Ocean County Woman - 2015 November / December by The County Woman

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An Educational Resource for Women and Their Families

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HOW CAN I BE SUCCESSFUL WITH WEIGHT LOSS?

The key is a lifestyle change that will bring about the results youâ&#x20AC;&#x2122;ve been dreaming of. Page 11

IS IT TOO LATE TO INVESTIGATE MY BANKRUPTCY OPTIONS?

UTILIZE YOUR LIVING SPACE:

The short answer is never. It is important to understand some basic facts. Pages 20

Add style, elegance and value to your home with a retractable awning.

Sarah Easaw, MD, FACP of Ocean Hematology & Oncology is dedicated to treating each patient and his or her family with respect and care. See pages 54 & 55.

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. Page 57

Photo By Tracy Harman Photography

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2015

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Medical Professionals

Physical Therapy Across the Life Span

hysical therapy is a skilled, conservative approach for many people to address musculoskeletal, neurological, and cardiopulmonary impairments for a vast array of diagnoses. Physical therapy is not just for one age group or type of person. There are many therapists who treat pediatric patients all the way to geriatric patients, with the skilled ability to tailor an exercise program specific to that patient’s needs regardless of age. A therapist who is experienced with treating pediatrics may see infants and toddlers who have muscle imbalances caused by torticollis, a shortening of neck muscles due to position in utero. They are also trained in treating children who may have developmental delays, as well as neurological diseases such as cerebral palsy and muscular dystrophy. These are just a small example of the pediatric population they are able to impact. The treatments and interventions are delivered through means of play and positioning to keep the child engaged in the session, but still addressing their individual needs. As children age into adolescence and young adulthood, they may become active in after-school activities, sports, and other types of activities that may cause injury. Therapists are prepared to see injuries caused from sports such as ACL tears, throwing injuries including rotator cuff and labral tears, ankle sprains, and post-concussive syndrome, just to name a few. The athlete will be challenged by the PT to increase range of motion and strength with sport-specific exercises to return to play with confidence. The advantage of therapy doesn’t just end with athletic injuries. As working adults spend hours at their desks, they may start to experience back and neck pain from poor posture and improper work station ergonomics. With the extensive knowledge of proper postural re-education and core strengthening, a physical therapist can help the working adult maximize their upright posture and teach the patient how to set up their chair and desk at work to promote proper body mechanics. At this stage in life, we may also start to see repetitive motion injuries caused by completing the same tasks day after day. Some repetitive motion injuries include shoulder impingement, rotator cuff syndrome, hip and knee arthritis, and meniscal tears. Again, with your therapist’s expertise in musculoskeletal injuries, they will help you decrease pain, increase motion and strength, and achieve your functional goals. As adults age and continue to stay active, many begin to experience joint degeneration in the shoulders, hips, and knees. These adults may elect to have joint replacement surgery. However, the new joint has to learn to move through its full range of motion and regain strength in the muscles supporting the joint. A physical therapist will teach you exercises, stretch and mobilize your new joint, teach you how to walk again, and help you manage your symptoms through use of modalities such as ice, heat, or electrical stimulation. Many adults are able to continue to enjoy the things they love to do due to their time in physical therapy.

home and in the community. The physical therapist is also skilled to address neurological deficits caused by stroke, multiple sclerosis, and Parkinson’s disease. Many adults, no matter their age or diagnoses, can benefit from evaluation and treatment by a physical therapist. Here at All-Care Physical Therapy Center, the therapists pride themselves on individualizing exercise programs based on extensive evaluations. They listen and take into consideration your goals and expectations, and incorporate them into your plan of care. No matter your age, diagnosis, or goals, physical therapy can have a profoundly positive impact on your quality of life. For more information, call 609-756-5800 or visit www.AllCarePTC.com.

To schedule an appointment at our Forked River location, call 609-756-5800 today! Jamie graduated from the Richard Stockton College of New Jersey in 2008 with a Bachelor’s of Science in Biology. She continued her physical therapy education at Rutgers-Camden, UMDNJ, and received her Doctorate of Physical Therapy in May 2012. Jamie has had clinical experiences in acute, subacute, and outpatient settings, as well as a 14week affiliation with Children’s Specialized Hospital, focusing on the pediatric population. Her areas of interest include sports medicine, especially post-ACL reconstruction in female athletes, joint replacement, manual therapy techniques and the neurological and orthopedic pediatric population. Jamie Jamie Douglass, DPT believes in patient centered practice, and incorpoForked River Facility Manager rates patient’s personal goals into treatment plans. She also feels it is important to keep up with current evidence in order to ensure optimal patient outcomes.

The geriatric population can benefit greatly from time in physical therapy. As we age, we begin to slow down and lose muscle strength due to inactivity. This loss of strength can cause balance issues, leading to increased fall risks. There are many challenging balance activities that can be done under the supervision of a physical therapist to increase confidence and learn balance strategies to reduce falls at

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November/December 2015

Featured Articles

Medical Professionals

All-Care Physical Therapy Center, LLC....................................2 Atlantic Neurosurgical Specialists............................................5 Acuity Specialty Hospital of New Jersey............................6, 80 Shore Vascular & Vein Center..................................................7 Gastroenterologists of Ocean County......................................9 AtlantiCare Regional Medical Center: The Heart Institute......12 Toms River X-Ray, CT & MRI Center.....................................24 University Urology Associates of New Jersey..................26, 27 AtlantiCare Regional Medical Center: The Institute for Surgical Weight Loss & Wellness.............29 Mona Lisa® Touch North Dover............................................30 Ocean Plastic Surgery PA and Laser Center.........................31 Ocean Otolaryngology Associates, PA...................................32 Seaview Orthopaedic & Medical Associates..........................35 Reproductive Science Center of New Jersey.........................36 Bella Derma Medi Spa............................................................37 Barnabas Health Medical Group: Ob/Gyn..............................38 Kathy A. Banks, DMD.............................................................42 Barnabas Health Medical Group: Dr. Sumy H. Chang...........43 Bio-Behavorial Health.............................................................45 Caring Heart and Brain Imaging.............................................45 Paonessa Colon and Rectal Surgery, PC........................46, 47 Institute for Complimentary and Alternative Medicine............48 The Children’s Hospital of Philadelphia..................................51 Stephen L. Newman, MD, MBA..............................................58

Featured on the Cover

Ocean Hematology & Oncology.......................................54, 55

Precious Metal Buyer

Precious Metal Buyers ............................................................3

Health & Wellness

The Body Wrap Shoppe & Spa................................................8 Simply Skin Day Spa..............................................................16 Coastal Healthcare.................................................................23 Hypnosis for Women..............................................................49 Yoga Nine Mind/Body Studio..................................................51 Jersey Shore Pharmacy.........................................................52

Massage School

New Jersey School of Massage.............................................10

Nutrition & Wellness

Jennifer Nosti, RDH................................................................11

Law

Kathleen M. Dotoli, Esq..........................................................13 Straffi & Straffi, Attorneys at Law............................................20 Jay Turnbach, Esq., LLC........................................................21 The Matus Law Group............................................................22

Business & Finance

Copiers Plus, Inc..............................................................14, 15 Greater Toms River Chamber of Commerce..........................62

Elder Law

Rice Elder Law.......................................................................17

In-Home Care

Senior Helpers..................................................................18, 19

Education

Ocean County College...........................................................16

Information Destruction

Green Office, LLC .................................................................23

Permanent Hair Removal

Monmouth/Brick Electrolysis..................................................25

Insurance

Reliable Health Solutions.......................................................25

Professional Dentistry

Aesthetic Dental Creations.....................................................28

Hair Designs & Hair Replacement

Abstrax Hair Designs..............................................................33 • Estates & Luxury Jewelry

Fashion & Beauty

Antique Silver Barbara’s• Boutique. ................................................................34 Construction & RREM • Diamonds & Gemstones

Dream Homes LTD.................................................................39

Gold, Silver & Platinum Fine•Art Photography

Tracy Harman Photography.............................................40, 41

Precious Metal Buyer

• Rare Coins & Bullion

3 Assisted Living

Spring Oak of Toms River......................................................44

Shoe Repair

The Friendly Cobbler..............................................................47

Chiropractor

Waves of Transformation Wellness Center, Inc.....................50

CASA

CASA for Children..................................................................53

Adult Community

Fountainhead..........................................................................56

Awning

Giglio Awning..........................................................................57

Copy, Fax & Notary Services

The Wordstation, Copy Fax +.................................................59 Women of Ocean County . ...............................60, 61

Acupuncture

Koehler Acupuncture..............................................................63

Travel

Vagabond Travel Agency.......................................................64 Jensen’s Marina...............................................................66, 67

Business & Personal Storage

Airship Storage.......................................................................72

Theatre & Entertainment

A Funny Thing Happened On The Way To The Forum..........73 Clever Little Lies.....................................................................74 Sanctuary...............................................................................75 Gazillion Bubble Show............................................................75

Pain Management

Interventional Pain Management......................................78, 79 Community........................65, 68, 69, 70, 71, 72, 76, 77

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November/December 2015

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Featured on the Cover -

Sarah J. Easaw, MD, FACP Sarah J. Easaw, MD, FACP, founder of Ocean Hematology & Oncology in Lakewood, N.J. provides state-ofthe-art cancer care in a warm and personalized atmosphere. Read more about Dr. Easaw and her practice on pages 54 & 55.

Cover photo by Tracy Harman Photography.

Schedule your kid(s) and holiday portraits with Tracy Harman Photography. See more on pages 40 & 41.

Welcome to the November/December Issue Of The Ocean County Woman! The holidays are once again upon us! Along with all the excitement and stress that comes with the season, we remember to take the time to reflect on all that we are thankful for. We appreciate each of our professional contributors that share their expertise and help make our publication the number one educational resource for women and their families in Ocean county. Our publication could also not be what it is today without our dedicated team of editors, graphic designers, and photographers who assist in making each page beautiful and a “must read” publication. Additionally, we cannot express enough gratitude towards our loyal community of readers who The County Woman team supporting connect with us and share our articles with family and the Alzheimer’s organization at their friends throughout the country. We wish each and every annual walk in Atlantic City. one of you a safe, joyful holiday season with your family and friends. Thank you for your continued support! The Ocean County Woman Team EVENTS IN OCEAN COUNTY N Yoga Nine (p. 51) Nov. 7, 11, 14, 20; Dec. 4 – Winter workshops and community events. March 11-16 and May 7-14 – Wellness retreats. N CASA (p. 53) Nov. 26 – Gobble Wobble 5K and 1 Mile Drumstick Dash. Holiday Toy Drive donations are appreciated. N Ocean County Library (p. 65) Nov. 12 – Music in the MindHumanities Series. N Desnnisville Historic Christmas House Tour (p. 69) Dec. 17, 2016 – Mark your calendars. N Robert Ogle Golf Invitational (p. 70) Dec. 9-13 – 2015 Lexus Championship Charity. N WEforum (p. 71) April 20 – Health and wellness conference featuring local medical practices, businesses and healthcare facilities, products for mind, body and soul, and free giveaways and raffles. N Expungement Seminar (p. 72) Nov. 20 – Free program open to the public. EXCLUSIVE DEALS N The Body Wrap Shoppe (p. 8, 39) Purchase $100 in gift certificates and receive n extra complimentary $100 SPA dollars. Offer valid Nov. 27th only. N Koehler Acupuncture (p. 10) Enter to win a FREE consultation and treatment. N Two River Theatre (p. 13, 73) Enter to win a pair of tickets to see A Funny Thing Happened On The Way To The Forum.

N Copiers Plus (p. 14) Contractors Special – Up to 20% off design, production, and installation through Nov. 30, 2015. N Plays (p. 16, 74, 75) Enter to win a pair of tickets to see one of three great shows. N Senior Helpers (p. 18, 19, 32) Special Offer for Nov. and Dec. Holidays. 25% off one time visit, just mention special offer code Holiday Helpers 2015. N Simply Skin (p. 20, 36) Great coupon offers for $10 off $50 or more spent in the spa boutique or $20 off a simply personal facial. N Monmouth/Brick Electrolysis (p. 22, 25) Mention their article and receive 50% off your first treatment with a free consultation. N Abstrax Hair Designs (p. 30, 33) Purchase a $50 gift certificate and receive a complimentary $10 gift certificate. N Ocean Plastic Surgery (p. 31, 58) Great coupon offers for a 50% discount of laser use per area and facial skin tightening and sun damage treatment for only $170. Gift cards are available. N Barbara’s Boutique (p. 34) Save the date…November 27th, for one day only, enjoy 30% off. N Bella Derma Medi Spa (p. 37) 10% off Coolsculpting package (Minimum four treatments). N Airship Storage (p. 72) Now offering first month’s rent for only $1, new customers only. N Interventional Pain Management (p. 78, 79) FREE first exam and consultation for pain management ($250 value).

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The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Medical Professionals

Law

If you’re one of the 15+ million Americans who suffer from back pain on a daily basis, chances are you may be one of the 600,000 of them who will have back surgery this year. If so, there are several things you need to know. Not the least of which is that, on average, 80,000 Americans suffer from failed back surgery syndrome. And, you don’t want to be one of them. So, how do you find the right specialist? Here are some important tips from Dr. Pinakin Jethwa, a neurosurgeon at Atlantic NeuroSurgical Specialists (ANS). ANS has launched an awareness campaign to educate patients about the importance of choosing the most appropriate specialist for back surgery.

Health &Wellness

Diagnosis

Back Pain? Surgery a Possibility? Here’s What You Need to Know …

CRITICAL

Elder Law

Theater &Entertainment The sooner you have an accurate diagnosis of your

“There are three credentials every patient and family member should look for when researching a back specialist,” Dr. Jethwa details. “Making sure the physician meets these requirements will help ensure no one becomes a failed back surgery syndrome statistic.” To find the best specialist:

1. Make sure your spine specialist is just that – a trained spine specialist. Just because a physician says he/she is a spine specialist doesn’t mean that’s necessarily true. Some of the most common failed back surgeries are a result of quick-fix solutions performed by doctors who don’t have the proper training. Take his/her background, education, and reputation seriously … because, surprisingly, no surgical training is required for someone to call him or herself a “spine specialist.” A medical license is required, but the license only sets the minimum competency requirements for diagnosing and treating patients. It is not specific to a specialty.

Education

Be sure your doctor has studied in a surgical training program – because there are many who haven’t. Don’t trust the health of your spine and spinal cord to a doctor who doesn’t have formal surgical training or may have simply attended an industrysponsored weekend course on a new technique. 2. Choose a neurosurgeon. Contrary to what many people think, a neurosurgeon does not just specialize in brain disorders. Neurosurgeons focus on the spine throughout their entire education – and may spend as much as eight years undergoing intense spine surgery training. They are the experts in spine surgery – and the ones you want taking care of your back.

back pain the sooner you can begin the treatment

NJ andrt handles most minimally Fpractice ine inA Pthehotography plan that works for you. Find the ANSwer you

have been searching for at Atlantic NeuroSurgical Specialists. ANS is the largest neurosurgical

invasive spine surgery cases in the state. Our

nationally renowned neurosurgeons are fellowship trained in spine and the most qualiﬁed specialists to diagnose and treat your back pain. Find your ANSwer at ANS.

B usiness or call 732.455.8225.&Finance Don’t let insurance come before your health. Ask to speak with our insurance counselor.

For more information, visit www.ansdocs.com

3. Select a spine specialist whose practice is more than 50% dedicated to spine cases. Neurosurgeons immersed in spine cases tend to be the most experienced with the latest, most groundbreaking treatment options. They also tend to have the highest success rate. And, the higher number of successful cases, the higher the probability of additional positive clinical outcomes. “When choosing the best-suited specialist, be sure you have a complete understanding of your diagnosis. That way you can select the neurosurgeon with the most experience treating your condition,” Dr. Jethwa concludes. “Feel confident that all of your questions have been answered – and make sure you have a strong sense of trust. That’s just as important as the doctor’s training.” Atlantic NeuroSurgical Specialists, the largest private neurosurgical practice in New Jersey, performs the most minimally invasive spine surgery cases in the state. ANS was one of the first practices in the Northeast to participate in a national database analyzing outcomes in spinal care. For more information about ANS, visit ansdocs.com. MCW/OCW Diagnosis/Critical Nov #1039_r3.indd 1

3700 Route 33 Neptune, NJ 07753 732.455.8225 11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941 781 Route 15 South Jeﬀerson, NJ 07849 973.729.0266

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

310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800 Glenpointe Centre Atrium 400 Frank W. Burr Blvd. Teaneck, NJ 07666 201.530.7035

10/15/15 2:44 PM

January/Feb November/December 2015

Medical Professionals

“Be Open To Life’s Possibilities”

ane Auld was crossing the street on July 4, 2014, to get to a local restaurant in Somers Point and was suddenly struck by a pickup truck. In that unexpected moment, her whole life was irrevocably changed. The next thing she remembered was sitting in a wheelchair at an acute rehabilitation center. She only recalled fleeting moments of lucidity in the Trauma Center and Acuity Specialty Hospital. In essence, a large piece of her life was missing following the accident, and the aftermath continues to this day in September of 2015. According to bystanders, Jane was thrown approximately 40 ft. into the air. She was revived at the scene of the accident and taken to AtlantiCare Regional Medical Center’s (ARMC) trauma unit. Jane was placed on a ventilator and sustained a closed-head injury with multiple bleeds to her brain. Her ribs and pelvis were fractured and she faced a long road ahead to recovery. Jane was transferred to Acuity Specialty Hospital from ARMC’s trauma unit on July 17th with the primary goal of removing her from the ventilator. Jane would remain at Acuity until August 5th, when her tracheostomy and PEG tube were removed and she was able to speak and ingest a proper diet orally. Jane’s daughter, Ronnie, and her sister, Annie, along with very good friends such as Heidi were there with her every step of the way during those traumatic days. Jane believes that any individual who is unable to speak for themselves should have

Left to Right - Jane with friend Heidi.

~ Jane Auld, September 2015

loving, concerned advocates to ensure proper care is given to them. Jane’s beloved boyfriend stood by her side and said of the Acuity staff, “The staff, from the nurses’ aides to the nurses, to the therapists and doctors, were extremely professional. Questions were answered honestly and with sensitivity. Patients were attended to with care above and beyond what was required.” He added, “Jane was moved regularly to prevent bed sores. The staff seemed to genuinely like what they did and it showed in the care they provided. All the nurses were great, but Joe, in particular, took his job seriously and did so with empathy.” Jane’s journey to healing took her to an acute inpatient rehabilitation unit, then a subacute inpatient rehabilitation unit. She returned home and received outpatient physical therapy three times weekly. Eventually, she was able to start to rebuild her life and become independent again. In many ways, Jane reflected without hesitation, her life may have changed for the better. “It has made me more compassionate towards others and I appreciate every day I have. I met so many wonderful people along the way,” Jane said. However, she did encounter occasional setbacks, such as kidney stones, a stent in her ureter, heart problems and Bell’s palsy. “Jane is a fighter and is very positive about her experience,” said her friend Heidi. Today, Jane states you have to be committed to getting better; it is hard work and a person has to keep pushing themselves to recover. Jane wants everyone to know that it is of utmost importance to have all your legal and medical documents in order, in case such a devastating unexpected event and/or death should occur. “Please have your will and medical power of attorney documented. Let family members know how to access your financial papers and be aware of your end-of-life wishes and advance directives,” she urged. Jane has returned to her work as a selfemployed title agent and is regaining her client base successfully. She is completely independent in all her activities of daily living and drives without a problem. She credits a lot of her recovery to being in good health and taking care of herself before the accident. “I have learned so much from this experience and can never thank all the people enough who cared for me along the way, especially the wonderful people at Acuity.”

The County Woman Magazine www.TheCountyWoman.com

Jane Auld today.

For more information, Call 609-441-8123 or Visit www.acuityatlanticcity.com.

Acuity Specialty Hospital of New Jersey is a long term acute care hospital located

For Information or Referrals, Call 609-441-8123

inside of AtlantiCare Regional Medical Center in Atlantic City. Our hospitalwithin-a-hospital provides 30 private rooms to the medically complex and critically ill. Patients meeting acute care criteria are seen by physician specialists daily and typically discharged to acute and sub-acute

Kristi Forvour– 2014 Clinican of the Year.

rehabilitation centers,

Our team specializes in the care of patients

skilled nursing facilities or

with needs that include:

their homes.

•

Ventilator weaning

•

Complex wounds

•

Infectious diseases

•

Medically or surgically complex care

•

Multi-system organ dysfunction

www.acuityatlanticcity.com

November/December 2015

Medical Professionals

Groundbreaking New Technology for Laser Tattoo Removal treatment of all color tattoos and skin types, even the traditionally very difficult ones, with a single device. This provides effective results in approximately half the number of treatments of prior lasers.

Number of Treatments Required and Results

Shore Vascular & Vein Center / Aesthetic Laser Center announces enlighten™, the newest, most complete solution available anywhere for laser tattoo removal.

enlighten™ is the most advanced laser system available

for safe and effective tattoo removal. It is the world’s first laser system to combine both picosecond and nanosecond technology with dual wavelength lasers. This allows individualized treatment of all colors of ink and skin types for the fastest, most complete laser tattoo removal ever available.

The “Pico” Difference

Lasers remove tattoos by delivering high energy over a very short period of time to break up ink. Inks of different types, colors and depth can provide significant challenges to remove. It has been shown that shorter duration pulses are more effective in completely removing tattoos than longer duration pulses. Our new enlighten™ laser can deliver energy at picosecond intervals. A picosecond is one trillionth of a second. This is one thousand times shorter than prior lasers for tattoo removal. Picosecond, sometimes referred to as “pico,” lasers have been shown to remove tattoos more completely and with fewer treatments, than with lasers used in the past.

Flexibility

Picosecond lasers are the newest, most advanced tattoo removal technology available. Our enlighten™ laser combines this “pico” technology with the flexibility of both 1064nm and 532nm dual wavelength lasers. Never before has this combination of power and versatility been available. This now allows for the

People often ask how long it will take to remove their tattoo, and will it be able to be removed completely. Laser tattoo removal typically takes multiple treatments. That is because tattoo ink is deposited deep into the skin and multiple treatments are needed to reach all of the ink and break it up completely. In addition, tattoos of various sizes, colors and ages may respond differently to treatment. Some colors are more difficult to clear completely than others. Therefore, it is impossible to know in the very beginning how many treatments will ultimately be needed or how completely it will be removed. However, our new enlighten™ picosecond laser has been shown to be faster and more effective than the prior lasers used for tattoo removal. In fact, many people can expect to obtain excellent results in half the number of treatments, or less, than with prior lasers. Our doctor can give you a good idea of the number of treatments that will be needed after your tattoo is examined.

Partial Tattoo Removal

Due to change in circumstances, relationships and other factors, some people desire to have their tattoos changed. We can remove parts of tattoos, while leaving other parts intact, to allow for tattoo changes.

Cost

Cost will vary depending on a number of factors including the size of the tattoo and the number of treatments needed. Keep in mind that with enlighten™, you should anticipate requiring far fewer treatments than required with other lasers. You can also anticipate more complete results. However, since the exact number of treatments will not initially be known, we offer complete tattoo removal packages. That gives you a set price in the beginning and eliminates the uncertainty of not knowing the exact number of treatments that will ultimately be needed. Our staff can give you more information about pricing after we examine your tattoo.

About Us

Our medical director, Dr. Jeffrey Gosin, is a Board Certified Vascular Surgeon. He has years of experience in performing cosmetic vascular laser procedures using the highly acclaimed Excel V™ laser. Over those years, he has been asked by many patients if he could also remove their tattoos with his laser. While the Excel V™ laser is best-in-class for vascular applications, it is not designed for removing tattoos. Other prior lasers also had significant limitations. “University Quality Care at the Jersey Shore” Therefore, he previously would not provide this service. When the new enlighten™ laser finally became available, that completely changed things. Dr. Gosin researched the technology, attended conferences, and personally consulted with laser experts from around the country who were involved in the very early use of this remarkable new device. It became clear that this technology would set the new standard in laser tattoo removal. We are very pleased to be the first center in the entire Delaware Valley to be able to offer this cutting-edge technology.

If you are experiencing “tattoo regret” and would like to have your tattoo removed or changed, call us for a consultation. 442 Bethel Road Somers Point, NJ 08244

(609) 927-VEIN (8346) www.EndTattooRegret.com

The County Woman Magazine www.TheCountyWoman.com

For more information, Call 609-927-8346 or Visitwww.EndTattooRegret.com November/December 2015

Health & Wellness Grand Opening on December 3rd

The Body Wrap Shoppe is Your Place for Beauty and Wellness!

top by The Body Wrap Shoppe & Spa on December 3rd and meet Lynn, the owner of the Body Wrap Shoppe & Spa and her professional team. Enjoy a tour of the new 7,000 square-foot state-of-the-art facility, featuring double sized massage rooms with private showers and all the amenities to make your spa experience absolutely perfect. There will be prizes and fun for Black Friday Gift all who attend!

the entire body, you will want to reserve the “Slim Wrap”. The most popular wrap is the “Double Whammy”. It is excellent for targeting the abdomen, however, it does take care of the rest of your body as well! This wrap guarantees a 6-20 inch loss throughout the body while burning up to 1200 calories.

The Body Wrap Shoppe & Spa also offers Purchase $100 in Gift Certificates The Body Wrap a revolutionary Shoppe & Spa offers new fat removal Receive an Extra Complimentary a wide variety of spa technology called experiences designed ThermaSculpt®. to help you slenderize, This treatment Offer valid, Thursday, November 27, 2015, ONLY unwind, and look and provides instant feel your best. During slimming in mulyour visit, all guests tiple, precisely have access to a variety of steam showers, locker targeted areas of the body by reducing localized fat rooms, infrared sauna and relation room. All these tissue and cellulite. This body sculpting treatment luxuries are complimentary with the VIP club mem- can be used to contour the abdomen, arms, thighs, berships. The spa’s highly qualified team customizes flanks (love handles), and back (fat beneath the each treatment to best meet the guest’s needs. Their buttocks). This treatment does NOT involve surhighly qualified team looks forward to creating an gery - no anesthesia, no scars, and no down-time! ideal experience to best accommodate your needs ThermaSculpt® helps improve blood and lymphatic and desires. circulation as well as skin texture, permanently removes fat cells, reduces cellulite, tightens and lifts All of the body wraps are designed to help you areas of the face and body, and reduces wrinkles and lose inches, detox, hydrate and much more. If you stretch marks. want to lose a guaranteed 6-20 inches throughout

Certificate Promotion

$100 SPA Dollars

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“I received three Therma-Sculpt treatments at The Body Wrap Shoppe & Spa. The treatments were on my upper arms, face and breast lift. I would recommend these treatments to everyone. I saw instant results on all of these areas. Each treatment was painless and completed in a short period of time. I will be back in the near future to get more ThermaSculpt sessions. I would like to thank the ladies of The Body Wrap Shoppe for their amazing work and dedication each time I am here! Thank You!” - Brianna H.

Our mission is to embrace the well-being of others through experiences that help inspire physical, mental and spiritual renewal. To encourage a life of wellness; and empower individuals with knowledge to set a path of self-growth.

For more information, call 732-323-3000 or visit www.TheBodyWrapShoppe.com. 277 Route 70, Suite 201 Toms River, NJ 08755

732-323-3000 www.TheBodyWrapShoppe.com

Facial Rejuvenation • Skin Care • Massage • Body Wraps • Body Sculpting

FREE Evaluation And Testing New Treatments Available 20 Hospital Drive, Suite 12 •Toms River, NJ 08755

(732) 244-2299 The County Woman Magazine

www.TheCountyWoman.com

November/December 2015

Medical Professionals

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

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

What causes Celiac Disease?

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

What is gluten and what foods contain it?

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

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

How is Celiac Disease treated?

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

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

Who helps to manage Celiac Disease?

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

The Endoscopy Center of Ocean County • The Endoscopy Center of Toms River

Conclusion…

How does gluten affect the bowel in Celiac Disease?

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

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

How is Celiac Disease diagnosed?

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

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

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

The County Woman Magazine www.TheCountyWoman.com

Hospital Privileges at Community & Ocean Medical Centers

November/December 2015

Massage School

NJ School Of Massage, Where Students Learn, Renew And Succeed Established in 1995, NJ School of Massage, one of the preeminent institutions for massage therapy education in the state is now under new management. New owner, Alice Marin with 15 years experience as a massage therapist, has a dream and goal to make this school the most personable, comfortable and affordable massage therapy school in New Jersey. When asked “What makes NJ School of Massage so successful?” Alice replies “Our students genuinely feel that they’ve become family during their time here and, at graduation, feel confident and more than prepared for the next step in their massage therapy career”.

Alice answers some frequently asked questions: What should a student look for when applying to a massage school?

First and for most, the school should offer a training with diverse massage techniques that will prepare them for ample job opportunities. It should be convenient and affordable. Classes should be fun, creative and use a variety of teaching styles. Beyond the bookwork and hands on practice, each student needs to feel they are valued and would get personal attention when needed. At NJ School

of Massage, we take great pride in providing all of this and more.

Describe the type of students that attend your school. What is the class size?

People enroll at NJ School of Massage for different, individual reasons. Some have come in their senior year of high school because they are passionate about pursuing this career. The adult learners, including empty nesters and parents looking for a convenient career where they can make a good income. Then there’s “the new breed” of adults, those that want to change their career all together. We also get some who want to expand their existing training in the medical field. Over all, we have had students from 18 to 59 years of age. We strive to keep class enrollment between six and eight students for better personal attention to their different learning styles.

What is the length of the massage school program? What is included?

After completing the NJ School of Massage requirements, including 100 clinical practice hours, we help them begin their license registration process. We also connect them with Brookdale Community College Small Business Development Center that will assist them with business issues such as business plans, record keeping, bookkeeping, advertising and marketing ideas, etc. In addition, we assist them with finding employment with local spas and medical centers.

How do you ensure success for your students with finding clients after they graduate?

Most of NJ School of Massage graduate’s success will come from the training they receive here. Besides training them to be excellent massage therapists, we teach them professionalism, communication, how to treat clients for return appointments and referrals, as well as giving them marketing ideas. They also know that we are here to help them through business counseling or post-course training if they should require. We usually get several treatment specific questions during the first year after graduation and we are always happy to provide for our graduates.

At NJ School of Massage, we have a multiple, convenient courses to choose from. The day class consists of three full days from 9am to 5pm and lasts approximately 6 months. The evening class consists of two evenings from 6pm to 10pm and lasts approximately 10 months. Here For more information or to register online, again, if the student has a problem with this schedule, Call 732-505-0055 or we will try to accommodate that student’s personal life Visit www.njschoolofmassage.com. schedule to make it more comfortable for them and their family. With the tuition we include a massage table, textbooks, a school Testimonials T-shirt, lotion samples and free “The knowledge and skills that I gained at NJSOM gave tutoring for special situations. me the ability to start a rewarding massage career and help others at the same time.” - Julie, class of 2011

917-5 North Main Street corner of Route 37 & 166

Toms River, NJ

732-505-0055

Enter To Win

What happens upon graduation?

njschoolofmassage.com

Alice Marin Owner/Director

“The day I started at New Jersey School of Massage, I knew I was exactly where I needed to be. My experience was as close to perfect as I could have asked for. I am currently working at a spa along with developing my private practice. I am looking forward to advancing my credentials in this field and NJSOM has played a huge roll in jumpstarting my career!” - Alana, class of 2014

Enter to Win a $100 Gift Cetificate to Koehler Acupuncture Name: ____________________________________________________ Address: __________________________________________________ City: ______________________State: ______ Zip Code: ___________

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

www.koehleracupuncture.com

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

One entry per person. Valid for new patients/clients only. Value not to exceed $100. Multiple entries will be disqualified. Entries will be accepted through December 31, 2015. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Nutrition

Wellness

How To Be Successful With Weight Loss

ears ago, it was all about “diets” to lose weight. Times have changed. Low calorie, low carb, 10day diets, weighing in and being reprimanded for your lack of self-control (even when you know you stuck to the plan); those methods have become things of the past. Now we know the key to successful and sustained weight loss is simply eating healthy. Though it sounds cliché, a lifestyle change will bring about the results you have dreamed of. Often when people decide they want to lose weight, the problem is they can’t commit to it. It’s just too difficult. The difficulty is often related to your mindset; that is, your thinking is short term, not long term. Your diet has an end date. You will finish as soon as you hit that magic number. Therein lies the problem. Losing weight effectively is not about just the numbers; it hugely depends on your mindset. Just saying you are ready to lose won’t make you commit to losing weight for good. In fact, selecting any of the “fad” diets will more than likely result in either no weight loss at all and a resulting feeling that you are NEVER going to reach the weight you would like to reach; or short-term weight loss which delights you, but as soon as you “cheat” you gain back most or all of your weight (and maybe even more), leaving you feeling like you are a failure. Successful weight loss will come with a change in how you view your nutrition and how you view your lifestyle. Before you try another fruitless venture into losing weight, stop and take account of what your true goal is. Think about why you want to lose weight. Be honest with yourself. Do you want to be able to play with your kids more? Do you have a medical condition, like high blood pressure, that would improve with weight loss? Do you want to be able to come off of your type 2 diabetes medication? Or do you simply want to get dressed and look in the mirror and say, “WOW, I look great!” In any of these cases, you need to come up with a realistic goal. Write it down. You want to be a size “X” again? Give yourself a goal. You would like to wean off of some of your blood pressure medication? Give yourself a goal. You can have more than one goal, but be sure to write them down in a place where you can see them every day. And make sure your goal is realistic! Studies show that writing down your goal, as opposed to just thinking about it, will increase your chances of being successful. In order to be effective, you will also need to

Lose 15 Pounds In the First 30 Days

commit to exercising regularly. Changing how much and how often you move is key. This will be a different level for everyone. Some people will be able to go to the gym and take classes. Others will be able to do light yoga or simply go (individual results may vary) for walks. For some, just going to the mailbox will be a big lifestyle change. For others, doing more will require much more. The idea is to push yourself. That’s where the honesty comes in. Be realistic and honest with yourself and commit to what will be a doable change for you. Then do it! To insure success, make a schedule for what you commit to and WRITE IT DOWN. Put it on your calendar for you to see and for your family to see. Find a time that you can dedicate to this goal and commit. It’s too easy to dismiss exercise when there are other things to do that are more appealing. When you write it down, you are more likely to commit to doing it. Remember, crash diets are never going to work. Don’t force your body into a state of starvation. You may be temporarily successful at losing weight quickly by severely restricting calories. But you will likely lose muscle, and not fat. You will become tired. You will feel hungry. But, worse, you will feel deprived or you will feel guilty if you “cheat.” These feelings are not consistent with long-term success. You can achieve what you dream of. Stop dreaming and make these dreams a reality! If you are having trouble getting started, contact me. I can put you on a path to long-term success and a lifestyle that you will love!

To learn more, Call 1-800-661-0278 or Email NutritionPowersWealth@gmail.com.

Testimonials

“ I am down 12 pounds in two weeks on your program!” David P “Day 60 on tie system and I’m down 19.6 pounds and 25.25 inches!” Taryn P

Jennifer Nosti, Nutritional Therapist, RDH

Jennifer Nosti, RDH NutritionEmpowersWealth@gmail.com • 1(800)661-0278

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Medical Professionals

Manage Your Heart Health with Online Tools from AtlantiCare Heart disease impacts more than 40 million U.S. women — and takes more women’s lives each year than breast cancer and other types of cancer combined. To help you be as heart healthy as possible, AtlantiCare Regional Medical Center (ARMC) has developed the following online risk-assessment tools and apps — all free for your use.

HeartCheck Risk Evaluation HeartCheck evaluates factors such as weight, blood pressure and cholesterol readings, smoking status, and family history to calculate your risk of developing cardiac disease. HeartCheck is confidential, quick and easy to use — and it provides you with a personal report that you can print and share with your doctor.

You also may submit an online appointment request right from the report page if you need help connecting with a doctor near you. Take the risk assessment now: heartcheck.atlanticare.org or www.atlanticarewell4life.org.

Heart Failure WOW ME 2000mg App If you or a loved one is diagnosed with heart failure, the WOW ME 2000mg iPhone® app will help you self-manage your condition. The app is a great way to support the care you receive from your primary care provider or cardiologist.

Use the app to keep track of your daily self-management routine, such as monitoring your weight, intake of liquids and sodium and physical activity; taking medications as prescribed; evaluating symptoms of heart failure; and more. Download this app today: Search for “AtlantiCare” in the iPhone® App Store.

The AtlantiCare App The AtlantiCare app brings reliable health content and tools right to your smartphone or tablet. With the AtlantiCare app, you can integrate with other health and fitness apps, read health news headlines and healthy-living tips, and stay up to date on the latest

medical research for your own health interests. Users also have simple one-touch access to AtlantiCare’s physician directory and patient portal. Download this app today: search for “AtlantiCare” in your device’s App Store.

AtlantiCare Well4Life For a healthy lifestyle at any age! In addition to free apps for smartphones and tablet computers, AtlantiCare has a great online wellness resource called Well4Life. What you’ll find on AtlantiCare Well4Life:

• Information about the AtlantiCare LifeCenter which offers a broad range of wellness services including exercise, fitness and personal training and massage

• Informative blog posts on a variety of interesting and timely topics written by AtlantiCare registered dietitians, fitness specialists, certified diabetes educators, and community health professionals

• AtlantiCare’s Senior University, an online community designed just for aging adults who want to stay healthy well into their golden years

• Listings of current wellness events and support groups, as well as online registration for classes and programs that interest you

• A wellness map to find farm markets, community gardens, ball fields, walking paths, and other places that support a healthy lifestyle in our area

• The HeartCheck risk-assessment tool • AtlantiCare patient portals and Primary Care Plus online communities

Visit AtlantiCare Well4Life today! www.atlanticarewell4life.org.

The Heart Institute at ARMC has the region’s only full-service cardiac program. Call 1-888-569-1000 or visit www.atlanticare.org/heart to learn more about our services.

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

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Apruzzese it is Receiving compensation for your permanent of theyou Workers’ Compensation I hope see now why Workers’ Compensation benstyle. the Paralegal Advisory Committee of 225help Washington St. The Cottage with basic work related activities? instance, says you can’t work for the NJ Workers’ Compensation benefits your Mock Trial Committee for the NJ Executive Committee lawinterferes in you New workers are entitled to Forefits ury isBy something areJersey, unlikelyinjured to get without filing are so important! Without them, thousands of NJ Ocean County College. on. thousands of New Jersey workers eachToms year River, are you a secretary who can no longer use her hands due due injury, as you Stateto Baryour Association well as a NJ 08753 aim. State Bar Foundation. three really important benefits - benefits they need in each year would find themselves lacking medical to carpal tunnel syndrome? That might prevent youworkers fromwill member of the Vincent J. Apruzzese and are there for YOU if you need them. receive monetary I hope why Workers’ Compensation orderyoutoseegetnow better, pay their bills, and benprovide compen225 Washington St. The Cottage treatment, income and compensation for their injuries. stance, Mock Committee being Without able to type, or useof the of Trial s are so important! them, file, thousands NJ phone for long periodsweekly benefits from for the NJ Have you or a loved one been Phone: (732) 228-7534 e sation for their permanent injury. If you’re ever hurt at Toms There’s no two ways about it. Workers’ Compensation River, NJ 08753 State Bar Foundation. kers each year wouldAre findyou themselves medical time. a long lacking haul truck driver who cannot sit foryour employer’s workers’ injured at work and don’t know om work,income you’ll and need to know about these three benefits. of New Jersey workers each year compensation fordue their injuries. Have you or a loved one been long periods of time to a severe back injury? If benefits that’scompensation thehelp thousands dstment, of insurance Phone: (732) 228-7534 where to turn to ensure ALL of your • The first and most important benefit is payment 225 Washington St. The Cottage ere’s no two ways about it. Workers’ Compensation and are there for YOU if you need them. or case, your condition will dictate how long you can drive carrier and commensurate with injured at work and don’t know efits helpfor thousands of New Jersey workers year emergency rights are protected? Don’t navigate inthefull medical treatment. Thattoeach means HaveHave youyou or aorloved one at work and a loved onebeen beeninjured t’s whether you will be able meet delivery deadlines. That’s where to turn to ensure ALL of your wage rate. don’t Those 225 Washington St. The Cottage for YOU if you need them.diagnostic Toms River, NJ 08753 this alone! 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Call authorized care, awaiting Phone: (732) 228-7534 aySSA to discusslist yourof injury. The consultation is FREE me today to discuss your injury. paid if I get you RESULTS. disabling conditions? Some diagnoses are so severe The consultation is FREE and surgery or recovering. evere that the SSA will automatically deem them to be totally The consultation is FREE and Take care and work safely! I am only paid if I get you Protecting your to you wage y Children’s Boutique I am only paidright if I get disabling. Others may be severe but require documentation, RESULTS. ation, replacementRESULTS. is just another doctor’s reports, evaluations to assess your condition and d For more information, reason to file a claim. perhaps your testimony. If you’re sure if they your condition is ition is Stop by to see all that they offer! Stop by to see allnotthat offer! Take care and work safely! Take care and work safely! hroughSea La Call just 732-228-7534. onVie theChildren’ SSA list, consult just withmade me toitshelp you navigateCity. through s Boutique debut in Ventnor It isSea not your average La Vie Children’s Boutique made its debut in Ventnor City. It is not your average children’ They offer a mix of hand-made and store brands, embroidery thiss boutique. most important step. children’sservices, boutique. They offer a mix of hand-made and store brands, embroidery services,

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2nd Annual Come enjoy all-you-can-eat spaghetti Spaghetti Dinner with meatballs, bread, and salad! Come enjoy all-you-can-eat spaghetti FO March 28, 2015 R with meatballs, bread, and salad! Address: _______________________________________________________ UM The Honoring City: _________________________ Zip: _______________ The County Woman Magazine November/December 2014 MarchState: 28,_________ 2015 O RI

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embroidering in the andCure will leukemia, feature other local crafters. La Vie to and be improve Book by Burt Shevelove and Larryblood Gelbartcancer. The LLSstore mission: lymphoma, Hodgkin’sSea disease and strives myeloma, world and provides free information and support Music services. andVisit Lyrics by Stephen Sondheim unique and affordable and new merchandise comes in frequently! the quality of life of patients and their families. LLS funds lifesaving blood cancer research around the Us On Facebook 09-226-3010 • ASeaLaVieBoutiqueNJ@gmail.com Originally or Produced on Broadway FU Instagram! world and provides free information and support services. NN by Harold S. Prince Y Visit Us On Facebook ONTHIN 6616 Ventnor Ave • Ventnor, NJ, 08406 • 609-226-3010 • SeaLaVieBoutiqueNJ@gmail.com TH G H Choreography by Denis Jones E W AP or Instagram! AY PE Directed by Jessica Stone Name: _________________________________________________________ TO NE D www.TheCountyWoman.com November/December 2014 TH E

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March/April 2015 2015 November/December

Business

Finance

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The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Business & Finance

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The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Education

Displaced Homemakers Program Can Help You Find Your Way

magine losing your primary source of income due to separation, divorce, disability, or the death of your family’s primary provider. Now imagine losing your own job … or never having worked before. Just imagine the toll that would take on you financially, physically, and emotionally. Where would you go? What would you do? How would you cope? Who would help you? Since 2007, the Displaced Homemakers Program of Ocean County has been helping women who have lost their primary source of income, showing them how to become financially self-sufficient by providing training and assistance in finding employment. With offices on the Ocean County College (OCC) Main Campus in Toms River, the program is managed by OCC’s Career, Employment, and Counseling Services and is funded through a grant from the New Jersey Division on Women. Displaced homemakers are typically women of various ages who span a wide range of ethnic and socio-economic backgrounds, and who must obtain or upgrade their skills for transition into the paid labor market. Through support, counseling, and training, the Displaced Homemakers Program can assist an individual in reaching her full potential.

Program services are intended to enhance employability and earnings, and to impact positively on the quality of life for the displaced homemaker and her entire family. Services include career, employment, and life counseling; connection to social and community organizations; assistance with the job search; and help with becoming economically self-sufficient. Other available services include academic advising, educational and training opportunities, career planning, pre-employment counseling and training, health and wellness programs, self-esteem and confidence building, and information and referrals to community resources and social services. So, if you have lost your major source of financial support because of death, disability, separation, or divorce, Displaced Homemakers can help. If you are emotionally or vocationally unprepared to enter the job market or need additional training or education, the Displaced Homemakers Program is here for you.

For additional information on the Displaced Homemakers Program of Ocean County, located at Ocean County College,

Call 732-255-0400, ext. 2297.

Displaced Homemakers Program of Ocean County Have you lost your major source of financial support because of death, disability, separation or divorce? The Displaced Homemakers Program of Ocean County can help!

SERVICES AVAILABLE Educational and training opportunities life counseling Connection to social and Health and wellness programs community organizations Much more! Assistance with the job search Questions? Contact us! Help with becoming 732-255-0400, ext. 2297 economically self-sufficient

Career, employment, and

www.ocean.edu

Health & Wellness

It’s About You Also, This Holiday Season! This time of year is a great time to step back from the stress of everyday life, put things into perspective and put caring for ourselves in there as well.

Everyday stressors tend to take a toll on our bodies and put our needs at the end of the long list of things that needs attention. At Simply Skin, we believe it is important to take an hour or two for yourself in order to recharge your “batteries”. That way you can carry on and take care of everything else. Don’t you agree? What better way to do this than with a spa treatment of your choice. Enjoy one of our soothing massages, calming facials or detoxifying and hydrating body wraps or relaxing pedicures. For those in which an hour may be just too much time out of their day, how about a mini facial or at least a 25-minute massage? These short, sweet treatments can have you feeling refreshed and ready to take on the rest of your day!

Give The Gift of Self-Care

During the holiday season, we all love to be with the people that are essential in our lives. A great idea for catching up with one of your good friends or relatives is a couple hours at the spa. The gift of relaxation is the gift that keeps on giving! Give a gift certificate that helps take care of them! We have a complete array of spa products for at home. Come on in and check it out.

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The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Elder Law

YAsk Nancy M. Rice, Esq. Certified Elder Law Attorney

Nancy Rice has been practicing Estate Planning and Elder Law in New Jersey and Pennsylvania since 1986. She was Certified as an Elder Law Attorney in 1997, and has maintained offices in Camden and Cape May counties, specifically in Cherry Hill and Ocean City. She can answer your questions and concerns- just call 609-398-3447.

“ WILL CONTESTS: How Do They Work? ”

Part 2 of 2

We discussed A.) Fraud and B.) Due Execution in the Atlantic County Woman September/October 2015 issue, Part 1 of 2. Today, we will continue in our discussion with C.) Testamentary Capacity and D.) Undue Influence.

C.) Testmentary Capacity The test for determining testamentary capacity is rather permissive. Indeed, the level of capacity needed to execute a Will is less than that required to enter into a contract. The key questions are whether the person who made the Will (called the “Testator”) understood:

1 2

The nature and extent of the property subject of the Will; in other words, what assets the Testator had and planned to leave under his or her Will.

The “natural objects of his or her bounty,” that is, who are the Testator’s next of kin (whether or not he or she wants to leave them anything under the Will, the Testator needs to know who they are).

3 4

The effect of the Will; that the Will would dispose of property following death. The relation of each of these factors to the other.

Notably, the law presumes that all Testators are of sound and competent mind when a Will is executed (assuming he/she was at least 18 years of age and has not been declared by a court to be legally incapacitated). To overcome the presumption of capacity, the contestant must prove lack of testamentary capacity at the time the Will was executed, by clear and convincing evidence. It is important to know that it is not enough to show that the Testator was addicted to drugs or alcohol; you must prove that the person was under the influence of a substance at the time of the execution of the Will. Nor is it sufficient to show that the Testator was forgetful at the time, so long as he or she had some capacity to manage his or her business affairs.

enjoyed a special or “confidential relationship” with the Testator, and there are “suspicious circumstances” surrounding the execution of the Will, the burden of proof will shift to the defender of the Will. A “confidential relationship” can be found where there is some special trust between the Testator and a beneficiary under the Will and where the nature of that special relationship creates some type of reliance or dependency. At times, a special or confidential relationship has been found to exist between a Testator and: an adult child; other relative; a healthcare provider; a neighbor; an attorney; or an accountant. Notably, while a confidential relationship naturally exists between a husband and wife, the presumption of undue influence will not generally arise even when the Testator’s children are disinherited. As to the “suspicious circumstances” component of an undue influence Will contest, the evidence on this issue can be “slight.” Suspicious circumstances have been found where a beneficiary of the Will engaged his attorney to prepare the Testator’s Will and where a nursing home patient was removed from the facility by the beneficiary of a Will that was signed a few days later. If you believe that a Will should be challenged because it was not executed properly (i.e., it was forged, didn’t have the correct number of witnesses, etc.) or because the deceased was not competent when he/she signed it or because the Will was the product of undue influence, you should hire a seasoned attorney, who has significant experience in this area of law. Do not delay with your decision to engage an experienced attorney because the law allows only a narrow window of time during which a caveat and/or a Will contest may be filed.

Nancy Rice can answer your questions and concerns!

Call 609-398-3447 today!

D.) Undue Influence Undue influence has been defined as any type of exertion that can prevent the Testator from following his/her free will. This can include physical, mental, or moral exertion. Mere suggestions, persuasions or the exertion of some influence is not enough to invalidate a Will. Ordinarily, the challenger has the burden of proving undue influence. If, however, the Will benefits one who

Estate/Trust Administration • Guardianships • Will Contests • Special Needs Trust • Medicare, Medicaid, Long-Term Care & Disability Planning

200 Asbury Avenue • Ocean City, NJ 08226 • 609.398.3447 | 1236 Brace Rd., Suite F • Cherry Hill, NJ 08034 • 856.673.0048

www.RiceElderLaw.com

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

In-Home Care

Home Care That Helps Maintain an

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s it becoming more difficult for Dad to take proper care of his home? Does he seem unmotivated most days to shop for food or cook a balanced meal? Does he bathe less often, believing he has taken a shower that morning, when it is apparent he has not showered or shaved for some time? Maybe your Mom had a fall recently. She is about to be discharged from rehab and wants to return home. But she needs help you can’t be there to give and she shouldn’t be alone for the first few weeks. You are not alone. These and similar scenarios are faced by thousands of American families every day. If you’re not familiar with eldercare options and how to help an aging loved one, chances are you will be in the future! Today one in four American families is already involved to some degree in the care of an elderly person. When looking for help, you are not alone either. Senior Helpers® is here to help when you need us most. We find the qualities that families value most in home care providers are responsiveness, dependability, integrity, professionalism, and compassion. We tirelessly promote these qualities at all levels of our organization. Most seniors are surprised when they find themselves in need of assistance with day to day tasks. Whether it be household supportive services or assistance with personal care, most people view the need for help as a loss of independence. And when able to choose, most seniors find that remaining in their own home is preferable to community living in a long term care facility. At Senior Helpers® we specialize in a new perspective in Alzheimer’s and Dementia care. Our positive approach to dementia care produces a better outcome with our clients. With our Senior Gems® training program we acknowledge the abilities that are lost in the progression of the disease, but then focus on the remaining abilities so our caregivers can more effectively engage our clients for a better quality of life. The County Woman Magazine

When a family is concerned about their parent or loved one resisting care that is needed, our team is equipped to assist you through the process of starting care in a non-threatening way. We understand the aging process and the grief that accompanies loss of abilities and the need for some assistance. We support our clients in their efforts to remain independent while allowing them their preferences, choices, and a sense of control over their lives.

Did you know?

 Need a speaker? Linda Panarella, Certified De-

mentia Practitioner and Certified Gems Trainer would be pleased to present an educational program about How Dementia Affects the Brain, as well as including valuable practical information about effective ways to cope with the challenges of the disease. Senior communities in Ocean County have many residents who are trying to cope with the effects of this disease alone and with little knowledge about it. Senior Helpers® can help by providing much needed education to understand, cope and manage. Call Linda for more information about the variety of programs which can be presented to your group at no charge.

who helps Veterans and our Holiday Help Servi their surviving ces (one time vier sit) Mention Sp spouses deterecial O Holiday Hel ffer Code: mine eligibility pers 2015 Offer expires and assists with 12/31/15 the application process. Call to learn more about this benefit which may help pay for home care.

 Do you need a break? Respite care is available

for family members who want to have time away--whether it be for an afternoon, several days, or even for a vacation. Our respite services assure family members that their loved ones are safe, supervised, and cared for while they enjoy some much needed time apart from daily caregiving responsibilities.

Kevin Herman, MSPT has owned and operated Senior Helpers since 2007 and has been providing care to seniors for over 15 years as a Physical Therapist. Linda Panarella, CDP has managed personalized care to seniors for over 10 years, first as an Activity Director, specializing in dementia care and most recently as Director of Operations for Senior Helpers.

 Alzheimer’s vs Dementia. These two words

are often used interchangeably. Ever wonder what the difference is? Alzheimer’s is a disease. It is the most common cause of dementia. Dementia refers to a group of symptoms such as: confusion, disorientation, memory loss, and behavior changes that characterize certain diseases and conditions.

 Benefits for

Veterans. The Veteran’s Administration has a little known benefit called Aid and Attendance. Surviving spouses of veterans may also be eligible. Senior Helpers partners with a company

A Helping Hand for the Holidays

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www.TheCountyWoman.com

www.SeniorHelpers.com/Manchester November/December 2015

In-Home Care

The County Woman Magazine

www.TheCountyWoman.com

November/December 2015

Law

Ask Daniel Straffi, Jr. Esq. When is it too late to investigate my bankruptcy options?

Answer:

he short answer is NEVER. It is important to understand some basic facts about having a “fresh start”. “Normalcy” is defined as being within certain limits that define the range of normal functioning. How we each come to define those limits over time is a whole other story. For many of the people I work with, a “normal” day starts at 8 am, when they are arisen by a cacophony of debt collectors ringing their house phone and/or cell phone, harassing them for money they simply do not have. A normal day may include a similar call made to their workplace, or in some cases a neighbor or relative. A normal day usually ends with a trip to the mailbox, where various forms of threats against one’s home, wages and belongings await. Of course, all of the aforementioned say nothing of the other daily stresses that we all know broaden our limits of normalcy by the day. There is a breaking point for everyone. The symptoms of approaching this breaking point can manifest in any number of emotional and physical ways,

all of which I have heard and seen in my daily interactions with clients. The question is whether or not a person can identify these symptoms and be proactive in addressing them, so that the limits of normalcy can, once again, become more defined. My answer to anyone seeking to redefine these limits is simple: it is never too late, and it is never too early to investigate one’s options. Bankruptcy is no longer a “four letter” word (alas, math was not my finest subject in school). Rather, it stands for a fresh start - an opportunity to redefine the normalcy in your own life. Bankruptcy is not for everyone. However, understanding what it encompasses and whether or not it is an option for you takes nothing more than being proactive. It is the will to move forward that one must find within themselves to take that next step of investigating their options. I hope this article proves helpful in realizing that a new normalcy is always within reach.

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

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

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The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Divorce and Your Home Since the financial crisis of 2008, often the most challenging single issue in many divorces is the disposition of the marital home. Virtually everyone who owned a home in 2008 saw that asset lose significant value. Very often that loss of value gives rise to serious questions as to whether it makes economic sense to continue making payments toward mortgage liens. Such questions often put additional stress and strain on already troubled marriages. While there are few absolutes when it comes to personal finances, there are some considerations when you are beset with an untenable mortgage and considering divorce. First and foremost, consider the viability of continued payments. If it is taking every available dollar you have to stay above water with your mortgage, you are probably paying too high a price to remain in your home. Conversely, if you have negative equity but a reasonable mortgage payment, it may make some sense to try and weather the storm. The consideration should be the long-term affordability rather than your affinity for the home. Keeping your children in a stable, familiar place is important, but if it comes at the expense of being able to help the children

Law

through college, you may find that you’ve paid too high a price. Helping a child through college is the single most likely way to raise their lifetime earnings. College graduates consistently out-earn their peers by up to a million dollars over the span of their careers. Sacrificing your chance to help a child through college for the sake of preserving a former marital residence may well be doing a great disservice to your children. Mortgage loans are business transactions and your decision to pay or default should likewise be a business decision. In any worstcase scenario, bankruptcy protection can provide you a fresh start. Whatever you do, be sure not to liquidate retirement assets to catch up on your debts. Qualified retirement assets are yours to keep even after a bankruptcy. Once you liquidate them, you lose that protection, not to mention putting yourself in a very difficult position with regard to paying the taxes due on those monies as a result of the liquidation. Nowadays, divorce often requires difficult decisions regarding your home. Your choice to buy out a spouse, seek a buyout from your spouse, catch up on a delinquency, pursue a short sale (where you ask the bank to forgive a portion

Jay Turnbach, Esq., LLc

732.286.4860 Free Telephone ConsulTaTion

Divorce Mediation, Litigation, Collaborative Divorce Post-Judgment Divorce Enforcement of Divorce Judgments, Child Support and Alimony Modifications, Out of State Relocations with Children General Family Law Child Custody/Parenting Time Issues, DYFS Matters Domestic Violence Restraining Order Hearings, Motions to Vacate Old Orders

of the loan to make the home sellable), or allow a foreclosure all carry different consequences and require different considerations. Some lucky folks can rely upon help from a family member or friend by way of cosigning a loan, or providing a gift to pay down equity in the home and allow a refinance, and these transactions can impact the outcome of your divorce. As a divorce professional, I’ve advised clients on all manner of dispositions regarding marital residences. If you are nervous about the impact of divorce on your home, seek some advice from a divorce professional. Consider the issue dispassionately from an economic perspective, and then consider the issue from an emotional perspective and weigh the impact of losing the house upon both yourself and your children versus the sacrifices involved in preserving your ownership of the home. Finding a balanced approach to the disposition of the home may be the key to a successful divorce outcome. One thing is certain: if you are struggling with a mortgage on a house which has lost value, you are not alone. If you feel burdened by the financial pressure placed upon you by that situation, you are not alone. Much of the court’s business in divorcing couples over the last 7 years has entailed efforts to move people forward following the collapse of the local real estate market. There are ideas out there. And like bankruptcy court, which provides a fresh financial start, divorce may well provide a fresh emotional start. There are options for you.

TO CONTACT

JAY TURNBACH, ESQ

www.NJFamilyLawyer.net

Certified by the Supreme Court of the State of New Jersey as a Certified Matrimonial Attorney

2 Hooper Ave, Suite 6A Toms River, NJ 08753

The County Woman Magazine www.TheCountyWoman.com

CALL: 732-286-4860 or VISIT: www.NJFamilyLawyer.net. November/December 2015

Law

Can the ABLE Act Help a Special Needs Child with Higher Education?

aving for college can be a daunting experience. And if you are a parent of a special needs child, the balancing act of saving for college and protecting public benefits makes it even more complicated. As a mother of a special needs child, I have often tried to tackle what to do for my child if higher education is in the future. I was then excited to hear about the ABLE Act. In December 19, 2014, The Achieving a Better Life Experience (ABLE) Act was signed into law by President Obama. The ABLE Act basically amends Section 529 of the IRS Code of 1986 to allow individuals with disabilities to create tax-free savings accounts, similar to 529 College Savings Accounts. As many of you may know, prior to this law, individuals with a disability could not have more than $2,000 in their name or risk losing Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), Medicaid, and other government benefits. This prevented disabled individuals from saving money, as well as family members from leaving an inheritance to their disabled family members. Consequently, Special Needs Trusts were frequently used to leave money for a disabled family member without disqualifying them from government benefits. With the ABLE Act, disabled individuals could have one ABLE account with up to $100,000 without disqualifying them from government benefits, and distributions from the account for qualified disability expenses would not count as taxable income to the disabled individual.

There are several major limitations under the ABLE Act: 1.) Funds deposited into an ABLE Account must be used exclusively for “disability-related” expenses. 2.) In order to qualify for an ABLE Account, the individual must have a qualified disability under Social Security and have been disabled before age 26. 3.) The annual tax-free contributions to the account may not exceed the annual gift-tax exemption amount. 4.) Any assets left in this account after the disabled individual dies would reimburse the State for Medicaid paid to the disabled individual. Finally, since the Act only protects benefits from the Federal Government, each State must pass their own reciprocal law allowing these ABLE Accounts as an exempt asset, otherwise a disabled individual who has more than $2,000 in an ABLE account could lose benefits provided by the State. On the other hand, an SNT set up by family members allows any inheritance amount to pass into the trust with no limitations and family members can make annual contributions up to the gift-tax exemption amount just like with ABLE accounts. Furthermore, when the disabled individual dies with assets left in the SNT, it does not go to reimburse the State for Medicaid but instead can go to other family members. More importantly, there are no restrictions on the type of disability or age the disability occurs to set up a SNT. So, although the new ABLE Act is a step in the right direction in helping families with disabled individuals, it does not replace the need for SNTs to be completely effective.

So, do we need Special Needs Trusts? In a nutshell, yes. As I read the Act, we still need Special Needs Trusts (SNT). The ABLE Act is a positive step but does not replace the needs for families to use SNTs.

For more information, call 732-281-0060 or visit www.MatusLaw.com.

Do you have someone in your life with a Disability? are they financially protecteD?

About Christine...

The Matus Law Group is here to help! • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies

• Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts

81 East Water St. Suite 2C • Toms River, NJ, 08753 Tel: (732) 281-0060

www.MatusLaw.com5

Christine L. Matus, Esq. is an Economics graduate from Rutgers University and continued her education at Touro Law School, where she has been helping people protect assets for special needs children and conduct smooth real estate for over almost two decades in Toms River, NJ. She is an active member of the Filipino American Cultural Development Center of Toms River and a legal advisor for the Filipino American Medical Society as well as the Philippine Nurses Association of Ocean County.

Christine L. Matus, Esq.

Permanent Hair Removal

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Cannot be combined with any other offer. By appointment only. Either location. Expires 12/31/2015.

Find us online at www.bhairfree.com. We offer two convenient locations: Brick Electrolysis • 522 Brick Blvd. • Brick, NJ 08723 • 732-477-9040 Monmouth Electrolysis • 2510 Belmar Blvd., Colfax Plaza • Belmar, NJ 07719 • 732-280-0400 We offer appointments 7 days a week.• 7 am to 9 pm most days. • Call for an appointment today!

The County Woman Magazine

www.TheCountyWoman.com

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

November/December 2015

Health

&Wellness

Live Healthy This Holiday Season With The Help From Ideal Body Revolution

An Ideal Protein Weight Loss Management Center

ost dieters know weight loss is possible given adequate motivation and guidance. However, according to the National Institute of Health, there is a strong tendency to regain weight after dieting. This is why Ideal Protein is a comprehensive weight loss method – “Not just a diet, a lifestyle change!”

The Ideal Protein Difference

Maintaining a stable weight after dieting often requires changes to your lifestyle habits. This is why Ideal Protein strongly emphasizes education and understanding. You must learn to eat “smarter” or risk regaining your lost weight. Therefore, when you begin the program you will be assigned a personal weight loss coach. Your coach will assist you through each of the four phases of the Ideal Protein method. In Phases one and two your coach will help you set your weight loss goals and support you on the journey. In phases three and four your coach will shift focus to weight stabilization and post diet living, teaching you weight maintenance habits that may assist you in keeping the excess pounds off after dieting.

What you will learn:

• How your body fat is burned • The relationship between insulin and weight gain • Which foods are best suited for healthy weight management • When, why and in what combination to eat carbohydrates, fats and proteins • And…. much more!

Angela Adelizzi, DO

A Program Designed For You!

The wellness and weight loss program that my office offers is a medically designed protocol that results in fat loss while sparing muscle. Our method helps to control carbohydrate cravings and stabilize blood sugar by controlling the amount of carbohydrates that your body consumes. Benefits include improved sleep, better mobility, reduced joint pain, and much more! It is also an excellent support for cellulite reduction! We will teach you about the three types of food that affect your weight—those that cause weight gain, those that do not, and those that can prevent you from losing weight. You will also add our protein-based foods, which consist of high biological value proteins, to build complete meals. Weight loss is quick and permanent, if you follow our recommendations during maintenance.

For more information, Call our office at 732-349-4994.

Ideal Body Revolution Center A Weight Loss Management Center

Coastal Healthcare - Internal Medicine 1314 Hooper Ave., Bldg B 2B Toms River. NJ 08753

Angela Adelizzi, DO Deborah Camiscoli, MD Christine Gigliuto, MD 732-349-4994 #5 Coach Kristen Email: kacosta@coastalhealthcareNJ.com

Information Destruction

Green Office, LLC is pleased to be a leading information destruction service provider. Centrally located at the Jersey Shore, we are proud to serve Ocean and Monmouth Counties. We provide console service with highly secure storage and on-site destruction of your documents. We also offer purge services for larger, one-time shredding needs. We pride ourselves on speedy response and are available to service your company needs seven days per week.

What You Need To Know... Why should my company shred our documents? Current Federal and state legislation mandates that it is your legal responsibility to keep customer and employee information confidential and secure. Gone are the days of throwing paper in the garbage can. Ensuring that you are properly disposing of and destroying confidential information limits your liability. Our paper shredding service will securely destroy confidential information of many forms.

We have an office paper shredder. Is that enough? The answer is no. Office shredders cannot handle mass amounts of documents at one time. They also take a considerable amount of man power to operate. By using an office paper shredder, you take away your employees from more important, less mundane tasks. When the shredder jams, the employee is responsible for fixing the error. When the shredder overheats, it is out of service until it cools off. Throwing out the bag of shredded paper is also a major liability. In the words of Ray Berry, NAID’s former Deputy Executive Director, “that bag of shredded paper is telling the thieves which bag of garbage has confidential information contained in it.”

What else can you destroy besides paper? While our truck is only capable of destroying paper and files on-site, we are able to securely catalog and destroy hard drives as well as patient x-rays. Those materials will be taken off site to Monmouth Wire, our electronic destruction and recycling center. From there, we send you a Certificate of Destruction just as we normally do for documents.

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Medical Professionals

My Stomach Hurts—Could It Be Gallstones?

y friend’s aunt has been suffering abdominal pain for the past several months. Her doctor was concerned that the pain was caused by gallstones, and she came to my office for a full workup. She had heard of people having gallstones and undergoing surgery, and others who never had a problem with them. She wanted to know how we could tell if she had gallstones and whether they were the cause of her pain.

Q: How do we detect gallstones? A: Ultrasound is the best way to detect gallstones. Ultrasound uses sound

waves to produce images, much like sonar. Ultrasound has an accuracy rate of up to 95% in detecting gallstones. It does not use radiation and is very safe. This is especially important in pregnant women. Many times, ultrasound can detect acute cholecystitis by detecting whether or not the gallbladder is inflamed. In these cases, the gallbladder will be dilated, the gallbladder wall will be thickened, and pain can be elicited if the ultrasound device is pressed directly on the gallbladder.

Q: What is the gallbladder? What are gallstones? A: The gallbladder is an organ that sits under the liver.

The liver creates bile in order to help digest fat. When the liver creates bile, it is sent through a series of ducts (called the biliary ducts) where it is ultimately stored in the gallbladder. When we eat meals rich in fats, bile is released in our bowels directly from the liver and from the gallbladder. Bile contains many components including minerals, proteins, bile salts, water, and cholesterol. If one or more of the components that make up bile are out of balance, stones can form in the gallbladder. This can take the form of a single large stone or hundreds of tiny stones.

On this HIDA scan, the liver (yellow arrow) takes up the radiotracer normally. There is normal filling of the gallbladder (red arrow).

Q: How common are gallstones? What symptoms can gallstones cause?

A: It is estimated that up to 20% of the US population

has gallstones. Of this number, only 1-2% have symptoms. Women have three times the chance of developing gallstones compared to men. Women who have had multiple pregnancies, a family history of gallstones, obesity, used oral contraception, or have a history of rapid weight loss are at increased risk for developing stones.

The liver is seen nicely but the

Ultrasound is less accurate in detecting the gallstone if it has left the gallbladder and is located in the biliary ducts. This can cause obstruction and pain. A test called MRCP can be performed. This is a special kind of MRI that looks specifically at the biliary ducts. MRI does not use radiation and instead uses magnetic waves to generate images. Another way to determine whether gallstones are the cause of abdominal pain is performing a HIDA scan. A HIDA scan is a nuclear medicine test to detect whether gallstones are causing obstruction. A tiny amount of radioactive tracer is injected into the patient. That tracer is taken up by the liver and is incorporated into the bile. We can then follow the bile through the biliary ducts to determine whether the bile fills the gallbladder and empties into the bowel. If the gallbladder does not fill with bile, it is either caused by an obstructing stone, or the gallbladder is extremely inflamed and collapsed.

Q: What is the best treatment? A: If the gallstones are causing pain, you should be evaluated

Symptoms include abdominal pain and vomiting, usu- gallbladder does not fill on this by a surgeon. If the gallstones are not causing symptoms and ally after eating a meal rich in fats. These symptoms can last study due to an obstructing are found accidentally, one could do nothing or be treated several hours. If these symptoms last longer than this, this medically, including adopting a healthy low-fat diet. Alternagallstone. could be caused by a stone blocking the biliary duct. This is tively, elective removal of the gallbladder may be considered. called acute cholecystitis. This can be a medical emergency These decisions are best to be discussed with your doctors to and usually requires surgery to remove the gallbladder. Fortunately, people can weigh all your options. live without a gallbladder. If acute cholecystitis is left untreated, this could lead For more information, call 732-244-0777 or visit to infection or perforation of the gallbladder, which is life threatening. www.TomsRiverXray.com.

As always, contact our office where our staff will be more than happy to assist you.

About The Author...

Dr. Cyrus Khorrami is an Ocean County native who attended kindergarten through twelfth grade in Toms River. He is a graduate of Temple University Medical School and completed his radiology residency at Cooper University Hospital. Dr. Khorrami completed a Cross Sectional Imaging Fellowship at Johns Hopkins Medical Center. He has returned to Toms Ricer to work with his family as Medical Director of Toms River X-Ray, CT, and MRI Center.

732-244-0777 • PET/CT • Diagnostic X-Ray • Ultrasound • Digital Mammography • CT Scan • Nuclear Medicine • High Field Open Bore MRI • Bone Densitometry

Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 Cyrus Khorrami, M.D.

Tel: 732-244-0777 • Fax: 732-244-1428

www.TomsRiverXray.com5

5 The County Woman Magazine

www.TheCountyWoman.com

PARVIZ KHORRAMI, M.D. Founder CYRUS KHORRAMI, M.D. Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.

EXPERIENCE & EXPERTISE you can count on.

November/December 2015

Permanent Hair Removal

STOP TWEEZING AND WAXING!! YES, YOU!! t Monmouth/Brick Electrolysis, we can help you A eliminate unwanted hair PERMANENTLY! Please do yourself a favor, call us today: 732-477-9040. We offer hours seven days a week by appointment. We will help you feel more self-confident, clean and uninhibited. We know how it feels; we are not just Permanent Hair Removal Experts, we are clients too.

FAQ about Electrolysis

Q. What is Electrolysis? Electrolysis is the only method approved

by the FDA for permanent removal of unwanted hair. Electrolysis is permanent hair removal. Regardless of the cause - heredity, metabolic, or hormonal conditions - electrolysis will permanently remove unwanted hair to help you feel more feminine for ladies and groomed for men. There are no exceptions. It works on all skin colors and hair types.

Q. How long does it take to get rid of the hair? The frequency of visits, the length of time

needed for each visit, and the overall amount of time it will take to successfully clear an area is different for each client. There are many factors to take into consideration: the amount of hair the client wants removed, if they have used temporary methods of hair removal, hormone function, medications, etc. After a complete consultation and health background evaluation, a recommended schedule of treatment can be determined to achieve the best results.

Q. After one treatment is the hair gone forever? Your hair grows in cycles. We shed our hair

on a regular basis and grow new. After each treatment a good percentage of the hairs treated will be permanently removed; there will be a percentage that come back finer due to damage caused

Insurance

by the treatment; and then some will come back as new growth and regrowth. This is the normal pattern. It could take several visits before each hair is treated for the first time due to the shedding cycle. Every time we do a treatment, hair has been permanently removed. Keep in mind there are approximately 350+ hair follicles per square centimeter of skin!

Q. Can hair be removed from any part of the body? Almost. These are the most commonly treated areas for woman, men and teenagers:

 CHIN  SHOULDER UPPER LIP   BACK EYEBROWS   LEGS HAIRLINE   CHEST EARS   UNDERARMS CHEEKS   TOES ABDOMEN   HANDS BREAST   BEARD BIKINI LINE   NECK Q. Does it hurt? It is impossible to destroy the hair growth

tissue without some sensation. Depending on the client’s tolerance, it can actually be a very relaxing experience. Some clients sleep through the treatment while others are more sensitive. If you find you are sensitive, we can make adjustments to the treatment settings, and there are topical anesthetics available as well. For more information, call 732-477-9040.

Permanent Hair Removal Monmouth/Brick Electrolysis 2510 Belmar Blvd. Wall, NJ 07719

522 Brick Blvd. Brick, NJ 08723

732.477.9040 bhairfree.com

Lorraine Fetherman, L.E., C.P.E. I am proud and excited to say I just celebrated my 20th year as an Electrologist in March 2015. I love what I do. I am one of the lucky peoLorraine Fetherman, L.E., C.P.E. & ple who look forward to going to work. I get Debbie Matusas, L.E., C.P.E. to help people feel better about themselves, feel more confident and less inhibited. I am passionate about what I do and the people I help. I am always looking to learn more. I attend several lectures, workshops and seminars every year in the U.S., keeping up with the constant changes in the health and beauty world. Debbie Matusas, L.E., C.P.E. One of my two associates, she has been an Electrologist for over 17 years. She is a great asset to our practice and her clients love her. I hear wonderful feedback all the time. She is very accommodating to our clients’ needs, offering her services days, nights and weekends at our Brick location. Debbie also continues her education attending workshops, seminars and lectures every year.

Mention this article and receive

50% off

your first treatment with a free consultation.

Offer cannot be combined. By appointment only. Expires 12/31/2015

“ It’s a butterfly effect…” Licensed and Certified Electrologists Lorraine Fetherman, L.E., C.P.E Debbie Matusas, L.E., C.P.E. Barbara Stoll, L.E., C.P.E.

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Medical Professionals

“Don’t Make Me Laugh”:

Understanding Female Incontinence found 25 percent of women over 18 years old have experienced episodes of leaking urine involuntarily, and one-third of men have experienced loss of bladder control during their adult lives.

What causes incontinence?

id you know that more than 37 million adults in the United States—one in six—suffer from overactive bladder, urinary incontinence, or urgency? Unfortunately many people dismiss such urinary symptoms to be a part of “getting older” and do not seek medical intervention. The fact is, overactive bladder and urinary retention are not a normal part of the aging process, can cause embarrassment, and can diminish the quality of daily living dramatically.

What is urinary incontinence? Who experiences it?

Urinary incontinence is an involuntary loss of urine. It is an underreported and underdiagnosed problem that increases with age. Women are twice as likely as men to experience urinary incontinence. Older women experience urinary incontinence more often than younger women. However, a recent study

Urinary incontinence can be due to temporary conditions or a permanent cause. In general, dietary and behavioral habits, medical problems, and physical problems, or a combination of these things, may be contributing to your symptoms. Incontinence may occur due to pregnancy, childbirth, menopause, or the structure of the female urinary tract. Certain foods and drinks can act as diuretics or irritate your bladder, causing increased frequency and urgency. Common culprits include caffeine, alcohol, carbonated beverages, sweeteners including artificial sweeteners and corn syrup, as well as foods that are highly spicy or medications such as muscle relaxers, sedatives, or heart and blood pressure medication.

Are there different types of incontinence? If so, what are they?

Yes, there are three different types of incontinence: stress urinary incontinence (SUI), urge incontinence, and mixed incontinence. SUI includes leakage on effort, exertion, sneezing, or coughing. Urge incontinence is leakage accompanied by or preceded by urgency, such as an overwhelming need to urinate. (“Gotta go, gotta go!”) Lastly, mixed incontinence is leakage associated with urgency AND effort, exertion, sneezing, or coughing.

Parvez Mahmood, MD, FACS

Mukaram Gazi, MD, FACS

Alexander Gotesman, MD

Michael Nazmy Jr., MD

HOWELL 2364 Route 9 South Howell, NJ 07731 HAMILTON 1374 Whitehorse Hamilton Square Rd. Hamilton, NJ 08690 TOMS RIVER 20 Hospital Drive Toms River, NJ 08755

609-581-5900 www.UUANJ.com

November is Bladder Control Awareness Month

How is a diagnosis determined?

The first step to determining a diagnosis and treatment includes identifying the type of incontinence and then pinpointing the underlying cause or causes. We ask our patients to complete a “voiding diary” which provides great insight and aids in diagnosis. The gold standard for diagnosing urinary issues, including incontinence, is called urodynamic testing or urodynamic study. This series of tests, all done in one visit, along with the data from your “voiding diary,” will give the physician objective data related to bladder functions. Physicians often perform a cystoscopy to further assess the urinary tract. A cystoscopy is a test that allows the doctor to look at the inside of the bladder and the urethra using a thin, lighted instrument called a cystoscope. This study helps find the cause of symptoms such as blood in the urine (hematuria), painful urination (dysuria), urinary incontinence, urinary frequency or hesitancy, an inability to pass urine (retention), or a sudden and overwhelming need to urinate (urgency) and much more.

How is urinary incontinence treated?

In some instances, behavior modification may be sufficient to deal with urinary incontinence. You may be asked to limit fluid intake, avoid bladder irritants, and do pelvic floor exercises—“kegels.” There are also medications commonly used to treat overactive bladder, which are sometimes prescribed to treat stress urinary incontinence. In certain cases of incontinency involving the miscommunication of nerves to the bladder, a neurostimulator (commonly called a bladder pacemaker) may be the best treatment option. Urinary incontinence is not a hopeless problem. There are many treatment options available; however, only proper diagnosis will lead to proper treatment. Although behavior modification and pharmaceutical therapy work for some, they may be ineffective or poorly tolerated by other patients.

For more information, Call 609-581-5900 or Visit www.UUANJ.com

University Urology Associates of New Jersey was established in 2003 and it proud to be serving Mercer, Monmouth, and Ocean counties. Our mission is to be a solutions-based practice, maximizing the value of the service we deliver our patients with commitment to excellence, integrity, and treatment.

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Medical Professionals

UROLOGY GROUP OF CHOICE Treating patients with compassion, dignity, mutual respect, and trust.

For the third consecutive year, the doctors of University Urology Associates of New Jersey have been recognized by fellow medical pracitioners to be among the best urologists in the Garden State. We continually strive to provide comprehensive state-of-the-art urological services with emphasis on patient education and shared decision making. Treating patients with compassion, dignity, mutual respect, and trust remains our steadfast goal.

At University Urology Associates, we specialize in:

• Adult Urology • Pediatric Urology • Urologic Oncology • Male Infertility • Sexual Dysfunction • Urodynamics

• Stone Disease • Incontinence • Female Urology • Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology

New Extended Hours! Scan Here to Visit Our Website:

University Urology Associates of New Jersey was established in 2003 and is proud to be serving Mercer, Monmouth, and Ocean counties. Our mission is to be a solutions-based practice, maximizing the value of the service we deliver our patients with commitment to excellence, integrity, innovation, and treatment. To set up an appointment, please contact:

(732) 928-5300 | (609) 581-5900 | www.UUANJ.com HOWELL

2364 Route 9 South Howell, NJ 07731

HAMILTON

1374 Whitehorse Hamilton Square Rd. Hamilton, NJ 08690

TOMS RIVER

20 Hospital Drive Toms River, NJ 08755

The County Woman Magazine www.TheCountyWoman.com

Parvez Mahmood, MD, FACS Mukaram Gazi, MD, FICS, FACS Alexander Gotesman, MD Michael Nazmy Jr., MD Leonard Staller, PA-C Robert Peterson, DC, PA-C

November/December 2015

Professional Dentistry

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Medical Professionals

Mind Your Portions and Other Ways to Practice Mindful Eating During the Holidays Whether it’s a weakness for stuffing and gravy, the office cookie tray, fast food or some other tempting treat, many of us might find our jeans a little tighter after celebrating the winter holidays. But if you can learn to master the concept of “mindful eating,” the weeks between Thanksgiving and New Year’s Day don’t have to result in holiday weight gain — especially if you’re trying to keep your healthy-eating goals on track after bariatric surgery.

“Mindful eating involves eating consciously and slowly and appreciating all aspects of your mealtime experience — appearance, color, texture, aroma and taste — while eating just enough to be satisfied. This entails not eating in front of the television, in your vehicle or when you are standing or walking. Mindful eating means sitting to eat, taking time to eating slowly, enjoying the food being eaten and knowing when to stop eating,” says Peggy McFarlane, M.S., CDE, a registered dietitian with the Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center (ARMC). Mindful eating is an important weight-loss tool after bariatric surgery, “because it serves to create awareness of the body’s cues for hunger and satiety,” according to McFarlane. “Eating mindfully means patients will value their meals and choose only healthy, nutritious foods, and learn to make associations between emotional hunger and certain foods,” she explains.

MINDFUL EATING: TIPS FROM THE PROS

Why?

Why do I eat?

Where?

Dr. Panait’s advice, “To avoid these triggers, have a plan in place so you arrive at the family dinner or office party knowing what and how much you can eat. And, should you overdo it, don’t be too hard on yourself. We all make mistakes sometimes. Our team is here to help you move forward with a coping plan that incorporates the principles of mindful eating.”

For more information about The Center for Surgical Weight Loss & Wellness at ARMC, visit www.atlanticare.org/bariatrics or call 1-888-569-1000.

When do I want to eat?

Mindful Eating Cycle How Much?

What?

How much do I eat?

What do I eat?

How?

AtlantiCare bariatric surgeon Lucian Panait, M.D., FACS, counsels his post-bariatric patients to, “have a strong social support system and set realistic goals,” to prevent overeating or using food as a comfort or reward. “Loneliness, followed by stress of the season, are two of the major factors that trigger holiday overeating. Increased socialization with family and co-workers is another factor,” he says.

When?

Where do I invest my energy?

How do I eat?

• Assess your hunger level. Before deciding to eat, ask yourself, “How hungry am I?” Serve yourself only enough to fill that hunger. • Don’t wait until feeling famished to eat. Eat when you feel hungry — and stop when you feel full. • Resist a second helping if you are comfortably full. • Eat protein first, followed by vegetables and starch last. • Engage the senses. Before starting to eat, look at the colors, shapes and textures of your meal and savor the aroma. • Put eating utensils down between bites and focus on the mealtime experience. • Eat small bites and chew slowly, savoring the taste and smell. • Minimize distractions and avoid multitasking. Turn off the television and sit at the table to eat. • Sip beverages between meals, not with meals. Visual representation of the mindful eating concept is the “Am I Hungry?” Mindful Eating Cycle from Michelle May’s (MD), book Eat What You Love, Love What You Eat.

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Medical Professionals

Oily or dry scalp

New Laser Therapy For Women Who Suffer During Menopause And After Childbirth

LP IS TALKING TO YOU Oily or dry scalp

Do you suffer from vaginal discomforts? Vaginal MonaLisa Touch® is now the most effective discomforts as dryness, burning, urinary inconnon-surgical and non-pharmacological solution tinence can occur during pre-menopause or after for preventing and treating vaginal atrophy and Seasonal or childbirth. The main cause is often atrophic vagits after-effects, which many women suffer from medical hairloss initis: a disease that can adversely affect your life during menopause and after childbirth. Itchiness and the relationship with your partner. Around What does the procedure entail? 17% of women aged 18-50 experience problems Oily or dry scalp The CO2 laser gently acts on the vaginal walls with vaginal dryness during sex, even before the Dry,1 brittle or through a special scanner, creating indistinguish. menopause takes placedull Psoriasis hair able or micro-lesions eczema that are required for triggering What is vaginal atrophy? a neocollagenesis process (production of new Vaginal atrophy, also known as atrophic vaginitis, collagen) and reorganizing and re-equilibrating the components of the vaginal mucosa. is an uncomfortable condition that many women

s & Hair

Replacement

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Seasonal or suffer from in silence. For those who find current The laser’s action therefore safely and painlessly medical hairloss treatment options for this condition to be ineffecreactivates and reestablishes the proper function Dry or oily Itchiness tive, the FDA recently approved a new procedure, of the relative urogenital structures while also Androgenetic dandruff MonaLisa Touch®, to combat this problem. improving symptoms associated with urinary hairthe loss Oily or dry scalp dysfunction (mild incontinence due to stress). Vaginal atrophy Dry, is often caused brittle or by hormone Itchiness Psoriasis A tissue regeneration process lasting numerous or eczema

by taking G TO YOU. lysis offer. YOUR SCALP IS TALKING TO YOU.

One simple treatment lasting only a few minutes, without pain, side effects or recovery time, can give the tissue the tone and elasticity it once had, with positive effects on one’s quality of life and personal relationships. Percentage of improvement after three MonaLisa Touch® treatments: LAXITY: 54.22% DRYNESS: 74.16% IRRITATION: 65.39% DYSPAREUNIA: 63.53% * Courtesy of Prof. S. Salvatore – Hospital San Raffaele, Milan (Italy) Source: Laumann EO et al. Sexual Dysfunction in the United States. Prevalence and Predictors. JAMA 1999; 281(6): 537-544

dull hair changes associated with menopause, but may also he occur in women who experience decreased estroweeks is triggered, but stimuir if gen production due to cancer or breastfeeding. It lation occurs immediately and he is characterized by thinning, drying, and inflamsignificant improvements can When mation of the vaginal walls “It’s OK to talk about it.” and causes intercourse ADVANCED CARE FOR YOUR SCALP be seen even after the first n the to be painful and may also contribute to probtreatment. Call today for an appointment or You can’t have healthy hair without a healthy scalp! han lems with urination. for more information! Dry or oily While conventional cater to the Whathair are products the expected results of speech dfreedom at Androgenetic ® ® dandruff hair shaft, the Capilia Health range, treat-based from Scalp MonaLisa Touch How can MonaLisa Touch help? WE HAVE REAL SOLUTIONS will 732-914-1919 S loss of Trichology, is itself specifically ogy be is astonished to on thehair science ments? health. MonaLisa Touch® is aHear functional vaginalyour reju- scalp and designed address theItchiness common problems of what hastoto say The by taking your venation treatment based mucosa tissue on a special fractional the scalp. Ask us about our hair carethus products! cycle he sn’t becomes more nourished and free scalp analysis offer. advantage of our CO2 laser, specifically created for the vaginal if mirwhere hydrated and the epithelium mucosa. MonaLisa Touch® prevents and resolves soluhe becomesFREE thicker, consultation! more toned ur Appointments Please call for your estrogen drops in the vaginalare tissuerequired. (typically .3333 capilia.com gy, rather Mona Lisa® North Dover st When (vaginal tightening) and elastic. Now thru March 31 2012 – give your scalp freedom of speech occurring during menopause or after childbirth) CARE FOR YOUR SCALP ADV ANCED he health Dr. Sutherland complimentary scalp analysis. You astonished It will alsobe reestablishes thetocorrect ns the by re-activating the production ofwith newacollagen of Youiscan’t have healthy hair without a healthy scalp!222 Oak Ave. he crossdiscover that your scalp key to capillary health. vaginalWe pH, are whicha helps main- of: Member han the conditions This that the vaginal ecifioffer ends on June 1 , 2014. Limit of (1) coupon per client. Valid at Capilia London only. gfreedom back and reestablishing While conventional hair products cater to the Toms River, NJ 08753 of speech tain its natural protective barrier dcalp, at mucosa once had. hair shaft, the Capilia Scalp Health based732-914-1919 and reduces the risk ofrange, infection. WE HAVE REAL SOLUTIONS will be astonished to 732-255-1733 ogy oncity thetown science of Trichology, is itself specifically th is 123, street avenue boul., 333.333.3333 capilia.com health. Heads First Capilia Center re nd designed address the common lptrained are Hear what your scalp hastoto say by taking problems of Coupon er an the scalp. Ask us about our hair care products! 2494 Moore Rd.Ste #1 cycle ant for free scalp analysis offer. advantage of our cifically Toms River, Real NJ 08753 danSolutions From Hair Loss to Hair Designs at Abstrax Hair Designs! home (In the Stone Hedge Professional Building) cases, sur of the Appointments are required. Please call for your FREE consultation! .3333 capilia.com

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Now thru March 31st 2012 – give your scalp freedom of speech with a complimentary scalp analysis. You will be astonished to Purchase a $50 discover that your scalp is key to capillaryWe health. are now seeking

Gift Certificate and “DURING MY We are a Member of: This offer ends on June 1 , 2014. Limit of (1) coupon per client. Valid at Capilia London only. Receive a Complimentary CHEMO new hair stylists: $10 Gift Certificate TREATMENTS, 732-255-1733 full or partbetime. Cannot combined with any other offer. Gift certificates can only be 123, street avenue boul., city town 333.333.3333 capilia.com Heads First Capilia Center CAPILIA usedplease for hair services. To apply, callNot acceptable for hair replacement services. 2494 Moore Rd.Ste #1 OFFERED Abstrax at 732-255-1733 From our family to yours, we wish all of our loyal Toms River, NJ 08753 ME MUCH for more info. customers a happy holiday and a safe new year! (In the Stone Hedge Professional Building) MORE THAN A WIG.” st

The County Woman Magazine

“DURING MY

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We are now seeking

November/December 2015

Medical Professionals

OCEAN PLASTIC SURGERY P.A. AND LASER CENTER Toms River, NJ • Manahawkin, NJ • Office: 732-255-7155

Loving Your Skin

Non Surgical Skin Tightening

Love what your skin says about you. The Laser Center at Ocean Plastic Surgery has cutting edge laser technology to offer safe, comfortable, fast and effective treatments. Our new GentleMax laser can clear your skin of sun damage, remove unwanted hair, eliminate age spots, face and leg veins, and laser lift your skin.

Eliminate fine lines and sun damage

How do treatments work?

Brown Spot Removal

Treatments work by delivering a gentle pulse of laser light to the problem areas of your skin. Most treatments take five to ten minutes but times vary depending on the area treated.

How long do treatments take?

Most treatments take a few minutes in our office, average time is ten to twenty minutes, but it depends on the area being treated. Treatments are fast and comfortable with a dynamic cooling device.

Face and Leg Vein Removal

When can I expect results?

Brown spots, veins of the face and legs often take one to three treatments to eliminate. Hair removal has about an 80% permanent hair reduction after four to six treatments. Skin rejuvenation takes about four to six treatments to help make your skin look it’s best.

Hair Removal

For more information, Call 732-255-7155 or Visit www.oceanplasticsurgerynj.com. PROMOTIONS NOVEMBER-DECEMBER 50% DISCOUNT PER AREA

(HAIR, BROWN SPOT, FACIAL AND LEG VEIN REMOVAL)

FACIAL SKIN TIGHTENING AND SUN DAMAGE TREATMENT $170

GIFT CARDS ARE AVAILABLE !

Non Invasive Botox Juvederm Radiesse Boletero Vanquish

Breast

Augmentation Lift Reduction Reconstruction Revision Augmentation Revision Reconstruction

Void where prohibited by law. Must be 18 years of age or older. Photos Courtesy of Candela Corporation. Individual Results Vary. Total area(s) that can be purchased under the promotion is 6. Subject to change without notice. Not redeemable for cash or transferrable. 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 Body within 72 hours of responding to the advertisement for free, discounted fee or reduced fee service, examination or treatment. Liposuction Tummy Tuck Body Lift

Under the Direction of Dr. Stephen Small, we provide comprehensive Laser skincare and Plastic surgery of the Face, Breast and Body. We seek to enrich lives by enhancing or restoring your natural beauty. We listen to every patient’s unique needs and desires and look to see that they have an exceptional experience. Dr. Stephen Small is an experienced, board certified, plastic surgeon who is a naturally artistic innovator on the cutting edge of medicine to serve his patients in the most up-to-date and personalized manner.

The County Woman Magazine www.TheCountyWoman.com

Laser Center

Ma trix Fractional C02 Resurfacing Hair Removal Spider Vein Tattoo Removal All Colors Photofacials Erbium Laser Refresher Peels Pul sed Dye Laser Scar Treatment

Face

Artistry • Beauty • Rejuvenation

Facelift Cheek Lift Neck Lift Eyelid Surgery Fat Transfer~ Lipoaugmentation Rhinoplasty Chin Augmentation Otoplasty

Vectra 3 D Imaging Breast Face Body

Esthetician Services Microdermabrasion Classic Facial

(other variations acne, back and mini)

Revitalize and Valentine (Erbium) \ Facial-Combines Laser and Esthetician Treatments Waxing Tweezing Make up application

1301 Route 72 West • Suite 260 • Manahawkin, NJ 780 Route 37 West • Suite 240 • Toms River, NJ

www.oceanplasticsurgerynj.com • 732-255-7155

NovemberDecember 2015

Medical Professionals

Tongue And Lip Tie In Children

The American Academy of Pediatrics advocates breast-feeding in all newborns. Benefits of breast-feeding include decreased risk of infections for the infant, increased weight loss for the mother and bonding between the mother and infant. In order for a baby to breast feed, the baby needs to get a good seal in order to suck and then swallow the milk produced by the breast.

There are medical conditions that can make breast-feeding difficult. Tongue-tie (otherwise known as ankyloglossia) is when the tip of the tongue is anchored to the floor of the mouth. Tongue-tie may extend all the way to the tip or it may extend partially to the tip resulting in a partial tongue-tie. Symptoms include trouble with breast-feeding and swallowing problems in infants. In toddlers, children may have some speech difficulty with certain sounds. Treatment is recommended only if the tongue-tie is causing a problem. If no symptoms are exhibited, one does not need to pursue any treatment. Related to tongue-tie, there is also a condition called upper lip tie, which is when the upper lip is

Coupon

stuck to the gum line. Though most infants have some degree of upper lip tie, when it becomes large and tight enough, it may prevent the upper lip from flaring out or curling up, which is essential for breastfeeding in order to create an adequate seal with the breast. Also, some infants with upper lip tie will exhibit an upper lip crease in attempt to flare up during breast-feeding. Symptoms include feeding difficulty such as prolonged breast feeding, trouble with latching, painful nipples, and infant is excessively gassy. If the upper lip tie is tight enough, an infant may have trouble feeding even from a bottle. In infants, both tongue-tie and lip tie can be treated in the office. In infants, the tie is first clamped and then cut using scissors. Toddlers and children are usually taken to the OR to perform the procedure. In infants, they should be breast fed immediately following the procedure. No medications are needed after the procedure. Older children can be given a series of tongue exercises to perform following surgery. Older children eat softer foods for about one week. Stretching exercise can be performed. Parents can also see a lactation specialist following the procedure for further assistance with breast-feeding. Tongue-tie can also be treated in adults. Symptoms that occur in adults include swallowing problems, speech difficulty, mechanical limitation, difficulty playing certain musical instruments, and pain after speaking for a prolonged period of time. In adults, the procedure can be performed in the office. For more information, Call 732-281-0100 or Visit www.OceanENTFacialPlastics.com.

Christina Gillespie, MD

Dr. Christina Gillespie is a board certified Otolaryngoloigist who has been in practice in Toms River since 2013. She completed her internship and residency in Otolaryngology at Walter Reed Army Medical Center. Before moving to Toms River, she served as Chief of Otolaryngology at William Beaumont Army Medical Center in El Paso, Texas for eight years. At Ocean Otolaryngology, Dr. Gillespie sees patients of all ages with a variety of medical problems. Her specialties include pediatric otolaryngology, sinus surgery, and surgery for sleep apnea. She also treats common medical conditions such as hearing loss, tinnitus, hoarseness and chronic cough. In addition, Dr. Gillespie is also involved in the American Academy of Otolaryngology, American Academy of Otolaryngology Allergy and the American Rhinologic Society. Dr. Gillespie resides in Monmouth County with her husband and daughter. She enjoys spending time with her family as they explore the Jersey Shore. She is also an avid tennis player.

Stephen Kupferbuerg, MD, FACS

Bruce W. Peters, DO, FACS

Ocean Otolaryngology Associates, P.A. 54 Bey Lea Road Suite 3 Toms River, N.J. 08753 61 Lacey Road Whiting, N.J. 08759

732-281-0100

www.OceanENTFacialPlastics.com

A Helping Hand For The Holidays 25% OFF

67 Lacey Road, Suite 6 Manchester, NJ 08759 732.657.3600 www.SeniorHelpers.com/Manchester

our Holiday Helper Services (one time visit) Mention Special Offer Code: Holiday Helpers 2015 Offer expires 12/31/15.

The County Woman Magazine www.TheCountyWoman.com

Call Us Today! 732.657.3600

November/December 2015

Hair Designs

Hair Replacement

Real Solutions From Hair Loss to Hair Design At Abstrax Hair Services

Let our experienced stylists cater to your distinct hair type, facial shape and life style! During your visit we will teach you how to obtain the Salon finish look everyday and recommend products for your daily, at home maintenance. The hair industry is a visual art form. Please feel free to bring pictures, magazine clippings, and any other examples to aid your stylist in grasping your vision. Other helpful hints include a description of your lifestyle, job requirements, and the amount of time you allot for daily care.

Hair Extensions

Hair Extensions are the hottest beauty trend to hit the Red Carpet and has come to Abstrax Salon! Its perfect for adding more length, fullness, volume, body, highlights, lowlights, fixing a bad hair cut, growing out bangs or just driving your boy friend crazy! Look like the celebrities with great natural hair extensions. We use the “Great Lengths,” bonding method. We’ll start with the consultation to determine what look you would like to achieve with the extensions. Remember to ask us all of your questions regarding extensions. We want you to have a clear understanding of all the benefits of extensions. The method of bonding your hair extensions is attaching the extension to the base of your own

hair, using a small round heated tool. This tool uses natural proteins to bond the extensions in place! This special technique used in this process allows the extensions to be attached higher on your hair shaft, which results in healthier, more natural flow of your hair.

A Variety of Hair Replacements and Wigs

Abstrax Hair Designs offers many styles of hair replacements and wigs. Our hair replacement systems are individualized to satisfy your specific needs and desires. Services are offered with compassion and integrity to ensure your confidence and trust. In addition, Abstrax also offers a selection of wigs at reasonable prices. Wigs are available in silky straight, curly, multidirectional, layered, and much more! The professionals at Abstrax feel the more natural you look, the better you’ll feel not only about your appearance, but yourself, too, which is why they are meticulous with the maintenance and styling of your hair. Purchase a $50

For more information on these products, Call 732- 255-1733 or Visit www.abstraxhairdesign.com.

From our family to yours, we wish all of our loyal customers a happy holiday and a safe new year!

The County Woman Magazine www.TheCountyWoman.com

Gift Certificate and Receive a Complimentary $10 Gift Certificate

Cannot be combined with any other offer. Gift certificates can only be used for hair services. Not acceptable for hair replacement services.

November/December 2015

Fashion & Beauty

he holidays are approaching fast. You just wrote a list of the important ladies in your life and now must figure out the perfect gift for each of them. As you begin to sort through all the possible gift options, your mind goes numb and the stress tightens up your neck and shoulders. Before the migraine headache sets in, get into your car and head directly to Barbara’s Boutique. The staff at Barbara’s will simplify your gift shopping, and after you’ve checked off all the ladies on your list, they will help you select that special “holiday treat” for yourself ! Barbara’s brings the New York fashion world to you. This year’s styles are inspired by the bohemian look of the 1970’s, featuring suede, fringe, and leather everywhere, from purses and shoes to skirts and jackets. The 1980’s also make an appearance with features such as puffy sleeves. It’s amazing how the current fall fashions bring back the olden days in a flash. Other trends for the fall include flared trousers and “peek-a-boo lace” in blouses, dresses and pants. This will also be the year when “masculine meets the feminine” in many lines of clothing. You will find many masculine oversize pieces, from sweaters and jackets to dresses and capes. Another new trend is sweaters made with eyelash yarn that give them a wispy fur-like appearance and a cozy feel. The added texture makes these sweaters fun and festive – perfect for holiday parties. (This would be a perfect gift for you!) As you walk through Barbara’s, your eye will be drawn to all the 2015 fall colors, including Desert Sage, Oak Bluff, Dried Herb, Masala, Biscay Bay, Cadmium Orange, Cashmere Rose and colors that evoke jewels, like Amethyst Orchid. The sweaters, dresses, pants, scarves and gloves at Barbara’s are all drenched in these beautiful hues. The wide range of fashion (the casual everyday look to sophisticated and chic) and abundant accessories (gorgeous pony hair handbags, jewelry, belts, Liebeskind bags) guarantee you success with all of your holiday shopping needs. And if you’d prefer to give the gift of a shopping spree, a gift certificate to Barbara’s Boutique is sure to bring a smile to any lady on your list!

Remember these Three Ideas for your Holiday Shopping:

1. Start Early

2. Stay Stress Free

3. Shop at Barbara’s Boutique!

I hope to see you on November 27th, the day after Thanksgiving, at Barbara’s shopping bonanza, where you’ll save 30% on most items. On all other shopping days, you will enjoy a 20% savings off most items.

Happy Holiday Shopping at Barbara’s! Save the Date… NOVEMBER 27th, FOR ONE DAY ONLY, enjoy 30% OFF at Barbara’s Boutique. Exclusions apply to handbags, jewelry, accessories and some apparel.

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

M Medical edical P Pro roffessionals essionals

00 35

The Aging Minimally Spine: A Common Cause Of Back And Leg Pain Invasive Spine Surgery

ow back pain is will oneexperience of the most back common a person ost people painreasons at somefor point in theirtolife. As seek medical care. On occasion low back pain does not improve with people age, their joints (such as hips and knees) experience wear conservative treatment, and surgery is recommended to correct pinched and tear.discs Theorspine also consists of a complex set For of joints nerves, herniated wear-and-tear arthritis of the spine. manythat years can degenerate. When this degeneration leads toina order narrowing of the spinal traditional spine surgery required lengthy incisions to adequately canal in the back, it is referred to asand lumbar spinal visualize andlower access the bones, ligaments nerves that stenosis. make up the spine. With recent technological advances, the field of minimally invasive spine Anatomy It is important to understand some the of the basics of the anatomy the spine to understand surgery has evolved to perform same traditional openofprocedures through lumbar spinal stenosis. The spinal column consists of a series of bones connected to one a less invasive approach. There are many benefits with these techniques, another by intervening discs, joints and ligaments. The bones are referred to as vertebrae. including smaller incisions, less muscle damage and post-operative pain, a The vertebrae havestay a space them called the spinal canal where the spinal cord and shorter hospital andwithin faster recovery. nerve roots travel. Generally in the low back region the spinal cord has ended and there are nerve Minimally invasive spine surgery uses specialized equipment to reach the areas of the spine that roots that supply the legs. The sections of the spinal column have different names, need correction. In the past, aislarge incision have been needed to reach the affected disc where the low back section referred to aswould the lumbar spine. or nerve, happens even thoughas the the problem area may only be a microscopic structure. The larger incision What spine ages? wasWith necessary to retract a patient’s muscle to see deeperthe structures. However, with modern aging, the normal discs and joints thatthe connect vertebrae degenerate. This leads technology and machines in the operating the damaged can be preciselylead localized to narrowing of X-ray the discs and arthritic changes room, of the joints, which area can subsequently to painainsmall the low back.can In be addition, the ligaments overgrowthe and bone spurs aform. Alltubular of these and incision made over that area. Through small incision simple factors together cause to thethe spinal canal to moving get narrower over Once the than spinalcutting canal and narretractor can be guided affected area, through thetime. muscle rather rows to a certain point, the nerves that travel to the legs get pinched causing lumbar spinal traumatizing the muscle. With the use of advanced optics, cameras and lighting, the surgeon can stenosis. visualize just the key areas, without damaging surrounding soft tissue. Once the problem area is What itare symptoms? reached, can the be corrected using specialized instruments that fit through the tubular retractor. The symptoms of lumbar spinal stenosis include back pain, which can vary depending on theAseverity variety of of the disorders canThere be addressed with techniques. A herniated disc arthritis. can also be minimally pain in theinvasive buttocks that can travel down the occurs when the soft inner nucleus, or “jelly,” pushes outward from its normal location and places back of the legs, oftentimes referred to as “sciatica.” There can also be numbness or tingling pressure on surrounding such asona nerve. Whenroots this worsens, occurs, it can result incan significant in the buttocks or legs. structures, As the pressure the nerves weakness occur, especially the foot. Patients will often timescan report thata the pain isdisc worse standing up back and leginpain. Minimally invasive surgery remove herniated andbyfree the irritated straight and walking, but gets better with sitting and leaning forward. As time progresses, nerve with a tubular retractor system as described above. The procedure is usually very well patients will not be able to walk as far they once did without feeling pain in their legs. Some tolerated, with most patients going home the same day. patients, however, note that leaning forward on a shopping cart will allow them to walk farther without Spinalpain. stenosis can occur when wear-and-tear arthritis of the spine causes overgrowth of bone and ligaments, causing pinching of the nerves in the lower back. The nerve pinching can cause How is it treated? numbness and painbegins in the first legs,with especially trying totrained walk. Ainminimally invasive laminectomy The treatment seeingwhen a physician dealing with the spine and or decompression procedure can remove overgrown bone spurs and ligaments, relieving the obtaining an accurate diagnosis. The diagnosis is made based on the history and physical pressure on also the nerves. In some with a more complex herniation spinal stenosis, exam, and with X-rays andsituations, MRI. Generally, treatment is started withor non-surgical options. includes therapy, medications, and steroid injections. aThis fusion surgeryphysical is required. A fusion operationacupuncture causes two vertebrae to grow togetherOftentimes so that patients feel good pain relief from treatments. If a patientcan has a poor quality ofusing life there is nowilllonger motion between them.these Lumbar fusion procedures also be performed due to lumbar spinal stenosis, and non-surgical treatments have not worked or only worked minimally invasive techniques, with one or two small incisions over the lower back. Through these temporarily, then surgery is considered. The main stay for treating lumbar spinal stenosis is incisions, can free nerves, the problem disc, andfrom placeplacing screws pressure and rods on to removethe thesurgeon ligaments, bonethespurs andremove other compressive factors to stabilize the spine. Compared to a traditional open fusion procedure, where one long the nerve roots. This process is referred to as decompression, or a laminectomy. Thecentral surgeon incision used, minimally surgery shownintothereduce loss, pain, and muscle does notisremove all of theinvasive vertebrae, only has thebeen elements back blood that are placing pressure on the roots. spinal results. fusion is alsoprocedures needed forusually various reasons. Thetolaminectomy damage, with Sometimes equally goodaoverall These require a onetwo-day stay can done using a traditional incision, a small “mini-open” incision or a minimally invasive in thebehospital. approach. The choice of approach will be determined based on the severity of the stenosis, If you are interested in minimally invasive spine surgery, you should discuss with your surgeon the individual patient and surgeon factors. Most people experience good pain relief in their iflegs youafter are asurgery candidate these spinal lifestyle problemsafter can recovering be fixed with minimally andforare abletechniques. to resumeNot theirallnormal from surgery. invasive surgery. Certain conditions, such as tumors, scoliosis, deformity and infections, need However, improvement in the back is variable. traditional techniques. In Conclusion . . In. addition, not all spine surgeons are trained in or feel comfortable with minimally invasive procedures. Thecause use of of these minimally invasive surgery systems requires Lumbar spinal stenosis is one back and leg pain thatspine affects people as they age. It is important seeexperience. a physician in treating this disease obtain an accurate special trainingtoand Thetrained best option is to consult with atospine surgeon who is diagwell nosis. in Once is achieved, there areanmultiple treatment options plan that based can help improve a versed thesethat techniques to determine individualized treatment on your diagnosis patient’s quality of life. and condition.

Seaview Orthopaedic & Medical Associates

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

Spinal Surgery Total Joint Re STEVEN BERKOWITZ, M.D., P.A. Bone Density T ROY D. MITTMAN, M.D., P.A. Workers’ Compe ARTHUR P. VASEN, M.D., PH.D., P.A. Foot & A ■ OCEAN OFFICE KENNETH Y. CHERN, M.D., P.A.■ BRICK OFFICE 1200 Eagle Avenue 1640 Route 88 West HARALAMBOS DEMETRIADES, M.D., P.A. Ocean, NJ 07712 Brick, NJ 08724 222 ARTHUR K. MARK, M.D., P.A. Ph: (732) 458-7866 Ph: (732) 660-6200 CHRISTOPHER J. SPAGNUOLA, M.D., P.A. HOAN-VU T. NGUYEN, M.D., P.A. 120 ARON M. GREEN, M.D., P.A. B SUNIL R. THACKER, M.D., P.A. 16 KEVIN C. MCDAID, M.D. Clea PAUL T. HAYNES II, M.D. 294 Appl JOEL P. FECHISIN, M.D. Sa ROBERT P. PANNULLO, M.D. ■ MONROE OFFICE ■ FREEHOLD OFFICE 294 Applegarth Road, Suite C 222 Schanck Road D.O. ADAM M. MEYERS, Freehold,W.NJGREAVES, 07728 KEIRON M.D. Monroe Twp., NJ 08831 Ph: (609) 495-1888 Ph: (732)GARLA, 462-1700 ww SUDHA M.D.

Official Team Doctors Of:

■ BARNEGAT OFFICE 500 Barnegat Blvd, Bldg. 200 Barnegat, NJ 08005 Ph: 488-3988 Ph: (609) 609-488-3988

■ SATELLITE OFFICE

IN LAKEWOOD

Seaview & Medical Medical SeaviewOrthopaedic Orthopaedic & Associates has provided the highest Associates has provided the highest quality care in Monmouth and quality of of care in Monmouth, Middlesex Ocean Counties forfor over and Ocean Counties over3030years. years.

Praveen Yalamanchili, MD Dr. Yalamanchili is a fellowship-trained Spine Surgeon, who completed his training at Emory University in Atlanta, Georgia. Praveen Yalamanchili, MD. Dr.AYalamanchili a fellowship-trained Spine Surgeon, whocompletion completed hisFellowship training at EmoryHe University Atlanta, Georgia. A native ofWood New native of New isJersey, Dr. Yalamanchili has returned home after of his training. attended in medical school at UMDNJ – Robert Jersey, Dr. Yalamanchili has returned home after completion of his Fellowship training. Johnson Medical School and completed his orthopaedic residency at UMDNJ- New Jersey Medical School. He specializes in the treatment of spinal disorders Dr. Yalamanchili attended medical school at UMDNJ – Robert Wood Johnson Medical School and completed his orthopaedic residency at including degenerative, deformity and trauma and has particular interest in cervical (neck) surgery including as well as minimally invasivedeformity and motionand sparing procedures. UMDNJNew Jersey Medical School. He specializes in the treatment of spinal disorders degenerative, trauma and has particular interest in cervical (neck) surgery as well as minimally invasive and motion sparing procedures.

www.seaviewortho.com • 732-660-6200

The County Woman Magazine

www. s eav i ew or th o. com • 732- 6 6 0 -6 2 0 0November/December 2014 www.TheCountyWoman.com

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Medical Professionals

Male Factor Infertilityâ&#x20AC;Ś Why We Shouldnâ&#x20AC;&#x2122;t Forget About the Sperm!

ften times, a couple experiencing difficulty trying to conceive may assume that the cause of infertility is an inherent problem with the female partner. However, the contribution from the male fertility perspective should not be overlooked. It is estimated that in 20-40% of couples experiencing difficulties conceiving, a male problem may be a contributing cause, and may be the sole factor in 20% of couples. Therefore, it is important to understand sperm abnormalities and their potential impact on fertility.

How is the male evaluated?

The first step, along with a detailed medical history and physical exam, is completion of a semen analysis. This test consists of collection of semen and analysis of various sperm parameters. Total volume, sperm numbers (concentration), sperm movement (motility), and sperm shape (morphology) are recorded, and abnormalities in these values can influence the likelihood of pregnancy success.

What defines male infertility?

Some cases of male infertility include low sperm count (oligospermia), lack of any identifiable sperm (azoospermia), and abnormally shaped sperm (teratospermia). The extent of sperm abnormalities on pregnancy outcomes is constantly under re-evaluation;

Pictured (L-R): Drs. Mann, Ziegler, and Martinez

however, it is evident that these parameters contribute to pregnancy success.

What are the causes of male infertility?

In approximately 40-50% of men with fertility issues, the cause remains unknown. Other identified causes include problems with sperm or testicle development, a problem with sperm transport, or other structural problems that affect sperm development. Common anatomical conditions that directly influence sperm number include swollen veins around the testicles, and a current hernia or history of a hernia repair. Urological evaluation allows identification of whether the problem is due to abnormal anatomy, as in the case of a blockage, or because of suboptimal production of sperm, as in a hormonal imbalance. Other cases of male infertility can be attributed to poor movement (poor motility) or abnormally shaped sperm (poor morphology). Even with minor changes in sperm number or shape, there is a lower chance of pregnancy, especially when there is a low proportion of normal sperm.

to surgery, use of in-vitro fertilization (IVF) with injection of a single sperm (ICSI) directly into a mature egg has allowed couples with male infertility to have a family of their own. At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation of both the male and female partner, and present you with individualized options for conception, all in a comfortable and caring setting. Our patients are made to feel like guests in our home. We are a fullservice fertility center experienced in all the latest technologies and look forward to helping you achieve success.

For more information, call 732-240-3000 or visit www.FertilityNJ.com.

What are the treatment options?

Treatment of male infertility depends both on the cause of abnormal sperm values and the extent to which the numbers are abnormal. In some cases, mild abnormal sperm findings can be approached by performing an intrauterine insemination (IUI), which is placement of a concentrated sperm sample directly in the uterus. If the semen analysis values are grossly abnormal, a complete hormonal evaluation and examination by a male infertility urologist can help determine if the problem can be treated medically or surgically. In the case of patients with more severe abnormalities not amenable

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January/Feb November/December 2015

Medical Professionals

ealth &W ellness PCOS: What Every WomanHNeeds to Know If you’re experiencing an irregular menstrual cycle, acne and excess hair growth on the face, chest, abdomen, or upper thighs you may have Polycystic Ovarian Syndrome (PCOS) – a condition caused by hormonal imbalance. Adam Repole, MD, FACOG a board-certified ob/gyn specializing in hysteroscopic and laparoscopic surgery at Ocean Gynecological and Obstetrical Associates, part of Barnabas Health Medical Group, is an expert on PCOS who has helped diagnose and treat many women with this condition. “PCOS is a full spectrum of disease, ranging from very mild to very severe forms,” says Dr. Repole. “If the condition isn’t addressed and corrected, PCOS can increase a woman’s risk of developing serious conditions

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including type 2 diabetes, high cholesterol, high blood pressure and heart disease.”

Understanding PCOS

Although the cause of PCOS is not known, it appears that PCOS may be related to many different factors working together, including insulin resistance, increased levels of hormones called androgens, and an irregular menstrual cycle. According to the American Congress of Obstetricians and Gynecologists (ACOG), up to 80 percent of women with PCOS are obese and it’s also one of the most common causes of female infertility. Other common signs and symptoms of PCOS include:

• Irregular menstrual periods absent periods, periods that occur infrequently or too frequently, heavy periods, or unpredictable periods • Excess hair growth on the face, chest, abdomen, or

Ocean Gynecological and Obstetrical Associates has two convenient office locations: For more than 50 years, women in Ocean County have trusted Ocean Gynecological and Obstetrical Associates (OGOA) to provide comprehensive obstetric and gynecological care. In 2012, OGOA took the bold step of expanding to include a team of experienced, board-certified nurse-midwives to join its seasoned group of boardcertified physicians. Today, OGOA is one of the only practices in the region that offers daily appointments with a midwife for in-office gynecological or prenatal care and around-the-clock midwifery coverage for pregnant women in the hospital. OGOA has one of the lowest C-section rates for obstetrical practices in the region. Lakewood Office 475 Route 70, Suite 101 Lakewood, NJ 08701 732.364.8000

Office Hours Monday through Friday: 8:30 a.m. to 5 p.m.

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primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of Barnabas Health, the largest not-for profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.

learn more, visit barnabashealthmedicalgroup.org. Theater &ETontertainment

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upper thighs. This condition, called hirsutism, affects more than 70% of women with PCOS

Treatment

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• Severe acne or acne that occurs after adolescence and does not respond to usual treatments • Oily skin

• Patches of thickened, velvety, darkened skin called acanthosis nigricans

Insulin-sensitizing drugs used to treat diabetes like Metformin can improve insulin resistance and various fertility drugs can help women ovulate and conceive.

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• Multiple small cysts on the ovaries

Testing

There are many ways to address PCOS. “Treatment is driven by a patient’s needs at that time in her life,” says Dr. Repole. “For example, if a young woman is concerned with acne and a regular menstrual cycle, we’ll likely prescribe an oral contraceptive.”

Since PCOS can’t be diagnosed with one test alone and symptoms vary from woman to woman, PCOS has been known as the “Silent Killer.” Diagnosis is made with a combination of a blood test, ultrasound and physical exam. During a blood test, hormone levels will be measured to exclude possible causes of menstrual abnormalities or androgens that mimic PCOS. The ultrasound will show the appearance of your ovaries as well as the thickness of the uterus lining. “With PCOS, ovaries may appear larger than normal when in fact it’s a cluster of tiny cysts,” says Dr. Repole.

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Medication for hair growth is prescribed to help lower androgen levels. Patients experiencing infertility may need medication to stimulate ovulation. However, weight loss alone can help regulate the menstrual cycle.

Dr. Repole notes that after a woman has had a successful pregnancy, their hormonal balance may correct itself. “Some women may not have as many symptoms as before pregnancy,” he says. “With proper treatment, women with PCOS can lead healthier and happier lives. Following treatment, it’s important for women to maintain a healthy weight and to continue to get regular health checkups.”

January/Feb November/December 2015

Construction & RREM

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subsidiary, are approved RREM builders and general contractors as well as licensed new home builders and home improvement contractors. We offer 60+ years of combined construction experience, which is really important to a homeowner dealing with the varied issues in elevating their home.” To further assist homeowners, Vince writes a blog about rebuilding, called the Nearly Famous Rebuilding Blog. Located at http:// blog.dreamhomesltd.com, it is a free resource for people confused about elevating and rebuilding their homes after the storm. “The Nearly Famous description became kind of a tongue-in-cheek joke, since no one else is writing about RREM, or rebuilding after Storm Sandy. When we started doing Rebuilding Seminars every month or so, I became a little famous in the world of rebuilding.”

managing your builder than any other subject. It’s very unfortunate but there are too many instances of people being taken advantage of by unscrupulous contractors during a trying time and this subject deserves attention.” For further information, consultation and assistance with your project, Vince can be reached at 732-300-5619 or vince@dreamhomesltd.com. You can also check the blog at http://blog.dreamhomesltd.com or web site at www.dreamhomesltd.com for more information.

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uilding and remodeling your home is challenging, and rebuilding after an event like Storm Sandy can be even more of a traumatic event. Since October of 2012, Dream Homes has been helping people work through the challenges involved with elevating and renovating their homes, as well as demolishing and building new homes. Having built over 1600 new homes since 1993, Vince Simonelli and his team were uniquely positioned to guide people through the trauma of Before rebuilding after Storm Sandy hit in October of 2012. Dream Homes is an approved RREM builder for both new homes and home elevations and brings lengthy experience to the table. After “Prior to 2012, we built primarily new home developments. When our clients started calling us for advice and guidance on how to rebuild their storm-damaged homes, we decided to focus our efforts on helping people through their rebuilding challenges,” says Vince Simonelli, President of Dream Homes, Ltd. Elevating a storm-damaged home is much more difficult than building a new home. Each home has different conditions, including foundation, soils and structure. Every aspect of the rebuilding process is very exacting and a technical and engineering challenge. Dream Homes and their team of professionals are uniquely suited to address these issues and provide a turn-key solution. “We provide a full range of services, from design, architecture, engineering and survey through to the finished construction project. Dream Homes and Atlantic Northeast Construction, its construction

Both the rebuilding blog as well as the seminars are done with the intent to help people through the confusion that is part and parcel of rebuilding a home after a flood or other storm event. “I tell people all the time that this is not a project they want to attempt on their own, nor is it something they should entrust to the contractor who did their kitchen. You don’t want to have your contractor or yourself go up the learning curve with your home elevation project – it is much too complex and subject to too many unknowns. This is definitely an area where you should let a professional manage the project.” Of the many subjects he writes about, choosing the right builder and avoiding fraud are some of the most common. “I have written and spoken more about how to avoid being ripped off and

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Medical Professionals

Do You Suffer From TMJ Pain? The normal TMJ:

The temporomandibular joint (TMJ) is the articulation, or joint between the cup- shaped depression in the temporal bone of the skull (called the articular fossa) and knob-like projection of the lower jaw called the condylar head. A fibrous disc called the meniscus separates the two bones. The disc is normally held in position by the anterior (forward) band and posterior band tissue attachments. A joint capsule that is lined with special tissue called synovial membrane surrounds this joint complex.

Normal TMJ function:

The right and left TMJ’s work “independently together” to allow the u-shaped lower jaw to function in a wide range of motions. The jaw joints have a hinge function, where the jaw opens and the condylar heads rotate and stay in the articular fossae. For wider jaw opening or wide side-to-side motions, the right and left condylar heads of the mandibles can slide together or independently down the ramp shaped portion of the joint called the articular eminence. The disc normally will remain between the two bones and acts as a cushion between them as the lower jaw moves. The lower jawbone is movement is controlled by muscles of the head and face called the “muscles of mastication”.

Does your jaw click and pop and hurt when you chew or yawn? Does your jaw ever get stuck?

This could mean that the meniscus, or disc is slipping, usually forward, as the condylar head starts to rotate in the fossa or slides along the articular eminences. This causes the condylar head to press on the posterior band attachment. Often the disc will resume its position when the jaw closes. This is called anterior displacement with reduction. When the disc slips out of position, this can result in joint noises, inflammation and pain, and difficulty chewing and opening the jaw. Sometimes the disc is displaced forward and does not return into a normal position. This is called anterior displacement without reduction. Patients

with anterior displacement without reduction often are unable to open the mouth fully, or need to move the jaw side to side to get it “unstuck” before being able to fully open. This can lead to pain, inflammation and discomfort.

There are other conditions that can cause TMJ pain too:

Sometimes there is a tear in the meniscus, and a patient will note a grinding sound when they move their jaw. Osteoarthritis, the so-called “wear and tear arthritis”, and rheumatoid arthritis can affect the TMJ’s. These are typically painful conditions and can lead to degeneration of the bony parts of the TMJ and loss of function, and changes in the patient’s bite. Oral habits, such as tooth grinding, jaw muscle clenching, nail biting, and so on can create TMJ pain or make TMJ pain worse. Sometimes these habits can cause spasm and pain in the muscles of mastication

If you have problems with your TMJ:

Contact your dentist first. Sometimes wearing a mouth appliance that can be fabricated by your dentist can relieve the problem. More serious problems may require referral to a Board Certified Oral and Maxillofacial Surgeon. Sometimes a CT scan or a MRI test is necessary for complete evaluation of your problem. If surgical treatment is necessary, your Oral and Maxillofacial Surgeon can provide surgical management of your problem.

For more information or to schedule an appointment,

KATHY A. BANKS, DMD Practice Limited To Oral & Maxillofacial surgery

249 S. Main Street, Unit 4 Barnegat, NJ 08005

Tel: 609-488-2325 kbanks@drbanksoms.com Kathy A. Banks, DMD Practice Limited To Oral & Maxillofacial Surgery

249 S. Main Street, Unit 4

Fellow of The Association Barnegat, NJ American 08005 of Oral & Maxillofacial Surgeons Practice Limited To Oral & Maxillofacial Surgery Tel: 609-488-2325 Diplomate of The American Board Fax: 609-488-2342 249 S. Main Street, Unit 4 of Oralof& Surgery Fellow of The American Association OralMaxillofacial & Maxillofacial Surgeons Barnegat, NJ 08005 Diplomate of The American Board of Oral & Maxillofacial Surgery Specialty Permit #4070 Specialty Permit # 4070 Tel: 609-488-2325

Kathy A. Banks, DMD

Fax: 609-488-2342

Fellow of The American Association of Oral & Maxillofacial Surgeons Diplomate of The American Board of Oral & Maxillofacial Surgery Specialty Permit # 4070

Call 609-488-2325.

Kathy A. Banks, DMD Dr. Banks is a graduate of Rutgers University College of Arts and Sciences, Camden with a B.A. in biology, and Temple University School of Dentistry, Philadelphia. She completed a one year Advanced Education in General Dentistry Residency Program at the University of Medicine and Dentistry of New Jersey in Camden and Stratford, NJ, and then completed a four year Post- Graduate Residency Program in Oral and Maxillofacial Surgery at the University of Medicine and Dentistry of New Jersey in Newark. She is a Diplomate of the American Board of Oral and Maxillofacial Surgeons and the American Board of Dental Anesthesiology. She is a member of the dental staff at Jersey Shore University Medical Center in Neptune, New Jersey and is involved with teaching the postgraduate GPR residents in the clinic and in her private office setting. She has been instrumental in the development of several New Jersey State Board of Dentistry approved continuing education courses offered by J.S.U.M.C Department of Dentistry Continuing Education Department for dentists, hygienists and dental assistants.

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November/December 2015

Medical Professionals

Health &Wellness

Q&A With Dr. Sumy H. Chang: Abnormal mammogram? What’s next? Law

Getting your annual mammogram, beginning at age 40, is the best way to detect early stage breast cancer. While mammogram results are clear in the majority of cases, some women may have abnormal results. If this is the case, what happens next? Fellowship-trained Sumy H. Chang, MD, FACS, a board-certified general surgeon dedicated to breast health, sheds light on abnormal mammograms. A member of Barnabas Health Medical Group, in partnership with Community Medical Center, Dr. Chang provides Ocean County women with access to the latest prevention, detection and treatment options for breast-related issues – including breast cancer. She is also affiliated with the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch. “In the past, the norm was to perform surgical biopsies on any patient who presented with abnormal breast imaging,” says Dr. Chang. “Now, we can perform a needle biopsy – also known as an image guided needle biopsy – a much less invasive procedure. Since many biopsies are

benign, women don’t have to go through anesthesia and have a cut or scar on their breast.”

What happens if the mammogram is abnormal?

Barnabas Health Medical Group is a multispecialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of Barnabas Health, the largest not-forprofit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence.

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Theater &E ntertainment involved. The goal is to minimize the We check to see if this abnormality is real on the mammograms by getting additional pictures on mammograms. If so, depending on the abnormality we will perform breast ultrasound to check if the lesion is also visible on ultrasound because it’s more comfortable for the patients to have ultrasound guided needle biopsy of the breast. Depending on these results, a biopsy may be recommended.

What are the benefits of an image guided needle biopsy? An image guided needle biopsy offers many benefits, including a shorter procedure and quicker recovery as there is no sedation or IV anesthesia

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Sumy H. Chang, MD, FACS Breast Surgeon Board Certified in General Surgery

Dr. Chang is affiliated with Community Medical Center in Toms River and the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch. To schedule an appointment with Dr. Chang, contact: Community Medical Center 67 Highway 37 West Riverwood 1 Building, First Floor Toms River, NJ 08755 732.557.2153 Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center 300 Second Avenue Long Branch, NJ 07740 732.923.7702

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To learn more, visit barnabashealthmedicalgroup.org.

number of trips to the operating room and anesthesia that would be required for the patient. For most patients, this approach is very tolerable, too. A key advantage is patients can get a cancer diagnosis before surgery – so they can have their cancer surgery in one surgery and minimize their exposure to general anesthesia.

benign and no other immediate steps are necessary. However, a small percentage of patients who undergo a needle biopsy may still need a surgical biopsy because the area in question looks suspicious and needs to be removed even though it’s not cancer. Another subset of patients with cancer diagnosis will need to have their cancer surgery. This avoids the need for multiple surgeries – a surgical biopsy followed by their cancer surgery.

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What are the side effects of a needle biopsy? Patients may experience local swelling, bruising, scarring and discomfort. Prior to the needle biopsy, the breast is injected with local anesthesia which essentially numbs the path of the needle.

Will the needle biopsy increase usiness the risk of cancer spreading? Although there are some cancers we cannot or do not perform a needle biopsy, there is no evidence of support that a needle biopsy increases the risk of breast cancer spreading.

What happens during a needle biopsy? The breast lesion is identified on breast ultrasound or stereotactic machine first. The radiologist numbs the area and removes small pieces of tissue with a needle. The radiologist watches the needle go into the breast tissue with ultrasound or x-ray to ensure that the correct area of the breast is sampled. The tissue is sent to the lab for testing and diagnosis. The majority of biopsies come back

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When would you recommend a surgical biopsy? If a needle biopsy is not possible, then a surgical biopsy is recommended. For example, if the cancer is too close to the nipple – it could be extremely painful for the patient. If cancer is close to the chest wall – it may not be feasible to perform a needle biopsy. In some situations, although the lesion is benign on a needle biopsy, a surgical biopsy may be recommended as well to remove the entire lesion.

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Then why do a needle biopsy at all if the lesion needs to be removed? A needle biopsy reduces the number of times the patient goes to the operating room for diagnosis and treatment of this breast abnormality.

What is the risk of a surgical biopsy? A surgical biopsy will cause a larger scar compared to a needle biopsy. It requires anesthesia, which is generally safe, but does have some risks associated with it.

January/Feb November/December 2015

Assisted Living

We Are So Much More…

We are not your average assisted living community. Spring Oak of Toms River provides several levels of specialized services to meet each individual’s needs. These programs are specifically tailored and combined to promote the highest level of independence and health. Our community is designed to serve older adults and provide a wonderful alternative to struggling alone at home while still helping to maintain their independence. We strongly believe that the need for assistance as we age does not mean having to give up one’s independence. Our emphasis is on helping each resident to maintain their health, wellness and dignity, and enjoy the socialization our communities provide. At Spring Oak of Toms River our residents live in private apartments that feature a kitchenette, bathroom and emergency call system. A variety of floor plans are available, with residents furnishing and decorating the apartment to their taste. All residents receive three meals per day in our restaurant-style dining room, weekly linen service with housekeeping, access to laundry services, transportation for medical appointments and shopping trips, and a 24-hour emergency response system, as well as a variety of activities to participate in. Spring Oak of Toms River Independent Living offers a secure environment for residents who wish to be a part of a lively community at affordable rates.

Starting At

$1995

Our Assisted Living Program is a voluntary service that offers assisted living services for the Independent Residents from 8am to 8pm. Our staff is able to provide services such as medication administration, assistance with dressing, bathing, and any other services you may require on a temporary or permanent basis. Spring Oak of Toms River Assisted Living offers a caring and skilled medical staff available 24 hours a day, seven days per week. The residents of Spring Oak are considered an extension of our family. Our residents remain active socially and physically, and above all else thoroughly enjoy a new quality lifestyle. Spring Oak of Toms River offers each of our residents the benefit of receiving care by our conscientious professional nursing staff and a lifestyle designed to make our residents’ living experience as stress-free and pleasant as possible. Bridges Memory Support Program is in a secured setting designed specifically for the active resident with a diagnosis of dementia who needs the safety and security of memory support, provided by staff that are Dementia Certified Practitioners. Our Bridges residents enjoy a beautifully landscaped, secured courtyard with an outdoor gazebo and walking area. Staff is on-duty 24 hours a day, seven days a week to provide personal assistance with medications and a full array of activities. This valuable combination of housing and optional services provides a home-like setting with the right balance of health and wellness without compromising an individual’s choices, dignity, or independence. Visit our community and learn more about what we have to offer.

For more information, call 732-905-9222 or visit www.springoaktomsriver.com.

Home is where the heart is…welcome home! Monthly Rate Includes:

Three Homestyle Meals Daily • Social and Recreational Activities • Weekly Housekeeping Utilities Included • Emergency Call System • Spacious Studios, 1 & 2 Bedroom Apartments Access to Common and Social Areas

Additional Services Available:

NO ENTRANCE FEE!

Assisted Living Services • Personal Care Assistance • Wellness and Health Monitoring Laundry • Medication Management • Scheduled Transportation • Memory Support

2145 Whitesville Road Toms River, NJ 08755

Call Spring Oak today to schedule a tour!

732-905-9222 www.springoaktomsriver.com

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November/December 2015

Medical Professionals

At At Caring Caring Heart Heart & & Brain Brain Imaging, Imaging, You You Are Are In In Our Our Caring Caring Hands Hands

Q What Can Be Done About Memory Loss Or Family History Of Alzheimer’s Disease? Let’s talk about the brain…Caring Heart & Brain Imaging is the first imaging center in New Jersey to be able to detect plaque in the brain, the precursor to Alzheimer’s disease. Although fighting the disease of Alzheimer’s continues to be an uphill battle, there is great hope on the horizon. That hope comes in the form of new treatments, medications, and most important new methods of early detection. The AMYVID Pet Scan is the new “weapon” on the market to combat this heartbreaking disease. If you are experiencing memory loss, and/or have a family history of Alzheimer’s disease, the Amyvid PET Scan could help you do just that.. help your children. Alzheimer’s disease affects the entire family. Help protect your children by getting an early diagnosis; the neuritic plauque that is a precursor to Alzheimer’s disease can be present in our brains years before symptoms occur. NORMAL MEMORY LOSS The AMYVID PET SCAN may enable diagnosis of Alzheimer’s disease by identifyNo plaque present Plaque Present ing beta-amyloid plaque in brain tissue. This means that the disease can be diagnosed several years before symptoms actually appear and an individual can receive groundbreaking treatments before the disease develops to advanced stages. Just as Alzheimer’s disease affects the entire family. Help protect your important, the incorrect diagnosis of Alzheimer’s may be eliminated for patients children by getting an early diagnosis. Early detection and treatthought to have it and appropriate treatment decisions can be made based on the ment can help slow down the progression of Alzheimer’s disease. patient’s actual form of dementia. If it’s not important to you for your reasons, it is important for Another important benefit to undergoing a PET scan is the reduced radiation expoyour children and their future! sure. The scanner does not use CT in obtaining brain images. This is a huge factor CARING HEART & BRAIN IMAGING for patients who may have had substantial radiation in the past. This scan will give We can be reached at 732-292-1008, the information needed for doctors to make appropriate treatment decisions. Be sure to stop by and tour their impressive facility and meet their friendly, talented Lorraine Catalano or visit our website at www.CHCI.biz E-mail: service@caringheartcoronaryimaging.com staff.

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November/December 2015

Medical Professionals

Paonessa Colon and Rectal Surgery Practice

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Announces Opening Of A Second Office in Manahawkin!

Highly skilled. Thorough. Passionate. Committed. Time and time again, patients of Nina Paonessa, DO, FACOS, a fellowship trained colorectal surgeon, describe her with these words. It’s no wonder that droves of people from Ocean and Monmouth Counties and beyond are seeking out Dr. Paonessa for their colorectal care. The only female colorectal surgeon in the area, Dr. Paonessa is known for her expertise and patient-centered care. She has quickly established herself as the area’s “go to” colorectal surgeon. Her private practice is now pleased to announce the opening of a second office location in Manahawkin, NJ to better serve her patients. The office is conveniently located at 1172 Beacon Avenue, Suite B, with ample parking. This office provides easy access for patients in Southern Ocean County. Simply call the main office number: 732-282-1500 to make an appointment. Dr. Paonessa specializes in the evaluation and treatment of patients with colon and rectal conditions/diseases and frequently performs laparoscopic surgery for her patients. She also offers conservative and minimally invasive treatment options for many common anorectal disorders. Many of the treatments can be performed right in the office and are painless. Dr. Paonessa frequently explains to her patients that “just because I am a surgeon, doesn’t mean everyone needs a surgery. There are other options I can offer you.” Dr. Paonessa has been named Proctologist of the Year by the American College of Osteopathic Proctologists, awarded the Patient’s Choice Award and the Compassionate Doctor’s Award by Vitals.com for seven consecutive years, and is on the HealthGrades Honor Roll.

tered care and a personalized approach. Her staff knows all of their patients by name, and they are dedicated to maintaining the integrity and dignity of their patients. All of the examination rooms are very private and they strive to make all of their patients comfortable at all times. Although medical conditions related to the colon and rectum can be an awkward topic, it is an important issue that can’t be ignored. Dr. Paonessa is sensitive to her patients’ concerns and dedicates her full attention to everyone she treats. Once a diagnosis and surgical recommendation is made to a patient, Dr. Paonessa and her staff handle the preparation arrangements. By the time the patient leaves the office, he/she will have everything required to take the next steps towards his/her surgery. If the patient needs to see a cardiologist or urologist or needs to get an x-ray or test, the office will coordinate those appointments. Dr. Paonessa is dedicated to supporting her patients through the entire colorectal surgery process so they are never overwhelmed. Is a referral required in order to make an appointment? Although Dr. Paonessa gets many referrals from primary care physicians and other specialists, many patients schedule appointments on their own, without a referral, if they are experiencing any symptoms of the conditions listed above.

Who should make an appointment with Dr. Paonessa? People experiencing conditions or diseases including rectal pain or bleeding, colorectal cancer, fecal incontinence/pelvic floor disorders, hemorrhoidal disease, polyps, fissures, rectal prolapse, pilonidal disease, rectocele, or inflammatory bowel disease. How can patients best prepare for the first appointment? Patients will be asked to provide a medical history, which is carefully reviewed in conjunction with a comprehensive examination. Dr. Paonessa will review all previous records and “As an 80-year-old man who x-rays. Based on this, your medical spent years working in the medihistory, consultation with your othcal field, I can say without hesitaer doctors, and careful evaluation, tion that I have never met a more dedicated doctor in my entire life. she will provide a diagnosis and recommend the best medical approach. Dr. Paonessa is an outstanding surgeon and she literally saved Dr. Paonessa believes in integrated my life when I was diagnosed healthcare and will coordinate with with colon cancer. She even all of your physicians throughout called me at home on a weekthe entire process to ensure the most end after I was discharged to see thorough care possible. how I was doing. She is a loving and caring person and if I had to undergo surgery again, Dr. Paonessa is the doctor I would choose.” – Gordon F.

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Colon and Rectal Surgery Board Certified in General Surgery and Proctology  laparaoscopic surgery  colonoscopy  abdominal/pelvic surgery  anorectal surgery  fecal incontinence  pelvic floor disorders NEW  endoanal/rectal ultrasound  office proctology LOCATI ON!!  anorectal manometry/physiology 2101 Route 34 South, Suite H Wall, NJ 07719

What is Dr. Paonessa’s philosophy on patient care? As a solo practitioner, Dr. Paonessa believes in patient-cenwww.TheCountyWoman.com

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 November/December 2015

Medical Professionals What insurance plans are accepted? While most insurance plans are accepted, it’s best to check with your insurance company. Feel free to call Dr. Paonessa’s office at (732) 2821500 for assistance. What happens if it’s determined that surgery is recommended? Following the initial examination, Dr. Paonessa will arrange for a consultation with the patient and their family members, as she feels it is important for every patient to have a strong support system when he/she is facing a difficult medical issue. Dr. Paonessa will explain the surgery in detail and draw a diagram to help the patient understand exactly what the surgery will entail. What is the post-surgical recuperation like? While this is contingent upon the type of procedure, Dr. Paonessa’s goal is for every patient to return to his/her previous level of functioning. Dr. Paonessa remains closely connected with her patients throughout the entire post-surgical process, including cancer patients, to conduct regular check-ups and post-surgical testing according to the guidelines of the American Society of Colon and Rectal Surgeons and the National Cancer Institute.

F or more information, call 732-282-1500 or visit www.paonessacrs.com.

Board-certified in general surgery and proctology and a fellow of the American College of Osteopathic Surgeons, Dr. Paonessa specializes in colon and rectal surgery. She has been in practice for 11 years. She completed her colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA. She is co-editor of the textbook Surgical Treatment edition. Dr. Paonessa believes in patient-centered care and preserving each patient’s independence, well being and dignity. She provides the latest, up-to-date treatments and tailors each plan of care to the individual patient’s needs.

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For over 15 years, Domenick, The Friendly Cobbler, has been cleaning and servicing your boots. With friendly, personalized service, Domenick will attend to those kicks that have been lying around at the bottom of your closet. You can get your Ugg boots patched up just in time for winter! He can dye black or brown boots to return them to their original splendor and have them cleaned and waterproofed before the snow comes. Customizing your boots is Domenick’s specialty, and now he’s conveniently back in Northfield. It’s getting cold out there quickly, so grab those Uggs and come on over to the Friendly Cobbler at 331 Tilton Road (located between the Honey Tree and United Check Cashing) to turn them into new, stylish footwear for all to see! This holiday season, you can find the perfect gift for anyone on your list at the Friendly Cobbler! Come see the beautiful, unique leather bracelets, key chains, small purses, and business card holders that were hand-crafted with soft, fine, and supple leather by Domenick himself! You can customize the bracelets and belts by choosing from a variety of styles, studs and charms, and personalize them by adding your loved one’s name directly onto the band. Each leather gift comes in a variety of colors: camel, wine, black, brown, and natural leather.

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November/December 2015

M P HORMONE IMBALANCES: DON’T SUFFER ALONE. IT’SWOMEN BEYOND TIME TO EDUCATE YOUR DOCTOR ICAM Offers Affordable Non-Invasive Testing edical edical

48 28

rofessionals rofessionals

THE NEXT TIME YOUR HEALTHCARE ning This growth is a major reasonand for other the high healthcare costs and remarkable developments in technology that become hormone anti-aging Hello patients and readers! ealth ellness PROVIDER DISCOUNTS AND/OR embarrassing rank therapies. Thisworld too is healthcare an affordable testinatAmerica, down better, easier, cheaper (and outdated) every year. None NEGATES MEDICAL of today’s technological advances would or could from 38th to 48th in just one year!! (FYI: We ranked Today, I ALTERNATIVE would like to present to $125. THERAPIES, THINK ABOUT……………… 13th in the 1990s.) have been possible if it weren’t for the dreams and Coronary Artery Disease you the various non-invasive testing There are several reasons for this, and those How many times have you attempted to discuss persistence of an open mind. Coping with your symptoms isn’t controlling your symptoms! Coronary Artery Disease (CAD) is still reasons allow mainstream medicine to misdiagnose your healthcare provider anat“alternative” Don’t let your physician’s unawareness and procedures performed ICAM. Don’twith let... aw the number one killer of men and women

and obstruct the potential cure of common chronic medical therapy that you are currently receiving negativity keep you from exploring other options. Do HOT FLASHES • only NIGHT SWEATS •and INSOMNIA in • America ANXIETY today. As eluded to above, it illnesses. Far too often a diagnosis of chronic or were researching, to be criticized not give up your freedom of choice. Get up off your With the rising costs of healthcare, it is becoming DEPRESSION • JOINT PAIN •“outside HEADACHES • would LOSSbeOF SEXUAL DESIRE very useful and comforting to fatigue immune dysfunction syndrome (CFIDS), scolded for even considering going the bottom and become your own best medical advocate. more difficult to obtain “necessary” diagnostic tests and VAGINAL DRYNESS • BRAIN FOG • desires WEIGHT GAIN... fibromyalgia, Lyme, Epstein-Barr virus box” in addressing your concerns, Be informed and ask questions because you are your the actual underlying condition of (EBV) and/or procedures in attempts to healthcare control healthcare costs. Don’t know depression is given to the patient who actually has an and needs? The reality is this: Your conventionally own best healthcare provider. your blood vessels without undergoing the become the ‘new norm’! get me wrong, I agree this is a problem that needs to be underlying weak adrenal gland, a suboptimal thyroid trained medical practitioner has no clue as to the AND…The next time your doctor bashes expensive and risky procedures utilized addressed. But an even bigger concern lies in the “need” function, hormone deficiency (estrogen, progesterone principles, benefits, safety or the limitations of Complementary and Alternative Medicine, you today. Cardiovision testing fulfills this (at times) to perform these tests for the sole reason to Take and contol andMedical solvetherapies. your symptoms at their and testosterone) and/or a neurotransmitter Complementary Alternative just might think to ask him/her to comment on the need as a completely non invasive proce“cover the conventionally butts” of physicians frompractitioners, frivolous lawsuits. deficiency or imbalance. Mainstream medicine cannot For most trained the following facts: source forpart natural, lasting relief dure tothrough help the practitioner diagnose as Our society in large a contributing onlylitigious knowledge theyis have regarding CAM is thatfactor they begin to even diagnose these conditions, let alone The third most common cause of death in wellTherapy as follow CAD. Bio-Identical (BHRT). in rising healthcare “treat” them until after they are blatantly obvious were never taught costs. or everHormone exposed to it Replacement at any time America prescription ease. Untilisthe invention ofdrugs. CardioVision®, there was no What’s more, many of the tests that are ordered in to even the patient, who will search the Internet in during their medical training. Even worse is the fact Cardiac stents and many surgical easy, inexpensive or quick way “popular” to determine if a person’s CARDIVISION: THISinISdiagnosing A desperation to assist their doctor their these highlymedicine trained, truly educated, dedicated procedures that were once thought to save lives are mainstream don’t intelligent, give the provider the vessels had lost flexibility. Many people are never aware condition! physiciansvaluable truly believe thatinformation if the principles andto act now taking them. NONINVASIVE PROCEDURE TO HELP necessary, or correct required that they are walking around with this “silent killer” until I believe that medical conditions can and do medical interventions used in CAM were of benefit The non-fatal side effects of drugs markedly upon in formulating a treatment plan. For example, an DETERMINE YOUR UNDERLYING they experience their first heart attack from occluded vesand value, safer current medical trends have varying degrees or stages, just like cancer. But decrease the quality of life in the millions taking them. exercise stress testand andbetter cardiacthan catheterization are often RISK FOR HEART ATTACK, STROKE sels.Statin It has drugs been estimated that 60-70 million Americans in mainstream medicine, most, if not nearly all, and modalities, they would know about them that lower cholesterol are (now) the misleading causing more unwarranted testing andand ultiAND OTHER CIRCULATORY DISEASE harbor this “silent killer” and should make both life-style chronic conditions are only diagnosed after they are everyone would be using them. Right? – WRONG!!! number-one-selling drug in America – yet 65% (66%mately unnecessary procedures. Another example is a changes, suchThe as getting more exercise, theirin STATES. full blown, all or none, black or white – no grey. The The medical field is no different than any other 75% as per New England Journalchanging of Medicine PSA testing in men which people, now has beenthe discouraged by or most first thought that comes to mind regarding hormone diet, quitting smoking, and reducing their cholesterol. reality is that these doctors must believe in “stages of business and is guided by profit and financial 2012) of the people who die of a heart attack have many medical societies for this reason. In addition towouldn’t blood pressure and pulse for information, While needslevels. to adopt these changes, sometimes illness” or they give antibiotics what your gains. This is not to say that doctors are only normaleveryone cholesterol imbalance aonly women in menopause. A decline in a woman’s hormone levels Invasive procedures are is not costly often very the CardioVision® also infection” generates information the doctor calls an “early or diabetic on medicine doing procedures to take advantage of a but patient for The former the BigCardioVision® Pharma shelves life-style changes“best aloneseller” are notonenough. risky in(estrogen, terms death, complications involv- stiffness or flexibility of the brachial Called and from testosterone) isdiabetes” generally seen atartery. a stage inthelife known for “early and antihypertensive medication personal gainof orimmediate that progesterone they receive “kickbacks” for nearly two decades, Premarin, was once touted identifies people who don’t even think they have a cardioing organ damage and the need to take these risks again Arterial Stiffness Index pressure,” (ASI), the right? ASI is And a number for “early high blood thinkthat about vascular pharmaceutical companies. WE DO NOT! But “Big as essential for menopausal women to reduce the problem because they are non-smokers, exercise as menopause. The decline is with usually rapid and dramatic, and is accompanied by to verify that follows examination this… Why they prescribing antidepressants, Pharma” is a the veryprocedure powerfulthat entity and,the along oil risk of heart attack, correlates withare arteriosclerosis. Because arteriosclerosis regularly, watch their stroke, diet andbreast worse,and theycolon don’tcancer, have was successful. sleeping pills and high-dose steroids to treat companies and the food industry, to be mood able to swings, Alzheimer’s, Parkinson’s and osteoporosis. In 2001, symptoms such as hot seems flashes, weight gain, sleep disorders and a loss reduces flexibility in arteries, the higher the ASI, the symptoms!!!. Consequently, the ASI can be viewed as it depression, rheumatoid arthritis, sleep disorders and persuade governmental agencies and officials to allow was found to have just the opposite effect in a subset more likely someone is to have hardening of the arteries, Dementia and Memory Loss another cardiovascular “risk factor”, just like high blood ofICAM sexisoffers drive, to name a few. psoriasis? I guess it’s because when our body’s Prozac, for what in the best interest of themselves, not the of women taking these drugs. the lower the number, the less likely. state of the art testing for dementia and pressure or a cholesterol level above 200. Additionally, we Ambien, methotrexate, Enbrel and Humira levels are consumers. I tip my hat to the physicians who admit they have Why is it important to know how flexible arteries are? think memory lossUnbeknownst through a computerized program known as that the ASI canalternative be used totherapies follow cholesterol lowmost men too go through a period or phase low; we need to bring them back to optimal levels to The point I am trying to get to across to all of youus, however, no experience with and welcome Arteries are responsible for moving the majority of the MCI-CANS. It is probably the most reliable and accuering therapy and other “risk factor” changes. feel normal. (Sarcasm) readers is not to be upset with the obvious lack of those who have an interest in finding out more about similar a woman in menopause as andropause. sometimes blood through the vascular tree.Andropause, Consequently, non-flexrate cognitiveto testing program available today at a mere known Where would the world be if everyone everywhere knowledge your physician has regarding CAM. them. It is these open-minded practitioners who iblecrisis,” or hardened arteries cause the heart tonearly work much cost of $125. more tests and other referred to as “man-o-pause” or “midlife byWe in every field is wasexperienced so closed-minded? certainlyevery male Rather, be concerned and question the diversity of willFor help paveinformation the way foron thethese medicine of the new harder is forced to push blood through partially have another extensive of America tests aimed at would when neverithave landed on the moon. Forget theWe medical education systembattery here in that millennium. God Bless and Be Well,call myorfriends. services offered by ICAM, please visit us on at someones point inand their as hormone levels decline, although theand onset occluded This extraof strain on the heart and the is much determining biologic age versuslifetime chronologic about thevessels. various means transportation the blocks the presentation usage oftheir CAM therapies. Yours inatHealth…Mark James Bartiss, MD the web www.ICAMBartissMD.com. resulting blockages are a root cause of cardiovascular disage. At ICAM this is used on all patients prior to beginmore gradual than in women and therefore not as readily noted as are those symp-

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toms affecting women in menopause. Mark James Bartiss, MD is a medical writer, lecturer, and author, REMEMBER…. When and isMD recognized as awriter, top ten specialist in the and fieldis of Bio-Identical it comes to your health, Mark James Bartiss, is a medical lecturer, and author, recognized as a top ten specialist in the field of Bio-Identical Hormone Replacement (BHRT). He has helped numerous take their lives backyou anddoreclaim their health. have options HormoneTherapy Replacement Therapy (BHRT). He hasindividuals helped numerous

individuals take their lives back and reclaim their health.

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January/Feb July/August 2014 November/December 2015

Health

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

Wellness

A Holiday Request From Your Body Take a moment and imagine what it would be like if your body had the ability to write you a letter, before the holidays, pleading with you to make helpful changes. Maybe it would read something like this . . . “Enough already! I can’t handle carrying around any more weight. I feel older than I am. I feel more tired than I should. Going up stairs is uncomfortable and I get out of breath. My joints ache. My blood sugar level is creeping up. My arteries are getting clogged. What have I done that makes you want to treat me this way? Why do you keep filling me up with garbage? Why do you keep finding excuses for not exercising me? I’m begging you – please fix this now, before the holidays – before you plaster even more pounds and inches on me. I deserve better. I promise that if you take better care of me, I’ll take better care of you. – Your very uncomfortable and concerned body” It never fails. Every January, I get calls from women who tell me they’ve gained “xx” pounds over the holidays (often on top of excess weight they were already carrying around) – and they want to use hypnosis and coaching to help them

Make Your Mind Work FOR You – Instead of Against You! Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification is 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.

get on track. “My clothes are tight on me.” “I feel so fat and bloated.” “I hate looking in the mirror.” “I’m so disappointed in myself.” I totally respect them for deciding to make positive changes, for wanting to get healthier and to feel better about themselves. But wouldn’t it be smarter and easier to get a grip- on your emotions and behaviors before the holidays . . . before more added weight and inches have plastered themselves to your hips and thighs and buttocks . . . and before you feel so lousy about yourself? I can hear the “buts” now! • But I want to enjoy all the holiday foods. • But I need to just let go and have some fun. • But I deserve to eat all that stuff – just like everyone else. • But holiday foods are rich, gooey comfort foods. • But I get so stressed at the holidays and eating calms me down. And on and on it goes. What if this year, though, you approached the holidays in a totally different way? Instead of expecting to gain holiday weight, then waiting for January to treat yourself better, why

Commonly Asked Questions about Hypnosis What is hypnosis? It’s a naturally occurring state, like ❀ daydreaming, becoming absorbed in a good book, or zoning out while you’re driving. Used in a clinical setting, it’s a powerful vehicle for change. You are coached into a state in which the deeper part of your mind, the subconscious, is more accessible and open to change. Diverse techniques are used, such as guided imagery, mental rehearsal, NLP, etc. As with meditation, there are many physiologic benefits when it’s practiced regularly. Do some people lose control? That only happens on TV and ❀ in the movies. People use this technique because they want to gain more control over themselves. No one can make you think, say, do, or

not work at changing your mindset now – and avoid the shame, guilt, and excess pounds and inches? Your body and mind will thank you. Maybe it would help to look at things a bit differently . . . • This is the only body I will have in this lifetime, and it deserves to be treated with respect. • Food is for fuel; it’s not meant as a way to deal with emotions. • I calm and relax myself using techniques that make sense. • Overeating and junk food eating prevent me from being my best self. • I choose to enjoy the holidays in wonderful, loving, and smart ways. 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.

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

feel anything that runs counter to who you are and what you want. What if I’m not “hypnotize-able”? It’s rare that someone is ❀ unable to enter this state because it is a naturally occurring state. Therefore, just about anyone who wants to enter the state can do so. And, the more it’s practiced, the easier it becomes. People who would not be good candidates include those with organic brain damage, difficulty processing simple information, and severe and untreated psychiatric disorders. Is it possible to get stuck in hypnosis? No. It is possible to drift ❀ into a sleep state, however, because it’s often quite relaxing; but a good practitioner won’t let that happen. Can I use this approach instead of seeing a medical doctor ❀ or a therapist? This is not intended to take the place of licensed medical or mental health care. If you are having a significant physical or mental health problem, it needs to be appropriately handled. There are times when it is necessary for a hypnosis practitioner to request authorization before seeing certain clients, and hypnosis practitioners often work in tandem with physicians and therapists.

www.HypnoForWomen.com

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Chiropractor

What Are You Building?

Submitted by Daniel Mutter, DC

What is it about building blocks that are so fascinating to kids? Perhaps it is the endless combinations of boats, castles, trucks, bridges, and other engineering marvels that can be constructed with a handful of plastic and an unbridled imagination. The ability for children to constructively engage in a creative process shows us some very important things about the nature of life and health. In order to build a boat, there are three main elements that must be available. The first is the structural components (the building blocks) from which the boat is to be made. For our purposes, colored plastic blocks will do. The second element is the perception of the child to see, consider, desire, and then plan to construct such a project. The third essential element is the behavior or action steps taken to convert the scattered blocks into an ordered form. Whether the “final” pro-

totype looks like an actual boat or would float in water is not the point. In the imagination of a child, the project is rarely if ever “finished”. There is always capacity for another room, an outboard motor, a slide, a place for the animals, or the addition of wings to transform it into a plane. These same three elements (Structure, Perception, and Behavior) can be applied to how we engage with life and health. Our structure is our physical body. When was the last time you considered the building blocks of your own wellbeing? How mindful are you about what you consume in both a nutritional and media sense? The quality of the things we consume yields a direct result on how we feel and how we can feel. Our perception reflects our mental state. How do you view yourself? How do you perceive what is happening in the world around you? Is everything a burden, are you living to work, do small incidences set you off? Or do you see the op-

Waves of Transformation Wellness Center, Inc. Location:

Donna M. Mutter, DC Daniel Eric Mutter, DC

309 Main St. Toms River, NJ 08753

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732-244-5008

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b Somato-Respiratory Integration b Reorganizational Healing Workshops b CORE Score Neural Efficiency Testing

Recipe

portunity in the chaos, do you see your vocation as a vacation, and can you meet challenges with patience and trust? At Waves of Transformation Wellness Center, Inc., our service is based on helping you to integrate the building blocks your well-being. We specialize in a progressive gentle chiropractic discipline that supports people who are ready to make a change in their life and people who want to build a deeper connection to themselves.

It’s never too late to start feeling better and feeling better. TO CONTACT WAVES OF TRANSFORMATION CALL: 732-244-5008 or VISIT: wavesoftransformation.com.

Donna M. Mutter, DC has been serving Ocean County for 30 years. She practices a reorganizational approach to health and wellness utilizing a form of chiropractic known as Network Spinal Analysis. She Donna M. Mutter, DC and Daniel Mutter ,DC has been on both the clinical and teaching staff for this work since 1986. Her practice, Waves of Transformation, is located in Toms River, NJ. Daniel Mutter, DC practices reorganizational chiropractic at Waves of Transformation. After studying Philosophy at The College of New Jersey and graduating salutatorian from Life Chiropractic College West, he joined his mother in practice in 2013.

A Warm, Fragrant Spicy Sweet And Savory Way For You To Use Your Turkey Leftovers: Turkey Mulligatawny Soup! Submitted by Balanced Life Weight Loss Institute

Ingredients 2 tablespoons unsalted butter 1 medium yellow onion, medium dice 2 ribs celery, medium dice 1 medium Granny Smith apple, peeled, cored, and medium dice 1 medium carrot, peeled and diced 5 medium garlic cloves, finely chopped 1 tablespoon freshly grated ginger 1 tablespoon curry powder 1 tablespoon garam masala

Instructions Melt butter in a large pot over medium heat. Add onion and cook until 1/2 teaspoon ground cumin tender. Add garlic and ginger and cook for another minute, stirring 1/2 teaspoon turmeric constantly. Add apple, carrot, and celery, stir to coat in butter, and season with salt and freshly ground black pepper. Saute until apple is 1/8 teaspoon ground cloves 5 cups turkey stock or low-sodium chicken tender and onion is translucent. Sprinkle curry power, garam massala, cumin, turmeric and cloves broth over vegetables and stir until spaces are fragrant. Slowly add stock or broth and stir. Bring to a simmer 2 cups diced, cooked turkey 1 (14-ounce) can unsweetened coconut milk and cook until vegetables are tender, about 10 minutes, stirring regularly. Let it cool slightly, then take 3 cups of the soup and pulse in the blender. Return the blended soup to 1/4 cup freshly squeezed lemon or lime juice the pot, stir together and continue to cook. Add turkey, coconut milk, and lemon joice and return the 1/2 cup packed fresh cilantro leaves and soup to a simmer for about 10 minutes. Season with additional salt and freshly ground black pepper as tender stems, for garnish desired. Serve with cilantro and toasted coconut and serve.

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Medical Professionals

Debbie Matusas L.E., C.P.E. a 3-day Electrolysis Symposium in Quebec City this offering her services days, nights and weekends at our L.E., C.P.E. Barbara Stoll to change. L.E., C.P.E. *Offered only on selected units and subject to availability. Applies first month’s rent only. Promotions good for new customers Not available on transfers or additional spaces. Pricing subject August for many to lectures and workshops in our field. Brick location. Debbie also only. continues her education, Reservation required to guarantee price. and fees mayand apply. Actual unit sizes may vary from approximate size every estimate. I also Restrictions, attend several taxes lectures, workshops seminars attending workshops, seminars and lectures year. Please inspect any unit before renting.

Medical Professionals

Care Close to Home As part of The Children’s Hospital of Philadelphia Care Network, our practices, conveniently located in Cape May, Smithville and Somers Point, provide comprehensive primary care for children from birth through age 21. We accept most insurance plans, and our doctors have staff privileges at local hospitals, in addition to The Children’s Hospital of Philadelphia. We look forward to partnering with you to help your children stay their healthiest. We are accepting new patients, as well as children vacationing with their families. CHOP PRIMARY CARE LOCATIONS AND HOURS: Harborview/Cape May Harborview/Smithville 1315 Route 9 South 48 South New York Road Cape May Court House, NJ 08210 (Route 9) 609-465-6100 Smithville, NJ 08205 609-748-2900 Monday – Friday 8:30 a.m. – 5 p.m. Monday – Friday 8:30 a.m. – 5 p.m. OUR CLINICIANS: George P. Bross Jr., D.O. • Yasmin D. Deliz, D.O. • Christopher W. Drexler, D.O. • Sharon L. Held, D.O. • Mark P. Jacobson, D.O. • Christopher J. Keenan, D.O. • Courtney G. Kivel, C.R.N.P. • Lisa J. Share, M.D. • Andrea R. Thorp, D.O. • Gerald E. Vekteris, D.O.

Harborview/Somers Point 505 Bay Ave. Bayside Commons Somers Point, NJ 08244 609-927-4235 Monday and Friday 8:30 a.m. – 5 p.m. Tuesday, Wednesday and Thursday 8:30 a.m. – 7:30 p.m. Saturday 8:30 a.m. – Noon

The Magazine Health &Woman Wellness TheCounty County Woman Magazine

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September/October 2015 November/December 2014

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November/December 2015

Health & Wellness Health & Wellness

52 40

That Time Of The Year Again...

A Healthier Approach To You TheGet New Should a FluYear Shot?

The flu is a respiratory infection that’s caused by many different Maybe you want out clothes within easy reach. By the same Here weget the flu in Attainable. viruses. Up to one in five people the each by year. to loseU.S. 50 pounds yourItclass token, remove things that will undercut go again. comes on suddenly, causes worse symptoms than the cold, and can reunion this summer. But seriously, now, is your will. 2 For example, if ice cream is be serious for some people. As you know, a new strain your weakness, it won’t help to know that thislast reallyyear, realistic? Instead, have of a converIt’s another a half-gallon of mint chocolate chip sation with your doctor about safe methods flu was thrown into mix.year, Called swine flu at first, then H1N1, & there’s 40thenew H ealth W ellness and rates weight loss.cough, Losing oneellness or two in the freezer with your name on it. But, ealth & it caused symptoms similar regular flu, suchofas fever, and to you remember: slip-ups happen. So don’t beat pounds a week might be more reasonable. aches, chills, and fatigue. Or, maybe you’d like to quit smoking cold

yourself up. Just get back on the p horse and keep going.3

Need more ideas about life changes you can make? Stop by the pharmacy and can discuss your goals.

know A Healthier Approach To The New Year what that

Healthier Approach To The New Year å turkey, but you know that tapering off

easier Set yourself up out clothes within easy reach. Did you get a flu shot last year? If you’re will make to aitflu shotfor in you. theMaybe past. If you’re Restoring Hormone Balance Attainable. you want yourself up. Just get back on the proverbial By the same Jay Greco, rPh Here we for success by setting goals that are truly means. someone who’s always thought flu shots are pregnant, request thebyflu shot, to lose 50 pounds your class horse and keep going.3 token, remove things that will undercut 2 2 go For again. Attainable. Maybe you want up. isJust get back on the proverbial out But clothes within same attainable. For example,yourself if ice cream reunion summer. seriously, now, your By will.the just for“New your grandparents, think again. not thethis nasal spray vaccine. Iteasy isis reach. Need more ideas about lifestyle Here weand “resolution” Year’s” are about 3 your weakness, it won’t help to know that this really realistic? 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The County Woman Magazine

www.TheCountyWoman.com

November/December 2015

CASA

I Am For The Child This Holiday Season

receive a tax-deductt’s hard to believe the ible receipt and the end of the year is fast feelings of warmth and approaching and happiness associated the holiday season is with knowing they are almost here! For many of helping to fulfill the us this means planning parties, winter wishes of Ocean shopping for gifts and spending County’s most vulneraextra time with our families. ble children. If you are As the hustle and bustle of the interested in becoming holiday season gets underway, a sponsor, please call it is important to remember the office and request that there are many individuals, a registration form. including children, who are not “Wells Fargo Foundation partners with CASA Ocean County with a grant for $15,000 to For less than the cost going to have the same holiday of support the Peer Coordinator Model that will of a cup of coffee a experiences that many of us are provide a CASA Volunteer to many foster children waiting for a forever home”. day, your support will so fortunate to have. The sad provide a warm coat and gifts over the holidays reality of it all is that there are over 700 children for innocent children who have had their world who are victims of abuse and neglect in foster flipped upside down. care in Ocean County who will be experiencing a holiday season filled with sadness, confusion, In addition, CASA is always in need of volunand a sense of longing for a stable, forever home. teers to serve the 700 children in the foster care Fortunately for these children, CASA of Ocean system in Ocean County. We provide a thirty-hour County is here to provide as much holiday magic training program, which gives volunteers the as possible in order to give them a positive experi- proper skills necessary to make recommendations ence in a world that might seem like everything is regarding the placement and service plan for the crashing down. CASA of Ocean County dedicates child to the Family Court Judge. CASA volunteers their time and resources to abused and neglected investigate and report objectively by reaching out children in foster care to ensure that each child has to family members, health care providers, and the best chance of a happy, safe and stable future teachers and report back to the Judge, so he/she when their case comes to a close. may make the best possible decisions regarding the This holiday CASA will pay special attention to future of each child. The CASA volunteer is truly an advocate for a child in need. If you cannot make the emotional needs of our children as they are a donation to the program, we ask that you confacing the loss of everything that they have ever sider the gift of your time and service as a volunknown. The CASA staff, board and volunteers are working especially hard to organize two major teer. We hope you have a safe, happy and healthy holiday season and that you can help us change events for Ocean County’s foster children. The the life of a child in need. first is a large holiday party in December that allows the children to participate in arts and crafts, Please call our office today if you are interested in dance to the music of a live DJ, and tour our learning more about the CASA program, sponsoring Winter Wonderland full of donated gifts. Mr. and a child, or becoming a child advocate. Mrs. Claus will also be in attendance, and there Ask for Vicki Weiss, the Executive Director, at will be plenty of delicious food for all. The second (732) 797-0590. www.casaofoceancounty.org event is a coat/winter wear drive that spans the extremely frigid months of January and February. Our goal is to get as much winter outerwear as possible for the 150 children involved in our advocacy program. These two extremely important programs would not be possible without support from the community. In the holiday spirit of giving, we are seeking Winter Ambassadors for Children to sponsor our projects for the months of December, January and February. In order to become a Winter Ambassador, an individual must donate $25 a month from December to February. In return the donor will The County Woman Magazine

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Holiday Toy Dr ive

CASA of Ocean Co un Celebration for their ty will be holding a Holiday sponsored children where all donations in need will be distributed. Please donate new toys ages 0-18 years. Plea & clothing for boys and girls se and include batterie donate new, unwrapped toys s if needed. Moneta ry donations welcome also. All do nations are tax-ded uctible. Drop off Locations : CASA Office Jo hn Hill Agency 1108 Hooper Ave. 63 5 At lantic City Blvd Bldg 1, Suite C (R t. 9) Toms River, NJ Bayville For More Informati

on, Contact Us at:

www.casaofoceanc

1108 Hooper Ave.,

ounty.org

Bldg. 1 Ste C Toms

Phone 732-797-05

River, NJ 08753

History and Mission of CASA: Since 2006, the Court Appointed Special Advocates (CASA) of Ocean County, Inc., which is an independent, non-profit organization located in downtown Toms River, has been committed to advocating for the best interest of at-risk children in foster care who are victims of abuse and neglect. The CASA volunteer serves as the child’s voice in court and is committed to moving the child towards a safe and permanent home.

1108 Hooper Ave., Bldg.1, Suite C Toms River, NJ 08753 Phone: 732-797-0590 Fax: 732-797-0594

www.casaofoceancounty.org www.TheCountyWoman.com

Vicki Weiss

Executive Director CASA of Ocean County

November/December 2015

Medical Professionals

November Is National Lung Cancer Awareness Month What You Need To Know Did you know that lung cancer is the leading cause of cancer deaths in both men and women in the U.S? Approximately, 200,000 new cases are diagnosed each year and 27 percent of all cancer deaths are from lung cancer.

What is the diagnosis?

What causes lung cancer?

Smoking. Smoking is the number one risk factor for lung cancer. Even though non-smokers can also get lung cancer, the risk is much higher in those who smoke. The more you smoke, the higher your risk. The likelihood of getting lung cancer decreases after you quit smoking. Tobacco smoke damages cells in the lungs, causing the cells to grow abnormally. Regular exposure to smoke from someone else’s cigarettes, cigars or pipes (called second-hand smoking) can increase a person’s risk of lung cancer, even if they are non-smokers. Exposure to asbestos. Certain jobs such as shipbuilding, asbestos mining, insulation or automotive brake repair may cause exposure to asbestos. Asbestos fibers can irritate the lung and cause cancer. When combined with smoking, the risk of developing lung cancer is much higher. Radon. Radon is an invisible, odorless gas released by soil and some rocks. Exposure to higher levels of radon can cause cancer, especially lung cancer.

What are the types of lung cancer?

There are two different types of lung cancer: Small cell and Non-small cell. This difference is based on the type of cancer cells. Most lung cancers are Non-small cell. Among the Non-small cell lung cancers, there are several subtypes: Adenocarcinoma, Squamous cell and Large cell.

What are the symptoms and signs?

Most often, the symptoms do not manifest until the cancer is advanced. Sometimes lung cancer can be detected as a shadow in the lung on an X-ray done for other reasons.

Symptoms and signs include cough, hemoptysis (coughing up blood), shortness of breath, chest pain, fatigue and weight loss are some of the symptoms of lung cancer.

Once your doctor suspects that you have lung cancer, you will be sent for CT scans and in some cases, a PET scan. A PET scan can detect cancer more accurately than other tests. The diagnosis is confirmed by taking a biopsy of the suspicious lesions seen on the X-ray or CT scans. The scans also help to see if the cancer has spread to any other organs, a process called metastasis.

Are there different stages?

Staging is different for Small cell and Non-small cell lung cancers. Small cell lung cancer has only two stages: Limited stage (con¬fined within the lungs) or Extensive (spread outside the lungs). Non-small cell lung cancer has four stages: Stages I to IV. Stage I is a small tumor that is confined to the lung, that has not spread to the lymph glands. Larger tumors, and those that are spread to the lymph glands come under stages II and III. When the cancer has spread to other organs, it is stage IV.

What are the treatment options?

Treatment is based on the stage and the type of lung cancer. Small cell lung cancer is mainly treated with chemotherapy. In Limited Stage Small cell lung can¬cer, radiation can be combined with chemotherapy. Early stage Non-small cell lung cancer is best treated by surgical resection. An experienced surgeon removes the tumor, surrounding normal lung tissue and the lymph glands around it. Even after removing the tumor, cancer cells can remain and cause recurrent cancer, either in the lung itself or in other organs. Chemotherapy, radiation or both are used after surgery, to reduce the chance of recurrent cancer. Advanced stage lung cancer is treated with chemotherapy. The types of chemotherapy drugs used are based on the type of lung cancer, age of the patient, other medical illnesses, etc. There is ongoing research to improve the outcome in patients with lung cancer.

What’s New in Lung Cancer?

Targeted agents: Medicines that target certain proteins or receptors on the cancer cells are being developed for the treatment of various cancers. These targeted agents attack the cancer cells specifically, sparing other cells. Targeted agents cause less severe side effects than chemotherapy. A few different targeted agents are found to be beneficial in lung cancer. Tarceva (Erlotinib) is a drug that works in certain types of lung cancers carrying a mutation in a receptor called EGFR. A new drug called Crizotinib was approved recently for the treatment of lung cancer that carries a gene called ALK fusion oncogene. No two tumors are alike! Even among lung cancer, there are different distinguishing features. Your oncologist chooses the type of treatment based on a number of factors, including the cell type, stage, different biological markers on the cancer cells and your other medical problems.

What you should know:

• If you are a heavy smoker, and have been smoking for several years, ask your doctor if you need to do an X-ray or a CT scan. • Ask your MD about different methods to help you quit smoking. • If you are diagnosed with lung cancer, ask about the type of cancer you have, stage and other features such as EGFR mutation. • What is your treatment plan? • What are the side-effects of treatment? • Are there support services available?

To learn more about lung cancer and the treatment of other cancers, contact Dr. Sarah Easaw at 732-961-0010 or visit www.oceanhemonc.com.

Ocean Hematology & Oncology Center for Cancer & Blood Disorders  We offer a full range of Hematology & Oncology services.

1255 Route 70, 31S Near Exit 88 on GSP

Lakewood, NJ 08701

732.961.0010

www.OceanHemOnc.com Accepts Most Insurances. Affiliated with Kimball Medical Center and Community Hospital Access to Clinical Trials.

 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.

Sarah J. Easaw MD, FACP Diplomate of the American Board of Hematology, Oncology & Internal Medicine

Compassionate Care, Close to Home

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Featured On The Cover

Compassionate Acute Cancer Care, Close To Home…

Treating Patients and Families With Respect and Care Dr. Sarah Easaw is a board-certified hematology and oncology specialist. In her practice, Ocean Hematology & Oncology, located in the heart of Ocean County, she takes care of patients with different types of cancer and blood disorders. Her practice is a state-of-the art cancer care center. Founded in 2006, this center provides much more than just patient care. Their highly qualified staff is dedicated to treating each patient and his/ her family with respect and care. They give chemotherapy infusions, draw blood, diagnose abnormal blood cells, and do bone marrow tests in the office.

Ocean Hematology & Oncology 732-961-0010

www.oceanhemonc.com.

An early interest ...

Dr. Easaw always had an interest in oncology even as a student in medical school. She adds, “It was a challenging specialty which most physicians hesitate to choose as a profession. Once I started my training in the specialty, my interest grew in the subject.” There is a great deal about her profession that she finds rewarding. Especially since the treatment of cancer and related illnesses has evolved tremendously in the last several decades and more research is being done in oncology than any other specialty. The good news is that more and more people are cured from cancer than before. Cancer has now become a chronic illness like diabetes and hypertension, a disease that more people live with, rather than die from. “I am proud to be a part of a world-wide team in the fight against cancer,” she says.

Calming The Fears ...

Most patients and families have a lot of fear about their disease and certain pre-conceived ideas that are difficult to deal with. Some challenging aspects of her profession are dealing with people facing a terminal illness. It takes a lot of patience and compassion from the caregivers as well as the physician. She adds, “In our practice, we give emphasis to taking care of each patient and family as unique individuals, and pay attention to their special needs.” She has worked with many patients over the years but one that stands out is that of a 32-year-old woman diagnosed with aggressive breast cancer at age 30. “She is a beautiful woman, mother of a 9 month old daughter. Both of her breasts were surgically removed and she had to start chemotherapy. She lost her hair and was sick during treatment but her attitude remained positive and her outlook was marvelous. She never complained and always had a smile on her face. Taking care of her was a pleasure. Her positive outlook made a remarkable difference in her outcome. She is now 5 years post diagnosis and is disease-free.”

Early Detection ...

Dr. Easaw also stresses education about early detection of curable cancers such as breast cancer by screening. “In this day and age, seeing patients with late stage cancers, where it could have been detected early, is very frustrating and disappointing.” Early detection is key in many of these cases. Currently, there is a nation-wide shortage of some chemotherapy drugs. Because of that, the appropriate treatment may be delayed in some patients. Misinformation or lack of information about their illness can mislead patients and that can impair delivering the right treatment at the right time.

A Clean & Peaceful Environment ...

Ocean Hematology & Oncology offers immaculately clean and peaceful surroundings and their newly renovated infusion room allows patients to relax while receiving chemotherapy. Families can enjoy the comforts of the waiting area, which is supplemented by a large library, coffee bar and snacks. Their office was chosen by American Cancer Society as one of the sites to conduct their “Look Good, Feel Better” program for cancer patients.

Family Life ...

Dr. Easaw is married to a physician and has two children pursuing higher education; her son in medicine and her daughter in journalism. When she is not in the office she enjoys reading and writing articles for Indian Americans and publishes cultural magazine in an Indian language. Dr. Sarah Easaw

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Adult Community

Adults Aged 55+ Have Many Home Ownership Options

any people we meet want to leave the cookie-cutter neighborhood for someone else. Home shopping may start in the armchair on your laptop, but should never be accomplished without legwork. Many builders offer a cookie-cutter neighborhood where every third home has the same exterior, all the plantings are the same, all the mailboxes match the trim on the house, and you are highly regulated by the homeowner association that is not optional. At Fountainhead, we know this is a new idea for homeowners thinking about right-sizing their life obligations. Looking for a combination of expenses, maintenance, and leisure time that fits their “new” retired budget, land leasing can be the solution.

Fountainhead is an established neighborhood flourishing in these post-disaster days. Within the established neighborhood there are home ownership opportunities for new homes as well as well-loved homes. Streets wider than most residential neighborhoods adds to the satisfaction of owning your home and your independence. There’s a place for your guest to park near your home. There’s enough distance to present your home in a proper setting. Now the individual can come through: design your own landscaping, maintain it, change it. You may be 55 or older, but you’re still that creative, life participant with ideas and experience of your own. Express yourself, select the options in your new home, visualize your future landscape, visualize not spending your whole Saturday primping the yard you care for now. Buy a home at Fountainhead. Live at Fountainhead and worry less. Live well, live within your financial and social comfort zone, be near everything you want and need and those people who are important to you.

Many independent people are looking for an age-qualified community where their personality and independence may shine through. This is where Fountainhead sets itself apart from the crowd, and we say “NO” to the cookie cutter. The benefits of living in a land lease community are best experienced in a site visit. Own a home that is affordable that has carrying and ownership costs that fit a range of retirement incomes. From those who want to live in the northeast for only part of the year to those who want to be close but not dependent on their family and friends, Fountainhead has all of it to offer! Own a Fountainhead home and find that it is less costly to heat and cool, less maintenance and lower expenses. Own the right-size home that is easy for you to care for all by yourself and all on one level. Own a Fountainhead home that is designed for easy living and the very long term. Select from various floor plans or pre-loved homes; visit the model. The County Woman Magazine

Shopping for a new home can be easier if you define your needs, your budget, and your geography. Learn what you need to about the area: How close are your doctors? Where is your place of worship located? Where are your favorite people & activities? You’ll be fewer than 10 miles from CentraState Hospital, fewer than 10 miles from Six Flags, 10 miles from Freehold Raceway Mall, fewer than 10 miles from Lakehurst Naval Air Station (part of Joint Base MDL), fewer than 15 miles from Ocean County Nancy Viviano Mall and Community Medical Center. Seaside is fewer than 25 miles. You will be in the geographical center of the state, an ideal location for keeping your options open as you join the largest population of adults 55+ in NJ with the best and most services to offer.

The “Vista”

The “Claremont” • Quality Constructed Homes • Central Air & Gas Heat • Deluxe Appliances • Energy Efficient Insulation • 2 and 3 Bedrooms • Beautiful Kitchens • Land Leasing • Off-Street Parking • 25 min. to Trenton • 20 min. to the Shore • New and Pre-owned Homes

1 Rose Drive, Jackson, NJ 08527 For directions call

732-928-3100

or visit our website

njfountainheadhomes.com

For more information, call 732-928-3100 or visit www.njfountainheadhomes.com. www.TheCountyWoman.com

November/December 2015

Awning

utilize your space LIVE OUTSIDE (609) 494-3004 www.GiglioAwning.com NJHIC #13VH00891400

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Medical Professionals

Dr. Newman Shares His Knowledge On Narcolepsy Law

Did you know that Narcolepsy is the second most common cause of disabling daytime sleepiness after sleep apnea? This sleep disorder is characterized by daytime sleepiness with loss of muscle strength, frightening hallucinations as the person is falling asleep, and sleep paralysis (a state in which the person wakes and feels they cannot move). With Narcolepsy the person falls asleep irresistibly in a variety of situations such as laughing, crying or emotional excitement. It is equally common in men and women. This disease typically begins in the teens and early twenties, but can occur as early as five years of age or after 40 years of age. Loss of orexin (a chemical in the brain that promotes wakefulness), genetic factors, and rare brain tumors can cause or contribute to Narcolepsy.

Health &Wellness Dr. Stephen L. Newman, a graduate of Albert Einstein College of Medicine, is the first Board Certified Sleep Specialist in Ocean County. He also established the first Sleep Disorder Laboratory in Southern and Central New Jersey. A resident of Ocean County since 1986, he is married to Merrell Newman and has two children. The pride and joy of his life is his granddaughter, Madeleine.

Theater &Entertainment

DIAGNOSIS OF NARCOLEPSY The diagnosis of Narcolepsy is usually made by an overnight polysomnogram or sleep study followed by a Multiple Sleep Latency Test (MSLT). A MSLT is a daytime test to measure the individual’s tendency to fall asleep. The MSLT is a series of naps, which is performed the morning after a sleep study. The patient is placed in a dark, quiet room and instructed to try to fall asleep. Each nap session lasts for 15 minutes after the patient has fallen asleep. If sleep is not attained, the nap session is ended after 20 minutes. There are five nap sessions in a typical MSLT. Other means of testing are available, but are usually unnecessary and are spared for research studies.

THERE IS HELP There are several interventions that may benefit a patient with Narcolepsy. One is avoiding certain medications, such as over-the-counter prescription or illicit drugs, which can produce daytime sleepiness or insomnia. Also scheduling naps, sleep hygiene, or good sleep habits are often helpful for maximal control of Narcolepsy. Well-timed 20-minute naps will often improve sleepiness for one to three hours, but napping can be problematic at work or school. Some patients only benefit from long naps. Sleep deprivation may worsen Narcolepsy symptoms and therefore patients should be counseled to maintain a regular and adequate sleep schedule. Psychosocial support may also be needed. Patients often benefit from participation in support groups that focus on coping skills and identification of community resources to assist with concerns. One medication for Narcolepsy is modafinil, also known as Provigil. It has become a first choice therapy because it provides good control of sleepiness and is generally well tolerated.

Education

TO SUBMIT A QUESTION TO DR. NEWMAN:

CALL: 732-920-8022 EMAIL: drslnewman@drnewman.org or VISIT www.DrNewman.org

Remember: Better Sleep Means Better Health!

Coupon

Do you or alder family member awexperience snoring, daytime sleepiness or wake up unrefreshed in the morning?

Fine Art Photography Stephen L. Newman MD MBA Diplomat American Board of Sleep Medicine

• • • • • • • • •

Fatique Evaulation Sleep Apnea Abulatory, at home, sleep studies Overnight in laboratory diagnostics Driving evaluation CPAP/BIPAP therapy Provent therapy Snoring Evaluation and Treatment Narcolpesy evaluation

Business &Finance

35 Beaverson Blvd, Suite 7C Brick, NJ 08723 Any questions, please call us at 732-920-8022, email drslnewman@drnewman.org. or visit

www.DrNewman.org.

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732.255.7155 • www.oceanplasticsurgerynj.com

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

January/Feb November/December 2015

Copy, Fax & Notary Services

Need Typing Or Proofreading Help During The Holidays? We Are Here For You!

Copy Fax + Offers Friendly, Hassle-Free Service Who can you help with typing and proofreading?

We offer services at all levels. For writers of all ages (students, teachers, seniors), a surprising number of people are more comfortable writing things out with pen and paper: letters, reports, or even magazine articles, short stories, and novels. We can take it from there. For small businesses, holidays can leave them short-staffed. We can be an off-site resource for projects that might otherwise have to be pushed to the back burner.

Bert & Ernie Copy Fax + Mascots

What type of proofreading and typing services do you offer?

Maybe you just need typing for the holiday newsletter you like to tuck into those cards you mail out. (We can also type the labels for your holiday mailing.) Or you’re a student with too many end-of-term papers due – we won’t change your content, just type it up in correct APA format and check all your spelling and grammar along the way. Or your law firm, insurance agency, or other business is short-staffed because of employee vacations – we do transcriptions as well as straight typing. And we can proofread your end-of-year report too!

Do you offer any specialty proofreading?

We have been working for pharmaceutical advertising agencies for many years and have picked up an expertise in medical terminology. Insurance agencies have been using us to transcribe recorded interviews with accident victims and witnesses. Court reporters use our services to proofread their transcripts from depositions and town meetings. We have been exposed to a wide range of terminology from many different fields.

Do you follow a confidentiality agreement?

We have a master confidentiality agreement on file and will be happy to sign one before we begin your project. Or if you have one of your own, send it to us. As you can imagine from the clients we work for, we need to take great pains to protect our work from either physical or cyber attack, and we take that responsibility very seriously.

The Wordstation Copy Fax +

For more information, call 732-477-4800.

Patty and Brian Shannon

Typing • Copy • Fax • Notary Transcription • Proofreading

We can start on your document right away!

Fashion & Beauty

391 Brick Boulevard wordstation@comcast.net Brick, NJ 08723 Hours: 9-5, Monday-Friday Phone: (732) 477-4800 Fax: (732) 477-4861

Patty Shannon, owner, began the Wordstation in 1989 in her home in Avon-by-the-Sea. After 20 years in Avon, Patty moved her office to Brick as Copy Fax + by the Wordstation. Patty types everything from letters to full-length book manuscripts. She truly enjoys meeting people at her office and is always happy to take care of customers, whether they need a single photocopy or hundreds, or want to send a fax. She is also a notary public. “Your very fine typing is more than I hoped for. How you put it together from stacks of cramped, blurred pages counts almost for a miracle.” — J.T. “Your kindness and professionalism was a joy. I would be honored to forward other works in the future.” — H.M.

Barbara’s A FASHION EXPERIENCE

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www.TheCountyWoman.com

November/December 2015

Women Of Ocean County

Debbie Gullo, RN, CBN, AtlantiCare Regional Medical Center: The Institute For Surgical Weight Loss & Wellness

Debbie Gullo, RN, CBN, is a perfect fit for her role, as bariatric program coordinator at AtlantiCare’s Center for Surgical Weight Loss & Wellness. It combines her passion for working with people and her love of medicine with her own experience as a bariatric patient 10 years ago. “I understand firsthand what patients are feeling and going through,” says Debbie, who is directly involved in all aspects of patient care before, during, and after bariatric surgery. Debbie shares that she particularly enjoys seeing the transformation that happens in patients after their surgery. “When patients come in to the program, they’re looking to feel better and make their lives better. After surgery, they’re feeling better, mentally and physically. It’s so rewarding to see patients become healthier, happier, and more positive in life,” says Debbie, who grew up in Pomona and now resides in Mays Landing. Outside of work, Debbie enjoys road biking, dancing, and going to the beach. She, her husband, and their three children enjoy traveling together, particularly going on cruises.

For more information, call 1-888-569-1000 or visit www.atlanticare.org.

Diane Sinnott, Physical Therapist Assistant, All-Care Physical Therapy Center Diane is a Physical Therapist Assistant and practices at All-Care Physical Therapy Center’s Whiting facility. She holds an Associate degree in Applied Science for the Physical Therapist Assistant program from Mercer County College, Bachelor Of Arts Degree from the College of New Jersey, and an Associate’s Degree in Psychology from Middlesex College. Diane is an active member in the American Physical Therapy Association (APTA). As a PTA, Diane believes in a one-on-one approach for physical therapy treatments. She addresses each patient’s program according to their individual needs, goals and objectives. Diane uses manual therapy techniques such as soft tissue and joint mobilization to help achieve results. These techniques paired with an effective exercise program as well as a comfortable, encouraging, and friendly environment can lead to a full recovery. Diane enjoys working at All-Care Physical Therapy Center because of the company’s goals and vision for the best quality of patient care, which are consistent with her approach for treatment as well as ethical and professional conduct. Diane was born and raised in New Jersey. She currently resides in Monmouth County with her husband and two daughters.

For further information about All-Care Physical Therapy Center please visit our website at www.allcareptc.com. Photo by Tracy Harman Photography

Kathy A. Banks, DMD, Practice Limited To Oral & Maxillofacial Surgery Dr. Banks is a graduate of Rutgers University College of Arts and Sciences, Camden with a B.A. in Biology, and Temple University School of Dentistry, Philadelphia. She completed a one year Advanced Education in General Dentistry Residency Program at the University of Medicine and Dentistry of New Jersey in Camden and Stratford, NJ, and then completed a four year Post- Graduate Residency Program in Oral and Maxillofacial Surgery at the University of Medicine and Dentistry of New Jersey in Newark. She is a Diplomate of the American Board of Oral and Maxillofacial Surgeons and the American Board of Dental Anesthesiology. She is a member of the dental staff at Jersey Shore University Medical Center in Neptune, New Jersey and is involved with teaching the postgraduate GPR residents in the clinic and in her private office setting. She has been instrumental in the development of several New Jersey State Board of Dentistry approved continuing education courses offered by J.S.U.M.C. Department of Dentistry Continuing Education Department for dentists, hygienists and dental assistants.

To schedule your appointment with Dr. Banks, call 609-488-2325 or visit www.drbanksoms.com. Photo by Tracy Harman Photography

Kellie Colon, Marketing Director, Toms River X-Ray, CT & MRI Center

Originally from Staten Island, Kellie has been a resident of Bayville for 13 years. Kellie is proud of her more than 30 years of experience in the medical office field, and her career has run the gamut from working in a small “one man office” to management positions in two very successful Healthcare Corporations. Kellie’s extensive customer service training with leading experts in New York City and California has prepared her well for her marketing role with Toms River X-ray, which she joined last year. With her previous experience working in both a medical office and a radiology facility, Kellie has a keen understanding of the importance of the relationship between the two. Kellie also understands that both the patients and the physician’s needs are equally important, and both require superior care in an Imaging Center. Kellie knew that Toms River X-ray delivered such exemplary service, and she takes pride in her new position with such an excellent organization. Kellie’s primary focus is ensuring that the community is aware that Toms River X-ray is the people’s choice in imaging centers. Kellie enjoys vacationing with her husband James, spending time with her children, Nicole and Frank, her grandsons Joseph and Zachary and her stepdaughters and their families.

For more information, call 732-244-0777 or visit www.TomsRiverXray.com.

Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Women Of Ocean County

Alice Marin, Owner, NJ School of Massage Alice, a native of Hoboken, moved to Toms River in 1983. Alice is well known in Toms River having worked for WJRZ fm for 10 yrs and TR Chamber of Commerce for 6 yrs. as Event Coordinator. In 2000, she entered the holistic medical field as a massage therapist. In 2008, she continued her medical dream by receiving a certification as a medical assistant and a fitness trainer, which gave her the opportunity to work for Ocean Health Initiatives health clinics. In 2011, she began teaching anatomy and physiology for NJ School of Massage in Toms River, NJ, where she personally trained many students to become professional massage therapists. As of March 2015, she is the new owner of NJ School of Massage. She believes that a career in Therapeutic massage is gratifying, fulfilling and financially rewarding. In addition, she also believes it’s not just about the anatomy and physiology book work or the hands on bodywork practice, however, it’s all about transforming the person to become more than they can be. Alice has participated in choir singing at church, loves biking, hiking, and exercising. She also enjoys going to the beach with her husband Don and their dog Molly and taking care of her mom.

For more information, call 732-505-0055 or visit www.njschoolofmassage.com. Photo by Tracy Harman Photography

Sarah J. Easaw, MD, FACP, Specialist in Hematology & Oncology

Dr. Sarah Easaw is a board certified Oncologist and Hematologist who has been practicing in Lakewood since 2006. She completed her internship and residency in Internal Medicine at Harlem Hospital, affiliated with Columbia University, followed by a fellowship in Hematology and Oncology at New York Medical College in Valhalla, New York. Before moving to Ocean County, she practiced Hematology and Oncology in Westwood, New Jersey for 10 years. Dr. Easaw founded Ocean Hematology & Oncology, a medical practice focusing on the treatment of cancer and blood disorders. She received Star Career Academy’s Excellence in Healthcare Award in 2010. Her clinical expertise is equal to her ability to treat each patient as an individual with care and compassion. “Dr. Easaw is the most wonderful, compassionate woman and doctor that I have ever met,” says a patient. Dr. Easaw is a member of the American Society of Clinical Oncology and the American Society of Hematology and is a fellow of the American College of Physicians. She is affiliated with Kimball Medical Center, Ocean Medical Center and Community Medical Center. She resides in Monmouth County with her husband and two children.

To learn more about Dr. Easaw and her practice, call 732-961-0010 or visit www.oceanhemonc.com. Photo by Tracy Harman Photography

Gerry Hergert, Owner, Abstrax Hair Designs Gerry was born in Rahway, raised in Linden and graduated from Franklin Beauty School in 1961 as a licensed Cosmetologist and married her high school sweetheart Lou. She raised three wonderful children Laura, Maria and Louis III and moved to Brick in 1971 and opened her first hair salon in 1976. In 1989, she relocated the business to Toms River and renamed it Abstrax Hair Designers. Gerry has expanded the business to include specialties in Hair Replacement, Wigs, Air Brushed Makeup and Skin Care products, designed specifically for Cancer patients. Her passion is to make people without hair look good and feel good about them. She becomes part of providing them with a new life! Gerry just returned from an extensive three-day working conference with the American Hair Loss Council. She received her Masters Certification, as a Board Certified Master Hair Replacement Specialist. Achieving all requirements and meeting stringent guidelines, which are set by the AHLC, earned this award. When not working, Gerry enjoys spending time with family and her four grandchildren Iain, Aaron, Gavin, and Andrea. She loves flowers, birds particularly Humming Birds, and of course her Standard Poodle Luchiao. Gerry is an active member of the American Hair Loss Council, The National Hair Society, BBB, Toms River Chamber of Commerce, Professional Beauty Association/ National Cosmetology Association, Esthetics America CIDESCO USA/NCA.

Gerry can be reached at 732-255-1733 or www.abstraxhair.com. Photo by Tracy Harman Photography

Nancy Rice, Esquire, CELA, Rice Elder Law

Nancy Rice is an Elder Law and Estate attorney with two offices in New Jersey: Ocean City and Cherry Hill. She has been practicing law in New Jersey and Pennsylvania for over 25 years and is passionate about helping clients with any legal needs they might have. Her firm, Rice Elder Law, focuses on Wills, Trusts, Estates, and planning in the event of disability. Nancy is particularly passionate about providing a welcoming atmosphere in her firm- one that is both friendly and professional. Nancy was born and raised in Pennsauken, NJ and currently resides in Ocean City. Her son, Sean, is a Wealth Management Advisor at Garden State Trust Company and her daughter, Meghan, is a student at Drexel University Thomas R. Kline School of Law. Nancy’s favorite hobby is boating in the spring and summer on her boat, Crabe Diem- often with Mitzi! Additionally, Nancy loves to travel and cook for her friends and family.

For more information, please call 856-673-0048, or visit www.RiceElderLaw.com and take a look at our videos. Photo by Donna Andrews Photography

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Business &Finance

Greater Toms River Chamber of Commerce

Noelle Lotano Executive Director

When I came to the chamber nearly one year ago, I was asked where nonprofits fit into our membership. In an effort to bring awareness to our 501(c)(3) members, we recently initiated a Nonprofit Committee. The chamber’s Nonprofit Committee will provide opportunities for professional development designed to strengthen area nonprofit organizations; provide a forum for nonprofit organizations to share best practices; provide opportunities to network and form collaborative relationships with for-profit chamber members; and provide visibility for the issues and causes being addressed by area nonprofit organizations. At this time, we boast nearly 40 nonprofit organization members. That’s a lot of opportunity for giving! - Enjoy the season, Noelle Lotano, Executive Director

Jeremy Grunin, Chairman

Here’s a list for your reference. It is our hope that during this season of giving, you will consider these fine organizations. American Cancer Society-Jersey Shore Region Institute For Prevention/DART Coalition Big Brothers Big Sisters of Ocean County, Inc. Jewish Federation of Ocean County Boy Scouts of America, Jersey Shore Council National Council on Aging Caregiver Volunteers of Central Jersey New Jersey Institute for Disabilities CASA of Ocean County Northern Ocean Habitat for Humanity Community Medical Center Foundation Ocean County Business Development and Tourism Community Options, Inc. Ocean County College Foundation Division of Child Protection and Permanency Ocean County Health Department Foodbank of Monmouth & Ocean Counties Ocean County Library Girl Scouts of the Jersey Shore Ocean County Score Chapter 150 Ocean County YMCA, Inc. Harbor House www.TheCountyWoman.com WomanHometown Magazine Ocean Health Initiatives, Inc. Heroes Ocean Mental Health Services, Inc Hope Sheds Light, Inc.

Preferred Services Retail, Hospitality & Tourism Talent Network Seaside Heights Business Improvement District Soroptimist International of Toms River The Arc, Ocean County Chapter, Inc. The Salvation Army Toms River Business Development Corp. Toms River Police Department Township of Toms River United Way of Ocean County Your Grandmother’s Cupboard

January/February 2015

WELCOME NEW MEMBERS

Membership Application

Join us in our Mission to accelerate the economic development of our vibrant coastal community, by actively supporting, retaining, and attracting local business owners and national industry leaders.

Membership Application Join us in our Mission to accelerate the economic development of our vibrant coastal community, by actively supporting, retaining, and Company Name attracting local business owners and national industry leaders. Contact Name Mailing Address Company Name Billing Address Contact Name Phone Mailing Address Email Billing Address Website Phone Business Category Email Number of Employees Website Signature Business Category

The County

Number of Employees Signature 1027 Hooper Avenue, Building 1, 2nd Floor, Suite 5, Toms River, NJ 08753 P: 732-349-0220 • W: tomsriverchamber.com • E: info@tomsriverchamber.com Woman Magazine www.TheCountyWoman.com

Green Office LLC Jeff Horn 801A Main St Toms River, NJ 08753 732-730-9939 www.greenofficellc.com Business to Business Services Document Shredding Maruca’s Pizza Maria Maruca 601 Ocean Terrace, Seaside Heights, NJ 08751 732-793-0707 www.marucaspizza.com Restaurants Congregation B’nai Israel Laurie Smiley 1488 Old Freehold Rd. Toms River, NJ 08753 732-349-1244 732-349-3003 www.cbitr.org Religion & Spirituality Social 37 DJ D’Onofrio 952 Rt. 166 Toms River, NJ 08753 732-349-2710 www.socialthirtyseven.com Restaurants

November/December 2015

Acupuncture

relief of these symptoms can be made to treat acute symptoms and achieved during the first treatment. boost the immune system to prevent Acupuncture treatment is not future symptoms. For convenient only focused on acute symptoms, usage, Herbal formulas come in but also the underlying causes of tablet form. One of the most treatment the allergies. In Chinese medical appealing advantages to taking g the nasal pastheory, the body is protected by herbal formulas is that there are no immune system Wei Qi (defensive qi). This protecunwanted side effects. People do the organsAcupuncture and tive flows at the surface of has been not have to worry about drowsiness is aenergy safe and natural therapy that forproviding treatmentresistance of acute and of the proven body to be effective the body, to chronicat work or while driving, or pain. reactions from things like cold and flu and allerimmune system suppression or over supporting the affected energy gies. who have weak Wei Qi reliance on medication. It can manage painPeople and improve range-of-motion systems in the body. This is true for al Allergies? more susceptible to getarthritis sick or is viewed How Often Do I Need To Get throughout theare body. In Chinese medicine, any environmental allergies, pet a painful obstruction of the body’s Qi (pronounced gy is anasallerhave allergy symptoms. By needlingchee). Treated? allergies, and even food allergies. is the life force or vital energy. needles areInitially, treatment about twice mething Qi that is body’ssome points on the bodyHair-thin that help inserted into the skin to stimulate the body’s qi. This removes Commonly Treated Seasonal ent for part of the support the weithe qi, free we can a week would be suggested. Once the obstruction and encourages flowhelp of qi,totherefore, Allergy Symptoms: he mostrelieving commonpain and prevent symptoms in motion. the future. significant relief has been achieved, increasing range of • Sneezing llergies. Spring Can Chinese Help To form of usually 2-3 weeks, treatment could OSTEOARTHRITIS (OA) Herbs is the most common • Runny stuffy nose arthritis. It is caused by a degeneration GOUT arthritis caused by the deposit of uricoracid crystals within worst season Relieve Allergies?of the cartilage within the joints. be less frequent. Asistreatment the joint weakens,Chinese from age or overuse, • Dry orthe irritated eyesknees. cartilage of joints. system It most commonly affects big toe and e of newAsgrowth herbs canpain, alsoswelling, be usedand limited continuesthe and the immune range-of-motion may occur. Overtime, this can advance from a nagging This is usually due to a diet rich in protein, or alcohol consumption, but • Post nasal drip . Fall is pain alsoora ache to a to help with becomes stronger, symptoms should disabling pain. allergies. All of the can also be related to genetic factors. • Cough rgies due to other consists Chinese medical theory about become less The severe. possible Treatment of using supportive points for the individual’s focus It of is treatment for gout is relieving pain and decreasing • Chest constitution and points in the area of pain. Because osteoarthritis through some nd leaf mold. continued treatment swelling. Acupuncture points around the area of congestion pain are the most useful. • Wheezing degenerative, most cases require some degree of maintenance. after the allergic TREATMENT: initially treating any type of arthritis with ncture isHelp To season thatWhen sympAcupuncture helps to manage your pain and improve joint mobility Conditions: acupuncture,year consistency Significant reliefTreated can usually be seen toms the following would isbeessential. Commonly without side effects, reactions or fear of dependency. within two weeks. Once the condition •is Allergic controlled,Rhinitis some maintenance an help with acute less severemay or cleared completely. RHEUMATOID ARTHRITIS (RA) is a systemic autoimmune be required to keep the pain from returning. During treatments • Allergic Conjunctivitis gies, such as stuffy The younger a person is whenforthey disorder that causes inflammation, pain, swelling and stiffness in joints, the needles are retained 20 – 40 minutes. Most people become very • Sinusitis usuallypost of the hands. Eventually RA can cause the joints to becomestart treatment, , itchy eyes, the more likelyand they relaxed during treatments some even fall asleep. • Otits Media roat anddeformed. cough. are to be rid completely of the issue. Acupuncture treatment for RA will have points in the area of pain, • Upper Respiratory Infection TO CONTACT KEITH KOEHLER o stimulate the Can Acupuncture And Chinese but focuses on regulating the immune system and increasing the overall • Asthma rgy). Byhealth mov-of the patient. Once again, acupuncture can help manage the Herbs BeCALL: Helpful With Other Al732.262.0637 or • Food Allergies ongestion in thewith less use of medications. lergies? VISIT: www.KoehlerAcupuncture.com condition Koehler Acupuncture can help an be moved, and Yes, In Chinese medical theory, relive those seasonal allergies. Call dryness in the allergies can be applied in the same all allergies can be addressed by 732-262-0637 and schedule your . Often Conditions some way to Chinese herbs. Formulas are treating acute symptoms and Commonly Treated We the Feature appointment today. Complementary Techniques

has been used to treat es for decades in r centuries in

Acupuncture Helping Arthritis: What You Need To Know

About Keith Koehler

By Acupuncture

Moxa Allergies & Asthma Insomnia Tui Na Massage Anxiety & Depression Menopause Commonly Treated We Feature Cupping Nausea & Digestive Disorders Arthritis Complementary Techniques Gua Sha ure Autoimmune Disorders Neuropathy Back Pain & Sciatica Skin Disorders Electro–Acupuncture Moxa ma Insomnia Chronic Fatigue Smoking Cessation Tui Na Massage sion Menopause Genitourinary Disorders Strains & Sprains Cupping Nausea Disorders & DigestiveStress Disorders Gynecological & Migraine Tendonitis Gua Sha orders Headache Neuropathy Hypertension Weight Management tica Skin Disorders Electro–Acupuncture Infertility Whiplash

sorders sorders raine

Smoking Cessation Strains & Sprains Stress Tendonitis 128 Drum Point Road • Brick, NJ 08723 732.262.0637 Weight Management www.koehleracupuncture.com Whiplash

Koehler Acupuncture

AboutKeith...

that he would want to be treated. Since opening his practice in 2004, his core beliefs remain the same. His favorite The County Woman Magazine www.TheCountyWoman.com Chinese principle is to treatNovember/December everyone of his patients2015 as an

Koehler Acupuncture

Keith Koehler received his Bachelor’s of Science in Health and Physical Education from received LockKeith HavenKoehler University, and his his Masters in Acupuncture and in Health Bachelor’s of Science Oriental the New at Lock and Medicine Physicalfrom Education England School of Acupuncture. Haven University, and his His philosophy from the very Masters Acupuncture and beginning has in always been to treatOriental his patentsMedicine in the way that from the he would what to be treated. New England School of Since opening his practice in Acupuncture. 2004, his core beliefs remain HisHisphilosophy from the very the same. favorite Chinese beginning has alwaysof been principle is to treat everyone his to patients an individual. treatas his patients in the way

128 Drum Point Road • Brick, NJ 08723

TTrravel avel Travel

00 61

Top Caribbean For Fall / Winter 2015 SHAKE UP YOURIslands HOLIDAYS 55 Travel ravel 63

Grand Cayman — ☼ he air might still be balmy and the evenings warm andThe light,Food Destination but the

Taking It With You: A Packing Primer

may notthis realize fall and winter holidays will be here before you knowYou it, making the it, but Grand Cayman is one of the region’s culinary perfect time to think about booking your holiday travel. The majority of capitals. From Eric Ripert’s Blue to your the holidays occur in the “lowYou’ve season”booked when the lines are shorter, theof more than 200 Ortanique, it’s full long awaited vacation top-level restaurants weather is often quite pleasant and thewith prices more affordable – especially if featuring both your Travel local and- international Professional you’re you book in advance. Not to mention all the festivals and and activities it truly is a cuisine. In other words, a foodie’s dream. And when ready magical time to discover Europe! Here are ato fewpack travelyour ideas for you to consider while you’re finished eating, you can retire to suitcase. celebrating the holiday season abroad. Now the big question theis:luxury of the Ritz-Carlton or the

What do you takeWestin on Seven Mile Beach. you? If you’re Italy with & Thanksgiving Pasta British Virgin cruising Islands -- in the Caribbean

# island for There’s a Caribbean With so many new ☼ fees and • Add a few more tee shirts and another pair of shorts More andrestrictions more we the areairlines seeinghave families escape the hustle and In Search of Adventure • Lightweight sweater, rain poncho, and zippered plastic bags everyimposed travel desire, however, bustle a traditional U.S.entire Thanksgiving the flavors of Italy.hiking Diving,for sailing, snorkeling, for baggage, you will have to of consider leaving your closet for wet suits. home from now on. Some airlines are the for carry-on bagsand now,island Though holiday is not recognized in Italy, you may someVirgin hopping. Thefind British everyatandCaribbean island ischarging • Whatever you forget you can purchase on board or at the other airlines let you boardrestaurants first if you have no carry-on bags. So what serving a traditionalIslands turkey is dinner, be prepared full ofbut adventures bigtoand ports or resorts. are the essentials to pack? restaurant’s delicious Italian menu. different, and eachreceive onethehas a original small, whether snorkeling A fewyou’re years from now whatat The Here is a packing primer from Carole Kaiman, Travel Professional that you will remember is the total IndiansMarkets or exploring the caves of The might help with the process. # Germany’s Christmas diverse range of experiences experience of your vacation, NOT Baths. Virgin Gorda’s North Sound is Let the colorful lights, aromas of hot chestnuts andforgot grilledtosausages and the chill of winter cast a the things you pack. an adventure in itself — led by its Bitter For a week in the Caribbean: to offer, whether you’re *Remember, your Vagabond* magical spell over you. There are so many markets in best Germany choose • 2 swimsuits End Yacht Club,Travel the hoteltoincan the from that we suggest visiting Virtuoso Professional couple larger and also one in a smaller village town to experience the different settings. (put 1 in your carry-on beaches, so just you acan go right to ones the beach) Caribbean foryou watersports. looking for food, assist in planning a vacation • 2 cover-ups with the most value and added Antigua — #dining New Year’s Eve Fireworks with sleeves for evenings on the beach & 1 Pareo) art or(1adventure. This year’s touches to make your experience a ☼ A our Trip Through Some of favorite cities to visit when ringing in the New Year are memorable one.History • Yoga pants and 2 tank tops This is one the best-kept secrets Fall/Winter Ourof dedication toInour clients before, during andtoafter Paris, Dublin and Barcelona. Paris, if you really want be every at thevacation cen• 2 shorts and list 2 tees highlights makes a world of difference. in the Caribbean. A meticulously • 3 sundresses ter of the party, head to Champs-Elysées for the front-row action. But don’t include some offlatthe best preserved and restoredInstead, dockyard • SHOES: Flip flops, sandals, wedges, sneakers expect to see any fireworks. theand Parisians organize an incredible light Enjoy Your Travel Experience. • Pashmina naval base where Horatio Nelson once show that features the Eiffel Tower. In Dublin, grab a pint of Guinness and (and,• in some cases, under Sunglasses Your Travel Virtuoso It’s Vagabond really because it’s andAdvisor enjoysojourned. all the special events,great parades, fireworks concerts. In Barcelona, • Packable sun hat and foldable beach bag For over 25 years, a historical site where you stay right the radar) attributes of a host take part in the tradition of La Nochevieja, when families and friends get • Costume jewelry, (leave the real jewels home) inside truly a feel for one of the the arrival of the New Year. Carole Kaiman together to and share a lateget meal before celebrating and an eveningdestinations. purse of Caribbean region’s treasures. Vagabond Travel According to historical tradition, wearing red underwear and eating twelve grapes at Must Haves: of*Check the clockCAROLE in the countdown to midnight brings good luck! CONTACT KAIMAN Listed• Insect areRepellent, our top picks(with at least 30 SPF)everyTOchime Sun Protection out • Facial and body moisturizer www.virtuosolife.com NowCALL: that you732-222-2792 have a few travel ideas, or let’s shake things up this year by for Fall / Winter 2015. • Make up Bag: waterproof mascara, eyeliner, ourand Digital gathering yourfor family friendsMagazine to celebrate the holidays in European style! hair conditioner and shampoo

VISIT: and www.vagabondtvl.com. some amazing travelinformation. ideas. Call Vagabond Travel Agency for more

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732-222-2792 Direct 732-842-2600 Office

website: www.vagabondtvl.com

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May/June 2014 2014 September/October November/December May/June 2014 2015 September/October 2015

Community

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

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November/December 2015

Travel

Making My Way Back to Paradise

I received a phone call from an Atlantic County Woman reader in August who shared with me that she had a wonderful time at Jensen’s Marina on Captiva Island, FL after reading the article in ACW magazine several years ago. She was wondering if I was still visiting Jensen’s twice a year and if there have been any changes there. I had to admit that “life” had gotten in the way of my making a return visit, as I continued to build my business, got married, had grandchildren and traveled to other destinations. I assured the reader that I would do some research and that she would find an updated article in the Nov/Dec issue.

grouper sandwich, home-made raspberry ice tea and creamy key lime pie at the Lazy Flamingo Restaurant before making a quick stop at Bowman’s Beach for some shelling. Driving into Captiva, we soon arrived at Cottage 8 at Jensen’s Resort and Marina and were thrilled to see that very little had changed. In fact, the only difference I observed upon our arrival was the addition of a small “Jensen’s Museum.” This had been built right next to their store, which features a large variety of Jensen Marina hats, shirts, cups and other treasures.

As I started to plan my trip, I wondered how long it had been since I’d visited this quintessential vacation spot that had become my second home. In a search through my archives, I found my previous articles, dated Sept/ Oct 2007, Nov/Dec 2007 and Jan/Feb 2008. It had been seven years! Without a moment’s hesitation, I called Dave at Jensen’s, who immediately recognized my voice. We launched into a conversation as if no time at all had passed since our last chat, and by the end of the call, I had reserved Cottage 8 on the bay for the following weekend. Dave’s warm and friendly manner reminded me of the total relaxation that awaited me at Jensen’s Marina. I started looking forward to the incredible shelling, the manatees, the white sandy beaches dotted with swaying palms, and the casual chic boutiques that make Captiva Island such a wonderful getaway.

Next on my “to-do” list was a bike ride to Bowman’s Beach from Jensen’s Marina. It is about a 5-mile bike ride, traveling south, along the coastline. It is located mid-island on Sanibel (you will bike over the Captiva/Sanibel line) and is found off Sainbel-Captiva Road. Bowman’s Beach is pristine and quiet. It is a prominent shelling beach and people come from all around to collect a myriad of shells. Although it is a popular beach, there is still plenty of room to stretch out and discover your own private spot for swimming or shelling. Also, there is plenty of room for windsurfing or sailing. However, our enjoyment of this lovely setting was interrupted by the sudden appearance of large black clouds and a clap of thunder, which sent us peddling furiously back towards Jensen’s. Although we didn’t quite make it back before the rain overtook us, we stopped and ran into the Lazy Flamingo Restaurant and enjoyed an ice tea and appetizer, while we waited out the short but powerful storm. That evening we enjoyed dinner and a breath-taking sunset at the Mucky Duck. Sitting 60 feet from the water and smack on the sugar-white sand of Captiva Island, this British-style bar has a neighborhood beach vibe, where the delicious food and beautiful scenery has attracted locals and visitors nightly since its opening in the mid-70s. There are picnic tables set up outside as well as plenty of dining space inside and around the large pub bar.

The unpredictability of Florida’s August weather became a factor in planning our trip. In fact, the very real possibility of thunderstorms and strong winds were giving me second thoughts. However, as the “Fishing Headquarters of Captiva Island,” Jensen’s has the most cutting-edge weather and tide forecasting equipment available, and using this equipment, Dave assured me that we could easily schedule our trip around the weather. Although intense, the thunderstorms would be short, and we could spend those rainy hours enjoying the delicious food and wonderful music in the local restaurants and cafes. With those assurance, we were on our way, a “to-do” list in hand listing all the wonderful activities we had enjoyed in the past and wanted to re-visit. Driving through Sanibel Island, we stopped to visit my favorite retail stores, pleased to see that they were all still doing well. I enjoyed my favorite lunch of grilled The County Woman Magazine

The next morning, we set off to complete the next and most exciting item on my “to-do” list, a boat and shelling trip to Cayo Costa State Beach Island. Although I’m not a sailor myself, my husband fortunately enjoys driving a boat, so we set off on the 40-minute boat ride, equipped with snorkeling and shelling gear and a picnic lunch. We weren’t disappointed with the abundance of wildlife sightings along the way, including eagles and osprey flying overhead, large stingrays near the surface of the water, and manatee, dolphins, and a huge sea turtle on the surface – the first one I had ever seen! I watched in amazement as this magnificent creature swam effortless by our boat. Arriving at the beach, I saw immediately that huge changes had taken place since our

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November/December 2015

Travel

Jensen’s Island Resorts & Marina last visit. Instead of a single wooden rickety dock, we approached a brand new “all weather dock,” featuring individual slip areas where we could dock our boat. Near the dock were large signs advertising Cayo Costa, a tram waiting to drive us from the dock straight to the beach, and a big metal box into which we could insert money to support all this enterprise! The buildings were plastered with signs advertising snack foods, souvenirs and cabins to rent along the Gulf side of the Island. UNBELIEVEABLE! Right up until seven years ago, our journey to the beach took place on foot, via a narrow dirt path among Florida Slash Pines, Live Oak and Australian Pine trees!. In the past 7 years, the state eradicated the Australian Pines as they were pushing out the native plants. Once we reached the beach, I was pleased to see it was still pristine, sugar-white, and strewn with an abundance of shells, including fighting conchs, giant cockle, lighting whelk, broad ribbed cardita, calico clam, tinted cantharus, alphabet cone, buttercup lucine, sunray venus clam, moron’s yellow egg cockle and much more.

Luckily, we were the only people shelling that morning. Filled with joy and completely relaxed, I floated in the 85-degree water, discovering one sea treasure after another. Some of the highlights included heartshaped cockle shells; augers, urchins, sunray vensus clam and channeled duck clams. After a few hours of sun, sand and swimming, a peanut butter sandwich never tasted so good! I’m happy to report that I was able to complete my “to-do” list before leaving the island, checking off the last task by ordering the specialty Bloody Mary drink with a grilled salad at the Keylime Bistro. It tasted just as wonderful this time as it had seven years before, with outdoor music setting the perfect beach mood. If you are interested in unplugging from today’s stresses and celebrating a simpler lifestyle among friendly people who are totally committed to making your island adventure memorable,

all Jensen’s Island Resorts and Marina today, at 239-472-5800, C and make plans for your escape from the approaching wintry weather. When you do, don’t forget to say “Hi” to Dave from Lynn and tell him I’m looking forward to going back soon! Jensen’s “On The Gulf ” Captiva Island’s only small resort directly on the beach! 15300 Captiva Drive Captiva Island, FL 33924 Phone 239-472-4684 Hours: 10:00 am - 8:00 pm Monday - Thursday 10:00 am- 6:00 pm Friday and Saturday Jensen’s Twin Palm Cottages and Marina Resort “Experience True Captiva Jensen Style” 15107 Captiva Drive Captiva Island, FL 33924 Phone 239-472-5800 Hours: 7:00 am - 6:00 pm To Do Lis t: Monday - Saturday • Shellin g on Bow man’s Be For more information and • Lunch ach at the Laz make a Reservation, visit y Flamin • Bike RId go www.gocaptiva.com, and shelling e to Bowman’s Be a and a wa go to the Marina lk on the ch for • Dining gulf side a Resort page and view . Mucky Dnd sunset viewin g at the uck a cottage video of • Watchi n your choice! Beach (I’lg the sunrise from next visit l have to reschedu Jensen’s le on my !) • Boat rid e Island to Cayo Costa Sta te Park • Shellin g Costa gu and picnic lunch lf side be on Cayo ach • Stoppin g the way b at Cabbage Key Is other stop ack from Cayo C land on os I’ll have t o rescheduta (an• Enjoyin le!) g grilled sa a specialty drink l a a music at d while listenin nd the KeyL g ime Bisto to

this is the place!

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November/December 2015

Community

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November/December 2015

C ommunity C ommunity

Save the Date

Historic Dennisville Christmas House Tour Saturday, December 20, 2014 • 5:00 PM to 9:00 PM

Submitted by: Dennisville Historic Home Owners Association

After 26 years of presenting the Historic Dennisville Christmas House Tour, the Dennisville Historic Home Owners Association has decided not to conduct a 2015 Dennisville House Tour.

n the 3rd Saturday of December each year a minimum of eight beautifully decorated 18th and 19th century historic homes, as well as several public buildings and two churches, are open to the public. Please think about starting your holiday season with a festive glimpse of history in Dennisville at Christmas time! Carolers will stroll through the village as well as perform two mini concerts through the evening. There will be refreshments at the Dennisville Church Social Hall and at the Dennis Volunteer Fire Company. The fire company will also display a piece of vintage fire equipment. House Tour Tickets will be sold at the Dennisville Post Office, the night of the tour, only for $10.00. Greeters will get tour visitors started and answer questions about the tour. The featured house is the Enoch and Nancy James House - ca. 1820 – 1830. Current owners, Don and Lin Gooch, have done a magnificent job restoring the former “Sutton House” and rebuilding and expanding the barn on the premises. “Floor boards from the house attic were removed and used as flooring in the main rooms on the first floor” states Don Gooch. In response to a question by Jack Connolly, DHHOA president, what drew them to Dennisville, Lin Gooch relays the following: “we had been doing research online and on Ancestry. com about my great-great-grandfather, Capt. Charles Crawford. My grandmother remembered visiting her mother at a home in Dennisville when she was young. After finally contacting the DHHOA and many questions later, we realized that the Capt. Charles and Lydia Crawford House (the featured house of the 2013 House Tour) was in fact my ancestral home—the home that my grandmother used to visit as a child. Years ago, all houses in Dennisville were white with green shutters. Now most of the houses sport beautiful colorful coats of paint which distinguish the houses from how they appeared in the past.”

We will be back in full form for a December 17, 2016 House Tour. Mark your calendars and enjoy a photo collage of recent House Tours in the Dennisville Historic District. Visit www.dhhoa.org for more information.

A separate soup and sandwich supper will be available at the South Dennis Trinity United Methodist Church on state Route 47 in South Dennis, just south of Dennisville. It begins before the house tour at 4:00 pm until food runs out. The price of the supper is $8.00 for adults and $3.50 for children under 12.

DHHOA MISSION

“Preserve what you have—you can never replace it.” Jef Buehler, Main Street New Jersey, NJDCA

The Dennisville Historic Home Owners Association is a private, non-profit 501 (c) (3) corporation incorporated in April, 1990. Its mission is: “to study the history of the area and to encourage the preservation of the historic homes in the Dennisville Historic District and Dennis Township so that future generations will be able to view them and learn about the area’s rich history”. The village of Dennisville is on both the National and State Registers of Historic Places as a Historic District comprising more than 60 structures. As a result of its long term preservation, beautification, and educational efforts, the DHHOA is considered the Custodian of the Dennisville Historic District.

Additional information is available on the website, www.dhhoa.org, by email at dennisvillechristmashousetour@verizon.net or by phone at 609.861.1338.

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November/December 2014 November/December 2015

Community

Charity Auction Are you a golfer? Do you know a golfer? Have you ever wanted to play Pebble Beach?

2015 Lexus Championship Charity National Championship December 9 - 13, 2015 Pebble Beach Golf Links â&#x2014;? The Links at Spanish Bay â&#x2014;? Spyglass Hill Golf Course

Tournament Format: 54-hole event, three days of play, 18 holes/day Two-person better ball, Amateurs Only

Bidding is Now Open! (Minimum bid $5,000) Bidding closes on Friday, September 18th at 4:00pm. To place your bid: Call the Foundation office 732.557.8131 or Email cmcfoundation@barnabashealth.org The winner will be announced during the dinner at the R. H. Ogle Golf Invitational on Monday, September 21st. For more information on this trip, contact the Lexus Champions for Charity Program office at LCFC@Octagon.com, call the Foundation 732.557.8131, or visit www.cmcgiving.org

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Community

WEforum Health & Wellness Conference LECTURE TOPICS INCLUDE*: ■ Meditation & The Power of Positive

Thinking ■ Best Non-Surgical Options for Looking Youthful ■ Raising Kids to Both Respect & Love Their Bodies ■ Building Resilience...The Struggling Learner ■ How Toxic is your home? ■ Food Politics, Big Business ■ It Takes Guts to be Healthy: Inflammation and Nutrition ■ End of Life Management: Caring for our Parents ■ And many more lectures!

we presents

F O R U M

April 20, 2016

educate . empower . evolve

VENDOR FAIR FEATURING:

Ocean Place Resort & Spa One Ocean Blvd. Long Branch, NJ 07740

■ Local medical practices, businesses &

healthcare facilities in fitness, food, cosmetics and wellness fields ■ Products for mind, body and soul ■ Free giveaways & raffles

ADMISSION: ■ $99 Early bird special (by March 15th) ■ $125 Regular Admission

WEducate

WEmpower

• 47% of all deaths in the US occur from chronic illnesses. • WEforum partnered with Monmouth Medical Center and Barnabas Health to promote health and wellness education.

• Women are primary decision makers on health care for their families. • WEforum spreads knowledge to women on living a happier, healthier, more balanced life.

WEvolve

Attend WEforum

PROCEEDS: ■ Proceeds from event will fund the

development of free wellness educational programs & services. ■ Programs will be accessible to everyone in the community, promoting early detection and prevention of chronic disease.

• Attend a day-long conference, with workshops led by doctors and wellness experts. • Don't miss our vendor fair spotlighting products, services and free screeenings for the health conscious.

• Help change the health care paradigm and shift our focus to behavior modification. • Proceeds will fund free wellness educational programs and services in our community.

*Lecture topics may be subject to change.

For sponsorship and vendor opportunities call Davina Feingold at 732-923-7521 or by email at dafeingold@barnabashealth.org.

educate

empower

The County Woman Magazine www.TheCountyWoman.com

evolve November/December 2015

Community

EXPUNGEMENT SEMINAR 2015 The seminar will offer information on the expungement process including: • Types of records that can be expunged • How to file for an expungement • What happens at the expungement hearing • What to expect if you represent yourself

FREE PROGRAM OPEN TO THE PUBLIC

November 20, 2015 10 am - 12:30 pm Superior Court of NJ, Ocean Vicinage Jury Assembly, 1st Floor 100 Hooper Ave., Toms River, NJ 08753

To reserve space or for more information please call: 732-929-2063 or Email: oceanlric.mailbox@judiciary.state.nj.us

This seminar is presented by the Ocean Vicinage. Please note that your personal case cannot be discussed. Business & Personal Storage

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November/December 2015

NY ONTHIN TH G H E W AP AY PE TO NE TH D E

RU CH

KICK OFF YOUR HOLIDAY SEASON WITH A HILARIOUS ROMP THROUGH ANCIENT ROME!

Entertainment

B U BY & L RT S AR HE MU R V SIC S T A N D L Y G E E LO EP YRICS LB VE OR H AR B IGI EN Y NA T HA L LY P SO R RO O N LD DUCED DHE ON S. PR BROAD IM W IN C E AY BY

Theatre

DIR

D JE ES S S BY — ICA ST NO ON V1 E 4– DE C1 3/ 20 TE

TICKETS ON SALE NOW! 732.345.1400 TWORIVERTHEATER.ORG

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November/December 2015

Theatre & Entertainment

“SPLENDID. A FIRST-RATE CAST!” The New York Times

directed by

JOE DiPIETRO DAVID SAINT

MARLO THOMAS

GREG

KATE MULLAVEY WETHERHEAD

Photos by Matt Murphy

TELECHARGE.COM | 212-239-6200 | CLEVERLITTLELIES.COM WESTSIDE THEATRE (UPSTAIRS) 407 WEST 43RD STREET, NYC

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November/December 2015

Theatre & Entertainment

LIMITED ENGAGEMENT - JAN 3 - 23

A new play about the impact of war on women Directed by

Stephen Stahl

Written & Performed by

Susanne Sulby

Recently Featured in

“

INGENIOUS BUBBLE ” WIZARDRY. -THE NEW YORKER

Capitol Fringe Festival

Edinburgh Fringe Festival

(Washington DC)

“Based on heart-wrenching letters from soldiers in Iraq, Sanctuary is MOVING and POWERFUL!” - Edinburgh Reporter

“Sulby shows an IMPRESSIVE dexterity of performance.” - edfringereview.com

“HEARTFELT THEATRE.” - DC Metro Theater Arts

“A POWERFUL & COMPELLING show about the universal experience of war across the centuries.” - GoMag

Telecharge.com or 212.239.6200

For groups or birthdays call 866.642.9849

New World Stages 340 W 50th St.

GazillionBubbleShow.com

Lion Theatre, Theatre Row, 410 W. 42nd St. 212-239-6200 - SanctuaryThePlay.com

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November/December 2015

Community

Youth With Special Needs Awarded Grant To Help Create Healthy Meals! The Family Resource Network has

been awarded a grant from the Elks USA to support Young Gourmet’s healthy cooking classes for youth with special needs in Toms River. Dedicated to creating an inclusive culture of health, the Family Resource Network’s Get FIT and Center on Nutrition and Disability provides health and wellness programs for people with disabilities, chronic health conditions, and their caregivers. The Family Resource Network advocates for, and provides an increased access to inclusive health promotion services in efforts to decrease disparities experienced by people of varied abilities throughout the lifespan.

Affordability and accessibility are two barriers that families in Ocean County will no longer have to encounter when seeking services. The funding from the Elks USA will allow families with youth who have a special need to access weekly healthy cooking classes at Toms River Intermediate East. A Get FIT Nutritionist who is Serv-Safe Certified with assistance being provided by Volunteers from Toms River Elks Lodge #1875 teaches each session. Sessions include a nutrition education component and a hands-on cooking demonstration. Young Gourmet represents The Family Resource Network’s commitment to inclusion by offering the program to youth with and without

special needs. Registration for Young Gourmet is presently open; please contact Nicole Infante at 856-858-5900 ext. 403 to register. The Family Resource Network plans to expand Young Gourmet statewide so that youth and adults with disabilities can pursue healthy lifestyles in their own community. To learn more about Young Gourmet and to register for a program near you, please visit www.getfit4all.org.



With an array of support programs and directly services, The Family Resource Network is presently serving every county in NJ. For more information on what programs and services are available in your county please call 856-858-5900 or visit www.familyresourcenetwork.org.

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November/December 2015

Community

Fundraiser Weekend to Benefit Wounded Warrior Project Submitted by Marie Tansey undraiser weekend to benefit Wounded Warrior Project was held at Four Seasons Mirage on August 21 and 22. This fundraiser was cosponsored by the Mirage Men’s Club, Mirage Women’s Club, Mirage Social Committee, Italian American Cultural Club and Mirage Board of Trustees. Under the leadership of Bruno Iamonte, Fundraiser Coordinator, the weekend began with a social on Friday evening. The social was catered by Touch of Elegance, located in Barnegat.. Also served were two pasta favorites inspired by Frank Gambino and assisted in the cooking was John and Dorothy Vaccarello. Guests socialized and circulated in our clubhouse lounge while other enjoyed the summer evening on our beautiful veranda, overlooking our picturesque fountains and lake.

After the cocktail social had concluded, the guests assembled in the ballroom, which was decorated in red, white and blue. A welcome was delivered by Bruno Iamonte, Chairperson of the fundraising weekend. Following the welcome, our veterans residents proudly carried flags representing each branch of our armed forces, the MIA/POW flag and the greatest of all our American flag. These men, some of whom are wounded warriors themselves, were introduced by Command Sergeant Major Charles Thomas, Retired. Before introducing the Color Guard Command Sergeant Major Thomas stated he would like to take this opportunity to thank all the Mirage residents and friends who have supported the Mirage fundraiser weekend to benefit the Wounded Warrior Project. The worst feeling that a Wounded Warrior can experience is that he or she is alone during their troubling times and that no one cares. The Patriots here at Four Seasons at Mirage will

always answer the call, and take the time to support our Wounded Warriors in all circumstances. Command Sergeant Major Charles Thomas announced that the Honorary Color Guard for the event was for the late Sergeant Joe Germano, United States Army, 9th Infantry division and 82nd Airborne Division, recipient of two Purple Heart Medals for wounds received in combat in the Republic of Vietnam. Assisting with the Mirage Resident Color Guard- Phil Sprofera, posting of the Colors was Corporal John Rich Boscarino, Frank Tansey, Bob Nemeth, Frank Healey, Dugan. Dan Moss, John Germano Following the presentation of the Colors, Bruno Iamonte and the fundraising committee Bonnie Levy McAlister delivered the Benediction for the evening. Live entertainment for our listening would to extend their appreciation to John Vaccarello for his time and effort in organizing this and dancing pleasure was provided by “Chris successful tournament. GREAT JOB! Daniels and the Proof ”. On Saturday morning, after all the dancing shoes The Fundraising Committee would like to extend their heartfelt appreciation to John Germano, the were put away, the residents of Mirage put on their Barnegat Board of Education and the High School walking shoes and Wounded Warrior tee shirts. staff for the use of the schools facilities and the Residents participated in a “Walk for a Warrior”. High School Baseball Field. To Andy Rizzo, thank The walk was followed by a continental breakfast. you for serving as the announcer for each of the While we were enjoying our breakfast a slide shows games. Last but certainly not least, thank you to our Mayor, Susan McCabe, for her support and of the Baseball Tournament.

Mirage residents Walk for a Warrior participants

On Thursday, August 13th, as we played our first Softball Tournament under the direction and coordination of John Vaccarello. While the proceeds are being donated to the Wounded Warriors Project, the Tournament was in memory of Joe Germano. A Mirage resident, member of the Mirage Bombers Softball Team and a recipient of two Purple Hearts. The four participating teams in the Tournament were players from Mirage, Greenbrier and Heritage Point. Each of the three games was preceded by a Color Guard presentation of the colors of the branches of the armed services (all of whom were Barnegat High School Students), and the singing of the National Anthem.

for throwing out the first ball in the championship game. This fundraising weekend was dedicated to our beloved resident and friend Mary Noel Iamonte. We will always love you and miss you. A heartfelt thanks to the committee members and to all of the volunteers who worked tirelessly with the committee. A special note of thanks goes to Moira Flynn for publishing our Journal. Lastly, we would like to extend our appreciation to the Mirage Clubhouse staff for their support. To quote Bruno Iamonte, “Once again the Mirage Community opened their hearts and wallets, this time to support wounded warriors and their families who have sacrificed so much in order that we can enjoy our freedom.” Thanks to the generosity of the Mirage Community we are proud to report that the two day event was tremendously successful and raised thirteen thousand dollars ($12,700.00) for the Wounded Warrior Project! We all send a heartfelt THANK YOU TO BRUNO IAMONTE, FUNDRAISER COORDINATOR!

Wounded Warrior Project Fundraiser Committee Mirage Softball Team

Photos by Tom Sangemino

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

Pain Management

Amit Poonia, M.D. Medical Director

Adity Sharma, M.D.

Hadi Moten, M.D.

Noushin Mirmadjlessi, M.D.

Iqbal Rashid, M.D.

Barbara Sorenson, M.D.

Jyoti Pirlamarla, M.D.

Renjini Rajan, MSN, AANP-BC, GANP-BC

Biagio Como, P.A.-C.

Summer Youssef, PA-C

Carlisa Doria, PA-C

Uzma Zaidi, PA-C

At Interventional Pain Management Center, our providers are always available to address any concerns. Our goal is to make our patientâ&#x20AC;&#x2122;s experience comfortable and as successful as possible. We aim to relieve pain symptoms, correct the underlying cause of the pain, and enable our patients to resume their normal lives as quickly as possible.

EAST BRUNSWICK: 3 Cornwall Drive East Brunswick, NJ 08816 732-698-1000

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PERTH AMBOY: 763 Convery Blvd. Perth Amboy, NJ 08861 732-698-1000

SPRINGFIELD 105 Morris Avenue Springfield NJ, 07081 732-952-5533 EXT 4

The County Woman Magazine www.TheCountyWoman.com

WEST ORANGE 81 Northfield Ave. Suite 304 West Orange, NJ 07502 732-952-5533 Ext 2 SCOTCH PLAINS 1774 East 2nd Street Scotch Plains, NJ 07076 908-490-1800 CLIFTON: 1084 Main Avenue Clifton, NJ 07011 800-403-1533

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November/December 2015

Pain Management

The County Woman Magazine www.TheCountyWoman.com

November/December 2015

The County Woman Magazine www.TheCountyWoman.com

November/December 2015