, “How will this affect my credit?” It’s a common question because it’s a good question, with many subparts. Oftentimes, clients fear the credit ramifications of filing a bankruptcy. The perception is that the filing of a bankruptcy is an “end” rather than a “new beginning.” I try to relay the latter, as it is the intent of the bankruptcy courts to provide the honest debtor a fresh start. This fresh start includes the ability to rebuild one’s credit over time. Let’s address the various subparts that pertain to the overall theme of rebuilding one’s credit: 1. How long will it take for me to rebuild my credit?

Generally speaking, it takes people approximately two years to rebuild their

credit after the filing of a bankruptcy petition. What I try and emphasize to clients is that, although your credit will take an immediate hit, the bottom line is that you are being proactive in addressing and resolving the situation. This is a far better approach than languishing with poor credit for a number of years and getting nowhere. In some cases, it is best to take the initial credit hit, wipe the slate clean, and start to rebuild.

2. How do I rebuild my credit?

The best way to rebuild credit is by using credit. Many bankruptcy clients are surprised to find the number of credit opportunities they will be inundated with after filing for bankruptcy. The reason for this is that creditors know that a bankruptcy debtor is ineligible to file bankruptcy again for another eight years, generally.

Therefore, the creditors wish for debtors to resume the practice of relying on credit as soon as possible. I recommend a conservative approach to most clients, whereby they look to obtain a secured credit card (where the client essentially fronts the amount of credit offered) and use it for their monthly groceries or other regular expenses. Then, pay it off every month. Using credit helps to rebuild credit.

3. How long will a bankruptcy be on my credit report?

Make no mistake about it: a bankruptcy will be on your credit report for a period of ten years. However, as stated above, it will take you about two years to rebuild your credit. In the interim, the cash that will be freed up from not having to pay exorbitant minimum fees and the like will help most debtors operate their households while simultaneously rebuilding their credit.

4. Will I ever be able to obtain a mortgage again? Absolutely. Most mortgage companies will not consider applicants who

have filed until they are 2-3 years post-bankruptcy. However, this period of time is also essential for clients to re-evaluate the course of their life/lifestyle. While rebuilding one’s credit post-bankruptcy, it is important that folks take advantage of the clean slate they have been provided and set a strategy that makes the most sense going forward. Therefore, that 2- to 3-year period of rebuilding is a welcome and needed respite. I hope that the foregoing proved helpful in relaying the message that bankruptcy is not an end. Rather, it is a new beginning – an opportunity to start again and empower oneself to set your own fiscal course and rebuild over time.

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. Protect Yourself Against Foreclosures, Judgments, & Harassing Creditors

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VISIT: www.straffilaw.com.

Your light at the end of the tunnel starts here. We are a debt relief agency that helps people file for relief under the bankruptcy code.

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January/February 2018

Medical Professionals

Vaginal Birth After Cesarean: Is it an option for you? Katie Connelly, CNM, offers perspective Contrary to popular belief, vaginal birth after cesarean (VBAC) is an option for many women. Katie Connelly, a certified nurse midwife at Ocean Gynecological and Obstetrical Associates (OGOA) of Barnabas Health Medical Group, which is also affiliated with Community Medical Center, an RWJBarnabas Health (RWJBH) facility, has delivered dozens of healthy babies via VBAC throughout her 15+ years working in women’s health. Here, she sheds light on VBAC – a safe and appropriate option for the right candidate. In the past, it was standard practice for women who had cesareans during their first childbirth experience to have planned, repeat cesareans for subsequent births. However, that’s no longer the case. OGOA offers a unique combination of midwifery and obstetrical care. Patients get the personalized attention of midwives, along with the medical expertise of the physicians.

About Barnabas Health Medical Group

Barnabas Health Medical Group is a multi-specialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. bhmg_121710_Ocean County Connelly.indd 1

Understanding that women have different personal preferences when it comes to childbirth, OGOA offers VBAC as a safe and appropriate option. To determine if VBAC is a viable option, OGOA interviews patients and carefully reviews their history.

VBAC Candidacy

“We typically see a 70-80 percent success rate when it’s determined that women are an appropriate candidate and go through a VBAC,” says Katie.

VBACs should only be performed in hospitals with the staffing and availability to perform an emergency cesarean, should it be needed. Anesthesiologists and neonatologists should be present at the hospital as well. During a VBAC, the patient is monitored closely for any signs of fetal distress or uterine rupture.

VBAC Benefits A vaginal birth shortens the recovery period. It’s typically a two–night hospital stay with a 6-week recovery period while a cesarean requires a 3-4 night hospital stay and a total recovery period of about 8 weeks. VBAC also allows the patient to avoid a major abdominal surgery as well potential risks associated with the procedure, including hemorrhage, blood clots and infection. “Many of my patients choose VBAC because they want to have the experience of delivering a baby,” says Katie.

Not all women are good candidates for VBAC. Reasons may include: history of extensive uterine surgery, a breech baby, placenta previa, twins or any other contraindication for vaginal birth.

When making recommendations for or against VBAC, Katie and her colleagues take a careful look at all possible factors including delivery challenges, dilation issues and more. “Even if a woman had trouble dilating, VBAC is not automatically ruled out. Instead, we investigate the reason for lack of dilation. Was it because the baby was in distress? How far did the woman get into dilation?” The bottom line is that women need to make choices that work best for them and their baby. It’s important for women to know that VBAC is an option and to arm themselves with information and work with a midwifery/ obstetrical team that is open to VBAC, should they choose that route,” says Katie.

Katie Connelly, CNM, started her career as a certified childbirth educator

and labor and delivery nurse. She earned a B.S. in nursing from The College of New Jersey, where she graduated with honors and was inducted into Sigma Theta Tau, the International Nursing Honor Society. She earned a M.S. in midwifery from New York University.

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12/15/17 10:38 AM

January/February 2018

Medical Professionals

Fecal Incontinence: Dealing with an Embarrassing Condition What is fecal incontinence?

NINA J. PAONESSA

Fecal incontinence, or bowel incontinence, is the inability to control bowel movements, causing the involuntary passage of stool. Symptoms of this often embarrassing disorder range from occasionally leaking small amounts of stool and passing gas, to completely losing control of bowel movements. Classified as a pelvic floor disorder (PFD), fecal incontinence occurs when muscles in the pelvic area cannot support the organs in the pelvis. These organs include the bladder, uterus (women), prostate (men), and rectum.

What causes fecal incontinence and PFD?

The brain controls the muscles of the pelvic floor through the nerves. Medical conditions or injuries that impact the health of nerves (such as diabetes, Parkinson’s disease, stroke, back surgery, spinal stenosis, or childbirth) can result in weakness or injury of the pelvic floor muscle, resulting in fecal incontinence and PFD. Those with PFD are unable to control the muscles in the pelvic floor to have a bowel movement. People with PFD contract these muscles rather than relax them, and because of this, they either can’t have a bowel movement or they have an incomplete one. PFD also includes urinary incontinence and pelvic organ prolapse. In fact, many people suffering with fecal incontinence also experience urinary incontinence. Urinary incontinence is a loss of bladder control due to bladder muscles that are too weak or too strong. Symptoms range from mild leaking to uncontrollable wetting, and become more common with age. Pelvic organ prolapse is a condition in which the uterus, bladder and bowel may “drop” onto the vagina and cause a bulge through the vaginal canal. Also common is a disorder in which the rectum becomes “stretched out” and slips out of the anus. This is called rectal prolapse. It is estimated that nearly one-third of all U.S. women are affected by one of these types of pelvic floor disorders in their lifetime.

with medical treatment may benefit from surgery to correct the problem. Several options exist, depending upon the underlying cause of the incontinence. In most cases, surgery options are minimally invasive, offering less pain, less scarring and shorter recovery time. Dr. Paonessa is a fellowshiptrained colorectal surgeon who is trained and has a special interest in treating patients with PFD and fecal incontinence. She always approaches the problem with conservative measures prior to exploring surgical options, if and when necessary.

“My experience with Dr. Paonessa was exceptional. She made me feel so comfortable and at ease. I’ve never met a doctor like her. For many years, I thought I had hemorrhoids and was completely uncomfortable. After being diagnosed with a prolapsed rectum, I met with Dr. Paonessa. She immediately put me at ease and explained everything. Dr. Paonessa performed prolapsed rectum surgery and now I feel wonderful. I feel like I came out as a better person.” - Natalie H.

How is fecal incontinence diagnosed?

Physicians will begin the exam by asking about symptoms, taking a careful history and performing a visual inspection of the anus and perineum. A physical examination will determine the patient’s ability to control the pelvic floor muscles. The physician will check for nerve damage, muscle spasms or muscle weakness. Additionally, the physician may request or perform any number of medical tests available, including blood work, X-rays and ultrasounds, to uncover the cause of fecal incontinence.

Who is at risk for developing fecal incontinence?

Although men and women are at risk of developing fecal incontinence and PFD, pelvic floor disorders occur more frequently in women than men. Nearly one in 10 women older than the age of 40 has fecal incontinence, possibly as a complication of childbirth. Other risk factors include being over the age of 55, overweight, postmenopausal, having a past pelvic surgery, nerve damage or a connective tissue disorder.

How is fecal incontinence treated?

Fecal incontinence can be treated in a number of non-invasive ways. Treatment usually combines self-care, medicines, physical therapy and home exercise. Treatment depends on the cause of the problem you have and what best fits your lifestyle. Dietary changes often reduce the occurrence of fecal incontinence. As stool consistency is affected by what you eat and drink, your doctor may recommend diet modification and adjusting nutritional supplements taken. If nerve or muscle damage is the cause of the fecal incontinence, the physician may recommend exercises and similar therapies to improve function and strength. These exercises include bowel training and biofeedback. Biofeedback is a technique taught by specially trained physiotherapists that can increase anal muscle strength, allowing patients to learn to relax or contract pelvic floor muscles. Medication sometimes helps patients with fecal incontinence. When appropriate, these may be prescribed by your physician.

Colon and Rectal Surgery

Board Certified in General Surgery and Proctology • laparaoscopic surgery • abdominal/pelvic surgery • fecal incontinence • endoanal/rectal ultrasound 2101 Route 34 South, Suite H Wall, NJ 07719

Is surgery required to treat fecal incontinence?

Those who continue to experience fecal incontinence that continues even

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• anorectal surgery • pelvic floor disorders • office proctology • anorectal manometry/ physiology 1172 Beacon Avenue, Suite B Manahawkin, NJ 08050

Phone: (732) 282-1500 Fax: (732) 282-1501

Office Hours: M-F 9AM to 5PM

www.paonessacrs.com January/February 2018

Business Spotlight

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January/February 2018

Business

&Finance

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January/February 2018

Business Spotlight

Copiers Plus Is Keeping It In The Family When Bob and Debra Matthews started their business, Copiers Plus, they knew that customer service would be a priority. In fact, their company slogan: “Service is our Specialty,” also became words to live by for their staff. Serving as a traditional and specialty digital office equipment company, they represent over 30 years in the field selling and servicing equipment. Bob adds, “We continue to grow as a result of our loyal customers who refer our company to others. Our customers and our employees are the most important people in our business. We are dependent on them.” CW: Tell us about the main services you provide. Bob: We have a walk-in retail business for copying, blueprint copying, fax and e-mail service along with document scanning. We also offer commercial printing for letterheads, business cards, forms, invitations and graphic design. Finally, we offer large format color printing for banners, posters, indoor and outdoor signs, vehicle graphics and vinyl wraps. CW: What is the single most important aspect of your business that sets it apart from others like it? Bob: We provide very fast turnaround for most projects by our courteous and knowledgeable staff. We take a “can do” attitude

to every single request. It really comes down to good old fashion customer service. CW: How did you become involved in printing services? Bob: About 16 years ago we relocated into a larger facility on Fire Rd. in Egg Harbor Township. Being as we were located on a major highway and surrounded by commercial and retail businesses, we decided to create a new division focused on retail and commercial printing. Already in the digital copier equipment business, it seemed like a natural diversification. I felt that we would be able to leverage our expertise in the equipment business to be successful in the commercial printing business. CW: How does it feel to have your children follow in your footsteps? Was it a natural progression for them? Bob: It’s extremely rewarding. I think many parents would love to have their children follow in their footsteps especially if they own a business. It presents excellent opportunities and challenges for everyone involved. I feel very fortunate to have both of our sons working in the business. CW: Tell us about the vehicle wrapping services you offer. Bob: We have provided vehicle wrapping and lettering for over four years with over 100 projects completed. They are mostly advertising graphics along with partial wraps and a few full color changes. This is an extremely labor intensive and technical procedure. We provide a complete solution from concept and design, through production and installation. We also provide vinyl lettering and magnetic signs.

If you are in need of any office equipment or commercial printing for your business, call Copiers Plus, 609-645-7587 or visit their website at www.copiersplus.com and like them on Facebook.

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January/February 2018

Medical Professionals

Limiting Exposure to Opioids For Our Patients The opioid epidemic has reached epic proportions in New Jersey. I don’t think there is a citizen of New Jersey who doesn’t personally know, or know of, someone who has died, or overdosed, or is struggling with addiction to opioids. Due to the stigma attached to addiction, the issue of using opioids intra-operatively, or prescribing opioids for pain relief, is the “elephant in the room” that people don’t want to address: not only in our society, but also in my practice. Most practitioners my age were trained in the 1990s. The philosophy of pain management was such that a patient’s level of pain was considered, and measured, as if it were the “fifth vital sign” in addition to height, weight, blood pressure, and pulse rate. The ethical approach to pain management at the time was to address our patient’s pain generously, with the goal of completely eliminating pain. Hospital accreditation processes relied heavily on whether patient pain levels were measured and treating to zero levels of pain. This may have led to unwarranted opioid prescribing, as if opioids were the only means to manage pain. With the high numbers of opioid prescriptions written, who knows how many of these prescriptions were actually necessary and how many were used for unintended purposes. Addiction is a complex disease that disrupts regions of the brain involved in motivation, knowledge, judgement, and memory. Addiction is devastating to the addicted person, their families, and their loved ones. Addiction is unpredictable. The reason why only some people can safely take prescription pain medications without becoming addicted and others cannot is not known at this time. The introduction of a patient to opioids, especially the opioid-naïve patient, for legitimate pain control carries a real risk of addiction. Many people have become opioid addicted following prescription of narcotics for a legitimate reason; for example, a surgical procedure. When the prescription runs out, the addicted person seeks other means, such as illegal pills or even heroin. Let’s face it. Surgery, especially oral and facial surgery, can be painful.

The conditions I treat, such as infections, broken bones, painful teeth, jaw, and soft tissue problems, can be painful. So what can we do to eliminate opioids, or at the very least, minimize opioids for pain management before, during, and after surgery in my office? For starters, we have the ability to provide sedation and general anesthesia services here while a patient is being treated for a surgical problem. I have the ability to also utilize local anesthesia to numb the surgical site. The combination of intravenous or inhalation anesthesia with local anesthesia is very effective in almost all patients. Therapeutic medications to minimize and post-operative swelling and inflammation are administered as part of our opioid-avoidance anesthesia technique. Long-lasting local anesthetics provide post-operative pain relief in the immediate phase. I have found it is generally not necessary to administer narcotics in the general anesthesia technique utilized here in my office. Next, I have found that non-narcotic medications are effective in most patients for pain before and after surgery. Using a nonsteroidal anti-inflammatory medication such as ibuprofen in combination with acetaminophen is just as effective and, in some cases, more effective than narcotic medications. If it is absolutely necessary for a patient to take a prescription narcotic for postsurgical pain, in compliance with New Jersey law P.L. 2017, c. 28, which imposes restrictions on how opioid medications may be prescribed, no more than a five-day supply of the lowest effective dose available of an immediate-release opioid drug is prescribed for any patient. Finally, every effort is made to keep our opioid-naïve patients just that – naïve to opioids. Taking opioids out of the equation altogether requires a commitment involving the surgeon, the patient, and the family. Realistic expectations regarding the surgical and anesthesia experience, levels of discomfort to be expected, and the duration of the recuperative phase must be clearly understood by all. Taking all this into account, it is possible to have an opioid-free procedure.

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

Kathy A. Banks, DMD Oral & Maxillofacial Surgery

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

609-488-2325 www.drbanksoms.com

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

January/February 2018

Medical Professionals

s we enter another new year, we often think of a new year’s resolution. What will I resolve to do this year? “New year, new you” is often a thought. This is a common time of year for people to join a gym, vow to lose weight and eat healthier. These are all great ideas and important to consider in terms of making healthier changes in our lives. BUT, have you ever stopped and thought about the reason behind these resolutions? What is the reason you want to lose weight or exercise more? Why do you want to be healthy? What is the driving force behind these ideas of change? Think about what is important in your life, your values and beliefs. Think about why you get out of bed in the morning! At Hackensack Meridian Integrative Health & Medicine, we explore the Five Pillars of Health & Well-Being: sleep, activity, purpose, nutrition and resilience. Perhaps try a different approach to your new year’s resolution this year by exploring your purpose first. Purpose is what gives your life meaning, your reason for being. Purpose is the essence of who we are and what makes us unique. It is a source of direction and energy. By tapping into a clear sense of purpose, often everything else follows naturally. Christine Whelan, PhD, author of The Big Picture: A Guide to Finding Your Purpose in Life, suggests you ask these questions: n What are my values? n What are my strengths? n Who do I want to impact? Then fill in the blanks: Because I value ________, I want to use my strengths for _____________ to impact ___________ . It is important to re-evaluate our purpose as we journey through life, as it may change at different phases of our lives and with changing life circumstances. As we change, our priorities and values shift; our confidence grows, may dissolve into doubt and return once again. When we make choices that are in line with our purpose or our values, it gives greater meaning to the reason we are doing something. An integrative health coach can partner with you as you set small, achievable goals. With your purpose in mind, those goals are more likely to be sustainable. So as we journey into another new year, learn to embrace the “why” of purpose before selecting the “what” of your goals. Live intentionally – live ON PURPOSE. Don’t be afraid to challenge yourself to answer the question “Why do I get out of bed in the morning?” — By Kathleen Welshman RN-BC, BA, NBC-HWC

LIVING PURPOSEFULLY IN THE NEW YEAR to reach your highest level of health and wellness Hackensack Meridian Integrative Health & Medicine has developed a comprehensive health and wellness 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 wellness with one of our clinical experts: Integrative Medicine Physicians, Nurse Practitioners, Health Coaches, Health Psychologists, Acupuncturists, Nutritionists, Massage Therapists, and Movement & Energy Therapists. To learn about the events and classes we offer or to schedule a consultation, please call 732-263-7999 or visit HackensackMeridianHealth.org/IntegrativeMedicine HMIntegrativeHealth

Hackensack Meridian Integrative Health & Medicine

Life years ahead

Visit our Center for Integrative Health & Medicine at Hackensack Meridian Health Village in Jackson at 27 South Cooks Bridge Road, Suite 2-3, Jackson, NJ 08527.

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Medical

Professionals

Hormonal Therapy as Part of Breast Cancer Treatment: Should Treatment be Extended? Sumy H. Chang, MD, FACS, Provides Perspective Hormonal therapy is common practice for women battling estrogen receptor sensitive (ER-positive) breast cancer – which accounts for about 80 percent of all breast cancers. It’s used to reduce the risk of the cancer returning, and is typically the last medicine in the treatment process after surgery, chemotherapy and/ or radiation. However, a recent analysis indicates that some patients may reduce cancer recurrence by taking the hormonal therapy for a longer time period. Here, Sumy H. Chang, MD, FACS, a fellowship trained, board-certiﬁed breast surgical oncologist, weighs in on hormonal therapy as part of breast cancer treatment. Dr. Chang is a provider with Barnabas Health Medical Group (BHMG), and is afﬁliated with Community and Monmouth Medical Centers, RWJBarnabas Health (RWJBH) facilities. Dr. Chang says that studies like this are important as it helps some women from experiencing breast cancer treatment a second time. “Common practice is to prescribe hormonal therapy for 5 years as part of

About Barnabas Health Medical Group

the treatment plan for estrogen-receptor (ER)-positive breast cancer. However, for patients who tolerate hormonal therapy and have prolonged life expectancy we’re starting the conversation of extending the hormonal therapy for 10 years – which is in line with ﬁndings from the recent study.” The analysis, published in The New England Journal of Medicine, was conducted by researchers from the Early Breast Cancer Trialists’ Collaborative Group. For this study, researchers took data from 88 clinical trials, including 62,923 women with ER-positive breast cancer. Dr. Chang says most of her patients have minimal side effects from hormonal therapy, but others may experience joint pain that affects their quality of life. The study points out that decisions about extending therapy beyond the initial 5 years without any recurrence need to balance additional beneﬁts against additional side effects. Dr. Chang notes there are several factors to keep in mind to determine the length of hormonal therapy, including: How responsive was the tumor to estrogen;

if the patient is tolerating medicine, other medical conditions and how large the tumor was in terms of stage. Risk of recurrence is based on stage and the nature of the tumor. Overall, the survival rate for breast cancer is high and recurrence rate is low, especially for estrogen and progesterone sensitive tumors. “Not every woman wants to have hormonal therapy. For some, it’s the negative side effects such as joint pain and weight gain, cost and for others, it’s a daily reminder of their breast cancer diagnosis,” says Dr. Chang. “And after 5 years, many patients look forward to stopping this medicine because it may be a mindset they are free and clear of cancer.” The additional length of therapy – from 5 to 10 years – may be significant financial burden to some, including seniors who may be on a fixed income. The benefits of continuing hormonal therapy may outweigh not taking it. The bottom line: hormonal therapy lowers recurrence of cancer coming back and it is a discussion worth having with your medical oncologist.

Sumy H. Chang, MD, FACS

Board-Certiﬁed Breast Surgical Oncologist 300 Second Avenue 67 Highway 37 West Riverwood Long Branch, NJ, 07740 1 Building, First Floor Toms River, NJ 08755 732-923-7702 732-557-2153

barnabashealthmedicalgroup.org

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12/15/17 10:41 AM

January/February 2018

Medical Professionals

Neurosurgeon Successfully Performs High-Risk Surgery on Cancer Patient Debilitated by Spine Fractures

Because he deserves the best seat in the house … The ANS Spine Center at Atlantic NeuroSurgical Specialists We’re here so you can live life again.

After five years of suffering with back pain and life-changing surgery that other doctors would not perform, Mary Ann Eberhardt is back to living life as she once knew it. One of the complications of multiple myeloma, a cancer formed by malignant plasma cells in bone marrow, is the inability to fight infections and bone fractures. Add to that fractures in the thoracic spine – the 12 vertebrae in the upper and middle back that hold the body upright and protect vital organs – and it’s not hard to see why most doctors would not perform spine surgery on Mary Ann Eberhardt. Since being diagnosed with multiple myeloma in 2010, Mary Ann, who is from Bud Lake, NJ, has suffered with back problems. “I went to several specialists who refused to offer any relief besides pain management, let alone surgery,” Mary Ann explains. “As the pain worsened, it became debilitating. My life was reduced to living on the sofa. That’s when I was introduced to Dr. Stillerman.” Dr. Charles Stillerman, MD, FAANS, a boardcertified neurosurgeon at Atlantic NeuroSurgical Specialists (ANS), and a member of the ANS Spine Center, specializes in thoracic spine, spine trauma and reconstruction/stabilization.

Dr. Charles Stillerman, a board-certified neurosurgeon at Atlantic NeuroSurgical Specialists (ANS), used a technological innovation to relieve Mary Ann Eberhardt of her pain and avoid paralysis.

“I knew I could help Mary Ann,” Stillerman details. “However, it would be a risky surgery, one that could result in paralysis. Operating through just a few small incisions and guided by remote control, I was able to shave down the disks that were hitting Mary Ann’s spinal cord. I removed calcifications and inserted two bars to stabilize her back and provide support. The procedure was a success, and Mary Ann is back to life as she once knew it.” When Mary Ann returned home from the procedure, she was able to walk up the 15 steps in her house. Now, she is walking a mile a day, driving and enjoying her life with her husband, Andy, and their family. “I am so grateful Dr. Stillerman took on my case,” Mary Ann shares. Andy adds, “While she was apprehensive at first, Mary Ann’s results far outweighed her fear. Don’t let your fear get in the way of getting your life back to normal.”

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

For more information on innovative spine treatments and ANS, call 973.285.7800 and visit ansdocs.com. MCW & OCW Because_Best Seat #1259_r3.indd 1

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12/12/17 3:01 PM

January/February 2018

Community

SAVE THE DATE July 11-15, 2018

RIDE FOR NEW BEGINNINGS 2018 New Year!

•

New Resolutions!

•

New Challenges!

5-Day ride (3 day ride option available) from Cape May to Atlantic City to benefit homeless youth in Central NJ

Riders are invited to participate Sponsorships are available

“Our mission is to help keep at-risk youth safe and off the streets.”

For more information or to register, visit www.oceansharborhouse.org or call 732.929.0096

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January/February 2018

Funeral Planning

DeGraff Lakehurst Funeral Home-Family Owned and Operated We receive many questions regarding funeral expenses when someone is preparing for Medicaid. We receive many questions regarding funeral expenses when someone is preparing for Medicaid. In New Jersey Medicaid allows individuals to set money aside in an irrevocable prepaid funeral arrangement account. You can plan and pay for the funeral of your choice, before assets are used for medical and reduced to eligibility levels. This can only be done with your Funeral Director. After meeting with your Funeral Director and itemizing the funeral services you want, the check is paid to an irrevocable prepaid funeral trust account. This secures your funeral wishes and financial expenses before someone’s assets are liquidated to Medicaid allowances. Do not wait for Medicaid to pay your funeral expenses! Medicaid has a strict allotment of $2,246.00 towards the funeral bill and $524.00 toward cemetery / crematory expenses. Your family can only contribute $1,570.00 or you lose the Medicaid contribution dollar for dollar. Prepaying during a Medicaid spend down allows you to pay for what you want. Your Funeral Director can help protect the financial burden of funeral expenses on your family and give you the reassurance that the money is set aside for your final expenses. TESTIMONIAL “I can’t thank you enough for your kindness and compassion while helping me with the arrangements for my mother’s funeral. You made me so comfortable I wound up sitting and chatting with you ever so long. I knew I was in good hands. Everything was lovely and done to perfection.”

If you would like additional information on the services we offer or prearrangement options, please do not hesitate to contact our dedicated staff at 732-657-7868 or you may visit our website at www.degrafffuneralhome.com. Massage School

New Year, New Career Make This Year About You

A career as a massage therapist is both self fulfilling and financially rewarding at any age. NJ School of Massage offers a flexible schedule, FREE text books, FREE personal tutoring, FREE job placement assistance, lowest tuition around, easy payment with no interest.

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WE SKYPE CLASSES FOR MORE CONVENIENCE. Massage training for Spa, Sports, Medical issues like Sciatica, Whiplash, Cancer, Hospice, Pre-natal and Geriatric.

New Jersey School of Massage

NJSchoolofMassage.com Register online or call for more information 732-505-0055 or 732-773-6263

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Located On: Corner of Route 37 & 166 Corrine Jewelers Plaza, Toms River, NJ Textbooks and a school t-shirt are included in the tuition. January/February 2018

Women’s History

Frida Kahlo In the fall my daughter had been talking to me about a book she was reading for her Spanish class. Every day we talked about the story. My daughter encouraged me to “look up” this woman she was reading about as I would really love her. As I was preparing for this feature of the new year, I was not sure the timing would be such that I could write about the infamous female that my daughter had been reading about and who had appreciated her story. I acquiesced to her request and as I began my research, I was truly amazed by such an extraordinary individual. Born with the name of Magdalena Carmen Frieda Kahlo y Calderon (a/k/a Frida Kahlo) on July 6, 1907 to a German father and a Mexican Indian mother in Mexico City, Frida was one of seven daughters. At the tender age of six years old, she contracted polio, which left her with a deformed leg. After recovering from her illness, at the age of 14 Frida enrolled in a school in Mexico for medicine. Frida had aspirations of becoming a physician as a young child. Her education was short-lived after Frida was impaled by a metal rod during a bus accident. Frida suffered injuries to her spine, pelvis, collarbone and ribs. After the accident, Frida would spend two months in the hospital in a full body cast recovering from her injuries and then another month at home. Frida was known to have endured intense pain. As a means of coping with her pain, Frida’s father encouraged her to paint. Frida began painting self-portraits and had said, “I paint myself because I am often alone and I am the subject I know best.” Frida was known to be an extremely prolific painter and painted the true reality of her pain and her life. Frida was known to embrace her Mexican culture and painted very colorful pictures of herself and also included symbols of her heritage. In a few of her paintings she would incorporate a monkey into the painting, which for Frida was a symbol of protection. Frida’s artwork was discovered by a famous Mexican painter by the name of Diego Rivera. Diego Rivera admired Frida’s artwork and encouraged to her to continue to pursue a career in art. Frida and Diego began a love affair that would result in a marriage that was not supported by Frida’s parents due to the significant age difference between them. The marriage blossomed into an extremely tumultuous relationship. Both Frida and Diego engaged in relationships outside of the marriage and they even divorced once and then reunited. However, it is reported that they both reportedly deeply cared for one another. Frida

was known to have had a temperament similar to a man back in the 1900s. She was “loose” with her words, had no problem using profanity and also was known to smoke and drink alcohol, which was not considered very “lady-like” for this historical time period. Throughout Frida’s life she continued to struggle with her health and had to undergo a serious of operations as a result of her injuries. She endured amputations to her toes and leg. Frida lived in constant pain both emotionally and physically. This was a time where there were no medications to ease the pain. However, Frida continued to paint pictures that had meaning in her life of significant time periods. Frida’s artwork was discovered by Andre Benton. He had an interest in hosting an art exhibit to feature Frida’s artwork in France. Frida’s health was deteriorating and she was hospitalized; however, she would not allow this to deter her ability to attend her debut of her exhibit. Frida had her hospital bed transported to the gallery and set up so she could attend her exhibition! It is reported that the Louvre had purchased one of Frida’s paintings. This was the first piece of artwork purchased from a 20th-century Mexican artist, let alone a female. Frida Kahlo passed away on July 13, 1954 at home. Frida’s cause of death is unknown as there are reports that reflect her passing was as a result of depression and other reports reflect it was as a result of medical complications. As the feature comes to a close, I encourage everyone to reflect on Frida’s life and her ability to overcome many traumatic and difficult moments in her life. “I never painted dreams. I painted my own reality” was another quote by Frida. It is obvious that Frida’s artwork was a true expression of her reality and how she was able to process her life, albeit good or bad. As we begin the new year filled with new beginnings, I encourage everyone to remember Frida and allow her history to motivate you to keep moving forward in 2018! Rita King, MSW, LCSW is a full-time mental health therapist and advocate of women’s history. During her undergraduate studies in psychology, Rita developed a strong passion for women’s history after completing classes in political science. As an activist, Rita has raised awareness of the importance of women’s history through lectures, history lessons in elementary and middle schools and creating women’s history displays at local libraries. Rita also utilizes her knowledge of women’s history to empower women and young girls in her current role as a mental health therapist.

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Medical Professionals Women and Cancer…Part 1

Ocean Hematology & Oncology

What You Need To Know

Center for Cancer & Blood Disorders

The U.S. Department of Health and Human Services’ Office of Women’s Health is coordinating a week-long observance celebrated nationwide as Women’s Health Awareness Week. The aim is to empower women to improve their physical and mental health. THERE ARE A FEW IMPORTANT STEPS WOMEN MUST TAKE IN THE ROAD TO HEALTH: • Get active. • Visit a health care professional regularly for check-ups and preventive screenings.

• Eat healthy.

• Pay attention to mental health, which includes getting enough sleep and managing stress.

• Avoid unhealthy behavior.

One of the major diseases affecting women is cancer, which kills more than a quarter million women every year in the U.S. But that number could be reduced through early diagnosis and appropriate treatment. Some cancers affect both men and women while others are unique to women. They include breast cancer[note that breast cancer is NOT unique to women, men get it too] (the most common in the U.S.) as well as cancer of the ovaries, cervix, uterus and external genitalia. That is the group we will focus on here.

Cervical Cancer Cervical cancer is the third most common cancer among women worldwide. More than 85% occur in developing countries, but it is also among the top ten causes of cancer deaths among women in the U.S. Over 95% of cases are linked to a sexually transmitted virus called HPV (human papilloma virus). Risk factors include early and promiscuous sexual activity, smoking, prolonged use of birth control pills, STDs, and immunosuppression. In its early stages, this disease can be asymptomatic. Symptoms in later stages include bloody vaginal discharge, pain, and abnormal vaginal bleeding (in between regular menstrual cycles, post-coital, and post-menopausal).

Screening and Early Detection The good news is that screening and early detection can prevent deaths from cervical cancer. Both cervical cancer and pre-cancerous lesions can be detected by doing PAP smears. Women should start routine PAP tests at 21 years of age. Between the ages of 21 and 29, they should have the test every two years; between 30 and 65, every five years; and over 65, they may discontinue screening if they have had: • Three negative pap tests in a row; • Regular pap tests; • No abnormal pap tests in 10 years. If a total hysterectomy is performed for benign reasons, there’s no need for PAP testing afterwards; if done for cancer, or if cervix is left behind, screening should be continued.

HPV Vaccination Another good piece of news is that there are two very effective vaccines – Gardasil and Cervarix – that will prevent those cases of cervical cancer that are linked to HPV. The vaccine is given to females between the ages of 9 and 26 years, and to males between 9 and 21. It’s given in three doses, ideally before the person has become sexually active. Please note: vaccinated women still need screening! Side effects include mild redness, tenderness and swelling at the injection site, as well as an increased risk of blood clots, but no long-term side effects have been reported.

Compassionate Care, Close to Home  We offer a full range of Hematology and Oncology services.  We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner.  Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions.  We have a highly qualified, experienced and compassionate staff.

732.961.0010 www.OceanHemOnc.com

Easily Accessible Location!

1255 Route 70, 31S Near Exit 89 on GSP

Lakewood, NJ 08701 Accepts Most Insurances. Affiliated with Monmouth Medical Center Southern Campus Access to Clinical Trials.

Stay tuned for part-two of this two-part series in the March/April issue. Next issue we will discuss cancer of the uterus.

To learn more about treatment of cancer, contact Dr. Sarah J. Easaw at 732-961-0010.

The County Woman Magazine www.TheCountyWoman.com

Sarah J. Easaw MD, FACP

Diplomate of the American Board of Hematology, Oncology & Internal Medicine

January/February 2018

Wigs & Hair Replacement

Give Your Scalp What It Needs IS YOUR SCALP HEALTHY? Scalp conditions are a common occurrence and symptoms can be unpleasant: itching, redness, dandruff, oily scalp, unwanted odors, and in 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? In short, Head First is hair loss prevention. The causes of your hair thinning or hair loss can be identified by drawing up a complete scalp 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.

Even if you have a full head of hair, it may be time to take your scalp health into consideration. We have solutions for the most common problems and conditions that can affect your scalp.

•

Hair Loss in Women

•

Skin Inflammation

•

Hair Loss in Men

•

Dry Hair & Scalp

• Chemotherapy

• Itching

• Radiotherapy

• Pregnancy

• Dandruff

•

Localized Hair Loss

•

Scaly Plaques

Oily Hair

We are proud to say that Capilia products use biocompatible processes and biodegradable products. From the Natural Hair Care line to the Advanced Scalp Care line, Capilia products are extremely rich in natural active ingredients and designed for all hair and skin types. They offer proven therapeutic benefits that help with a wide range of scalp ailments, thinning hair, and hair loss.

We are your local Toms River, NJ certified experts and resellers of Head First products. Call 732-255-1733 for more information or to schedule an appointment with one of our certified specialists. Located in the Stone Hedge Professional Building 2494 Moore Road, Suite 1 Toms River, NJ 08753

Ask ab FREE 3 out our 0 consul minute tation see if to y benefi ou would t fr analys om a hair is b specia y our lists!

732-255-1733 Gerry@AbstraxHair.com www.abstraxhairdesign.com

20% OFF ALL NEW WIG PRODUCTS EXPIRES 2/28/2018 HOURS Monday-Wednesday / 9am-5pm Thursday-Friday / 9am-8pm Saturday / 9am-5pm GET SOCIAL:

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Assisted Living

When Is It Time For Assisted Living? No one wants to move from their home into assisted living. However, in some cases, it is the best option to keep elderly or aging parents safe and healthy. To determine if it’s time for assisted living, or if your elderly parent can safely remain at home, take a good look at the present housing situation, health status and medical needs. Ask yourself these questions.

SIGNS THAT MAY INDICATE IT’S TIME FOR ASSISTED LIVING: • Is your parent telling you that he is eating, but you’re seeing food go bad in the refrigerator? • Is your parent falling? To determine the answer, is your parent covering up bruises she doesn’t want you to see? • Is your parent wearing the same clothes when you go to visit? Can they bathe themselves, groom adequately and launder clothes? • When you look around the house or yard, is it as neat and clean as it used to be? • Is your aging parent remembering to take medications correctly, with the right dosages and at the right time? Are medications expired? • Are they able to operate appliances safely? Do they remember to turn appliances off when they are finished cooking? • Is the home equipped with safety features such as grab bars and emergency response systems? • Do they have a plan in place to contact help in case of an emergency? • Are they driving? Should they be driving? Do they have alternate means of transportation? • Are there stacks of papers and unpaid bills lying around? • Do they have friends, or are they isolated from others most of the time? • When you really look at your parent, do you see the bright and vibrant person from years ago, or do you see a more limited person who needs some help one hour a day, or even around the clock?

Call Spring Oak of Forked River today for a tour or to ask any questions you may have.

Enter to Win

Enter to Win a $100 Gift Certificate to Koehler Acupuncture

Name: ____________________________________________________ Address: __________________________________________________ City: ______________________State: ______ Zip Code: ___________

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

Please clip out and mail to: The County Woman • P.O. Box 619 • Turnersville, NJ 08012

February 28, 2018. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

www.koehleracupuncture.com

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January/February 2018

Medical Professionals Medical Professionals

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November/December 2017 January/February 2018

Health &Wellness

Cough And Cold Season Is Here—Are You Ready? Believe it or not, cough and cold season is upon us. Our nights are becoming very cold and children have been back in school for about six months now. This is the season everyone dreads. It seems we see people with the sniffles everywhere—at work, at the mall and even at home. Now is the time to take some steps that will reduce your risk of catching a cold and stock up on things that will help with the symptoms when the inevitable happens.

You can reduce your risk of catching a cold or flu. Here are some helpful hints:

WASH YOUR HANDS FREQUENTLY: This will help stop the spread of germs. Everything you touch potentially has cold germs on it— doorknobs, handrails, pens, PIN pads, etc. Also, keep hand sanitizer easily accessible—keep it in your car and your desk at work. REDUCE STRESS: Whenever a big day is coming up, or a deadline you have been rushing to meet, you are more likely to become sick. Relax, your health is more important. Also, try to get at least eight hours of sleep per night. EAT WELL: Certain foods combat colds. Try to include as much of the following as possible in your diet: broccoli, cauliflower, garlic, onions, citrus fruits, and whole grains. Some evidence also exists supporting using vitamin C and Echinacea to boost your immune system. DRINK PLENTY OF WATER: Drinking plenty of water helps flush germs out of your body. Water also helps keep your mucous membranes moist, allowing them to trap the virus and dispose of it. BREATHE FRESH AIR: Try to breathe as much fresh air as possible. Recycled, contaminated air can make you sick! Get outside as much as possible. Cold air will not give you a cold! For the most part, everyone catches some degree of a cold at least once a year. Once you feel the symptoms coming on, then what? For starters, continue the above tips. Also, cover your mouth and nose when you sneeze or cough (no one else wants your germs). And most importantly— CONTINUE TO WASH YOUR HANDS FREQUENTLY.

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

There are many cough and cold medications on the market that can help with your cold or cough symptoms. Decongestants in a pill form or a nasal spray can help with a stuffy nose. Antihistamines can help with itchy, watery eyes. Cough suppressants help control a nagging cough. Cough drops or throat lozenges help with a sore throat. Tylenol or Motrin can help any body aches or fever. Before taking any medications, please consult with your pharmacist or doctor to be sure the medication you are buying doesn’t aggravate any existing medical conditions or interact with any current medication you are taking. THIS IS VERY IMPORTANT. Many over-the-counter cough and cold medications can cause adverse effects. Don’t be afraid to ask us, that is what we are here for. Once you have determined which medications are safe, keep some at home so that you are prepared when that cold comes along.

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

Biodentical Hormone Replacement Therapy

Veterniary Medicine

Topical Pain Relief

Free Rx Pick-Up and Delivery

www.jerseyshorepharmacybarnegat.com

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Acupuncture

Services. Please note that your personal case cannot be discussed. Acupuncture

Education

The County Woman Magazine

www.TheCountyWoman.com

September/October 2016

NON-CREDIT PROGRAMS FOR MOVERS, SHAKERS, AND FUN SEEKERS!

If you’re interested in changing careers, moving up the ladder, or simply expanding your interests, Continuing & Professional Education (CPE) at Ocean County College (OCC) has it all. From professional development and fast-track career training to personal enrichment and kids programs, OCC has something for everyone! Business & Technology: If you’re looking to update your computer skills or find a new career, CPE has courses to get you started. For the novice, get-up-to-speed in Excel, Word, or Outlook. And programs in system administrator, office support specialist, human resources, legal office assistant, among others, are perfect for job seekers. Health Care: OCC is known for the success rate and employment opportunities stemming from its non-credit health care offerings. Programs, certificates, and individual courses can enhance a current career or help you begin a new one! Many fast-track career programs prepare graduates in just three to six months to sit for state/national certification exams. Personal Enrichment: A variety of classes are available for adults over 18 including dance, language, genealogy, golf, music, painting, photography, and more. If you’re over 55, the Academy for Lifelong Learning will enrich your life with Health Careers free membership and discounts for movie tickets, Grunin Center shows, and more. & Certificate Programs Classes for Kids & Teens: Youth programs include art, dance, music, sports, science, and summer camps, among others. CPE also offers Sensitivity Super Powers, an enrichment-based program for high functioning children with Autism Spectrum Disorder. Enrichment Programs Educational Preparation: If you need to brush up on your skills, you can take classes for the High School Programs to Enhance Your Life! Equivalency Prep, SAT, TEAS, and ESL. Employers & Employees: Business Engagement works with employers to provide customized training in computers, management, and supervisory skills. In some instances, training may be grant-funded tuition free! Let us Business Development & conduct a needs analysis, design a specific curriculum, and provide training in person or online. Specialized Careers Online Programs: Too busy to travel to campus? Non-credit courses are available via a traditional face-to-face classroom or online. You can start online career training anytime and work at a pace that suits your individual style. Kids & Teens Financial Aid: Payment Plans and grants may be available for certain fast-track career training. The Department of on Campus Veterans Affairs has also approved many programs for veterans’ educational benefits.

CONTINUE YOUR EDUCATION

KIDS & TEENS ON CAMPUS

To learn more, contact Ocean County College’s Department of Continuing & Professional Education at 732-255-0409, cpeinfo@ocean.edu, or www.ocean.edu/cpe.htm.

The County Woman Magazine www.TheCountyWoman.com

Toms River Campus • Library (Bldg. #3)

www.ocean.edu/cpe.htm 732-255-0404

January/February 2018

Community

Will You Speak Up For A Child In Need? Abused and neglected children need you to be their voice There are children living in our community that have no one to speak up for them. They are the over 700 children residing in Ocean County’s foster care system. When parents are unable, unwilling or unfit to care for a child, the child is removed from the home. The time they spend in foster care is often confusing, scary and, unfortunately, leaves them feeling isolated and alone. This is where a CASA volunteer comes in. CASA volunteers listen and get to know the child by talking with everyone in that child's life.

Every foster child deserves a CASA volunteer. Volunteers will join a group of caring individuals and helpful staff as we provide a voice for these children in need. As a CASA volunteer, you will form a special relationship with your assigned child. CASA volunteers interact with the child, family members, social workers, healthcare providers, teachers and other relevant individuals to become a knowledgeable advocate for the child’s needs. The CASA then makes recommendations to the Judge on the child’s behalf and their best interest.

Message From Volunteer Supervisor Danielle Jensen Are you ready to become a hero? As a volunteer supervisor here at Ocean County CASA, the relationships we have with our volunteers are special. We are here every step of the way and support them throughout their journey. It’s like a big supporting family that we love to watch grow. Our volunteers are great company to have around and do amazing things for their community. Every day we are proud of what each has accomplished to get their CASA child closer to permanency.

Join us on Saturday, March 24, 2018 for

CASA Go Bragh! Celebrate the Season with an Afternoon of Lunch, Music & Auction at P.J. Sweeney’s

CASA volunteers and staff meet bimonthly as a group to talk about their experiences. We help you continue your education on ways to support your CASA child by bringing in guest speakers from different organizations. Working with CASA volunteers brings joy to our day. They are incredible people who give back in an amazing way. There are not enough CASA volunteers to help make sure these children’s needs are being met. Please come join our family. You can make a difference. You can be their hero.

Inspire A Child! There are many ways CASA volunteers help a child in need. By spending time with them and encouraging their imagination, these children are better able to express themselves and cope with the uncertainty and fear. The Creativity Fund is a partnership with the Creativity Studio that funds art and creative activities for CASA kids.

Will you help us inspire a child with creativity & imagination?

CASA of Ocean County · 1108 Hooper Avenue, Bldg 1, Suite B · Toms River, NJ 08753 · Tel. 732.797.0590 · www.CASAofOceanCounty.org

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

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

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Theatre &Entertainment

“Makes you want to jump out of your seat and dance!” - Theater Pizzazz

“Deliciously Sassy!” - Theater Scene

l Rosegg

Photo: Caro

c i c r a M y h t n by Doro

te t i r W l a c i s New Mu

From the Soundtrack of Your Life

A high energy celebration of women featuring Top-40 songs like RESPECT, Stand by Your Man, Girls Just Wanna Have Fun, These Boots are Made for Walkin’, I Will Survive, Greatest Love of All…

St Luke’s Theatre, 308 West 46th Street - Telecharge.com 212-239-6200 ForTheGirlsTheMusical.com

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Women Of Ocean County

Colleen Kahl, Founder, Enspirited Projects Brick Native, Colleen Kahl earned her BFA in Acting from Montclair State. Upon graduation, she began working as an actress, administrator and producer, working on Broadway concerts, off-broadway musicals, producing projects, administrative opportunities and theatre education experiences. After working in NYC, Colleen began her business, Enspirited Projects. Enspirited Projects is a creative programming and engagement company that partners with schools, municipalities and non-profits. Enspirited creates and implements a variety of programs (drama, fashion, self-esteem, anti-drug, superhero, princess, puppetry, special needs programs and more) for youth across the state. Colleen’s professional goal of improving the creative thinking and self-esteem of local young people is what introduced her to CASA of Ocean County. Upon hearing about the overwhelming needs of youth in the foster system, Colleen trained as an advocate and immediately set-up a philanthropic partnership between CASA and her new emerging project, The Creativity Studio of Enspirited Projects. Colleen recently married her entrepreneurial husband, Jake Kahl (owner of Rich’s Automotive) and lives with their two snuggly pitbulls (Tyson and Brooklyn) and energetic cat (Sweet Pea).. To learn more about Enspirited Projects please email Colleen at colleen@enspiritedprojects.org and to learn more about CASA, visit casaofoceancounty.org

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

Siobhan can be reached at 732/255-5000 or Email: sconnolly@gstrustco.com. Photo by Tracy Harman Photography

Jennifer Martinex, Office Manager, The Matus Law Group Jennifer Martinez has been with the firm serving as our real estate paralegal and office manager. She is an asset to the office because of her warmth and professionalism to meet the various needs of our clients. Jennifer is the paralegal in our real estate department and coordinates closings. Jennifer found that she has a skill for being able to resolve even the trickiest real estate issues. Her energy and tenacity to get things done and her outstanding interpersonal skills as well as her organizational skills are vital to this office. Beyond the office, Jennifer loves spending time with her husband and kids. She and her family enjoy doing outside activities and spending time with family and friends.

For more information call 732-281-0060 or visit www.MatusLaw.com. Photo by Tracy Harman Photography

Kathleen Dotoli, Esq.

Ms. Dotoli devotes her law practice to Workers’ Compensation and Social Security Disability and has been a practicing attorney for over 20 years. “There are very few attorneys in the Ocean/Monmouth County community who make regular appearances in Workers’ Compensation Court, so it’s extremely important that whomever you choose to represent you in a Workers’ Comp case is well versed in that area of the law, not someone who has just has a few files. Your health and financial well being is at stake, so you can’t afford to make a mistake.” Ms. Dotoli is the co-chair of the Ocean County Bar Association’s Worker’s Compensation Committee and a member of the NJ State Bar Association’s Worker’s Compensation Executive Committee. Ms. Dotoli also completed ten years of training with the Justice James Coleman Workers’ Compensation Inns of Court. Additionally, Ms. Dotoli is a Board Member of the American Red Cross, South Jersey Division, a Member of the Paralegal Advisory Committee of Ocean County College and a Trustee of the Ocean County Bar Association. Ms. Dotoli holds several free lectures each year so the public can learn more about Workers’ Compensation and Social Security Disability benefits.

To learn more about how to protect your rights, call her office today at 732-228-7534. Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Women Of Ocean County

Kimberly Salvato, DPT, All-Care Physical Therapy Center, Manchester Location Kimberly Salvato received her Bachelors in Biology and minor in Behavioral Neuroscience at the Richard Stockton College of New Jersey in 2012. Following the completion of her undergraduate degree, Kimberly attended graduate school at the University of the Sciences in Philadelphia and received her Doctor of Physical Therapy in 2015. She is also certified to treat Parkinson’s disease through the LSVT Program. Kimberly believes in giving the highest quality care following evidence-based treatment. Her methodology encompasses a diverse approach utilizing Instrument Assisted Soft Tissue Mobilization (IASTM), Australian based manual therapy techniques such as Maitland and Mulligan, along with utilizing techniques from the Kinesio Taping® Method and McKenzie Method for the lumbar spine. Kimberly was born and raised in Toms River, New Jersey and currently resides in the area. For more information about All-Care Physical Therapy Center, please visit our website at www.allcareptc.com or call 1-855-3ALLCARE Photo by Tracy Harman Photography

Jennifer A. Mitchell, Office Manager/Legal Administrative Assistant, Straffi & Straffi, LLC

With nearly 30 years of experience, our office manager, Jennifer Mitchell, has been with Straffi & Straffi, LLC for 23 years. Jennifer is very knowledgeable and efficient in assisting clients, specializing in bankruptcy and loan modifications. Together with the office staff and under the guidance of Daniel E. Straffi, Jr., she enjoys helping clients to gain a fresh start. Jennifer is a happily married mother of four children and a lifelong resident of Ocean County. Spending time with her family, traveling, boating, fishing and camping are some of Jennifer’s favorite things to do in her off time. If you find yourself in financial difficulties, a consultation with Straffi & Straffi, LLC should be your first step toward recovery. They will give you guidance and you can trust that Jennifer will greet you with a smile, ensure that the process goes smoothly, and ease your concerns along the way.

For more information, visit www.straffilaw.com or call 732-3413800 Photo by Tracy Harman Photography

Nina Paonessa, D.O, FACOS, Paonessa Colon & Rectal Surgery P.C. Dr. Paonessa was born and raised in Albany, NY. She was raised to value a strong work ethic and to take pride in her work. Two principles she grew up on were “if you are going to do something, do it right or don’t do it at all” and “do unto others…” This is how she lives her life and how she runs her practice. Dr. Paonessa knew from a very young age that she wanted to become a surgeon. She volunteered as a candy striper in high school and then as an Emergency Medical Technician in college. She attended the Lake Erie College of Osteopathic Medicine in Erie, PA and completed a general surgery residency at Wyckoff Heights Medical Center in Brooklyn, NY. Dr. Paonessa completed a colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA, where she remained in private practice before moving to New Jersey. In 2014, Dr. Paonessa opened her own private practice, Paonessa Colon and Rectal Surgery, P.C. She now has two office locations: Wall, NJ and Manahawkin, NJ. She loves the Jersey shore and loves taking care of its community. In her spare time, Dr. Paonessa reads, travels and cooks. Her most cherished times are those spent with her family and playing with her four nephews and two nieces.

You can contact Nina Paonessa at 732-282-1500 or by visiting www.paonessacrs.com. Photo by Tracy Harman Photography

Gabrielle Szekely, Aesthetic Dental Creations Gabrielle Szekely was born in Romania and moved to the United States at the age of eight. She is fluent in Hungarian and English and was raised in Edison, New Jersey. Gabrielle received her degree as a Registered Dental Hygienist from Middlesex County College in 1996 and earned her local anesthesia license from Jersey Shore Medical Center 2004. She has a profound understanding and care for her patients since she herself had undergone extensive periodontal therapy at a young age. She later developed a passion for her dental health and has devoted the past 21 years educating and caring for her patients. In April 2017 she joined Aesthetic Dental Creations and enjoys her new co-workers. Gabrielle is very eager to continue to learn about TMJ disorders and expand her knowledge with Dr. Balaji’s expertise by her side with the goal of providing life changing smiles. Currently she resides in Jackson with her family and is proudly raising her three daughters. In her spare time, she enjoys traveling, cooking, reading and spending time with her family and friends.

For more information, call 732-363-5370 or visit www.AestheticDentalCreations.com. Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Women Of Ocean County

Linda Insano DMD, Pediatric Dentist, Ocean Pediatric Dental Associates

Dr. Linda Insano is the founding partner of Ocean Pediatric Dental Associates. She started the practice about 20 years ago with a handful of patients in a small office she shared with her husband, a periodontist in Toms River. She was born and raised in North Jersey and completed her undergraduate at Rutgers University. She graduated from UMDNJ Dental School, now Rutgers School of Dental Medicine. Dr.Insano completed her pediatric specialty residency at LIJ Medical Center. Her goal was to create a thriving pediatric dental practice and create a warm, caring environment for children. A few years later, she brought in Dr.Elisa Velazquez and they became partners and opened the current location in Toms River. They saw the need in Manahawkin and started seeing some patients there once a week. Dr.Insano has been a household name in pediatric dentistry in Ocean County and built one of the most successful practices in NJ. Dr.Insano is an amazing pediatric dentist and has helped thousands of children have healthy and happy smiles. Dr. Insano spends most of her free time with her husband and children as they prepare them for college. Dr. Linda Insano serves as a role model for women in business and dentistry.

For more information, call 732-473-1123 or visit www.OceanPediatricDental.com.

Kathy Welshman, RN-BC, BA, NBC-HWC, Hackensack Meridian Integrative Health & Medicine

Kathy Welshman is a Registered Nurse and Health Coach with Hackensack Meridian Integrative Health & Medicine, working in both Jackson Health Village and Red Bank. As a health coach, Kathy partners with clients to help create transformation and sustainable lifestyle change, utilizing a whole person approach. It is her passion to empower others to obtain their optimal level of wellness. Kathy believes that identifying one’s true purpose and values in life will be the motivating factor to create a desired lifestyle change. Kathy is Board Certified by the American Nurse’s Credentialing Center in Mental Health and has practiced for twenty years in this field. Seeking further education to learn more about integrative approaches to wellness led Kathy to study under Dr. Andrew Weil at the University of Arizona, Center for Integrative Medicine. She completed programs in Integrative Health & Lifestyle as well as Integrative Health Coaching. Kathy holds a National Board Certification in Health and Wellness Coaching. Kathy is a Reiki practitioner and practices T’ai Chi Chih to keep herself centered and grounded. Living at the Jersey Shore, Kathy and her husband nurture their spirits with an occasional sail on the Barnegat bay. Family being a big part of Kathy’s life, gives her great work/life balance.

For more information, call 732-530-2430 or visit www.HackensackMeridianHealth.org. Photo by Annette Jenkins Photography

Imani Rosario, MD, University Urology Associates of New Jersey Dr. Rosario earned her medical degree from the Georgetown University School of Medicine and completed her post-graduate training in urology at Rutgers New Jersey Medical School. After completing her training, Dr. Rosario was appointed Assistant Professor of Surgery in the Division of Urology at Rutgers New Jersey Medical School. In this position, she was responsible for training and teaching medical students, general surgeons and urologists in training. Dr. Rosario is Board Certified by the American Board of Urology. She joined UUANJ in 2016. For more information, call 609-581-5900 or visit www.UUANJ.com.

Rebecca Kolas, Certified Lice Technician and Owner, Lice Lifters of Ocean County

Rebecca Kolas is both a Certified Lice Technician and Owner of Lice Lifters of Ocean County in Toms River, which opened in August 2016 and serves Ocean, Monmouth and Atlantic Counties as the premier lice removal company. Since that time she has opened a second location, Lice Lifters Central Jersey in Hamilton which serves Mercer, Middlesex, and Burlington Counties. Rebecca was introduced to the Lice Lifters franchise when her two youngest children contracted lice. Trying over the counter and prescription medication, she was unable to conquer lice, which have become resistant to the harmful pesticides, chemicals and toxins contained in those products. Rebecca was then introduced to Lice Lifters as a customer and found that it was the only treatment that was successful, as well as safe and natural. A true believer of the Lice Lifters franchise and its product, Rebecca knew she wanted to deliver this service to the people of the Jersey Shore and to help others afflicted with unwanted head lice. She truly understands the needs and fears of her customers, having been a customer herself, and takes the time to educate and calm others during the stress of lice. Rebecca resides in Ocean County with her husband and five children. She has a strong passion for helping others, as she was a staff attorney for the nonprofit Ocean-Monmouth Legal Services until the company’s dissolution in 2014. Since that time she still engages in the part-time practice of law, but now devotes the majority of her time to her family and helping others at Lice Lifters.

For more information call 848-238-7331 or visit www.lliceliftersoceancounty.com. Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Business & Finance

Community

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Community

A big thank you to all who supported the Bradley Beach Walk To End Alzheimer’s. With your help we are able to provide programs andservices in both Monmouth & Ocean Counties. For your convenience we have listed support groups in your area. Can’t make it to a Support Group? Call our 24/7 Helpline at 800.272.3900.

Monmouth County

Ocean County

When: 1st Wednesday of every month Time: 5:30pm to 6:30pm Where: Brandywine Living at Howell 100 Meridian Place Howell, NJ 07731

When: Last Monday of the month Time: 3pm to 4pm Where: Genesis Healthcare Bea Lea ViIllage 1351 Old Freehold Road Toms River, NJ 08753

When: 1st Wednesday of every month Time: 6:30pm to 7:30pm Where: Millennium Memory Care 447 Matawan Avenue Matawan, NJ 07721 When: 2nd Wednesday of every month Time: 6:30pm to 7:30pm Where: Brandywine Living Reflections at Colts Neck 3 Meridian Circle Colts Neck, NJ 07722

When: 4th Wednesday of every month Time: 5:30pm to 6:30pm Where: Brandywine Living at Reflections 1594 Route 88 Brick, NJ 08724

When: 3rd Wednesday of every month Time: 6pm to 7pm Where: Brandywine Living at Governor’s Crossing 49 Lasatta Avenue Englishtown, NJ 07726

When: 1st Saturday of every month Time: 10am to 11am Where: Millennium Memory Care 111 Bowne Road Ocean Township, NJ 07721

www.alz.org/nj 24/7 Helpline 800.272.3900

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Community

OCEAN COUNTY LIBRARY Visit www.theoceancountylibrary.org for information about other great programs and library resources

THE 2ND ANNUAL

L Held at the Toms River Branch. Play a round of mini golf inside the library!

Friday,

7:00

t s a M e h t h t i in ks w

A Two Day

Golf attire is suggested, but not required, for this fantastic event!

FUNDRAISING

February 23rd

EVENT

Saturday,

pm Mini Golf Outing Join us for this Adult (21+) event. Tickets are $75 per player, or $50 per spectator. Cocktails and light fare start at 7:00 pm, followed by a Shotgun Start at 8:00 pm.

February 24th

10:00

am - 3:00 pm All ages are welcome to play a round of mini golf inside the library, with a suggested donation of $3 per child and $5 per adult. Advanced tickets not required.

Sponsorship Levels Available:

Event Sponsor 19th Hole Sponsor Watering Hole Sponsor Awards Sponsor Birdie Sponsor Foursome Bundle

$2,000 $1,500 $1,250 $1,000 $750 $500

Hole Sponsor

$300

(Hole Sponsor + Foursome)

OCEAN COUNTY LIBRARY . CONNECTING PEOPLE, BUILDING COMMUNITY, TRANSFORMING LIVES . WWW.THEOCEANCOUNTYLIBRARY.ORG

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Radio

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

January/February 2018

Because this is what life is all about â&#x20AC;Ś Atlantic NeuroSurgical Specialists Weâ&#x20AC;&#x2122;re here so you can live life again.

The Brain Tumor Center The Spine Center The Neurovascular Center

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

OCW Because_Life #1271_r2.indd 1

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12/12/17 2:59 PM

January/February 2018