Ocean County Woman - 2015 July/August by The County Woman

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An Educational Resource for Women and Their Families

FREE ~ Please Take One DIAGNOSED WITH BREAST CANCER: WHATâ&#x20AC;&#x2122;S NEXT?

WHY AM I SO ANXIOUS?

Millions of people suffer from devastating and constant anxiety that severely affect their lives, sometimes resulting in living in highly restricted ways.

This is the second part of a two part series. I updated tips on protecting a special needs child. .

Page 34

All-Care Physical Therapy Center is dedicated to providing the best rehabilitative care with exceptional service. Read more about their facilities and services on pages 2, 42 & 43.

FIVE TIPS TO PROTECT YOUR CHILD WITH SPECIAL NEEDS. PART II.

Page 41

Photo By Tracy Harman Photography

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Medical Professionals Medical Professionals

Understanding Trigger Finger Alzheimer’s Disease & Physical Therapy

as one of your fingers ever become stuck in a What is Alzheimer’s Disease? bent position, painful and difficult lzheimer’s disease is thebecoming most common form of dementia, affecting one in to straighten your cup term of coffee? eight Americans overafter the age holding of 65. Dementia is a general for a variety of conditions developclick as a result of malfunctioning cells in theabrain. Or, does yourthat finger when you arenerve holding Research has shown that individuals with Alzheimer’s disease tend to develop abnormal knife andin fork? so, plaques thenand you may structures the brain,Ifcalled tangles, that be blockexperiencing communication between nerve cells in the brain and body. Plaques build up in the spaces in between nerve trigger finger. cells, andtenosynovitis, consist of a protein called beta-amyloid. Tangles are described Stenosing commonly known as trigger finger, isasaa collection of twisted fibers made from a different protein, called tau, that develop inside nerve condition the lining of the flexor tendon becomes swollen. cellswhere rather than in between them. Because the nerve cells are thick unableor to work properly,

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ealth Thetheexact cause trigger finger is not hips and legs.ofThe lower extremity musclesThere are very for standing known. areimportant several factors that could Elise Paolantonio, CausesWritten and byRisk Factors DPT

Law

and walking, so as they become weak, itsome of contribute to trigger finger including particularly difficult to perform thebecomes following. daily tasks and ambulate, or walk • Repetitive use of the hand. around. Physical therapy can help break • Prolonged use of hand held tools. this cycle by developing a safe strengthening and flexibility program to improve muscle • Local trauma the hand/finger. performance. As anto individual’s strength starts to improve, exercises may be altered or • Degenerative forces stress advanced to further maximizeand strength gains.to The increased thickness and swelling compresses the tendon preventing it from the hand. individuals can experience a variety of cognitive, behavioral, and physical symptoms. gliding smoothly. caniscause the tendon tothat clickis or get stuck and lock. Alzheimer’sThis disease progressive, meaning worsens over time, and although there Research has shown that individuals Gait Training is currently cure for repetitive Alzheimer’suse disease, medication andcause physical activityand can be Prolonged irritationnothrough of the hand may scarring In addition to developing an exercise program, a physical therapist evaluate and with diabetes, rheumatoid arthritis, carpal tunnel syndrome, and will DeQuervain’s determine the most appropriate assistive device for each patient in order to provide safe helpfulof in nodules. slowing itsAccording progression.to the National Center for Biotechnology the formation tendonitis are at higher risk for developing trigger finger. ambulation. The most common assistive devices are rolling walkers, single point canes, and Information, 2% to 3% of the population will experience trigger finger in their Treatment Options quad canes. The physical therapist will educate and train the patient on how to correctly What the signs andinsymptoms? lifetime, butare increases to 10% the diabetic population. Women are six times use his/her assistive device during ambulation. If unsafefinger ambulation is identified There are several treatment options for trigger ranging from during Thethan most men common symptomtrigger of early-stage Alzheimer’s diseaseage is difficulty more likely to develop finger and the average of onsetremembering is 50 or the initial evaluation, subsequent treatment sessions will consist of gait training, in order learned information. As we it is common to experience occasional including to to maximize techniques, safety awareness. As quality occupational of gait improves, or thephysical patient willtherapy, be challenged older.newly Evidence suggests that the ringage, finger is the most commonly affectedmemory finger loss conservative or slowed thinking; however, serious memory difficulties and confusion are signs that the to negotiate obstacles and ambulate on various surfaces, in order to simulate real life surgical intervention. Some of the treatment options include: followed by the thumb, but all of the digits can be affected. brain is not working exactly as it should. situations. Continued practice will eventually lead to improved safety awareness during • Splinting involved finger to help decrease friction at the A1 Let’s review the basic anatomy of tend trigger finger. mood Each and finger has tendons As the disease progresses, individuals to experience behavior changes, community the ambulation and while performing daily tasks. pulley and decrease inflammation. The finger splint is typically increased confusion about place, disorientation, and difficulty responding to the that run on the palm side oftime the and finger that are responsible for flexing or bending Balance worn during times of activity during the day and can be used demands in their environment. Physical symptoms accompany cognitive particularly the finger. These tendons are surrounded by a protective sheath andchanges, run through Along with safe ambulation, balance is by far one of the most important aspects of to muscle disuse, difficulty walking, negotiating turns in andplace. obstacles, and loss of balance. at nighttime as well. An occupational therapist would be able a system of pulleys that help to keep the tendon In most cases, the most minimizing an individual’s fall risk. Balance can be divided into two components: static fabricate a custom trigger finger splint. common location for trigger finger is at the base of the finger on the palm side and dynamic. Static balance refers to an individual’s ability to maintain balance while How can physical therapy help? • Activity modification, rest, to reduce irritation the in a still position, whether thatincluding be while seated or standing. Dynamic balance to refers to of the hand at the large knuckle called the metacarpophalangeal joint (MCP). The physical symptoms mentioned above involved maintaining ability balance to participate your maintainingfinger balance while while moving. Both static the and dynamic are addressedin during This is the area of the A1 pulley and it is prone to irritation due to the high levels ultimately increase an individual’s risk of falling, physicalactivities. therapy by simulating tasks that individual’s experience in their daily lives. These daily of force applied during gripping. You can think the A1lead pulley as theinjury. eye ofResearch a which canofpossibly to serious tasks include reaching, stepping onto and off of various pliable surfaces, and negotiating • Corticosteroid injection. sewing needle and the flexor tendon in its sheath as a piece of thread. When the obstacles while walking. This is a great opportunity to not only challenge balance, but also has shown the importance of physical activity Surgery is typically memory, asrelease the patientof willthe needtrigger to followfinger. directions and remember multi-stepindicated commands. tendon sheath becomes swollen and irritated it would be likeDuring tryinga to thread twine • Surgical for overall well-being. physical therapy when conservative treatments are unsuccessful and has proven By challenging balance in various ways, the body is better able to adapt and learn how to evaluation, through the sewing needle; it would become stuck.a licensed physical therapist evaluates respond safely and appropriately during real life situations. to alleviate trigger finger symptoms. various components of the body in order to Signs and Symptoms determine impairments that may be contributing to Trigger Finger can have a significant impact on the use of your hand and All-Care’sin Jackson location at 355 North • Stiffness your finger What after you finish physical therapy? a patient’s symptoms. From there, an individualized your dailyhappens routine. Recognizing and addressing symptoms early is a key factor in Countyline Road opened March of 2015. at the base of the finger • Tenderness and/or a nodule All of the factors addressed during physical therapy work together toHand improve overall exercise program is created to meet the specific needs treating trigger finger. At All Care Physical Therapy, our Certified Therapist Call 732-833-1133 today for information • Locking of your finger in a bent position then exercise it will pop function and safety. Once an individual has achieved his/her goals and is ready to be of each patient. and A supervised program, with specializes in the treatment of trigger finger and other hand disorders. discharged, the physical therapist will provide the patient with a home exercise program straight tomuscle be straightened usingbalance, your other hand.lead to the goalor of need increasing strength and improving will ultimately Contact physician you are experiencing these symptoms andcan ask so that theyour gains made duringifphysical therapy can be maintained. Physical therapy improvedor safety awareness and decrease a patient’s fall risk. The following are important • Popping clicking when you move your finger

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aspects that are addressed in each exercise program, as deemed appropriate by a physical therapist:

Jessica Abraham, Strength and Flexibility CHT,progresses, OT As Alzheimer’s disease individuals tend to become more sedentary, which

provide the tools for success, however it is up to the to use the information if an Occupational therapist at All-Care canindividual help. OT Hand Therapy ishe/ she has learned to continue to maximize safety and functional mobility! usiness inance currently practiced in our Toms River (732-505-1300) or Whiting (732-849-0700) locations. Call 732-849-0700 to schedule an appointment at the Whiting facility

leads to muscles becoming weak and tight. This is predominantly true for the muscles of Jessica Abraham received her Elise Paolantonio, Master’s Degree of Science in DPT. graduated from the Occupational Therapy from RichardUniversity Stockton College of New of Delaware Jersey inin2006. became a 2011She with a Bachelor certifiedofhand therapist in 2014. Science in Exercise Jessica’s professional focus has been in outpatient Physiology and a minor in upper extremity orthopedic care with a focus in hand Disabilities Studies. She therapy. She has completed affiliations in hand therapy, continued herpediatrics. education outpatient orthopedic rehabilitation, and at the University of for Jessica’s areas of interest include splint fabrication Delaware where she earned the upper extremity, neural mobilization techniques, and manual therapy. her Doctorate of Physical Jessica has continued her education by taking courses Therapy degree in January 2014. Elise has clinical such as: experience in a variety of settings, including inpatient • Completed over 4,000 hours in Hand Therapy rehabilitation, acute care, outpatient orthopedics, Treatment and pediatric rehabilitation. Her professional areas • Neural Mobility: Examination and Intervention Strategies interest include post-operative rehab, orthopedics, • The of Elbow: Current Trends in Assessment and Treatment amputation, and neurological rehabilitation of the • 2011 Surgery and Rehabilitation of the Hand with pediatric andElbow geriatric populations. Emphasis on the and Shoulder • Incorporating Yoga into Upper Extremity Rehabilitation

1-(855)-3ALLCARE

Come Experience The All-Care Difference For Yourself! Whiting • Toms River • Brick Manchester • Barnegat • Jackson

Certified Hand Therapist

Free Transportation For Patients In Need www.AllCarePTC.com

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January/Feb May/June 2015 July/August 2015

Featured on the Cover

All-Care Physical Therapy Center, L.L.C......................2, 42, 43

Precious Metal Buyer

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

Medical Professionals

Acuity Specialty Hospital of New Jersey..................................5 Shore Vascular & Vein Center..................................................8 Ocean Otolaryngology Associates, P.A..................................10 AtlantiCare Regional Medical Center: The Heart Institute......11 South Jersey Fertility Center..................................................12 Seaview Orthopaedic & Medical Associates..........................18 Gastroenterologists of Ocean County....................................22 Atlantic Neurosurgical Specialists..........................................23 Ocean Plastic Surgery PA and Laser Center.............24, 25, 84 Stephen L. Newman, MD, MBA........................................26, 27 Bella Derma Medi Spa............................................................28 Premier Pain Centers.......................................................32, 33 Bio-Behavoiral Health.............................................................34 University Urology Associates of New Jersey........................35 AtlantiCare Regional Medical Center: The Center For Surgical Weight Loss & Wellness...........36, 37 Kathy A. Banks, DMD.............................................................40 Toms River X-Ray, CT & MRI Center.....................................45 Paonessa Colon and Rectal Surgery, PC..............................46 Institute for Complimentary and Alternative Medicine............47 Barnabas Health Medical Group: Dr. Sumy H. Chang...........50 Barnabas Health Medical Group: Ob/Gyn..............................51 The Childrenâ&#x20AC;&#x2122;s Hospital of Philadelphia..................................52 Ocean Hematology & Oncology.............................................58

Featured Articles

Health & Wellness

Simply Skin Day Spa................................................................9 Ocean Health & Weight Loss.................................................16 Marin Integrative Therapy.......................................................34 Yoga Nine Mind/Body Studio..................................................39 Hypnosis for Women..............................................................44 Jersey Shore Pharmacy...................................................56, 57

Permanent Hair Removal

Monmouth/Brick Electrolysis..................................................13

Law

Straffi and Straffi, Attorneys at Law..................................14, 15 Jay Turnbach, Esq., LLC........................................................29 The Matus Law Group............................................................41 Kathleen M. Dotoli, Esq....................................................48, 49

Elder Law

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

Professional Dentistry

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

Nutrition & Wellness

Jennifer Nosti, RDH..........................................................20, 21

Chiropractor

Waves of Transformation Wellness Center, Inc...............30, 31

Massage School

New Jersey School of Massage.............................................38

Insurance

Reliable Health Solutions, LLC...............................................41

Education

Cape May

Ocean County College...........................................................52

Business & Finance

Giglio Awning..........................................................................53

Summer Fun in Cape May........................................................6 Copiers Plus, Inc......................................................................7 Toms River Chamber of Commerce.......................................76

Fashion & Beauty

Dress 2 Impress Bridal and Formal Boutique...........................9 Barbaraâ&#x20AC;&#x2122;s Boutique.................................................................60 Leisure and Lace....................................................................61

Precious Metal Buyer

Retractable Awnings

Copy, Fax & Notary Services

3 Assisted Living

Spring Oak of Toms River......................................................59

Wicker & Rattan

The Wickery............................................................................62

Book Corner

Echoes of Silence...................................................................62

CASA

CASA for Children..................................................................63 Women of Ocean County............................64, 65, 66

Acupuncture

Koehler Acupuncture..............................................................68

Wigs & Hair Replacement

Abstrax Hair Designs........................................................70, 71

Adult Community

Fountainhead..........................................................................73

Travel

Vagabond Travel....................................................................74

Business & Personal Storage

Airship Storage.......................................................................75

Art Gallery

The Oasis Gallery...................................................................75

Water Sports

Bayside Jet Drive..............................................................77, 80

Theatre & Entertainment

My Son the Waiter..................................................................78 Happy 50ish............................................................................79 Defending the Caveman.........................................................79

Fine Art Photography

Tracy Harman Photography.............................................82, 83 Community................................................67, 69, 72, 81

The Wordstation, Copy Fax +.................................................54

Interior Design

Decorating Den Interiors.........................................................54

In-Home Care

Karing with Kindness..............................................................55

Celebrate with the Ocean County Woman by submitting your celebration to the free community bulletin board. For more information, see pages 48 & 67.

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July/August 2015

Executive Note

Welcome to the July/August 2015 Issue Of Ocean County Woman!

An Educational resource for Women and Their Families Since 2008

Monmouth County Woman Since 2008

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Publisher........................................................ Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Art & Production Executive.......................Meghan Morse staff@thecountywoman.com • 856-885-8066 Public Relations Executive ...................... Lauren Shover staff@thecountywoman.com • 856-885-8066 Feature Cover Writer..........................Gena Ansell-Lande Graphic Designer, Real Grafix Design.......... Cathy Tveici Golden Design, LLC Graphic Designer......................................... Laura Golden Graphic Designer.............................. Stephanie Wolfgang golden.design@verizon.net Graphic Designer, Designer Photos........... Paula Brewer designerphotos@rocketmail.com Website Designer.............................................P.J. Santos www.digitalartstation.com Distribution Manager..................................... Mike Dziuba For advertising inquiries, please call:

1-866-398-0898

All correspondence should be addressed to:

After graduating in 2014 with a Bachelor’s degree from Rowan University and then earning my Master’s degree in public relations from Southern New Hampshire University, I was fortunate to land a position as Public Relations Executive for the County Woman Publications. Over the past year I have enjoyed working with Lynn and her staff as well as our many talented contributing writers. Many days, I am blessed with emails, voicemails or personal conversations with readers who have benefitted from the information we’ve published. I also frequently hear from the professionals and business owners who have enjoyed working with me and who impress me every day with their level of expertise. I hope to continue my career at the County Woman Publications and enjoying all these pleasures for years to come. Summer has begun, temperatures are rising, and the Jersey shore is in full swing. Whether you enjoy family vacations, backyard barbeques, or lounging on the beach with a good book, the shore provides a perfect setting for all of your summer fun. Being healthy and fit is one of the most critical steps toward enjoying all these summer activities. Our Medical Professional and Health & Wellness articles offer an array of information about looking and feeling your best, from the top of your head to the tip of your toes. For instance, on page 16, you will find a 10 percent coupon to Bella Derma Medi Spa, located in Toms River. Jennifer Nosti, certified nutritionist (pages 20 & 21), is excited about offering tips and advice on how to stay on a successful diet this summer. In this issue, you will find ample information on Fashion & Beauty that will prepare you for weddings, cocktail parties and other upcoming events. Abstrax Hair Designs on pages 70 & 71, will give you the locks you’ve longed for. JoAnn, owner of Simply Skin (page 9), has excellent ways to prepare for the summer season. Lastly, Barbara’s Boutique (page 60) has a wide variety of beautiful wardrobe essentials you’ll need for all those special occasions. Summer officially launched on June 21st, bringing warmer days and longer nights. We wish you a season full of magical moments that you can treasure forever! Warmest regards, Lauren Shover

“Life is good in the summertime!”

The County Woman

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(L-R): Lauren, Lynn & Meghan

All-Care Physical Therapy Center, L.L.C. You will find Jim and Michael Yorke, owners, in the front row center surrounded by their highly skilled and compassionate physical therapy staff. Learn more about their physical therapy center, their professional staff, and treatment options for Trigger Finger on pages 2, 42, & 43. Cover photo by Tracy Harman Photography.

Tracy can be contacted for appointments at 732-797-0377. See more of her professional portrait work on pages 82 & 83.

Change Your Life in 2015 Licenses Available In Your Area Woman Publishing Entrepreneurs Wanted ... Join over 371 other counties that are publishing or have an option to publish in the United States and BE YOUR OWN BOSS! We are looking for a few bright, energetic, creative women and men to publish our trademarked, copyrighted newspapers IN YOUR COUNTY, IN YOUR STATE, IN YOUR OWN BUSINESS! Join the fastest growing educational Woman’s Newspaper syndicated in the United States. MINIMAL INVESTMENT REQUIRED! Maximum return ... Be your own boss, set your own hours and make your life mean more! ALL TRAINING PROVIDED! If you are interested in developing with us in 2015 in your STATE, in your COUNTY ...

CALL 1-800-993-3822 Join the #1 Woman’s Educational Newspaper in the U.S.

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July/August 2015

Medical Professionals

Achieving Patient Goals Through Team Work At Acuity Specialty Hospital Written by Claire Brown BSN, RN and Jennifer Trallo, MSN, MBA, RN.

he patients at Acuity Specialty Hospital are especially complex. They require a highly skilled professional staff that is willing to share their expertise as a part of a cohesive team, which works together to meet each patient’s individual goals.

Registered Nurse Jennifer Brown has been with Acuity since November 2012, shortly after graduating from nursing school. Jen explained that she loves her job and has tremendous satisfaction seeing patients recover and be able to transition Jennifer Brown to the next level of care, providing care for such as a rehabilitation a patient. facility or even home. “I was nervous at first, as a newer nurse coming into a hospital unit where the patients are critically ill and need advanced care and attention. However, everyone was nurturing and supportive to me. I feel I have grown professionally in a clinical setting and received excellent training,” she said. Last year, Jen was promoted to the role of Team Leader. Jennifer is a mother of two: Shianne who is a junior in college and Mason, who is going into 8th grade. She had a career in Real Estate before starting nursing school, which brings a level of maturity and life experience to her position as an RN. Jen recently received the employee of the month award after being nominated by several of her peers. “Jen is wonderful to work alongside. She is a team player and will always assist other staff members in the care of their patients,” declared fellow RN Kristi Forvour. “Jen is like a mama bear with her baby cubs. She has strength and compassion for her patients. She lets you know that you are never alone” said Mrs. Cheryl Sausto, a 67 year old patient at Acuity Specialty Hospital. Mrs. Sausto arrived in the Emergency Department at a local hospital on May 2nd following a fall at home, in which she struck her head and face. She fractured her ribs during the fall, sustaining two collapsed lungs, which required the insertion of chest tubes. Initially, Mrs. Sausto was stabilized medically; however, her condition deteriorated and she became very short of breath a day later in the hospital. Her heart ceased to beat and she had to be placed on a ventilator in order to survive. At the advice of physicians, her family consented to a surgical procedure to have a tracheostomy and a

percutaneous endoscopic gastrostomy [PEG] tube inserted on May 8th. This allowed her to receive nutrition and ventilation in a more comfortable manner during the Left to right: Kathy Kerstetter healing process. COO, Jennifer Brown and Mrs. Sausto Connie Zarnack DON was transferred to Acuity on May 8th, by which time she had developed pneumonia and was severely anemic and malnourished as a result of her injuries. Team members including physicians, nurses, respiratory therapists, patient care technicians, a speech language pathologist, wound care nurse, case manager, and dietitian worked together to make a care plan that met Mrs. Sausto’s unique needs. The primary goal of the interdisciplinary team was to remove her from the ventilator while treating her pneumonia and controlling her pain. Mrs. Sausto began to recover, and her chest tubes were removed on the 10th of May. She was successfully removed from the ventilator on May 20th and by the 29th, her tracheostomy had been removed. She began the process of working with the team to reintroduce food and drinks.

married to his wife Alicia for 16 years and has three children who are 26, 25, and 15 years old. Leroy is also the proud grandfather of Aubree. As the team was preparing for Mrs. Sausto’s recovery, she concluded that “This was a long battle for me, but everyone here at Acuity was good to me, and I will be able to walk out of here because of the great care.” Hopefully in June Mrs. Sausto will back in the comfort of her own home due in large part to the care the dedicated team at Acuity gaive her. Unfortunately, one in three older adults (those aged 65 or older) falls each year, but less than half talk to their healthcare Mrs. Sausto and Jennifer on providers about it . Among May 29, 2015. older adults, falls are the leading cause of both fatal and nonfatal injuries. Many people, who fall, even if they are not injured, develop a fear of falling. This fear may cause them to limit their activities, which leads to reduced mobility and loss of physical fitness, and in turn increases their actual risk of falling. Mrs. Sausto certainly made a very quick recovery and thankfully had a positive outcome from her unfortunate injury.

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

For Information or Referrals, Call 609-441-8123

inside of AtlantiCare Regional Medical Center in Atlantic City. Our hospitalwithin-a-hospital provides

Left to right: Monica Titus CEO, Connie Zarnack DON, Leroy Grant and Kathy Kerstetter COO.

30 private rooms to the medically complex and critically ill. Patients meeting acute care criteria

Leroy Grant, Patient Care Technician [PCT], is another staff member who cared for Mrs. Sausto during her stay at Acuity. Leroy has also been a recent recipient of the employee of the month award. His patients know Leroy, who works nights, for his compassionate commitment. Patients often say to him, “Where have you been? I really missed you when you were off.” Leroy worked as a Transport Orderly for 20 years in another hospital before he started working at Acuity as a PCT when the hospital first opened five years ago. Leroy says that he finds immense gratification in caring for patients at Acuity. He has been

The County Woman Magazine www.TheCountyWoman.com

are seen by physician specialists daily and typically discharged to acute and sub-acute

Kristi Forvour– 2014 Clinican of the Year.

rehabilitation centers,

Our team specializes in the care of patients

skilled nursing facilities or

with needs that include:

their homes.

•

Ventilator weaning

•

Complex wounds

•

Infectious diseases

•

Medically or surgically complex care

•

Multi-system organ dysfunction

www.acuityatlanticcity.com

July/August 2015

Cape May

Summer Fun in Cape May Cape May, the Queen of the Seaside Resorts, distinguishes herself in many ways. There are many pristine beaches, an enjoyable promenade, and all the amenities that make any seashore town lovely, but there is also a rich history and an architectural diversity equal to none. The best way to see Cape May is to walk through town. Washington Street Mall, Carpenter Street, and other surrounding neighborhoods offer 10 to 20 small boutique-type shops as well as a selection of independently owned retail stores. Kaleidosope, with its great selection of clothing and handbags, is a must-visit. Then you can head to Mary Ann’s for jewelry that will add the perfect finishing touch to your new designer outfit from Between the Lines. After a day of shopping and strolling, you’ll want to relax and recharge with a massage from the experienced therapists at The Well. Then we strongly suggest you recharge with a delicious and healthy dinner at the Good Earth Organic Eatery in West Cape May. Lastly, you can end your day with an excellent premeire at the Cape May Stage! You will be glad you did!

600 Park Blvd. West Cape May, NJ 08204 (609) 898-6161 goodearthorganiceatery.com 110 North Broadway West Cape May, NJ 08204 (609) 884-3177 wellmassagecenter.com Homemade 100% organic, vegan and fresh fish fare. Serving lunch and dinner. Delicious and healthy with local, seasonal ingredients and gluten-free options.

The Well is a place to recharge after life’s hectic moments. The zen-like calm of The Well will help filter out the day’s stresses as you relax under the careful hand of an experienced massage therapist.

506 Washington St. Cape May, NJ 08402 (609) 884-1702

We offer a great selection of Big Buddha handbags, women’s clothing and accessories. You will not be disappointed!

511 Washington Square Mall Cape May, NJ 08204 (609) 898-8786 NEW JEWELRY • ESTATE JEWELRY • OLD WATCHES COSTUME JEWELRY • HUMMELS • LLADR’O

Cape May Stage 31 Perry Street, Cape May, NJ 08204 (609) 770-8311 capemaystage.org Top of the line clothing boutique featuring dresses by Nicole Miller, Black Halo and BCBG. For the woman whose on top!

505 Carpenters Lane Cape May, NJ 08204 (609) 898-9119

With the introduction of a new logo and website, Cape May Stage has placed itself in a position to continue to be recognized as a cultural leader, both in the region and nationwide.

Plan Your Visit To Cape May Today!

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Business

Finance

ith the continued growth and expansion of our business along with improvements in technology, we added a new copying and printing division in 2003. A three times “Best of the Press Gold Award” recipient, our services division has developed quickly and offers a wide ranging list of commercial and personal printing services including business cards, real estate postcards, direct mail, letterheads, carbonless forms, booklets and binding, invitations and announcements, and promotional items, large format banners and posters, blueprint and reprographic service and offer design services and document shredding. “Custom work is our specialty. We find this part of the business to be a very rewarding. We get to be creative with the various requests we get. Things like scanning and touching up original artwork, creating life-size cut outs for special events, all kinds of interesting projects,” states Bob Matthews.

“Service truly is our Specialty” When my wife Debbie and I started Copiers Plus, Inc. in 1986, we really had no idea of how fast the technology would change. After all, it was during the time when fax machines were first starting to become popular. Fast forward to 2015 and we cannot live without the ability to scan-to-email. At Copiers Plus we represent the award winning lines of Ricoh/Lanier and Samsung products. We handle everything from small home office models all the way up to high-speed production units; black & white and full color multi-function products, printers, scanners, fax machines, and all the software necessary to improve business workflow. We offer our products and services to all of Southern New Jersey, with offices located in Egg Harbor Township, Ocean City, and Palmyra. As great as these products are, they are only as good as the organization that is providing the service. And that’s where Copiers Plus excels.

Copiers Plus’ expansion into specialized large format printing, sign fabrication, vehicle graphics and lettering, vinyl banners, signs, and window graphics has rapidly grown from their Ocean City location. We pride ourselves on versatility and innovative design coupled with cutting edge technology which enables us to meet the needs of a wide base of customers. From hand drawn invitations, custom photo collages to elaborate memorials… we do it all! Let our expert staff help you create your next project.

THREE CONVENIENT LOCATIONS! 935 West Ave. Ocean City, N.J. 08226 609-398-7676

3112 Fire Road, Unit C, Egg Harbor, Twp., NJ 08234 609-645-7587

21 East Broad Street Palmyra, N.J. 08065 1-800-834-3598

www.copiersplus.com • info@copiersplus.com

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical Professionals

The Most Common Questions & Answers Concerning Varicose Veins

aricose veins are one of the most common vascular conditions affecting women...and men of all ages. Treatment options have improved greatly in recent years. In spite of these advancements, many people mistakenly still believe that treatment for this problem is difficult, painful, and simply considered “cosmetic.” Other people may experience leg pain and other symptoms but they don’t realize what is causing their condition. This article will answer some common questions regarding varicose veins, the associated symptoms, and treatment.

What are varicose veins?

Varicose veins are swollen veins that can be seen through the skin. They often have a bulging, twisted appearance. Some varicose veins may be very large and discolored. Others may be smaller. They can occur anywhere on the legs, including the groin area.

What causes varicose veins?

Blood must flow up, against gravity, to exit the legs and return to the heart. Our leg veins have oneway valves that assist in this process. Those valves can malfunction and leak, causing blood to flow in the wrong direction. The blood then pools in the legs, increasing the pressure in the veins. This is known as venous reflux disease or Chronic Venous Insufficiency (CVI). Venous reflux is one of the most common causes of varicose veins.

What are the symptoms of varicose veins and venous reflux disease?

People with varicose veins and venous reflux may feel leg pain, leg heaviness, leg fatigue and/or leg swelling. Itching of the skin of the legs is also a very common complaint. Standing may worsen symptoms. Many people will notice the appearance of bulging legs

veins. However, some people will only feel discomfort but not notice any cosmetic changes.

I thought varicose veins are just a cosmetic problem. Is that true?

It is important to understand that varicose veins and venous reflux are NOT necessarily simple cosmetic problems. This can be a sign of an abnormal condition in the circulation. In addition to pain, some individuals may be at risk for chronic swelling, permanent skin discoloration, open wounds and even blood clots. With early diagnosis and treatment, long-term complications can usually be prevented. Treatment often has the added benefit of improving aesthetics, even in cases that are not considered “cosmetic.”

Who is at risk for varicose veins?

Prolonged standing or sitting on one place, family history of varicose veins, and being overweight are all known risks. In addition, increasing age and pregnancy are risk factors. Some people may develop varicose veins without having any of these known conditions.

How are varicose veins and venous reflux diagnosed?

An experienced vascular specialist can make the diagnosis with a combination of a medical history, physical examination and a painless vascular test called a Doppler ultrasound (also known as a venous duplex scan.) Making the correct diagnosis is essential in properly treating this condition.

How are varicose veins and venous reflux treated?

Sometimes compression stockings will be sufficient to control symptoms and prevent complications.

When procedures are needed, current technology and techniques, allow for treatment WITHOUT the need for painful surgery. One of the best, most proven treatments for venous reflux is the Closure® Procedure, now referred to as Venefit™. This minimally invasive procedure is performed right in the office in less than 30 minutes, with no incisions, minimal discomfort, and excellent results.

How long is the recovery from vein treatment? In most cases individuals can return to their usual activities within a day of the procedure.

Is varicose vein treatment covered by health insurance?

Venous reflux disease is a medical condition. Therefore, in many cases, varicose vein treatment is covered by health insurance. An experienced vein treatment center will have insurance specialists who will work with your insurance company to confirm coverage. This article is meant only to give general information about varicose veins and venous insufficiency. It is in no way meant to substitute for medical care by your doctor. If you think that you are experiencing the conditions described here, or any medical condition, you should seek the care of a physician. Visit us on the web www.GetGreatLegs.com. Please call for a consultation or for additional information.

(609) 927-VEIN (8346) or visit us on the web www.GetGreatLegs.com

Get Great Legs For Summer!

Jeffrey S. Gosin, M.D. F.A.C.S. Dr. Jeffrey Gosin is a graduate of University of Pennsylvania and Jefferson Medical College. He completed his General Surgery Residency and an accredited fellowship in Vascular Surgery at Robert Wood Johnson University Hospital. He is Board Certified in General Surgery and Vascular Surgery. Dr. Gosin is a fellow of The American College of Surgeons and a member of The Society for Vascular Surgery, The Society for Clinical Vascular Surgery, and numerous other national surgical and vascular societies.

Jeffrey Gosin, M.D. F.A.C.S. 442 Bethel Road Somers Point, NJ 08244

Don’t hide your varicose veins,

eliminate them!

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

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Fashion

Beauty

Fall in Love with Your Wedding Dress A visit to Dress 2 Impress, one of New Jersey’s premier bridal shops is an absolute necessity if you happen to be getting married in the near future. Whether you are looking for something ultra formal or “beachy cool,” their vast selection of styles and brands will get you on the right path.

As one of the top bridal shops in New Jersey, they pride themselves on making certain every bride that walks out their door looks and feels incredible on her big day.

As an authorized retailer of designers like Pronovias Barcelona, Paloma Blanca, Mikaella Bridal, Jasmine, Wtoo and Watters and many others, their experienced staff will help you choose a style that feels like it was made just for you. Ice, owner, says, “This season it’s all about off the shoulder necklines, illusion fabric, bold colors and tulle overskirts. The show stopping sheer illusion back and reembroidered lace appliques make this season’s gowns unforgettable.” It appears casual and beach weddings have been popular for the last few years and brides are selecting a more laidback approach to their wedding. Ice adds, “We are noticing that black tie weddings are coming back slowly and many brides are interested in adding more formal accents to their event like ball gowns, cathedral veils and champagne towers.” Normally, it takes between 6-8 months

Health

for a gown to arrive after the initial purchase. Shopping for a wedding dress should be fun and exciting so he advises his customers to begin the process early so they are not stressed out over its arrival.

Upcoming Events August 7th – 9th

Wtoo by Watters Trunk Show

Watters has been designing dresses for over 30 years and attentive to changing bridal trends.

Dress 2 Impress is located at 199 New Rd, Central Square #24, in Linwood. Call 609-653-4444 or book on-line at

www.dress2impress.us

& Wellness

609-653-4444 • www.dress2impress.us

Health & Wellness

BACK TO SCHOOL SPECIAL FOR TEENS!!!

Summer Time For You! It’s the heat of the summer and you have a little time on your hands to take care of YOU. What can you do?

Begin with a full body massage to increase circulation, untie the knots you have tied into muscles of your tense body and remind your muscles of the condition they should be in. How about a whole body Sea Salt Glow? So many pretty summer clothes require baring skin. It needs to look soft and touchable. Allow us to give you back your soft supple skin! Next a Vitamin C Facial to deep cleanse your skin, infuse vitamin c serums deep into the skin and increase circulation in your skin. Increasing circulation in your facial skin brings all nutrients applied, further into the epidermal layers. Let’s finish with good sunscreen protection using a 50 SPF but more importantly, the ingredients of zinc oxide and titanium dioxide in a light textured

lotion AND tint to appear as foundation. It doesn’t get much easier to protect your skin. Now that we are into wearing open shoes for a few months now…take a close look at your feet. So they need some serious exfoliation and hydration? I bet they do. We can help with our Intensive Sea Pedicure, using sea minerals to exfoliate and nourish your skin on your feet. Nice and soft, not catching on the sheets! In addition to these wonderful spa services please visit our website www.simplysdayspa.com. We also carry a full line of homecare products to compliment the services that we do. Come and visit to see for yourself. Spa Gift Certificates are the perfect gift. Help people you love take care of themselves. See our online gift certificate program on our website or come into the spa for giftwrapped certificates.

Client Testimonial . . . My experience at Simply Skin was wonderful!!!! I was treated like a princess and was very comfortable. I would recommend this spa as excellent.

Written By: JoAnn Juralewicz, owner, Simply Skin. A Day Spa Experience

We are located at:313 West Water Street, Toms River, NJ 08753 (Just a quarter mile east from Exit 81 of the Garden State Parkway.)

A DAY SPA EXPERIENCE

Fashion

& Beauty

www.simplysdayspa.com

Please call Simply Skin at 732-505-9448 to make your appointment.

The County Woman Magazine www.TheCountyWoman.com Fashion & Beauty

Be ready to look your best with a teen facial here at Simply Skin. All teens teens can can receive All receive a complimentary complimentarybrow browshape shape with aa teen teen facial facial from August 1, 2015 - September 30, 2015 Aug. 1, 2013 - Sept. 30, 2013 Please call to make your appointment.

Simply Skin A Day Spa Experience 313 W.Water Street Toms River, NJ

732-505-9448

www.simplysdayspa.com July/August 2015

Medical Professionals

Thyroid Disorders and Surgery What is a thyroid disorder?

are benign, the physician should evaluate a significant thyroid nodule, as approximately 5-10 percent of thyroid nodules are cancerous. In general, a thyroid nodule is considered “significant” if it is one centimeter or larger and/or presents concerning features on ultrasound.

Diseases of the thyroid gland are very common, affecting millions of Americans. The most common thyroid problems are: • An overactive gland, called hyperthyroidism (e.g., Graves disease, toxic adenoma or toxic nodular goiter) • An underactive gland, called hypothyroidism (e.g., Hashimotos thyroiditis) • Thyroid enlargement due to overactivity (as in Graves disease) or from under-activity (as in hypothyroidism). An enlarged thyroid gland is often called a goiter. Patients with a family history of thyroid cancer or who had radiation therapy to the head or neck as children for acne, adenoids, or other reasons are more prone to developing thyroid malignancy.

What is thyroid surgery?

There is no medical treatment for thyroid nodules. If a decision is made that the thyroid nodule needs to be removed, surgical treatment is recommended. Nodules that are suspicious or cancerous on biopsy require surgical removal. Large nodules are often removed for a number of reasons. Benign large thyroid nodules may cause pressure symptoms in the throat or cause difficulty swallowing. Thyroid nodules that produce excess thyroid hormone may also need to be removed. Lastly, some thyroid nodules are large enough that standard diagnostic approaches prevent accurate assessment of the possibility of cancer and, therefore, need to be surgically removed. Thyroid surgery is an operation to remove part or all of the thyroid gland. It is performed in the hospital and general anesthesia is usually required. Typically, the operation removes the lobe of the thyroid gland containing the suspicious nodule or lump. A frozen section (immediate microscopic reading) may be used to determine if the rest of the thyroid gland should be removed during the same surgery. Based on the result of the frozen section, the decision will be made in the operating room if removal of any remaining thyroid tissue is necessary. Dr. Peters will discuss these options with you preoperatively. As an alternative, Dr. Peters may choose to remove only one lobe and wait for the final pathology report before deciding if the remaining lobe needs to be removed. If a malignancy is identified in this way, he may recommend that the remaining lobe of the thyroid be removed at a second procedure.

How is a diagnosis made?

The diagnosis of a thyroid function abnormality or a thyroid mass is made by taking a medical history and a physical examination. In addition, blood tests and imaging studies or fine-needle aspiration may be required. As part of the exam, Dr. Peters will examine your neck and ask you to lift up your chin to make your thyroid gland more prominent. You may be asked to swallow during the examination, which helps to feel the thyroid and any mass in it. Tests your doctor may order include: • Evaluation of the larynx/vocal cords with a fiber optic telescope • An ultrasound examination of your neck and thyroid • Blood tests of thyroid function • A nuclear thyroid scan • An ultrasound guided fine-needle aspiration biopsy • A CT or MRI scan

What are thyroid nodules?

Thyroid nodules are very common, occurring in 15-65 percent of people of all ages. They occur in both women and men but are especially common in women (50 percent of women ages 50 or older have had a thyroid nodule). Usually patients and their physicians first notice thyroid nodules during a routine physical exam of the neck area. Sometimes they are found incidentally during a radiographic evaluation of the neck (such as a CT scan, X-ray, MRI or ultrasound). Although the vast majority of thyroid nodules

What happens after thyroid surgery?

The surgery usually takes 2-3 hours, and most patients are watched carefully in the hospital overnight. The pain is often minimal, and most patients take 4-7 days off from work, longer from strenuous activities. Neck incisions typically heal extremely well.

Enter To Win

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 Bruce W. Peters, University Hospital, Philadelphia, Dr. Peters then completed his DO, FACS Fellowship in Facial Plastic 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.

Christina Gillespie, MD

Stephen Kupferbuerg, MD, FACS

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

732-281-0100 www.OceanENTFacialPlastics.com

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SHOW YOUR HUSBAND A GOOD TIME... It’s a surprise party and you’re invited—to Happy 50ish, the musical comedy that proves you haven’t lived until you’ve had a mid-life crisis. Meet baby boomer Bob—he’s facing the big five-o with fear, beer and a letter from the AARP. Though he may be losing his libido, he’s finding laughter at every turn—and so will you.

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One entry per person. Multiple entries will be disqualified. Entrants may enter for tickets to multiple shows. Entries will be accepted through July 31, 2015. Some shows will be drawn sooner based upon run date. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be provided. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical Professionals

Follow Your Heart To AtlantiCare If there ever comes a time when you’re just not “feeling right,” but you can’t exactly pinpoint what is wrong, take a closer look at your heart health. You could be having early warning signs of cardiovascular disease. A common misperception about heart disease is it happens only to men. You may think breast cancer kills the most American women, but heart disease is actually the number one cause of death in women across the nation, according to the American Heart Association. Although the heart disease develops the same way in both women and men, the warning signs experienced by both genders are often very different. The traditional symptoms of heart disease in men include severe crushing chest pain, shortness of breath after physical activity, and/or unexplained pain that travels down one arm. In women, symptoms can be more subtle — and often may be attributed to menopause, the flu, or another medical cause. For example, women at risk of heart attack may feel: • Unusual weakness or fatigue, nausea, or dizziness • A cold sweat that starts suddenly • Sharp pain in unexpected parts of the body, such as high in the abdomen, one or both arms, the upper back, jaw, neck, or shoulders

Because the progression of heart disease is a long-term process, many women don’t see their doctor until they have chest pain or find themselves in the hospital after suffering a heart attack. Women of all ages can help themselves stay healthy by seeing their primary care provider for annual checkups and any recommended necessary screenings that can help identify early-stage heart disease. In addition, women whose parents or siblings have had a heart attack or another form of heart disease may wish to consult with a cardiologist who has experience in women’s heart care. As you age, annual cholesterol, blood pressure, and lifestyle screening becomes even more important, so your doctor can detect any potential risk factors that may raise your risk of cardiovascular disease. For more information about AtlantiCare, visit www.atlanticare.org or call the AtlantiCare Access Center at 1-888-569-1000.

REGIONAL MEDICAL CENTER

Keeping Your Heart in Peak Condition Even if you think you’re too young or too healthy right now to worry about cardiovascular disease, it’s important you do what you can now to protect your heart health. The Heart Institute at AtlantiCare Regional Medical Center offers the following recommendations: Keep your weight under control

Eat a low-sodium, heart-healthy diet

Quit smoking

Get regular exercise

Control your blood sugar if you have diabetes

Reduce daily stress Maintain optimal blood pressure and cholesterol levels

See a cardiologist if you have a family or personal history of heart disease

Want to find out your risk of heart disease? Visit http://heartcheck.atlanticare.org/Heart-Check to complete our free and confidential HeartCheck Risk Evaluation.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical Professionals

Receiving Donated Eggs –

Medical Professionals A Highly Successful Method of Family Building

Could Pelvic Endometriosis Be Interfering with Your Fertility? Presented by: South Jersey Fertility Center

“It seems that more and more couples are having trouble getting pregnant. Whyoften is that?” Endometriosis is a female medical condition One reason is that women in today’s society associated with painful periods and pelvic discomfort. frequently postpone child-bearing while they Itpursue consists a ofcareer. the uterine tissue from inside with Inendometrial general, fertility declines the wombgrowing in areas of the 34th uterus.birthday. each passing year after outside a woman’s chance for successful conception drops even The During a pelvic exam endometriosis may be suspected by palpating tender nodules behind the uterus or by visualizing a persistent more sharply after the age of 40. After age 46 live ovarian cyst on ultrasound that has certain echogenic characteristics (an births are rare.

“endometrioma”). Many times endometriosis can be found even in the This decline is due in large part to the fact that a 40-year old woman’s eggs absence of symptoms or signs. The diagnosis can only be confirmed or are, well, 40 years old. These older eggs tend to be less likely to develop into excluded by undergoing a laparoscopy. Endometriosis is staged based viable embryos after fertilization. In addition, women are born with a limited a successful pregnancy for these women is to use egg donation. These eggs on the depth of the lesions and the extent of the involvement in the number of eggs and cannot make any more after they are born. This seems pelvis. Stages 1 and 2 are termed “minimal” and “mild” endometriosis, can then be fertilized with the sperm of her partner. She can then carry the unfair when compared to a man’s reproductive system which makes new sperm while stages 3 and 4 are “moderate” and “severe” disease. The presence resulting embryo in her womb for the 9 month gestation and give birth to a causing them to adhere to other pelvic structures, and thereby distort constantly throughout his adult life. It is not only the older woman who can of an endometrioma in an ovary usually translates to at least stage 3. baby who carries her male partner’s genes. the normal anatomy. Having a normal anatomical relationship of the experience a shortage of eggs. Some women will run out of good quality eggs This process is known as a “donor egg cycle.” Nationwide over 8,900 such The prevalence of endometriosis has been calculated to be 3-10% ovary and fallopian tube are crucial for natural conception since the egg even in their early 30’s and can have a premature menopause without any cycles are performed annually. The birthrate per cycle is 56% according to the in the general population of reproductive age women; however, it is obvious cause. Other times the reason for early menopause is identifiable.must reach the fallopian tube where fertilization can take place. found in 40% of infertile patients. Endometriosis often runs in families. 2013 national registry published by the Society for Reproductive Technology There are a number of treatment options to boost fertility for Some of these causes include chemotherapy or radiation therapy to battle a Most experts agree that endometriosis impairs fertility. One mechanism (SART). Our center began performing donor egg cycles for patients in 1999. cancer. Surgical removal of both ovaries due to tumors will also eliminate these women with endometriosis. Probably the easiest treatment from her for infertility is the inflammatory response incited by the endometriosis Egg donors can be found among friends or family members. But the the patient’s perspective is to have the endometriosis lesions surgically egg supply. lesions. White blood cells, the warriors in the body’s defense system, majority of patients pursuing donor eggs gets them from an anonymous eradicated during a laparoscopic procedure, which is done so that the try to eradicate the abnormally located endometrial tissue and release Fertility doctors are able to roughly gauge a woman’s egg reserve through a woman chosen from a list of prospective donors who are age 20-32. These doctor can make the definitive diagnosis. Laparoscopy is an outpatient simple blood test. Women who have a severely limited egg reserve are unlikely substances into the pelvic cavity which have been shown to be toxic to donors must pass medical and psychological testing before being accepted. to have a successful pregnancy even with the use of assisted reproductive procedure commonly referred to as “band-aid” surgery owing to the fact sperm, eggs, and embryos. In addition, as the body tries to heal the inTo ripen multiple eggs in a single month, the donor starts daily fertility shots that the necessary incisions are so small as to be sufficiently covered by techniques such as in-vitro fertilization. Far and away the highest chance for flamed areas it may inadvertently scar the fallopian tubes and/or ovaries and has an egg retrieval procedure in our office approx. standard band-aids. In cases of moder14 days later, in the same fashion as a patient doing an ate or severe endometriosis it has been SJFC Celebrating 25 Years of Creating Families in the South Jersey Area! in-vitro fertilization cycle. Egg donors often experience well-established that surgical removal of pelvic bloating from temporarily enlarged ovaries. For both endometriosis lesions and adhesive her effort, the anonymous egg donor receives monetary scar tissue improves fertility by restoring Division of Regional Women’s Health Group, LLC the correct anatomical relationship of the compensation (typically about $8,000). However, Full Service Infertility Center With: fallopian tubes and the ovary. The addisurveys have found that money is not the primary SOUTH JERSEY FERTILITY CENTER · All Of The Doctors Are Board Certified In Reproductive tional use of medications such as Lupron, motivator for egg donation. Instead, these women is now offering a discount for IVF to Endocrinology And Infertility a GnRH-agonist, to suppress any residual · Top Doctor Awards For 7 Years In A Row ACTIVE MILITARY AND VETERANS are truly driven by an altruistic desire to help infertile · Laparoscopic Tubal Reversals Call 856.596.2233 ext. 1227 for more information. endometriosis has been advocated by couples reach their dream. · Money Back Guarantee Available For Ivf And Donor Egg some. As of 2013 we have been offering the use of eggs that · Full Service Fertility Center already However, numerous studies have · Robotic Surgery Available are frozen away, waiting to be chosen. Pregnancy failed to show that these medications imrates from frozen eggs have been shown to be equivalent Robert A. Skaf, MD FACOG prove fertility rates beyond that of surgery Top Row (left to right): to fresh eggs. The use of frozen eggs speeds up the Peter G. Van Deerlin, MD FACOG Dr. Gary Packin, alone. This may be, in part, due to the process since the anonymous donors have already passed Dr. Stephen Sawin, Stephen W. Sawin, MD FACOG fact that patients must avoid becoming the screening process and have already undergone the egg Dr. Peter Van Deerlin, Gary S. Packin, DO FACOOG, Dist. pregnant while on these medications for Dr. Oumar Kuzbari retrieval procedure. Frozen eggs can lower the overall Oumar Kuzbari, MD, FACOG fear of possibly inducing birth defects. Yet Bottom Row (left to right): cost of the donor egg cycle if the patient does not have Barbara Alice, APN-C, MSN Barbara Alice, APN-C, MSN, the optimal time to achieve pregnancy insurance coverage for in-vitro fertilization. Tracy Krause, APN-C,MSN Dr. Robert Skaf, may be immediately following the surgery Tracy Krause, APN-C, MSN (when the fallopian tubes have just been We delight in seeing all these happy new flushed and before any scar tissue has mothers who previously thought they had no Visit us on our Website www.sjfert.com had a chance to re-form). Post-operative chance of carrying a pregnancy. 400 Lippincott Drive Harbor Pavilions AtlantiCare Life Center Burlington Prof Campus medication IS recommended, however, Suite 130 570 Egg Harbor Rd • Suite B4 500 English Creek Ave. • #225 1900 Mt. Holly Rd #4A Marlton, NJ 08053 Sewell, NJ 08080 Egg Harbor Twp. , NJ 08234 Burlington, NJ 08016 when pelvic pain from endometriosis is 609-386-4701 856.596.2233 856.218.8863 609.813.2192 the patient’s biggest concern. www.TheCountyWoman.com January/February 2015 The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com July/August 2015

South Jersey Fertility Center

Pictured...

Permanent Hair Removal

What’s With The Hairs On My Chinny-Chin-Chin? Submitted by Lorraine Fetherman, L.E., C.P.E. Licensed and Certified Electrologist

o, you noticed a few hairs growing on your chin, cheeks and/or upper lip.

WHY!?

And maybe the hair on your head is thinning, too? The entertainment is endless with our bodies; it’s just not all good entertainment. Hormones are the answer. Whether it is an increase, a decline or an off-balance, it is your hormones doing the trick. As you know, men and women, many times throughout our lives, go through “changes” such as puberty, childbirth, breastfeeding, perimenopause, menopause, simple aging, etc. Also, there are countless medications that affect hair growth and hair loss as well, and health issues such as PCOS (polycystic ovary syndrome). Some of these issues can be addressed through medication and a doctor’s advice. However, that doesn’t mean your hair issue will end. We can help you with that. Hair Removal Areas Electrolysis can be applied to most facial and body parts, including: • Abdomen • Eyebrows • Bikini line • Chin • Legs • Upper lip • Jawline & sides of face • Breasts & underarms

As well as the ears, parts of the nose, fingers, toes, feet, etc. We understand the embarrassment, selfconsciousness and discomfort that comes with unwanted hair. If it is just cleaning up your eyebrows or clearing a beard, we can help. No hair problem is too small or too big. Our treatment will help you feel clean, carefree, self-confident and uninhibited. Take advantage of the free consultation. We will explain in detail how the process works for your individual needs. Everyone is unique in his or her situation, but we are all the same when it comes to the results we want: permanent hair removal. A brief history of electrolysis and how it works. Here we are, the year 2015, and the only FDAapproved method of “permanent hair removal” still remains to be electrolysis. It was first used back in 1875 by an ophthalmologist named Dr. Charles Michel. He wanted to find a way to remove the painful ingrown eyelashes of his patients. What he came up with at that time is called galvanic electrolysis. It is a chemical method that utilized direct current to convert normal body salt and water into the compound sodium hydroxide (lye). Lye destroys the cells on a microscopic level that initiate hair growth. Then in 1923, after the discovery of radio waves and high-frequency current, a new method of electrolysis was born. This method, called thermolysis, uses highfrequency current to produce heat. The heat cauterizes and destroys the cells on a microscopic level in the follicle that cause hair growth. And then in 1945, Arthur Hinkel developed the blend method, which combines galvanic and high-frequency currents. This combination causes

destruction by both heat and chemical action at the same time on a microscopic level. What is electrolysis like today, for you? We have come a long way from the practice of 1875. We now have computerized equipment for a much more comfortable, effective treatment. We practice the highest standards of sterilization; we are recommended by physicians; we are all board certified and licensed in the state of NJ; we use state-of-the-art equipment. We are always improving and refreshing our skills and education through required and voluntary continuing education. We attend seminars, workshops, lectures, etc., several times a year. We are passionate about improving our skills, equipment and the safety of our clients, along with the changing of the times. STOP tweezing, waxing, shaving, etc.…these are all temporary hair removal attempts. We can give you permanent hair removal solutions with electrolysis.

Find us online at www.bhairfree.com We offer two convenient locations: Brick Electrolysis 522 Brick Blvd. • Brick, NJ 08723

732-477-9040 Monmouth Electrolysis 2510 Belmar Blvd. • Colfax Plaza Belmar, NJ 07719

732-280-0400 We offer appointments 7 days a week. 7 am to 9 pm most days. Call for an appointment today! Mention this article and receive

WHO ARE WE? l-r Lorraine Fetherman, L.E., C.P.E.

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Monmouth/Brick

ELECTROLYSIS

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

2 Locations:

2510 Belmar Blvd. Wall, NJ 07719

522 Brick Blvd. Brick, NJ 08723

732.477.9040 bhairfree.com

“It’s a butterfly effect...” Licensed & Certified Electrologists:

Lorraine Fetherman

L.E., C.P.E.

Debbie Matusas

L.E., C.P.E.

Barbara Stoll

L.E., C.P.E.

I am Lorraine Fetherman, L.E., C.P.E. I am proud and excited to say I just celebrated my 20th year as an Electrologist in March 2015. I love what I do. I am one of the lucky people who looks forward to going to work. I get to help people feel better about themselves, feel more confident and less inhibited. I am passionate about what I do and the people I help. I am always looking to learn more. I will be attending a 3-day Electrolysis Symposium in Quebec City this August for many lectures and workshops in our field. I also attend several lectures, workshops and seminars every year in the United States, keeping up with the constant changes in the health and beauty world. Debbie Matusas, L.E., C.P.E. One of my two associates, she has been an Electrologist for over 17 years. She is a great asset to our practice and her clients love her. I hear wonderful feedback all the time. She is very accommodating to our clients’ needs, offering her services days, nights and weekends at our Brick location. Debbie also continues her education, attending workshops, seminars and lectures every year.

The County Woman Magazine www.TheCountyWoman.com

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your first treatment, with a free consultation. Cannot be combined with any other offer. By appointment only. Either location.

Testimonials: “I let my husband touch my face for the first time in 15 years, Lorraine. I can’t express to you how much you have helped me with my self-esteem and confidence. I truly thought I would be shaving my face every day for the rest of my life. I am so grateful, I still can’t believe it is gone!!” L.S. - Bayville, NJ “I wish I knew about you years ago. I have tweezed my face every day since college. It was just part of ‘MY’ routine. NOT ANY MORE!!!! Thank you, Brick Electrolysis!! See you soon for my touch-up, I miss you, Lorraine!!” S.C. - Brick, NJ “My wife is very happy with my hairless ears. I did it for her. But, I can now say I am glad I did. She isn’t trying to pull them out anymore; she was mean. Let’s not forget the few you removed from the top of my nose. My daughters didn’t want to be seen in public with me. Once again we are a big, happy, hair-free-Dad family. Thank you.” Joe S. - Wall, NJ

July/August 2015

Law

Contemplating Bankruptcy? You’re Not Alone. Financial distress. Everyone feels it, not many actually talk about it. In today’s difficult economic times, hardship knows no boundary with respect to color, class or creed. However, many of us feel stifled by the perceived stigma attached to suffering financial difficulties and, more specifically, contemplating bankruptcy. Instead of keeping yourself up at night worrying about the future, I’m hopeful that these four steps can help to shine a light at the end of the tunnel:

1Be proactive.

Like any difficult issue we encounter in life, the first step in dealing with a problem is to acknowledge that there is a problem. Although there is no such thing as a “point of no return”, the fact of the matter is that far too many clients I encounter on an everyday basis have suffered through long periods of emotional pain and suffering as a result of ignoring their financial difficulties. Ignorance is, most certainly, not bliss. Being proactive – even if it’s just a conversation – can help you start to move your life forward.

2 Know your rights.

“Bankruptcy” is a scary and dangerous word for many people I meet with. The rumors about its perceived ill-effects are vast and, mostly, unfounded. In order for folks to move forward with their lives, they need to know what their rights are. Seeking information is the only solution for overcoming fears and any alleged stigma associated with bankruptcy.

3 Make a plan.

Knowledge is not enough. Everybody’s goals are different as far as how people wish to shape their future. Property and personal issues are different in every case. Strategizing and making a plan customized to every person’s unique set of circumstances is essential to moving forward. There are a number of ways that bankruptcy or debt solution alternatives can be crafted in order to meet those goals.

4 Move forward!

A fresh start can be had, but it doesn’t happen fast or easy. I am a huge believer in setting goals and not looking back. The hardest part is taking that first step. Sometimes, it’s more comforting to know that you are not alone in that journey. If there is one thing I can assure every person reading this article, it is that you are in good company – the company of hard working, honest people just like yourselves who have hit a rough patch.

Hopefully these four steps help you feel empowered to take that first step and move forward. A good night’s sleep is very underrated. Healthy Summer Recipe

Protect Yourself Against Foreclosure, Judgments & Harassing Creditors We are a debt relief agency that helps people file for relief under the bankruptcy code Chapter 7 & 13 Individual, Business and Creditor Representation Payment Plans Available

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Daniel Straffi Jr., Esq. www.straffiandstraffi.com 670 Commons Way Toms River, NJ

Conveniently Located Directly Off Of the Parkway

732.341.3800

Free Consultations

Summer Watermelon Tomato Salad Impressive and easy to prepare, this sweet and salty salad from Marcie at Balanced Life Weight Loss Institute is refreshing and different-perfect for party guests or for you to enjoy on a warm summer day. Ingredients Makes 8 1 cup servings 4 cups watermelon (cut in about 1” pieces) 4 cups ripe tomatoes (about 5 medium cut in large dice) 1 cup thinly sliced red onion 2 Tbsp. thinly sliced fresh basil (chiffonade) basil, divided ¾ cup crumbled Low Fat Feta cheese ¼ cup extra virgin olive oil

2 Tbsp. balsamic vinegar 1 tsp. kosher salt Freshly ground pepper to taste 2Tbsp. torn fresh mint In a large bowl, combine the watermelon, tomato, onion and half of the basil. Drizzle with the oil and vinegar and season with salt and pepper. Sprinkle with mint, remaining basil and serve.

Nutritional Information Calories per serving: 132 Fat per serving: 8 Protein per serving 4g Carbohydrates per serving: 12g Fiber per serving: 2g Cholesterol per serving: 3.8mg Iron per serving: .54mg Sodium per serving: 175mg Calcium per serving: .54mg

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Business Spotlight

~ Interview With Daniel Straffi, Jr. ~ Straffi & Straffi Are The Key To Your Financial Health

Y 670 Commons Way Toms River, NJ

732.341.3800

ou could say that Daniel Straffi Jr. has bankruptcy law in his blood. After joining his father’s law practice in 2004 his own knowledge and expertise in the field grew. Daniel’s father is a Chapter 7 Bankruptcy Trustee and his background has been invaluable in assisting Daniel with his own personal practice. He has focused his practice on representing individuals and businesses in the areas of bankruptcy and divorce. Filing for bankruptcy is a serious and sometimes very emotional step. It is critical to have the right representation as well as someone you feel you can really trust. Personality, as well as professionalism matter and you must believe the person you hire is working to service your best interest.

CW: Why did you select bankruptcy law as your specialty?

Daniel Straffi: I enjoy bankruptcy work because I am able to truly set a course for navigating clients from what is usually the most difficult time in their lives to a path of hope and rebuilding.

CW: What are the most challenging aspects of your profession?

Daniel Straffi: There are many challenging aspects to the legal profession. As any attorney will attest, time management usually requires the most work and attention.

CW: What are your top three tips for financial “health” for young families? Daniel Straffi: My advice to any young family starting out is to communicate with each other about your respective finances. Openness about spending, bills, and income can help find or address problems before they become too difficult. With good communication comes greater financial health in terms of budgeting and spending.

CW: What are the primary reasons the average person files for bankruptcy?

Daniel Straffi: The majority of people I represent are hard working individuals accustomed to paying their bills. With the cost of living in the state of New Jersey being so high, it does not take much to fall behind. The primary reasons for filing bankruptcy are loss of income, medical reasons and divorce or separation.

CW: What are the average fears or anxieties surrounding filing for bankruptcy?

Daniel Straffi: Most clients are very concerned with the effect a bankruptcy will have on their credit. They view it as an “end” rather than (what it is) a “new beginning.” It is the intent of the courts to provide the honest debtor with a fresh start. This includes the ability to rebuild one’s credit over time.

CW: Why is there so much incorrect information out there about bankruptcy?

Daniel Straffi, Jr., Esq. Daniel Straffi, Jr. was admitted to practice in the states of New Jersey and Pennsylvania, as well as the District Court of New Jersey in 2001. A graduate of Boston College in 1998 and Rutgers-Camden School of Law in 2011, he began his legal career in 2001 serving as a judicial law clerk for the presiding judge of Family Law in Mercer County. In 2004, he joined his father’s law practice. He has focused his practice on representing individuals and businesses in the areas of bankruptcy, divorce and criminal defense. He is further an active member of the NJ and Ocean County Bar Associations.

Daniel Straffi: Unfortunately some people wait too long to get accurate information they need from a reputable attorney. Some fall prey to the misinformation spread by debt consolidation companies, banks or other creditors that have an interest in preventing debtors from obtaining the powerful relief that bankruptcy can provide.

CW: How long will the “average” bankruptcy be on a person’s credit report?

Daniel Straffi: Usually it will be on a credit report for a period of ten years. Generally speaking, it takes folks about two years to rebuild their credit. In the interim, the cash that will be freed up from not having to pay the exorbitant minimum fees from credit cards will help most debtors operate their households while simultaneously rebuilding their credit.

CW: How do you like to relax after a long day at the office?

Daniel Straffi: I’ve never been opposed to the occasional cocktail or “three.”

CW: Please tell us about your family

Daniel Straffi: I have been married since 2002 to my wife, Danielle. My wife is an art therapist with a private practice in Mt. Laurel. We reside in Medford, with our 10-year-old daughter, Emma, dog, Tinkerbell, and guinea pig, Scarlet. For the record, I was not involved in the naming of said pets, nor is the guinea pig red in color.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Health & Wellness

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Elder lderL Law aw E E lder L aw

15 15 17

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

ELDEr AND DiSAbiLiTy LAW ELDEr AND DiSAbiLiTy LAW Nancy M. rice, Esquire, CELA Nancy rice, CELA by the CertifiedM. as an ElderEsquire, Law Attorney Certified an Elder Law Attorney by the National as Elder Law Foundation

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

1236 Brace Road, Suite F • Cherry Hill, NJ 08034 • 856.673.0048

www.riceElderLaw.com www.riceElderLaw.com

National Elder Law Foundation

Nancy Rice Answers Questions About What Is Elder Law? Know The Facts . . . Nancy Rice Answers Questions About Retirement Assets, Savings Bonds And More Q Q Retirement Assets, Savings BondsA And More A

What is “Elder Law”? was founded in 1987 as a professional association of If I see the designation “CELA” after an Elder Law is a sub-specialty within the attorneys who are dedicated to improving the quality of attorney’s name, what does that mean? practice of law. Until the early 1990’s, this legal services provided to seniors. of not the been ways taxed. to evaluate thegain experience Capital is not When a person dies owning a signifi- Onehas need to make our clients aware of the fact hen we plan estates or advise area of practice was more generally known as “Estate and knowledge of an attorney who taxed until you sell the property.claims The big cant number of US savings bonds, we executors and trustees who are that there beneficiaries will have to pay Planning,”hen which one of the core subjects If anthey attorney on elder law, what areas to practice Elder Law tobetween consider whether heand she is has not isbeen taxed. Capital gain isornot When person owningthe a signifineed totomake clients aware of the factfocuseshave we isplan estates or trusts, advise difference income tax capital the aoption ofdies reporting accrued income taxesour on the money receive handling estates and we taught first-year law students. of have law would Certified as antaxed Elder Attorney until sell the (CELA). property. Thedisapbig cant number of US savings final bonds, we tax there beneficiaries will to pay executors are that gain taxLaw isyou that capital gain tax can interest on the decedent’s income from certain types of investments, suchthat as include? need to consider bothand thetrustees incomewho tax and theElder Law developed as aand sub-specialty Estate Elder Lawsavencompasses many different The of the program to between income taxisand capital have the option of reporting the accrued income taxesIRAs, on theannuities, money they handling trusts, we within pear at certification death (whereas income taxidentify does return (1040), which is something wepurpose dis- difference traditional and receive US capital gain tax.estates Why? not). gain tax is that capital gain tax can disapPlanning sometime in the late 1980’s. The National fields of law. Some of these include: those lawyers who have the enhanced knowledge, skills, cuss with the executor. interest on decedent’s final income tax ings bonds. from certain types of investments, such as need to consider both the income tax and • Retirement assets (IRA’s, 401(k)’s, In person dies • When wewhich work clients whose Sometimes, we recommend at other death words, (whereas tax does (1040), iswith something we dis- andpear traditional IRAs,- annuities, and USthat sav-ofif assetsreturn the capital gain tax. Law Why? Academy of Elder Attorneys wasand founded in •1987 as Preservation/transfer seeking to avoid spousal experience, proficiency in orderwhen toincome bea properly profit sharing plans, etc.), annuities owning a highly-appreciated house assets include IRAs annuities and savings a client is interested in leaving money to not). cuss withathe executor. bonds. asavings professional attorneys who areings dedicated impoverishment when a spouse enters nursing home identified to the public as Certified Elder Law Attorneys. bonds association allassets have(IRA’s, oneofthing in com• Retirement 401(k)’s, orInstock, estate/beneficiaries bonds, with a lot of “trapped interest,” charity, that they leave all or part of an otherthe words, when a person get diesa • When we work with clients whose • Sometimes, we recommend that if to improving the quality of legal services provided to Medicaid The criteria for this certification include: mon:sharing as theyplans, grow in value over theand years, profit etc.), annuities “stepped up” cost basis, meaning that if we encourage them to redeem these assets IRA to charity, naming the charity as bena highly-appreciated house assets include IRAs annuities and savings -owning in leaving moneyclaims to and seniors. - Medicare advocacy, appeals 1. Licensure The Attorney must be licensed to practice you dobonds not report theone income and a client is interested savings all have thingearned in comthese assets are sold, the estate/beneficiacarefully, matching up deductions they eficiary of the IRA, because charities do or stock, theor estate/beneficiaries a a lot of “trapped interest,” that they- Social leave all or partand of an law in at least one state in the District of get Columbia. you do not pay taxes these security disabilitybonds, claims with and appeals mon: as they growincome in value overonthe years, charity, ries report their “cost basis” as the value might have (for example, if a spouse is in not pay income taxes. “stepped up” cost basis, meaning that we encourage them to redeem these assets IRA to charity, naming the charity as benearnings. “Estate Planning”? 2. Practice - The Attorney must have practiced law if - Supplemental and that long-term ahealth insurance issues. you do notWhat reportis the income earned and of the assetare onsold, the date of death! There nursing home and medical expenses It is important to keep in mind assets theorestate/beneficiacarefully, matching up deductions they are these eficiary of the IRA, because charities do of these assets grow Estate planning involves of years preceding his her“step-up” application you All do not pay income taxes“tax on deferred.” thesethe drafting - Disability planning, including use high). of Durable Powers of during the five are some limitations to this in very only a spouse may “rollover” an IRA. If ries report their “cost basis” as the value might have (for example, if a spouse is in not pay income taxes. This is different, of course, than “tax Wills and planning for the disposition of and must still be practicing law. earnings. Trusts, because of the one repeal of the On aWills” non-tax note, we emphasize to you an IRAAttorney, children, they can and a“Living of2010 theStanding asset on the date of year death! There nursing home and medical expenses are It isleave important totokeep inLiving mind that free.” An example a tax-free investment estates upon death. Planning can also include tax 3. Integrity/Good The Attorney must be a All of these assetsofEstate grow “tax deferred.” Federal Estate tax, but for most people, clients that IRAs, annuities, and life insurcreate “beneficiary IRA’s” which will defer - Conservatorships and guardianships are some limitations to this “step-up” in very high). would be a Roth IRA, which is funded only a spouse may “rollover” an IRA. If planning to reduce or eliminate the various death taxes member standing of theinstate barpaying in all places This is different, of course, than “tax this tax rule results them little ance are not governed by their Wills! We in good the reporting of the income. In other Administration of note, trusts we with after-tax dollars (i.e., you do not 2010 because of the one year repeal of the On a non-tax emphasize to leave an IRA- Probate, to children, they can and management whichAncan, in some seriously deplete anyou estate. inclients which they are licensed. free.” example of cases, a tax-free investment or no capital gains tax when they inherit spent a good amount of time with words, they will not have to report all of get a deduction for the amount you put estates Estate tax, but for most people, insur- Federal create “beneficiaryand IRA’s” which will defer clients that IRAs, annuities, and4.life would be a Roth IRA, which is funded Involvement - The Attorney must have real estate or stock. confirming that the beneficiaries Substantial of their the income in one year or over five years; in a Roth IRA) but it grows tax-free. By this tax rule results in them paying little ance are not governed by their Wills! We the reporting of the income. In other Long-term care placements in nursing home and life with after-tax dollars (i.e., you do not • When we advise clients about estate IRAs, annuities, and life insurance are they can “stretch it out” over their life Do Estate Planning Lawyers address spent an average of at least 16 hours per week contrast, a traditional or rollover IRA is or no capital gains tax when they inherit spent a good amount of time with clients words, they will not have to report all of planning, we point rulepreceding when consistent with their overall estate plan. expectancies. care communities get deduction forget the putthe planning issues in theyou event I become practicing Elder Law during the out threethis years taxa deferred: you aamount deduction for real estate ortostock. confirming that the beneficiaries of their the income in one year or(E,over five years; Nursing home issues, including questions of patients’ they want make gifts during their Capital gain tax is different from the • US savings bonds EE and I inmoney a Rothyou IRA) but it grows tax-free. By incapacitated? his or her application. In addition, he or she mustlifeput into a regular IRA, and • When adviseagainst clientsgiving abouthighly estate IRAs, annuities, and life insurance are they can “stretch it out” over their life times. We60we counsel income tax. It applies when you Bonds) are also tax-deferred investments. contrast, aDuring traditional or IRA rights and nursing home quality the 1980’s 1990’s, Planning purchase have handled at least Elder Law matters during you do not pay taxes onrollover theand money asis itEstate planning, we point out this rule when consistent with their overall estate plan. expectancies. appreciated capital assets, because gifts of a quote asset (such as a those house, orthree years You payasone half of theabuse valueand of the bond tax deferred: youdo get ainclude deduction for the -bonds Elder fraud recovery cases capital expanded tohave planning for incapacity with to a specified distribution among grows, but you to pay taxes when they want make gifts during their lifeCapital gain tax is different from the • US savings (E, EE and I these assets during lifetime do not benefit stock in a corporation). When you sell a at the time of purchase, and it increases in money put into regular IRA, you take the money out. well. Ifyou you are in a acar accident orand suffer a stroke, leaving subjects, as defined by the National Elder Law Housing issues, including discrimination and home times. giving highly It the applies when you purchase Bonds) are also tax-deferred investments. from We the counsel “step-up”against in basis at death, and capital tax. asset, difference between the value over the years, such that it can actu- income you not pay taxes the money as it or make Similarly, annuities and savings you•do unable to tend toonyour legal affairs medical Foundation. equity conversions (“reverseamortgages”) appreciated capital assets, because gifts of quote capital asset (such as a house, or You pay one half of the value of the bond the recipient gets the donor’s basis (“carsales price and the purchase price is generally grow to three or four times the stated grows, dobe have toYou payuse when bondsbut areyou deferred. dotaxes not pay as it is effective decisions, atax Will of little to you, 5. Continuing Legal Education -will Thehave Attorney must - Retirement, including publicstock andconsidered private retirement these assets during lifetime do not benefit in a corporation). When you sell a at the time of purchase, and it increases in ryover basis”) and to pay capital ally to be “capital gain.” The value by the time it is cashed in (dependyou take money taxes onthe thedeath. moneyout. as it grows but you only upon have participated in least 45 hours continuing from “step-up” basisisofatsold. death, and capital asset, the difference between the value over the such that it can actugainsthe taxat when thein asset benefits, survivor benefits pension gain can bebenefits “adjusted” by the costs of sale ing upon the years, interest rate). You can’t tell and • Similarly, annuities and savings are required to pay tax on the increase in Thus, most lawyers today will talk to you about islegal education in Elder Law during the preceding the recipient gets the donor’s basis (“carsales price and the purchase price generally grow to three or four times the stated This tax stuff is tough to get through, (such as realtor or broker commissions) by looking at a US savings bond what it bonds taxnot deferred. You do you not initially pay value are (butPowers onofthe money Durable Attorney and Advance Medical the three years.ryover itMost Elderin Law attorneys ally doand not specializetoinbe you but understanding it can really save a lot basis”) and will have to pay capital improvements made to propconsidered “capital gain.” The is worth. You can, however, use a chart value by the time is cashed (dependput in). taxes on the money as it grows but you Directives (“Living Wills”) when you go in ing tototalk about 6. Peer Review/Professional References - The Attorney every one of these areas. For example, I do not handle of money. erty (e.g. a new roof on the house). value them, or enter the bonds into a gains tax when the asset is sold. gain can be “adjusted” by the costs of sale upon the interest rate). You can’t tell There aretoseveral we pay are required pay taxreasons on thewhy increase in Many times clients purchased drafting a to Will. musttheir submitNancy the names ofcan five references from located atbondDisability Social Security Abuse cases. Rice This tax stuff is answer tough toyour get through, (suchor asElder realtor orour broker commissions) lookingprogram at a US savings what it appeals attention the taxation of these bywebsite value (but not on income the money you initially stock and their residence a long time ago www.treasurydirect.gov/indiv/tools/tools_ investments Elder Lawwhen developed as a sub-specialty within Estate attorneys familiar with his or her competence questions and concerns, understanding it can really saveand a lot improvements you made to the prop- but is worth. You can, however, use a chart Additionally, some Elder Lawand attorneys handle matters we write Wills. We put in). and have quite a bit of capital gain, which savingsbondcalc.htm Call 609-398-3447. of money. Planning sometime in the late 1980’s. The National qualifications in Elder Law. These people must erty (e.g. a new roof on the house). to value them, or enter the bonds into a for clients who are not elderly. For example, I draft Wills There are several reasons why we pay Many times our clients purchased their satisfy website programfor located Academytoofthe Elder Law Attorneys themselves Nancyspecified Rice cancriteria. answer your clientsatof all ages. attention income taxation of(www.NAELA.com) these stock and their residence a long time ago www.treasurydirect.gov/indiv/tools/tools_ 7. Examination The Attorney must pass a full-day questions and concerns, Call to Schedule an investments when we write Wills. WeRice has been practicing Estate Planning and Elder Law in New Jersey and Nancy and have quite a bit of capital gain, which Call savingsbondcalc.htm certification examination. 609-398-3447.

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Pennsylvania since 1986. She was Certified as an Elder Law Attorney in 1997, and has maintained offices in Camden and Cape May counties, specifically in Cherry Hill and Nancy been practicing Estate Planning and Elder Law in New Jersey and OceanRice City.hasCall 609-398-3447. Pennsylvania since 1986. She was Certified as an Elder Law Attorney in 1997, and has maintained offices in Camden and Capewww.TheCountyWoman.com May counties, specifically in Cherry Hill and The County Woman Magazine Ocean City. Call 609-398-3447.

The www.TheCountyWoman.com TheCounty CountyWoman WomanMagazine Magazine www.TheCountyWoman.com

Appointment

Ocean City: 609.398.3447

Call toHill: Schedule an Cherry 856.673.0048 Appointment

OceanJanuary/February City: 609.398.3447 2014 Cherry Hill: 856.673.0048

January/February July/August2014 2015

M Medical edical P Pro roffessionals essionals

The Aging Spine: A When CommonYou Cause Of Back And Leg Pain What Happens Have Scoliosis? PART TWO

n part one our article we focusedback on the features, and life. diagnosis ost of people will experience pain at somesymptoms point in their As of the most common form of scoliosis, idiopathic adolescent scoliosis. Part people age, their joints (such as hips and knees) experience wear two of our article focuses on treatment options. Treatment depends on many andas: tear. The age, spinepotential also consists of a complex set of that factors such patient for skeletal growth, size of joints curvature can degenerate. When this degeneration leads todivide a narrowing oftreatment the spinal among others. Most pediatric orthopaedic centers scoliosis canal in the lower back, it is referred to as lumbar spinal stenosis. into three parts: observation, bracing and surgery. Anatomy Observation includes periodic office visits with serial x-rays and It is important to examinations. understand some the basics x-rays of theand anatomy of the spine to understand Withofconsecutive examinations, we may compare the lumbar spinal stenosis. The spinal column consists of a series of bones connected one size of curvatures from previous visits and identify an increase of thetopatient’s another by intervening discs, joints and ligaments. The bones are referred to as vertebrae. curve. Scoliosis curves may progress during periods of rapid growth. Skeletal The vertebrae have a space within them called the spinal canal where the spinal cord and growth caninbethequite Girlshas willended typically until nerve roots travel. Generally low rapid back during region adolescence. the spinal cord andgrow there are age 14 boys 17 The first have menstrual cyclenames, for girls is nerve roots that supply theand-a-half legs. Theand sections of and-a-half. the spinal column different where the low back asection is for referred as the lumbar spine. hallmark rapid to growth and indeed, girls must be observed closely a year and two yearsages? after their first menstrual cycle. What happensbefore as the spine With aging, the normal discs joints that connect the vertebrae degenerate. This leads The size of and curves in patients with scoliosis also requires close monitoring. to narrowing of the discs and arthritic changes of the joints, which can subsequently lead to Observation is suggested for children with curves less than 20-25 degrees pain in the low back.that In addition, the ligaments overgrow and bone spurs form. All of these still have potential for growth or for curves less than 40-45 degrees in factors together cause the spinal canal to get narrower over time. Once the spinal canal naradolescents and young adults that have achieved skeletal maturity. Skeletally rows to a certain point, the nerves that travel to the legs get pinched causing lumbar spinal mature adolescents and young adults with curves in excess of 40-45 degrees require observation as stenosis. their curve maythe progress throughout adulthood. What are symptoms? Bracing is a treatment thatspinal utilizesstenosis custom-made shells helpdepending slow curveon The symptoms of lumbar includeplastic back and pain,foam which canto vary progression. cannot cure scoliosis and will not make smaller. In patients that have the severity Braces of the arthritis. There can also be pain in thecurves buttocks that can travel down the been back of the legs,aoftentimes referred as “sciatica.” can also beslow numbness or tingling indicated to wear brace, recent studiestohave shown that There use of braces helps curve progression in the buttocks legs. pressure on theScoliosis nerves braces roots worsens, weakness can occur, and may decreaseorthe needAsforthe corrective surgery. are indicated for adolescents with a especially in the foot. Patients will often times report that the pain is worse by standing up curve measuring greater than 20-25 degrees with growth potential remaining. Growth potential in an straight and walking, but gets better with sitting and leaning forward. As time progresses, adolescent may with certain x-rayonce techniques and physical on exam. patients will notbebeestimated able to walk as far they did without feeling findings pain in their legs. Some Having an adolescent consistently wear a brace as indicated can at times be challenging. patients, however, note that leaning forward on a shopping cart will allow them to walk farther Thankfully, scoliosis braces have improved over the years. They can be worn under clothing and are without pain. much less obvious. The typical scoliosis brace or Boston brace, is intended to be worn 23 hours-aHow is it treated? day.The Thetreatment brace maybegins be removed for bathing sports activities. child no longer first with seeing and a physician trained Typically, in dealingwhen with athe spine and obtaining an accurate diagnosis. The diagnosis is made based theno history physical has significant skeletal growth remaining or is skeletally mature, the on brace longerand is worn. exam, and also with X-rays MRI. Generally, treatment is started with non-surgical Alternative therapies such and as physical therapy, manipulative therapies and changing options. This includes physical therapy, medications, acupuncture and steroid injections. Oftentimes activities do not have strong scientific evidence to effect scoliosis curve progression. However, patients will feel good pain relief from these treatments. If a patient has a poor quality of life physical therapyspinal is often employed to non-surgical treat core weakness, muscle imbalance and generalized back due to lumbar stenosis, and treatments have not worked or only worked pain. Activity levels need not be curtailed and there are no specific activities or sports that are temporarily, then surgery is considered. The main stay for treating lumbar spinal stenosis is contraindicated with a diagnosis scoliosis. to remove the ligaments, bone of spurs and other compressive factors from placing pressure on theScoliosis nerve roots. This surgery processmay is referred to as in decompression, a laminectomy. The surgeon corrective be indicated some patients. or Adolescents with curves greater does not remove all of the vertebrae, only the elements in the back that are placing pressure than 40-45 degrees and adults with curve progression are indicated for surgery. There are many types on the roots. Sometimes a spinal fusion is also needed for various reasons. The laminectomy of scoliosis corrective surgery. Typically, surgery is performed from the back. Metallic implants are can be done using a traditional incision, a small “mini-open” incision or a minimally invasive inserted to stop Curve correction is alsobased achieved may improve a patient’s approach. The curve choiceprogression. of approach will be determined on which the severity of the stenosis, appearance by incidentally correcting rib protrusions and uneven shoulders. Curve correction is the individual patient and surgeon factors. Most people experience good pain relief in their maintained by the bones fusing appropriate position.lifestyle This typically occurs 6 months after the legs after surgery and are ableintothe resume their normal after recovering from surgery. However, improvement in the back is variable. operation. InPatients Conclusion . . can expect to stay in the hospital for approximately 5 days to a and their. families Lumbar spinal stenosis one cause of occurs back and legmonth. pain that people as they age. week after surgery. Return toisschool usually in one Theaffects majority of patient activities It is important to see a physician trained in treating this disease to obtain an accurate diagcan be resumed when there is evidence of fusion on x-rays. Non-contact sports and activities can nosis. Once that is achieved, there are multiple treatment options that can help improve a typically be resumed 6 months afterwards. Contact sports may be considered a year after surgery but patient’s quality of life. are usually discouraged.

Seaview Orthopaedic & Medical Associates

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

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

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

Praveen Yalamanchili, MD. Dr. Yalamanchili is a fellowship-trained Spine Surgeon, who completed his training at Emory University in Atlanta, Georgia. Paul Haynes II MD, FAAOS PaulofHaynes completed medical school at UMDNJ/New Medical in Newark New Following ADr. native New Jersey, Dr. Yalamanchili has returned home after Jersey completion of hisSchool Fellowship training. HeJersey. attended medical medical school at school, UMDNJhe–completed Robert Wood his internship and residency at Albert Einstein College of Medicine at Montefiore Medical Center in New York. Dr Haynes went on to complete his Johnson Medical School and completed his orthopaedic residency at UMDNJ- New Jersey Medical School. He specializes in the treatment of spinal disorders fellowship in Orthopaedic Surgery as well as Pediatric Sports Medicine, Limb & Pediatric Deformity also at Albert Einstein College of Medicine. He also completed an Arthroscopic at Staten Orthopedics Sports Medicine, in Staten New York. Dr. Haynes is a general including degenerative, deformityFellowship and trauma and hasIsland particular interest in& cervical (neck) surgery as wellIsland, as minimally invasive and motion sparingorthopaedic procedures.

surgeon, specializing in Pediatric Sports Medicine, Limb & Pediatric Spine Deformity as well as General and Pediatric Orthopaedic/Surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital. www.seaviewortho.com • 732-660-6200

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July/August 2015 January/February

Nutrition

Wellness

Why Diets Fail

f you are like most people who have tried to diet, you are familiar with the difficulties involved. Diets are not for the weak-willed if you intend to get results. With the diet and nutrition industry booming, why is obesity still on the rise? For every diet that is started and discontinued, the average weight GAIN is 11 pounds. Many of these people diet incorrectly, resulting in lost muscle mass and gained pure fat. This leads to a slower metabolism, thus a more difficult time losing weight in the future. How do you avoid becoming another diet-failure statistic? Learn the common mistakes that people make before you head out on your weightloss journey.

✤ Relying on the scale

This is such a simple device, yet it can have a dramatic effect on your outlook. When every time you step on the scale, the number is a little lower, you feel motivated! You know you are on the right track. What about when that number is holding steady? What if it goes up? You feel your diet isn’t working, right? You failed; another disappointment. That’s often how we feel. But as your body is transforming, you can be losing fat, gaining muscle and redefining your shape. Focusing on the number on the scale can make you discouraged when you are actually on the right track. Instead, focus on how you feel and how your clothes fit, rather than what the scale tells you.

Willpower instead of science ✤ All too often, people cut their calories so drastically that they slow down their metabolism and, in turn, their weight loss. Your body will try to conserve energy if it is not receiving an acceptable amount of calories. Your body works like your car – when you hold off on getting fuel, you will eventually hit empty and stop moving. You can only deplete your body so much before it becomes counterproductive. You will often be missing vital nutrients, so you will not feel your best and you will likely notice an increase in hunger and cravings. Low-fat and high-carbohydrate foods will also increase your hunger and slow down your metabolism.

all ✤ Assuming calories are

created equal

It is a common mistake to assume that all calories are created equal. Someone on a diet may know that they need to eat 1,200 calories in a day, so they focus on that number alone. But in reality, that can cause more harm than good. Science has proven that consuming foods that spike your insulin (refined sugars, potatoes and bagels) will change your metabolism. This change will allow the energy to be sent to the fat cells, where it is stored, rather than used. This is why you can eat a big meal yet feel like you are starving an hour later, because your body was not able to use that energy since it was stored in your fat cells. So low-glycemic foods are key, like split peas, Greek yogurt or agave nectar.

Low-fat diets ✤ A common misconception is that consuming

fat when you are trying to lose weight is counterproductive. However, it’s the opposite. Your body actually needs some fat in order to burn fat. By eating higher-fat/lower-carbohydrate food, you can actually increase your metabolism and feel much less hungry. Studies have also shown that a low-carb/ high-fat vegan diet was actually more effective to lose weight than a low-fat vegan diet. So, make sure you keep those healthy fats in your diet like nuts, avocados, and oily fish.

Hidden reasons ✤ These are the things going on in your body that

you may not be aware of, for which you may need to be treated by a doctor. You could possibly have an unknown food allergy or sensitivity causing inflammation within your body, which could ultimately lead to weight gain. A disruption in the normal bacteria in your gut can also be a culprit. Taking certain medications such as antibiotics, consuming high amounts of refined sugar, or a low fiber intake can easily cause changes in the bacteria that helps keep your gut healthy, which can

ultimately make you bloat and gain weight. Probiotics (found in yogurt) can help keep the balance of good and bad bacteria. An often-overlooked reason is toxins. Most of us are around these toxins on a daily basis without even considering it as a source of weight gain. Household cleansers, pesticides, pollution, artificial sweeteners, and even cosmetics contain chemicals that are known to cause weight gain in lab rats.

Lack of a plan and goals ✤ What is one way to increase your odds of success?

Make a plan. Before you set off on your journey to a healthier you, think of what you want as an end result. Do you want to lose 10 pounds? 50 pounds? Long to fit it into that perfect size dress again? Be able to keep up with your kids? Reduce your cholesterol level? Whatever it may be, WRITE IT DOWN and refer to it often. Share your goal with someone who you wouldn’t want to disappoint. If possible, share your goals with a weight-loss buddy, someone who can encourage and support you. Being healthy is not an accident. There are the fortunate few blessed with good genetics who never think about what they eat. Most people are not this lucky. Losing weight requires a game plan and keeping the weight off requires a lifestyle change.

For a customized nutritional plan and nutritional support team, contact Jennifer Nosti at NutritionEmpowersWealth@gmail.com or 1-800-661-0278.

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

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Business Spotlight

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

Get Healthy This Summer with Jennifer Nosti

ummer is finally here and that means plenty of time outside in bathing suits and family barbeques with less than stellar choices for healthy eating. If you are looking to lose weight or to simply feel better and gain more energy, then a visit with nutritional therapist Jennifer Nosti should be on your summer to do list. Her nutritional system is not just about losing weight; it’s about getting healthy long term. She adds, “There so many systems out there that are designed to just make you lose weight. My system is about being healthy and letting your body function at its best so you can get results.” Also included in her plan is a “cellular cleanse” which lets your cells get rid of toxins so they operate at peak performance. Most importantly, her plan comes with support when you need it so you are not alone on your journey to a healthier lifestyle. OCW: How did you get started in the nutritional field? Jennifer: I have always had a passion for interacting with people and have been involved

in the healthcare field since the age of 15. While working as a dental hygienist I was always talking to my patients about proper nutrition. Later, when I had my son I became a nutritional therapist so I was able to be home with him and help people at the same time.

OCW: What is the most rewarding part of your profession? Jennifer: Hands down that would be the success stories. I truly love helping people and

find it extremely rewarding to help someone who once felt defeated, as if they could not have what everyone else had. Watching my clients achieve their goals is the best part of my job.

OCW: What do you find most challenging about it? Jennifer: There are quite a few people who have had very negative experiences with diets

and losing weight. They feel like they are fighting a losing battle and often lose hope. There is a common misconception that in order to lose weight and be healthy you have to give up the chocolate and live the rest of your life hungry.

OCW: How does your system differ from others out there? Jennifer: My system is designed to be a lifestyle because you can stick with it. It is not a

Jennifer Nosti, RDH Jennifer loves to share her knowledge of healthy living with everyone she meets. “Even when I am not working I am always looking for people to help. I share my secrets with chiropractors, dentists and the personal trainers I come in contact with so they can incorporate it into their business and help more people,” she says. She makes herself available to her clients on a daily (or weekly) basis, depending on their needs. She adds, “My overall goal is to see them succeed.”

quick fix. You can still have snacks, chocolate and real food. It is something you can live with and apply to everyday life. I customize plans to the individual person so it fits into their own individual lifestyle.

OCW: Why do you think so many folks struggle with their weight? Jennifer: I believe there are two primary reasons for this. Firstly, many people simply do

not know how to start. They may know the difference between healthy and unhealthy foods but that does not help them get started. Sometimes the hardest part is actually starting and it can be very intimidating. The second reason is lack of support. People who struggle with weight loss need to be around people who want the same thing for them. When you are alone you are more likely to give up. If you have someone on your side, fighting the battle with you, there is more of a chance you will succeed. I think too many people are looking for a quick fix or a magic pill that will make them healthy. The problem is those crash diets do not work. You may lose weight, but you will gain it right back once the diet stops. It is not about deprivation, you need to eat and nourish your body otherwise you will not get results.

OCW: What is your feeling about cleanses? Jennifer: Everyone can cleanse. Science is showing that systems like the one I provide are

reducing visceral fat more effectively than the “heart- healthy” diet. So even if you are at a healthy weight, doing a cleanse can improve your body’s insulin response and let your body get rid of visceral fat which is very damaging.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical Professionals

Health &Wellness

Bloating, Gas, And What You Can Do About It

Law

bdominal distention and bloating are thought to be due to too much gas and are some of the most common gastrointestinal complaints. These symptoms can be eliminated with the help of your gastroenterologist. 1How do salads and vegetables cause gas?

There are bacteria in the gastrointestinal tract that convert foods such as salad, broccoli, and beans into gas. Small intestinal bacterial overgrowth occurs when too many bacteria form in the small intestine and can cause gas, bloating, abdominal discomfort, diarrhea and anemia. It can be caused by slow Written by: Kenneth Glazier, MD, motility of the intestine that can occur in normal Gastroenterologists of Ocean County aging, diabetes and scleroderma. Other causes include decreased stomach acid from medications such as omeprazole or gastric surgery, NSAID use, Crohn’s disease, pancreatitis, cirrhosis, Celiac disease, diverticulosis of the small bowel and prior surgeries. Bacterial overgrowth can be diagnosed in our office with a simple breath test and is treated with antibiotics.

1How do breath tests work? Bacterial overgrowth and lactose and fructose

malabsorption can be detected using a hydrogen breath detector. Patients either drink a can of soda for fructose intolerance or a glass of whole milk for lactose intolerance at home. Three hours later patients come to the office and blow into the machine once, which takes a few seconds. For the bacterial overgrowth test, patients drink something one hour before coming to the office and have to blow into the machine every 20 minutes until the test is positive. This can take from one hour up to three hours. Our practice has an entire office dedicated to breath testing at least one morning a week.

Elder Law

If you suffer from symptoms of bloating and gas, contact your gastroenterologist to initiate proper testing.

Call to schedule your appointment at Gastroenterologists of Ocean County.

Theater &Entertainment

1 I never had a problem with milk when I was younger but now it gives me gas, how is that possible? Lactose is present in most dairy products such as milk, cheese and ice cream and is digested by an enzyme in the lining of the intestine. This enzyme can sometimes be missing at birth. The enzyme can also be lost later in life due to injury of the intestine from an infection, Celiac disease, alcoholism, and Crohn’s disease. More commonly, the enzyme simply disappears with aging. This late onset lactose malabsorption affects people more depending on their race and ethnicity and can affect close to 100% of Asians in the U.S., 80% of African Americans and 70% of Italians. Symptoms of lactose intolerance include abdominal cramps, distention, flatulence, diarrhea and/or vomiting. Lactose intolerance is also diagnosed with a simple breath test offered in the office.

Education

1Yogurt makes me distended, does that mean I am lactose intolerant? No. The cultured yogurt at the grocery store does not contain lactose. More likely you are having trouble digesting the fruit on the bottom part of the yogurt, which contains fructose. Fructose is a sugar found in candy, soda, barbecue sauce, ketchup, jellies, fruit on the bottom yogurts, apples, mangos, watermelon, canned fruit, honey, corn syrup and many other food products. Fructose can be malabsorbed by the intestine and produce symptoms of gas and bloating. Fructose intolerance can also be diagnosed by at simple breath test in our office.

Patient Testimonials

“I have nothing but the best to say about Dr. Glazier and his staff. They are very attentive, knowledgeable, caring, and very pleasant. I recommend Dr. Glazier to anyone who asks!” ~ Sandra, 50, Lanoka Harbor

“My husband and I are long standing patients of Dr. Glazier. He is the absolute best. His compassion and caring are over the top. Everyone at both Endoscopy Centers are top notch. We would not go anywhere else.” ~ Doris, 59, Jackson

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Business &Finance

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

1Is there a diet for bloating? My first approach is to have patients write a diet/symptom diary of what they eat and how they feel. This can be used to pinpoint what foods are causing bloating and eliminate those foods from the diet rather then making drastic dietary changes. These results can also help guide which breath tests to start with. An alternative is to follow the low FODMAP diet. This diet tries to eliminate foods that can commonly cause bloating. FODMAP stands for Fermentable Oligo-Di-Monosaccarides and Polyols. These include fructose, lactose, sweeteners, beans, wheat, onion, garlic, lentils, and some fruits. This elimination diet is usually followed 6 weeks. After this, high FODMAP foods are added one at a time to see if foods trigger symptoms.

1Meet The Doctors Of Gastroenterologists Of Ocean County.

(Sitting l-r) Omar Tamimi, MD, Jill Collier, MD, and Allan Cohen, MD. (Back row l-r) Jai Mirchandani, MD, Edgar Bigornia, mdand Kenneth Glazier, MD. We perform endoscopic procedures in the convenience of our two office based endoscopy centers. We aim to provide the highest quality of compassionate medical care and perform endoscopies in a convenient, friendly, non-threatening office setting. We serve patients from many different backgrounds, which is mirrored in the diversity of our physicians.

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

Hospital Privileges at Community & Ocean Medical Centers

January/Feb July/August 2015

Medical Professionals

“What More Can Be Health &Wellness Done?” – The Critical Question That CanLawBUYING TIME FOR STROKE VICTIMS Save a Stroke Victim Elder Law

Newly proven, minimally invasive treatment removes blood clots and has patients returning home as good as new.

Theater &Entertainment

The normal response from the doctor used to be, “He suffered a stroke. There’s nothing more we could do.” Especially if the patient sought medical care after the six-hour treatment window.

Today, the response should be much different. So it’s critical the patient’s loved ones or caregiver ask the all-important question: “What more can be done?” Not every emergency room physician or neurosurgeon has the training to answer, “There is something that can be done.” But, according to Dr. Ronald P. Benitez, neurosurgeon and president of Atlantic NeuroSurgical Specialists, there is.

Education

“Using a stent retriever, we can now go into the brain within 8 to 10 hours of the stroke – in some instances even longer – remove the clot and restore blood flow to the brain,” he explains. “This minimally invasive treatment is successful in patients who have suffered ischemic strokes. An ischemic stroke – the most common type – is caused when a brain artery becomes blocked, prohibiting normal blood flow to the brain. Until recently, intravenous thrombolytic therapy (drugs to break up or dissolve clots) alone was the only proven treatment for this type of stroke.” Benitez was a pioneer of this treatment when the first device was introduced in 2004. Despite advancements that have been made since then and proven medical success, it wasn’t until just recently that results of studies confirming the effectiveness of stent retrievers were released at the International Stroke Conference 2015 in Nashville. The results showed treatment with the latest generation stent retrievers – the Trevo® by Stryker and the Solitaire™ FR by Covidien – reduced post-stroke disability and increased the proportion of patients alive and independent at three months. Four studies showed convincing evidence of benefit. “Removing a clot stuck in a blood vessel is somewhat similar to removing a cork stuck in a wine bottle,” Benitez details. “We insert the stent into the blood clot and open it to restore the blood flow. The clot attaches to the retriever and comes out when the device is removed.” Dr. Benitez does 80-100 of these procedures a year with amazing results. For more information on stroke and stent retrievers, contact Atlantic NeuroSurgical Specialists at 732.455.8225 and visit us at www.ansdocs.com.

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ANS: Pioneers in Stroke Treatments

Using a stent retriever, we can now go into the brain within 8 to 10 hours of the stroke – in some instances, even longer – remove the clot and restore blood flow to the brain. The ANS Neurovascular Center has been a pioneer of interventional stroke treatment and recent studies have confirmed what ANS has known for years: that this type of treatment reduces post-stroke disability and increases the proportion of patients independent at three months.

Business &Finance

The ANS Neurovascular Center is the busiest and most advanced in the state and has treated thousands of patients suffering from ischemic or hemorrhagic stroke and other vascular conditions. Don’t let insurance come before your health. Ask to speak with our insurance counselor. For more information, visit www.ansdocs.com or call 732.455.8225.

3700 Route 33 Neptune, NJ 07753 732.455.8225 2345 Lamington Road Suite 107 Bedminster, NJ 07921 973.285.7800

310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800 11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941

MCW/OCW July Stroke Ad #622 + Back Cover_r4.indd 1 www.TheCountyWoman.com The Magazine County Woman Magazine www.TheCountyWoman.com The County Woman

89 Sparta Avenue Sparta, NJ 07871 973.729.0266 Glenpointe Centre Atrium 400 Frank W. Burr Blvd. Teaneck, NJ 07666 973.285.7800

6/8/15 8:37 AM January/Feb July/August 2015

Medical Professionals

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July/August 2015

Business Spotlight

Business potlight ~ Interview WithSD r. Stephen Small ~ 19 ~ Interview Dr. Stephen Small ~ Ocean Plastic with DDr. Small Redefines What It Means To Be Beautiful Surgery P.A.

Ocean Plastic And Laser Center Surgery P.A.

And Laser Center 1301 Route 72 West • Suite 260 Manahawkin, NJ Dr. Stephen 780 Small Route 37 West • Suite • Toms River, NJ Toms River, NJ • Manahawkin, NJ 732-255-7155 www.OPSNJ.net

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www.oceanplasticsurgerynj.com

r. Stephen Small’s goal is to help patients achieve a beautifully natural appearance. He understands that undergoing surgery is very personal, and strives to provide an exceptional experience by attending to your unique needs and expectations. At Ocean Plastic Surgery, Dr. Small allows patients to be cared for in a comfortable, compassionate setting with thattoissitready A staff writer at Ocean County Women hadaastaff moment down to withserve boardyou.

certifiedWhat plastic surgeon, Stephen Small,background? to discuss his career and inspirations is yourDr. educational ✤Dr.OCW: which led him to establishing his Ocean Plastic in Ocean County, Small: I am a Board Certified Plastic Surgeon goingSurgery into mypractice tenth year of private practice at Ocean Plastic NewP.A. Jersey. Surgery, and Laser Center. My plastic surgery residency was through Ohio University at South Pointe Hospital-Cleveland Clinic What is your educational background? Health System. InCertified Cleveland, I had the opportunity to train of the best cosmetic I am a Board Plastic Surgeon going into my ninthwith year some of private practice in Oceanand reconstructive surgeons in the country at the Clinic, Metropolitan, Case Western, Lutheran and South Pointe Hospitals. County. plastic surgery residency wasI through Ohio University at South Pointe Hospital, Prior My to my plastic surgery residency had completed a burn and reconstructive fellowship at New York Cleveland Clinic Health System. In Cleveland, I had the opportunity to train fellowship with some of Medical College-Westchester Medical Center. This was an intensive one-year in the burn, hand best cosmetic and reconstructive surgeons in the country at the Clinic, Metropolitan, Case craniomaxillofacial and and micro reconstructive surgery at a level one-trauma center. Western, Lutheran South Pointe Hospitals. Preceding my plastic surgery training was the a five-year general surgery residency at the Prior to my plastic surgery residency, I hadcompletion completed aofburn and reconstructive fellowship at NewofYork Medicaland College, Westchester Medical This was an intensive one-year University Medicine Dentistry of New Jersey inCenter. Stratford. in burn,study hand,was craniomaxillofacial micro-reconstructive surgery at arecognized level one as a University Myfellowship undergraduate in physiology atand Penn State University where I was trauma center. Scholar Preceding earning myallB.S. degree. I went on to the Philadelphia College of Osteopathic Medicine to earn my of my plastic surgery training was the completion of a five-year general surgery medical degreeatwith andofpursue myand dream of becoming a plastic residency the honors University Medicine Dentistry of New Jersey in surgeon. Stratford.

My undergraduate in physiology at Penn State University where I was recognized What ledstudy youwas into the field of plastic surgery? ✤Dr.OCW: as a University Scholar earning my B.S. degree. I went on to the Philadelphia College Small: As a nine-year-old boy I was involved in a major accident, which resulted in of second and third Osteopathic Medicine to earn my medical degree and pursue my dream of becoming a plastic

degree, burns to my right arm, shoulder, chest and face. I am thankful to be alive and because of excellent care surgeon. I recovered fully. While I still have scars from that injury I could see my progression with the before and after What led you into the field of plastic surgery? photos of my recovery and was astounded. I thought if I could help just one person they way that I was helped As a 9-year-old boy I was involved in a major accident, which resulted in second and third then degree that wasburns whattoI my would with my life.chest The person who helped metowas plastic rightdo arm, shoulder, and face. I am thankful beaalive andsurgeonbecauseDr. Dabb.

of excellent care Iis recovered fully.part While Iabout still haveyour scars from that injury, I could see my What the best profession? ✤Dr.OCW: progression with before and after photos of my recovery and was astounded. thought if I with couldcosmetic and Small: I have the opportunity to help restore or improve someone’s life andI well being help just one person, the way that I was helped, that was what I would do with my life. The

reconstructive surgery. Just recently, during office hours as I was turning to leave when my patient who had person who helped me was a plastic surgeon, Dr. Dabb. a melanoma treated said, “Thank you, thank you for saving my life. ” In that moment, it made me reflect What is the best part about your profession? on what brought me here and what I know in my heart, how much I love helping people. My profession is The best part about my profession is helping people. I have the opportunity to help restore amazing and truly a privilege. or improve someone’s life and well being with cosmetic and reconstructive surgery. Recently,

your plastic surgery offer? as I was What turning todoes leave the office, my patient, who had center a melanoma treated said, “ Thank you, ✤Dr.OCW: thank you saving life.of” the In that moment, I reflected what brought such me here and what I hair with Small: Ourforlasers aremy state art and specifically treatonskin problems as: unwanted

in my heart; I love helping people. It’s truly a privilege and an amazing profession. laser know hair removal, brown spot removal of the face, hands and chest, red spot removal of the face due to acne, What thesmall mostblood challenging part of your profession? rosacea, scarsisand vessels of the cheek/nose and spider veins of the legs. Tattoo removal is another Dr. Small: It might sound cliché but it is keeping up with all the changes that have been great treatment. We can treat any tattoo color in our practice. Lastly, we can rejuvenate sun damaged skin with made and are being made to our healthcare system. Face Non Invasive Body our gentle peel laser or more advanced sun damage with our Matrix fractional treatment! What advancements in 10the15 field do you most critical? Botox Liposuction Facelift Most of these treatments take minutes andthink usuallyare eliminate the problem with a few sessions in our The biggest advances that I have seen in the past several years are innovations, which have Cheek Lift Juvederm Tummy Tuck Tomsmade River office. Neck Liftprocedures less invasive with less downtime. Everyone’s life is so busy that few have Radiesse Body Lift OCW: What advancements in thetime field you think areor most the for an extensive recovery or extended fromdo commitments at home work. Incritical? my Eyelid time Surgery Boletero Laser Center Dr. practice, we offer many treatments, which have minimal to no downtime to accommodate any The biggest advances that I have seen in the past several years are innovations, which have made FatSmall: Transfer~ Breast Matrix Fractional procedures lifestyle. less invasive with less downtime. Everyone’s life is so busy that few have the time for an extensive Lipoaugmentation Augmentation C02 Resurfacing What is the most treatmentatamong recovery or extended timepopular from commitments home orwomen? work. In my practice, we offer many of these Rhinoplasty Lift Hair Removal The most popular minimally invasive procedures are Botox and soft is tissue fillers to treatment to remove treatments with our laser center. One such treatment is Vanquish, which a noninvasive Chin Augmentation Reduction Spider Vein treated unwanted facial lines and folds. The most common cosmetic procedures are breast Otoplasty and love handle fat. It’s truly a no touch, noninvasive treatment that reduces waist size by 1-4 inches. Reconstruction Tattoo Removal belly augmentation, liposuction, face and eyelid lifts. OCW: Vectra 3What D is the most popular treatment among women? Revision Augmentation DR. STEPHEN SMALL Photofacials What is the average age of your clientele? Dr. Small: The most popular minimally invasive procedures are Botox and soft tissue fillers to treated Revision Reconstruction Erbium Laser Imaging We see patients of all ages from a few months old to those in their nineties. The average Refresher Peels unwanted facial lines andpatient folds. isOur newest filler treatment is Restylane Silk.Our This filler is surgery the first FDA Breast age of our cosmetic typically between the ages of forty and fifty. cosmetic Pulsed Dye Laser approved Face patient age goesfor from years fine to 80lines plus around years ofthe age. Whenand it comes to cosmetic age cosmetic treatment the18 vertical mouth lip line. Our mostsurgery common Scar Treatment procedures is not so much a factor but rather addressing each person’s unique needs and desires while Body are breast augmentation, liposuction, face and eyelid lifts.

Artistry • Beauty • Rejuvenation

✤

✤ ✤

ensuring what is recommended is safe and effective.

OCW: How do you like to your free time? 780spend Route 37 West 1301 RouteHow 72 West do you like to spend your free time? Dr. Small: I have a beautiful wife, a 6-year-old daughter and 7-year-old son. I truly love to spend as much 240 Suite 260 I have a beautiful wife, a 6-year-old son andSuite a 4-year-old daughter. I truly love to spend as time with them as I can. When I’m not with the family I’m avid runner and enjoy running in marathons. River, NJanI’m Manahawkin, NJtime with them as I can. When I’mToms much not with the family an avid runner and enjoy runCurrently, am preparing for the IMarine Corps for Marathon ning inI marathons. Currently, am preparing the New this Yorkfall. Marathon this November.

www.oceanplasticsurgerynj.com • 732-255-7155 The County Woman Magazine www.TheCountyWoman.com The County Woman Magazine

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July/August 2015 July/August 2014

Medical Professionals

Health &Wellness

Women And Sleep: Do You Feel Deprived? Written by Stephen Newman, MD.

years. She notes difficulty falling asleep and staying asleep. When she ultimately falls asleep, she awakes at 4 AM fighting annoying thoughts and trying to “force” herself to go back to sleep. Let us follow the life of Jean in this article. The use of Ambien makes her either groggy or irritable the next day. One night she awoke, slipped in the bathroom MENARCHE: On or about her eleventh year of life she has due to the side effect of Ambien and cut her knee. After her first menstrual period. Jean reports to her mother feeling PREGNANCY: Although fatigue is common due to pregnancy and its complications, Jean develops restless legs the recent FDA warning, she elected to pursue a program quite tired. Her mom feels Jean’s fatigue is “only natural” syndrome (see above) and obstructive sleep apnea during the of cognitive behavioral therapy of insomnia with her sleep and part of becoming a woman. However, two different things may be happening, one called restless legs syndrome, last trimester. Sleep apnea, marked by snoring and stopping disorders physician. breathing, can increase the tendency to fall asleep during the presents with repetitive contractions of the legs resulting in kicks causing brief arousals, and can occur as frequent as 10 day, result in high blood pressure as well as many other serious THE FUTURE: July 1, 2025: Jean, now 68, describes that heart and brain disorders leading to illness and death. she resembles her mother who had snored, had high blood to 20 times per hour throughout the night. pressure and died of a stroke. Although she weighs less MOTHERHOOD: In addition to the full time job of than her mother, she describes living at the Jersey Shore has HIGH SCHOOL: The second issue, which usually raising her child, cooking and cleaning the house, she also resulted in allergies causing a great deal of nasal congestion. happens a bit later during puberty, involves the brain’s works from 3-11 PM as a nurse, accomplishing all of her She describes the recurrence of her “migraines” every Do you or a family member experience other duties before and after work, often until the early morning. She will fall asleep shortly after breakfast unless snoring, daytime sleepiness or wake morning hours. She develops a pattern called circadian her nine-year-old granddaughter visits. She reports she fell shift work disorder that establishes an abnormal asleep at a red light, and rear-ended a car. She describes her up unrefreshed in the morning? sleep cycle for the rest of her adult life. Jean falls asleep younger sister, who is thin, also snores and stops breathing. between 2-6 AM and returns back to bed after her She says her blood pressure is no longer controlled on two daughter goes to school from 8-11AM. She then catches different medications. a nap between 1-3PM. A sleep study performed at home shows severe sleep apnea MENOPAUSE: As her estrogen level falls, Jean in which she stops breathing 20 times an hour. She decided experiences hot flashes. Her ability to stay asleep to get a device, which fits in her mouth and is worn only at is interrupted by hot flashes and night sweats. She night. It advances the jaw forward and by doing so prevents often awakes feeling “foggy” and notes her chronic her airway from collapsing at night. migraines have intensified. Moreover she feels moody similar to the brief post pregnancy blues, and is having Although Jean is not a “real” person, such a history is Stephen L. Newman MD MBA difficulty at work. In consultations with her internist, not uncommon. If any of Diplomat American Board of Sleep Medicine gynecologist and sleep disorders specialists, Jean elects to these scenarios describes you, • Fatique Evaulation take hormone replacement therapy which is helpful in a friend or family member, • Sleep Apnea minimizing her symptoms and improving her sleep. She please suggest evaluation with • Abulatory, at home, sleep studies stays on Prempro for five years and is able to taper it with a sleep disorders physician. • Overnight in laboratory diagnostics • Driving evaluation the advice of her doctors. • CPAP/BIPAP therapy Call Stephen L. Newman at • Provent therapy DEPRESSION: The death of her Mother intensified 732-920-8022 today! • Snoring Evaluation and Treatment a depression, which had been present for the last 20

hroughout her life, a woman’s sleep is governed by the maturation of the brain’s central clock as well as hormonal cycles.

clock. This area called the pineal gland and suprachiasmatic nucleus governs sleep onset. Often during adolescence, both women’s and men’s clock tells the body to go to sleep much later into the 24-hour cycle, which in Jean’s case is at 3 AM instead of 10 PM. This problem, called delayed phase sleep syndrome, made Jean very tired as her mother tried to get her to wake at 6 AM to get ready for high school.

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

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

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at Koehler Acupuncture Name: _____________________________________________________________________________ Address: ___________________________________________________________________________ City: _____________________________________ State: ____________ Zip: ___________________ Phone: (________)_______________________ Email: ______________________________________

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

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

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January/Feb July/August 2015

Medical Professionals

Does Snoring Disrupt Your Sleep?

Medical Profe

Dr. Newman Answers Your Sle ⌘What is sleep apnea?

Obstructive sleep apnea (OSA) is a condition in which the person stops breathing repeatedly during sleep. This occurs whenever the person sleeps or even naps. Although interrupted for talking, laughing, and sneezing, the breathing cycle of inhalation and exhalation normally does not stop. OSA is aggravated by alcohol and sedatives. It can occur in anyone but is mostly seen in obese people and affects children as well as adults.

stop breathing during sleep, are prone have morning headaches or feel unref morning. If you have heart problems, a condition called atrial fibrillation, a would be very important.

Law

⌘What does a sleep study inv

The sleep study is done privately i 8 spacious hotel-style bedrooms. Each with a flat-screen TV, private bathroom and a closet for belongings. During a the person is hooked up to a number o ⌘How do I know if I need a sleep study? (by small, soft skin pads to the head f You probably need a sleep study if you snore, recording called EEG, to the chest for peaceDo and quiet into your household. recording called EKG, and to you or a family member experience finger clip to record oxygen) snoring, daytime sleepiness or wake hooked into a small box that up unrefreshed in the morning? can detach if the person need go to the bathroom, etc. Ther audio recording to monitor fo and snoring. There is one pro nician assigned to monitorin patients at most.

You both deserve a good night’s rest. Stephen L. Newman, MD, MBA can help bring

Diplomat American Board of Sleep Medicine w Fatigue Evaluation w Sleep Apnea w Ambulatory Sleep Studies w Overnight in Laboratory Diagnostics w Driving Evaluation w CPAP/BIPAP Therapy w Provent Therapy w Snoring Evaluation and Treatment w Narcolepsy Evaluation

The County Woman Magazine

Theater &Ente

35 Beaverson Blvd., Suite 7C Brick, NJ 08723

732-920-8022

⌘What if I don’t sleep?

Usually six hours of sleep even if it is “light sleeping.” not enough data collected, th rescheduled. This is called “F fect” of sleeping in a strange the second night is fine.

drslnewman@drnewman.org

Stephen L. Newman MD MBA

www.DrNewman.org E

Diplomat American Board of Sleep Medicine

HOURS: ducation By Appointment ⌘ Only Is sleep apnea danger YES! Sleep apnea can be Monday-Thursday: 9:00a - ous. 5:15p Because air and oxygen Friday: 9a - 2:45p repeatedly, it can lead to harm

• • • • • • • • •

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

Dr. Stephen L. Newman College of Medicine, is the in Ocean County. He also 35 Beaverson Blvd, Suite 7C Laboratory in Southern an Brick, NJ 08723 Ocean County since 1986 Any questions, please call us at 732-920-8022, email www.TheCountyWoman.com drslnewman@drnewman.org. or visit July/August 2015 and has two children. The granddaughter, Madelein www.DrNewman.org.

Medical Professionals

Expires 8/31/15.

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July/August 2015

Law

How Long Does it Take to Get Two Big New Changes In Divorce Law: Here’s What They Mean Divorced?

ALIMONY REFORM:

Written by: Jay Turnbach, Esq.

terms with your soon to be ex-spouse. Lastly nce you’ve made the decision to After years of you percolating around Trenton, an agreement was finally reached among need to appear before a judge of the Superior divorce, the most pressing question the politicians toCourt change the alimony laws. Those changes do little to alter the ultiIn September, Governor Christie and testify sufficiently to permit theoutcome court toofmake mate alimony decisions, but do contain some revisions of the process by your mind willoflikely be “when signed in two new pieces findings of fact and conclusions of law whichmodifications confirm which alimony and terminations are adjudicated. is this going to end?” The answer, it turns that you are (1) voluntarily settling your case, (2) you legislation impacting the family law. The major highlights include: out, depends upon many factors including understand the terms of the settlement, (3) you’re (1) Dispensing with the phrase “permanent alimony” in favor of “open durafirstiniswhich the New waiving your right to a divorce trial,(4) you believe theThe county yourJersey case is Family filed, the tional alimony.” reality, is little more than a change in jargon to soften the settlement to both youThis, infavor of getting on with your post-divorce life. You Collaborative Act which represents the cutting edge to be fair and reasonable process you use (beLaw it litigation, mediation, the psychological blow to payors. and your soon to be ex-spouse, (5) that irreconcilable can meet court and attorney imposed deadlines in a collaborative or arbitration), the is a purported of disputedivorce, resolution, and the second (2) and A limitation on alimony termsfashion, to no more the length and of thefocused marriage differences have arisen between you your spouse timely and than stay organized on the more than twenty years in length; style of the attorney you hire, the efficiency which make it unreasonable for theexcept Stateinofcases Newwhere marriages “alimony reform” law. needs atarehand. A more regularized of your attorney’s office staff, the personality Jersey to require you to continue (3) to be husband and process for alimony modification in cases where a payor jobwife, (where be faster under the new statute cases in the event of a wife (orLAW husband and husband, or loses wife aand as relief should of THE your NEW husband or wife, FAMILY and the style of the Attorney’s prepare to settle (or try JERSEY COLLABORATIVE ACT: job loss); the case may nowadays) and (6) that there is no them) by engaging in a three step process: attorney by yourmember spouse.of the Jersey Shore Collaborative Having selected been a founding Law be Group

(4) A more regularized process(1) forwe alimony modification cases where a payor prospect identify the issuesin(assets, debts, support myself – the first collaborative divorce group in New Jersey –reasonable it is with great pride of reconciliation between you and wishes to retire, wherebyobligations, there is now aparenting presumption of reasonableness of a your spouse. decisions); thatThe we can announce that New Jersey has, with the passing of this statue, given all public policy of the New Jersey payor’s retirement at the age(2) he or is entitled to receive full social weshe value the assets and debts , andsecurity rank the divorcing an alternative to contentious, costly litigations. The collaborative Court isparties to resolve all divorces within one benefits; and Don’t despair. importance of the non-economic issues; and, process is thoughtfully designed to put family interests ahead of all else. In a collabyear of the date they work are filed. (5) A slightly more liberal definition of cohabitation, making it more likely that Many couplescouple reach easy agreements between (3) we negotiate the final terms of the settlement orative divorce, trainedupon divorcewhich professionals together with the divorcing This is by no means a firm rule; however, so the having a boyfriend or girlfriend will result in a downward modification or themselves and navigate agreement (or present a proposal at trial). terto reach optimal divorce solutions in a private, confidential out of court setting. This the system in two or three reality is that in the litigation system, cases often take of waiting alimony. (This change allows a finding of cohabitation even when minimum new legislation ensures the process remains confidential andmonths. secure. Indeed, there is really nomination much longer than a year. Complex questions of child time, so if you can get all of your settlement parties maintain residences other indicia are met. ducksseparate in Staying iforganized and of on“couple-hood” top of the process to aid If you have children, complex business interests, a desire for privacy, or simply a custody and business valuations can cause cases to a row, a divorce can be had even faster. These are not negotiation and settlement (and understanding the desire to move forward in divorce by building a healthy new post-divorce relationship All in all, dependent spouses made out fairly well in the reform process. Of course, drag on for two or three years (though this much time the cases you hear about, generally, since the “bad” necessary components of an uncontested divorce with your soon-to-be ex-spouse as co-parents, then you should absolutely investigate it remains to be seen how the courts are going to interpret this legislation. If youasare is relatively rare). cases make for much better stories at cocktail parties, outlined above) can help emerge from the divorce and consider a collaborative divorce. It is truly “the thinking person’s” way to divorce. an alimony recipient, you would be wise to consider theyou impact of any romantic relathey do exist, likely more process in the quickest the changes best result. Call my office for more information and visit the Jersey Shorebut Collaborative Lawand they aretionship uponnumerous your alimony benefits, because the rulestime, seemwith to have materiTo get a divorce in New Jersey without waiting than the “bad”law ones. improve yourifodds Group Website at www.jsclg.org. Be sure to seek out a trained collaborative pro-You canally. Likewise, you are an alimony recipient expecting to remain single through for the court to give you a divorce trial date, you of an expeditious divorce by hiring knowledgeable fessional. Lawyers not yet trained in the collaborative process cannot give you the full retirement age and beyond, this Schedule legislation makes it clear that you need to plan carean appointment with need toofdo few things. First, complaint forand locations local counsel withcola reputation benefit thea process. Again, callfile myaoffice for a list to find other fullyfor forresolving the day the alimony Jay mayTurnbach, end, which isEsq., likelyto to further be the date upon divorce andtrained all of the relatedmental paperwork the matters, advisors. both simple and difficult. You payor can resolve laboratively attorneys, healthwith professions and financial which your becomes eligible for your full social security732-286-4860. benefits. discuss concerns. court clerk’s office. Next, you need to settle upon not to focus on the small stuff, but to compromise in

Jay Turnbach, Esq., LLc

732.286.4860 732.286.4860 ree T Telephone elephone FFree onsulTaTion ConsulTaTion C

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

www.NJFamilyLawyer.net www.NJFamilyLawyer.net

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

Schedule an appointment with Jay Turnbach, Esq., to further discuss your concerns.

732-286-4860.

Washington Street 2229 Hooper Ave, Suite 6A Toms TomsRiver, River,NJ NJ 08753 08753

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Jay Turnbach has 19 years’ experience handling family law matters in Ocean and Monmouth Counties. He is certified by the Supreme Court of New Jersey as a Certified Matrimonial Law Attorney. He is qualified as a divorce mediator pursuant to Rule 1:40 of the New Jersey rules of Court. He is the immediate past president of the Jersey Shore Collaborative Law Group, and a former chairman of the Family Law Committee of the Ocean County Bar Association.

July/August 2015 November/December 2014

Chiropractor

What story does your spine tell? Written by Daniel Eric Mutter, DC The story of your spine is your “back story”. Many people know that the spine helps to protect the spinal cord, the neurological freeway that connects the brain to nerves in the body. The spinal cord is not a separate organ from the brain, and in many ways it can be considered the “back of the mind”.



We experience our world through our nervous system (brain, spinal cord, nerves, and sense organs). Sometimes, this world can be stressful on our bodies and our minds and this is reflected in the spine. When the spine is under stress, it has a tendency to lock up. Whether the stress is physical, like falls or overexertion, chemical, like exposure to smoke, chemicals in food or medicines, or psychological, like relationships, job, or money, the body and the spine will respond in the same way.

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If the spine is not allowed to freely move through a balanced and coordinated range of motion, the entire communication system of the body becomes challenged. When there is reduced quantity and quality information being communicated within the body, especially when this occurs over long periods of time, we see the consequences of dis-ease manifest. Dis-ease can take different forms. Disease can look or feel like pain, fatigue, tension, or challenges with how the body functions. No matter what the symptoms, dis-ease in the body indicates a compromise to the body’s internal communication system. One way to look at how efficiently the nervous system is coordinating the functions of the body is to look to the integrity of the spine. When we perform a Neuro-Functional scan in our office, we use the technologies of Heart Rate Variability, Spinal Thermography, and surface EMG to measure how well the body can adapt to stress.

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Permanent Hair Removal

What’s With The Hairs On My Chinny-Chin-Chin? Submitted by Lorraine Fetherman, L.E., C.P.E. Licensed and Certified Electrologist

o, you noticed a few hairs growing on your chin, cheeks and/or upper lip.

WHY!?

Permanent Hair Removal

Heart Rate Variability helps us to look at the chronic stress load on the body and how the nervous system regulates heart function. Spinal thermography gives us insight into where patterns of stress affect the organs of the body. Surface EMG assesses how much tension and how balanced the muscles along the spine are able to support posture. These scans give us a window into the functional state of the spine in a quick, effortless, and painless way. The information we get helps us to clinically track the progress and improvement in spinal changes of the members of our practice. It also helps to educate our practice members about how the spine works and how healthy their spines are. The gentle, low-force chiropractic discipline that we practice at Waves of Transformation Wellness Center, Inc. is based on helping the body be better at adapting to stress through improved spinal (nervous system) function. The founder of our discipline Network Spinal Analysis, Dr. Donald Epstein, said “The shape, tone, and tension in your spine reflects the shape, tone, and tension of your life.” If you want to write more ease and a better quality of life into the story of your spine, we can help!



Donna M. Mutter, DC

Find us online at www.bhairfree.com We offer two convenient locations: Brick Electrolysis 522 Brick Blvd. • Brick, NJ 08723

732-477-9040 Monmouth Electrolysis 2510 Belmar Blvd. • Colfax Plaza Belmar, NJ 07719

Dr. Donna M. Mutter, and Dr. Daniel Mutter

732-280-0400

has been serving Ocean County for 30 years. She practices a reorganizational approach to health and wellness utilizing a form of chiropractic known as Network Spinal Analysis. She has been on both the clinical and teaching staff for this work since 1986. Her practice, Waves of Transformation, is located in Toms River, NJ.

We offer appointments 7 days a week. 7 am to 9 pm most days. Call for an appointment today! Mention this article and receive

50% off Monmouth/Brick Electrolysis WHO ARE WE? l-r Lorraine Fetherman, L.E., C.P.E.

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“It’s a butterfly effect...” Licensed & Certified Electrologists:

your first treatment, with a free consultation.

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Lorraine Fetherman

L.E., C.P.E.

Debbie Matusas

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The County Woman Magazine

Cannot be combined with any other offer. By appointment only. Either location.

MentionTestimonials: their article, page 13, and receive

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2510 Belmar Blvd. Wall, NJ 07719

your first treatment, with a free consultation.

Find us online at www.bhairfree.com. We offer two convenient locations: Brick Electrolysis • 522 Brick Blvd. • Brick, NJ 08723 • 732-477-9040 Monmouth Electrolysis • 2510 Belmar Blvd., Colfax Plaza • Belmar, NJ 07719 • 732-280-0400 We offer appointments 7 days a week.• 7 am to 9 pm most days. • Call for an appointment today! Debra Matusas, L.E., C.P.E. One of my two associates, she has been an Electrologist for over 17 years. She is a great asset to our practice and her clients love her. I hear wonderful feedback all the time. She is very accommodating to our clients’ needs, offering her services days, nights and weekends at our Brick location. Debra also continues her education, attending workshops, seminars and lectures every year.

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“My wife is very happy with my hairless ears. I did it for her. But, I can now say I am glad I did. She isn’t trying to pull them out anymore; she was mean. Let’s not forget the few you removed from the top of my nose. My daughters didn’t want to be seen in public with me. Once again we are a big, happy, hair-free-Dad family. Thank you.” Joe S. - Wall, NJ

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

July/August 2015

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Business Spotlight

~ Interview With Daniel Eric Mutter, DC ~ Waves Of Transformation Wellness Center, Inc. 732-244-5008

309 Main St. Toms River, NJ 08753

wavesoftransformation.com

Waves of Transformation Helps You Heal From Within Dr. Donna Mutter and her son Daniel are in the business of helping their patients feel better by utilizing a reorganizational approach to chiropractic care. As chiropractors, their mission is to optimize the “reorganizational energy” within your body so you can live a happier, healthier and more connected life. Daniel adds, “Ultimately, the experience of your life depends on the ability of your nervous system to communicate with your body. Our service is based on helping that communication be more efficient and more responsive.” Their practice, Waves of Transformation Wellness Center offers a forward thinking approach called Network Spinal Analysis. Essentially, this looks at the relationship between the spine and the nervous system and how the patterns of tension and stress in our bodies are organized.



OCW: What is the difference between reorganizational and traditional chiropractic care? Dr. Daniel: Most traditional approaches have a philosophy of restoration, or trying to return

a person and their body to a prior state where they didn’t have pain, injury, or a problem. The reorganizational approach looks forward. It does this because it is impossible to go back to where you were, who you were, or what kind of body you used to have. Once life happens, you cannot unlearn a lesson or “unexperience” an event. You can only heal, grow and evolve as a person. Usually a health challenge is a wake-up call to encourage people to be more conscious about how they are living. The reorganizational approach looks at a health challenge as an opportunity, not a punishment.

OCW: What is the greatest misconception about chiropractic care?  Dr. Daniel: The greatest misconception is that it is only about neck and back pain. Chiropractic

is one of the safest and most effective ways to help people with neck and back pain, but that is just the tip of the iceberg. It is also about positively influencing the nervous system. Since the nervous system is intimately involved with every aspect of the body, when it has clarity, the body as a whole functions better.



OCW: What attracted you to this field? Dr. Daniel: I feel like I didn’t have a choice. In my experience, the field of chiropractic “chooses” most chiropractors; it’s not the other way around. Additionally, I don’t know of another profession where science, art, and philosophy are as essential and interdependent as in chiropractic care.



OCW: Many of your patient’s must make life changes, why do you think people fear change so much? Dr. Daniel: Change is something that entails an element of uncertainty and yet it is inevitable.

Daniel Eric Mutter Dr. Daniel Mutter was born and raised in New Jersey and studied Philosophy at the College of New Jersey. After graduating, he moved to California to pursue a Doctor of Chiropractic degree. He always believed that the mind and body were connected and wanted to pursue that connection even further. He graduated salutatorian from Life Chiropractic College West.

Uncertainty is one of those things that can become fertilizer for fear. Life is a constant balance between security and uncertainty and if you focus too much on one, life will always level the balance. I suppose the fear comes from knowing that on some level, you’re never really in control.



OCW: What is the most rewarding aspect of your profession? Dr. Daniel: The best part for me is getting to work with kids. They will be faced with personal,

social, environmental, and global challenges unlike anything that has come before them. To know that I am positively influencing a developing nervous system and that this impact is exponential in the formative years of life, is something that is very rewarding to me.

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OCW: What is the best part about working with your mom? Dr. Daniel: It is an amazing opportunity to observe and learn from one of the masters in this field. Within our discipline, she is recognized and respected as one the preeminent practitioners in the world. It’s actually pretty awesome!

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July/August 2015

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January/Feb July/August 2015

Medical Professionals

Meet The Doctors Of Premier Pain Centers Michael O’Hara, DO

Sean Li, MD

Dr. O’Hara has devoted his career to the specialized field of Interventional Pain Management. As an expert and consultant in his field, Dr. O’Hara continues his training in order to stay in the forefront of new technology. He has lectured extensively on various pain management topics to physician groups and hospitals, as well as community outreach programs. Dr. O’Hara has a compassionate philosophy, and treats each patient as an individual. Dr. O’Hara received his medical degree from the University of Medicine and Dentistry of New Jersey, and is board certified in both Pain Management and Anesthesiology. He completed an Anesthesiology residency from the Hospital of the University of Pennsylvania in 1994. Dr. O’Hara has been awarded the ABA Special Certification in Pain Management.

Sean Li, MD joined Premier Pain in 2011. He is a board certified Anesthesiologist and Interventional Pain Management Physician. Dr. Li specializes in the diagnosis and treatment of patients who suffer from chronic neck and back pain, neuropathic pain (such as complex regional pain syndrome), and cancer pain utilizing both medical and interventional modalities. He is a strong proponent of the multidisciplinary pain treatment model and has particular interests in neuromodulation and minimally invasive pain interventions. He has been recognized with the Patients’ Choice Award by Vitals.com, and was one of the first physicians in the United States to utilize an MRI-safe spinal stimulator in 2013.

Carmen Quiñones, MD

Peter S. Staats, MD, MBA Dr. Staats’ philosophy in treating patients is in an atmosphere of warmth, professionalism and integrity. He and his practice specialize in obtaining dramatic results in pain management without the need for major surgery. Dr. Staats also serves as an Adjunct Associate Professor at Johns Hopkins University School of Medicine as well as the founder of the Division of Pain Medicine at JHU. He has been consistently recognized as one of the country’s foremost pain management doctors. This includes being named one of America’s Top Doctors by U.S. News and World Report and one of New Jersey’s Top Doctors from New Jersey Monthly. Dr. Staats was also the recipient of the Outstanding Pain Physician award, a national recognition as selected by his peers in the interventional pain medicine community.

Carmen M. Quiñones, MD is a Board Certified Interventional Pain Management Physician who has been practicing in New Jersey since 2006. She is also a Fellow of the American Academy of Physical Medicine and Rehabilitation. She completed her medical training with a residency in Physical Medicine and Rehabilitation at Montefiore Medical Center in New York City and an Interventional Spine and Pain Fellowship at Emory University in Atlanta. Dr. Quiñones is focused on studying the science of spine and musculoskeletal disorders. She specializes in interventional pain management modalities, including lumbar epidural steroid injections, facet joint nerve blocks, and radiofrequency ablation. She is dedicated to enhancing her patients’ quality of life by improving physical function and relieving painful conditions. She is also bilingual in Spanish and English.

Kulbir S. Walia, MD Dr. Walia is double board certified in Anesthesiology and Pain Management by the American Board of Anesthesiology. After medical school, Dr. Walia completed his residency at the University of Medicine and Dentistry of New Jersey where he served as an Administrative Chief Resident. He then trained in a Pain Medicine fellowship at the Johns Hopkins Hospital in Baltimore, Maryland. Dr. Walia specializes in the diagnosis and care of patients who suffer from chronic neck and back pain. He joined Premier Pain in 2007, and has expertise in Complex Regional Pain Syndrome (CRPS) as well as cancer pain management. Dr. Walia is well known for his warm and friendly approach with patients, along with his vast knowledge of conditions that can lead to chronic pain. He treats his patients using a combination of conservative therapies and minimally-invasive interventional measures. He is a member of the American Society of Regional Anesthesia and Pain Medicine, as well as the American Academy of Pain Management.

Our Mission is to provide quality medical care to our patients in an atmosphere of warmth, professionalism and integrity.

Cutting Edge, Compassionate Care

John Mak, MD Dr. John Mak obtained his medical degree from SUNY at Buffalo School of Medicine and completed his Internal Medicine Internship at St. Luke’s-Roosevelt Hospital Center-Columbia University College of Physicians and Surgeons. His areas of clinical expertise include treatment of neck and back pain of musculoskeletal and spinal in origin, neuropathic pain and cancer pain. In order to keep abreast of the latest treatment modalities in pain management, Dr. Mak maintains active memberships in the American Society of Anesthesiologists, the American Society of Interventional Pain Physicians, and the Medical Society of New Jersey. Dr. Mak comes highly recommended by his peers and associates for his technical skills in interventional procedures, as well as his outstanding work ethic, clinical judgment and gentle nature with patients.

Scott Metzger, M.D. Scott Metzger, M.D., is a Board Certified Pain Management Specialist. A lifelong resident of central New Jersey, Dr. Metzger established his Monmouth County-based pain management practice in 2000. Today, the practice has locations in Monmouth, Middlesex, and Ocean Counties. Dr. Metzger believes in giving his patients the most compassionate care possible. His practice concentrates on pioneering innovation in the science of pain medicine. New Jersey Monthly Magazine has recognized him as one of New Jersey’s Top Doctors for the last seven years. He currently resides in Marlboro with his wife and family, where he is an active leader in the community.

(732) 380-0200 • www.premierpain.com 170 Avenue at the Common, Suite 6 Shrewsbury, NJ 07702

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July/August 2015

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about doing “one more thing”, we feel like empty, very human feels anxiety on occasion; it is a normal part of life. All of us know battered remnants of our true selves.

what is like to we feel worry, fear,We and concern. We feel nervous We don’t often thinkitabout it, but aren’t limitednervousness, to our physical being. when we have to give a speech, go for a job interview, or in similar situations. forget about our mental and spiritual components. Anxiety, although not comfortable, is part of our emotional landscape. Most of us We eat for fuel, but what fuels you mentally? manage these kinds of anxious feelings fairly well and are able to carry on with our What inspires and nurtures you? lives without much difficulty. These feelings don’t disrupt our lives. It may be going for a long, leisurely walk, reading a book, or soaking in the tub, But millions of people suffer from devastating and constant anxiety that severely affects their lives, taking in the latest art exhibit, or simply sitting appreciating the sounds of nature. sometimes resulting in living in highly restricted ways. These people experience panic attacks, phobias, Whatever it is, you need it. extreme shyness, obsessive thoughts, and compulsive behaviors. The feeling of anxiety is a constant and This is where many of us get caught up. We feel guilty because there are so dominating force that disrupts their lives. Some become prisoners in their own homes. For these people, many other thingsisyet to domore on that never-ending list. There’s a reason we refer to it anxiety much than just an occasional wave of apprehension. as a never-ending list. It isn’t going anywhere. This is the key. Some clients feel better after a few weeks or months of treatment, while others may need more. If a People will often not do things for themselves because they feel selfish. They person has an anxiety disorder in combination with another disorder (such as alcoholism and depression), often feel treatment guilty taking the time to do the things that inspire is more complicated and takes longer.and nurture them. But there is a difference. Nurturing, feeding, and fueling yourself mentally is about Your willingness to actively participate in treatment is an important factor. You can learn to being the best “you” you can be so you can be even better to those around you. change the way the brain responds to familiar thoughts and feelings that have previously caused You benefit. They benefit. It’s a gift really. anxiety. So, go ahead. Nourish your mind and spirit. If someone accuses you of being selfish, you can look them in the eye and honestly say,Please “This is mycall gift tous you”.today at (732) 244-2210 Please call us so weso can we help you find help the way you to obtaining balance in your life can feelbetter calmer and in better control. and learn how to refuel yourself and stop “running on empty”! Marin Integrative Therapy, (732) 244-2210.

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September/October 2014 July/August 2015

Medical Professionals Medical Professionals Understanding Cancer Medical PProstate rofessionals

Enlarged Prostate And Urinary Tract Issues

P Live Life Dry: Treating Urinary Incontinence Q

rostate cancer is the most men and nearly 2.5 times more likely to symptoms. Some men, common non-skin cancer in die from the disease. however, will experience America, affecting 1 in 7 men. As men increase in age, their risk of frequent, of BPHhesitant, include: or My husband just turned 68 years old and is The common signs and symptoms Approximately 233,000 men will developing prostate cancer increases. burning urination, • An often recurring, sudden urge to urinate. waking with up three or four night to be diagnosed prostate cancertimes in perApproximately 10,000inunder difficulty in having an • 1Aninincrease frequency of urination - especially at night. sexual, interpersonal and professional function. People with the cause of symptoms such as blood in the t would difficult to29,000 watch an hour • A be weak or interrupted stream. urinate. He has also complained thatofheprimetime strains 2014, andbe more than men the age ofto40 will diagnosed; the urinaryerection, or pain or bladder control problems often struggle with simple everyday urine (hematuria), painful urination television today without seeingnew an advertisement forof prostate • Difficulty starting andinstopping urination. die from theprimary disease. One majority cancer is working, found stiffness in the lower back, (dysuria), urinary incontinence, urinary passwill urine. Our care physician diagnosed activities, such as shopping, or seeing a movie, for overactive bladder medication or adult diapers. • Dribbling or leaking of urine.hips or upper thighs. case occurs every 2.3 minutes and a men 65 or older. fear of embarrassing wettingempty episodes not being near a frequency or hesitancy, an inability to pass • Inability to completely theorbladder. himman with BPH (Benign Prostatic Hyperplasia). The is more thancancer 37 million United diesfact from prostate everyadults in the Men with a restroom. single first-degree Because Also, overactive bladder sufferers are these two tosymptoms three urine (retention), or a sudden and – one inAsix – us suffers fromaman overactive bladder, Diagnosing Is there any hope for to get good night’s rest times more likely to BPH regularly experience disturbed sleep, overwhelming need to urinate (urgency) and 18States minutes. non-smoking relative—father, brother, or son—with can also indicate the urinary frequency, or urgency. Unfortunately, many people Diagnosing BPH is often initially done through a overeating, and poor self-esteem. much more. is more likely to develop prostate a history of prostate cancer are twice as presence of other diseases again? ~ Sarah Q.symptoms to be a part of “getting older” dismiss such urinary routine digital rectal exam (DRE). Additionally, we he is tointervention. develop colon, to develop the disease, while those or disorders, we do a Treatment: Diagnosis: and cancer do not than seek medical The fact is,likely overactive also order a common blood test known as PSA (prostate In some instances, behavior modification may bladder, melanoma, lymphoma and with two or more relatives are nearly thorough “work-up” of Bladder control issues can be caused by a multitude of I am happy to tell you with a little medical bladder and urinary retention (the inability to completely specific antigen) to explore and rule out other causes be sufficient to deal with urinary incontinence. factors. In certain cases, pregnancy and childbirth, obesity, kidney cancers combined. In fact, four times as likely to be diagnosed. each patient to determine empty the bladder) getting are not a anormal part of the aging for these symptoms including prostatitis (infection of intervention, full night’s sleep is process, You may be asked to limit fluid intake, avoid bladder weak pelvic muscles or diabetes can contribute to overactive can the causelatest embarrassment, and can diminish the quality of daily statics reveal that a man is How curabletheisprostate) prostate the In underlying cause andcancer? prostate cancer. certain cases, weof definitely possible. We see many men with BPH irritants such as caffeine and alcohol, and do pelvic bladder. Additionally, certain medications or inactivity also living dramatically. 35% more likely to be diagnosed with Because nearly 90% of all symptoms. recommend ourprostate patients have athe cystoscopy. This floor exercises – “kegels”. There are also medication can contribute to such issues. who ultimately findarelief from procedure us to see the size of the and prostate cancer than woman is totheir be symptoms. cancer is detected in the allows local and How doprostate you screen Facts: Patient Testimonials: commonly used to treat overactive bladder In some people, bladder control problems are caused by degree Women are twice likelycancer. as men to experienceregional urinary stages,evaluate diagnosed with as breast the curetherate for of obstruction. and treat prostate (OAB) and been are sometimes treat stress miscommunication between nerves. Specifically, the brain and I have a patient atprescribed UniversitytoUrology since 2005. My incontinence. This is due to pregnancy, childbirth, menopause Understanding BPH cancer As serious as prostate prostate cancersacral is very high—nearly cancer? Treating BPH urinary incontinence. In certain cases incontinence family doctor referred me to Dr. Gaziofbecause of his good nerves, which control the bladder, do not communicate and can the structure of the most femalemen urinary tract. Older100% womenof men diagnosed at this stage be, however, We screen for prostate reputation amongst the doctors and he was right. I was suffering Men who have symptomatic BPH will eventually involving the miscommunication of nerves to the The prostate is a walnut-sized gland that produces properly, causing the nerves to tell the bladder to release urine experience urinary incontinence more often than younger day and night with urinary issues. At my worst, I was going to the require some medical intervention. BPH can be treated bladder, a neurostimulator (commonly called a Bladder diagnosed with it do not die from will be disease-free after five years. cancer by doing a prostatesemen, the fluid that transports sperm and is located at the wrong time. women. bathroom every hour and would dribble urine. I was diagnosed by taking daily medications, however, many men find Pacemaker) may be the best treatment option. step towards treatment is diagnosing the blood type of below thefact, bladder andthan surrounding the urethra (theis tube it. In more 2.5 This largely dueThe to first advancements in specific antigen Bladder control problems may million also affect younger people, with BPH. I triedisthe medications and they helped but are I did this to be a burden. Ultimately many patients often Incontinence a not a hopeless problem. There incontinence andthe then pinpointingtest the(PSA) underlying cause orfind that carries urine out of the body). BPH is a common, men in the United States who have healthcare. By contrast, in 1970s, and a digital especially women who have just given birth. In fact, a recent not feel completely better. After a flow test, the doctors recomminimally invasive treatment or surgery to be the correct many treatment options available, however, only proper causes. We ask our patients “voiding diary” non-cancerous in men where thehasprostate been with prostate cancer only 67% of men diagnosed with localto complete rectal aexam (DRE - often mended I have a procedure. After reviewing all the information, studydiagnosed found 25%condition of women over 18 years at old experienced treatment option for them. Such treatments are done diagnosis willtolead to proper treatment. Although behavior which provides great insight and aids in diagnosis. gland becomes enlarged. An enlarged prostate can conI was willing proceed. Within a few weeks after the procedure, some point are still alive today. and one-third or regional cancer were diseasereferred to as a “prostate episodes of leaking urine involuntarily, of men prostate in the office or at the same day surgery department and modification and pharmaceutical therapy work for some, they The gold standard for diagnosing urinary issues, including strict the urethra and cause a wide variety of symptoms I noticed a remarkable change. I am peeing like I was 20 again! vary from one individual to another. have experienced bladder control during their Risk Factors loss forofProstate Cancer freeadult after five years. exam”). IfUrodynamic there are any may be ineffective or poorly tolerated by other patients. rarely require any admission to the hospital. incontinence, is called Urodynamic testing or ~ S.P., North Brunswick, NJ including frequent urination or difficulty urinating. Once a patient is diagnosed, his lives. Race, age and family history all affect What are the symptoms of biopsy be Untreated BPH can lead to abnormal permanent damage toa the is definitely possible to live life dry. study. This series of tests, all done in one visit,findings, along with the Itwill The National Institutes of Health (NIH) data states Only one in eight Americans who have experienced loss of treatment can be intailored his specific I met Dr. Gotesman at the hospital July. Wetoconsider bladder kidneys. would you to take your the likelihood of50% a man being cancer? recommended to make a definitive data fromoryour voidingIdiary willurge give the physician that more thanhave of men in diagnosed their 60’s data and prostate as many ourselves blessed that he was on-call that weekend. We bladder control been diagnosed. Recent has shownas needs. husband to arelated urologist for further evaluation and tocancer treatments Types with the disease. Inofthe earliest stages,data most mentowith diagnosis. Prostate objective bladder functions. Additionally, Incontinence 90% in their 70’sand and 80’s have BPH. were very surprised that of he took the time to discuss my issues that women wait average of 6.5some years symptoms from the first time discuss theoften treatment that are best for him.the physicians performoptions a cystoscopy to further assess they African American menuntil arethey 60% prostate and answer my husband’s questions. He even took the time experience symptoms obtain a diagnosis for cancer will not experience any • Stress Urinary Incontinence (SUI) – Leakage on urinary tract. A cystoscopy is a testFor that allows the doctor to to draw a picture of the kidney and bladder and explain why I more likely to develop prostate cancer more information, their bladder control problems. effort, exertion, or (732) coughing. look at the inside of the bladder and urethra usinginformation a thin, am call having(609) issues.581-5900 He sneezing, is like an encyclopedia for Urology. We For more or 928-5300 callthe609-581-5900, compared with Caucasian Hispanic People experiencing bladderand control issues often suffer switched to UUANJ and feel– so lucky to accompanied have found suchby or lighted instrument called a cystoscope. This study helps find • Urge Incontinence Leakage (732)928-5300 or visit www.UUANJ.com diminished social lives. Even mild symptoms affect social, a caring doctor.by ~ Mary R., Toms River, NJ preceded urgency (an overwhelming need to or visit www.UUANJ.com For more information, urinate…”Gotta go, gotta go!”) call 609-581-5900, University Urology Associates of New Jersey was established in 2003 Mukaram Gazi, MD, FICS, FACS • Mixed Incontinence – Leakage associated (732)928-5300 and is proud to be serving Mercer, Monmouth and Ocean Counties. Our with Director, Robotics & Laparoscopic Surgery effort, exertion, sneezing, or coughing. Board Certified Urologist or visit iswww.UUANJ.com mission to be a solutions basedurgency practice,AND maximizing the value of the service we

Assistant Clinical Professor Rutgers/RWJ Medical School NJ Monthly Magazine Top Docs Recognition; 2012 - 2014 Consumer Research Council, America’s Top Urologist; 2008 - 2013 Consumer Research Council, Compassionate Physician Award; 2008 - 2013 Director, Robotics & Laparoscopic Surgery Board Certified Urologist Board Certified Urologist Fellow American of Surgeons Assistant ClinicalCollege Professor, Rutgers RWJ Medical School -New Brunswick Adjunct Associate Professor; Fox Chase Cancer Center NJ Monthly Top Docs In practice in Ocean County 1974 Top Urologist: 2008-2013 Consumer Research Council,since America’s AdultResearch & Pediatric Urology Consumer Council, Compassionate Physician Award: 2010-2013 Specializing in Ambulatory Urology 5 Years of Post Graduate Clinical Research Experience Member- Alpha Omega Alpha Medical Honor Society Director, Robotics & Laparoscopic Surgery Member - American Urological Association Board Certified Urologist - 2014 Compassionate Physician Award Adult Vitals & Pediatric Urology Assistant Clinical Professor, Rutgers Specializing in Ambulatory UrologyRWJ Medical School- New Brunswick NJ Monthly Top Graduate Docs: 2011-2014 5 Years of Post Clinical Research Experience Consumer Research Council, America’s Top Urologist: 2008-2013 Membner - Alpha Omega Alpha Medical Honor Society Consumer Research Council, Compassionate Physician Award: 2010-2013 Vitals - 2014 Compassionate Physician Award

Mukaram Gazi, MD, FICS, FACS Parvez Mahmood, MD, FACS Alexander Gotesman, MD

Mukaram Gazi, MD, FICS, FACS Alexander Gotesman, MD Robert Peterson, DC, PA-C Board Certified Physician Assistant

Professor - Physician Assistant Program,MD Philadelphia University Alexander Gotesman, Robert Peterson, DC, PA-C Adult & Pediatric Urology Specializing in Ambulatory Urology Board Certified Physician Assistant 5Professor Years of -Post Graduate Clinical Research ExperienceUniversity Physician Assistant Program, Philadelphia Member- Alpha Omega Alpha Medical Honor Society Vitals - 2014 Compassionate Physician Award

Dominique Etienne, PA-C

Board Certified Physician Assistant Michael Nazmy Jr., MD Howard University Physician Assistant Program Fellowship trained in Urologic Dominique Etienne, Cum LaudeOncology HonorsPA-C Fellowship trained in Minimally Invasive & Robotic Surgery College of Pharmacy, Nursing and Allied Health:

Board Certified Certified Urologist Physician Assistant Board Dean’s List,Assistant 2008-2013 Howard University Physician Program, Cum Laude Honors MemberAmerican Urological Association Trustee Scholar, 2009-2011 College ofAmerican Pharmacy, Nursing and Allied Health: MemberMedical Association Dean’s List, 2008-2013 Trustee Scholar, 2009-2011

deliver our patients with commitment to excellence, integrity, innovation Urology Associates of New Jersey wasstate established andUniversity treatment. We continually strive to provide comprehensive of the in 2003 and is proud to be serving Mercer, and making. Ocean Counties. art urological services with emphasis on patient education and Monmouth shared decision Treating Our patients with compassion, dignity, and based trust remains steadfast goal. missionmutual is to berespect, a solutions practice,out maximizing the value of the service we deliver our patients with commitment to excellence, integrity, innovation and treatment. We continually strive to provide comprehensive state of the art LOCATIONS: urological services with emphasis on patient education and shared decision making. Treating patients with Hamilton Hamilton compassion, dignity, mutual respect, and trust remains out steadfast goal. 1374 Whitehorse Whitehorse Hamilton 1374 Hamilton 11 Square Road Road Square Hamilton, NJ 2 Hamilton, NJ 08690 08690 LOCATIONS: Howell Hamilton Howell 2364 Route 9 South 2364 Route 9 SouthHamilton 1374 Whitehorse 1 Howell, NJ 07731 Howell, NJ 07731 Square Road 2 Lakewood NJ 08690 Hamilton, Toms River:70 East 3 900 Route 20 Hospital NJ Drive Lakewood, 08701 Toms River, NJ 08755 Howell Toms River: 2364 RouteDrive 9 South 20 Hospital 34 FORHowell, APPOINTMENTS: NJ 07731 Toms River, NJ 08755 3

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(732) 928-5300

Medical Professionals

Advances in Weight-Loss Surgery: ONE SIZE DOES NOT FIT ALL One of the most exciting things about modern medicine is medical technologies and surgical techniques are constantly evolving. In the field of weight-loss surgery, techniques and procedures are altered as scientific knowledge is advanced. Lacking the perfect bariatric operation, revision bariatric surgery offers patients a second chance at success. Though technically demanding, such revision surgeries are being performed by the surgeons at the Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center (ARMC). Egg Harbor Township resident Mike Fromosky, 52, recently underwent LSG with the duodenal switch to replace his adjustable gastric band. Since 2007, Fromosky has had four bariatric procedures, including three laparoscopic surgical revisions, all performed by Dr. Onopchenko. “After I had my first procedure, the Lap-Band®, I was doing really well at first. But I was having really bad problems with my knees and my back, which were making it almost impossible for me to exercise. Eventually, my weight loss stopped, so I went back to Dr. Onopchenko to find another solution, which turned out to be laparoscopic sleeve gastrectomy,” says Mike, whose weight has fluctuated since high school. The year after his LSG procedure, Mike’s weight-loss goals suffered another setback when Hurricane Sandy nearly destroyed his family home. “The stress of everything was not helping, and my knees had gotten so bad that I couldn’t even walk a block anymore. I started putting on weight again. Dr. Onopchenko felt the duodenal switch would be a good option for me as the second part of my gastric sleeve operation,” he says. Since Mike had the surgery last summer, his estimated body weight

loss has reached nearly 47 percent. Last fall, he was finally able to have both bad knees replaced, which has allowed him to start a walking routine with his wife again. “I’m smaller than I have been in a long time. I have more energy. My sleep apnea is gone, so I’m sleeping much better. I can’t say enough good things about the weight-loss surgery team at AtlantiCare. The doctors, nurses, and staff sincerely care about every patient, and they give you everything you need to be successful. I would definitely recommend AtlantiCare to anyone who is considering weight-loss surgery,” he says. Revision bariatric surgery is not for everyone who has been less than successful after their primary bariatric operation. Patients must demonstrate that they have complied with the rules after bariatric surgery and are following the appropriate diet and making every effort at daily exercise. Also, a thorough investigation of the type of operation that was done (previous operative reports if not done at ARMC) as well preoperative investigation of their GI anatomy with endoscopy and possible x-rays will help delineate those that may be good candidates for further surgery.

We are pleased to welcome

Lucian Panait, MD, FACS Center for Surgical Weight Loss & Wellness AtlantiCare Regional Medical Center

We believe

in getting you back to living your life. As a board-certified and fellowship-trained staff physician at the Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center (ARMC), Dr. Lucian Panait helps people struggling with obesity and obesityrelated health conditions such as diabetes and heart disease. He specializes in all aspects of weight-loss surgery, with particular expertise in laparoscopic gastric bypass, laparoscopic sleeve gastrectomy, and bariatric revision surgery. In addition to bariatric surgery, patients see Dr. Panait for robotic-assisted surgical procedures, as well as for surgical treatment of gastro-esophageal reflux disease (GERD), hernias and abdominal wall reconstruction, gastroparesis and gallbladder disease. If you or someone you love is considering weight-loss surgery, the Center for Surgical Weight Loss & Wellness at ARMC is here to support you every step of the way.

REGIONAL MEDICAL CENTER

1-888-569-1000 • www.atlanticare.org

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical Professionals

Meet the Providers of the Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center (ARMC) Alexander Onopchenko, MD, FACS Medical Director

Mariah Sykes, MS, PA-C Physician Assistant

Dr. Onopchenko is the medical director of the Center for Surgical Weight Loss & Wellness at ARMC. He has been practicing in Atlantic County since 1989. He founded the Center for Surgical Weight Loss & Wellness at ARMC in 2002 and has experience with more than 2,400 bariatric cases.

Mariah is a physician assistant (PA) at the Center for Surgical Weight Loss & Wellness at ARMC. In this role, Mariah works primarily in the operating room as a first assistant to the surgeon. Mariahâ&#x20AC;&#x2122;s philosophy is to treat each patient as she would want a member of her family to be treated. Her goal is to ensure that every patient receives individualized attention and a great experience from AtlantiCare.

In addition to his board certification in general surgery, Dr. Onopchenko is also a board certified medical bariatrician by the American Board of Bariatric Medicine. He is a fellow of the American College of Surgeons, and the American Society of Metabolic and Bariatric Surgery as well as a member of the Society of American Gastrointestinal Endoscopic Surgeons and the Society of Laparoendoscopic Surgeons.

Laurie Moody-Tidcombe, RN, MSN, APN, CBN Certified Nurse Practitioner

Dr. Onopchenkoâ&#x20AC;&#x2122;s interest in bariatrics comes from seeing friends and family struggle with obesity and recognizing such a great need for bariatric services in the southeastern New Jersey region. He has written articles and made presentations at national and state meeting concerning various topic in bariatric surgery and medicine.

Laurie worked as a registered nurse for 11 years before she became a certified nurse practitioner at AtlantiCare Regional Medical Center (ARMC). In her current role with the Center for Surgical Weight Loss & Wellness at ARMC, she sees patients in the medically supervised weight-loss program, as well as patients who have had bariatric surgery.

Lucian Panait, MD, FACS Bariatric Surgeon

Lisa Skaggs Program Director

Lucian Panait, MD, FACS, is a staff physician at the Center for Surgical Weight Loss & Wellness at ARMC. He specializes in bariatric surgery, with special emphasis on laparoscopic gastric bypass, laparoscopic sleeve gastrectomy, and revisional procedures.

Lisa is the practice director for AtlantiCare Physician Group Surgical Services. She has been an AtlantiCare employee for more than nine years, the past seven of which have been with the Center for Surgical Weight Loss & Wellness at ARMC, as well as with other providers in Surgical Services. She has a deep understanding of bariatric surgery, starting her career as a customer service representative and working her way up to the position of director of surgical services.

Dr. Panait is board certified by the American Board of Surgery, is a fellow of the American College of Surgeons, and is a member of the Society of American Gastrointestinal and Endoscopic Surgeons, American Hernia Society, and Association for Academic Surgery.

Debbie Gullo, RN, BSN, CBN Program Coordinator

Samir Patel, MD, FACS Bariatric Surgeon Dr. Patel is a staff physician at the Center for Surgical Weight Loss & Wellness at ARMC. After completing a general surgery residency at State University of New York at Brooklyn, Dr. Patel pursued fellowship training in advanced laparoscopy and bariatric surgery at Staten Island University Hospital under the tutelage of George Ferzli, MD, a world-renowned laparoscopic surgeon. He is a member of the Society of the American Gastrointestinal Endoscopic Surgeons, the American Society of Metabolic and Bariatric Surgery, the Society of Laparoendoscopic Surgeons, the American College of Surgeons, and the American Medical Association.

Debbie is the bariatric program coordinator at the Center for Surgical Weight Loss & Wellness at ARMC. Debbie uses her own experience as a bariatric patient 10 years ago to assist patients. She is directly involved in all aspects of patient care before, during, and after bariatric surgery. Debbie shares that she particularly enjoys seeing the transformation that happens in patients after their surgery.

Call 1-888-569-1000 to schedule an appointment or visit www.atlanticare.org.

REGIONAL MEDICAL CENTER

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Massage School

Looking For A Career Change?

Do You Want To Be Your Own Boss or Make Extra Income? NJ School of Massage offers you training with a personal touch. We care about you, your life and your future. We prepare you to become a confident, professional and licensed massage therapist. Alice Marin New Owner/Director

Why become a massage therapist?

Massage practitioners report they are motivated by a genuine desire to improve the health and well being of clients. Practitioners often see themselves less as business people and more as individuals with a calling or mission. Per the AMTA®, there are up to 350,000 trained therapists providing massage and bodywork in the United States. There are more than 250 known types of massage and bodywork. Many massage therapists say that they love the flexibility of being a therapist as well as feeling relaxed themselves. The massage training can also be a stepping stone to continuing a career in the medical field.

Where do massage therapists work?

Spas employ an estimated 338,600 people in the United States. Massage services are provided at 88 percent of spas. Many therapists have their own private clientele.

Others may work at day spas, health clubs, salons, resorts/ hotels, hospitals, rehabilitation centers, cruise ships, or with sports teams or schools.

adolescents with ADHD; increasing alertness in autistic children; improving lung function in asthmatic children; and reducing glucose levels in diabetic children.

BENEFITS OF MASSAGE

NJ School of Massage (which was established in 1995 and is under new management) strives to make sure that each and every student is trained to prepare them for a successful massage career. Not only will they be prepared for

In a study of migraine sufferers, massage therapy reduced the duration and intensity of pain, reduced stress and depression, and increased functional status and quality of life. Research has shown that massage therapy has a beneficial effect on the following: chronic back and neck pain, bone, joint and muscle pain, nerve impingement pain; balance, range of motion, flexibility; circulatory disorders; constipation; fibromyalgia; immune function; loss of sleep; and postpartum depression. Consumers in 2012 had a positive response to massage, with 75 percent reporting very favorable feelings about their most recent experience. Per the AMTA Consumer Surveys, 2003- 2014, approximately tweny nine percent of US adults received a massage at least once. Massage helps children as well: Improving sleep for babies; reducing aggression and hyperactivity in

spa (Swedish) massage but also sports, medical, prenatal, geriatric, and cancer/hospice massage. We work with your individual needs of scheduling your home life, children and work. Whether you’re 20 or 55, you can find a niche where you will be helping clients while enjoying a satisfying career. Our teachers are very dedicated to their area of expertise. We have an affordable tuition and easy payment plan. We’re conveniently located on the corner of Route 37 & 166 in Toms River in the Corinne Jewelers Plaza.

We invite you to visit our website at

THE WICKE

NJSchoolofMassage.com

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H ealth & Wellness H ealth & Wellness

39 27

Practicing Balance

Fueled By Breath The most general law in nature is equity—the principle of balance and This is no more “Breath symmetry, is the bridge,which which guides the growth of apparent than when connectsforms life to consciousness, along the lines of we thewatch greatest someone which unites your body to your structural efficiency. move “gracefully”. thoughts.” ~ Thich Nhat Hanh Moving withRead the —Herbert

Yoga requires that we play the edges and the oppositions. Hatha means “force”—the force of oppositions. The effects of practice come when one pushes as much as pulls, stretches as much as strengthens, uses right and left sides equally, challenges oneself without self-injury. In this practice of Ahimsa (nonviolence), we stretch our imaginations to learn about our potential as human beings. We become people who say “yes”; we expand the limits of possibility. Yoga asks us to be as strong as we are flexible (mentally and physically). This desire of one’s Yogapractice is the artis of Yoga allbreathwork. about balance. It is about managing process reveals our habits of body and mind (things that make breath (kamaSo is the crossroads between theBreath oppositions in our breath, our bodies and our lives. us “uneven”). prana) is, in mind andmanifested? body; it is what animates how is this Yoga asks us to practice non-attachment while remaining movement. This movement fact, theWhen we allYoga reveals the imbalances in(vibraour bodies/lives. part of this world. While yoga practice asks us to turn inward tion)our is the essence of existence. So,a mindful move physical bodies in space in way, paying definition and observe, it wants usVinyasa to use these observations is fueled by breath.toItmake linksa we are alive because we are and moving. At ofand close attention to our breath the physical psychological grace. Art interpretspositive this essential impact on the world around us. The practice teaches breath and movement in accordance effects of our movements, practiceour embodiment— the very least, our heart we is beating, movement. It views what around us toislet go of the results of our actions and live in the present experiencing our “lived body.” Embodiment affords not only with the breath’s desire. It is an expresblood is coursing through our veins, us all theustime from anmoment analyticwithout and regrets about the past or fears about what awareness of the small details about our physicality—which leg thoughts go by, our lungs inflate and of how the body it is the might happen future. In doing so weexists; act not from novel perspective. Dance, and other in thesion is easier deflate, cells grow and die. We move,to balance on, which dance existence. a placetake of nonchalance, butoffrom an acute sense of selfartistic forms of movement what shoulder we change. Rumi muses on this cre- is more flexible, which knowledge (Dharma)—our essential nature and our purpose. natural and obtuse hipsays, is turned isforward—but also and bring it into ative, life-giving force when he In thisHatha knowledge of what is true and just, act inNine ways Come practice withwe us can at Yoga understanding. the experiencethe oflight beingofwho that are in harmony and withexperience other livingwho beings around us and you are in your yoga (physical) we are because of our body—practice is based on “In your light I learn how to fulfill our potential. body “Dropping out” is not anCome option; it is in a different way. watch one is the sum total of their this same conceptual framework. We about “dropping in.”the art of vinyasa when Edward Clark love. In your beauty, how to experiences inlook the to world their breath in order to our in natural “Drop in” with us at Yoga Nine and come see what make poems. You dancebody. insideThis experience and Nikki Durrant of Tripsichore Yoga results understand the in inherent movement beginning or deepening a practice can offer you. It may a more confident my chest where no-one sees you,relaxedofand Theater of London to perform the body and then expound show youupon a way to find greater balancecome in your physical sense of self and a greater the artand of movement in vinyasa in but sometimes I do, and that body,sequences greater equanimity peace of mind, and greater these movements to create appreciation for our capabilities. their piece, FUELED BY BREATH. sight becomes this art.” ~ Rumi satisfaction and purpose in your life. of movement we call VINYASA.

“ Re -you-venate”

No person, no place, and no thing have any power “Chanting moreare holythe than over us, isforno‘we’ listening to the murmur a only thinkers in ourofmind. stream, counting prayer beadsand no When we create peace more sacred than simply breathharmony and balance in ing… If you wish to attain oneour minds, we will find it ness with the Tao, don’t get caught lives.superficialities.” upin inour spiritual —Louise ~ Lao Tzu (c.604 - L. 531Hay B.C.) Article Written by: Laurie Greene, Owner, Yoga Nine, Smithville & LBI

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May/June 2014 July/August 2015

28 40

Medical Professionals

How Do I Know If My Wisdom Health &Wellness Teeth Need Treatment?

Kathy A. Banks, DMD

he initial decision to remove third molars (wisdom teeth) is most often made by a general dentist or orthodontist.

Most patients who are referred to the oral and maxillofacial surgeon (OMS) do not have healthy wisdom teeth that have erupted, or grown into a cleansable and/or functional position in the mouth. By HEALTHY we mean free of gum disease and caries (dental decay). So there are no pockets present in the gums between the wisdom tooth and the next tooth forward, or around the wisdom tooth itself, and there will be no redness or swelling or other signs of infection. A healthy wisdom tooth will have no cavities, or there was a cavity that has been treated successfully with a dental filling. By CLEANSABLE, we mean that the wisdom tooth is in a position in the mouth where all the surfaces of the tooth can be successfully maintained, at home, by brushing and flossing. If the area is difficult to clean, then bacteria can colonize and

create gum disease. By FUNCTIONAL, we mean that the tooth contacts another tooth during chewing. Usually, but not always, a non-functional tooth will be in a location that is not normal and will become bothersome because it causes cheek biting, ulcerations or other related problem. So, removal of wisdom teeth is always appropriate when there is pathology present such as gum disease, dental decay, or infection. Another obvious reason to remove wisdom teeth is when there is a cyst or a tumor present at or around the wisdom tooth, or if the wisdom tooth is causing damage to a neighboring tooth. BUT… if your dentist or orthodontist determines that your wisdom teeth are not healthy, cleansable or functional, or that retaining your wisdom teeth may lead to these problems in the future, you will need expert consultation to further review your options and seek treatment. Pain free doesn’t necessarily mean disease free…

Law

the University of North Carolina. Importantly, part of the project concentrated on what happens when third molars are not removed. Third molars with periodontal infection don’t necessarily cause Impacted wisdom tooth Wisdom tooth and Wisdom tooth with pain or show overt signs with cyst causing bone periodontal pathology neighboring tooth of infection like swellloss and damge to the with decay ing or pus. The studies second molar tooth. mentioned above actually show that some 60% of patients with asymptomseek the advice of your general that the third molars change atic third molars (wisdom teeth position in the mouth over time, dentist, orthodontist or oral and with no symptoms of pain) had maxillofacial surgeon. Every and the eruption of these teeth signs of infection with increased is unpredictable. There are other patient considering wisdom pocketing depths-- and that the tooth surgery is unique. Based publications that discuss the periodontal status is expected to on an examination of your movement, or eruption of third worsen in the area of the second mouth, and a dental panoramic molars; generally speaking, the and third molars in about 40% x-ray or cone beam scan, your position and angulation of the of the patients within 2 years. OMS can tell you about the conwisdom tooth within the jaws, The good news is that the study dition of your wisdom teeth, and and the presence or absence of also showed that the periodonthe position of the wisdom teeth available space to accommodate tal disease is likely to improve in the jaws. The OMS can tell the teeth, seem to be the best following removal of the third you if there is pathology associpredictive factors. But again, molars. there is no formula for predicting ated with the wisdom teeth that The study also showed that you are not aware of, or the wiswhat a wisdom tooth is going among the patients whose third dom teeth are likely to to do. molars were visible in the mouth, cause future problems. When in doubt—get them 28-77% of the patients will have checked out! Schedule your appointment cavities in these teeth, depending If you have wisdom teeth, with Dr. Banks by calling on their age. the best course of action is to Practice Limited To Oral & 609-488-2325. In patients who chose to Maxillofacial surgery retain their third molars, it was shown that mechanical cleaning 249 S. Main Street, Unit 4 of the third molar teeth did not Barnegat, NJ 08005 lower the levels of pathogenic bacteria and inflammatory mediTel: 609-488-2325 ators. There is new evidence that Kathy A. Banks, DMD kbanks@drbanksoms.com these bacteria can travel from the Practice Limited To Oral & Maxillofacial Surgery mouth to the bloodstream, and 249 S. Main Street, Unit 4 Kathy A. Banks, DMDBarnegat, NJ 08005 may cause illnesses affecting the Fellow of The American Association Practice Limited To Oral & Maxillofacial Surgery of Oral & Maxillofacial Surgeons Tel: 609-488-2325 heart, kidneys and other organs. 249 S. Main Street, Unit 4 Diplomate of The American Board Fax: 609-488-2342 Barnegat, NJ 08005 And finally, the study showed of Oral & Maxillofacial Surgery

Elder Law

Theater &Entertainment

Education Results Of A Study...

Dr. Banks was a member of the American Association of Oral and Maxillofacial Surgeons (AAOMS) Task Force on Third Molar Clinical Trials in 2011 and 2012. The Task Force was charged with reviewing some 80 different scientific publications resulting from a long term, ongoing study of third molars (wisdom teeth) conducted at the University of Kentucky and

Fine Art Photography

Business &Finance

KATHY A. BANKS, DMD

Fellow of The American Association of Oral & Maxillofacial Surgeons

Diplomate of The American Board of Oral & Maxillofacial Surgery Tel: 609-488-2325 Specialty Permit # 4070 Specialty Permit #4070 Fax: 609-488-2342

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

KATHY A. BANKS, DMD

Dr. Banks is a graduate of Rutgers University College of Arts and Sciences, Camden with a B.A. in biology, and Temple University School of Dentistry, Philadelphia. She completed a one year Advanced Practice Limited To Oral & Education in General Dentistry Residency Program at the University of Medicine and Dentistry of Maxillofacial surgery New Jersey in Camden and Stratford, NJ, and then completed a four year Post- Graduate Residency S. Main Unit 4 Program in Oral and Maxillofacial Surgery at the University of Medicine and Dentistry of New Jersey in Newark. She is a Diplomate of the 249 American BoardStreet, of Oral and Barnegat, NJ 08005 Maxillofacial Surgeons and the American Board of Dental Anesthesiology. She is a member of the dental staff at Jersey Shore University Medical Center in Neptune, New Jersey and is involved with teaching the postgraduate GPR residents in the Tel: 609-488-2325 clinic and in her private office setting. She has been instrumental in the development of several New Jersey State Board of Dentistry approved continuing education courses Kathy A. Banks, DMD kbanks@drbanksoms.com offered by J.S.U.M.C Department of Dentistry Continuing Education Department for dentists, hygienists and dental assistants. Practice Limited To Oral & Maxillofacial Surgery 249 S. Main Street, Unit 4

Kathy A. Banks, DMD

Barnegat, FellowNJ of 08005 The American Association Practice Limited To Oral & Maxillofacial Surgery

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

November/December 2014 of Oral & Maxillofacial Surgeons Tel: 609-488-2325 January/Feb July/August 2015 Diplomate of The American Board Fax: 609-488-2342

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

Fellow of The American Associationof of Oral Oral && Maxillofacial Surgeons Maxillofacial Surgery

Diplomate of The American Board of Oral & Maxillofacial Surgery Tel: 609-488-2325

Law

Five Tips To Protect Your Child With Special Needs-Updated P 41

WithFive Special Tips To Protect Your Child With Special Needs ANeeds-Updated

as with planning how to financially support their child throughout their lifet bout five years ago, I wrote this blog post regarding since many of them will outlive their parents but might not be able to suppo this topic. It was written about the Parttime 1 my youngest Updated Part II themselves and live independently. daughter turned one. As many of you may know What is a special needs trust? Also, known as a supplemental needs trus if you read my articles, I have two beautiful children. My as with planning how to financially support their child throughout their lifetime, youngest was born with the gift, Down syndrome. As I review enables third-party individuals, generally family members, to leave an inherit since many of themhis willisoutlive their parents butofmight notpart be able to support to disabled heirs without those assets counting against them for the purpose endangering second part a two series. it, the these tips are still relevant today butII’ve also added some his eligibility for government services. themselves and live independently. of securing public benefits. Since athese assets are titled trust, they are For the most part, the benefits of using special needs trusttotothe hold updated tipsAlso, on protecting a special needstochild. newtrust? updated information for parents think about. What is a special needs known as a supplemental needs trusts, not considered part the estate. Also, there is no limit to how much you m retirement benefits outweigh theofalternatives.

Law 

theProtecting May/June issue, I mentioned the firstfamilies two to enables third-partyIn individuals, generally family members, to leavemay an inheritance contribute. This is just some of the highlights of this type of t a child with special needs lead to disabled heirs without those assets counting against purpose 4. Extended Family Conference. tips with regards tocommon 529 plans and them custodial accounts. make mistakes. Herefor arethe a few examples: of securing public benefits. Since these assets are titled to the trust, they are 2. 529 Plan. There also maywith be a 529 Plan infamily the name of a spe 1. Custodial Although talking extended Listed below are the nextAccounts. three Commonly, there are not considered part of custodial the estate.accounts Also, there is no limitoftoa how you may needs child. This account in the achild’s name may affect the in the name childmuch with special members eager to benefit special needs important tips. contribute. ThisSuch is just of the highlights this the typechild’s of trust. child’s ability to receive government assistance. needs. an some account, however, will of affect child may be awkward and difficult, the The 529 pla 3. Retirement Plan and Insurance considered assetAofbequest the child’s availability for government assistance. Custodial discussionanisavailable important. bywhen determinin 2. Policy 529 Plan. There also may be a 529 Plan in the name of a special Beneficiaries. his or her eligibility following the death of the individual accounts are often established long before the child’s grandparents to a special needs grandchild needs child. This account in theworked child’s name may affect established the plan for such child. Often times, parents may have to account special needs are recognized. If the has anthe shouldRecently, behow made to a special needs trust. as with planning toCongress financially support child througho bout years ago, I wrote ability receive government assistance. plan is this blog post regarding passed thetheir ABLE Act, Achiev excess ofto$2,000.00, parentsfive must depleteThe any 529 such developchild’s a special needs trust to which their If the parents of a special needs child feel since many of them will outlive their parents but might not be ab considered an available asset of the child’s when determining Better Life Experience. Like s 529 Plan, ABLE accounts topic. written about the time my youngest for the they carethis of their child Ittowas qualify for estate plan isaccounts tied, however forget one there are family members who might make themselves and live independently. his or her insurance eligibility following the death of thetoindividual families to set aside money (up to $14,000 per person ann Medicaid assistance or allocate theturned assets a pooled daughter one. Aswho many of you may know critical issue. Life policies and gifts bequests totrust? his orAlso, hergrowth special needs What is aor special knownasas a supplementa established the plan for such child. and pay no taxesneeds on that money’s long as it’s used trust or first party special needs trust. If parents choose if you my articles, I have two beautiful children. My retirement plan accounts pay toread designated enables third-party individuals, generally family members, leav child, the parents should discuss with family Recently, Congress passed the ABLE Act, Achieve a for qualified expenses. ABLE accounts will be offered bytostate to provide assets to or forwas the benefit that the special needs youngest bornofwith gift, Down syndrome. As I review beneficiaries and do not pass under an to disabled heirs without those assets counting against them for Better Lifea Experience. s may 529 Plan, ABLE accounts allow although the Department Treasury members this issueoftothe make sure and thatIRS theyare also invot child, special needsLike trust bestill established by parents or but I’ve also added some it, these tips are relevant today individual’s Will. It is vital that parents tie of securing Since these assets are Act titled to the trus families to family set aside money (up $14,000 person annually), Based on understand the public strong benefits. bipartisan support ABLE received, it i other members and to gifts can be per made directly to this to think about. to leave assets tothe a special needs new updated information for parents these assets with the special needs trust. If a life not considered part of the estate. Also, there is no limit to how m and pay no taxes on that money’s growth as long as it’s used anticipated that states will start offering accounts later this year. trust account. child. insurance policyU.S. or retirement plan account contribute. This is just some of the highlights of th Protecting a child with special needs may lead families to for qualified expenses. ABLE accounts will be offered by states – News & World Report, 2012, had discovered that “More 5. Use a Specialist. Stay tuned for more important tips in the July/August issue. is paid directly to a special child, the make common mistakes. are a fewwith examples: although the Department of thefamilies Treasury and IRS are Here also than 20 millionneeds U.S. have at least one involved. member special Next issue will cover retirement and policy 529 Plan. There also may beinsurance aan 529 Plan in the n It 2. isthe important that plan parents use 1. Custodial Accounts. Commonly, there are Based on strong support the ABLE Act received, it is receipt of the theneeds.” assets bipartisan will affect the child’s ability Their most important concern? It was their child’s health as well beneficiaries for special needs. needs child. This account in the child’s name may custodial accounts in the name of a child with special anticipated that states will start offering accounts later this year. attorney who specializes in special needs planning instead of a general to receive government assistance. child’s ability to receive government assistance. Th needs. Such anmany account, however, child’s practitioner since there are specific issues which must be incorporated in a In order to avoid this problem, people seekwill to affect namethe a special Stay tuned for more important tips in the July/August issue. considered an available asset of the child’s when availability forasgovernment assistance. needs trust that benefits the child the beneficiary of aCustodial retirement special needs plan. Next issue will cover the D retirement plan and insurance policy o accounts you have someone in your life with a child’s Disability? his or her eligibility following the death of the are often established long before the plan. When properly constructed, the special needs trust can hold the Christine For more information, contactestablished The Matus Law beneficiaries for special needs. the plan for such child. are they financially special needs are recognized. If theprotecteD account has?an Matus is an Economics graduate from Rutgers distributions from the retirement plan for the child’s benefit without Recently, Congress ! excess of $2,000.00, parents mustisdeplete anyto suchhelp! Group today at 732-281-0060 The Matus Law Group here University and continued her education at Touro passed the ABLE A Better Life Experience. accounts for the care of their child to qualify for Law School, where she has been helping people Like s 529 Plan, ABL • Special Needs Trusts • Long Term Care families tochildren set aside money (up to $14,000 per Medicaid assistance or allocate the assets to a pooled protect assets for special needs and Do you have someone your life with •a Powers Disability ? • Wills & EstateinPlanning of Attorney Christine and pay no taxes on that conduct smooth real estate for over almost twomoney’s growth as long trust or first needs choose • re Guardianships • Inheritance Tax Planning Matus is an Economics graduate from party Rutgersspecial a they financially protecteD ?trust. If parents Christine L. Matus, Esq.inis Toms an Economics decades NJ. She is an active forRiver, qualified expenses. ABLE accounts will be offe provide assets or for the•benefit HealthtoCare Proxies Trustsof that special needs University and•continued her education at to Touro graduate from Rutgers University and continThe Matus Law Group is here to help! member of the Filipino American Cultural although the Department of the Treasury and IRS a child, a special needs trust may be established by parents or Law School, where she has been helping people ued her educationDevelopment at Touro Law School, whereRiver and a legal 81 East Water St. Suite 2C • Toms River, NJ, 08753 Center of Toms • Special Needs Trusts • Long Term Care Based on the strong bipartisan support the ABLE Act r protect assets for special other needs children and family members and gifts can be made directly to this she has been helping people protect assets for Medical Society advisor for the Filipino American • Wills & Estate Planning • Powers of Attorney Tel: (732) 281-0060 conduct smooth real estate for account. over almost two anticipated that states start offering accounts later this y trust special needs children conduct smooth realwillAssociation as welland as the Philippine Nurses of • Guardianships •&Inheritance Tax Planning decades in Toms River, NJ. U.S. She isNews an active World Report, 2012, had discovered that “More estate for over almost two decades in Toms RivChristine L. Matus, Ocean County. • Health Care Proxies • Trusts member of the Filipino5 American Cultural U.S. families have at least one Staymember tunedoffor 5 the more Filipino important tips in the July/Aug than 20 million member with special er, NJ. She is an active Center Toms River and a legal River, NJ, 08753 Next issue will cover Development Centerthe of retirement plan and insuran 81Development East Water St.ofSuite 2C • Toms needs.” Their most important concern? It was their child’s health as well American Cultural advisor for the Filipino American Medical Society beneficiaries for Toms River and a legal advisor for thespecial Filipino needs.

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Five Tips To Protect Your Child With Special Needs-Updat

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About The Author...

About Christine...

www.MatusLaw.com

Tel:Nurses (732) 281-0060 as well as the Philippine Association of Insurance Ocean County.

American Medical Society as well as the Philippine Nurses Association of Ocean County.

Christine L. Matus, Esq.

www.MatusLaw.com 5 D

Christine L. Matus, Esq.

o you have someone in your life with a Disability?

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Featured On The Cover

Now Providing In-Home Physical Therapy

At All-Care Physical Therapy Center It’s All About Family

ichael Yorke and his brother Jim have taken physical therapy to a whole new level. After working in the field for several years Michael believed he could provide a better service than what was out there. Jim adds, “It was during this time that we recognized the need for a company that encourages an emotional and physical recovery for patients.” In 2005 AllCare Physical Therapy was born. This family owned outpatient orthopedic facility is centered on the patient. What makes them so unique is their ability to offer multiple services along what they call the “Continuum of Care.” Michael adds, “This means we can treat patients in their home first 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 outpatient facilities.” By providing pain-free treatments and stressing hands-on manual therapy as well as consistent interaction with the patient, they are able to heal in a supportive environment. Jim serves as Executive Director and has been responsible for the marketing and continual growth of the company. His brother Michael has been a member of the American Physical Therapy Association since 1997 and his clinical experience has led him to develop an innovative, pain-free approach to physical therapy. The combination of knowledge between the two brothers has contributed to make All-Care the success it is. All-Care provides one-on-one personalized care for their patients in all age brackets. Their staff is like family and patients can’t help but to also feel a part of that. The large state of the art facilities are conducive to both staff and patients. Jim adds, “We support all employees in continuing their education with courses to stay current in their field, including hosting classes at our facility. In fact, we have become a regional training center for physical therapy students in the state.” Physical therapy can be challenging but All-Care offers a positive atmosphere that lends itself to a nice and easy recovery. The overall emotional recovery goes handin hand with the physical one. Their staff treats a variety of conditions and injuries including arthritic conditions, sports injuries, neurologic diseases, motor vehicle accidents and post-surgical treatment. In fact, Michael has had a great deal of success treating patients suffering from Parkinson’s disease, (PD). “Studies have shown that exercise, in addition to or in lieu of dopamine replacement medication or neurosurgical intervention can slow disease progression and help to manage current symptoms,” he adds. The LSVT Big Program practiced at All-Care is designed to address movement deficits created by PD, consisting of actual “big” movements; using large steps with the legs and reaching and swinging movements of the arms and upper body. These movements assist with increasing the patient’s mobility as well as working on their balance.

“Pain is a physiological response to damage or injury. Therefore, any activity that elicits pain should be avoided.”

Left-Right: Jim Yorke, Executive Director and Michael Yorke, President

The repetition of these exercises and the consistency of this program work to enhance the long-term effects and improve overall quality of life. Michael has always felt a sense of accomplishment from his profession. He derives a great deal of satisfaction from his ability to help his patients. He adds, “Through our training and experience we are able to utilize our skill set to not only reduce pain, but improve quality of life.” Today the world of healthcare is governed by insurance limitations and their billing staff works to minimize delays and confusion associated with the overwhelming world of health insurance. They see themselves as patient advocates. In fact, when a patient begins physical therapy they are given a detailed summary of exactly what they can expect to pay for each visit and what services will be covered by their insurance company. Unfortunately, there have been declining reimbursements for physical therapy providers. Generally, this leads to understaffing and a lack of personal attention given to patients. However, at All-Care they maintain a high staff to patient ratio so that patients get one-onone care. “We also grant our therapists autonomy, so that they can determine the best course of treatment for the patients whom they have come to know, rather than being harnessed by a corporate regimen. Our patients and staff are treated as people, not numbers,” Michael adds. The course of physical therapy treatment is dependent upon the patient’s condition. Some injuries can be corrected in one to two treatments while other cases require longer courses of care due to the body’s Our Locations healing time. An average bone fracture takes approximately six weeks for regrowth, while a ligament or tendon repair takes approximately eight weeks for strong healing. The overall goal at All-Care is to be regarded as the best physical therapy provider in the area by patients, staff members and the medical community. After reading some of their patient’s testimonials, it appears they are on their way to achieving that goal.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Featured On The Cover

Meet The Physical Therapists Of All-Care Jessica Abraham, OT, CHT

Jessica graduated from The Richard Stockton College of New Jersey in 2006 with her Masters of Science in Occupational Therapy.

Paul Eberle, MSPT, Whiting Facility Manager

Kathleen Groome, PTA

Kathleen received an A.A. in 1999 and a B.A .in 2001 from Fairleigh Dickinson University. She graduated from the Physical Therapy Assistant Program in 2004 from Essex County College.

Eric Ivancich, DPT, Barnegat Facility Manager

Marian Nashed, OT

Marian is currently pursuing her doctorate degree in Occupational Therapy at Thomas Jefferson University, has a Master of Science in Occupational Therapy from Howard University, and a bachelor’s in Biology from Kean University.

Elise Paolantonio, DPT

Lindsay Walicky,

Jennifer Vadas,

DPT

Jennifer graduated in 2006 with a bachelor’s degree in Psychology from Rider University; she then continued on to UMDNJ/Rutgers, to earn her doctorate degree in Physical Therapy in 2009.

Lindsay graduated in 2010 from UMDNJRutgers with a Doctorate Degree of Physical Therapy. She is certified in LSVT, a treatment for patients with Parkinson’s disease.

All Care Physical Therapy Center has additional talented physical therapists that were not able to be featured on the front cover but are mentioned below. As with their colleagues on the front cover, their abilities and commitment to their patient’s recovery is exemplary.

✺ Jamie Douglass, DPT. Jamie Douglass graduated from Stockton Paul received his bachelor’s degree in Biology from Boston University and went on to receive a master’s degree in Physical Therapy from New York Medical College in 2001, earning the College’s Academic Excellence Award in Physical Therapy.

Allison Elbeblawy, PTA

Allie graduated in 2011 with an associate’s degree in Applied Science and successfully completed the Physical Therapist Assistant Program from Union County College.

Eric attended the University of North Carolina Wilmington and received his bachelor’s degree in Exercise Physiology in 2008. He then attended The Richard Stockton College of New Jersey and received his Doctorate of Physical Therapy in 2011.

Michelle Leslie, PTA

Michelle earned her associate’s degree in Applied Science for Physical Therapist Assistant program in 2014 from Walters State Community College in Morristown, TN.

Elise graduated from the University of Delaware in 2011 with a Bachelor of Science in Exercise Physiology and a minor in Disabilities Studies. Later, she earned her Doctorate of Physical Therapy degree in January 2014 at the University of Delaware.

College in 2008 with her Bachelors of Science in Biology, an received her Doctorate in Physical Therapy in 2012 from the University of Medicine and Dentistry & Rutgers University.

✺ Mark Eisenberg, PT.

Mark earned his Bachelor’s Degree in Health Science from Brooklyn College in 1973. He is a graduate of the State University of New Yorke with a Bachelor of Science in Physical Therapy, Class of 75. ✺ Maria Kaminski, DPT. Maria graduated in 2014 from UMDNJ/ Rutgers Camden with her Doctorate in Physical Therapy.

Frank Ranuro, ✺ Alyssa Pillco, DPT, Manchester Facility Manager and Physical PTA, Toms River Facility Manager

Therapist. Alyssa Pillco holds a Doctorate degree in Physical Therapy from the Richard Stockton College of NJ that she received in 2011.

✺ Lauren Resnick, DPT. Lauren graduated from the University of Medicine and Dentistry of NJ in 2003 with her Doctor of Physical Therapy degree. Frank received his AAS from Union County College in 1998. He has worked as a Physical Therapist Assistant for 17 years and has been the manager of the Toms River facility for the last 5 years.

✺ Stefanie Resnick, DPT. Stefanie graduated from Ramapo College of New Jersey in 2006 with a Bachelor’s Degree of Science in Biology. She graduated with her Doctoral degree in Physical Therapy in 2009 from The Richard Stockton College of New Jersey.

✺ Leigh Scisco, DPT. Leigh earned her Doctorate in physical therapy in 2012 from Stockton College.

Christina Gilson, DPT

Joel Maietta, DPT, Brick Facility Manager

Diane Sinnott, PTA

✺ Erin Silber, DPT, Jackson Facility Manager and Physical Therapist.

Erin earned her Bachelor’s degree of science in biology and her Doctorate in physical therapy from a 3 + 3 joint program with Ramapo College of NJ and the University of Medicine and Dentistry of NJ (Newark Campus) in 2009 and 2011 respectively.

✺ Josh Spada, DPT. Josh received his Bachelors of Science degree in Christina received her Master’s Degree of Physical Therapy in 2002 from the Richard Stockton College of NJ. She returned to Stockton & received her doctorate in 2009.

Joel received his Doctorate of Physical Therapy in 2010 from Quinnipiac University in Hamden, CT after receiving his Bachelor’s Degree in Health Sciences from Quinnipiac in 2007.

Diane earned her associate’s degree in Applied Science for the Physical Therapist Assistant program from Mercer County College, along with a bachelor’s degree from the College of New Jersey.

Biology from Richard Stockton College of N.J. in 2011. In 2013, he received his Doctorate of Physical Therapy in 2013.

✺ Judy Thomsen, PT. Judy earned her Bachelor’s degree in physical therapy from Temple University in 1990. In 1998, she became a certified strength and conditioning specialist through the NSCA.

✺ Joan Totaro, PTA.

Joan graduated from Mercer County College in 2009 with a Physical Therapy Assistant degree.

Kim Griffiths, DPT

Craig Michaels, DPT

Kim received her Bachelor’s Degree of Science in Biochemistry from Georgian Court University in 2006 and pursued graduate school at Richard Stockton College of New Jersey to receive her Doctorate of Physical Therapy in 2010.

Craig received his Doctorate of Physical Therapy from Rutgers/UMDNJ Graduate School in 2014.

Erin Sullivan, DPT

Erin graduated from the Richard Stockton College of NJ with her Doctorate of Physical Therapy in 2013.

The County Woman Magazine www.TheCountyWoman.com

Patient’s Testimonials “They go beyond to help not just me but other patients. An A+ group that works well together. Cleanliness is exceptional.” -Mario G. “Staff at All-Care are truly compassionate, professional, and friendly. The level of care excels as a healing, natural process. Thank you for helping my condition improve.” -Joanie D.

July/August 2015

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 Poor Social Skills Holding You Back?

ome of us easily interact with others, join in on conversations, let the words flow at meetings, etc. But there are many people who shy away from talking and sometimes even avoid situations that require social / communication skills. If you’re in the latter group, you’re probably limiting your life in many ways because of fear and selfconsciousness. Do you cringe (and maybe even feel physically ill) at the thought of . . . • • • • •

Going to an event or meeting? Having to participate in group discussions? Meeting new people? Going on dates? Giving a presentation – even a very brief one? “Selling yourself ” at interviews?

If you identify with any of the above scenarios, you’ve probably been missing out on all sorts of opportunities, socially and professionally. Chances are you’ve looked at the situation logically and realized that it doesn’t make any sense to be so fearful; yet, the mere thought of putting yourself in certain

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

situations sends you into a tailspin. It doesn’t have to stay that way. Even if you’ve been dealing with this for a long time, you can release the fear and self-consciousness, sharpen your communication skills, and boost your confidence. As you’ve probably discovered, trying to use just the logical, conscious mind to analyze this, dissect it, discuss it – usually won’t resolve it. The fearful reactions you’re experiencing lie within the deeper part of the mind – the subconscious. You’ve become conditioned to responding negatively in certain situations,- and the fear and any associated physiologic changes (like sweating, trembling, rapid heartbeat, confused thinking) happen automatically. Working with the subconscious mind (by using hypnotic techniques to neutralize negative patterns and instill better ones) and the conscious mind (through coaching) typically creates improvement within three to six sessions. While it’s not imperative to know the origin of your fear in order to release it, the fear may have developed in various ways. Fear can be “contagious.” Perhaps one of your parents was very shy and timid. The fear can be related to an incident from your past that you perceived as

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

traumatic – one that you may or may not recall. Maybe you have a tendency to be self conscious and feel that you are being judged negatively. There are lots of potential causes. But the vast majority of people can resolve this with the right approach. Hypnosis is an efficient and gentle way to alleviate your fear and increase your comfort level. Many clients notice improvement within a short period of time, and they tend to experience a host of side benefits – a greater sense of well-being, less stress, and improved sleep quality. Are you ready to set your self free and let that more confident you emerge? Through a combination of hypnosis and coaching, you’ll be able to feel more comfortable in a wide range of settings, enjoy new people and experiences, perhaps be offered positions of responsibility within organizations, or advance your career. This highly regarded, empowering program is appropriate for those who are motivated and willing to be a partner in the process. Instead of feeling isolated and timid, you’ll feel more open to sharing yourself and your ideas with others.

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

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

www.HypnoForWomen.com

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical Professionals

Pros and Cons of Radiation

s a radiologist, I often receive questions about radiation. Much of the equipment in my field uses radiation to enter my patients’ bodies and create images. We all know that large levels of radiation can be dangerous, but how dangerous is the radiation one receives from an X-ray or CT scan? I am here to answer some of the more common questions that are of concern.

Law

What is my risk of being exposed to radiation?

Radiation is everywhere and we are exposed to it on a daily basis. It comes from the ground, mostly in the form of radon gas. Radiation also comes from the sky in the form of cosmic rays. An airplane flight brings us closer to the atmosphere and increases our radiation exposure. Because of Denver’s high elevation, people who live in Denver are exposed to more radiation than people in NJ. Sun exposure we receive during the summer months exposes us to ultraviolet radiation, which is why protective sunblock is important. We are always exposed to low levels of radiation, and for the most part it does not adversely affect us. When we are exposed to very high levels of radiation, it can slightly increase our risk of developing cancer in our lifetime. However, for the average person, this is not the case.

Health &Wellness Elder Law

The media talks a lot about the high levels of radiation in CT scans. Why can’t CT scans use less radiation?

Theater &Entertainment

Why is radiation dangerous?

When the cells of our body are exposed to radiation, it can create something called free radicals. Free radicals damage the DNA of that cell. Most of the damage is repaired by the cell, but if the damage is severe, two things could happen: the cell can die or the cell’s DNA is repaired incorrectly. If the cell dies, a new cell is created; however, if many cells die and the damage is severe, it could take a long time to recover. If the cell’s DNA is repaired incorrectly, that cell has the potential to become cancerous.

Education

What types of medical imaging expose us to radiation? If I need an X-ray or CT scan, how worried should I be?

Medical devices that emit radiation – including conventional X-rays, CT scans, fluoroscopy, bone density, mammograms, and nuclear medicine studies – all feature very low radiation levels, which does not significantly increase our risk of developing cancer. Imaging is a miraculous tool which provides us the ability to see inside the human body. In my opinion, the lifesaving benefits of using X-rays far outweigh the potential very low risks.

Patients who need more frequent scans, as well as young adults and children, who have a higher sensitivity to radiation, would benefit the most from the lowest possible exposure. For these patients, we recommended using imaging machines which do not use radiation, such as ultrasound and MRI. Otherwise, these patients should receive the absolute lowest levels of radiation while still obtaining the best images possible.

CT scans give extremely detailed images of the human body to detect disease, infection, trauma, and cancer. CT scans do have higher levels of radiation. The amount of radiation emitted from CT scanners can be adjusted; however, setting a CT to emit a very low level of radiation produces very poor image quality. Image quality is important for accurate diagnosis of specific diseases and cancer. As a doctor and a radiologist, it is extremely important to me to reduce the radiation exposure to my patients as low as possible while still creating high-quality images for accurate diagnosis. That is why we implement the latest techniques using our new ultra-fast, 64-slice CT scanner, which gives the highest image quality while reducing the radiation dose by up to 60%.

Fine Art Photography

In summary, radiation is all around us in low doses. Most medical imaging exposes us to low levels of radiation, which does not significantly increase our risk of developing cancer in our lifetime. As adults grow older, radiation exposure becomes less and less dangerous. Imaging is a miraculous tool which provides us the ability to see inside the human body. In my opinion, the lifesaving benefits of using X-rays far outweigh the potential risks. What is important is to limit the amount of potential radiation exposure. That includes eliminating unnecessary exams and using imaging tools which do not use radiation (such as ultrasound and MRI). Although CT scans do have higher levels of radiation, the occasional CT scan does not significantly increase our risk of developing cancer. Here at Toms River X-ray, CT, and MRI Center, we are committed to using the absolute lowest levels of radiation while still obtaining the best images possible. That is why we are very excited to introduce our brand new 64-slice CT scanner. This state-of-the-art machine uses the latest technology and computer software to dramatically reduce our patients’ radiation dose by up to 60%. I strive to provide the highest level of care and safety for my patients as if it was my own family.

Business &Finance

As always if you have any questions, feel free to contact our office where our staff will be more than happy to assist you. 732-244-0777.

About The Author...

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

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

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

Tel: 732-244-0777 • Fax: 732-244-1428

www.TomsRiverXray.com5

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

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

EXPERIENCE & EXPERTISE you can count on.

January/Feb July/August 2015

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March Is National Colorectal Cancer Awareness Month Dealing With Anal Abscess And Anal Fistula Here’s What You Should Know: How To Prevent And Treat Colorectal Cancer alization of the insidenecessary of common is colorectal 1How What is an anal abscess? cancer and who is at risk? 1 Are antibiotics to treat anal abscess or anal H ealth &W ellness the colon and rectum. A Colorectal cancer is the second most common cancer in the H fistula? ealth &W ellness colonoscopy is a safe, painUnited States among both men and women. It affects 140,000 L Law aw

An anal abscess is an infected cavity filled with pus found near the anus or rectum.

NinaPaonessa, Paonessa,DO, DO,FACOS, FACOS, Nina ananestablished colorectal surgeon established colorectal practicing in Ocean County, surgeon practicing in answers questionsCounty about colMonmouth orectal cancer, one the leaddiscusses the basicsofregarding ing cancers in both men and Inflammatory Bowel Disease. women. Dr. Paonessa specializes in the evaluation and treatment of patients with colon and rectal conditions/ diseases and frequently performs laparoscopic surgery for her patients. She also offers conservative and minimally invasive treatment options for many common anorectal disorders. She frequently explains to her patients that “just because I am a surgeon, doesn’t mean everyone needs surgery. There are other options I can offer you.” Dr. Paonessa has been named Proctologist Board-certified in general of the Year by the American College ofand Osteopathic surgery proctology Proctologists, awarded and a fellow of the the Patient’s Choice Award American College ofand the Compassionate Doctor’s Osteopathic Surgeons, Award by Vitals.com for six Dr. Paonessa specializes consecutive years, and is on the HealthGrades in colon and Honor rectal Roll. surgery.Board-certified She has been in in generpracticeal for 10 and years. She surgery proctology and a fellow the American completed herof colon and College of Osteopathic rectal surgery fellowship Surgeons, Dr. Paonessa specialin colonValley and rectal surgery. atizesLehigh Hospital She has been in practice foris9 in Allentown, PA. She years. She completed her colon co-editor of the textbook and rectal surgery fellowship Surgical at Lehigh Treatment Valley Hospital in Allentown, PA. of Hemorrhoids, 2nd She is co-editor edition. Dr. Paonessa of the textbelieves in patientbook Surgical centered Treatment care of and Hemorrhoids, preserving each patient’s 2nd edition. independence, well being Dr. Paonessa and dignity. She provides believes in the latest, up-to-date patient-centered care andand preserving treatments tailorseach patient’s independence, well each of careShetoprovides the being plan and dignity. individual patient’s needs. the latest, up-to-date treatments and tailors each plan of care to Call 732-282-1500 the individual patient’s needs.

and causes 50,000 deaths. The average person has a 1people Whatannually is an anal fistula? one in 20 chance of developing An anal fistula is frequently the colorectal result of a cancer previousinorhis/her currentlifetime. anal This risk is increased if there is a family history of colorectal polyps abscess, occurring in up to 50% of patients with abscesses. or cancer, and is even higher still in those patients with a history of Insideuterine the anus small cancer, glands. and Sometimes, become breast, orare ovarian patients these with glands a history of extenclogged and become infected. This such leads as to ulcerative an anal abscess. anal sive inflammatory bowel disease colitis The or Crohn’s fistula is the tract or colorectal tunnel thatcancer forms may between theatclogged colitis. Although occur any age,gland moreinside than the analofcanal and the infectedwith skin/abscess outside theover anus.ageA 40 fistula 90% patients diagnosed colorectal cancerofare can present withdoubles or without abscess. causesthis of anal fistula and this risk everyanten years. Other Translated, means thatare: a Crohn’s disease, radiation, trauma and malignancy/cancer. person’s risk for developing colorectal cancer increases significantly with age.

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seen can be at this time for and anal provide the definitive diagnosis. aw 1 What is done the lder treatment fistula? lder aw

of the colon, called the cecum. Biopsies of any growths or tumors

Based upon the findings colonoscopy, colorectal Surgery is almost alwayson necessary to treatyour an anal fistula. surgeon This mayor other specialist mayorrecommend testing Colorectal such as blood work, a require a single stage multi stagedother procedure. surgeons CTspecialists scan of the and pelvic MRI ultrasound. are whoabdomen are trained to pelvis, treat anal fistula andand/or are well versed inThe the best different of surgeries to and treatearly anal fistula. Surgery forisanal way types to diagnose polyps colorectal cancers to fistula involves connecting the external opening (site of drainage on the undergo routine screening colonoscopy.

T How is colorectal cancer treated? Theater heater &E &Entertainment ntertainment Nearly all cases of colorectal cancer require surgery. Radiation and

1What Howcauses does a colorectal person develop an anal abscess or fistula? cancer?

Most abscesses are that the result acute and infection the glands It is anal generally agreed nearlyofallancolon rectalincancer begins inside of the anus. Occasionally, bacteria, fecal material or foreign in benign polyps, called adenomas. These pre-malignant polyps,to matter can clog the anal gland and create a condition for an abscess or growths, occur in the wall of the colon and/or rectum and form. Once an abscess is drained, in approximately 50% of cases,may a eventually increase in size and the become cancer, or medically speaking, tunnel (fistula) will persist under skin connecting the infected gland is known as the “adenoma-carcinoma sequence”. tocarcinoma. the outside This skin where the abscess was located. When this occurs, Several factors have been mentioned in the literature that may the patients typically experience some type of persistent drainage from increase a person’s riskhad for been developing colorectal cancer and include: site of where the abscess in the perianal skin.

What are with the symptoms ofhave colorectal cancer? A patient an abscess may pain, redness or swelling in

skin) to the internal opening (the clogged gland in the anus). There are several different types of surgical procedures to accomplish this and a colorectal surgeon would determine which procedure is best suited to chemotherapy your condition. are sometimes required in addition to surgery. If the

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age, a diet high in fat and cholesterol, an inactive/sedentary lifestyle, smoking and environmental exposures. 1obesity, What are the signs or symptoms of an abscess or fistula?

the area around the anus. common symptoms fevers,any chills, Unfortunately, polypsOther and early cancers do not are produce physifatigue andor generally not feeling well. Those patients that indicate develop an cal signs symptoms. Therefore, symptoms usually late or anal fistula frequently complain of perianalsymptoms irritation, of moisture in the advanced disease. The most common colorectal cancer perianal areableeding and/or persistent, episodic drainage the perianal area. are rectal and changes in bowel habitsinsuch as constipation Aor common complaint patients with fistula isinthe sensation they diarrhea. These of symptoms are anal common many otherthat disorders cannot keep the perianal area clean or that they feel “wet” in the perianal area. of the gastrointestinal tract so it is very important to have a thorough

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Antibiotics, alone, are NOT a wise treatment for anal abscess or less, outpatient procedure fistula. Studies have shown that for uncomplicated abscesses, the performed under a light addition of antibiotics to surgical drainage does not improve healing sedation. Most time or reduce thepatients potential for recurrences. There are, however, certain circumstances in which may be added to surgical drainage. undergo a gentle oral antibiotics bowel These would include those patients with extensive cellulitis, patients with prep/cleanse in preparation cardiac valvular disease, and those patients with altered or suppressed for a colonoscopy. A narimmune systems. determination is made by your surgeon after taking row, flexible tubeThis with a a lighted careful, camera detailed on medical andfrom performing a physical examination. its tiphistory is passed the rectum to the beginning

of the gastrointestinal tract so it is very important to have a thorough examination should you experience them. NOT ALL RECTAL IS DUE HEMORRHOIDS. It is an veryabscess important 1BLEEDING Are there any testsTO performed to diagnose or for patients to remember this and seek evaluation if they are expefistula? A majority of bleeding. anal abscesses analsymptoms fistula are such diagnosed by historypain and riencing rectal Other as abdominal physical examination additional studies suchindicate as CT and weight loss are alone. usuallyOccasionally, late symptoms and quite possibly scan or MRI can assistdisease. the surgeon with the diagnosis of deeper abscesses advanced/extensive orHow to help a deeper or complex fistula tract/tunnel. is identify colorectal cancer diagnosed?

How is colorectal cancer diagnosed?

cancer is diagnosed and treated in the earliest stages, approximately 80-90% of patients restoredfortoanal theirfistula normal health. cure The different typesare of surgery include analThe fistulotomy rate decreases or less when(clogged the cancer is diagnosed in the which connects to the50% internal opening gland) with the external opening (site of drainage on the skin). a groove thatpatients will later/advanced stages. Less than 5% This of allcreates colorectal cancer heal from the inside out. Other procedures to treat anal fistula include require a colostomy or “bag”, thanks to modern technology. Dr. filling the fistula withinabeing material the this fistula or disrupting Paonessa pridestract herself abletotoocclude maintain standard of care the tissue around the fistula in order to close the fistula. If performed in her own practice. Not only is she able to minimize the number correctly, surgery for fistula is unlikely affect bowel of colostomies/”bags” created for hertopatients, but control. she performs a majority of her colorectal cancer surgeries using laparoscopic sur1 What to expectcolorectal when recovering fistula surgery? gery. Laparoscopic surgery is a from minimally invasive surgery will be providedarepain medication to assist the This in Patients which small incisions made to perform majorwith surgery. discomfort with fistula Taking stool softeners, allows for associated shorter hospital stays,surgery. decreased incisional pain and earlier laxatives and fiberand supplement will help to avoid constipation in the return to work other activities.

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Evaluation of colorectal cancer is first begun with a complete his1tory How an anal abscess treated? andisphysical exam, including a digital rectal exam and possibly The treatment of anal abscess is surgical drainage. Oncedefinitive the testing the stool for blood. A colonoscopy is the most test overlying and surrounding skin has been numbed with local anesthetic used to diagnose colorectal cancer. A colonoscopy is performed by agents, an incision is made in thespecialist skin overinthe abscess to drain thevisupus. a colorectal surgeon or other order to get a direct

This can usually be performed in the surgeon’s office with local anesthetic and may sometimes require deeper anesthesia in the hospital setting. For patients, such as diabetics or patients with suppressed immune systems, hospitalization may be required for more significant infections.

postoperative period. Patients should plan for some time at home to Can colorectal cancer be prevented? recover. Discussing with your colorectal surgeon the anticipated time one of theSitz fewbaths cancers awayColorectal from workcancer is veryisimportant. alsothat playisapreventable. key role in the Obtaining a screening colonoscopy at regular intervals is the single postoperative care.

best way to prevent colorectal cancer. Your colorectal surgeon or Dr. Paonessa colorectal surgeon colonoscopy who is skilled specialist is ableistoa fellowship review thetrained guidelines for screening atbased treating patients with medical anal abscess and and analfamily fistulas.history. She has Although a 24 upon your age, history hour policy in herproven, office so that ifpublished you are ininpain from an anal abscess, not definitively studies the literature mention addiyou canfactors be guaranteed be seen hours. Most anal abscesses tional that maytolower yourwithin risk of24developing colorectal cancer are drained right in the officefiber, under local anesthesia. Dr. Paonessa is and include: eating a high low fat diet, maintaining a also well trained of in techniques to treat simple and complex healthy weight, in anda variety engaging regular, vigorous exercise. anal fistulas with excellent outcomes. If you are experiencing any of the Calloffice FortoAn Appointment, symptoms above, call Dr. Paonessa’s make an appointment and get on the road to feeling well. 732-282-1500

Paonessa Colon and Rectal Surgery, P.C. Nina J. Paonessa, DO, FACOS Paonessa Colon and Rectal Surgery, P.C. Colon and Rectal Surgery Board in General Surgery and Proctology NinaCertified J. Paonessa, DO, FACOS Colon and Rectal Surgery 2101 Route 34 in South, Hand • Wall, NJ 07719 Board Certified GeneralSuite Surgery Proctology

732-282-1500 Office Suite Hours: 9AM to 5PM 2101 Route 34• South, H •M-F Wall, NJ 07719 ¢ laparoscopic laparoscopic surgery surgery ¢ colonoscopy colonoscopy ¢ 732-282-1500 • Office Hours: M-F¢ 9AM to 5PM ¢ abdominal/pelvic surgery ¢ anorectal surgery ¢ abdominal/pelvic surgery laparoscopic surgery fecal incontinence incontinence fecal abdominal/pelvic surgery endoanal/rectal ultrasound ultrasound endoanal/rectal fecal incontinence anorectal manometry/physiology manometry/physiology anorectal endoanal/rectal ultrasound anorectal manometry/physiology

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¢ anorectal surgery

¢¢ colonoscopy pelvic floor floor disorders disorders ¢ pelvic ¢ anorectal surgery ¢ office office proctology proctology ¢ ¢ pelvic floor disorders ¢ office proctology

Client Testimonials ...

Call 732-282-1500 for an appointment! In addition to being a skilled surClient Testimonials Client Testimonials Josephine B. B.geon, Doctor Paonessa is so caring, Josephine ”Dr.I had Paonessa has been doctor “After colonoscopy andmy found out had colon colon “After I had aa colonoscopy and found IIlike had compassionate and attentive, I out felt she for a number of years. I find her to be cancer, my primary physician recommended I see Dr. cancer, my primary physician recommended I see Dr. was my good friend. going to a extremely caringsurgeon, and very Paonessa. Notknowledgeable, only is she she Ian anconsidered excellent surgeon, but Paonessa. Not only is excellent but she’s such compassionate person as well. well. would accommodating myperson needs. She she’s such aa compassionate as would New York hospitaltountil I met Dr.IIprovides Paonessa, recommend Dr.bedside Paonessamanner... to anyone anyone and and everyone.” exceptional I highly recommend Dr. Paonessa to everyone.” but because ofher herasIadecided to stay local recommend physician.” Patricia E. glad Patricia E. and I am I did.NJ) I can’t say enough good -Michele (Mayetta, “I credit credit Dr. Dr. Paonessa Paonessa for for saving saving my my life. life. Her Her “I things about Dr. Paonessa, and I highly thoroughness and attention to detail made the recthoroughness and seen attention to detail made for the “I have been by Dr. Paonessa thelike difference for for mytorecovery. recovery. I’ve Inever never met met aa doctor doctor like difference my I’ve ommend her everyone past few years. I find her toknow. be a caring, her—so attentive and caring.” her—so attentive and caring.” ~ Marie S. thorough and conscientious physician.”

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M P HORMONE IMBALANCES: 47 WOMEN DON’T SUFFER ALONE.Testing ICAM Offers Affordable Non-Invasive edical

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ning growth hormone and other anti-aging Hello patients and readers! therapies. This too is an affordable test at Today, I would like to present to $125. Coronary Artery Disease youwith the various non-invasive testing Coping your symptoms isn’t controlling your symptoms! Coronary Artery Disease (CAD) is still procedures performed at ICAM. Don’t let... the number one killer of men and women

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HOT FLASHES • NIGHT SWEATS • INSOMNIA in• America ANXIETY today. As eluded to above, it With the rising costs of healthcare, it is becoming DEPRESSION • JOINT PAIN • HEADACHES • would LOSSbeOF SEXUAL DESIRE very useful and comforting to more difficult to obtain “necessary” diagnostic tests and VAGINAL DRYNESS • BRAIN FOG • WEIGHT GAIN... procedures in attempts to control healthcare costs. Don’t know the actual underlying condition of your blood vessels without undergoing the become the ‘new norm’! get me wrong, I agree this is a problem that needs to be expensive and risky procedures utilized addressed. But an even bigger concern lies in the “need” today. Cardiovision testing fulfills this (at times) to perform these tests for the sole reason to symptoms Take contol and solve your at their need as a completely non invasive proce“cover the butts” of physicians from frivolous lawsuits. source for natural, lasting relief through dure to help the practitioner diagnose as Our litigious society is in large part a contributing factor wellTherapy as follow CAD. Bio-Identical (BHRT). in rising healthcare costs. Hormone Replacement

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ease. Until the invention of CardioVision®, there was no What’s more, many of the tests that are ordered in easy, inexpensive or quick way to determine if a person’s CARDIVISION: THIS IS A mainstream medicine truly don’t give the provider the vessels had lost flexibility. Many people are never aware NONINVASIVE PROCEDURE TO HELP necessary, valuable or correct information required to act that they are walking around with this “silent killer” until upon in formulating a treatment plan. For example, an DETERMINE YOUR UNDERLYING they experience their first heart attack from occluded vesexercise stress test and cardiac catheterization are often RISK FOR HEART ATTACK, STROKE sels. It has been estimated that 60-70 million Americans misleading causing more unwarranted testing and ultiAND OTHER CIRCULATORY DISEASE harbor this “silent killer” and should make both life-style mately unnecessary procedures. Another example is a changes, such as getting more exercise, changing their STATES. PSA testing in which people, now has beenthe discouraged by ormenmost first thought that comes to mind regarding hormone diet, quitting andand “reducing cholesterol and anything diet, quittingsmoking, smoking, reducing their cholesterol. many medical societies for this reason. In addition to blood pressure and pulse information, that has to do with implying that high cholesterol of While everyone needs to adopt these changes,causes sometimes women menopause. A decline in a woman’s hormone levels Invasiveimbalance procedures are is notaonly costly butin often very heart disease. Everyone needs to adopt these changes, sometimes the CardioVision® also generates information on the life-style changes alone are not enough. CardioVision® risky in(estrogen, terms of immediate death, complications involv- stiffness or life-style changes alone are not enough. CardioVision® identifies of theseen brachial Called progesterone and testosterone) is flexibility generally atartery. a stage inthelife known identifies people who don’t even think they have a cardiopeople who don’t even think they have a cardiovascular problem ing organ damage and the need to take these risks again Arterial Stiffness Index (ASI), the ASI is a number that vascular problem because they are non-smokers, exercise as menopause. The decline is usually rapid and dramatic, and is accompanied bythey because are non-smokers, exercise regularly, watch their to verify that the procedure that follows the examination correlates with arteriosclerosis. Because arteriosclerosis regularly, watch their and worse, they don’t have the diet and worse, they don’tdiet have symptoms!!!. Consequently, was successful. such as hot flashes, mood swings, symptoms weight gain, the sleep loss reduces flexibility in arteries, higherdisorders the ASI, the and asymptoms!!!. Consequently, the ASI can be as ASI can be viewed as another cardiovascular “riskviewed factor”, just more likely someone is to have hardening of the arteries, Dementia and Memory Loss another cardiovascular factor”,level just above like high like high blood pressure or“risk a cholesterol 200. blood The ofICAM sexoffers drive, to name a few. the lower the number, the less likely. state of the art testing for dementia and ASI test isor only $125. Additionally, we think that the ASI canwe pressure a cholesterol level above 200. Additionally, Why is it important to know how flexible arteries are? think memory lossUnbeknownst through a computerized known be usedthat to follow cholesterol therapycholesterol and other “risk the ASI can be lowering used to follow lowto program most of us,ashowever, men too go through a period or phase factor” changes. (Ask me next time how I really feel about the Arteries are responsible for moving the majority of the MCI-CANS. It is probably the most reliable and accuering therapy and other “risk factor” changes. Cholesterol myth). similar a woman in menopause as andropause. sometimes blood through the vascular tree.Andropause, Consequently, non-flexrate cognitiveto testing program available today at a mere known iblecrisis,” or hardened cause the heart work much cost of $125. to as “man-o-pause” or “midlife For more information on these tests and other referred is arteries experienced bytonearly every Words male of wisdom: harder when it is forced to push blood through partially We have another extensive battery of tests aimed at services offered by ICAM, please call or visit us on at someones point in age their as hormone levels decline, the and onset “Nothing is ever a waste of time if you have occluded vessels. This extra although strain on the heart the is much determining biologic versuslifetime their chronologic the web at www.ICAMBartissMD.com. resultingnot blockages are a root cause of cardiovascular dis- sympage. At ICAM this is used on all prior to beginlearned something from it.” more gradual than inpatients women and therefore as readily noted as are those

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

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Law Filing

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A Worker’s33Compensation Claim: Is It Necessary? er’s Compensation Claim: aw 23 hat are the Security benefits? O y For Social

k, let’s face it. When you hear But is filing a claim really necessary? about someone collecting By law in New Jersey, injured workers are Workers’ Compensation benefits, the any of the associated with your injury. Not one and I am only paid if I ons tobills Ask Yourself Now entitled to three really important benefits first thing that crosses yourget mind is t. No co-pays, no deductibles. Why should you pay you RESULTS. benefits they need in order to get better, pay “Give me a break, I go to work with thing if you don’t have to? Take care and work safely! 4. Can you do the work you did in the past? Even if •leThe second benefit is wage replacement, also their bills, and provide compensation for an aches and pains all the time! People Ifonyou have more quesyour medical condition is debilitating, but not the SSA’s own as temporary disability payments. This means lp be working, tions determine and would like to their permanent injury. If you’re ever hurt at list should of severe medical conditions, thenot SSAtocomplaining!” will then doctor says you can’t work due yt if your authorized schedule anIfappointment work, you’ll need to know about these three if you ablemonetary to work inweekly a job that you held in the past. it r injury, you will are receive benefits with Kathleen M. Dotoli, would be to any of insuryour past jobs because of your that benefits. m your employer’s workers’ Well, I difficult wantcompensation tododispel some of the myths

call 732-228-7534. medical condition, you wage may qualify for benefits. e carrier commensurate with your and rate. on. are associated with Workers’ Compensation 5. Can you do any other type of job? The SSA Dotoli will is a licensed Kathleen ose payments will continue as long as you are receiv✺ The first and most important benefit is look your background, education, medical conditions attorney forand over 20 years authorizedclaims. care,atawaiting surgery or recovering. aptitude to determine if there’s another type of job you could in fullby:for medical treatment. That tecting your right to wage replacement is just another helping residents of Ocean paymentWritten Written by: do that would allow you to work full time without interference and Monmouth CounKathleen M. Dotoli, Esq bills, MRIs and X-rays, means emergency room on to file a claim. ties.other Herclaims practice from People who fileIt’s Workers’ Compensation are on Kathleen M. Dotoli, Esq. your disability. a for good to consider types of focuses • The third benefit compensates you theidea long diagnostic testing, surgery, Workers’honest, Compensation and Kathleen Dotoli is a licensed physical therapy and even employment before filingThey application for disability benefits. LIKEalso YOU. are hardworking, m effects ofJUST your injury, known asanpermanency Social Security Disability attorney Claims. She the present Co-Chair psychological testing to help deal with catastrophic forisover 20 years helping efits. Let’sdedicated say you experienced a lifting injury that employees who unfortunately ofillness theexperienced Workers’ Compensation Committee for the Ocean County The decision to leave your job due to or residents of Ocean and Monmouth injuries. You are not responsible for any of the bills ulted in a herniated disc in your back. Hopefully you Association and a Member of the Workers’ Compensation aninjury injury at their job. I’m not talkingBar about sprains be and taken sure Counties. Her practice focuses ke a full recovery, getshould back tonot work, havelightly. little Making youras injury. Not one cent. No coExecutive Committee for theassociated NJ State Bar with Association well strains. thinkposition brokentobones, herniated Compensation and you are theInstead, best possible qualify forof the VincentonJ. Workers’ ng residuals that and no from thatininjury. Unfortunately, there as a member Apruzzese Mock Trial pays, no deductibles. Why should you pay anything if Social Security Disability Claims. This people Social Security Disability benefits is anCommittee important many whotorn go onrotator to have physical limitadiscs, cuffs, and traumatic brain injuries. for the NJ State Bar Foundation. you don’t haveCo-Chair to? of She is the present 070 ns despite the bestofcare. That doesn’t mean you can’t that decision. If youof need guidance with your Inpart other words, the types serious injuries proven uk are the Workers’ Compensation or enjoy life! It just means that you have to be application, don’t hesitate to contact me for supported bypaid medical Committee for the Ocean County retion, careful. and How you are dependsevidence on your that have long a freemuch consultation. ✺ The second benefit is wage replacement, also hque careinjury,term Bar Association and a Member limitations. occupation, job function and personal known as temporary disability payments. This it is Receiving compensation for your permanent of the Workers’ Compensation style. your means that if yourforauthorized doctor says you can’t Executive Committee the NJ ury is something you are unlikely to get without filing on. State Bar Association as well as a aim.

work due to your injury, you will receive monetary

member of the Vincent J. Apruzzese I hope you see now why Workers’ Compensation ben225 Washington St. The Cottage weekly benefits from your employer’s workers’ stance, Mock Trial Committee for the NJ s are so important! Without them, thousands of NJ e compensation insurance carrier commensurate with Toms River, NJ 08753 State Bar Foundation. kers each year would find themselves lacking medical om your wage and rate. Those payments will continue dstment, of income and compensation for their injuries. Phone: (732) 228-7534 ere’s no two ways about it. Workers’ Compensation as long as you are receiving authorized care, awaiting or efits Have youororrecovering. a loved one been t’s thehelp thousands of New Jersey workers each year surgery Protecting your right to wage 225 Washington St. The Cottage are if you need them. e andthere for YOU injured at work and don’t know replacement is just another reason to file a claim. Have you or a loved one been injured at work and That’s where to turn to ensure ALL of Toms River, NJ 08753 n’tated know where to turn to ensure ALL of your rights your rights are protected? Don’t protected? Don’t navigate this maze alone! Call me navigate this maze alone!compensates Call ✺ The third benefit you for the aySSA to discuss your injury. The consultation is FREE me today to discuss injury.injury, also known as long term effectsyour of your evere The consultation is FREE and permanency benefits. y I am only paid if I get youLet’s say you experienced ation, a lifting injury that RESULTS. resulted in a herniated disc in

Phone: (732) 228-7534

d your back. Hopefully you make a full recovery, get ition is Stop by to see all that they offer! Take to care and and workhave safely! back work, little or no residuals from hroughSea La Vie Children’s Boutique just made its debut in Ventnor City. It is not your average that injury. Unfortunately, there are many people children’s boutique. They offer a mix of hand-made and store brands, embroidery services, fun sewing classes and more! Sea La Vie carries both boys and girls clothing from sizes Newborn to Girl’s size 16 and Boys size XL. The owner, Christina Rubenstein, has been in Community business for five years making children’s clothing out of her home, selling at craft shows Theonline Leukemia & the Lymphoma (LLS) the world’s agency and under business,Society Too Too Cuteis Tutus. She largest will bevoluntary creatinghealth clothing anddedicated to embroidering in the andCure will leukemia, feature other local crafters. La Vie to and be improve blood cancer. The LLSstore mission: lymphoma, Hodgkin’sSea disease and strives myeloma, unique andofaffordable and and newtheir merchandise comes in lifesaving frequently! the quality life of patients families. LLS funds blood cancer research around the world and provides free information and support services. Visit Us On Facebook Mail To: The County Woman Publications, PO Box 619 Turnersville, NJ 08012-0619 09-226-3010 • SeaLaVieBoutiqueNJ@gmail.com

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who go on to have physical limitations despite the best care. That doesn’t mean you can’t work or enjoy life! It just means that you have to be more careful. How much you are paid depends on your unique injury, occupation, job function and personal lifestyle. Receiving compensation for your permanent injury is something you are unlikely to get without filing a claim.

I hope you see now why Workers’ Compensation benefits are so important!

Without them, thousands of NJ workers each year would find themselves lacking medical treatment, income and compensation for their injuries. There’s no two ways about it. Workers’ Compensation benefits help thousands of New Jersey workers each year and are there for YOU if you need them.

Have you or a loved one been injured at work and don’t know where to turn to ensure ALL of your rights are protected?

Don’t navigate this maze alone! Call me today to discuss your injury. The consultation is FREE and I am only paid if I get you RESULTS.

Take care and work safely! 732.228.7534

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Business Spotlight

~ Interview With Kathleen Dotoli ~ Kathleen Dotoli: A Passionate Crusader for Worker’s Compensation Cases

A 225 Washington St. The Cottage Toms River, NJ 08753

(732) 228-7534

ttorney Kathleen Dotoli is passionate about the work she does making sure that injured workers get the most benefits to which they are entitled when they get hurt at work. That means fully paid medical benefits without co-pays or out of pocket expenses, wage replacement when a doctor says they cannot work due to their injuries, and permanent disability benefits that represent the extent their injury caused lasting physical limitations. She adds, “The men and women who suffer debilitating injuries following a work accident and against all odds return to the work force out of a duty to their families and themselves resonate the most for me.” Kathleen also derives great satisfaction when she is able to obtain lifetime benefits for those who cannot return to their jobs despite their best intentions. “Knowing that they will be appropriately compensated for their life changing injuries gives me great satisfaction,” she says. OCW: What led you to specialize in worker’s compensation cases? Kathleen: My parents were hard working people who felt there was nothing more important

than being able to support your family. They provided my sister and I with a good life and education to prepare us for our futures. By focusing my practice on workers’ compensation, I get to help injured workers maintain their standard of living by making sure their lives are as uninterrupted as possible after a work injury.

OCW: What is the most rewarding part about your profession? Kathleen: Seeing a client in pain receive the medical treatment they need, ensuring their wages remain constant during their recovery, and seeing their case through to the end by making sure they are compensated for their limitations as a result of their injury.

OCW: What is the most challenging part? Kathleen: When a client waits too long to come to me after their work accident, it can lead to denied claims, delayed medical treatment and gaps in their pay. I can usually fix these problems, but it can take time and a number of court appearances. Filing a claim soon after the accident can address this issue before it becomes a problem.

OCW: What is the greatest misconception about worker’s compensation cases? What about Social Security Disability benefits? Kathleen: Some people have negative preconceived notions about disability applications

Kathleen M. Dotoli, Esq. Kathleen was raised in Westwood and spent weekends and summers at her family’s shore house in Ocean Beach. Eventually, she made the move to Ocean County to live full time. “This is where my heart is and where I was meant to live, practice law, and help others,” she says.

and fraud and are concerned that benefits are often undeserved. That could not be further from the truth! Practically all claims are put through a rigorous investigation process by insurance companies before any benefits are paid. Many times they will seek witness testimony, objective medical evidence of an injury and put injured workers under intense scrutiny by authorized doctors. The stuff people see on television represents a tiny fraction of egregious behavior, but is in no way representative of the individuals I, or any of my colleagues represent. Kathleen has been working in this arena for over 20 years and has been the cochair of the Ocean County Bar Association’s Workers’ Compensation Committee since 2005. She is also a member of the NJ Bar Association’s Workers’ Compensation Executive Committee and completed several years of training with the Justice James Coleman Workers’ Compensation Inns of Court. She continues to lecture to the public and her colleagues on the subject of workers’ compensation and social security disability several times throughout the year. One of her proudest achievements is being a member of the NJ Bar Foundation’s Vincent Apruzzese Mock Trial Committee. This is the committee that creates the challenging statewide mock trial program for high school students statewide. Kathleen attended Fairleigh Dickinson University and Quinnipiac College School of Law.

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July/August 2015

Medical Professionals

Chemotherapy for Breast Cancer? Not always. Health &W ellness Women facing breast cancer surgery have already About Barnabas Health Medical Group dealt with the first dreaded “C” word: cancer. Following surgery, many women assume they needL to awBarnabas Health Medical Group is a multispecialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas face yet another dreaded “C” word: chemotherapy.

“Contrary to popular belief, this is not always the case,” says fellowshiptrained Sumy H. Chang, MD, FACS, a board-certified general surgeon dedicated to breast health. “In the past, the decision to undergo chemotherapy was made by the medical oncologist based on the patient’s age, size of their tumor, whether or not lymph nodes were involved, the grade of the tumor and other aggressive features. Now, thanks to genomic testing, many women are spared chemotherapy for certain types of cancer.” A member of Barnabas Health Medical Group, in partnership with Community Medical Center, Dr. Chang provides Ocean County

women with access to the latest prevention, detection and treatment options for breast-related issues – including breast cancer.

&Entertainment

What type of genomic testing is available to rule out chemotherapy heaterfor breast cancer?

The Oncotype DX® breast cancer test is a relatively new diagnostic test that predicts the benefit of chemotherapy and the likelihood of breast cancer recurrence. Oncotype DX gives patients and their doctors more information about their specific tumor and assists in deciding whether or not to make chemotherapy part of their treatment plan.

E ducation Sumy H.

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

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

Fine Art Photography

How does the Oncotype DX cancer test work?

The test examines a sample of breast cancer and measures a group of breast cancer genes within this sample. The result of the test is reported as a number between 0 and 100, known as the Recurrence Score® result. A lower score means the cancer has a lower chance of returning and the patient will receive minimal benefit from chemotherapy. A higher score means there is a higher chance of the cancer returning and the patient can benefit significantly from chemotherapy.

according to Dr. Chang, “Oncotype DX looks at late stage I and stage II to see if women can be spared chemotherapy.”

Why may you want to avoid chemotherapy? Many people experience unpleasant temporary and permanent side effects of chemotherapy including hair loss, vomiting, fatigue, numbness of the fingers and feet, change or loss of taste and joint and bone pain. Chemotherapy treatment can affect the function of the heart, too.

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The Oncotype DX breast cancer test also provides information in addition to standard measurements (such as tumor size, tumor grade and lymph node status) that doctors have traditionally used to estimate how likely a patient's cancer is to return and to help make treatment decisions. Dr. Chang says this test can change the treatment plan and may reduce the need for chemotherapy.

Prior to the availability of this genetic test, who would typically get chemotherapy? Women in late stage I, II and III and early stage II would be typical candidates for chemotherapy. Now,

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How long is chemotherapy treatment?

It depends on the individual, the cancer and the treatment regimen. Chemotherapy may range from 3 to 6 months, with breast cancer patients typically receiving chemotherapy every 2 or 3 weeks within that period. However, each case is different.

What’s the best way to detect breast cancer? Dr. Chang stresses the importance of getting annual mammograms, beginning at age 40 for women who don’t have a family history or breast cancer symptoms. “Hands down, mammography is the best way to detect early stage breast cancer.”

January/Feb July/August 2015

Medical Professionals

OGOA Offers Hope for Women Heavy Healthwith &W ellness Menstrual Bleeding About Barnabas Health Medical Group One in five women suffers from heavy or dysfunctional menstrual bleeding, a condition called menorrhagia, according to the Centers for Disease Control and Prevention. It’s also one of the most common problems women report to their doctors.

Health Medical Group is a multispecialty group practice LawBarnabas comprising highly trained and experienced world class primary

are numerous ways to alleviate the problem so women can return to living full, active lifestyles without worry,” he says. Here, Dr. Lehnes responds to some of the most common questions about heavy menstrual bleeding.

T heater &E ntertainment The condition can be caused by What causes heavy menstrual bleeding?

Eric Lehnes, MD

structural problems within the uterus such as fibroids, tumors or polyps, or it can be the result of a functional/hormonal problem – the body’s systems are not communicating properly, leading to excessive tissue build-up within the uterus.

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Eric Lehnes, MD, a board-certified ob/gyn specializing in minimally invasive and laparoscopic surgery at Ocean Gynecological and Obstetrical Associates, part of Barnabas Health Medical Group, agrees, saying heavy bleeding can significantly impact a woman’s daily life. “Women shouldn’t suffer from heavy menstrual bleeding. There

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

How is it diagnosed?

When menorrhagia is suspected by history, ultrasound is used to determine whether the cause of the condition is structural or functional. Then, the uterine tissue will be examined, either via an endometrial biopsy or a hysteroscopy, which inserts a small telescope inside the uterus to visualize it firsthand. At OGOA, patients may also receive a

To learn more, visit barnabashealthmedicalgroup.org.

sonohysterogram, during which sterile fluid is inserted into the uterine cavity so physicians can visualize any abnormalities within the cavity using ultrasound guidance.

popular option is the Fine Art Another Photography performance of an endometrial

Women shouldn’t “suffer from heavy

menstrual bleeding. There are numerous

Toms River Office 368 Lakehurst Road, Suite 303 Toms River, NJ 08755 732.349.0485

Lakewood Office 475 Route 70, Suite 101 Lakewood, NJ 08701 732.364.8000

ablation, which uses cutting-edge technology to cauterize the lining of the uterus in a 15-minute, same-day surgical procedure that results in light or no periods at all. This procedure is reserved for women who do not wish to bear or who have finished bearing children.

“Endometrial ablation is Business &F inance incredibly effective – our success

ways to alleviate the problem so women can return to living

full, active lifestyles

” — Eric Lehnes, MD

without worry. Ocean Gynecological and Obstetrical Associates has two convenient office locations:

If the condition is thought to be caused by hormonal issues, various medications can lighten a woman’s menstrual flow, including birth control pills.

Once diagnosed, how is heavy menstrual bleeding treated? If the cause is determined to be a structural problem, then surgery is indicated to correct the structural abnormality. This usually involves a hysteroscopy with resection of the polyp or fibroid under direct visualization.

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rate at OGOA is greater than 95 percent,” says Dr. Lehnes. “Good candidates for the procedure are those whose periods alter their daily living – they’re suffering from fatigue or anemia, or their condition is leading to accidents and issues that make them not want to leave the house.”

Are there any risks associated with ablation? Like any hysteroscopic procedure, ablation comes with a risk – albeit small – of perforation through the muscle wall of the uterus. That risk is incredibly low in the right hands, says Dr. Lehnes.

January/Feb July/August 2015

Medical Professionals

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

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

Education The County Woman Magazine

www.TheCountyWoman.com

Start a new career in less than six months! OCC offers training in some of the fastest growing areas of employment. • Physical Therapy Aide • Medical Assistant • Patient Care Technician • EKG Technician • Dental Assistant • Medical Coding • Medical Billing • Medical Office Specialist • Certified Home Health Aide • Personal Trainer • Pharmacy Technician • Phlebotomy Technician

Call us for more information or visit us online!

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Fast-Track Training

For A Future In Health Care

nterested in a stable, well-paid career? In today’s economy, many people are looking to either start a new career or enhance their current resume, and the healthcare industry is one of the largest employers in Ocean County. Many healthcare jobs are in high demand … and you can train today for a great career in just three to 12 weeks! Ocean County College’s (OCC) Department of Continuing & Professional Education offers opportunities for fast-track career training, leading to the possibility of immediate employment upon successful program completion. Classes start in the fall, spring, and summer semesters. Register today! Join one of the fastest growing entry level jobs and become a Physical Therapy Aide. This course prepares you for employment in hospitals, orthopedic clinics, nursing homes, and sports rehabilitation centers. Job duties include preparing treatment areas, answering phones, ordering supplies, and transporting patients under the direct supervision of a physical, occupational, or speech therapist. Another job in great demand is a Medical

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November/December 2014

Assistant. As a Medical Assistant you’ll be on a career track to work in the offices of physicians, podiatrists, chiropractors, and other health practitioners. Through lecture, lab practice, and skills testing, you’ll become proficient in all aspects of the medical office including administrative and clinical tasks. This course will prepare you to sit for the Certified Clinical Medical Assistant certification through the National Health Career Association (NHA). You can also expand your career options through OCC’s fast-track certificates to become a Patient Care Technician; EKG Technician; Dental Assistant; Medical Coding, Medical Billing, or Medical Office Specialist; Certified Home Health Aide; Personal Trainer; Pharmacy Technician; and Phlebotomy Technician; among other opportunities. Start your career and become part of one of the fastest growing fields in the nation! For more information on health careers and training, call the Ocean County College Department of Continuing and Professional Education at 732-255-0404 or visit www.ocean.edu to view the latest catalogue.

July/August 2015

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usiness Finance 00 Copy, B Fax && Notary Services 54 Business & Finance areas, answering phones, orderingAt supplies, and staff can MHAAC, assist one-on-one or inand small groups Department of Continuing Professional transporting patients under the direct supervision of Education at 732-255-0404 or visit a physical, occupational, or speech therapist. www.ocean.edu to view the latest catalogue.

visit us online! Services, grants andorfundraising.

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Health & Wellness Health & Wellness

56 40

Sun Damage : The Dangers of Tanning – Indoors or Outdoors

A Healthier Approach To The New Year

ave you ever been mistaken for Casper the Friendly Ghost? You may still value a glowing Maybe you want tan, even if you’re not quite that Attainable. white. Many Here we to lose 50 pounds by your class people think and feel a little color gives them a go again. reunion this summer. But seriously, now, is healthier – maybe even sexier – look.

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Health

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A Healthier Approach To The New Year

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JSRX Holdings LLC on a smaller pair of pants. on a smaller pair of pants. orders, within 300 miles of the Jersey Shore measurable,Rx you can evaluchanges.aspx. Accessed Development LLCApril 18, 2012. Holdings LLC, Rx Development LLC H ormone Replacement Sources Veterniary Jay Greco, Jersey Shore Pharmacy Pain Free Jay RxJSRX Pick-Up Sources 1. American Psychological Association: "Making lifestyle changes that last." AvailablePharmacy, at: http://www.apa.org/helpcenter/lifestyleur progress and2. American know when Greco, RPh Jersey ShoreRPh Pharmacy by UPS. Council for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ changes.aspx. Accessed April 18, 2012. T herapy (HRT)* Medicine Medication 1. American Psychological Association: "Making lifestyle changes that last." Available at: http://www.apa.org/helpcenter/lifestyleand Delivery JSRX Holdings LLC, Rx Development LLC , display.aspx?itemid=2637. Accessed April 18, 2012.

delivered to 2. American Council for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ 580 St, Accessed April 18, 2012. 580 St., Barnegat, succeeded. For North example,Main if changes.aspx. JSRX Holdings LLC,Main RxPrescriptions Development , 08005 display.aspx?itemid=2637. Accessed April 18, 2012. Arrival Next Day! CallNorth 609-660-1111 580 North Main St.,LLC Barnegat, 08005 3. Hungtington Medical Foundation: "Making lifestyle changes that the stick." Available at: http://www.huntingtonmedical.com/aboutBarnegat, 08005 2. American Council for Exercise: "Reaching Your Goals SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ 3. Hungtington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/aboutoal is to lose weight, you can display.aspx?itemid=2637. Accessed April 18,Accessed your home or office! Phone: 609-660-1111 2012. hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. April 18, 2012. hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. www.jerseyshorepharmacybarnegat.net Phone: 609-660-1 580 North Mainwww.jerseyshorepharmacybarnegat.net St., Barnegat, 08005 your body mass index (BMI)3. Hungtington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/aboutWe also offer a hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. www.jerseyshorepharmacybarnegat.net Phone: 609-660-1111 if you can Competitive get the zipper up Jersey Shore Pharmacy ships Pricing! medication disposal program. prescription orders by UPS maller pair of Call pants.For Quote!

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or Fed Ex. Jay Greco, RPh Jersey Shore Pharmacy JSRX Holdings LLC, Rx Development LLC , Arrival next day! can Council for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ spx?itemid=2637. Accessed April 18, 2012. 580 Northcompounding Main St., agency. Barnegat, 08005 www.jerseyshorepharmacybarnegat.net www.jerseyshorepharmacybarnegat.net * For more information on customized hormones, call our professional ington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/aboutwww.TheCountyWoman.com -newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. The County Woman Magazine www.jerseyshorepharmacybarnegat.net Phone: 609-660-1111 January/February 2014

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can Psychological Association: "Making lifestyle changes that last." Available at: http://www.apa.org/helpcenter/lifestyleaspx. Accessed April 18, 2012.

The County Woman Magazine www.TheCountyWoman.com

www.jerseyshorepharmacybarnegat.net

July/August 2015

Business Spotlight

~ Interview With Jay Greco ~ Jersey Shore Pharmacy Emphasizes a Healthy Approach

ay has been a pharmacist since 1992, after graduating from Northeastern University in Boston, MA. He moved to the Jersey Shore and then worked at the Thrift Drug in Tuckerton, NJ. After working for several different chains and small independent pharmacies he decided to open his first practice in Barnegat in 1999. After selling the franchise in 2007, Jay now owns and operates his own private retail pharmacy in Barnegat, NJ with his own compounding lab on site. Jay Greco adds, “We have everything you need for a healthier tomorrow.” CW: How would you describe your Pharmacy’s philosophy?

Jay: Our pharmacy’s philosophy is simply to provide outstanding service. We treat people with respect and kindness. We try to provide solutions to our patients’ health needs.

CW: What sets Jersey Shore Pharmacy apart from other pharmacies?

609.660.1111 580 North Main St. Barnegat, NJ 08005

www.jerseyshorepharmacybarnegat.com

Jay: What sets us apart is the personal care we give every patient that most pharmacies don’t have the time to provide. There is always a short wait time for those people who are in a hurry. We work with patients and doctors to help them get affordable medicine if the drugs they need are not covered under their insurance. We mail out compounded medication to our patients in the New Jersey area.

CW: How do customers benefit from a Compound Pharmaceutical?

Jay: The benefit of compounding is that it can provide doses and dosage forms that are not currently available. We can customize strengths that are not commercially available or medicines not being made anymore. For people with allergies to certain fillers we can custom compound prescriptions just for them. We can help patients with hormonal imbalance, and compound for physical therapy and sports medicine. We can even provide prescription compounds to pets.

CW: What advice do you give customers that would be interested in using a compound pharmaceutical product?

Jay: I advise patients to be their own advocates and do some research. There are lots of books and websites where they can find information. They can ask also their doctors or pharmacists for help. Hospitals, doctors and pharmacies have health fairs to get information out to patients in their area.

CW: What other services do you provide?

Jay: In addition to our custom-compounding, we fill traditional medicines, and have a full line of over-thecounter medicines. We take most insurance plans, offer free local delivery and pickup of prescriptions, and provide free shipping within New Jersey.

CW: Why did you decide to become a pharmacist?

Jay: I decided to become a pharmacist because of Thomas Esposito, RPh. He was a family friend and pharmacy supervisor for Genovese drug stores. He worked his way up to the corporate offices in New York and commuted there on a regular basis from Connecticut. I was always good at math, chemistry, and biology, so Tommy thought pharmacy was a good career for me. He showed me that with hard work I could accomplish anything. I have managed and owned several drug stores and could not have asked for a better career choice for myself.

CW: What is your biggest challenge today as a pharmacist?

Jay: My biggest challenge today is insurance companies telling doctors how to practice medicine. When a patient brings in a prescription and it is not covered by their insurance plan, it is my job to tell the doctor, and that’s a hard thing to do. My other challenge is getting proper reimbursement from insurance companies. Drug costs are going up on a weekly basis and insurance reimbursement can take up to 90 days or more to catch up.

CW: How has your business changed over the past 10 years?

Jay: Over the last ten years pharmacy has changed in a big way. Pharmacists now have the respect we deserve. We are being recognized as health care professionals. We can consult with patients on their medicine and make recommendations to doctors. We can do immunizations now for most injections, including flu and pneumonia. We are a big part of the health care triangle of patient, doctor, and pharmacist.

Jay Greco, RPh

CW: What do you like to do in your leisure time?

Jay: I work six days a week so when I get a day off I like to spend it with family and friends. I have played roller hockey with the same group of guys every Sunday morning for over ten years now. I like to travel when I can, usually to a pharmacy conference for education and relaxation. Even when I get away, I am always learning and trying to improve my staff and pharmacy.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Medical edical P Professionals rofessionals M

32 58

Femara (Letrozole) (after the collarbone. This is temporary Hormenopause). ealth &W In addition, your and can beellness removed after treat-

Diagnosed With Diagnosed WithBreast BreastCancer: Cancer:What’ What’ss Next? breast is removed surgically, there is a risk of cancer growing back in the same breast or spreading to other organs, a process called metastasis. The risk of metastasis is based on a number of factors. Age, menopause, the stage of the cancer and characteristics of the tumor cells (grade, hormone receptors called ER and PR, and Her-2) all determine the risk of relapse or metastasis.

Age

Submitted by: Dr. Sarah J. Easaw, MD, FACP Ocean Hematology & Oncology

he biopsy shows that you have breast cancer. In addition to the shock and emotional turmoil, a thousand questions go through your mind. “The surgeon said that he took everything out, so why do I need chemotherapy?” “What are my chances?” “Am I going to die from cancer?” “My friend only needed to take a pill, why am I not getting that?”

No Two Tumors Are Alike Not everyone diagnosed with breast cancer is treated the same because no two tumors are alike. Even after the lump in the

In general, young women tend to have more aggressive tumors and are more often treated with chemotherapy than older women.

Stage

ness of the cancer. Cancer cells are graded from I to III, grade I being the least aggressive and grade III being the most. The tumor cells are also tested for hormone receptors on the surface of cancer cells, called ER and PR (estrogen and progesterone). Tumor cells are also checked for a protein called Her-2. About 25-30% of all breast cancers are Her-2 positive. Her-2 positive patients are treated with a drug called Herceptin.

Law

Education

Tumor Characteristics

Certain features on the cancer cells can predict the aggressive-

Who Needs Chemotherapy?

ment is completed.

Side Effects Chemotherapy can cause nausea, fatigue, vomiting, hair loss, mouth sores, low blood counts and numbness in the extremities. These are all reversible and improve once treatment is discontinued. With the use of newer medications, nausea and vomiting can be prevented considerably.

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Breast cancer is staged from Stage 0 to Stage IV; Stage 0 is pre-cancerous and is also known as carcinoma in situ (DCIS or LCIS). Stage 0 cancer does not metastasize and does not require chemotherapy. Stage I is a small tumor (<2cm) confined to the breast; when the tumor has spread to the lymph nodes or if the tumor is >2cm it is Stage II. Stage III includes tumors that have spread to lymph nodes in the neck, have affected more than 4 lymph nodes, or have spread to the skin and chest wall. When the cancer has metastasized to other organs (commonly to the bones, lungs or liver), it is Stage IV. The higher the stage, the higher your risk is of relapsing; chemotherapy, hormonal therapy or both are recommended to reduce that risk.

To learn more about treatment of breast cancer or other cancers, contact Dr. Sarah J. Easaw, 732-961-0010

Even if the visible tumor is removed surgically, you may have cancer cells floating around in your system that can deposit in different parts of the body. This can happen a few months to several Compassionate Cancer Care, Close to Home years later, producing metastasis. Research has shown that this risk can be reduced by giving chemotherapy for a few months. In addition, hormonal therapy and Herceptin are used in appropriate patients. After surgery, your surgeon will refer you to a Medical Oncologist who will then determine the kind of treatment you may need. Women who have very early stage breast cancer may not need any treatment and should be observed periodically. Most women with ER and W We offer a full range of Hematology & Oncology services. PR positive tumors are W We are dedicated to providing state-of-the-art cancer care in a treated with Tamoxifen warm and personalized manner. (before menopause), or W Our newly renovated, spacious infusion room provides a Arimidex (Anastrazole) peaceful and friendly atmosphere to patients while they receive

We now hold Group Therapy sessions for cancer patients and caregivers, led by certified psychotherapists.

Patient Testimonials

medical oncologist may advise you to get chemotherapy based on the other factors mentioned above. The most commonly used chemotherapy drugs are Adriamycin, Cytoxan, Paclitaxel (Taxol), Docetaxel (Taxotere), and 5 Flurouracil (5 FU). The type of chemotherapy and duration used are also based on the risk of metastasis. Chemotherapy is given for approximately 4 to 6 months, starting about 3 to 4 weeks after surgery. Chemotherapy is often administered as an intravenous infusion. To minimize damage to the veins and to ensure proper administration, a device called a port-a-cath can be inserted below

thank God every day that Dr. Easaw became an oncology doctor and that I was lucky kIenough to have found her… Donna, Toms River. Easaw took the time to answer every one of my questions and guided me to make the best kDr.decision for my Mom’s care… Melissa, Howell. and her staff became an extension of my family and I feel so fortunate that she kDr.movedEasawher office to Ocean County just when I needed her the most… Dorothy, Toms River.

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chemotherapy and other infusions. W Our staff is highly qualified, experienced and compassionate.

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

Ocean Hematology & Oncology 1255 Route 70, 31S Easily Accessible Location, Near Exit 88 on GSP

Lakewood, NJ 08701

732.961.0010

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

To Learn More, Visit www.oceanhemonc.com

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

September/October 2013 January/Feb July/August 2015

Assisted Living

Do You Believe In Magic?

53 59

Come find out about the Free Exercise Classes offered at Spring Oak of Toms River.

pring Oak of Toms River is proud to invite anyone over 55 years of age to join us for Fox Rehab’s Strength, Mobility and Balance Programs at no cost. A Fox Exercise Physiologist supervises this program with extensive work history in cardiac and pulmonary rehabilitation every Tuesday and Friday morning from 10am to 11am. The Strength, Mobility and Balance Program is an evidence-based progressive exercise program for active 55+ adults designed to relieve everyday aches and pains, increase strength and improve cardiovascular stamina. In an editorial published in the Journal of American Medical Directors Association (JAMDA), exercise has been described as the “Magic Bullet” available for clinicians to treat dementia along with a multitude of other diseases and dysfunctions. Editor in Chief of JAMDA, Dr. James Morley MD, BCH, states, “Exercise clearly is better than medications for dementia.” Exercise also has proven to: • Decrease depression • Decrease risk of frailty • Decrease incontinence • Reduce pain • Enhance sleep • Reverse sarcopenia • Improve Glycemic control

• Decrease falls/injuries • Decrease constipation • Decrease behavior disturbances • Decrease cognitive impairment • Slow bone loss • Improve quality of life

Dan Dexter, Fox Rehab Exercise Physiologist instructs Spring Oak’s seniors at the morning exercise class.

Prescribed by Physicians and administered and dosed properly by Fox Physical and Occupational Therapists, therapeutic activity can help ward off cognitive impairment and help older adults achieve optimal function to rehabilitate their lives. Fox specializes in reversing the detrimental effects of muscular weakness, regardless of age or cognitive status. By partnering with Fox Rehab, Spring Oak has therapists that can help lead enriching exercise programs for the community. Additionally, Fox Rehab therapists

can also perform regular screening for residents and communicate any potential medical issues needing attention to healthcare providers. Residents also benefit from additional wellness programs and educational seminars. When a resident’s physician prescribes therapy, there is no need for transportation to an outside facility, and no need for coordination with home health agencies. Fox Rehab has licensed therapists that are on-site at Spring Oak of Toms River at least 3 days a week and will perform the prescribed therapy according to a residents treatment plan. Continuity of care is imperative for successful therapy and Fox Rehab ensures that resident’s receive quality care from the same therapists who build strong relationships with the residents over time.

To learn more about Spring Oak and what they have to offer, please call Tara Heisman Roxanne Smith at 732-905-9222. Tara Heisman has been working with seniors and their families in assisted livings in NJ since 2003. She enjoyed being an Activities Director before becoming a Marketing Director. A resident of Toms River since 2007 , Tara is married to her husband Steve and has a 4 year old boy named Lucas. Please call or email Tara to schedule a tour. 732-905-9222, theisman@springoak.net

Free Exercise Classes Open to the Public!

Spring Oak Of TOmS river TeSTimOnialS “If I knew it was going to be this good, I would have gotten here sooner. Everyone at Spring Oak has been so good to me. I have always been a family person and everybody here is like family. It is a beautiful place just like home. I am always doing things, I have been to the aquarium and went on a boat ride. They have the library, the theater, and pool table. Everybody is right there to help you.” ~ Mary E. “I love it here. I do not want to leave ever. It is the best place for me. Thank God for my concerned children. They have helped me feel alive again. I thank you from my heart.” ~ Mary M.

Tuesday & Friday: 10 am 3

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November/December 2014 July/August 2015

Fashion

f you are like most women, you think your summer wardrobe is ready for prime time until you actually start wearing it, only to realize you’re missing some essential items. Thanks to Barbara’s Boutique, it’s not too late to fill those wardrobe gaps! You’ll still find a nice selection of dresses, pants, tops, and jackets in all the vibrant colors and patterns trending for this summer. As an added bonus, you can take advantage of Barbara’s July sales, which offer 30% or more in reductions on beautiful summer clothing. Later in August, you will be able preview the exciting fall 2015 fashions at Barbara’s. This season’s fashions will take you “back to the future,” with retro looks and influences from the 70s. You’ll see lots of colors that were popular back then - earthy and natural shades like burnt orange, olive greens and a range of rich browns, from camel to toffee and coco. Charcoal, grey, dove grey, and ivory will also make an appearance, serving as a perfect backdrop for accent colors like deep emerald, cranberry, orchid and wine. You will see a return of signets on clothing and accessories, including purses, jackets and coats. You’ll also see “pony hair” on shoes and other garments in a wide variety of animal prints, from zebra stripes to leopard spots. High quality pony hair fabrics are popular with contemporary designers because of the stability, weight and body that they add to any article of clothing.

Beauty

There are many fashion choices this fall for warm and cozy outerwear. Long coats (dusters) are available in every shape, color and fabric. If capes or ponchos are more your style, you’ll find them in many different versions. Another choice that would take you from fall into winter would be a camel suede and Sherpa vest, which can be worn over anything and everything while always looking stylish. Another perfect addition to your fall-winter wardrobe is a warm and versatile down vest. You will see an awesome collection of women’s vests this year. They can be worn on your way to work, walking the family dog, running to the gym, or heading out for a day on the town. If you choose a classic and neutral hue, it will be ideal for combining with various colored tops and slacks. Lastly, fringe continues to be a big trend this fall. You’ll see fringe on coats, dresses, accessories, shirts, collars and more. You will also see tops, sweatshirts, jackets, skirts and other garments made of beautiful flecked fabric. A typical flecked print would have a grayish blue background with nubby white, light blue and dark blue flecks – a fun throwback with a classic look. All of these top fall 2015 fashions can be found at Barbara’s Boutique, where a friendly professional staff makes your experience pleasant and stress-free. Enjoy fantastic summer savings and first dibs on the ultimate fall outfit at Barbara’s today! n

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Fashion

Beauty

Welcome Back, Summer...

amy Holiday Gifts from Leisure Spirits and Lace are lifted and you should be lifted too. We have solutions for no-back garments, plunging fronts and mushy middles.

what to get? A gift certificate from Leisure and Lace is always Hand written and beautifully wrapped, our gift certificates are more personal than your average plastic card.

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HbecomeankyaPanky has staple in every woman's wardrobe, from sleepwear to the most comfo comfortable thongs and panties on the market. A Hanky Panky gift is always appreciated.

Pfashion addi Murphy softies combines with function, they make you look and feel beautiful. They are designed especially for women experiencing hot flashes, menopause, chemotherapy, pregnancy or diabetes.

Don’t forget, Leisure and Lace is the place to get all of your holiday outfit needs, from bras and shape wear to hosiery and accessories that will make you look your very best.

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The properly-fitting bra and undergarment is no longer a myth- thanks to the patient and dedicated staff at Leisure and Lace. We pay special attention to exceptional support and comfort. We look for superb fit in the front while eliminating ride-up in the back and solving the infamous “double bubble.” With bathing suit season in full swing, we also have the perfect bikinis to add a cup size to your bust and sports bras to support you during all your summer activities.

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Yes, we have Spanx along with several other amazing problem-solvers! We can smooth that muffin top with our favorite product, the waist cincher. It offers lower back support and can improve posture. Our wide selection of slimming camisoles control the midriff and smooth back buldge, while staying light enough for every day. Stop in and take a look at the assortment of products we offer for solving an assortment of problems.

“ You will see such a difference in your clothing with a good bra.” – A quote from one woman in the dressing room to another.

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Central Square • Linwood, NJ 08221 • 609 927 5572

Bridal

We carry everything a bride could need for her special day. Your dress is in, your fitting is near, and we have the undergarments to make it all work.While you’re here, you will notice we offer bridal chemise and peignoir sets, along with bridal sleepwear adorned with “Bride” in rhinestones that can be customized for your entire bridal party. We also carry playful Hanky Panky thongs in a rainbow of colors, a treat for the groom and much more exciting than a toaster!

We carry Wacoal, Natori, Hanky Panky, and many other fine brands. We want you to have the best for less.

Pajamas & Lingerie

Take the time for yourself to look and feel better- it will be worth it! Snuggle up at night with our cozy pajamas, cute robes, and warm matching slipper socks. If you’re a bride-tobe, the fun and sexy trend of Boudoir photography is boosting the sales of more feminine items. Betty, Phylis, and Leah will assist you with your entire under garment and lingerie needs.

“The perfect undergarment completes the perfect dress” 199 New Road Suite 9 Linwood, NJ 08221 609 927 5572

Experts suggest you have a bra fitting once a year. When was your last fitting?

199 New Road. Suite 9 • Central Square • Linwood, NJ 08221

609.927.5572

“You will see such a difference in your clothing with a good bra.”- A quote from one woman in the dressing room to another.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Wicker

Rattan

THE WICKERY Family Owned & Operated Retailers of Wicker, Rattan & Resin Furniture Since 1986

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30 Flint Road, South Toms River, NJ 08757

732-286-2322 www.thewickery.com

Book Corner

hours: Closed Mondays Tues, Thurs-Fri: 10am-6pm Wednesday: 1-6pm Sunday: 11am-4pm

direCtions: GSP Exit 81. Follow signs for 527 South, RIGHT after Toms River Post Office onto Irons/166, LEFT on Herflicker, RIGHT on S. Main & LEFT onto Flint Rd.

VIP Dinner & Book Launch for Author and International Book Awards Finalist Gwen Miller’s “Echoes of Silence: Letters to a Drug Addicted Mother from the Woman Who Took Her Place” When: Thursday, August 27, 2015 Where: Algonquin Theater Manasquan VIP dinner prior to event.

Contact information: Judi@willowwindpublishing.com or the Algonquin theater in Manasquan at 732-528-9211

Time: VIP dinner will start at 6pm

Book launch & gift auction immediately following.

Gwen Miller

All proceeds will go to CASA of Monmouth County and Hope Sheds Light of Ocean County

About the Book... Gwen unfolds a story of hope and heartache as she attempts to connect with her drug addicted niece, Melissa, to help her find her way back to her babies. As time passes, more and more discoveries are made of the horrors and abuse inflicted upon her children. Hope turns to despair as Gwen is overwhelmed by the task of healing these traumatized youngsters. Her appeals to the mother fall on deaf ears as the words come tumbling back leaving nothing but Echoes of Silence.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

CASA C ommunity

C ommunity Ready to Stand Up for a Child Who Needs You? 62

63 63

CASA VolunteerTraining Training Abused CASAandIsIs Gearing Gearing Up Up For ForSummer Spring Volunteer neglected Submitted by: CASA of Ocean County, Inc. children need Abused more and than the neglected children need system can more than provide:

system girl rescued from an •the A six-year-old can provide abusive father only to be bounced • A six-year-old girl homes rescuedand fromsixan around to eight foster abusive father only to be around different schools over thebounced course of two to eight foster homes and six different years. over the separated course of two •schools Four children fromyears. one • Four children separated from another and placed in different one another and different locations afterplaced theirinmother waslocations jailed. their mother was jailed. •after A young boy prescribed 12 different • A young boy prescribed 12 different psychotropic medicines by healthcare professionals who have no access to his medical records or ability to follow-up on his

psychotropic medicines by healthcare professionals who have no access to his care. medical records or ability to follow-up • A teenage on his care. girl kicked out of her and forced to sleep onofa cot •house, A teenage girl kicked out her in the hallwayand of aforced group home until turned house, to sleep on she a cot in 18—when all her possessions were handed the hallway of a group home until she to her in18—when a garbage bag as she was officially turned all her possessions “agedhanded out” of the system. were to her in a garbage bag These not isolated They as she wasare officially “agedstories. out” of theare everyday realities of children in the foster system. care and child welfare system. A system These are not isolated stories. They full everyday of devotedrealities and deeply caring people are of children in the that is simply too overburdened and foster care and child welfare system.under A resourced theand rights and needs system fulltoofprotect devoted deeply caring of vulnerable people that ischildren. simply too overburdened The solution is a CASA volunteer—a and under resourced to protect the specially trained advocate, appointed by a rights and needs of vulnerable children. judge, who fights for the rights of children during the most vulnerable time of their young lives. A trusted adult empowered to ensure that each child is well cared for—

Have a chance to Volunteer & Give Back by raising funds and awareness for a local charity in CASA of Ocean County Seeks each of the towns we Members visit. Fundraising Committee

August 29, 2015 CASA of Ocean County is currently recruiting volunteers to serve as Fundraising Committee Members. Committee members will help us reach CRAZY FUN our commitment to ﬁnd safe, nuturing, and permanent homes for the more REGISTER NOW than 400 children throughout Ocean County who have been removed from CHALLENGING RUN! their homes because of abuse or neglect. Website: http://insaneinflatable5k. com/brick-township-nj/ Promo CASACAN IFCode: YOU

ON WEBSITE! (ALSO HAVE TEAM REGISTRATION)

OUR FOSTER CHILDREN

• Serve 5K for isone year NEED TO THRIVE NOT The Insane Inflatable coming JUST SURVIVE!!! • the Give about to your neck of woods! Getfive ready a month to experience thehours most fun, wild and NO MINIMUM AGE insane obstacle run in the world. Get • Attend monthly meetings REQUIRED! up” on for behalf a course •“pumped Advocate filled with the world’s of our children YOU CAN PICK largest and most extreme YOUR OWN TIME OR inflatable obstacles ever AN ALL You may be qualiﬁed! PURCHASE produced. ACCESS PASS! (8:45AM-12:00PM)

Here’s your chance to EVENT be a kid at heart,contact and Vicki Weiss If interested, please at DAY INSTRUCTIONS LOCATED insane by choice! 732-797-0590 for more information. ON WEBSITE

For other volunteer opportunities visit www.oceancountycasa.org for more information.

INSANE INFLATABLE

The solution is a CASA volunteer—a specially trained advocate, appointed able find awho safe,fights loving,forpermaby atojudge, the rights of nent home. children during the most vulnerable Butofnearly percent of A thetrustedSAVE THE DATE!!! time their 90 young lives. Friday June children in our community June5th 6 adult empowered to ensurewho that eachFriday, need a CASA volunteer do not CASA’s Fifth Annual child is well cared for—able to find a have Over 600 children in Food and Wine safe, one. loving, permanent home. Ocean don’t have the of the Tasting ButCounty nearly 75% percent hope a CASA volunteer can offer. children in our community who need a Held at the CASA volunteer do not have one. Beachwood Over Community Center We won’t rest until every 700 children in Ocean County don’t Visit our website at child has a CASA Save the Date for Friday, June 6 for CASA’s Fifth Annual have the hope a CASA volunteer can www.casaofoceancounty.org Food and Wine Tasting volunteer. attorneys, social workers and others. offer. for information on all future events. Held at thefundraising Beachwood Community Center Stand up for these children. They use the information they gather Visit our website at www.casaofoceancounty.org for Stay as we until fight to every Weconnected won’t rest information onothers all future fundraising events. to inform judges and of what the ensure has a safe,volunteer. permanent, childevery haschild a CASA child needs and what will be the best loving home. Volunteer Your Time to Stand up for these children. Stay permanent home for them. Change a Child’s connected as we Life! fight to ensure every Nobody longs for a safe and loving child has a safe, Who Can Be a Volunteer? family more than a child in foster care. As permanent, You do not have to be a lawyer or a CASA volunteer, you are empowered by loving home. social worker to be a volunteer. We the courts to help make this dream a realVolunteer welcome people from all walks of ity. You will be the one consistent adult in these children’s Your Time lives, vigilantly fighting life. We are simply looking for people for and protecting their fundamental right who care about children and have to Change a common sense. As a volunteer, you to be treated with the dignity and respect will be thoroughly trained and well Child’s Life! You will not only every child deserves. come peopleby from all walks ofstaff life.to Wehelp are supported professional bringNobody longs for a safe and loving positive change to the lives of these simply looking for people who care about family more than abut child foster vulnerable children, alsointheir children you through each case. You must pass and have common sense. Asinaa a background check, participate care.generations As a CASAtovolunteer, are so, children and come. Andyou in doing you will be thoroughly trained 30-hour pre-service training course and empowered byyour the courts to help make volunteer, you will enrich life as well. and well supported by professional staff this dream a reality. be the one agree to stay with a case until it is closed WhatYou Dowill CASA to(ahelp each case. You must yearyou andthrough a half on average). consistent adult Volunteers in these children’s Do? lives, pass a background check, participate in a vigilantly fightingCASA for and protecting volunteers listen Interested intraining helping 30-hour pre-service course and their fundamental right to they be treated first. Then act. agree to stay with a case until it is closed with the dignityVolunteers and respectgetevery children but not ready to (a to know year and a half on average). child deserves. You only bring the will childnot by talking with commit to becoming an positive change to the lives of these everyone in that child’s Interested in helping children advocate? vulnerable children, but alsoand their life; parents relatives, but not ready to commit to Then consider sponsoring a children and generations to come. And foster parents, teachers, medical profesbecoming advocate? child and an providing them with in doing so, you will enrich your life as sionals, attorneys, social workers and otha CASA of their own. Please well. Then consider sponsoring a childcall and ers. They use the information they gather our office today to become a providing them with a CASA of their What CASA Volunteers Do? to informDo judges and others of what the volunteer or sponsor child. Please call our officeatoday to CASA listen Then child needsvolunteers and what will be first. the best per- own. Please call the become a volunteer or sponsor a child. they act.home for them. manent Director, Please callExecutive the Executive Director, Vicki Who Volunteers get to know the child Can Be a Volunteer? Vicki Weiss Weiss, at 732-797-0590 orat visit our by You talking withhave everyone that or do not to be ain lawyer 732-797-0590 or visit our website website at www.casaofoceancounty.org child’sworker life; parents relatives, social to be a and volunteer. We foster welat www.casaofoceancounty.org. parents, teachers, medical professionals,

Vicki Weiss, executive Director cAsA of Ocean county 1108 Hooper Ave. Bldg. 1 Suite C Toms River, NJ 08753 Phone: 732-797-0590 • Fax: 732-797-0594

Court Appointed Special Advocates (CASA) of Ocean County, Drum Sportsnon-proﬁ Complex Inc.Point is an independent, t organization committed to advocating best interest of at risk childrenNJ in out-of-home 41 Drum Point Roadfor •theBrick Township, 08723

CASA OF

placement who are victims of abuse and neglect. The CASA volunteer serves as the child’s voice in court and is committed to Website: http://insaneinflatable5k.com/locations/ moving the child towards a safe and permanent home. O C E A N C O U N T Y, I N C .

August 29,2015- Jersey Shore, NJ – Etc.

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

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July/August 2015 May/June 2014 May/June 2015

Women Of Ocean County

Patty Shannon, Owner Copy Fax + by The Wordstation Patty was born and raised in Ventnor, New Jersey. She graduated from Montclair State College. She lives in Brick with her husband, Brian, and son, Tom, who also work alongside her. She worked as a professional proofreader and an administrative assistant. Wanting more flexibility when her son was born, she began The Wordstation in 1989 in her home in Avon-by-the-Sea, soon moving into office space. After 20 years in Avon, they moved the office to Brick as Copy Fax + by The Wordstation. Patty types everything from letters to full-length book manuscripts. “I’m amazed by the creativity of my authors. I never rewrite; I just correct grammar, spelling, and punctuation.” She proofreads for writers, court reporters, and pharmaceutical ad agencies, gaining a large medical vocabulary. Other services include transcribing recorded phone interviews or municipal meetings for insurance agencies and lawyers. She really enjoys meeting people at her office and is always happy to take care of customers, whether they need a single photocopy or hundreds, or want to send a fax. She is also a notary public. She can be reached by calling 732-477-4800, or wordstation@comcast.net.

Beth S. Kane, M.S.W., LCSW, DBTC Marin Integrative Therapy, LLC Beth is a licensed clinical social worker who grew up on the Jersey Shore. She graduated from Rutgers University with her master’s degree in social work after feeling her entire life she was meant to help people. It’s been a lifelong endeavor. Beth has experience working with people of various ages, beliefs, and cultural backgrounds in the medical and mental health fields. During her career, she worked with those who suffer from chronic and severe medical illnesses and was the Director of an outpatient mental health program for many years. Also, Beth is an avid animal lover being owned by several dogs and her cat, many of whom are rescues. Her love for animals led her to become a Certified Pet Loss Counselor. Beth is the co-owner of Marin Integrative Therapy, LLC with her husband, Kevin, who also is an LCSW. Their practice offers a variety of counseling services as well as complementary services such as weight loss, writing groups, and meditation. Beth can be contacted at (732) 244-2210, or please visit her website at www.mitcounseling.com.

Photo by Tracy Harman Photography

Kathy A. Banks, DMD

Laura Cole Abstrax Hair Designs and Hair Replacement Laura began working in the salon when she was just 14 years old shampooing clients. One year later her mother opened her first salon where she continued to work after school. She enjoyed it so much that she enrolled in beauty school prior to graduating high school. Laura has been certified in hair replacement for 20 years. She has been a member of the Professional Beauty Association for 38 years and has been elected Board Director of the American Hair Loss Council. She has recently received her certification in Trichology, the science of hair and scalp health. Trichology brings together cosmetology and dermatology concepts to enable you to identify scalp disorders and offer solutions to clients. Laura also specializes in hair extensions, vegan smoothing treatments, straighteners and coloring. In addition, she continues to attend educational seminars constantly in order to educate clients of products, techniques, and the latest styles that the industry has to offer. In addition to her fulfilling career, Laura has a wonderful husband and two beautiful children. She enjoys gardening and spending time with her family. You can contact Laura at Abstrax Hair Designs at (732) 255-1733 or visit www.abstraxhairdesign.com

Practice Limited To Oral & Maxillofacial Surgery Dr. Banks is a graduate of Rutgers University College of Arts and Sciences, Camden with a B.A. in Biology, and Temple University School of Dentistry, Philadelphia. She completed a one year Advanced Education in General Dentistry Residency Program at the University of Medicine and Dentistry of New Jersey in Camden and Stratford, NJ, and then completed a four year PostGraduate Residency Program in Oral and Maxillofacial Surgery at the University of Medicine and Dentistry of New Jersey in Newark. She is a Diplomate of the American Board of Oral and Maxillofacial Surgeons and the American Board of Dental Anesthesiology. She is a member of the dental staff at Jersey Shore University Medical Center in Neptune, New Jersey and is involved with teaching the postgraduate GPR residents in the clinic and in her private office setting. She has been instrumental in the development of several New Jersey State Board of Dentistry approved continuing education courses offered by J.S.U.M.C. Department of Dentistry Continuing Education Department for dentists, hygienists and dental assistants. To schedule your appointment with Dr. Banks, call 609-488-2325 or visit www.drbanksoms.com.

Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

Photo by Tracy Harman Photography

July/August 2015

Women Of Ocean County Nancy Rice, Esquire, CELA Rice Elder Law Nancy Rice is an Elder Law and Estate attorney with two offices in New Jersey: Ocean City and Cherry Hill. She has been practicing law in New Jersey and Pennsylvania for over 25 years and is passionate about finding creative solutions for her clients and their families. Her firm, Rice Elder Law, focuses on Wills, Trusts, Estates and planning in the event of disability. Nancy believes it is important to provide a welcoming atmosphere in her firm- one that is both friendly and professional. Nancy was born and raised in Pennsauken, NJ. She majored in Psychology at Chestnut Hill College, then received her law degree from Villanova Law School. Nancy currently resides in Ocean City and has two children, Sean and Meghan, and a dog named Mitzi. Her favorite hobby is boating in the spring and summer on her boat, Crabe Diemoften with Mitzi! Additionally, Nancy loves to travel and cook for her friends and family. For more information, please call 856-673-0048 or visit www.RiceElderLaw.com and take a look at our videos.

Mariah Sykes, MS, PA-C Physician Assistant, Center for Surgical Weight Loss & Wellness at ARMC

Mariah Sykes, MS, PA-C, is a physician assistant (PA) at the Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center. In this role, Mariah works primarily in the operating room as a first assistant to the surgeon. Mariah’s philosophy is to treat each patient as she would want a member of her family to be treated. Her goal is to ensure that every patient receives individualized attention and a great experience from AtlantiCare. She enjoys working with bariatric patients, in particular, because “these individuals become AtlantiCare patients for life and it’s very rewarding to see firsthand how their lives have changed for the better. It’s more than just weight loss; some patients are now able to exercise, resolve their diabetes, or get off their blood pressure medications.” Mariah earned a B.S. degree in biology from Boston College and a master’s degree in physician assistant studies from the Philadelphia College of Osteopathic Medicine. Mariah and her husband recently fulfilled their dream of moving back home to Ocean City, where Mariah was born and raised. She enjoys traveling the world with her husband and spending quality time with her family on the beach. Call1-888-569-1000 or for more information visit www.AtlantiCare.org.

Photo by Donna Andrews Photography

Jill Collier, M.D.

Christine L Matus, Esq.

Jill was born in Newark and raised in East Brunswick, graduating East Brunswick High School in 1982. She attended college at the University of Pennsylvania, graduating with a degree in Biology. She was Phi Beta Kappa and graduated Magna Cum Laude. Jill earned her medical degree at The Mount Sinai School of Medicine in New York in 1990. She was a member of the honor society Alpha Omega Alpha. She completed her medical residency at Mt. Sinai. Her gastroenterology training was completed at Albert Einstein/ Montefiore Medical Center in the Bronx. She was one of the first two women accepted into the 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 for the past five years. She has performed over 15,000 procedures during her career. She is on staff at Community Medical Center and Ocean Medical Center, and has offices in Toms River, Brick and Forked River. Dr. Collier is a former chairperson of the Department of Gastroenterology at Community Medical Center. Jill has been married to her husband, Douglas for over 20 years. They have two beautiful children. Dr Collier and her family reside in Toms River, where they are very active in the community. She enjoys skiing and traveling with her family and being involved with her children’s activities. Dr. Collier can be reached at 732-3494422 or visit www.gastroofocean.com for more information.

Photo by Tracy Harman Photography

The Matus Law Group

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 Vice President of 21 Plus, Incorporated, Secretary to MOCEANS, Inc, Ocean YMCA, The Jersey Shore Down syndrome Association, a member of the Central Ocean Rotary, former board member of the American Cancer Society. 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.

The County Woman Magazine www.TheCountyWoman.com

Photo by Tracy Harman Photography

July/August 2015

Women Of Ocean County

Christina Gilson, DPT

Laurie Greisch

Physical Therapist, All-Care Physical Therapy Center

Christina is a physical therapist for All-Care Physical Therapy Center, splitting her time between the Brick facility and treating patients in their home. Christina feels that in-home physical therapy is a wonderfully satisfying field in which she is literally stepping into someone’s life & making a difference. Personally, Christina is married to a wonderful man named Dan, who is a pediatric physical therapist. They have twin boys who are very involved in their hometown of Beachwood’s recreational sports. As a family they love the outdoors; camping, fishing, and kayaking. Christina received both her Masters and Doctorate degrees in Physical Therapy from Stockton College. She has worked in acute care, rehab, and outpatient settings since graduating. She became a Certified Integrated Manual Therapist in March of 2013. This certification allows her to provide a more holistic approach to her treatment plans. Christina is also a certified LSVT BIG clinician; a program designed to improve movement in people with Parkinson’s disease. Christina is always looking for ways to improve her own skills as a therapist and thus to be an even better clinician for her patients. For more information about AllCare Physical Therapy Center, please visit our website at www.allcareptc.com or call 1-855-3ALLCARE.

Nurse Practitioner, Premier Pain Centers Laurie Greisch received her Bachelor of Science in Nursing from Seton Hall University in 2004 and her Master’s of Science in Nursing from the University of Medicine and Dentistry of NJ in 2007. Laurie also holds a Bachelor of Science in Exercise Science and Sports Studies from Rutgers University. She is nationally certified by the American Academy of Nurse Practitioners. She began her practice as a Nurse Practitioner in 2007 and has extensive experience in the fields of pain management, emergency care, urgent care, mental health and family practice. Laurie has joined our team in evaluating and treating patients with acute and chronic pain syndromes. Her past experience has given her the tools to diagnose and develop treatment plans for our patients. In her spare time, Laurie loves spending time with her family enjoying outdoor activities. For more information, call 732-380-0200 or visit www.premierpain.com. Photo by Tracy Harman Photography

Photo by Tracy Harman Photography

Christina Gillespie, MD

Heidi Runne Administrator at Spring Oak of Toms River

Heidi Runne grew up in North Bergen and moved to Ocean County 15 years ago to raise her three children. After 12 years in banking, Heidi made a career change in 2004 and started with an Assisted Living facility in the Business Office. Knowing that this is what she wanted to do, Heidi became a Certified Assisted Living Administrator in 2007. As the Administrator at Spring Oak of Toms River since 2009, Heidi strives to give all of her residents a sense of well being and of belonging to a community. It is important that all residents feel that Spring Oak is their home while maintaining their independence and having the knowledge that the staff is always available, offering them and their families a sense of peace and security. Spring Oak is able to offer 4 types of services, Independent Living, Independent Living with enhanced services, Assisted Living and Memory Support, which allows them to help many seniors. Heidi enjoys being a part of a dedicated team of professionals who put the residents first and strive to make the residents lives better by offering the best they have to give. In her spare time Heidi enjoys spending time with her children, grandchildren and fiancé. For additional information regarding Spring Oak of Toms River and the programs offered please contact Heidi at 732-905-9222 or visit www.springoaktomsriver.com.

Ocean Otolaryngology Dr. Christina Gillespie is a board certified Otolaryngoloigist who has been in practice in Toms River since 2013. She completed her internship and residency in Otolaryngology at Walter Reed Army Medical Center. Before moving to Toms River, she served as Chief of Otolaryngology at William Beaumont Army Medical Center in El Paso, Texas for eight years. At Ocean Otolaryngology, Dr. Gillespie sees patients of all ages with a variety of medical problems. Her specialties include pediatric otolaryngology, sinus surgery, and surgery for sleep apnea. She also treats common medical conditions such as hearing loss, tinnitus, hoarseness and chronic cough. In addition, Dr. Gillespie is also involved in the American Academy of Otolaryngology, American Academy of Otolaryngology Allergy and the American Rhinologic Society. Dr. Gillespie resides in Monmouth County with her husband and daughter. She enjoys spending time with her family as they explore the Jersey Shore. She is also an avid tennis player. To contact Dr. Gillespie, please call Ocean Otolaryngology at 732-281-0100 to make an appointment. You can also visit www.oceanentfacialplastics.com. She sees patients at offices located in Toms River and Whiting.

Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

Photo by Tracy Harmans Photography

July/August 2015

Community

 Printerest  Congratulations, Dr. Newkirk! 34th Anniversary of Practicing Veterinary Medicine May you have many more! From the staff of Newkirk Family Veterinarians EHT office: 609 645 2120

The Educational Foundation of the Brick Township Chamber of Commerce is celebrating its 25th anniversary of giving this year. To mark this special anniversary, they are awarding scholarships that total $25,000 to eighteen (18) recipients for post-secondary education. The Brick Twp. Chamber of Commerce has awarded scholarships continuously for twentyfive (25) years and in that time has made awards of close to $200,000. This year’s awards mark the greatest dollar amount given in a single year. To find out more about this program or to make a donation to this 501 © 3 charitable program, you can visit www.brickchamber.com or call them at 732.477.4949.

ing of the n e p O d n Gra e studio & n i N a g o new Y s y Wellnes d o B a h d Bud h Beach, t r o N n i Center Ventnor! c Avenue i t n a l t A 5301 le er of Litt n r o c e h t on Atlantic. Rock and

Congratulations ♥ Ava Holly Lewis ♥ & Art Korth! ♥ ♥ To be married aboard the River Queen on July 13th ♥ after 13 years of togetherness ♥ On the 14th anniversary ♥ of meeting online, Art & Ava are ♥ ♥ finally tying the knot! ♥

♥ ♥ ♥ ♥ ♥ Happy Silver ♥ Anniversary! ♥ Andy & Michelle ♥ Verbit: ♥ ♥ celebrating 25 years of marriage ♥ ♥

♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ ♥ Celebrating 65 years of marriage in August ♥ Happy Anniversary, ♥ ♥ Betty & Sam Korth! ♥ ♥

Congratulations, Jeffrey Morse! Schalick High School Class of 2015

Congratulations on Yo

Retirement, Nancy! Ann “Nancy” Kelly retire d this year after 37 yea Good luck in your rs working in education. Nancy work ed in ma future as a Township, including Ol ny schools throughout Wall dM education teacher, social ill, where she was a special firefighter and have a very worker and school couns Wall Intermediate Scho elor; ol, where she worked as happy birthday as well! a social worker and school couns elor; and the Wall Prim ar School. Nancy ran the Campership Program for y Lots of Love, Meghan 25 years, and earned nume rous awards including the NJSCA, YMCA and SC W retirement Nancy! Your . Congratulations on your family, friends and collea Karen Brundage-Joh Retirement gues nson, are proud of you! Party! Egg H

arbor Township Class of 2015! Congratulations in su ccessfully completing your Asso ciates Degree in the American Bar Associationapproved Paralegal Studies Program at Atlantic Cape Com munity College, with honors, and obta ining your MBA. Next, the JD!

The Old Mill staff Nancy in her Wall Intermediate Of fice

The County Woman Magazine www.TheCountyWoman.com

Nancy and he Peyton, at the r niece, Primary SchooWall l

July/August 2015

Acupuncture cupuncture A

Getting Straight to the Point about Acupuncture FAQs What is acupuncture? Acupuncture is a treatment involving the insertion of ﬁne needles into the skin to relieve symptoms (such as pain), strengthen the body’s immune system and balance the body to facilitate healthy body function.

How does it work? Acupuncture works by stimulating the body’s qi (pronounced chee). Qi is the body’s life energy. It flows throughout the body in a series of channels. Each channel is connected with a specific organ and has specific physiological functions, as well as emotional and spiritual components. When the qi flow is disrupted the body can experience dysfunction, ill health and/or pain. When the qi is flowing freely through the channels all body functions, such as Sleep, Digestion, Energy, Immunity, Concentration, and Mobility are enhanced.

Does it hurt? Submitted by: Keith Koehler, MAOM, CA Koehler Acupuncture Acupuncture, and Chinese Herbal Formulas

The insertion of the needle is generally painless. Many patients do not even realize when the needle has been inserted. This is because acupuncture needles are solid and hair- ﬁne, unlike a medical hypodermic needle, which is thick and hollow. Once all of the needles are in place, the patient usually becomes very relaxed. The lights are dimmed and gentle music is played. Many patients fall asleep during the treatment.

How long is a treatment? During a treatment needles are retained for twenty to forty minutes, depending on the patient and the condition being addressed.

How many treatments does it take to feel relief? Some patients feel some relief after the ﬁrst treatment. Typically, patients feel some consistent relief after three to ﬁve treatments. It is usually recommended to receive two to three treatments for two to three weeks, followed by an evaluation to determine the need and/or frequency of further treatment. Complete relief varies from case to case. In general, acute symptoms resolve quicker than chronic or complex conditions.

Is it safe? Yes. All needles are pre-sterilized, and packaged for single used. During treatment, the acupuncturist opens the needle packages and inserts the needles, using proper clean needle technique. When the treatment is over, the needles are removed and placed in a biohazard container, just like at a hospital or doctor’s ofﬁce.

Does insurance cover acupuncture? Most insurance companies have plans that cover acupuncture, though coverage varies from plan to plan. The best way to ﬁnd out if you have coverage is to come in for a consultation, and let the acupuncturist verify your beneﬁts with your insurance company.

Who can be treated with acupuncture?

Koehler Acupuncture 128 Drum Point Road Brick, NJ 08723

732-262-0637

www.KoehlerAcupuncture.com

Everyone from infants to seniors can be treated with acupuncture. Treatments vary accordingly. Infants and toddlers may be treated with acupressure techniques or acupuncture with no needle retention. Children tend to respond very quickly to very little stimulus. With adults and seniors, sensitivity and response to treatment varies, therefore different treatment techniques can be used to achieve the best results for each individual.

What is the most common condition people get treated with acupuncture? For adults and seniors, pain is the most common complaint. Low back pain tops the chart, followed by neck, hips and knees. For children, the two most commonly treated complaints are digestive (colic) and respiratory (asthma and allergies) conditions.

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July/August 2015

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Hair Replacement

~ A Hair Salon that Makes a Difference ~

hen Gerry Hergert named her salon Abstrax Hair Designs, she was thinking of the prime listing she would receive in the telephone directory. “At that time, yellow pages advertising were a large part of our marketing, representing a hefty monthly expenditure. Our name afforded me a prime, first listing location,” she says. The salon has come a long way since those early days, weathering many changes and growth. Her business has now become one that makes a lasting impact on her customer’s lives. Abstrax specializes in hair restoration services and will custom-design your hair loss remedy. She adds, “We make you the person you were before your hair loss because we offer many solutions to this single problem.” By considering your unique pattern of hair loss, your age and your hair’s natural growing patterns and tendencies, we will develop an individualized solution, tailored to your needs and allow you to look like you again.”

✺ CW: How did you get started in this industry?

Gerry Hergert: After I graduated high school I immediately enrolled in Franklin Beauty School in Elizabeth. I worked part time while going to school and after graduation worked in a salon full time until I had my children. I resumed working part time in several salons until 1976, when I achieved my life’s dream of opening my first full service salon. We named it, A Beauty on the Mall and had ten hair stylists and two nail technicians.

What other schooling did you have? ✺ CW: Gerry Hergert: I attended Christine Valmy School in New York to study

dermatology and after receiving my certification as an Esthetician; we introduced skin care into the salon.

When did you change your location? ✺ CW: Gerry Hergert: As time progressed, our anchor store, Shop Rite, along with ten busses per day traversing the mall relocated to the other side of town. Due to the tremendous loss of businesses, The Tavern on the Mall an adjacent business was sold to an inexperienced proprietor who turned the Tavern into a Gentlemen’s Club, which was not very good for my business. This precipitated my relocating efforts. To counteract these events, I purchased my own building in 1989, which officially made me a landlord.

How did you get into the hair loss arena? ✺ CW: Gerry Hergert: After being in business for 14 years we started looking around for

Gerry Hergert

Owner & Trichology Specialist

something to enhance our business, something that we could apply our years of experience in the hair industry to. At this time, I noticed there were a number of men wearing hair that in my opinion did not match their color correctly and was not blended in right. As a cosmetologist, I thought I could do a better job. Additionally, I had a number of clients dealing with cancer who were suffering from hair loss. I was interested in helping them so I began looking into hair loss and its remedies. I received an invitation from the American Hair Loss Council to a conference pertaining to hair replacement in New Orleans. This was the same year we purchased our first hair graft and joined the American Hair Loss Council. I began networking in the industry and met several council members. I found being a council member beneficial as it allowed me to discuss many different aspects of the hair loss business. Finally, in 2012 I received my Masters Hair Replacement Specialist Certificate issued by the American Hair Loss Council.

How is Abstrax Hair Designs different today? ✺ CW: Gerry Hergert: Two years ago we made several major investments. The first was

becoming a vendor for the Government, and as such, we are certified with The Veterans

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Wigs

Hair Replacement

~ An Interview With Gerry Hergert ~ Administration to provide hair prosthetics for Veterans both male and female, in the form of hair graphs and hair extensions. I find this to be the most rewarding part of my business, being able to support our servicemen and women in their hour of need. We also support cancer patients with wigs and hair graphs while they are going through chemotherapy or radiation treatments.

Tell us about some of the different organizations ✺ CW: you are a part of.

Gerry Hergert: We belong to many different organizations such as “Children with Hair Loss” and we are considering joining the National Alopecia Areata Foundation (NAAF). This is how networking works: we met Miss Delaware, Kayla Martel who is a spokesperson for The Children with Hair Loss and NAAF. We have started networking with the local Oncology Nurses Society, which allows us access to the local hospitals and their cancer patients. We represent the Lindt Skin Care Products, which were developed specifically for cancer patients.

Tell us about your work with Trichology. ✺ CW: Gerry Hergert: Last year we became a Capilia Head First Center, one of

46 centers in the United States and the only Capilia Head First Center in New Jersey offering Trichology. Professional hairdressers often observe clients who are very concerned about their thinning hair and scalp problems. However, since hairdressers are not technically trained to identify and treat these issues, the client’s problems often go untreated. Trichology is the scientific study of

the health of the hair and scalp. This science brings together cosmetology and dermatology concepts, to allow us to identify scalp disorders and offer solutions to clients in a proven, professional way. The science of Trichology has been around for many years but has been ignored for a long time. It has helped thousands of people suffering from hair loss and scalp issues. We became aware of Trichology through our networking with the American Hair Loss Council and Capilia, which is the leading Hair Loss Professional Group in Canada. In conjunction with Novera International and Laboratoire Nature we have become Certified Scalp and Hair Specialists. This allows us to offer hairstyles and extensions, color, frostings, perms, scalp care, and hair loss solutions to a much higher standard then previously before. Abstrax Hair Designs has come a long way since their days of “prime real estate” in the yellow pages. They have recently relocated to their own professional building with additional space in order to provide increased privacy for their male and female hair replacement clientele. This new location offers a private entrance for their male clients. They are members of the Toms River and Lakewood Chamber of Commerce and interestingly enough, have recently become a Vegan Salon. All of their hair colors are Vegan and the smoothing system is also a Vegan product. It is quite obvious that Gerry Hergert has found her niche in this industry and she brings to it an enormous amount of passion.

To schedule an appointment with Gerry, call 732-255-1733.

NJ Hair Restoration Specialists

Style for Everyone

Hair Restoration • Precision Cuts • Wigs Perms • Coloring • Foils • Up Dos Manicures and Pedicures Waxing and Eyelash Extensions • Make Overs We are a Member of:

We have real solutions! Seize the unique opportunity to discuss all elements of hair design with one of our hair restoration specialists.

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Community

SCAN Offers Information, Empowerment, and Inspiration

CAN (Social Community Activities Network) is an adult social education and resource center founded in 1988, headquartered on the basement level of Monmouth Mall. The name reflects the action-oriented profile of its members and the vibrancy and social networking strength of the organization. The main draw of membership, which is open to anyone aged 50 and over, is the opportunity to socialize and stay healthy. SCAN is a place “where active adults meet to be Informed, Empowered and Inspired.”

Take Control of Your Health Fair Presented by

*** 2015 Event Sponsor ***

Investors Bank ** Sponsors **

Monmouth Mall Monmouth Medical Center New jersey Natural Gas/Save Green Asbury Park Press Atrium at Navesink Harbor / Beacon Health & Social Services Captel Outreach / Comfort Keepers of Central Jersey Garden Hills Residence-CIS / Healthsouth Rehab Hospital of Tinton Falls Horizon Blue Cross Blue Shield / King Manor Care Center Laurel Bay Health & Rehab / Monmouth County Division of Aging, Disabilities & Veteran’s Services / Ocean Orthopedic Associates Pharma-Care / United Health Care / VNA Health Group Williams Lift Company

King Manor Care Center, Laurel Bay Health & Rehab, Monmouth County Division of Aging, Disabilities & Veteran’s Services, Ocean Orthopedic Associates, Pharma-Care, United Health Care, VNA Health Group, and Williams Lift Company. Mark Your Calendars:

 SCAN is producing the 2015 Senior Citizen Art Contest and Exhibition and

we would like to extend an invitation to all Monmouth County Seniors to participate in this annual event. The show will be held at the Monmouth County Library Headquarters, 125 Symmes Drive, Manalapan, NJ and it will be organized by SCAN. The art show will run from August 5th to August 30th, 2015. Please call SCAN for additional details. SCAN will hold and display all 1st place winners at the SCAN campus in the Monmouth Mall from September 1st to September 18th, 2015. SCAN will host an Open House Art Reception Friday, September 11 from 1-3PM.

The Social Community Activities Network (SCAN) is located at 180 Route 35 in Eatontown (basement level of Monmouth Mall); for more information and a schedule of other upcoming events, call 732-542-1326 or visit www.scannj.com.

Take Control of Your Health  workshops will be held during the summer

so please call for details of locations and dates. TCOYH is a 6-week, evidence based workshop designed by Stanford University to help those with chronic conditions to better manage their symptoms and live life to the fullest even with their physical limitations. The workshop is facilitated by a team of trained Peer Leaders. Free computer classes are available for US Veterans every Wednesday. You must register in advance, so check the complete class listing at www.scannj.com. We are working with the Monmouth County Office on Aging Caregivers Department, and we have a free Caregivers Support Group at SCAN which is open to the public. Call for details. By popular demand, we have added a Parkinson’s Support Group with a professional facilitator which is open to the public. Join the group on 7/8, 7/22, 8/5, and 8/9. The Fall Semester of classes will begin on September 8. Details will be available at the end of August. Updates will be on our website at www.scannj.com. The Boscov’s Campus of Courses will run from September 14-October 9 and details will be available by the end of August. Updates will be on our website at www.scannj.com.

 

Pat Bohse

Executive Director

 On May 20th SCAN held its annual  Take Control of Your Health Fair at the Monmouth Mall. We had 24 vendors and

400 attendees. We want to thank our Event Sponsor, Investors Bank, and all of our Sponsors: Monmouth Mall, Monmouth Medical Center, New Jersey Natural Gas/Save Green, Asbury Park Press, Atrium at Navesink Harbor, Beacon Health & Social Services, Captel Outreach, Comfort Keepers of Central Jersey, Garden Hills Residence-CIS, Healthsouth Rehab Hospital of Tinton Falls, Horizon Blue Cross Blue Shield,



The County Woman Magazine www.TheCountyWoman.com

180 Route 35 • Eatontown (basement level of Monmouth Mall)

732-542-1326 www.scannj.com. July/August 2015

Adult Community

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

T ravel T ravel Travel ravel T

70 00 74

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The County Woman Magazine www.TheCountyWoman.com

July/August 2015

B usiness B usiness&F & Finance inance

Toms River - Ocean County Chamber of Commerce News

Welcome NeW members

Institute for Prevention/DART Coalition from the greater Toms River area. Our friends at M &Michele T Buldo Bank will be this year’s Event Sponsor. This is another 1691 greatUS Hwy. 9, Toms River, NJ 08754 It is hard to believe the holiday season is already upon opportunity us. The Chamber to network (while enjoying delicious fare, 732-886-4757, of course). fax: 732-886-4809 With our 22nd Annual Golf Outing successfully behind us, we www.instituteforprevention.org has had a busy fall season. In September we honored, The Jay & Linda Grunin are now in the best time of year to enjoy the many benefits of our Organizations/Charities/Non Profits th

Letter the Executive Director A from Letter from the President:

Foundation, as Distinguished Organization of the Year at our 50AndAnnual Awards in between, we hope that we all find some time to take beautiful coastal community. GTS Telephone, Inc. advantage of the many outdoor venues and events in Ocean Reception at Eagle Ridge Golf Club. We also gave special recognition “Wave Cassandra Pierce County this summer. tofor Ocean County Vocational Technical School, Ocean County College SoAwards” what’s upout next our chamber? On July 23rd, Brandywine 209 Center Street, Lakehurst, NJ 08733 732-323-8620, fax: 732-323-8660 Senior&Living hosting Businessat Before Hours event in their we had another successful CASAis of Oceana County that event. In October, www.gtstelephone.com With Toms River poised to partner with the residents and Maureen Stankowitz, Dina M. Vicari, Esq. outdoor courtyard at their Old Freehold Road facility. Proceeds from the Business After Hours at Tuscan Bistro Bar & our Technology Committee hosted Jeremy Grunin, Lotano Information TechnologyNoelle & businesses of the Barrier Island, we value the various restaurants, President Chairwoman event will benefitinformative one of our member non-profits - Hometown Heroes. continues to offer a varianother Seminar on Security. The Chamber TelecommunicationsExecutive Director Chairman hotels and motels, and real estate agencies who participate in our ety of networking opportunities for our members to take advantage of. Please join Wireless Zone of Toms River chamber from over the bridge.

usPlease for our General Membership Holiday Meeting on Tuesday, December 9, 2014 at Ramada Toms River where we will present Ocean join us! Denise Koerner 1334 Lakewood Road, Unit #36, County YMCA & Your Grandmother’s Cupboard with the “A Season of Giving – A Season of Living Award”. To register for this event Toms years River, NJevent 08755 Contact the office today to inquire about this We are also busily working on our 51st Annual Awards Reception taking place on www.oc-chamber.com News & Events Page. 732-818-0300, fax: 732-818-0122

at 732-349-0220.

Thursday, October 22nd at Waters Edge in Bayville. This year, we are recognizing Freeholder Vicari, as well as several other deserving business people and organizations

Welcome

TOMS RIVER-OCEAN COUNTY CHAMBER OF COMMERCE New Members GENERAL MEMBERSHIP HOLIDAY MEETING

www.wirelesszone.com/tomsriver Information Technology & Telecommunications

Gannett Co., Inc./Asbury Park Press Frank Cannamela 3600 Highway 66, Neptune, NJ 07754 Oceanaires Chorus,fax: Ocean County Chapter 732-643-3150, 732-643-2777 January/February 2015 Jim Donahue www.app.com Media River, New Jersey 08754 PO BoxNews 1686& Toms

honoring TOMS Savvy SeniorRIVER-OCEAN Discount Magazine COUNTY Sky Zone Lakewood www.TheCountyWoman.com CHAMBER OF COMMERCE Brad Wurtz, Vice President Joseph Panicci PO Box 4153 Brick, NJ 08723 Steven deHaan & 732-749-0569 www.savvyseniordeal.com WEDNESDAY, SEPTEMBER 17, 2014 1001 New Hampshire Ave, Lakewood, NJ 08701 Communications Media & Advertising -Advertising 609-398-4759 EAGLE RIDGE GOLF CLUB, 2 AUGUSTA BLVD, LAKEWOOD, NJ www.skyzone.com/lakewood/Home.aspx with Social Splash Guru SocialTrend Internet Solutions, LLC Entertainment & Leisure - Amusements “A Season of Giving - A Season of Living Award” Natalie Adias Dawn Malinowski Special Recognition Award: December 2014 1900 Tuesday, Stratford Court, Toms River, NJ9,08753 93 James Street, Toms River, NJ 08753 ~ Business Beautification908-910-1306 of the Year ~ Non-Profit Partner of the Year ~ Business Partner of the Year 732-237-6027 www.socialsplashguru.com at www.socialtrendinternetsolutions.com Sponsorships-Submit by AUGUST 28, 2014 Technology Services - Web Design/Social/SEO Ramada TomsServices River, 2373 Route 9, Toms River Technology - Web Design/Social/SEO ( ) COCKTAIL RECEPTION SPONSOR - $2,500.00

Bubbakoo’s Burritos Woman Magazine Gerry Miguel 1311 Route 37 West, Toms River, NJ 08755 732-914-8226 www.bubbakoos.com Food Services - Restaurants

Ocean County YMCA

Your Grandmother’s Cupboard

Registration 11:30 a.m. ~ Buffet Lunch 12:00 p.m.

*10 Reception Tickets *your name on signage as Cocktail Reception host at Event *special at dinner *premium full ad inIvirtual Sponsored Bank Grecognition R E A T E R location T by: O TD Mpage Scolor R V ad E journal R *listed on ad journal recognition page *recognition in all media and newsletters

C H A M B E Members R DRIVE O SPONSOR C -O M M E R CTables E Available $25.00 Cost: $35.00 Members / $40.00 •FLimited number of Exhibit (Non ) FLASH $2,000.00 *4 Reception Tickets *your nameby onVersatile signage as Flash Drive sponsor at Event Entertainment Event Designs *name on event flash drive *Full page color ad in virtual journal bring an unwrapped giftonfor a needy child - page any age (voluntary) *listed ad journal recognition

SAVE THE DATE Please

( )your HORSbusiness D’OEUVRE SPONSOR - $1,500.00 with card attached are welcome!

Door Prizes

*6 Reception Tickets *your name on signage as Dinner Sponsor at Event ****VIRTUAL AD JOURNAL TO *Full BE DISPLAYED EVENT**** *listed as Dinner sponsor in virtual ad journal page color ad inAT virtual ad journal

5 1 S T A N N U A L (Landscape Orientation Only) E P T (Portrait A W AOnly)R D S ( (Portrait ROrientation E C I OOrientation N Only) ) MAJOR SPONSOR - $1,000

Email your ad as an attachment( in) the following formats: JPEG/GIF/PNG to danielle@oc-chamber.com DESSERT SPONSOR - $1,500.00

*your name on signage as Dinner Sponsor at Event ___Full Page (color) 10” x *6 7”Reception - $100.00Tickets ___Half Page (color) 5” x 7” - $50.00 ___¼ Page (color) 5 ½ x 3 ½ - $25.00 *listed as Dinner sponsor in virtual ad journal *Full page color ad in virtual ad journal *4 Reception TicketsTO *your name on signage as Major Sponsor at2, Event DEADLINE ADVERTISE DECEMBER 2014 *listed on ad journal recognition page *Full page black & white in virtual ad journal

Please register online at www.oc-chamber.com NEWS & EVENTS PAGE

( )October AWARDS SPONSOR - 2015 $500.00 6:00 PM 9:00 PM Date/Time: Thursday, 22,info@oc-chamber.com or call: 732 349-0220 email: *your name on signage as Awards Sponsor at Event *half page black & white ad in virtual ad journal

732-503-8611 www.oceanaires.com Bahr & Sons Electrical Entertainment & Leisure Robin Bahr

82 Shorewood Drive, Bayville, NJ 08721

732-269-5333 Pinelands School of Practical Nursing & Construction & Home Services Allied Health, Inc. Crest Construction Jovita Francis, MSN, RNGroup, LLC. Scott O’Donnell 1333 Route 9, Toms River, NJ 08755 401 N. Main Street, 1st Floor, 732-228-7290 732-288-7497 PO Box 1035, Barnegat, NJ 08005 609-698-2122, fax: 609-698-2422 www.pinelandsnursing.com www.crestconstructiongroup.com Education/Training - Career Education Construction & Home Services TSYS Merchant Jewish Federation ofSolution Ocean County Ignacio Pereyra Naomi Levecchia 219 Sunset Drive North, 1235A Route Lakewood, Seaside70 Heights, NJ 08721NJ 08701 609-444-6223, fax: 609-798-0327 732-363-0530 www.jewishoceancounty.org www.tsys.com Non-Profit/Government Business Services Social Service Organizations

DVH Capital Ventures David Harak Division7 of Child Protection and Permanency Hometown Court, Lee Xenakis Little Egg Harbor, NJ 08087 732-803-3048, fax: 609-296-0386 1510 Hooper Ave, Suite 210, www.davidsdiscounts.net Toms River, NJ 08753 Internet & Web Services

732-255-5373 ext 2027 Scala Italian Deli & Government Catering Non-Profit/Government Agency Anthony Scala 896 Fischer Blvd, Toms River, NJ 08753 Brick Recycling Company 732-506-0099 Restaurants Mike Maestrey

2480 Old Hooper Avenue, Brick, NJ 08723

John F. Peto Studio Museum as Awards sponsor in journal **GENERAL MEMBERSHIP HOLIDAY *listed MEETING - R.S.V.P byadTuesday, Dec. 2, 2014** No Shows will be charged732-477-0880 ext 111 732-477-7588 Sally Gauntt

( ) SUPPORTING SPONSOR - $250.00

NAME(S):

*your name on signage as Supporting Sponsor at Event *quarter page black & white ad in virtual journal *listed as supporter in ad journal

Place: Waters Edge, Bayville, NJ

COMPANY NAME: ( ) RECEPTION TICKETS ~ $125.00 per person ADDRESS:

# of Tickets: ________________

Guest(s) Name:______________________________________________________________________________________________________ EMAIL: ________________________________________________________________________________________________________________________ I’D LIKE TO RESERVE AN EXHIBIT TABLE AT THE EVENT Company Name:_____________________________________________________________________________________________________ Address:______________________________________________________________________________________________________________ # ATTENDING: VISA/MC/DISCOVER/AMEX#: Phone:_________________________________Email:________________________________________________________________________

PHONE:

Honoring: Freeholder Joseph H. Vicari, Distinguished Citizen of the Year

EXP. DATE: AGREEMENT

SEC#:

PLEASE REGISTER ONLINE: WWW.OC-CHAMBER.COM TOTAL AMOUNT: DEADLINE FOR ADVERTISING: AUGUST 28, 2014

PAYMENT ENCLOSED $_____________ AD IN PDF to PRIZE Sponored by: UNWRAPPED GIFT FOR A NEEDY CHILD PLEASE EMAIL YOUR DONATE A FILE DOOR Payment Type (circle one): Check/Visa/MC danielle@oc-chamber.com TOMS RIVER-OCEAN COUNTY CHAMBER OF COMMERCE Card #:_________________________________________ TOMS RIVER-OCEAN COUNTY CHAMBER OF COMMERCE Exp. Date____/____ Hooper Avenue,NJ Suite08753 301, Toms River, NJ 08753 1415 Hooper Avenue, Suite 301,1415 Toms River, http://tomsriverchamber.com/newsevents.html Phone: 732 349-0220 Fax: 732 349-1252 info@oc-chamber.com Sec. Code______________ Phone: 732 349-0220 Fax: 732 349-1252 info@oc-chamber.com • www.oc-chamber.com

❑

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

102 Cedar Avenue, PO Box 1022, www.brickrecycling.com Island Heights, NJ 08732 Construction - Recycling Center

732-929-4949 www.petomuseum.org Northwestern Mutual Organizations/Charities/Non Profits

Ray Offenburger Immediate Medical Walk-In of Toms River 1670 Route 34, Suite Rey Bolic, Director2,of Marketing Wall, NJToms 07727 River Shopping Center 1 Rte. 37 West, Toms River, NJ 08753 732-586-8382 732-335-9400 Financial Services www.immcare.com Hospitals & Healthcare

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The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Theatre

&Entertainment

“Delicious! Distinctly Original and Powerfully Poignant. Great Comedy!” “I’VE HAD THREE GREAT OPENING ACTS IN MY LIFETIME:

BILLY CRYSTAL, GARRY SHANDLING, AND

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A J EW I SH T R AG E DY

– Huffington Post

Written By & Starring BRAD ZIMMERMAN

If you ever…longed for something, and desired it with all your heart, if you were willing to wait tables for 29 years to pursue your dream then…

“LIKE BILLY CRYSTAL’S 700 SUNDAYS!” – Jewish Week

“EASILY THE FUNNIEST SHOW TO HIT OFF-BROADWAY!” – The Forward

8TH SM ASH MONTH!

NJ COUNTY WOMEN DISCOUNT

$35 OFF OUR BEST SEATS

Must Use Code: NJCW. Not valid with previously purchased, discounted or group tickets. Subject to availability..

Mon 7pm, Fri 7pm, Sat 2 & 7pm, Sun 2pm $45 Mezzanine • $60 & $65 Orchestra • $99 VIP TWO DRINK MINIMUM (Drinks start at $6 per)

Stage 72-Triad Theatre 158 West 72

St., New York City

Box Office: 212-868-4444 • Groups (12+): 212-400-6800

MySonTheWaiter.com

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July/August 2015

Theatre P

JULY 15 - AUGUST 30 ONLY!

ow Presen

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Roy & D hilip Roger

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July 9-Aug 30

“A Nationwide Comic Phenomenon!” - New York Times

“Winner for Both Sexes!” - Miami Herald

“So Perceptive, So Witty, So Sweetly Understanding, It’s Exhilarating!” - Boston Globe

“Hilarious!” - Miami Herald

The musical comedy cure for everyone’s mid-life crisis! Broadway’s History- Making Comedy about the Sexes Written by Rob Becker Starring Vince Valentine

Penn’s Landing Playhouse in the Independence Seaport Museum

211 S. Columbus Blvd. & Walnut St.

on the Waterfront, next door to the Hilton Hotel Box Office:

(855) HIT-SHOW (855-448-7469) Groups (12+): 1-888-264-1788

PLPlayhouse.com • Discount Parking!

Showtimes: Thurs 7pm, Fri 8, Sat 8, Sun 2pm • Tickets: Starting at $45

Laughter is the best medicine (next to that little blue pill) PERFORMANCE SCHEDULE: Wed - Fri 8PM, Sat 2PM & 8PM, Sun 3PM

The Beckett Theatre - Theatre Row 410 W. 42nd St. NYC

Telecharge.com

212-239-6200

Happy50ishMusical.com

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Water Sports

YAMAHA’S ALL-NEW 24-FOOT BOATS.

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Bayside Jet Drive

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410-723-9773 • 410-641-3040 baysidejetdrive.net

“Uncommonly Devoted to Servicing Jet Driven Watercraft” ©2015 Yamaha Motor Corporation, U.S.A. All rights reserved. Follow instructional materials and obey all laws. Drive responsibly, wearing protective apparel. Always drive within your capabilities, allowing time and distance for maneuvers, and respect others around you. Don’t drink and drive. FOR MORE INFORMATION, VISIT OUR WEBSITE AT YAMAHABOATS.COM OR CALL 1.800.88.YAMAHA

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July/August 2015

Community

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

is Celebrating 90 Brilliant years one decade at a time. 9Ocean County Library Check out the great books of the 1970’s. 9 Go Ask Alice by Anonymous

A 1971 first-person cautionary tale of a teenage girl’s harrowing decent into the nightmarish world of drug addiction, and her downward spiral that robbed her of her innocence, her youth and her life.

I Hotel by Karen Tei Yamashita

A multiple perspective narrative that depicts America’s struggle for civil rights through the turbulent years of 1968 through 1978 in San Francisco’s Chinatown. The political riptide, clashing ideologies and personal turmoil culminate in their effort to save the International Hotel, the epicenter of the Yellow Power Movement.

Inherent Vice by Thomas Pynchon

The Shining by Stephen King

A horror novel published in 1977 about Jack Torrance, an aspiring writer and recovering alcoholic who accepts a position as the offseason caretaker of the historic Overlook Hotel in the Colorado Rockies. Soon, after a winter storm leaves them snowbound, the supernatural forces inhabiting the hotel influence Jack’s sanity, leaving his wife and son in incredible danger.

Roots: the Saga of an American Family by Alex Haley

A 1976 historical epic that chronicles the progress, hardships and struggles of the author’s family through many generations. Roots, created political, racial, social and cultural dialogue about the darkest and most painful parts of America’s past.

Strange Days Indeed: The 1970s: the Golden Days of Paranoia by Francis Wheen

During the 1970’s, a time of great anxiety emerged and affected all areas of both private and public life, from high politics to pop culture after the uncovering of Watergate and the unusual behavior of political leaders and activists.

Check oceancountylibrary.org for our special events calendar, which has several programs featuring 1970’s topics.

In 1970 Los Angeles, Doc Sportello, a private investigator and drug user is in search of easy money and good times. When his ex-girlfriend goes missing, Doc journeys into the dark heart of the City of Angels to get her back.

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Rabbit Redux by John Updike In this sequel to Rabbit Run, ten years have passed, the impulsive former athlete has become a thirty-six-year-old conservative and 1969 America has become tumult with drugs and violence. Still he clings to semblances of decency and responsibility.

July/August 2015

Fine Art Photography

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

Fine Art Photography

The County Woman Magazine www.TheCountyWoman.com

July/August 2015

The County Woman Magazine www.TheCountyWoman.com

July/August 2015