Ocean County Woman - July/August 2017

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Reproductive Science Center of Pages 42, 43 New Jersey

“All-Care is the best physical therapy I have ever had. They are all professional, caring individuals. I wouldn’t go anywhere else.” - A.E.

Family is at the heart of most matters at All-Care Physical Therapy Center, LLC. Michael and Jim Yorke, Owners, have built on their ability to provide the best rehabilitative care with a never-ending pursuit of exceptional service. Learn more about their patient-centric approach and commitment on pages 2 & 3.

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Medical Professionals

Lower Back Pain? Or Could it be Your Sacroiliac Joint? By Christina Gilson, DPT, All-Care Physical Therapy Center, Whiting facility Experts estimate that 80% of the population will experience back pain at some point in their lives. If you have ever had back pain, you will attest that it interferes with everything that you do in your daily life, but was the pain actually coming from your back? Or could it have been coming from your sacroiliac (SI) joint(s)? Your SI joints are formed by your left and right ilium and your sacrum. Your sacrum is the triangular bone at the base of your spine and the two ilia are what make up your pelvis. The SI joints, therefore, are what connect your back to your pelvis. You can see the location of these joints from the back by noting the “dimples” on both sides of the back at the belt line. These joints are held together by very strong ligaments, therefore there is normally not a lot of movement at the SI joints. These bones are also the site of attachment for a number of back and lower extremity muscles. What are the symptoms of SI joint dysfunction? The symptoms of SI joint dysfunction are lower back pain, buttock pain, pain that radiates down the leg (usually only to the knee), pain in the groin, pain in the hips, and/or muscle spasm in the hips or lower back. As you can see, these are very similar to symptoms of lumbar disc herniation, sciatica or back injuries in general. So how can you tell if your pain is coming from your back or from your SI joints? Your orthopedist or your physical therapist can perform a number of tests to differentiate the cause of pain. Sometimes your SI joints can become “dysfunctional” or not aligned properly due to an imbalance in the flexibility or tightness of the muscles that attach to them or due to a fall that shifts things out of place. Another source of dysfunction is a motor vehicle accident. Having your foot up on the brake at the time of impact causes forces to be transferred up through your leg into your pelvis. This can cause a shift at the SI joints that tends not to “shift back” on its own. Physical therapists are trained to diagnose these dysfunctions by palpating, or feeling, for the alignment of the ilium in reference to the other side or in reference to the center of your body. This palpation, along with a number of special tests, helps them to determine which way the SI joint has shifted. It can be rotated forward or backward or it can be flared in or out. Depending upon which way it has moved, the therapist will perform a muscle energy technique or MET. These techniques are very gentle and use

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the muscles that attach to the bones of the SI joint to pull the bones back into alignment. Once the joint is realigned, the muscles need to be retrained or released, or both, depending on the length of time that the symptoms have been present and the nature of the problem. Often when there is a dysfunction and the bones have been out of alignment, there will be muscles that have been in a lengthened position. This position causes the muscles to overwork and develop increased muscle tone. There will be other muscles that have been in a shortened position and have not been able to fire properly and may be inhibited. Physical therapists, who are experts in anatomy, know which are the likely culprits of this increased tone, and they can use a technique called myofascial release (myo = muscle and fascia = connective tissue) to allow the muscle tone to be restored to normal. Once back to normal length, these muscles need to be retrained to fire properly to stabilize the pelvis during upright posture, moving from sitting to standing, and walking, to name a few everyday activities. At All-Care Physical Therapy, the physical therapists have the knowledge and the skills to determine the source of your low back pain. They will develop an individualized treatment plan to alleviate your pain and help you return to your normal daily activities!

To contact the Whiting Facility, please call 732-849-0700. Christina Gilson, DPT Whiting Physical Therapist Christina graduated Summa Cum Laude with a Bachelor’s Degree in Biology from the Richard Stockton College of NJ in 2000. She went on to earn her Masters of Physical Therapy degree in 2002 receiving the program’s first “Award for Clinical Excellence” as well as the College’s “Award of Distinction”. She then returned to Stockton to receive her Doctorate of Physical Therapy in 2009. Since graduating in 2002, Christina has practiced in a number of settings including acute care, inpatient rehabilitation, outpatient orthopedics, and home care; though her clinical focus throughout has been primarily towards orthopedics. She has extensive experience in post-op shoulder, knee & hip diagnoses as well as treatment of lumbopelvic and sacroiliac dysfunctions. Christina believes that the most important aspect of physical therapy is “listening to your patient” both verbally and non-verbally!

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July/August 2017

Featured on the Cover

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Patients Come First at All-Care Physical Therapy All-Care is not your average physical therapy facility. Besides being family owned, they are committed to treating each patient individually. Previous patients have said their care was nothing less than “exceptional.” Brothers Jim and Michael Yorke have always made their patients a priority. Jim adds, “We are a patient first organization. All the decisions made for the company are guided by optimizing patient care. In today’s world of corporate healthcare, it is essential not to lose focus on our ultimate mission; to restore lives.” When you combine that business modality with their family-like staff and positive atmosphere at their facility, it’s no wonder patients are satisfied. They also offer multiple services along what the Yorke brothers call the “Continuum of Care.” Michael adds, “This means that we can treat patients in their home, if needed, in comfortable and familiar surroundings; and then when they are able to, we can seamlessly transition them using our free transportation service to one of our eight outpatient facilities.” OCW: What is the benefit of having your therapists be autonomous? Why has this been successful for you? Jim: Through autonomous care, a therapist is able to make clinical decisions based upon their extensive knowledge for what is best for their patient. As a company, we respect each therapist’s background and education. Allowing the therapist to make clinical decisions and assess progress creates better patient outcomes and contributes to their overall experience. OCW: Please explain the importance of treating the emotional part of recovery. Mike: It is essential to address all aspects of recovery and we believe strongly in the continuity of care, meaning pairing every patient with one therapist. This allows the therapist to establish a strong bond with their patients and address any emotional barriers of recovery. Emotional barriers are important because we believe there is a direct correlation between chronic pain and depression. If the mental part is not addressed, recovery will be unsuccessful or short lived. OCW: What are some positive changes you have seen in the field in the last ten years? Mike: There has been great progress in the manual (literally, hands-on) approaches used by physical therapists over the last ten years. Addressing soft tissue

through Instrument Assisted Mobilization (IASTM) as well as improving range of motion through joint mobilization is essential to achieving optimal outcomes while reducing pain levels. All of our therapists have been trained in the latest approaches to minimize pain and maximize recovery. OCW: Tell us about some of the benefits of being a regional training center for clinical students. Jim: As we have continued to expand, it has given us the opportunity to train the therapists of tomorrow through clinical education. In doing so, it helps our therapists stay up to date on the latest research and interventions taught in the top programs in the area. We regularly host students from some of the best Physical Therapy programs in the Tri-State area including Stockton University, Drexel University, and Rutgers/UMDNJ. OCW: Tell us about some of the successful therapy used for treating arthritic conditions. Mike: As the baby boomer generation enters into their 60’s and beyond, we have noticed an increase in the diagnosis and incidence of arthritic conditions. In our model of physical therapy, we address restoring joint health through manual techniques and applicable modalities. Many people feel as if arthritic conditions are untreatable; well that is absolutely not true. There are a number of non-invasive treatments that not only reduce, but also alleviate arthritic pain. OCW: What is the one common characteristic that all staff members exhibit throughout the organization? Jim: Our company is filled with people that demonstrate true compassion. It is essential for us to be invested in our patients’ recovery. Additionally, we look for individuals that are always seeking to improve their clinical skills and grow within the organization. Because physical therapy is an ever-changing field, it is essential to keep up with the latest interventions so that we can help more patients. OCW: What would you like All-Care to be known for as a company? Mike: I would like All-Care to be known for providing the best overall physical therapy experience. Personnel in all positions are able to participate in the rehabilitation of patients. At the end of the day, knowing that we are helping individuals restore their lives, as well as furthering the field of physical therapy is a top priority for All-Care. OCW: Tell us about the dynamics of working with your family. Jim: Working with family has been a rewarding experience on so many levels. Our father and stepmother have been a huge part of our success and continue to consult with us regularly. Their perspective has been invaluable in understanding our patient’s point of view, which has shaped our company’s decisions and values.

FOR MORE INFORMATION OR TO SCHEDULE AN APPOINTMENT AT ONE OF ALL-CARE’S LOCATIONS, CALL 1-855-3ALLCARE OR VISIT WWW.ALLCAREPTC.COM. The County Woman Magazine

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July/August 2017

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The County Woman Magazine

Welcome to the July/August 2017 Issue of The Ocean County Woman Publication!

Summertime has finally arrived. Each year, I look forward to that carefree season when the sun is brighter and the days are longer. This is the perfect time of year to recharge yourself and enjoy what these next sunny months have to offer. Summer is the perfect opportunity to try something new, take an exotic getaway, or simply relax down the shore at one of the many fabulous Jersey shore beaches in Ocean County. Lauren with her handsome ULWOL^ /\U[LY As you plan your activities for the summer, the first thing you should put on your list is to find a quiet reading spot and dive into this magazine. There are many top professionals throughout the County that share their expertise in the areas of health, finance, law, fashion, beauty and much more. Many times, readers have told me how valuable they have found the articles in the Ocean County Woman and some have even shared specific articles with their friends and family outside of the County. The impact of the knowledge shared by our contributing writers truly goes beyond the borders of Ocean County! Summer has begun and we hope yours is full of magical moments that you can treasure forever. Best, Lauren Shover and the Staff at the Ocean County Woman Publications

“We dream in colors borrowed from the sea.� –Unknown Featured on the Cover All-Care Physical Therapy Center Pictured L-R: Michael Yorke, MPT, Jim Yorke III, Jim Yorke Jr., & Joan Yorke. At All-Care Physical Therapy Center, brothers Michael and Jim combine their values with their family-like staff and positive atmosphere to focus on their ultimate goal, to restore lives. Read more on pages 2 & 3. Cover photo by Tracy Harman Photography. Schedule your kids, family, modeling and promo headshots today. See pages 8 & 9.

Events in Ocean County Ĺ˜ 3OD\V W 1\S` [O (\N Z[ The Imbible and Gazillion Bubble Show now playing at New World Stages in New York City. Ĺ˜ 2FHDQ &RXQW\ /LEUDU\ W 1\S` [O Âś Shell Art. 1\S` [OÂś Paint Party. 1\S` [O Âś Adult Coloring. 1\S` [O Âś Sea Jewels Earrings. 1\S` [O Âś 4HRL P[ )\[[LYĂ…` 3\TPUHY` (\N [O Âś Upcycle It Friday. (\N [O Âś Meteor Shower Cookies. (\N [OÂś Edible Architecture. (\N [O Âś Teen Craft Terrariums. (\N [O Âś STEAM Challenge: Marshmallow Constellations. (\N Z[ Âś Build H 7V[H[V 7V^LYLK 3PNO[ Ĺ˜ 5RQDOG 0F'RQDOG +RXVH RI &HQWUDO 1RUWKHUQ 1- W 1\S` [O Âś [O Annual Golf Tournament Presented by RWJ Barnabas Health. Sept. 8th – 8th Annual Wine Tasting at Deal Country Club. 5V] YK Âś [O Birthday Gala Celebration at Battleground Country Club.

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July/August 2017

Contents

^ Featured on the Cover

^ Financial Management

^ Health & Wellness

^ Fine Art Photography

All-Care Physical Therapy Center, LLC...........................2, 3 Spa Virtue @ The Body Wrap Shoppe................................5 Yoga Nine Mind/Body Studio......................................11, 67 Hypnosis for Women.........................................................41 Lice Lifters.........................................................................46 Jersey Shore Pharmacy..............................................58, 59

^ Medical Professionals

Shore Vascular & Vein Center..............................................6 Garden State Bariatrics.....................................................12 Ocean Plastic Surgery PA and Laser Center.....................13 Quality Dermatology..........................................................14 Ocean Otolaryngology......................................................16 Toms River X-Ray, CT & MRI Center.................................17 Meridian Integrative Health & Medicine............................18 University Urology Associates of New Jersey...................25 Advocare Stafford Orthopedics.........................................26 Atlantic Neurosurgical Specialists...............................28, 29 Lifeline Medical Associates...............................................30 Memory Enhancement Center..........................................32 Kathy A. Banks, DMD........................................................33 Gastroenterologists of Ocean County...............................34 Paonessa Colon and Rectal Surgery, PC..........................35 Ocean Hematology & Oncology........................................36 Barnabas Health Medical Group: Obstetrics Gynecology and Obstetrical Associates........37 Bella Derma Medi Spa.......................................................38 Institute for Complimentary and Alternative Medicine......40 Reproductive Science Center of New Jersey.............42, 43 Barnabas Health Medical Group: Dr. Sumy H. Chang......44 Garden State Medical Center............................................75

Garden State Trust Company..............................................7 Tracy Harman Photography............................................8, 9

^ Law

The Matus Law Group.......................................................10 EFC LAW PRACTICE, LLC................................................21 Straffi & Straffi, Attorneys at Law......................................24 Kathleen M. Dotoli, Esq.....................................................31 LevinCyphers.....................................................................54

5 ^ Apartment Community The Woods at Blue Heron Pines.......................................46

^ Assisted Living

Spring Oak of Forked River...............................................47

^ Wigs & Hair Replacement

Abstrax Hair Designs.........................................................49

^ In-Home Care

Karing With Kindness........................................................51

^ Full Service Cleaning

^ Elder Law

Always Immaculate, Inc.....................................................52

^ Permanent Hair Removal

Built Rite Windows............................................................53

^ Cosmetic & General Dentistry

Airship Storage..................................................................55

^ Fashion & Beauty

DeGraff Funeral Home.......................................................55

^ Medical & Surgical Supply

NJ Planet Medical & Surgical Supply................................20

Gazillion Bubble Show......................................................56 The Imbible........................................................................57 Two River Theater..............................................................74

Ocean Pediatric Dental Associates, LLC....................22, 23

Ocean County College......................................................63

Carluccio, Leone, Dimon, Doyle & Sacks, LLC.................15

^ Exterior Improvement

Monmouth/Brick Electrolysis............................................16

^ Business & Personal Storage

Aesthetic Dental Creations................................................19

^ Funeral Planning

Mrs. B’s Boutique..............................................................20 Barbara’s Boutique............................................................27

^ Pediatric Dentistry

^ Business & Finance

Copiers Plus, LLC.......................................................39, 48 Brick Township Chamber of Commerce...........................61

^ Theatre & Entertainment

^ Education

^ Acupuncture

^ Massage School

Koehler Acupuncture.........................................................64 ^ Women of Ocean County.......................68, 69

^ Senior Living Advisor

Mother Theresa.................................................................71

^ Holistic Substance Abuse Treatment

Vagabond Travel Agency...................................................74 ^ Community.....50, 60, 61, 62, 63, 65, 66, 70, 72, 73

New Jersey School of Massage........................................40 Connie Roberson, OASIS..................................................45 Enlightened Solutions .......................................................45

^ Women’s History ^ Travel

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

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The County Woman Magazine www.TheCountyWoman.com

July/August 2017

Medical Professionals

6

The Latest Noninvasive Fat Destruction and Body Sculpting Technology Jeffrey Gosin, M.D., F.A.C.S. Board Certified Vascular Surgeon We all have problem areas of fat that seem to persist in spite of a healthy diet and exercise. Perhaps it is a belly that just won’t go away no matter how many sitXSV RU FUXQFKHV \RX GR )RU PDQ\ SHRSOH LW LV GLIĂ€FXOW ´ORYH KDQGOHVÂľ RU D ´PXIĂ€Q WRS Âľ 0D\EH LW LV WKDW ODVW little bit of “baby weightâ€? around the midsection. There is now a noninvasive, safe and effective laser procedure to remove these stubborn pockets of fat. The Aesthetic Laser Center at Shore Vascular & Vein Center is proud to now offer SculpSureÂŽ, the latest minimally-invasive procedure for targeted fat destruction and body contouring. With SculpSureÂŽ, up to four completely customizable laser applicators are used to deliver a specific type of laser energy to destroy targeted fat cells. The treated fat cells are then permanently eliminated through the body’s natural immune system. SculpSureÂŽ is FDA approved to remove up to 24% of unwanted fat with each treatment, without the need for painful surgery. It can be used in many different body types, and in all skin types. The SculpSureÂŽ versatile applicator system allows the treatments to be completely individualized to each person’s unique shape and areas of concern. This allows for smooth and natural-appearing body contouring. Each SculpSureÂŽ treatment takes just 25 minutes. That’s less than half of the time of other body sculpting procedures. SculpSureÂŽ treatment is extremely well tolerated, with people typically describing only mild to moderate discomfort during the procedure. Best of all, there is no down time following the procedure. Individuals can return to all of their usual activities immediately following treatment, with no restrictions. SculpSureÂŽ has been featured on “The Doctorsâ€? and recently was voted “Beauty Game Changerâ€? in New Beauty Magazine’s Best of 2017 Best of Beauty Awards.

Special Introductory Pricing

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Frequently Asked Questions: Who is a candidate for SculpSureŽ? Typically people with “trouble spots� that seem resistant to diet and exercise are the best candidates for SculpSureŽ. Optimal results are obtained in healthy individuals with a body mass index (BMI) of 30 or less.

Is SculpSureÂŽ just for women? No. Both men and women will benefit from SculpSureÂŽ.

What does SculpSureÂŽ treatment feel like? People will first feel a cooling sensation. This helps to keep the skin comfortable during treatment. The laser then cycles on and off, raising the temperature of the fat cells, causing the fat destruction. During this phase of treatment people generally describe a deep warmth and/or tingling sensation during the 25-minute treatment. It is generally very well tolerated. Furthermore, the treatment can be customized as it is being performed to provide additional comfort when needed.

Is there bruising or pain following treatment? There is typically no bruising and only minimal soreness after SculpSureÂŽ treatment. Unlike other types of body sculpting technologies that use suction and freezing to destroy fat, SculpSureÂŽ uses laser energy. When the treatment is completed, the laser is simply removed from the body and the individual goes about his or her normal activities. There is no painful massage or warming required after the treatment is completed.

How much does SculpSureŽ cost? Every treatment plan is customized to each individual’s requirements and goals. Cost will depend upon the number of areas being treated and the size of each of those areas. Our physician will work with you to create a specific treatment plan to obtain the best possible results in the most cost-effective manner. Exact pricing is determined during a free initial consultation. We are also currently offering special pricing as we introduce this incredible new technology to our community.

ABOUT OUR DOCTOR Jeffrey Gosin, M.D., F.A.C.S., is our medical director. He is Board Certified in both Surgery and Vascular Surgery. He is also an experienced laser surgeon, treating numerous vascular and other aesthetic conditions with the highest quality laser devices available. Dr. Gosin personally performs all laser procedures in our center.

www.TheCountyWoman.com

July/August 2017

Financial Management

7

Take Back Control of Your Financial Health in 5 Steps Generally, in a relationship relationship, one of the partners handles most of the financial planning and money issues. But what happens when the spouse who managed the couple’s assets and finances is no longer the decision maker? The less experienced spouse has to step up and take control. As this transfer of responsibility is often occasioned by death, disability or divorce, it is very stressful. Yet critical decisions concerning investments, insurance, financial and estate planning need to be made to avoid financial hardships later. Here are some guidelines to help a novice get up to speed. Putting your financial life in order is essentially a five-step process: • Determine your financial and estate planning objectives; • Evaluate the continued viability of any plans in place; • Understand the options available to achieve your goals; • Formulate a plan to achieve your goals; and • Implement that plan. WHAT DO YOU HAVE? Make an asset and plan inventory, securing existing papers that provide the information you need. These documents fall into two groups: 1. Financial documents—tax returns, bank/brokerage statements, credit card statements, mortgages, insurance, retirement accounts/benefits (IRA, 401k, pension), etc., listing your assets and liabilities. 2. Legal documents—your will, POA, health care proxy and trust agreements that name you as a beneficiary or trustee. Both types of documents embody your estate and financial plans. For example, beneficiaries can be named in trust agreements and your will. But they may also be named in beneficiary designation forms for retirement plans and other benefits, as well as banks, brokers and insurance policies. These designations are as binding as your will and override your will as far as this particular asset is concerned. Once completed you have a full list of your assets, and how these assets will pass at your death. KI

MAKE ADJUSTMENTS The next steps involve deciding whether the plan in place still makes sense and, if not, implementing needed changes. Consider: • Reevaluation of income needs and investment goals to ensure that your current portfolio meets the needs of your new circumstances. For example, if you were not the primary income producer, you may want to adjust your investments to generate more income. Your investment mix may require rearranging to meet your future needs. • Reviewing beneficiary designations in wills, trusts, bank accounts, retirement accounts and insurance policies. If your spouse was named, update the beneficiary forms. The same applies to designations for executors, guardians and trustees. Health care proxies and durable powers of attorney also may have to be updated. • If you are now on your own, use of a living trust with a professional trustee such as Garden State Trust Company to manage assets during your lifetime and to ensure that they are distributed pursuant to your wishes. Children and grandchildren as beneficiaries may become more important in your planning. Issues that arise here include: • Whether a program of lifetime gifts makes sense as it provides money for education, home purchase, etc. • Do you need a trust to provide for special needs children or minor children? • Naming children as your IRA beneficiaries so as to extend the payout period over their life expectancies, avoiding income tax liability at death. DON’T GO IT ALONE Once you have reviewed your current plans and the documents are in place, and you have considered issues and your options, you can make informed decisions about a new plan tailored for your circumstances. Throughout this process it is important to obtain professional guidance as you chart your course. Garden State Trust Company can offer you guidance on a wide range of investment, retirement and estate planning needs.

Our focus is where it should be... On You. On Your Family. On Your Future. Trust & Estate Services Investment Services Lifestyle & Money Management True independence and understanding are at the core of our unique value proposition. Caring for and thoughtfully guiding our clients has created the strong trusting relationships we have nurtured over many decades. That’s why so many people rely upon our independent company for wealth management and trust & estate services: Garden State Trust Company. To learn how we can focus on you and your family, contact us today. Toms River, NJ | Cherry Hill, NJ | Lebanon, NJ

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888.323.5535 | gstrustco.com www.TheCountyWoman.com

Barbara Kannheiser Being a Principal and Chief Operating Officer of a truly independent trust company, Garden State Trust Company, we believe we have differentiated ourselves from other Trust Service providers, not only by the quality of the services we provide, but by the highest standards, the uncompromising principles and character of the people who deliver these services. July/August 2017

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July/August 2017

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July/August 2017

Law

10

Estate Planning Options For Blended Families Written by Christine L. Matus Esq. The dynamics of a blended family, defined as one where at least one spouse has at least one child from a prior marriage or relationship, can complicate financial and estate planning because no off-the-shelf plans apply. It’s important to contact your estate-planning lawyer to ensure complete review of all personal and economic aspects of your family and a resulting plan that works for everyone involved. From designating account beneficiaries to updating wills and trusts, it takes attention to detail to ensure specific wishes are carried out properly. Effective, collaborative planning can address the family’s needs and goals while building trust and helping everyone move forward together. A good place to start is with reviewing and updating beneficiary designations for life-insurance policies and retirement accounts. That’s a simple way to ensure that the proper beneficiaries are noted on all accounts and the proceeds from those accounts end up going to the correct individuals. While any estate planning must be done on a case-by-case basis, the following are options to consider for blended families: RECIPROCAL WILLS Some blended families use reciprocal wills,

h the h assets pass outright i h to the h surviving i i spouse, where as their primary estate plan. They do this for the sake of simplicity and to keep their estate planning costs at a minimum. But this type of plan comes with some serious disadvantages. One issue is that it does not provide a great deal of comfort when there are children from a prior marriage, because the first spouse to die has no guarantee that the surviving spouse will provide for his or her children when the surviving spouse ultimately dies. NON-RECIPROCAL WILLS An option that does not require reliance on and trust in the surviving spouse is to have each spouse create a non-reciprocal will, or wills that are not exactly the same and don’t leave the estate outright to the surviving spouse. Under this approach, each spouse

could leave a percentage or dollar amount to the surviving spouse and a percentage or dollar amount to be divided equally between his or her own children, but not the children of the other spouse. It can be difficult to determine at the time the will is made the amount needed to provide for the spouse and an appropriate amount to go to the children, so this type of estate plan likely requires monitoring and updating over time. TESTAMENTARY TRUSTS Creating a testamentary trust that becomes irrevocable upon the death of the first spouse meets the dual goals of providing for the surviving spouse during his or her remaining lifetime and then, upon the death of the surviving spouse, passing the remaining assets to the children of the first spouse to die. Under this approach, a trustee will have to be appointed. Common options include the surviving spouse, a child of the first spouse to die, a third party or a trust company. Appointing the surviving spouse or a child of the deceased spouse has a greater risk of creating family friction, and therefore a third party or a trust company might be more appropriate. Whichever option you choose, any estate plan should remain dynamic and adapt to change when necessary, particularly given the added complexities of a blended family.

For more information, call 732-281-0060 or visit www.MatusLaw.com. Helping people protect assets for Special Needs Children and conduct smooth real estate closings for almost two decades.

732.281.0060

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Basic Estate Planning FOR PARENTS WITH SPECIAL NEEDS CHILDREN

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Recipe by: Cutting Board Creations

July/August 2017

Health

&Wellness

11

Creating Balance Through Practice ritten by Laurie Greene, PhD, ERYT500 Owner, Yoga Nine, Ship Bottom, LBI & Ventnor

“Slow down, you move too fast, you got to make the morning last, just kicking down the cobblestones, looking for fun and feeling groovy.â€? (Paul Simon) Slow is the way to go, and not just because the tortoise won the race against the hare. In our fast-paced, “get it now,â€? “I want it yesterdayâ€? culture, we often overlook the many virtues of slowness. In yoga practice, it is erroneously believed that going faster is more challenging, more advanced, and more desirable--but this is false. What the yogis aimed to do, in fact, was slow time down to a standstill, to stop the constant movement and change what was happening in the universe at the cellular level. This vibrational movement in Samkhya philosophy is called “prakriti,â€? and it is the source of creation of all things; but behind this everchanging and moving force of nature is an unchanging static truth. It is this “truth,â€? called “purushaâ€? or “brahman,â€? with which yogis attempted to yoke or merge by slowing things down...by cultivating stillness. Moving toward stillness is a process of slowing things down. Slowing down anything that we might as embodied human beings--our breath, our bodies, our heart rate, and Ă€nally our minds.

notice and then correct these habitual mistakes and better understand ourselves as we move around in our bodies. In short, it helps us become more embodied and aware of our habitual (unconscious habits and motivations)--and to change our habits, to avoid injuring ourselves, to learn. Slow is also MORE challenging, not less. Slow movement and holding postures (in stillness) is more taxing on every level. Slowness increases muscle strength, builds stamina, and increases steadiness and balance more than fast-paced aerobic movements. Try going down in a chatturanga (push-up) to the count of ten. The slower, the more challenging. All the health benefits of breath control, from the Western perspective, have also been found in slow, rhythmic, deep breathing. Most of all, slowing down our bodies and breath allows us to slow down and focus our thoughts. This ability to focus allows us to think clearly and remove the stress and confusion from our lives. It is a prerequisite for meditation. Moving toward stillness is moving toward happiness.

So, take it slow.

For more information, call 609-404-0999 or visit www.yoganine.com.

“As the breath goes, so shall the mind; as the body goes, so shall the breath.� (SS) Practically, slow has many advantages. Moving slowly allows us time to observe ourselves as we move. It allows us to evaluate our movements and see the moment when control or concentration is lost, we become unbalanced, or feel uneven. It gives us time to

OPEN CLASSES 7 DAYS A WEEK

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VENTNOR VENTNOR Atlantic Avenue, Ventnor 5301 5301 Atlantic Avenue, Ventnor

July/August 2017

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Medical Professionals

Reclaim Your Health, Your Body...Renew Your Life We are proud to be among a select few in NJ designated as a Center of Excellence bariatric practice that provides your surgical and ongoing medical care. Our entire team is rigorously chosen for their passion for our patients and as advocates for our patients’ surgical, nutritional and lifelong successes. While we refer to bariatric surgery as ‘happy’ medicine, our patients are working on a lifelong lifestyle shift – and this requires expertise, passion and compassion in your bariatric medical team. We are dedicated to five-star service – we are here to deliver it – at every interaction you have with any member of the team. From your first call, email or informational seminar, we look for ways to effectively and consistently remove obstacles from your journey that may impede your ongoing success. From verifying your insurance and giving you all of the ins and outs to having surgery, to questions, counseling and/or finding other physicians who take your insurance, we are here and happy to help. While so many of our patients ‘tease’ the team that we are always happy and a warm place to visit – we truly love our patients and do whatever we can to assist them. We know this is an important decision and a lifelong change for our patients and we are committed to having our patients receive the respect, dignity and compassion they deserve.

Michael l. Bilof, MD, FACS, FASMSBS

Basil M. Yurcisin ll, MD, FACS

We value your time and know our privilege is to be here for you. Whether we are waiving a co-pay since we did not see you within minutes of your appointment; offering payment plans, ongoing free events, discounts on personal trainers and free consults; to our Annual FREE Holiday Party for all of our patients and their guests – we are always looking for ways to celebrate the journey and the success of each of our patients. Every point of contact is designed to be an honorable and generous experience for anyone who chooses GSBWC. Obesity is a serious medical condition and we take your concern to address your health seriously. We know the decision to take the first step – or stay on track – is not always an easy one. We are here – be it with a smile, a hug, lots of laughter or a few tears, and we are proud of the opportunity to support you – privileged to make a difference.

225 MILLBURN AVE., SUITE 204 MILLBURN, NJ 07041 973-218-1990

1430 HOOPER AVENUE #203 TOMS RIVER, NJ 08753 732-269-6800 WWW.GSBWC.COM

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July/August 2017

Medical Professionals

13

Beauty Fill

Fillers are not simply softening a fold here and there anymore. It is truly an exciting time to be able to provide precise facial enhancements. Freshen up and restore some youth with soft tissue fillers. These fillers are made of a substance called HA, hyaluronic acid, which helps to provide cushioning and youthfulness to your skin. One aspect of aging is a loss of your skin’s natural HA. Replacing it restores a youthful look and beauty to your skin. Currently, there are so many variations available that it might seem overwhelming to decide which product is right for you. As a plastic surgeon with a natural artistic eye for beauty, Dr. Small sees these choices as an artist looks at a color palette. Choosing the most appropriate one for the most elegant and beautiful result is his specialty. These results can be truly amazing and something that can be tailored to meet your needs with a finesse which was unthought of even 3-5 years ago. To determine what is best for you, we recommend scheduling a personalized consultation with us for a free facial analysis. At your visit, we will give you options to determine the best filler for your specific needs. However, it is nice to know what some of your possibilities are, and this article will touch on the many products we have to make you look and feel your best. All of the fillers discussed are straightforward office treatments which take approximately 20 minutes. With most injections, you can return to full activities immediately with minimal to no downtime. Fuller Cheeks are a sign of youth and beauty, and with Juvederm Voluma® it can restore the fullness for 1-2 years. Why Voluma® and not Juvederm Vollure® or Juvederm Volbella®? The answer is in how the HA is combined, which determines its firmness and fullness for a particular facial enhancement. As a result, Voluma® is FDA approved for cheeks, but it is too thick for the cheek fold or lips.

Fuller Lips: Luscious, defined lips that don’t look overdone can be obtained with Juvederm Volbella® and Restlyane Silk®. These are two great products that can give a silky-smooth look to your upper and lower lip. The results last approximately 6 months to a year and the “smoker” or fine lines around the lips can be treated with these two options as well. The Parenthesis or Cheek Folds around the nose and mouth can be treated with Juvederm®, which lasts 6 months to one year, or Juvederm Vollure®, which can last up to 18 months. These products plump up the deeper folds, giving a more youthful appearance. Eye Hollowness can be treated with Restylane Silk®. This product, while FDA approved for the lips, has been used safely to soften that hollow, tired look around the eyes. This will give a nice 6-month to one-year improvement. Sunken Cheeks and Temples can be treated in the most natural way with your own body fat cells, called adipocytes, by a procedure called lipo-filling. Since it is your own body fat, it provides a natural cushion without any risk of allergic reaction or rejection. These treatments retain, on average, about 50% of the result at one year. There are many more options, but these are just some of the possibilities. Give us a call to learn more, or schedule your complimentary consultation today.

If you are interested, please give us a call at

732-255-7155 as our consults are complimentary. $UWLVWU\ %HDXW\ 5HMXYHQDWLRQ Breast

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July/August Promotions Filler Discount $125 OFF ANY FILLER WE OFFER ••••••••••••••••••••••••••••••• Must mention promotion OCW-ET 2017 when making your appointment to receive discount.

Call Today! Complimentary Consultation Void where prohibited by law. Must be 18 years of age or older. Nontransferable. Cannot be combined with any other discount or offer. Offer subject to change without notice. Not redeemable for cash. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, or treatment that is performed as a result of and within 72 hours of responding to the advertisement for free, discounted fee or reduced fee service, examination or treatment.

July/August 2017

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Medical Professionals

Merkel Cell Carcinoma Merkel cell carcinoma is also called neuroendocrine carcinoma of the skin. It tends to grow fast and to spread quickly to other parts of your body. SYMPTOMS The first sign of Merkel cell carcinoma is a fast-growing, painless red, blue or purple nodule on your skin, most commonly seen on the face, scalp or neck. WHEN TO SEE A HEALTH CARE PROVIDER

RISK FACTORS

If you notice a mole, freckle or bump that is changing in size, shape or color, growing rapidly, or bleeding easily after minor trauma, such as washing your skin or shaving, make an appointment with a dermatologist.

Factors that may increase risk of Merkel cell carcinoma include: •

Excessive exposure to sun or tanning beds.

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A weakened immune system including those with HIV infection, those taking drugs that suppress the immune response or those with chronic leukemia.

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History of other skin cancers such as basal cell or squamous cell carcinoma.

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Increasing age. This cancer is most common in people older than age 50, though it can occur at any age.

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Light skin color. Merkel cell carcinoma usually arises in people who have light-colored skin.

COMPLICATIONS Even with treatment, Merkel cell carcinoma commonly spreads (metastasizes) beyond the skin. Merkel cell carcinoma tends to travel first to nearby lymph nodes. Later it may spread to your brain, bones, liver or lungs, where it can interfere with the functioning of these organs. Cancer that has metastasized is more difficult to treat and can be fatal.i

FOR MORE INFORMATION CALL 732-244-2666 OR VISIT WWW.QUALITYDERM.COM RENATA FLAKS, DNP

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July/August 2017

Elder Law

15

Establish a plan, diffuse a crisis, or ask a question...

ANNEMARIE SCHREIBER, ESQ. Certified Elder Law Attorney* has the knowledge and experience to help you!

R O I SEN

Be Aware & Avoid the Senior Scam

Sadly, seniors are amongst the most commonly targeted for scams. Scammers have come to learn many seniors are easy prey thus making them prime targets. Many seniors own their own home, have excellent credit and have accumulated money for their retirement, making the seniors financially secure and, again, prime targets for scammers. Add to the financial aspect the fact that many seniors were raised to be polite and trusting. Seniors find it difficult to say “no” or to just hang up the telephone. Traits that scammers use to their advantage.

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M A C

Keep in mind, it is not always strangers who perpetrate these crimes. Regrettably, seniors are not only exploited and taken advantage of by total strangers. It is not uncommon that financial elder abuse is committed by an older person’s own family members, most often their adult children, grandchildren, nieces, nephews, and others. Although today’s senior citizens may be sharper than ever, they still make a prime target for con artists. As the saying goes: Forewarned is forearmed.

Scam artists have made a very lucrative business of defrauding and taking advantage of seniors. A recent study found financial exploitation cost older adults at least $2.9 billion. It is also estimated one in five seniors are financially exploited. These are staggering numbers. Therefore, it is important to be cognizant of some of the potential scams: N

Email scams. A victim receives an email message that appears to be from a legitimate company asking the victim to “update” or “verify” their personal information.

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Elder Abuse Cases

Estate Planning, Probate, and Administration

Disability Planning

Wills and Trusts

The IRS scam. This scam involves taxpayers both young and old. Suspected scammers telephone individuals and threaten arrests or lawsuits unless the tax debts are paid immediately. The scammers inform the victims money is owed to the IRS and it must be paid immediately through a pre-loaded debit card or wire transfer. A similar IRS scam involves telling victims they are due a refund. The victims are tricked into sharing private information. The IRS does NOT make phone calls, they will inform you in writing.

Healthcare Decisions

Powers of Attorney

Nursing Home Issues

Advanced Medical Directives

Social Security

Guardianships/ Conservatorships

Counseling and Document Preparation

Medicaid/Medicare Planning

Estate and Gift Taxes

Sweepstakes scams. These scams are run by perpetrators who contact victims by phone, tell them they've won a financial prize, and then require advance payment of a fee to collect the alleged winnings.

Asset Preservation and Protection

Computer scams. The scam artist impersonate representatives of well-known technology companies and convince victims to allow remote access to their home computers to check for problems. The scammers then charge fees to remove alleged electronic viruses.

To schedule a consultation or for more information about how we can help you and your family...

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Grandparent scams. A swindler will phone with phony claims that a grandchild is in trouble and needs help paying a hospital bill, returning home from overseas or gaining release from jail.

If you are unable to make it into the office, we are willing to visit you in your home, hospital, assisted living facility, or nursing home.

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Funeral & cemetery scams. In one approach, scammers read obituaries and call or attend the funeral service of a complete stranger to take advantage of the grieving widow or widower. Claiming the deceased had an outstanding debt with them, scammers will try to extort money from relatives to settle the fake debts.

*As a Certified Elder Law Attorney (CELA) by the ABA approved National Elder Law Foundation, Annemarie Schreiber is one of only 400 or so attorneys in the entire United States who is a qualified CELA. She is certified by the ABA approved National Elder Law Foundation and has years of experience offering clients in Ocean and Monmouth counties the legal counsel they need to plan ahead for their future or the future of there loved ones work through difficult situations.

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Bankruptcy

Call Annemarie Schreiber at 732-797-1600

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Business, Corporate & Commercial Law

Divorce & Family Law Landlord/Tenant

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Education Law

Litigation

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•

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•

732-797-1600 www.CLDDS.com 9 Robbins Street, Toms River, NJ 08753

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Criminal Law & Municipal Court Matters

Elder Law, Estates, Wills and Probate

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July/August 2017

Medical Professionals

16

Dizziness and Balance Disorders The physicians at Ocean Otolaryngology Associates are passionate about patient care and well-being. We find that patients having more knowledge about their care is advantageous. With the ever increasing elderly population, dizziness is becoming a much more widespread and common concern. We will all experience dizziness at some time or another throughout our lives. However, it is important to understand when symptoms of dizziness require further medical attention. FREQUENTLY ASKED QUESTIONS FROM PATIENTS WITH DIZZINESS: 1. What is dizziness? Dizziness is a generalized term suggesting a sense of unsteadiness or lightheadedness. A feeling of being in a fog or the sense of passing out are sometimes described. Vertigo is a specific form of dizziness and describes a sensation of spinning or significant rotary motion in one’s environment. Although we take it for granted, our sense of balance is maintained by a very complex interaction among several components of our nervous system, including: • The inner ear (vestibular system) • The eyes (visual system) • The brain and spinal cord (central nervous system) • The pressure receptors and muscles of our lower extremities (proprioceptive system) If any one of these factors is diseased or the interaction between these individual parts is distorted, our balance will be off. The challenge is to determine which one of these factors is causing an individual’s dizziness. 2. What are the causes of dizziness? Dizziness and vertigo can be caused by a wide variety of disorders, including inner ear infections such as labyrinthitis, inner ear disorders such as Meniere’s disease, cardiac conditions, anemia, diabetes or low blood sugar, brain and/ or spinal cord injury, migraine headaches, severe sinus infections, meningitis, poor circulation and hardening of the arteries, stroke, high fever, visual disorders and severe anxiety. Additionally, certain medications or interactions between medications can often cause

Bruce W. Peters, DO, FACS

lightheadedness, dizziness and sometimes syncope. 3. What do I do if I develop dizziness? Because dizziness can be related to so many different factors, it is generally recommended that one seek immediate medical attention when experiencing dizziness, particularly if the episodes are recurrent, prolonged or severe. Calling 911, reporting to the nearest emergency room or, at minimum, discussing the situation with your primary care physician is strongly recommended. On many occasions, patients will be referred to an ear, nose and throat physician (otolaryngologist) for consultation. 4. What is Benign Paroxysmal Positional Vertigo (BPPV): This is a quite common form of dizziness and occurs frequently in the elderly population. Most typically, BPPV is described as a spinning sensation and occurs with an abrupt change in body position. In many cases, the initial onset of symptoms occurs when rolling over or getting out of bed. The severity of the dizziness can range from mild to incapacitating and is sometimes associated with nausea. The etiology of this condition is related to displaced microscopic particles within the inner ear labyrinth. The particle may be dislodged following head trauma, even a minor head injury. The duration of symptoms can be extremely variable and tend to recur over time. Treatment includes repositioning the particle into its appropriate position within the inner ear labyrinth, a procedure called the Epley maneuver. 5. Can my dizziness condition be cured? The ability to treat and cure dizziness is completely dependent upon its cause, which may actually be multifactorial. However, most dizziness disorders can be improved once an accurate diagnosis is established. In many cases, physician subspecialists well-versed in the treatment of dizziness will need to be involved. At Ocean Otolaryngology Associates, our team is fully committed to helping our patients through the work-up and treatment regimen for their dizziness disorder.

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

Stephen Kupferberg, MD, FACS

Christina Gillespie, MD

54 Bey Lea Rd., Suite 3, Toms River, NJ 61 Lacey Rd., Whiting, NJ 1673 Rt. 88 W, Brick, NJ

For more information, call 732-281-0100 or visit www.OceanENTFacialPlastics.com. Permanent Hair Removal

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Lorraine Fetherman, L.E., C.P.E. Debbie Matusas, L.E., C.P.E. Not Pictured: Josephine Allen, L.E., C.P.E. 2510 Belmar Blvd. Wall, NJ 07719

522 Brick Blvd. Brick, NJ 08723

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Medical Professionals

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July/August 2017

18

Medical Professionals

What is integrative medicine? Integrative medicine is patient-centered health care that looks at all aspects of health and illness. Integrative medicine looks at the whole person, and not just the disease or symptom. It takes into account the person’s lifestyle, from the physical and psychological to the environmental and genetic. It uses all medical systems for healing and treatment, from conventional approaches and mind-body medicine, to old world traditions such as botanicals and acupuncture. It cherry-picks the best of traditional medicine and what is commonly called alternative or complementary medicine. It stresses prevention and less invasive, more natural treatments. Integrative practitioners believe that everyone has an incredible capacity to heal.

What is unique about the Hackensack Meridian Integrative Health and Medicine program? 7KURXJK RXU SURJUDP ZH R̆HU D FXWWLQJ edge team approach through medical consultations with our nurse practitioner and physician, treatments from an acupuncturist, dietary consults with a nutritionist, and lifestyle improvements with our health coach and health psychologist. Patients who are seen in our center get a comprehensive evaluation RI WKH ¿YH SLOODUV RI KHDOWK UHVLOLHQFH purpose, nutrition, activity and sleep. The team consists of specialists who have exemplary training in integrative and functional medicine, treating the whole person—mind, body and spirit. Patients can self-refer to any of the integrative medicine VWD̆ PHPEHUV PHDQLQJ LI VRPHRQH ZDQWV to see the nutritionist, they do not need to VHH WKH LQWHJUDWLYH SK\VLFLDQ ¿UVW $ERYH all, at Hackensack Meridian Integrative Health & Medicine, each patient partners with an integrative practitioner to create an LQGLYLGXDOL]HG WUHDWPHQW SODQ $V D UHVXOW our patients become empowered to make healthy lifestyle changes.

Empowering our community to reach the highest level of health and wellness

Hackensack Meridian Integrative Health & Medicine has developed a comprehensive health and wellness program like no other. Completely customized and focused around our ďŹ ve pillars of health and wellness: sleep, activity, purpose, nutrition and resilience. Begin your path to wellness with one of our Integrative Medicine Physicians or Nurse Practitioners. To schedule a consultation, call 732-994-7855 or, for more information, visit MeridianIntegrativeMedicine.com

What services, classes and HYHQWV DUH R̆HUHG" To learn about our classes and events, visit our ZHEVLWH 0HULGLDQ,QWHJUDWLYH0HGLFLQH FRP OLNH XV RQ )DFHERRN 0HULGLDQ ,QWHJUDWLYH Health & Medicine, and follow us on Twitter @IntegrativeHMNJ.

The County Woman Magazine

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

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July/August 2017

Cosmetic & General Dentistry

The County Woman Magazine

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July/August 2017

Fashion

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July/August 2017

Law

21

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

Fun Time At The Shore – It’s Summer Time – Not Slammer Time!

A

Criminal Charges – How We Can Help You!

s summer is underway, thousands upon thousands flock to the Jersey Shore in Ocean, Monmouth and Atlantic Counties. While we all endeavor to have a fun, peaceful time, certain things can lead to involvement with the criminal justice system. Although sunbathing and cookouts are prevalent on the beaches, use and misuse of alcohol and other substances can lead to criminal charges. This article serves to illustrate in a very basic fashion many common charges that people unfortunately encounter during the summer months at the shore and how EFC LAW PRACTICE can help you regarding these types of legal matters. One must first understand how the state criminal justice system works in its simplest forms. The criminal code known as Title 2C provides a framework for criminal charges that are brought on by state, county or municipal law enforcement. Charges are classified as indictable crimes (which the lay person knows as a felony) and petty disorderly persons / disorderly persons offenses (which the lay person knows as a misdemeanor). There are also municipal ordinance violations which fall into neither category and, of course, motor vehicle violations such as speeding, driving while intoxicated and careless driving. All of these categories have statutory penalties that may include imprisonment, serious fines, loss of driving privileges, probation and subsequent consequences such as immigration issues, loss of security clearance, voting ability, jury service and a multitude of other things. But there is help – utilize our services by calling for a free consultation to see what defenses, both legal and factual – can assist you. Indictable crimes are those where a punishment in excess of six months is authorized. They are categorized as first, second, third or fourth degree crimes. Generally speaking, first degree carries a term of imprisonment from 10-20 years, second degree is 5-10 years, third degree is 3-5 years and fourth degree is up to 1.5 years. A petty disorderly persons offense carries a maximum punishment of “30 days in jail,” a disorderly persons offense carries a maximum punishment of no more than 180 days in jail. Municipal ordinances carry a maximum punish of up to 90 days in jail, up to 90 days of community service, up to a $2,000 fine or a combination of all three. The most common charges seen at the shore include the following: disorderly conduct, domestic violence, criminal mischief, public urination, simple assault, open container of alcohol, shoplifting, defiant trespass, possession of controlled dangerous substances, possession of marijuana under 50 grams, possession of drug paraphernalia, noise violations, possession of fireworks and

a host of many others. Usually, if the charge is an indictable crime, it will be handled by the Attorney General or County Prosecutor’s office of the municipality where the incident occurred. If it is a petty disorderly persons, disorderly persons, ordinance violation or motor vehicle summons, the municipality where the incident occurred and their municipal court will handle it. If it is a combination of both types, the Superior Court handles the indictable crime and takes hold of the offenses as well to help ensure uniformity. Tragically, a combination of large crowds, the summer heat, abuse of alcohol or other substances and familial issues can spell a recipe for disaster that can lead a law abiding citizen into the throes of our state criminal justice system. For younger adults and teens in school, this experience may also have ramifications within their own school regarding administrative issues. When the person is charged, they are supposed to get served with a criminal complaint that usually contains an S (Summons – released on their own recognizance) or a W (Warrant – generally taken to jail and now subject to the Criminal Justice Bail Reform effective January 1, 2017). It is imperative that either way you protect your rights by contacting us immediately. The benefit of sooner rather than later is that the incident is fresh in your memory, we can, if appropriate, obtain a defense investigator to gather statements from witnesses or alleged victims before the prosecuting agency can speak with them and we can notify law enforcement and the prosecuting agency that we represent you and you wish to assert your 5TH Amendment right to remain silent – thus preventing the former from contacting you anymore. The above applies to all adults age 18 and over and likewise to in-state residents, tourists visiting from other countries and out of state residents. Additionally, if the above type matters are committed by a juvenile (under age 18), the New Jersey Superior Court, Chancery Division, Family Part will hear these matters. The difference being that the juvenile court considers rehabilitation first and punishment second and the adult court considers punishment first. Use our experience of almost 12 years of exclusive criminal law practice, of which 10 years as a former assistant prosecutor, and now serving as defense counsel to assist you in this troubling time. We handle all aspects of state criminal law, starting with arrest to plea, trial, sentencing, appeal and every other type of matter in between. As Britain’s Prime Minister William E Gladstone stated, “justice delayed is justice denied.” Do not sleep on your rights, especially when it includes loss of liberty!

For more information or to schedule a FREE CONSULTATION, call 732-508-5172. A Limited Liability Company • White Collar & Criminal Defense www.efclawpractice.com • Ehsan F Chowdhry, ESQ, • efclawpractice@gmail.com 3600 NJ-66 #100, Neptune, NJ 07753 • Tel (732) 508-5172 • Mobile (732) 552-7882 The County Woman Magazine

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July/August 2017

Pediatric Dentistry

22

BRACES BY OCEAN PEDIATRIC DENTAL! Ocean Pediatric Dental Associates is the premier pediatric practice in Ocean County. We are proud to announce we are now offering comprehensive orthodontic care for our patients in both offices. We have been providing braces in our Toms River office for over 8 years. Now that we have a larger, more modern facility in Manahawkin, we are able to offer orthodontic treatment. By offering braces in both offices, we can closely evaluate all of the dental care needs for the children in our practice. Families are comfortable with our practice and it is an easy transition from preventive dental care to orthodontic care. Choosing a practice to trust with your child’s smile is an important decision. Orthodontic treatment is an investment and you’ll want to make sure you and your child are comfortable with the office and the care. We welcome second opinions as we encourage parents to seek treatment they are comfortable with.

that children see an orthodontist as early as age seven. As your child’s pediatric dentist, we will advise whether we think your child will benefit from early treatment. The orthodontist will then evaluate whether your child will need orthodontic treatment. Early treatment (also known as Phase One) typically begins around age eight or nine (Phase Two will begin around age 11 or older). The goal of early treatment for some children is to correct the growth of the jaw and certain bite problems, such as an underbite. Early treatment also helps to make room for permanent teeth to come in properly, lessening the chance of extractions in the future. Not all children require Phase One and will only require Phase Two comprehensive orthodontic care. We will evaluate each child individually and make recommendations based on their occlusion.

Dr. Miriam Furlong & Dr. Elisa Velazquez

Kids can need braces for any number of reasons, including crooked, overlapping, or overcrowded teeth, or a “bad bite” (known as malocclusion). Malocclusion is when there’s a difference in the sizes of the top and bottom jaws. When the upper jaw is bigger than the lower jaw, it’s called an overbite. When the lower jaw is bigger, it’s called an underbite.

Our pediatric dentists will perform routine checkups to spot tooth and jaw alignment problems early. Referrals will be made when appropriate and if necessary, our orthodontists will create a treatment plan to straighten your child’s teeth.

Our orthodontist in our Toms River office is Dr. Ernest Wang, who has been providing quality orthodontics for hundreds of our patients.

The American Association of Orthodontists recommends

Our orthodontist in our Manahawkin office is Dr. Miriam Furlong. Dr. Mimi is a wonderful addition to the OPDA family and we are proud to offer Ocean Pediatric Orthodontic Associates for your family.

OCEAN PEDIATRIC DENTAL ASSOCIATES ARE SPECIALISTS DEDICATED TO INFANTS, CHILDREN & ADOLESCENTS AND OUR OFFICE HAS BEEN DESIGNED AND CREATED JUST FOR KIDS!

Why choose a pediatric dentist? •

2 Years advanced training

•

Child-appropriate equipment

•

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Dr. Elisa Velazquez (Dr. Lisa) is the owner of Ocean Pediatric Dental Associates. She graduated from the University of Medicine & Dentistry of New Jersey in 1999 and completed her pediatric residency program as chief resident in 2001. In 2002, she received a Master of Science degree in Oral Biology. Dr. Lisa earned her board certification in pediatric dentistry and is a Diplomate of the AAPD. Dr. Lisa is a member of the American Dental Association (ADA), American Academy of Pediatric Dentists (AAPD), & New Jersey Dental Association (NJDA). She is past president of the Monmouth-Ocean County Dental Association (MOCDS) and serves as state trustee and is the Vice-President of the NJ Academy of Pediatric Dentistry (NJAPD). She is the staff dentist for Children’s Specialized Hospital and the Ocean County chairperson for children’s dental health. Dr. Lisa is on the surgery staff at St. Barnabas’ Community Medical Center and Monmouth Medical Center. She holds a specialty permit to perform conscious sedation in the office. Dr. Lisa has been named “TOP DENTIST” by her peers for NJ Monthly magazine.

Prevention focus with all treatment options for kids

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

Manahawkin 1301 Rt 72 W, Suite 305 LOCNEW ATION! Manahawkin, NJ, 08050 609-597-9195

www.OceanPediatricDental.com The County Woman Magazine

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July/August 2017

Business Spotlight

23

Ocean Pediatric Dental Associates Will Give Your Kids Something to Smile About Dr. Elisa Velazquez (Dr. Lisa) has had an obsession with teeth for as long as she can remember. It is this passion that drives her practice, Ocean Pediatric Dental Associates. As pediatric dentists, Dr. Velazquez and her talented team of professionals are highly adept at understanding the needs of children and have received specialized training to enable them to work in this environment. She adds, “Our common goal is to alleviate your child’s anxiety which will lead to a more pleasant experience.” It’s all about creating a comfortable environment so that their dental experience is a positive one. OCW: WHAT ATTRACTED YOU TO THE FIELD OF PEDIATRIC DENTISTRY? Dr. Lisa: I didn’t see a dentist regularly as a child but

OCW: HOW DO YOU HANDLE A CHILD THAT IS EXTREMELY NERVOUS ON A FIRST VISIT? Dr. Lisa: By talking to them and explaining

was always obsessed with my teeth. For my high school graduation my gift from my parents was to get my teeth cleaned. We did not have dental insurance so this was a big deal. I want this generation of children to have more positive experiences with dental care as part of their overall health. While in college I worked as a dental assistant for an orthodontist and loved the environment. My goal has always been to make a difference for children.

each step very slowly we show them exactly what needs to be done. We use child-friendly words and try to alleviate their fears of the unknown. Our entire team is highly empathetic to our young patient’s needs and knowledgeable in children’s behavior.

OCW: WHY DO SOME CHILDREN WHO STICK TO A HEALTHY DIET STILL GET CAVITIES?

OCW: WHAT IS THE MOST CHALLENGING ASPECT OF YOUR PROFESSION? Dr. Lisa: It can be tough to work against the fears

Dr. Lisa: Cavities stem from the bacteria in

that some children (and adults) have of the dentist. Dentistry, in general is sometimes difficult for kids and it is hard to see them be afraid. Our team works hard to help parents overcome their fears so they aren’t transferred to their children.

our mouth and consumes sugars and release acids in the mouth. It can be transmitted from caretakers. The acid breaks down the enamel and dentin of the teeth. The enamel of the teeth can also be affected by a variety of factors including medications and some medical conditions. Unfortunately some people are more susceptible and have higher risk factors. We also explain to families that not all healthy foods are good for your teeth. For example, orange juice is naturally acidic and high in sugar.

OCW: WHAT DO YOU ENJOY MOST ABOUT IT? Dr. Lisa: I love seeing kids smile and leave our office happy. I get a few hugs a day and it makes my day awesome! I especially love when I can influence a patient and they tell me they want to be a dentist when they grow up.

Dr. Velazquez resides in Monmouth County with her family and enjoys traveling and experiencing new cultures. “I hope to visit every national park in our country,” she says. She plays an active role in several dental associations and helps guide legislation for dentists in New Jersey. She adds, “I have had the great privilege of lobbying in Washington D.C. and making our legislators aware of ways we can improve dental care for the children of our nation.”

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

Manahawkin 1301 Rt 72 W, Suite 305 LOCNEW ATION! Manahawkin, NJ, 08050 609-597-9195

www.OceanPediatricDental.com The County Woman Magazine

www.TheCountyWoman.com

July/August 2017

Law

24

Finding The Light At The End Of The Tunnel A

re you ready for the hot summer weather? It has been a dream spring for all of us. As the summer days get longer, many of us will still be left with the feeling of being buried‌buried in debt. We feel it when we’re getting ready for our day. We feel it driving to work. We feel it when we interact with our spouse, our children or our loved ones. We feel it when we try to go to sleep. It can be a helpless feeling‌like constantly being barraged with rain and lousy weather – things we don’t have control over. The theme of this article is that you do have control over your debt; it’s just a matter of taking action. There is no hole too big or too difficult to dig out from underneath. Here are a few things to keep in mind as you take that first step: Don’t be afraid. I cannot tell you how many clients come into my office with unopened envelopes of credit card bills and mortgage statements. It’s a coping mechanism. If I don’t open the mail, then it is not a concern...it’s not real. Don’t be afraid of your position. It is what it is – it’s about how we are going to fix it that matters. Acknowledging the problem is an important first step. Communicate. Being in debt can be a very lonely feeling. We all want to pay our bills. It is a matter of pride. In fact, many of the people I help are current on their present obligations and have outstanding credit, but are overwhelmed with the amount

in which they owe. Many of my clients feel isolated from their friends and family – even their spouse – because of trying to “keep up� an image or lifestyle that is simply no longer sustainable. Communicate with those who matter and seek help. I can assure you, that you are not alone. Be proactive. There are solutions to any and all debt related problems. Every situation is unique and requires a different analysis based upon the specific circumstances pertaining to one’s assets and liabilities. No two cases are alike. The important thing to remember is that, unless you are proactive, nothing will change. I treat every consultation as an information session. It’s an opportunity for you to receive the information you need about bankruptcy and other debt solution options, and it is an opportunity for me to set a strategic course for helping a client find relief.

I hope this article proved helpful in not giving up hope and trying to move forward. Like with this dream spring passing, there is a light at the end of the tunnel.

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July/August 2017

Medical Professionals

25

THE UROLOGY GROUP OF CHOICE Serving Mercer, Monmouth and Ocean counties. The physicians of University Urology Associates of New Jersey have been recognized by fellow medical practitioners to be among the best urologists in the Garden State. At UUANJ, 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. MRI Fusion Prostate Biopsies are the latest advancement in prostate cancer detection. UUANJ is the ďŹ rst urology group to offer true MRI Fusion Prostate Biopsies in Mercer, Monmouth and Ocean counties. HAMILTON 1374 Whitehorse Hamilton Sq. Rd. Hamilton, NJ 08690

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For Appointments (609) 581-5900 (732) 928-5300 UUANJ.COM The County Woman Magazine

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July/August 2017

26

Medical Professionals

Your Are in Good Hands at Advocare Stafford Orthopedics The physicians at Stafford Orthopedics all have one thing in common: to try non-surgical forms of treatment first, recommending surgery only if conservative measures fail. Treating everything from injuries and diseases of bones, muscles, joints, peripheral nerves, as well as diabetic wounds and gait conditions, they are committed to both courteous and quality professional care. Caring for patients of all ages from infants to the elderly, their underlying philosophy behind all that they do is to treat the whole patient in the context of his or her life circumstances. A large part of their practice involves the treatment of broken bones, sports medicine and arthritis.

Getting to Know the Physicians Samuel E. Epstein, D.O. OCW: How did you get involved in the field of Orthopedic Medicine? Dr. Epstein: My father was a family doctor and in the summers he would take me to his office while he treated his patients. I knew at a young age that I wanted to become a doctor and help people. In high school and college I wrestled and played football. Needless to say, I had sports injuries that required treatment. The treatment of sports injuries was very interesting to me and I wanted to be able to take care of these musculoskeletal injuries both operatively and non-operatively. OCW: What are the most common conditions you treat on a daily basis? Dr. Epstein: We see a great deal of hip, knee, ankle, foot, shoulder, elbow, wrist, back, and neck pain due to injury or arthritis. We also see conditions such as carpal tunnel syndrome and trigger fingers. OCW: What sets advocare l Stafford Orthopedics apart from other facilities like it? Dr. Epstein: We have been treating patients in Southern Ocean County for approximately 50 years and always treat the whole patient, considering their individual needs. In most cases, we believe in conservative treatment first. Only after this fails, do we recommend surgery. We understand most of the people we see are in pain and usually fit them in our schedule within a day; even if that means extended hours. Our office staff is very “user friendly” and competent. OCW: How do you stay current with the latest advances made in your field? Dr. Epstein: Being a doctor is a life long learning process. I constantly read journals and attend conferences and webinars to stay current. I am involved in hospital committee’s in which I use “Evidence Based Medicine” and “Best Practices” to develop the highest quality treatment protocols for my patients. However, there is no substitute for experience and we all learn by doing. I have been doing Orthopedic Surgery for 27 years and have had the opportunity to hone my craft.

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

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

www.TheCountyWoman.com

July/August 2017

Fashion

&Beauty

27

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ul 4th has come and gone, but you still have several summer celebrations to attend. You suddenly realize uly th your wardrobe is lacking the appropriate apparel for your upcoming events but the department stores that IIZM ITZMILa KZIUUML _Q\P LW_V RIKSM\[ IVL _WWTMV [KIZ^M[ 6W XZWJTMU <PM XMZNMK\ W]\Å\ Q[ _IQ\QVO NWZ aW] NWZ aW] I\ *IZJIZI¼[ *W]\QY]M XZWJIJTa I\ I []UUMZ LQ[KW]V\ WN WZ UWZM AW]¼TT ÅVL KPQK IVL KI[]IT dresses, pants, tops, and jackets in all of the vibrant colors and patterns trending for this summer. There are many IKKM[[WZQM[ \W KWUXTMUMV\ aW]Z W]\Å\" RM_MTZa JMT\[ [KIZ^M[ IVL JMI]\QN]T PIVLJIO[ NWZ ITT WKKI[QWV[ As an extra bonus, you will be able to preview the top fall fashion collections arriving in mid-August, straight from the runways of New York. Pantone, a company that many industries turn to for its “color M`XMZ\Q[M º PI[ QLMV\QÅML I XITTM\ WN ZQKP KWTWZ[ NWZ \PM NITT NI[PQWV [KMVM QVKT]LQVO :Q^MZ[QLM )QZa *T]M Sharkskin, Lush Meadow, Spicy Mustard and Bodacious. Each of these beautiful hues comes in a variety of shades, so there’s something for everyone. Popular clothing items for fall include everything from cable ponchos and funnel neck sweaters to velvet IVL TMI\PMZ \ZQU WV \WX[ IVL XIV\[ AW]¼TT IT[W ÅVL IV IJ]VLIVKM WN KI[PUMZM [_MI\MZ[ QV XTIQL[ ÆWZIT[ IVL tie-dyed patterns. Leggings – especially in printed patterns - continue to be a wardrobe essential, as are unisex KIUW]ÆIOM NI[PQWV[ IVL NZQVOM WV [_MI\MZ[ [PI_T[ IVL KIZLQOIV[ AW] _QTT ÅVL ¹;PMZXI TQVQVOº QV RIKSM\[ IVL coats, which is similar to real sheep’s wool, but much lighter in weight and faster drying. It is the ideal lining in a mid-season coat! You can also stay warm this fall in a button ruana with tassels, which comes in block patterns and vibrant colors. Exciting News – II Bisonte’s handbags from Florence, Italy are back in Barbara’s store. II Bisonte has an impressive range of bags and accessories exclusively made from vegetable-tanned vacchetta leather, which starts out rich and beautiful and gets even better with age. Barbara’s also has a new line of quality sleepwear and panties from Hanky Panky. All these clothing items and accessories are waiting for you at Barbara’s, and with the expertise of style professionals Karen and Stephanie, you will leave the boutique looking and feeling fantastic. It is a total fashion experience! Q

The County Woman Magazine

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July/August 2017

28

Medical Professionals

Is Spine Surgery Right for You? It’s a Matter of Risk vs. Benefit While many people shy away from back surgery, others – like Denise Kordulak – have no choice. The benefits far outweigh the risk. Many people who suffer from debilitating back pain resist surgery – thanks to failed stories from years past. While surgery should be the final option after trying other non-invasive therapies, today’s success rates for spine surgery are significantly different from the past.

WE’RE HERE

Life’s simple pleasures are not so simple when you suffer from neck or

travel

back pain. At Atlantic NeuroSurgical Specialists (ANS), we make them

dance

easier for you to enjoy.

The largest neurosurgical practice

Take, for example, Denise Kordulak, a 66-year-old retired x-ray technician from Neptune, NJ. Years of pushing, lifting and carrying equipment and positioning patients took a huge toll on her back. Fourteen years ago, she had surgery to relieve her pain and restore the feeling in her feet. While it was somewhat successful, she never returned to normal.

SO YOU CAN

walk

in New Jersey and one of the most advanced in the country, we treat spinal issues with innovative therapies

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that don’t necessarily involve surgery. And, when it’s needed – and possible –

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we use pioneering minimally invasive Atlantic NeuroSurgical Specialists’ Dr. Pinakin Jethwa, a nationally renowned neurosurgeon and spine expert, reviews a patient’s films.

Denise started walking with a hunched back. Last year, the pain became unbearable. Eventually, she lost feeling in her left leg from the knee down, and the pain migrated to her right leg. It was so bad she couldn’t stand for more than a few minutes. Denise contacted Dr. Pinakin R. Jethwa, a board-certified neurosurgeon at Atlantic NeuroSurgical Specialists (ANS).

treatment strategies.

play Get back to what you love doing the most. Visit us at www.ansdocs.com or call 732.455.8225.

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“When Denise came to me, she was suffering from a complex lumbar spine issue. Compression of the nerves was causing her leg pain. Degeneration of her discs was causing her back pain. And, one of the bones of her spine had slipped out of place, causing her hunched back,” Dr. Jethwa explains. “In an eight-hour surgery, we performed a multi-level spinal decompression and fusion operation.” The parts of the bones and discs that were compressing Denise’s nerves were removed. Screws and rods were placed in the bones to stabilize and fuse the degenerated discs, and the bone that was slipped out of place was realigned into a more normal position.” “Since then, I have been pain free,” Denise says excitedly. “I am a completely new person. I can stand up straight again, and I feel wonderful!” “Denise actually drove herself to the office and, for the first time in years, walked in unassisted,” Dr. Jethwa adds. “She told me she has her life back. In her case – and many others – the benefits far outweighed the risk.”

Neptune | Morristown | Jefferson Summit | Teaneck

For more information about spinal decompression and fusion, visit us at ansdocs.com or call 732.455.8225.

The County Woman Magazine

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July/August 2017

Medical Professionals

29

When It’s Worth the Risk, It’s Worth Integrated Care When the body’s nervous system – the delicate and complex command, control and communication network made up of the brain, spine and neurovascular system – is working properly, it’s taken for granted. It just works the way it’s supposed to. But when it doesn’t, the impact can be dramatic and life-altering. Regardless of the cause – a brain tumor, herniated disc, stroke or any other trauma to the nervous system – having an integrated care team providing medical care is essential.

Another is ANS’s pioneering use of “Big Data,” a powerful tool that helps identify the right treatment for the right patient at the right time. Dr. Knightly serves on the Spine Executive Committee of the American Association of Neurological Surgeons – Congress of Neurological Surgeons, the organization that launched the first national neurosurgical clinical registry. This outcomes database collects and analyzes clinical data that measures the quality and efficacy of common spinal and neurosurgical procedures.

According to Dr. Yaron A. Moshel, codirector of the Brain Tumor Center at Atlantic NeuroSurgical Specialists (ANS), the largest neurosurgical practice in New Jersey, integrated care brings together all of the subspecialties related to one medical specialty for comprehensive care. “For example, at ANS, we have an integrated care system that brings together all brain tumor subspecialties in one place,” he explains. “Our brain tumor center treats only brain tumor patients with all of the experts needed to provide every component of care right here.” ANS’s Brain Tumor Center includes specialists in neurosurgery, otolaryngology, radiation oncology, medical oncology, neurooncology, neuro-radiology, neuro-ophthalmology, neurology, neuropathology, physiatry – as well as consultations in nutrition, alternative medicine and social services. The benefits to this collaborative approach are many – not just for brain tumor patients, but for patients with spine and neurovascular issues as well. Having specialists dedicated to each of these three specialties within neurosurgery – versus generalist neurosurgeons – brings the depth of experience and shared knowledge that enables the most effective multidisciplinary treatment plan to be customized for each patient. ANS’s Spine Center – under the direction of Dr. John J. Knightly – follows the same principle.

other qualified support staff to deliver exceptional care,” Knightly details. “That’s one reason we perform the most minimally invasive spine surgeries in the state of New Jersey.”

Likewise, ANS’s Neurovascular Center comprises a highly trained group of neurosurgeons, radiologists, stroke neurologists, neurointensivists and stroke rehabilitation experts who are immersed in researching new techniques. According to Dr. Ronald P. Benitez, center director and president of ANS, “ANS’s Neurovascular Center is at the forefront of ongoing research, delivering the latest innovative treatments to the most complex neurological disorders, including stroke and aneurysm.” ANS’s success rate for treating strokes is higher than the national average. Regardless of the center, ANS’s team of specialized, board-certified neurosurgeons and professionals are dedicated to delivering exceptional integrated medical and personalized care. ANS is known for its cutting-edge approach to medical therapies – many of which are non-surgical; active participation in life-changing clinical trials; and holistic patient support including medical, emotional, financial, and more.

“The ANS Spine Center brings together board-certified, fellowship-trained neurospine specialists, physical therapists, pain management physicians, chiropractors, and The County Woman Magazine

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July/August 2017

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“It’s OK To Talk About It” “It”

refers to the changes in vaginal health and it happens to a majority of women. Now there’s something you can do about it that is clinically proven to bring relief. MonaLisa Touch® is a functional vaginal rejuvenation treatment based on a special fractional CO2 laser, specifically created for the vaginal mucosa. • Quick and Painless • Rapid Results • No Down Time • FDA Approved • 3 Treatments Of Less Then 5 Minutes • No Anesthesia • No Side Effects The MonaLisa Touch® treats menopausal vaginal symptoms and vaginal discomfort at any age when hormones or medications do not work, or are not a safe or desired option.

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July/August 2017

Law

31

Workers’ Compensation: Do You Need a Lawyer to Make Sure Your Medical Treatment is Covered? If you’re reading this article in a doctor’s office, there’s a good chance you’ve been injured at work and in need of medical treatment. If your employer’s workers’ compensation insurance carrier is stalling your treatment, you may need my services to file what is known as a Motion for Medical Treatment and Temporary Disability Payments, also known as a Motion for Med & Temp. What is a Motion for Med and Temp? Well, that’s something I can help you with. A Motion for Med & Temp is a court document we file for injured workers to make sure the insurance carrier provides all medical treatment associated with your work injury. That means making sure you are covered for emergency room visits, diagnostic studies like MRIs, X-rays, and EMGs, doctor’s visits, prescription medicines, surgery, and physical therapy, with no out-of-pocket costs from you, no co-pays, and no deductibles. It also addresses your temporary disability (wage replacement) if your doctor says you can’t work for a period of time due to your injury. Many times, there are issues arising from a work injury that lead a workers’ compensation insurance carrier to deny a claim or suspend treatment—issues like pre-existing injuries, failure to report the injury in a timely manner, or just plain misinformation. An experienced attorney is sometimes what is needed to sort out these complicated factors to make sure you receive the benefits you need and are entitled to by law to get you back in good health, achieve financial stability, and protect your future. Think your private health care carrier covers your work injury? Think again! Putting your workers’ comp claim through your private carrier can result in copays and deductibles that you should not be responsible for and may not be able to afford. Why should you pay for medical bills when the workers’ comp carrier

should be wholly responsible? Another important point to remember is that filing for NJ State Temporary Disability doesn’t cover you for more than 26 weeks. Workers’ comp, by law, covers you for as long as your authorized doctor says you cannot work. If your injury keeps you out of work longer than that, you need not worry about your benefits running out. Don’t get stuck paying for medical benefits somebody else should be paying or go without your pay while you are recuperating from your injury. If you need help making sure your rights are protected, I urge you to contact me to schedule your free consultation today. We’re always here to help you and there is no fee unless we obtain benefits for you.

Kathleen Dotoli received recognition from the American Institute of Legal Counsel for “10 Best Attorneys for Social Security and Disability Law Division for Client Satisfaction� 2016

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

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July/August 2017

32

Medical Professionals

The County Woman Magazine

www.TheCountyWoman.com

July/August 2017

Medical Professionals

33

Put Your Best Face Forward DR. KATHY A. BANKS IS OCEAN COUNTY’S MOST EXPERIENCED ORAL AND MAXILLOFACIAL SURGEON IN DELIVERING INJECTABLE FACIAL FILLERS AND REJUVENATION PRODUCTS. Dr. Banks’ experience with Botox® began in the mid 1990s while working with patients with various temporomandibular joint problems. “In those days, Botox® was not really given for cosmetic purposes, but to relax the tight chewing muscles to provide relief for patients with certain TMJ problems,” she says. Fast-forward to the present day: with the significant advances in non-surgical treatments for esthetic facial concerns, surgical modalities are now considered for some practitioners to be the “last resort” for treating the ageing face. Dr. Banks is part of a team of oral and maxillofacial surgery specialists who conceived and delivered a series of State Board of Dentistry–approved educational courses for other practitioners on the safe and effective delivery of injectable pharmacologic agents. Dr. Banks provides Botox® treatments, as well as a whole array of Allergan® brand injectable fillers. A combination of these products can produce a lifting and smoothing appearance of the face. According to Dr. Banks, the upper facial rejuvenation procedures—using Boxox® alone or in combination with Voluma XC® to correct lost volume in the maxillofacial region of the cheeks, Volbella XC® to plump the lips and reduce the appearance of wrinkles around the mouth, injections of Juvederm Ultra Plus XC® to reduce the appearance of the nasolabial folds (marionette lines) around the mouth and nose—are the most common services sought by patients. The newest Allergan® product, Vollure XC®, is a versatile formulation that adds subtle volume for the correction of moderate to severe facial wrinkles and folds. According to Dr. Banks, this second-generation dermal filler has truly unique qualities, ma aking it a very effective product with results lasting about making eighteen m onths iin nm any p atientts. months many patients.

down fat cells, and they are gone for good!” she states. The treatments are given in a series of three to five sessions and the results are permanent. “This product has completely replaced surgical liposuction in the area under the chin,” says Dr. Banks. If you look in the mirror and see that you appear tired or wrinkled, make an appointment with Dr. Banks to see what these products can do for you. It’s summer! Time to put your best face forward!

In ad ddition tto oB otox® aand nd th he eentire ntirre line-up line-up of Allergan® dermal addition Botox® the fillers,, D r. B anks o ffeers ttreatments ff reatmeents with Kyb bellla®, a revolutionary revolutionaryy Dr. Banks offers Kybella®, product ffor or ttreatment reatment o ubmental ffullness. ullness. “This p roduct iss really off ssubmental product aamazing. mazing. IItt ccontains ontains a p owerful p lant d erived ssubstance ubsttance th ha t b reaks powerful plant derived that breaks

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July/August 2017

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Medical Professionals

Your doctor has mentioned that you should have a colonoscopy or endoscopy, but you are concerned about the procedure and anesthesia.

WHAT SHOULD YOU DO? Many patients have concerns about endoscopic procedures and anesthesia. Patients think they may be awake and be uncomfortable during the exam. Other patients feel they may lose control during the procedure. We have all read things in the news about what may have happened with celebrities such as Michael Jackson or Joan Rivers. You should not delay in having a potentially life-saving medical test such as an endoscopy or colonoscopy due to these concerns. First, and most importantly, the most essential part of having a good experience with anesthesia is having a qualified, trained and diligent anesthesiologist working with your gastroenterologist during the entire procedure. Second, Propofol, which is the most commonly used sedative given for endoscopic procedures, is extremely safe as long as given in the right situation with appropriate supervision.

Patients often ask, “Do I need to be asleep for the procedure?” or “Can I have the procedure without anesthesia?” The reason anesthesia is given is for the comfort of our patients, and also, if patients are comfortable during the procedure, it allows your gastroenterologist to perform a more complete exam, and detect any polyps or other abnormalities easier. Patients in our facility will be closely monitored throughout, with oxygen levels and heart rates being checked constantly. There will be no breathing tubes used for the procedure. Propofol is short acting, and patients wake up feeling refreshed and often ask, “Is the procedure really done?” The most important thing to do to minimize any risks is to listen to your doctor’s suggestions for the prep and procedure day. No solid foods should be eaten on the day of the procedure. Patients can only drink clear liquids up until 4 hours prior to the procedure. This reduces risk of aspiration (food going into the lungs) during the procedure. Continue to take any heart and blood pressure medications (unless specifically directed by your doctor for blood thinners) so that your medical conditions remain stable for the procedure. Make sure to have a driver, as you will not be able to drive after the procedure. Remember, endoscopy and anesthesia are both very safe. Many patients say the anesthesia is often the best part of the exam, and the best sleep they have ever gotten. Make sure to talk to your doctor about if you are due for your colonoscopy. We look forward to helping to keep you healthy.

Jai Mirchandani, MD

The County Woman Magazine

www.TheCountyWoman.com

For more information or to schedule an appointment, call 732-349-4422 or visit www.GastroOfOcean.com. July/August 2017

Medical Professionals

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Got An Itch That Can’t Be Scratched?

Dr. Paonessa helps to make sense of your symptoms Do you suffer from aggravating symptoms such as itching, burning and discomfort as well as a “wet” or moist feeling in the perinal area? You may be suffering Pruritus Ani. Pruritus ani is a Latin term literally meaning “itchy anus”. It is an uncomfortable sensation around the anus which produces the desire to scratch. Scratching causes irritation of the perianal skin which in turn causes the desire to scratch more. The skin becomes more irritated and damaged which causes the desire to scratch even more. This becomes a vicious cycle. Pruritus ani affects 1% to 5% of the population. Although it affects both men and women, it is four times as common in men. This condition is most often encountered in patients in their 40’s to 60’s. Pruritus ani is treated medically. An accurate diagnosis is mandatory for proper care. What causes Pruritus Ani? The symptom of pruritus or itching is common to many anorectal conditions. Disorders such as hemorrhoids, skin tags, fecal soilage and/or incontinence, anal fistulae, anal fissures and anal warts all may be associated with itching. This is termed secondary pruritus ani. However, pruritus ani may be independent of these conditions. This is called primary pruritus ani. The cause of the syndrome in these cases is usually from topical agents applied to the perianal skin and/or the pH of the stool. The pH of the stool is determined by foods which we eat. In addition to inadequate hygiene, overzealous or aggressive hygiene using irritating soaps, fragrances and lotions may cause pruritus ani. Overzealous cleaning and the use of topical steroids can destroy natural skin barriers and cause trauma to the anal skin, making the problem worse. As such, attempting to keep the perianal skin too clean, is harmful and may worsen the problem. The use of baby/toilet wipes is a common culprit for many patients suffering from pruritus. It is very important to note that there are many medical conditions that may cause perianal itching and are treated differently from basic, primary pruritus ani. There are infectious conditions such as bacterial skin infections, fungal infections, parasitic infections (pinworms or scabies) and viral infections (anal warts). Skin conditions such as psoriasis, seborrheic dermatitis, contact dermatitis, and lichen sclerosus may cause secondary perianal itching. Local cancers such as Bowen’s disease or Paget’s disease are also potential causes of pruritus ani. How is Pruritus Ani diagnosed? In order to accurately diagnose pruritus ani, your physician will obtain a complete history and physical examination. The timing and duration of the symptoms are important factors. Toileting rituals/behaviors, stool frequency and consistency and hygiene/cleansing routines are noted in order to help make a diagnosis. Travel history, medical history and medications taken are also important. It is crucial to include any supplements taken, topical ointments/creams used and whether or not baby/toilet wipes are being used. A careful diet history is also taken in order to identify any possible contributing agents. Your doctor will perform a physical examination. This will include a careful inspection of the perianal skin and a digital rectal examination. Common findings are irritated, swollen, reddened skin that may have linear ulcerations/cracks. Sometimes the perianal skin may be thickened. An examination of the anal canal via an anoscope will also be 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 13 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 of Hemorrhoids, 2nd 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. Call 732-282-1500.

The County Woman Magazine

performed in order to ensure there is not any intra anal pathology causing the symptoms such as hemorrhoids, warts, a polyp or tumor. Considering the serious diseases that may cause the symptoms of pruritus ani, it is very important not to self-diagnose, but rather to seek consultation with a physician. In certain situations, a small skin biopsy may need to be performed. How is Pruritus Ani treated? The first goal of treatment of pruritus ani is to make a correct diagnosis. That means determining if the condition is primary pruritus ani or secondary pruritus ani caused by a medical condition/disease. Once this has been accomplished and it is confirmed that the patient has primary pruritus ani, the goal of therapy is to restore clean, dry and intact perianal skin. This will help to alleviate the symptom of itching. The first step is to alter the consistency of the stool so as to avoid seepage of stool from the anus. This may be accomplished with diet modification and adding a fiber supplement. The second step in treatment is to discontinue any offending agents such as cortisone ointments, hemorrhoid creams, lotions, perfumes, soaps and baby/toilet wipes. Topical agents containing alcohol are very irritating to the perianal skin. Likewise, any topical agent that causes the perianal skin to remain moist should be avoided. This includes Vaseline, witch hazel, A & D ointment, antibacterial ointments, etc. Additionally, it is important to remember not to over clean the perianal area. This causes further skin break down and irritation. Believe it or not, plain water is the best way to keep the perianal skin clean and healthy. Finally, the last step in treatment is to modify the diet to avoid a change in pH. Foods related to pruritus ani include: caffeine, colas, citrus, dairy, tomatoes, nuts and beer.

Where can you find help? Dr. Paonessa is very familiar with diagnosing and treating pruritus ani as well as all the other diseases/conditions that may be mistaken for pruritus ani. Since there are many serious diseases that may be mistaken for primary pruritus ani, it is very important to see a physician trained in treating this condition. It is incredible how a fairly simple ailment such as pruritus ani can alter a patient’s daily life and affect his/her quality of life. Don’t hesitate to pick up the phone and call for a consultation. Stop suffering and begin to live life again.

COLON AND RECTAL SURGERY Board Certified in General Surgery and Proctology • laparaoscopic surgery • colonoscopy • abdominal/pelvic surgery • anorectal surgery • fecal incontinence • pelvic floor disorders • endoanal/rectal ultrasound • office proctology • anorectal manometry/physiology 2101 Route 34 South, Suite H Wall, NJ 07719

www.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 July/August 2017

36

Anemia:

Medical Professionals

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A Symptom, Not A Disease Are you anemic? You don’t have the energy you used to have. You are getting tired easily; many routine day-to-day tasks are getting more difficult. Others are noticing that you look pale; you want to sleep day and night‌ Chances are, you may be anemic. Anemia is not a disease in itself, rather a symptom of some other underlying ailments. This could be something as simple as a deficiency of iron or other nutritional supplements or less commonly, a major illness such as cancer or bone marrow disorders.

Compassionate Care, Close to Home

What is anemia? There are three types of cells in our blood. Red cells (RBCs), White cells or (WBCs) and Platelets. Red cells contain a red pigment called hemoglobin that carries oxygen to the different parts of the body. White cells help to fight infection. Platelets help to prevent bleeding. Anemia is a condition in which the number of healthy red cells (RBCs) in the blood is low. This results in reduced oxygen supply to different parts of the body. When this is severe, it can cause difficulty in breathing, fatigue, dizziness and lightheadedness. It can diminish the oxygen supply to the heart muscles and can lead to heart attacks. Reduced oxygen to the brain can lead to syncope (fainting). What causes anemia? Anemia can be caused by either a defect of production of red cells from the bone marrow or excessive loss of blood/blood cells. • Iron or B12 deficiency: Blood cells are mainly made inside the bone marrow. (Marrow is the red juicy material inside the bones). Certain nutrients are needed for the production of blood cells; especially RBCs. Iron is a component of the red pigment hemoglobin. In addition, vitamins like vitamin B12 and folic acid are also needed to make blood cells. Deficiency in the diet or poor absorption of iron and B12 can lead to anemia. • Hemolytic anemia: If there is excessive destruction of blood cells a process caused hemolysis, it leads to anemia. This can be hereditary, such as sickle cell anemia, Thalassemia (Meditaranean anemia) or acquired, such as autoimmune hemolytic anemia. In the latter, our body makes an antibody against our own red cells and it destroys the red cells in circulation. • Bone Marrow Diseases: If there are abnormal cells in the bone marrow, due to leukemia or other types of cancers, production of blood cells will be suppressed. Aplastic Anemia is a condition where the production of all blood cells, including red, white and platelets are markedly diminished. • Anemia from blood loss: If you have excessive blood loss (heavy menstrual cycles, bleeding ulcers, polyps or tumors in the stomach and intestines), it can lead to anemia as your bone marrow may not be able to keep up with the extent of blood loss. • Anemia of chronic dis-ease: Certain diseases such as Rheumatoid arthritis, Lupus, cancer and chronic infection can suppress the bone marrow and lead to decreased production of blood cells. Diagnosing Anemia A simple blood test (CBC) can tell you if you are anemic. It measures the hemoglobin and the hematocrit. Normal hemoglobin varies from 12-15 gms in women and 13.5 to 17.5 in men. These normal ranges vary slightly depending on the laboratory. You can also measure the levels of iron, B12 and foliate in the blood. After these preliminary blood tests, you may be referred to a Hematologist (Blood specialist) who can perform additional tests, including a bone marrow evaluation.

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What is the treatment of Anemia? Treatment of anemia depends on the cause. Taking iron pills or B12 can treat iron and B12 deficiency. In cases of unexplained iron deficiency, you have to look for occult causes of bleeding, especially from the stomach and intestines. An endoscopy and colonoscopy becomes essential in such cases, especially, if you are 50 or older. Anemia from other causes can be improved by treating the underlying illness. Role of ESAs (erythrocyte stimulating agents): A hormone called erythropoietin made by the kidneys stimulates the production of red cells from the bone marrow. This is now commercially available as Procrit/ Aranesp injections and is used to treat certain types of anemia. These drugs should only be used under the supervision of a Hematologist or other physicians familiar with their use.

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July/August 2017

Medical Professionals

37

Pap Test: What You Need to Know Amadi Rezai, MD Offers Insight Many women are accustomed to getting Pap tests at their annual gynecological exams. But recent protocol calls for screening every three to five years. Why is a Pap test important and what’s behind the change in recommended screenings? Amadi Rezai, MD, a board-certified ob/gyn and a Fellow of The American Congress of Obstetricians and Gynecologists, practices with Ocean Women’s Healthcare group, part of Barnabas Health Medical Group (BHMG), the state’s largest hospital-based multispecialty medical group. He provides gynecological health care services to women of all ages - from teens through menopause and beyond. Here, he offers insight on Pap tests and the importance of getting Pap tests on a regular basis.

Q: What’s a Pap test? Dr. Rezai: A Pap test – also called a Pap smear - is a form of screening for cervical cancer. It tests for the presence of precancerous or cancerous cells on the cervix – the opening of the uterus. As regular Pap tests are one of the best ways to detect and prevent cervical cancer, it’s important to make this test a priority. The American Cancer Society (ACS) estimates that 12,820 new cases of invasive cervical cancer will be diagnosed and about 4,210 women will die from cervical cancer this year. Despite these statistics, the cervical cancer death rate has decreased significantly by about 50 percent over the last 40 years. One of the main reasons for this change is greater use of the Pap test. We normally see cervical cancer in patients who don’t routinely show up to gynecological appointments; some women let their visits lapse for years. During this time in between visits, it’s possible for cervical cancer to develop. A Pap test, along with a HPV vaccination, is the best way for women to arm themselves from cervical cancer.

Q: When should women get their first Pap and how often? Dr. Rezai: Women should get their first Pap at 21-years-old and women aged 21 to 29 should get a conventional Pap every three years unless cells test abnormal. Although we start screening at age 21 every three years, certain high risk groups need screening more frequently. Beginning at age 30, protocol is to offer HPV testing, along with a Pap every three to five years.

Q: What happens during a Pap? Dr. Rezai: Paps are usually performed during the annual exam, along with a complete physical and pelvic exam, and breast exam. During a Pap, the health care provider inserts a speculum into the vagina which holds the vaginal walls apart to visualize the cervix. Samples of cervical cells are taken using a soft brush or a spatula, a small scraping device. If done properly, the test is painless. The collected cell sample is sent out to a lab and examined under a microscope. Results are usually provided within one week. If results are abnormal, a coloscopy is performed. During this procedure, a solution of acetic acid is administered inside the cervix to provide a better view of any abnormal cells. A biopsy will be conducted if needed and will determine whether an abnormal area is pre-cancerous or cancerous.

Q: What are the symptoms of cervical cancer? Dr. Rezai: Early stage cervical cancer is usually painless and symptom-free and may take years to develop. Signs of more advanced cervical cancer may

Amadi Rezai, MD Obstetrics and Gynecology Dr. Rezai is one of three physicians that practice in Ocean Women’s Healthcare Group and is affiliated with Community Medical Center in Toms River. To schedule an appointment with Dr. Rezai, please contact: 602 Route 72 East, Suite 1 Manahawkin, NJ 08050 609.978.9870

The County Woman Magazine

About Barnabas Health Medical Group 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 throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. For more information, visit www.BarnabasHealthMedicalGroup.org. include vaginal bleeding after intercourse (usually from an ulcer on the cervix), pelvic pain or pain during intercourse and bloody vaginal discharge. Cervical cancer is usually caused by human papillomavirus (HPV) infection, a sexually transmitted infection. Over 100 varieties of HPV exist, with high and low risk groups. While most HPV infections don’t lead to cancer, some types of HPV can cause cervical cancer. The two main types of cervical cancers are squamous cell carcinoma (the most common type) and adenocarcinomas.

Q: What’s the best way to prevent cervical cancer? Dr. Rezai: To help prevent pre-cancers and cancers of the cervix, HPV vaccines, such as Gardasil 9 are highly recommended. Gardasil 9 is highly effective in preventing the two most common strains – 16 (causes about 60% of cervical cancers) and 19 (causes about 15% of all cervical cancers). The key is to start vaccinations before a young woman or man becomes sexually active. Gardasil is indicated for girls 9 to 26. HPV vaccination is the best way of fighting cervical cancer but women should still come in for annual appointments. As with any cancer, early diagnosis is key. It’s critical for women to get regular Paps and for young women to get vaccinated for the HPV virus. If cervical cancer is identified before it becomes invasive, it’s highly curable.

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Medical Proff essionals

Summer Special 6Ɉ Coolsculpting Package (Minimum Four Treatments) Expires 8/31/17

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Business

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Medical Professionals

Heat Stroke Vs. Heat Exhaustion First And Foremost Is To Listen To Your Body!

We all enjoy the summer season but NOT the humidity and uncomfortable heat associated with record breaking temperatures. According to the Centers for Disease Control and Prevention, on average, over 600 people die from complications related to extreme heat each year in the United States - more than tornadoes, hurricanes, Ă ooding, lightning or any other weather event combined.

What’s the difference between heat exhaustion and heat stroke? Heat exhaustion is the precursor to heatstroke and is a direct result of the body overheating.

5

HEAT EXHAUSTION:

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HEAT STROKE:

t .PTU TFWFSF GPSN PG IFBU SFMBUFE JMMOFTT UIBU DBO MFBE UP EFBUI JG OPU USFBUFE BT BO FNFSHFODZ t 4BNF TZNQUPNT PG IFBU FYIBVTUJPO QMVTyy t #PEZ UFNQFSBUVSF HSFBUFS UIBO EFHSFFT t ǰFTF UFNQT MFBE UP CSBJO NVTDMF LJEOFZ IFBSU BOE UPUBM CPEZ GBJMVSF JG OPU BQQSPQSJBUFMZ USFBUFE ICAM offers a variety of intravenous medical drips that benefit many patients and conditions from “fatigue to fantastic�. Whether you think you are healthy or you are not, IV supplementation is a quick and efficient way to promote health and combat illness. During the summer season ICAM is offering our “Hydrator IV� for those who wish to optimize their hydration either before and/or after extreme sun/heat exposure. Whether you choose the IV or oral route of fluid administration, always be sure to keep hydrated. This is especially important in the very old and the very young and of course our furry little friends!

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

Health

&

Wellness

Are You Trapped Inside Your Comfort Zone?

Have you been trying to convince yourself [OH[ `V\Y SPML PZ Q\Z[ Ă„UL HZ P[ PZ HUK [OH[ `V\ ZOV\SK HWWYLJPH[L ^OH[ `V\ OH]L& 4H`IL [OV\NO P[ÂťZ ILLU NL[[PUN OHYKLY HUK OHYKLY [V PNUVYL [OH[ NUH^PUN MLLSPUN VM ILPUN Z[\JR PU WSHJL VM MLLSPUN VɈ RPS[LY Âś TH`IL H MLLSPUN [OH[ ZVTL[OPUN PZ TPZZPUN VY ULLKZ to change. That “somethingâ€? may be related to lifestyle, work, relationships, leisure/recreation – anything, really. Maybe you’re not even sure what the source of it is. One thing is certain – once you hear that “whisperâ€? or feel that gnawing feeling, you can’t “un-hearâ€? it or “un-feelâ€? it. It’s your own internal wisdom – your deeper mind – alerting you that something needs to change. Instead of trying to ignore it, you can decide to do something about it – even if it means going outside of your comfort zone. As human beings, we are meant to reach, to stretch, to grow – not to curl up and hide inside our safe little cocoons. “A safety zone is a wonderful place, but nothing grows there.â€?

Following is an example of some of the situations that have prompted clients to change:

Make Your Mind Work FOR You – Instead of Against You! Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification in complementary medical hypnotism. She earned a B.S. degree in Biomedical Communications from Richard Stockton College of N.J., has an academic background in nursing, and 20+ years’ experience in community health education and coaching. Rhoda adheres to strict ethical standards of the National Guild of Hypnotists.

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t * MPPLFE GPSXBSE UP SFUJSFNFOU GPS ZFBST o BOE OPX all I do is busy myself with errands and chit-chat. I feel like I have no purpose, but don’t know what to do about it. Plus, I’m kind of shy about meeting new people. t * IBWF B EFDFOU KPC CVU IBWFO U IBE B SBJTF JO B MPOH time. If I were more comfortable talking in front of people, I could get a promotion. Everything would change. t * XBOU UP HP CBDL UP DPMMFHF CVU * N TDBSFE *U T CFFO a lot of years since I’ve been in school. t * N PWFSXFJHIU BOE NZ GSJFOET BSF BMM PWFSXFJHIU * keep trying to convince myself that you only live once and I should accept myself as I am. But I know better. * KVTU DBO U TFFN UP HFU TUBSUFE

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July/August 2017

42

Recipe

Medical Professionals

Cantaloupe Sherbet

1 small cantaloupe, very rip & cut into bite size chunks 1 quart milk envelopes unĂ avoreG Jelatin cup liJht corn syrup 1 cup suJar Grops yelloZ IooG color, iI GesireG 1 Grop reG IooG color, iI GesireG The County Woman Magazine

Blend catalaoupe and 1 cup of milk in a food processor until smooth. Put 1 cup milk in a 3qt saucepan and sprinkle the gelatin into it. Cook over medium/low heat and stir mixture. Add remaming milk and remaining ingredients. Don’t worry if the mixture looks curdled here. Pour mixture into a 13x9 pan, cover and freeze for 3 hours. Stir periodically. Use a mixer at medium speed, beat until smooth but still partially frozen. Return to freeze until fully frozen, about 3 hours. Then enjoy! www.TheCountyWoman.com

By: Cutting Board Creations

6HUYHV July/August 2017

Meet the Doctors

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Making Dreams Come True Dr.’s William Ziegler and Alan Martinez are specialists in reproductive endocrinology and infertility. Both professionals were drawn to the specialty because of its ever-evolving nature. It is a field that allows them to partner with patients and provide personalized treatment plans. Additionally, it is an area of medicine filled with the latest laboratory technology, which continues to advance success rates. For those struggling with infertility, seeing the right physician is critical. The professionals at Reproductive Science Center of New Jersey focus on diagnosing and treating male and female infertility which is defined as couples who have tried to conceive naturally for one year before seeking out treatment. Both doctors believe that every patient that walks through their door deserves to be treated with respect. Dr. Martinez adds, “Our top priority is and will always be to treat every patient individually, helping them build a family in the best way specific to their needs and desires.”

OCW: What attracted you to a career in reproductive health? Dr. Martinez: In medical school I discovered a love for working in women’s health. This drew me to pursue a residency in Obstetrics and Gynecology. During the early portion of my training as a medical student I was fortunate enough to work with other reproductive endocrinologists, and instantly knew that this is the field I wanted to specialize in. The opportunity to focus on reproductive problems and infertility, counsel patients, and develop a connection with the patients and their partners over a short period of time was the perfect fit for me.

OCW: What are some of the more common infertility conditions that you see? Dr. Ziegler: Some of the more common infertility conditions that we see are ovulatory problems, tubal disease, male factor infertility, endometriosis, and Polycystic Ovarian Syndrome (PCOS).

OCW: What do you enjoy most about this profession? Dr. Martinez: I consider myself lucky to work alongside passionate individuals to help improve the quality of life for my patients. Whether through reproductive surgery or fertility treatments, I am able to share in the joys of achieving pregnancy and support my patients as they venture into starting or expanding their family.

OCW: What is the most challenging aspect of your profession? Dr. Ziegler: Overcoming age related infertility is a difficult condition to treat. A woman’s fertility usually peaks in her 20’s and after the age of 35, it can be more difficult to get pregnant.

OCW: Why do you think infertility has become so common these days? Dr. Martinez: In talking with my patients, the common theme seems to be that most couples electively delay starting their attempts at pregnancy. It seems more prevalent that both men and women are seeking higher educational goals, advanced degrees, and professionally electing opportunities that allow for travel and career advancement. This does not always go hand-in-hand with starting a family. The trend toward delaying childbearing until a later age for all the aforementioned reasons generates a greater overall need for fertility assistance. We also see increased awareness regarding infertility, such that many patients electively seek a fertility evaluation when they are first considering parenthood.

OCW: What is the most common misconception about infertility? Dr. Martinez: I believe the media’s perception and portrayal of advanced

Dr. William Ziegler

Dr. Alan Martinez

Fact: Infertility: the inability to conceive or carry a pregnancy to term after 12 months of trying to conceive. If you are over the age of 35, the time of trying to conceive is reduced to 6 months. reproductive technologies, particularly in-vitro fertilization (IVF) leads many patients to hesitate, and in some instances generates fear in pursuing a consultation. I have counseled countless couples whose primary concern is that they “do not want to do IVF.” The misconception that patients feel they even need IVF is one of the problems and obstacles to care. Once they realize that lower level treatments exist and may be an option for them, they enter a comfort zone with their treatment that did not formerly exist. While some patients may benefit from IVF treatment, it is by no means the only option. Through education and awareness, patients can be counseled and appropriately triaged to timely and proper care.

OCW: Tell us about your educational background. Dr. Ziegler: I received my medical degree at the University of Osteopathic Medicine and Surgery in Des Moines, Iowa. This was followed by a 4-year residency in Obstetrics and Gynecology at the Medical Center of Delaware in Newark, Delaware and Fellowship in Reproductive Endocrinology & Infertility at University of Vermont, College of Medicine, Burlington Vermont. Dr. Martinez: After graduating with a B.S in biology and B.A. in psychology from San Diego State University, I received my medical degree from the David Geffen School of Medicine at the University of California, Los Angeles. I completed an obstetrics and gynecology residency training at Saint Barnabas Medical Center, an affiliate teaching institution with Rutgers New Jersey Medical School and completed my fellowship training at the University of Cincinnati Medical Center.

732-240-3000 • www.fertilitynj.com The County Woman Magazine

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July/August 2017

Medical Professionals

44

Stage 0 (DCIS) Breast Cancer: What You Need to Know by Sumy H. Chang, , MD, FACS There’s a hot debate about stage 0 breast cancer, technically called ductal carcinoma in situ or DCIS. Considered the earliest form of breast cancer, the condition is characterized by the presence of abnormal cancer cells inside the breast milk ducts. It’s not known how to differentiate between stage 0 cases that may not become invasive or are precursors to becoming invasive. Without concrete information, many women diagnosed with stage 0 are faced with two key issues: understanding that it is early, but not knowing if it will progress if left alone.

Sumy H. Chang, MD, FACS, a fellowship trained, board-certified general surgeon dedicated to breast cancer, offers perspective on stage 0 breast cancer. Dr. Chang practices with Barnabas Health Medical Group (BHMG), the state’s largest hospitalbased multispecialty medical group, and is affiliated with Community and Monmouth Medical Centers, all RWJBarnabas Health (RWJBH) entities. Dr. Chang provides Ocean

County women with access to the latest in prevention, detection and treatment for breast health issues – including breast cancer. She is also the Director of the High Risk Breast Program and the moderator of the multi-disciplinary tumor board at the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch. According to Dr. Chang, “In terms of breast cancer, stage 0 is a diagnosis that has increased since the use of screening mammograms and how we treat it will probably change in the near future.” Here, she provides a snapshot of what women need to know about stage 0 cancer.

Stage 0 (DCIS) According to the American Cancer Society, about 60,000 cases of DCIS are diagnosed in the U.S. every year. While it’s not considered life-threatening, 20 to 30 percent of women with DCIS will eventually develop an invasive breast cancer. Since there may not be

Sumy H. Chang, MD, FACS

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 and Monmouth Medical Center, Southern Campus in Lakewood. To schedule an appointment with Dr. Chang, contact:

Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center 300 Second Avenue Long Branch, NJ 07740 732.923.7702

The County Woman Magazine

Barnabas Health Medical Group is a multi-specialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative 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 throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. For more information, visit www.BarnabasHealthMedicalGroup.org.

any symptoms associated with DCIS, it’s difficult to detect. The National Cancer Institute reports that about 80 percent of DCIS cases are found by mammography. It usually shows up in a mammogram as a calcification – small calcium deposits that develop in a woman's breast tissue. To put perspective on stages of cancer, they range from I through IV. Results of a physical exam, biopsy, imaging tests, and surgery determine the stage how widespread the cancer is when it’s identified. The higher the number, the more advanced. Stage 0 is cancer of the breast of the ducts that theoretically has not gone beyond the milk duct. Women diagnosed with DCIS are at higher risk for the cancer coming back or, for developing a new breast cancer compared to someone who has never had breast cancer.

Stage 0

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Ductal carcinoma in situ occurs when the cancer cells are contained inside the milk ducts. In this case, cancer probably won’t spread. If cancer cells are detected outside the ducts, they are considered invasive and may spread to surrounding breast tissue. While highly treatable, DCIS, can spread if left untreated.

Treatment Since it’s not known how to differentiate between stage 0 cases that may not become invasive or are precursors to becoming invasive in the future, treatment for stage 0 is a blanketed approach. So, the dilemma for low-risk DCIS women is do they proceed with treatment even though it may not progress to an invasive state or avoid treatment and take on the risk of cancer spreading?

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Some women are comfortable with active monitoring (surveillance) while others opt for surgery such as lumpectomy or mastectomy. Some women may need mastectomy due to the extent of the ducts involved even when they are diagnosed as stage 0. Others chose to have bilateral mastectomy (removal of both breasts). “I provide my patients with perspective and try to allay their fears, says Dr. Chang. “As physicians, we’re providing them with information based on evidence of data from previous research and with cancer, it’s all about the statistics. Patients want to know what will happen to them, but we can only tell them what is likely to happen and what is possible. Fortunately, most DCIS patients have a good prognosis.”

Clinical Trial Offers Hope COMET, a new, randomized clinical trial, will evaluate which type of DCIS may become invasive if left alone and therefore, need treatment versus the type that may not progress and can be monitored closely. The study may shed light on what characteristics of ductal carcinoma are likely or not likely to spread – where treatment may be aggressive or necessary. “If a percentage of clinical trial participants do not need to be treated, we need to come up with criteria on who to treat and who not to treat,” says Dr. Chang. “If it is a type of cancer that is not aggressive or invasive, it may not become a health problem in the future. Those are the patients we want to spare the burden of treatment. But, if it is something that would be significant in the future – becomes invasive or has possibility of spreading, those are people we want to make sure we don’t miss,” says Dr. Chang.

July/August 2017

45 Senior Living Advisor “Mom Needs Help and I Don’t Know Where To Start!” This is how many of our phone conversations begin. Some folks need light home care to help with light tidying, meals and bathing. Others need medical assistance at home, or possibly an assisted living residence. Another may show alarming signs of becoming forgetful only to be diagnosed with Alzheimer’s. Where do you start? With the myriad of options available today, it is hard to know where to go and who to trust. The stress can be unmanageable for those in the position of caring for children as well as a parent. This is where Oasis Senior Advisors can change everything. We know each individual requires a very unique set of solutions. With one phone call we can get you and your loved one on the right path. What To Expect 1. A meeting scheduled to discuss your personal needs, lifestyle, and budget. 2. Once matches are found, your advisor will arrange tours of communities in your area, including Assisted Living, Memory Care and Independent Living Communities. 3. Oasis offers a local hands-on approach, with extensive knowledge and compassion of all services and communities in your area - your worry and confusion stops here. 4. Our services are absolutely FREE for clients and their families. You Won’t Pay A Penny! Connie Roberson, CSA

“About a month ago I started looking into assisted living communities for my 90 year old mother. I was totally new to the process and felt overwhelmed. Fortunately, I found Connie Roberson who was a God send. From our first telephone conversation she educated me as to the different living options and explained what to look for in an assisted living community. She provided guidance, and support every step of the way, but always asked me how I felt about what each community had to offer. Connie visited every assisted living community with me so that we could debrief afterward and compare notes. She asked the questions I didn’t know to ask or ones I forgot to ask. Connie is a beautiful person and truly cares about helping people find the right home for them. My mom moved in to a place a couple of weeks ago and Connie is still following up on how she is doing. I cannot recommend Connie highly enough.” — Caryn Cullen

OCEAN, MONMOUTH & MERCER COUNTIES 732-675-3140 - Phone 732-438-9179 - Fax croberson@youroasisadvisor.com Holistic Substance Abuse Treatment

Do You Feel Controlled By Alcohol Or Other Drugs?

If you are a person who feels trapped in a life controlled by alcohol and/or other drugs, or if someone you love is suffering from the pain and destruction caused by substance use disorder, we want you to know that there is hope and a solution. At Enlightened Solutions, we believe that everyone who struggles with substance use disorder can recover and achieve relief from this disease regardless of personal circumstances, past experiences and the unique manifestation of active addiction in the individual’s life. Our holistic and multidisciplinary approach is focused on healing the whole person, and is grounded in a 12-Step Philosophy that encourages participation in a positive and supportive community. SUBSTANCE ABUSE TREATMENT At Enlightened Solutions, we provide clients with the safety, support and experiences to explore any problems and discover their own path to recovery. Many clients discover co-occurring disorders, destructive character patterns, skills deficits, and life management issues that seriously compromise their sobriety, safety, health and sense of belonging, connection and self-actualization. When these underlying issues are addressed, our clients discover that they have not only uncovered their recovery – they have uncovered a sense of spiritual meaning, purpose, belonging and personal fulfillment that transforms their entire lives. • Diverse educational groups • Brain solutions • Specialized attention from a personal therapist • Relapse prevention • Experiential therapy • 12-Step Philosophy • Family therapy • Gender-specific as well as co-ed therapy groups • Cognitive Behavioral Therapy • Living In Balance Treatment Methods

HOLISTIC TREATMENT MODALITIES • Yoga • Mindfulness-Based Stress Reduction (MBSR) • Egala and equine therapy • Acupuncture • Chiropractic • Art Therapy • Music Therapy • Family Constellation Therapy • Chakra, Crystal, Sound, Aromatherapy & Energy Healing • Recreation and adventure based counseling.

600 South Odessa Ave. Egg Harbor City, NJ, 08215 844-234-LIVE info@enlightenedsolutions.com www.enlightenedsolutions.com

Enlightened Solutions is a multilevel treatment program offering partial hospitalization IOP and OP. For information on our programs and how we can help you live the life you’ve been waiting for, call 844-234-LIVE. The County Woman Magazine

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July/August 2017

Health

46

&Wellness

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Location, Location, Location… Our distinctive apartment homes are just 6 minutes from the Atlantic City Airport and just minutes away from the South Jersey beaches. The Woods at Blue Heron Pines offers awesome amenities, such as: à ® -rLL *VTJHZ[ *HISL 7HJRHNL à ® -rLL 3VJHS TLSLWOVUL à ® -P[ULZZ *LU[LY à ® :LHZVUHS 7VVS At The Woods at Blue Heron Pines, you can experience truly carefree living. With 24/7 maintenance and valet trash service, you can just sit back and enjoy the golf views. With the inclusion of water and sewer, your bills will be kept at a minimum as well. à ® :WHJPV\Z \UP[Z ^P[O M[ JLPSPUNZ à ® .HrKLU ZVHRPUN [\IZ à ® ([[HJOLK NHYHNLZ à ® 6]LYZPaLK JSVZL[Z

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July/August 2017

Assisted Living

47

Questions To Consider When Moving A Parent Into Assisted Living Part 1 Deciding to move a parent into assisted living is a big decision - and one that is best done by making numerous smaller decisions. The following list is intended to help you oversee details that should not be ignored.

4. HOW WILL WE PAY FOR IT?

1. WHERE DO I BEGIN? At the beginning, of course. Make a list of questions. Consider the pros and cons to a variety of options: • Can they stay where they are, with more outside or family help? • How much assistance do you need in the assisted living arrangement you envision for your parent (for example - would a room-mate or live-in caregiver work)? • Can they move in with family or someone close to them? • How willing are they to move?

Many assisted living communities want an assurance - in the form of a net worth statement - that your parent will be able to afford to live there for the reasonably projected future. If you are serious about helping your parent move into assisted living, this is a time where you will likely need a clear understanding of your parent’s financial resources. This may be uncomfortable, but it is often necessary.

2. HOW DO I FIND A ‘GOOD’ PLACE FOR THEM TO LIVE? Spring Oak Assisted Living of Forked River is proud to be part of many Federal, State, and Local Agency’s referral lists. Our resident testimonials, and family letters are available to all new families and their loved ones. Check out local and national referral services. Public services can be found through your state’s Department of Human Resources. There are many private referral services as well.

Spring Oak Assisted Living takes pride in keeping costs affordable, while keeping standards high.

If your parent is a military veteran or a spouse of one, visit a Veterans Administration office (or you can get started at their website) to see if they are eligible for ongoing benefits. Medicare does not pay for housing, but under strict financial restrictions Medicaid may. The federal government is currently reforming its long-term care benefits (Medicaid long term care reform). It will not help to transfer your parents assets into your name to decrease their net worth; there is a strict ‘look back’ of several years when considering eligibility for Medicaid.

3. HOW MUCH WILL IT COST? Spring Oak Assisted Living is one of the most affordable Assisted Living communities of Ocean County NJ. Our fees include room and Board Care (cable and phone if desired). There are never add-on costs or additional fees for extras. Private pay assisted living facilities in the US range from $800 to over $5,000 monthly, based on location and level of care. In addition to rent, lease, or purchase costs consider any add-ons that may be required or desired. Some examples of these costs can include: • Administration of medication • Laundry service • Transportation to doctors or shopping • Security deposit

601 N. Main Street Lanoka Harbor, NJ • 609-242-2661

www.springoakforkedriver.com Enter to Win

(QWHU WR :LQ D *LIW &HUWLĂ€FDWH WR .RHKOHU $FXSXQFWXUH Name: ____________________________________________________ Address: __________________________________________________ City: ______________________State: ______ Zip Code: ___________

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

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The County Woman Magazine

Business

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July/August 2017

Wigs

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Replacement

49

Answers for Hair Loss.

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Imagine looking Fabulous! Laser Hair Therapy can RESTORE, AND GROW your own hair. Call today for your FREE personalized hair and scalp analysis. 2XU FHUWLðHG LPDJH FRQVXOWDQWV DUH VWDQGLQJ E\ WR DVVLVW \RX ZLWK \RXU KDLU QHHGV

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Communityy

50

3rd Annual

All proceeds benefit the Funny Farm Rescue 501(c)(3) Charity

Funny Farm Rescue Golf Outing

Join us as we golf for the animals of the Funny Farm. The Funny Farm Rescue & Sanctuary is a nonprofit, 501(c)(3) charity. We are personally and professionally committed to the well being of abused and abandoned animals. We provide food, shelter, medical care, compassion and love for the rest of their natural lives in a permanent, safe and healthy environment.

Thursday, August 17, 2017 Registration Time: 12:00 pm Four Person Scramble Shotgun Start: 1:30 pm Cost: $100 Per Golfer Includes: 18 holes of golf, cart & Italian Dinner Buffet Dinner Only $25.00 (6pm) Prizes Awarded for: Closest to Pin & Longest Drive 50/50 and Basket Auction

BE A HOLE SPONSOR! Barn Master $1,000 Includes: Golf 4 some & 2 hole sponsor signs Coop King $500 Includes: Golf 2 some & 1 hole sponsor sign Pasture Prince $250 Includes: Golf for 1 & 1 hole sponsor sign Stable Stud $100 Includes: hole sponsor sign For questions or additional information, contact Laurie Zaleski at (609) 742-9410 or via email laurie@funnyfarmrescue.org. Make Checks Payable to:

550 W. Country Club Drive Egg Harbor City, NJ 08215

Funny Farm Rescue 6908 Railroad Blvd. Mays Landing, NJ 08330 Or Register online: www.funnyfarmrescue.org

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In-Home Care

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July/August 2017

Full Service Cleaning

52

I Vacuum My Carpets But Should I Be Cleaning Them Also? Carpet is a big investment, and it’s no wonder people want to make sure the cleaning is done properly. Carpet needs periodic deep cleaning in order to restore the ďŹ bers, remove dust and allergens, and prolong the overall lifespan of the carpet. It’s been proven that when carpet cleaning is neglected over a period of months or years, the carpet will need to be replaced much sooner. That means another big investment. Should you have your carpets cleaned? Here’s a quick check list to see: • Do you have allergies? • Do you have pets? • Do your carpets look matted and at? • Do you have spots and stains on your carpets? If you said yes to any of these, please contact us today to schedule your appointment. It is recommended that you vacuum at least twice a week and have your carpets professionally cleaned at least once a year to extend the life of your carpet.

BEFORE

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And What About My Carpeting? It Looks Fine! Did you know carpet acts as a ďŹ lter, preventing dust and dirt from becoming airborne? When it becomes overloaded it can’t trap the dust and dirt, quickly becoming an unsanitary, allergy nightmare! Our truck-mounted hot water extraction penetrates deeply to dislodge the deeply set dust and dirt, and our stain and odor removal success rate is unmatched! “Just a note to tell you how very pleased I am with all the services you have provided my husband and me. The house cleaning was so thoroughly and carefully done. The girls were wonderful and extremely professional. My next service was carpet cleaning. I didn’t know how anyone could possibly remove the dog hair and dust from our carpets, but your people did. Finally, we had our very old house windows washed,

inside and out, just yesterday by Thomas and Carlos. These gentlemen were not only professional and conscientious, but they were perfectionists, too. My windows sparkle like a diamond in the sun; I am thrilled. As I stated to Ashley this morning, such excellence is hard to ďŹ nd out in the wold of services today; you and your staff are the - Dixie M. from Toms River, NJ very best.â€?

Toms River, NJ 732-270-6556

Middletown, NJ 732-671-4147

www.alwaysimmaculate.com www.alwaysimmaculatecarpets.com

National Grandparent’s Day

National Grandparent’s Day Sunday, September 10th

7

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July/August 2017

Exterior Improvement

53

Built Rite Windows is the window installation and replacement window specialist in Central NJ, Ocean County and Monmouth County. Their experienced staff will help you determine the window type and style that best fits your home. They sell and install the highest quality products at the most reasonable prices, with full service included. All products meet Energy Star Requirements. A second-generation family owned business; Built Rite Windows is owned and operated by Lucia and Ron Dambrosio. Lucia, who is involved in local charities, and Ron, a Vietnam Vet, has served the Jersey Shore area for over 37 years. Lucia’s son, John, is responsible for sales and her son, Vincent, is responsible for installations. You can also find Ron installing windows, that is, when he is not on the golf course.

MORE THAN JUST WINDOWS If your looking for additional year round comfort, check out their patio enclosures, sunrooms and decks. Come visit Built Rite Windows at their new location: 1591 Rt. 37 W, Toms River, NJ, Monday - Friday 9:00 AM - 5:00 PM, and Saturday 10:00 AM - 2:00 PM www.builtritewindows.com The County Woman Magazine

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July/August 2017

54

Law

FILING FOR DIVORCE: THE BASICS Going through a divorce is a long and often painful journey. Having an experienced attorney to help guide you down the right path is critical. Besides the emotional pain that people often suffer when going through a divorce, there are complex legal steps that must be taken. Having an attorney to represent your interests ensures that you will receive every protection New Jersey state law has to offer to you. The first step in the divorce process is filing a complaint that sets forth the grounds for divorce. The complaint will be served to the other spouse who will file an answer. Your options for filing for divorce are grouped under two major headings: no-fault divorce and fault-based divorce. To pursue a no-fault divorce, you must cite either irreconcilable differences or separation. Under irreconcilable differences, you or your spouse must have lived in New Jersey for 12 consecutive months before filing for divorce, experienced irreconcilable differences for at least six months which caused the breakdown of your marriage, and have no reasonable chance for reconciliation. A ground of divorce under separation is allowed if the husband and wife have lived separate and apart in different habitations for a period of at least 18 or more consecutive months and there is no reasonable prospect of reconciliation. Many times it is easier for the party to file under irreconcilable differences as it does not require 18 months of separation.

Harry Levin, Managing & Founding Partner & Colleen Cyphers, Partner

To pursue a fault-based divorce, you must choose the grounds provided under New Jersey state law. These include the following: •

Adultery (this ground for divorce is very fact sensitive)

•

Abandonment (allowed if the spouse has left you and your home for at least 12 months or more)

•

Extreme Cruelty (includes any physical or mental cruelty which endangers the safety or health of a spouse or makes it improper or unreasonable to expect the spouse to continue to live with the other spouse)

•

Addiction (allowed if your spouse has had an addiction to drugs or habitual drunkenness for a period of at least 12 months or longer before filing the complaint)

•

Institutionalization (allowed if your spouse was institutionalized for a mental illness for a period of 24 or more consecutive months after the start of the marriage and before you file for divorce)

•

Deviant Sexual Conduct (allowed if the spouse performed a deviant sexual act on the other spouse without consent)

•

Imprisonment (allowed if the spouse was sentenced to a jail sentence of 18 months or more after the beginning of your marriage)

Once the Complaint and Answer have been completed, you will need to file a Case Information Statement (CIS). The CIS is a form that has a detailed financial analysis of the parties which outlines all the income, expenses, assets and liabilities of the parties.

The County Woman Magazine

The second step in the divorce process is to schedule a Case Management Conference (CMC). The purpose of the CMC is to assess the issues of the divorce that will need to be settled. Depending on the county where the Complaint was filed, you and/or your attorney may have to appear. This conference will set timetables as to when discovery must be completed and what experts may be needed. Discovery is the process by which both parties exchange necessary information and, depending on the complexity of the case, may take significant time. The third step in the divorce process is the scheduling and participation of an Early Settlement Panel conference (ESP). The goal of the ESP is to discuss ways to resolve the divorce case. The ESP is comprised of experienced attorneys who make non-binding recommendations as to how to settle your case. These attorneys practice in the county the Complaint was filed and are experienced in family law and with the judge. They provide an unbiased opinion on how to best resolve the matter. If an agreement is not reached at the ESP, economic mediation will occur to try and settle the divorce. This is held by an economic mediator who will try and resolve the financial issues in the case. If this fails to resolve the issues, a trial will be scheduled. A trial is the final step in the divorce process where a Judge will hear testimony from the parties, experts, and witnesses before rendering a final decision. Once the Judge makes the decision, the Trial will be concluded; however, you may be able to appeal the decision to a higher court. This provides a broad overview of the divorce process and what you can expect at the various stages. The attorneys at LevinCyphers have over sixty years of legal experience and are willing to fight to ensure that your legal rights are protected.

www.TheCountyWoman.com

July/August 2017

55 Business & Personal Storage Take Back Your GarageWe’ve Got Space!

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Clean & Friendly • Affordable • 24/7 Hr. Access Alarmed • Video Surveillance • Safe & Secure Funeral Planning

DeGraff Lakehurst Funeral Home – Family Owned and Operated We receive many questions regarding funeral expenses when someone is preparing for Medicaid. In New Jersey, Medicaid allows individuals to set money aside in an irrevocable prepaid funeral arrangement account. You can plan and pay for the funeral of your choice, before assets are used for medical and reduced to eligibility levels. This can only be done with your Funeral Director. After meeting with your Funeral Director and itemizing the funeral services you want, the check is paid to an irrevocable prepaid funeral trust account. This secures your funeral wishes and financial expenses before someone’s assets are liquidated to Medicaid allowances. Do not wait for Medicaid to pay your funeral expenses! Medicaid has a strict allotment of $2,246.00 towards the funeral bill and $524.00 toward cemetery / crematory expenses. Your family can only contribute $1,570.00 or you lose the Medicaid contribution dollar for dollar. Prepaying during a Medicaid spend down allows you to pay for what you want. Your Funeral Director can help protect the financial burden of funeral expenses on your family and give you the reassurance that the money is set aside for your final expenses. For further explanation and guidance Please contact our dedicated staff at 732-657-7868. .

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

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July/August 2017

Theatre

56

&Entertainment

“

INGENIOUS BUBBLE ” WIZARDRY. -THE NEW YORKER

Telecharge.com or 212.239.6200 For groups or birthdays call 866.642.9849

New World Stages 340 W. 50th St

GazillionBubbleShow.com The County Woman Magazine

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Theatre & Entertainment

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July/August 2017

58

The County Woman Magazine

Health &Wellness

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Health &Wellness

59

Sun Damage: The Dangers of Tanning – Indoors or Outdoors Have you ever been mistaken for Casper the Friendly Ghost? You may still value a glowing tan, even if you're not quite that white. Many people think and feel a little color gives them a healthier – maybe even sexier – look. SO ISN'T IT IRONIC THAT YOUR GLORIOUS TAN CAN ACTUALLY PUT YOU AT RISK? When exposed to ultraviolet (UV) radiation – whether from the sun or a tanning device – your skin reacts by producing more melanin. Melanin is the pigment that darkens your skin. Tanning can cause premature wrinkling, skin spots, and a "lovely" leathery look down the road. In addition, it can also suppress your body's immune system and cause eye damage or allergic reactions.1 Some people can develop skin cancer from too much UV radiation. Were you one of those kids who shunned skin protection or overstayed your time in the sun? If so, you probably had a severe sunburn or two, putting you at greater risk for the deadliest form of skin cancer: melanoma.1

Take precautions, whether you're sunbathing at the poolside or cutting through the snow on the ski slopes. If you can, limit your time in the sun when rays are strongest – between 10 a.m. and 4 p.m.

What’s worse is the sun isn't the only culprit! Tanning devices like sunlamps used in tanning beds are more dangerous than previously thought. A few years ago, the International Agency for Research on Cancer (IARC) looked at 19 studies conducted over 25 years. It found a link between indoor tanning and two kinds of skin cancer, as well as melanoma of the eye. The risk of skin melanoma increased by 75 percent when indoor tanning started before age 35. As a result, the agency moved these devices into the highest cancer risk category: "carcinogenic to humans."1 It is time to take stock of that warning, especially if you have pale skin; blond, red or light-brown hair; or you or a family member has had skin cancer.2 Melanoma is the second most common cancer in women in their 20’s. One in eight with melanoma die from the disease.1

Be sure to apply sunscreen to areas of uncovered skin about 15 minutes before you go outside. Always pay special attention to your nose, ears, neck, lips, and hands and reapply every two hours. If you have a child younger than 6 months, talk with their doctor or Jersey Shore Pharmacy before you apply sunscreen. It is important to check your medications and cosmetics with us because they can make you more sensitive to UV rays.1,2 What else? Buy sunglasses with 99 to 100 percent UV protection – especially for your children.2 If you're not sure whether your shades already offer this protection, check with your eye care professional. Remember, you can find many of these sun protection products right here in our store. Together we can help your family stay protected from melanoma.

Besides avoiding tanning salons, what can you do? Take precautions, whether you're sunbathing at the poolside or cutting through the snow Sources on the ski slopes. If you can, limit your time in the sun when rays are 1. FDA: "Indoor Tanning: The Risks of Ultraviolet Rays." http://www.fda.gov/ForConsumers/ConsumerUpdates/ strongest – between 10 a.m. and 4 p.m. Wear wide-brimmed hats, long sleeves, and long pants, when possible. Use a water-resistant sunscreen with ucm186687.htm a sun protection factor (SPF) of 15 or higher. Make sure it is rated as broad 2. FDA: "Sun Safety: Save Your Skin!" http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm049090.htm spectrum, which protects against all types of skin damage.

For more information, call 609-660-1111 or visit www.jerseyshorepharmacybarnegat.com. The County Woman Magazine

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July/August 2017

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Community

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Business & Finance

61

New Member Spotlight

Located in the Brick Plaza, Immediate Care combines the much-needed convenience of D ZDON LQ PHGLFDO RI¿FH ZLWK WKH GHOLYHU\ RI compassionate, quality medical care. Open seven days a week, including most holidays, with no appointment necessary. Contact: 908-208-0002

Located at 602 Mantoloking Road in Brick, Sukha South is a non-intimidating yoga studio! Boasting yoga for everyone, Sukha offers classes for beginners and advanced enthusiasts-they even offer chair yoga! Try out a class-you won’t be disappointed! Contact: 908-208-0002

Dawn Ferrentino of Living Healthy Naturally is your go-to resource for all things related to weight loss, stress relief, performance, sleep and healthy aging. As a Health and Transformation Specialist, Dawn will guide you to achieving your health goals. Contact: 908-208-0002

Visit www.brickchamber.com for a list of current members, or call 732-477-4949 for more information! Community

LANDLORD/TENANT SEMINAR 2017 7KH VHPLQDU ZLOO RIIHU LQIRUPDWLRQ RQ WKH ODQGORUG WHQDQW SURFHVV LQFOXGLQJ • The landlord/tenant filing process • Forms and documentation involved • What happens at the landlord/tenant hearing

FREE PROGRAM OPEN TO THE PUBLIC

July 28, 2017 10:00 am - 12:00 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@njcourts.gov

This seminar is presented by the Ocean Vicinage Legal Research and Information Center in coordination with South Jersey Legal Services. 3OHDVH QRWH WKDW \RXU SHUVRQDO FDVH FDQQRW EH GLVFXVVHG

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Community

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Greater New Jersey Chapter alz.org/nj 24/7 Helpline 800.272.3900 THANKS TO THE EFFORTS OF PEOPLE LIKE YOU, THE ALZHEIMER’S ASSOCIATION IS THE LEADING VOICE FOR ALZHEIMER’S DISEASE ADVOCACY, FIGHTING FOR ALZHEIMER’S RESEARCH, PREVENTION AND CARE INITIATIVES. — In May, Congress passed and the president signed into law the 2017 funding bill which included the largest increase in history for Alzheimer’s research, $400 million! — In December, Congress passed and the President signed into law the 21st Century Cures Act, legislation with a goal of accelerating the discovery, development and delivery of new cures for all diseases including Alzheimer’s and other dementia. The legislation includes $1.6 billion for BRAIN Initiative and an additional $1.5 billion for the Precision Medicine Initiative. The legislation also includes the EUREKA Act which will help to advance research breakthroughs for Alzheimer’s disease, and encourage public-private partnerships. — In November, The Centers for Medicare & Medicaid Services (CMS) finalized its decision to pay for cognitive and functional assessment and for care planning services with a professional for those with Alzheimer’s, other dementia and cognitive impairment. The decision by CMS came following the rapidly growing support our advocates and staff have generated for the Health Outcomes, Planning and Education (HOPE) for Alzheimer’s Act in Congress. — In August, New Jersey Alzheimer’s Disease Study Commission Report is published.

The Alzheimer’s Association hosts six Walk To End Alzheimer’s events in NJ:

Proceeds from the Walk To End Alzheimer’s events support:

Essex-Hudson-Union Mercer County Atlantic City Bradley Beach Cumberland County Bergen-Passaic

• 24/7 Helpline 800.272.3900 • Programs and services to the residents of NJ • Support Groups for people living with Alzheimer’s or a related dementia and their care partners • Alzheimer’s Navigator online assesment program • Trial Match clinical trials website • Early Stage engagement programs • Research • alz.org/nj

To register or for more information, visit alz.org/nj

Bradley Beach The County Woman Magazine

9/23 9/24 10/8 10/14 10/14 10/15

Saturday, October 14, 2017 www.TheCountyWoman.com

July/August 2017

Education

Start College Now or Later: Variety of Semesters Work for You!

63 WHY WAIT? START COLLEGE NOW!

If you’ve been thinking about going to college, now’s the time to get started! Whether you’re a recent high school graduate, career professional, job-seeker, or a student returning to school after a hiatus – Ocean County College has something for everyone. Register now to take advantage of all that Ocean County College has to offer! Applications are being accepted. For more than 50 years, Ocean County College has provided area residents with the opportunity to benefit from higher education. Students of all ages, backgrounds, and interests can earn a degree, work toward a certificate, develop new skills, and enhance self-confidence through courses on Ocean County College’s Main Campus in Toms River, the Southern Education Center in Manahawkin, at off-campus locations throughout Ocean County, and online. Whether you want to start your college journey, meet a long-term career goal, or just enjoy a leisure course for personal interest, Ocean County College lets you design a schedule that fits into your busy life. Many classes meet just once or twice per week, and you can choose from day, evening, weekend, and online classes. This year, Ocean County College is offering four different fall semesters! The 15-Week Fall Semester starts September 6. The 10-Week Fall Quick Term begins October 11. And 7½-Week Accelerated Fall Terms begin September 6 and October 30. Registration is taking place now! In general, registration for the 3-Week Winter Intersession, 15-Week Spring Semester, 10-Week Spring Quick Term, and the 7½-Week Accelerated Terms begin in November. Summer registration starts in early March and includes 5-week, 7½-week, and 10-week terms. Ocean County College has just what you’re looking for – so call, log on, or stop by today! Registration is taking place on the Toms River Campus (732-255-0304 or registrar@ocean.edu) and at the Southern Education Center in Manahawkin (609-978-2077 or sec@ocean.edu).

We offer a variety of semesters to fit your lifestyle. Thinking about going to college? Now’s the time to get started! Students of all ages, backgrounds, and interests can earn a degree, work toward a certificate, develop new skills, and enhance self-confidence through courses on Ocean County College’s Main Campus in Toms River, the Southern Education Center in Manahawkin, at off-campus locations throughout Ocean County, and online. Call, log on, or stop by today! Registration is taking place on the Toms River Campus (732-255-0304 or registrar@ocean.edu) and at the Southern Education Center in Manahawkin (609-978-2077 or sec@ocean.edu).

For more information on Ocean County College visit us online at www.ocean.edu.

For more information on Ocean County College visit online at www.ocean.edu.

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The County Woman Magazine

Acupuncture

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Community

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Keeping Families Close RONALD MCDONALD HOUSE OF CENTRAL & NORTHERN NEW JERSEY

LONG BRANCH HOUSE

131 Bath Ave.,Long Branch, NJ 07740 732-222-8755

NEW BRUNSWICK HOUSE

145 Somerset St., New Brunswick, NJ 08901 732-249-1222

UPCOMING EVENTS & VOLUNTEER OPPORTUNITIES 24TH ANNUAL GOLF TOURNAMENT July 17th Presented by: RWJBarnabas Health Grab your clubs and join us at Trump National Golf Club, Colts Neck for a round of golf, craft beers and an afternoon Cocktail Hour, Barbeque Lunch and Awards Presentation. The day will include putting contests, special prize holes, 50/50 & auctions. Sponsorships & registration are available online at www.rmh-cnj.org for more information call Jane Crupi at: 732-222-8755 Ext.5104

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Sept. 8th - 8th Annual Wine Tasting at Deal Country Club, Deal, NJ

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Nov. 3rd - 30th Birthday Gala Celebration at Battleground Country Club, Manalapan, NJ

For more information on these events or to ask about volunteer opportunities for these events contact Jane Crupi, Events Coordinator at: 732-222-8755 or email Jcrupi@rmh-cnj.org

Volunteer Opportunities Cook a Meal for our Families Collect Wish List Items Assist with Yard Work Assist with Specialty Projects: Community Events Corporate Tabling Assist with House Events: Friends & Family BBQ Holiday Party For more information contact: Natalie Stewart House Manager in Long Branch at 732-222-8755 or Lindsey Williams Ast. House Manager in New Brunswick at 732-249-1222

Donate a vehicle, and it will be sold at auction. The proceeds will go to Ronald McDonald House of Central & Northern New Jersey, and you may qualify for a tax deduction. Vehicle donations help us bring families together when family is needed most. Just call 1-855-227-7435 or visit https://1car1difference.com Select Ronald McDonald House from the drop down box. Fill out the form and they will arrange for pick up and auction of your car. Make sure to direct the donation to:

THE RONALD MCDONALD HOUSE OF CENTRAL & NORTHERN NEW JERSEY

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For information or to donate, visit www.rmh-cnj.org or email us at info@rmh-cnj.org.

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Community

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WATER COMPETENCY According to a Red Cross survey, more than half of all Americans (54 percent) either can’t swim or don’t have all of the basic swimming skills. The Red Cross HUK P[Z :JPLU[PÄJ (K]PZVY` *V\UJPS YLJVTTLUK [OH[ L]LY`VUL learn to perform critical water safety skills, referred to as ‘water competency.’ The skills, performed sequentially, include being able to: 1. Step or jump into the water over your head; 2. 9L[\YU [V [OL Z\YMHJL HUK ÅVH[ VY [YLHK ^H[LY MVY VUL TPU\[L" 3. 9V[H[L PU H M\SS JPYJSL HUK ÄUK HU L_P[" 4. :^PT `HYKZ [V [OL L_P[" HUK 5. ,_P[ MYVT [OL ^H[LY 0M PU H WVVS IL HISL [V L_P[ ^P[OV\[ \ZPUN the ladder. Red Cross swim lessons help people develop skills and water safety behaviors that help them be more comfortable and safe when they are in, on and around [OL ^H[LY 7LVWSL JHU ÄUK HNL HWWYVWYPH[L ^H[LY VYPLU[H[PVU HUK 3LHYU [V :^PT WYVNYHTZ MVY [OLTZLS]LZ HUK [OLPY MHTPS` TLTILYZ I` JVU[HJ[PUN [OLPY SVJHS HX\H[PJ MHJPSP[` HUK HZRPUN MVY (TLYPJHU 9LK *YVZZ Z^PTTPUN HUK ^H[LY ZHML[` WYVNYHTZ VY I` ]PZP[PUN YLKJYVZZ VYN [HRLHJSHZZ

The County Woman Magazine

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July/August 2017

Travel

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July/August 2017

Women Of Ocean County

68

Colleen L. Clark, Esq., The Matus Law Group

Colleen is an attorney licensed to practice law in New York and New Jersey with offices in Ocean and Monmouth Counties. She has a BS in Finance from Lehigh University and a Juris Doctorate from Seton Hall Law School. Colleen began her legal career in 2000 in Short Hills practicing estate planning, elder law and corporate law. She has also practiced real estate law and special education law. Currently she focuses on special education, estate planning and planning for individuals with special needs. Colleen grew up in Lacey Township and currently lives outside of Long Beach Island. She has two sons, two cats and a chihuahua. She is an avid marathon runner (the Marine Corps Marathon in Washington, DC, the Philadelphia Marathon and the Coastal Delaware Marathon). She is also running the Chicago Marathon in October. Colleen is a member of David’s Dream and Believe Cancer Foundation, is a Scout Leader and has coached many youth sports, including travel soccer, golf and basketball. She also owned a youth coaching franchise called Skyhawks Sports Academy.

You can reach Colleen at 732-281-0060 or visit www.MatusLaw.com. Phot Ph otoo by by Tra r cyy Harma arman n Ph Phot otog ogra raaphy phhy

Heather Richards-Barone, President of the Board of Trustees, CASA of Ocean County Heather is a lifelong resident of Ocean County. She attended Toms River schools, where she was a standout field hockey and softball athlete. After graduating from West Chester University, Heather returned home to be a teacher for the Toms River school system. After getting married to her husband, Anthony, in 2002, Heather switched career paths to enter the family business, EPA Financial Services Corp. Today, Heather is the mother of a 12-year-old son, Michael, and a 7-year-old son, AJ, who both attend Toms River schools. Heather is now President of EPA Financial Services Corp., whose office is also in Toms River. Along with her mom, Jeanne, and father, Bob, Heather co-hosts a weekly radio talk show on WOBM-AM on Saturday mornings from 9-10am called “Managing Your Money.” Once her children entered school full-time, Heather’s mom, Jeanne, encouraged her to become more involved with community issues. Following in her mom’s rich history of volunteering, Heather now serves as a Commissioner for the Ocean County Library System and is President of the Board of Trustees for a local non-profit, CASA of Ocean County. With what little free time Heather has, she chooses to spend it with her family and two barbets, Blueberry and Cotton Candy.

For more information, call 732-797-0590 or visit www.casaofoceancouty.org. Phhootto by Tra racy cy Harma arrma m n Ph Phot otog ogra raph phyy

Rosemarie Daalder, DPT, Forked River Facility Manager, All-Care Physical Therapy Center Rosemarie Daalder works at All-Care Physical Therapy Center’s Forked River location as an outpatient Physical Therapist and manager. She is also certified in LSVT BIG, which is a specific and specialized treatment plan for people with Parkinson’s disease. Rosemarie graduated from Delaware Valley College in 2007 cum laude with a Bachelor’s of Science in Animal Biotechnology and Conservation and a certification in Animal Assisted Activities and Therapy. During her undergraduate certification in Animal Assisted Activities and Therapy, she worked alongside physical therapists treating pediatric patients on horseback. This sparked her interest in physical therapy, and she therefore changed her career goal from veterinarian to physical therapist. She continued into her physical therapy education at RutgersCamden, UMDNJ, and received her Doctorate of Physical Therapy in May 2011. Rosemarie has had clinical experiences in acute, sub-acute, and outpatient settings, as well as a 14-week pediatric affiliation with HollyDELL School. Her areas of interest include sports medicine, joint replacement, manual therapy techniques, evidence-based practice, and the neurological and orthopedic pediatric population. Rosemarie believes in patient-centered practice by incorporating her patient’s personal goals into her treatment plans.

For more information please call 609-756-5800 or visit www.allcareptc.com. Phhotto byy Traacy P cy Harrm maan Ph Phot otog ot oggra r ph phyy

Marguerite “Margo” Kneisser, Esq., Senior Associate, Carluccio, Leone, Dimon, Doyle & Sacks, Toms River Born in Brooklyn, NY and raised in Monmouth County, Ms. Kneisser chose to live and work in Ocean County because of its strong sense of community and support for the legal profession, which she recognized during her clerkship for Vincent J. Grasso, A.J.S.C. (retired) in the Ocean County Superior Court following her graduation from Seton Hall University School of Law. Having aspirations of someday becoming a judge, Ms. Kneisser currently practices law at Carluccio, Leone, Dimon, Doyle & Sacks with a concentration in Business/Commercial Litigation. Ms. Kneisser endeavors to practice law with determination, passion, honesty and integrity. These are values that she lives by, not only in her legal career but in all aspects of her personal and professional life. Ms. Kneisser formerly served as the Young Lawyer Liaison for the Ocean County Bar Association and participated as a judge for the Vincent J. Apruzzese Mock Trial Competition. Currently, she serves on the board for New Jersey Citizens for Property Tax Reform.

For more information, call 732-797-1600 or visit www.CLDDS.com.

The County Woman Magazine

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July/August 2017

Women Of OceanCounty

69

Siobhan M. Connolly, =PJL 7YLZPKLU[ HUK ;Y\Z[ 6ɉJLY .HYKLU :[H[L ;Y\Z[ *VTWHU` Siobhan Connolly moved from New York with her husband and two girls to Howell, NJ in 2008 to be closer to her father, who lives in Manasquan. While in New York she taught high school, worked with at-risk students teaching career skills and employment preparation, and owned a retail business. Siobhan joined Garden State Trust Company (GSTC), Toms River, NJ, in January of 2009. As Vice President and Trust Officer / Senior Relationship Manager, her responsibilities include meeting the needs of trust & estate, investment management, and charitable foundation clients. With a Master’s in Education, and having recently earned her CTFA (Certified Trust and Financial Advisor) designation, Siobhan has found her passion focusing on Special Needs Trusts, which often require navigating the dilemmas faced by special needs clients and their families. Siobhan is honored to work with these families and takes pride in helping them provide the best life possible for their loved one. Siobhan currently serves on the Board of Directors for SCAN (Social Community Activities Network), serving the large retiree population of Monmouth and Ocean Counties by providing education and resources to enhance their quality of life. To learn more about GSTC, visit www.gstrustco. com.

Siobhan can be reached at 732/255-5000 or Email: sconnolly@gstrustco.com Phot Ph otoo by by Tra r cyy Har a ma man n Ph Phot otog ogra raph phy hy

Jill Collier, MD, Gastroenterologistts of Ocean County Jill was born in Newark and raised in East Brunswick, graduating East Brunswick High School in 1982. She attended college at the Universsit ityy of Pennsylvania, graduating with a degree in Biology. She was Phi Beta Kappa and graduated Magna Cum Laude. Jill earned her medical degr g ee and nd completed her residency at The Mount Sinai School of Medicine in New York. She was a member of the honor society Alpha Omega Alph p a. a H Her e gas as-troenterology training was completed at Albert Einstein/Montefiore Medical Center in the Bronx. She was one of the first two women acc c epptedd into the h gastroenterology program at Montefiore. She joined Gastroenterologists of Ocean County in 1995. She is currently Medical Director of the Endoscopy Center of Toms River. She has been chosen as one of “America’s Top Physicians” annually since 2007. She has performed over 20,00 procedures during her career. She he is on staff at Community Me Medi dica call Center and Ocean Medical Center, and has offices in Toms River, Brick and Forked River. Jill has been en m maarried to her husband, Douglas, for over 25 years. They have tw wo beautiful children. Dr Collier and her family reside in Toms Riverr, where theyy are very active in the community. She enjoys skiing and traveling with her family and being involved with her children’s activities.

To schedu ule an appointment call 73 32-3 349-4422 or visit www.gastroofocean.com. Phhotto by Tra racy cy H Har arrma man nP Phhot hot otog ogra raph phyy

Christine L Matus, Esq., ;OL 4H[\Z 3H^ .YV\W Christine is an attorney that resides in Toms River, New Jersey. She was born in New York City but raised in Toms River, New Jersey. Her parents had moved here in 1975. With a degree in Economics from Rutgers and then a Juris Doctorate from Touro Law School, she started her legal career in Toms River, New Jersey. She worked for an insurance defense firm early on and then worked for a law firm primarily located in Cherry Hill, New Jersey but at their satellite office in Northfield, New Jersey. During her legal career, she has had vast experience in real estate and estate planning. She and her husband Steven, who is a civil engineer, have two children. Being a mother of a special needs child, Christine has seen the incredible relationship created between her older child and the lessons learned by being a parent of a child with special needs. As a result, a large portion of her practice is devoted to protecting the assets of special needs children and adults so that they can have the lifestyle they deserve. She is a board member with many nonprofit organizations such as President Elect of 21 Plus, Inc., Board Member and Of Counsel to MOCEANs, Inc., Trustee for the Ocean County Bar Association, Co-Chair of the Ocean County Bar, Women’s Committee, Board Member of the Down Syndrome Association of Central New Jersey, past Board member of Central Ocean Rotary, Ocean YMCA, Jersey Shore Down Syndrome Group, American Cancer Society Ocean County. She is also dedicated to helping her fellow Filipinos by being a Board Member with the Filipino American Cultural Development Center of Toms River, New Jersey, legal advisor for the Filipino American Medical Society, as well as the Philippine Nurses Association of Ocean County. Christine greatly enjoys spending time with her family.

You can reach her at 732-281-0060 or visit www.MatusLaw.com for more information. Phhot Phot o o by Tra r cy cy Har arma man Ph Photog ottog ogra gra r ph phy

Nina Paonessa, D.O, FACOS, 7HVULZZH *VSVU 9LJ[HS :\YNLY` 7 * Dr. Paonessa was born and raised in Albany, NY. She was raised to value a strong work ethic and to take pride in her work. Two principles she grew up on were “if you are going to do something, do it right or don’t do it at all” and “do unto others…” This is how she lives her life and how she runs her practice. Dr. Paonessa knew from a very young age that she wanted to become a surgeon. She volunteered as a candy striper in high school and then as an Emergency Medical Technician in college. She attended the Lake Erie College of Osteopathic Medicine in Erie, PA and completed a general surgery residency at Wyckoff Heights Medical Center in Brooklyn, NY. Dr. Paonessa completed a colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA, where she remained in private practice before moving to New Jersey. In 2014, Dr. Paonessa opened her own private practice, Paonessa Colon and Rectal Surgery, P.C. She now has two office locations: Wall, NJ and Manahawkin, NJ. She loves the Jersey shore and loves taking care of its community. In her spare time, Dr. Paonessa reads, travels and cooks. Her most cherished times are those spent with her family and playing with her four nephews and two nieces.

You can contact Nina Paonessa at 732-282-1500 or by visiting www.paonessacrs.com. Photo by Donnaa And ndrews Pho hoto ho t gr to g ap aphy h hy

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Community

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Fri d ay, July 28, 2017 7 p.m. - 11 p.m. B o n n e t I s l a n d E s tat e 2400 East Bay Avenue, Ma n a haw k in , NJ 08050

This cocktail reception will benefit programs and services at Hackensack Meridian Health Southern Ocean Medical Center

For more information or to register, visit HackensackMeridianHealth.org/SOMCSocial H a c ke n s a c k M e r i d i a n He a l t h S o u t h e r n O c e a n M e d i c a l C e n te r r e c e n t ly o p e n e d a b r a n d n ew c a n c e r c a r e c e n te r, e n h a n c i n g c a n c e r s e r v i c e s fo r t h e r e s i d e n t s o f M a n a h aw k i n a n d t h e s u r r o u n d i n g c o m mu n i t y. S h o r t ly a f te r t h e e x t r a o r d i n a r y s p a c e w a s u n ve i l e d , H a c ke n s a c k M e r i d i a n He a l t h a n d M e m o r i a l S l o a n Ke t te r i n g C a n c e r C e n te r a n n o u n c e d a r evo l u t i o n a r y p a r t n e r s h i p t h a t b r i n g s to ge t h e r t wo wo r l d - c l a s s o r ga n i z a t i o n s w i t h a s i n g l e go a l : F i n d i n g m o r e c u r e s fo r c a n c e r fa s te r w h i l e e n s u r i n g t h a t p a t i e n t s h ave a c c e s s to t h e h i g h e s t - qu a l i t y, m o s t i n d i v i d u a l i z e d c a n c e r c a r e w h e n a n d w h e r e t h ey n e e d i t . B y a t te n d i n g t h e S i g n a t u r e S o c i a l , yo u c a n h e l p s u p p o r t c o n t i nu e d a d v a n c e m e n t s i n c a r e r i g h t i n yo u r b a c k y a r d .

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July/August 2017

Women’s History

71

Mother Theresa On May 13, 2017, my family celebrated my grandmother’s 100th birthday. The celebration was attended by family, friends and community members. There were two Proclamations presented to her from both the Township of Mantua and Gloucester County. It was truly an amazing experience. I never dreamed that I would have had a grandparent live to be 100 years old. I recall as a child thinking that my grandparents were “so” old and yet they were only in their 50s and 60s at the time. This feature is a historical snapshot of the life lived by an amazing woman who continues to touch the lives of many in her own special way even at the age of 100. Theresa DiBernardi was born in Philadelphia, Pennsylvania on May 13, 1917. Theresa was one of five children. Theresa’s parents (my great-grandparents) arrived to the United States from Italy and landed in South Philadelphia. Theresa’s father died from TB in his 40s and Theresa’s mother died from breast cancer when Theresa was only 16 years old. After Theresa’s mother became ill, Theresa went to work in an attempt to support her siblings. Theresa went to work at a “tailor” shop called Goodi Mate, where she met the love of her life, Gene Concordia. Gene (otherwise known as my grandfather) was a true old-fashioned tailor. He went to design school and had the ability to hand-make suits, pants, and anything you wanted. Theresa and Gene married in 1935. After their marriage, Theresa and Gene took in Theresa’s siblings and they all lived together until one by one all of the siblings got married and moved out of the family home. Theresa had one sister who was only 10 years old when their mother had passed away. Theresa raised her siblings; however, “Mary” remained with Theresa until after she was married and ended up purchasing her first home a few houses away. Theresa and Gene had five children of their own: Vera, Louis, Ronald, Gene and Johnny. Theresa and Gene raised their children in Mantua, New Jersey, where they lived together for 49 years in a three-bedroom, 1½-bath home. Theresa had remained in that same house until recently, when her age left her unable to manage her split-level home independently. Theresa also did not drive until much later in life, and she was driving well into her late 80s back and forth to the local market. Theresa and Gene were active members of the local Catholic Church, where she attended weekly Mass services with the entire family. I recall as a young child attending services with my father’s entire family on Saturday afternoons or Sunday mornings and then getting together for family dinners after church. Sunday dinners at my grandmother Theresa’s house were always an event, the grown-ups in the dining room and the children in the kitchen. I could not wait to graduate to the dining room! Although I must say I preferred the kitchen after I was privileged enough to sit at the dining room table. Everyone contributed to some aspect of the family meal. If my grandmother Theresa was making homemade raviolis, everyone was at the table prepping the table with flour, stuffing ricotta cheese and cutting the edges of those delicious cheese squares! My grandmother was the matriarch of the family unit. As mentioned above, Theresa and Mary had a very close relationship. Although they were only six years apart, Theresa was a mother to Mary. They did everything together and even

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worked at the same candy factory until Theresa had her youngest son. Mary would eventually relocate to California to be close to her children and Theresa would visit with her. Being born in 1917 afforded Theresa many life experiences. Theresa was only three years old when the 19th Amendment was passed which paved the way for her to vote when she became of age. Imagine living in a world where you were told what to wear and not afforded the freedoms that we have today. Theresa has also lived through the Great Depression and World War II, through which she has seen family and friends recruited for active duty. One of Theresa’s sons also served in the military. Theresa managed a household in a time where food supplies were limited. Again, she was a young woman with stressors that most adults face today. In the late 1980s and early 1990s, when the economy was a bit more stable, Theresa and Gene would often take trips to Atlantic City. They enjoyed gambling and visiting their son who worked for the casino industry at the time. Theresa was introduced to many celebrities through the years that included Johnny Mathis, Tony Bennett and yes, even Donald Trump! Theresa had celebrated many good times with family and had also endured many unfortunate events throughout her life. She has not only had to say goodbye to her parents at a young age, my grandfather passed away in his early 70s; her son, who was in the prime of his life, passed away in his 40s; and last year her son-in-law, who proclaimed that she would outlive everyone in the family, passed away. Theresa has displayed amazing resilience in the face of darkness. Theresa’s remaining children continue to care for her and manage her older adult responsibilities. Theresa was a woman who managed a household through war, financial crisis, grief and at times loneliness and yet always had a cup of coffee ready for visitors. Theresa was an amazingly self-sufficient woman who was incredibly independent. Theresa currently resides in a nursing care facility. The current family totals include 16 grandchildren, 27 great-grandchildren and 9 great-great-grandchildren. Amazingly, she knows each and every name. Rita King, MSW, LCSW is a full-time mental health therapist and advocate of women’s history. During her undergraduate studies in psychology, Rita developed a strong passion for women’s history after completing classes in political science. As an activist, Rita has raised awareness of the importance of women’s history through lectures, history lessons in elementary and middle schools and creating women’s history displays at local libraries. Rita also utilizes her knowledge of women’s history to empower women and young girls in her current role as a mental health therapist.

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The County Woman Magazine

Community

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Community

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Monmouth Film Festival Returns This Summer August 10-13, 2017 Prepare for another great season of top-quality, independent cinema in Monmouth County! Last December, Monmouth Mon Film Festival (MFF) ma made its mark during its inaugural inaug event at the Two Riv River Theater in Red Bank – attracting audienc audiences from across the tristate area; receiving rave re reviews and top ratings. The festival and iits programming team search endles endlessly to find the hidden gems amongst the film industry. As the t President of the company states, “There are no favorites, no special treatments and no “good old boys club.” Every Ever film gets the same fair opportunity to be chosen.” Film critic JJoan Ellis of the Two River River Times wrote, “The production product quality, scripting and acting of all the films extremely high and the subject matter was refreshingly was extreme original.”

The festival is currently accepting submissions for its 2017 season, which will take place August 10 through August 13, 2017 at Two River Theater. Submission categories include: Feature, Short and Student films (all genres), Screenplays, Trailers, TV Pilots & Web Series. For more submission information, visit www. MonmouthFilmFestival .org/submissions. The festival will feature special events in August including the Industry Networking Event and Industry Film Panel- two MFF exclusive events aimed to promote, connect and educate current and aspiring artists. Last Year’s panel included esteemed guests from all corners of the industry including Producers, Distributors, Filmmakers/ Directors and more! For young and aspiring filmmakers, be sure to stay upto-date with the company for educational opportunities, including internships and workshops available in 2017.

Community

The Zonta Club of Southern Ocean County The Zonta Club of Southern Ocean County is a local chapter of Zonta International, a non-profit service organization that has over 30,000 members in 66 countries whose mission is to improve the lives of women globally. The Zonta Club of SOC supports local charities, women’s shelters, safe houses, transitional housing for women and several non-profits by organizing several fundraising events throughout the year. Recently, Zonta sponsored a Spaghetti Dinner which was held at the Masonic Lodge in Tuckerton in April. Over 130 people attended the dinner, and Zonta raised over $1300 for Coastal Volunteers in Medicine, an organization that provides free medical care to residents who do not have health insurance. Another fundraising event is a monthly Bunco, held at John & Sonia’s Luncheonette on Radio Road in Little Egg Harbor on the 3rd Thursday of each month at 7 PM. Cost is $15 and free refreshments are provided. The Zonta Club of SOC also directly supports women in need through other projects, like compiling “first night” kits for women entering women’s safe houses in Ocean County. The kits contain much-needed personal care items like toothpaste, deodorant, shampoo, soap, etc. Additionally, Zonta members provide “cuddle kits” for children of any age who reside with their mothers in these shelters. Cuddle kits contain homemade blankets (crocheted or knitted by several club members), books, stuffed animals for the younger children; plus hats and gloves during the winter months. Christmas gift bags for children were also donated to the Atlantic City Rescue Mission in December. The Zonta Club collects new articles of women’s clothing for local hospitals to give to victims of rape whose own clothing is typically collected as evidence during the hospital evaluation.

The Zonta Club of SOC is actively seeking members who are passionate about women’s issues. If you are interested in joining, the club meets at John & Sonia’s in Little Egg Harbor on the 2nd Monday of each month at 7 PM. Contact club President Debbie Casale at 609-296-8768 for more information.

The County Woman Magazine

www.TheCountyWoman.com

July/August 2017

Travel

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Travel At Any Age At every stage of life, a traveler’s experience and destination level changes. A recent in- depth look at generational travel, by some members of Virtuoso.com, found: Those fresh out of college, to those with decades of world travel, revealed insight about their trends. 4PSSLUUPHSZ [LUK [V! Want to go NOW, have high

expectations and are price conscience. e Great choice for NOW might be Turks G and a Caicos for few days of wonderful service, s Beautiful white sand, and escape from the fast paced schedule. f

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Refer to School calendars to dictate timing; they seek great family travel ideas, and might Consider Disney’s on site resorts or the Four Seasons Resort Orlando for the more pampering experience. Also family biking and hiking, thorough Utah for great outdoor activities.

since the focus is on “if not now, when?� They want to see the world now, and see it with their family. Great choices for them could be a wonderful Mediterranean or Caribbean cruise, or an exciting Kenya Safari.

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Cruising rates highly with planned itineraries w aand leisurely adventuring. P Packing and unpacking only once is a great o aadvantage. Milestone ccelebrations, Priorities and Bucket Lists top their requests. Perhaps a Danube River cruise from Prague to Budapest or Asia journey on Regent all-inclusive 700 passenger ship.

It will be our pleasure to assist you with groups, celebrations and special occasions to wherever your travel dreams take you.

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Since they’re well established in i their careers and have more time off, o or are retired, they tend to spend most on their travel. This is where m t multigenerational travel peaks, the

Please Contact Carole Kaiman, Vagabond Travel, a Virtuoso Agency 732-859-5513 or www.vagabondtvl.com

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*Check out www.virtuosolife.com &KHFN RXW ZZZ YLUWXRVROLIH FRP for our Digital Magazine and some IRU RXU 'LJLWDO 0DJD]LQHDQG VRPH amazing travel ideas. DPD]LQJ WUDYHO LGHDV

The County Woman Magazine

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July/August 2017

Medical Professionals

The County Woman Magazine

www.TheCountyWoman.com

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July/August 2017

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The County Woman Magazine

www.TheCountyWoman.com

July/August 2017

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