Ocean County Woman - 2015 September/October by The County Woman

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An Educational Resource for Women and Their Families

FREE ~ Please Take One WHAT IS AN “ALL-ONFOUR” IMPLANT TREATMENT?

Traditionally, patients desiring “fixed” teeth attached to nonremovable implants had a number of dental implants arranged in parallel fashion in the areas where the teeth used to be. Page 37

CHIROPRACTIC: WHAT YOU NEED TO KNOW.

Chiropractic supports and strengthens the clarity of the body’s communication and in doing so empowers you to express your true, natural state of well-being. Pages 26 & 27

BAHA IMPLANT OFFERS BETTER HEARING. Millions of Americans are affected by hearing . loss. It affects nearly one in three adults over the age of 65. Page 9

Kathleen Kenny, owner of Karing with Kindness, and her family strive to create a good quality of life in her client’s homes. Their Kindness Health Care Complex is a place to fit all your needs. Read more on pages 42, 43 & 58.

Photo By Tracy Harman Photography

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2015

Please Take One

Medical Professionals

Health &Wellness

Where’s My Headache Coming From? By: Craig Michaels, PT, DPT, for All-Care Physical Therapy Center’s Toms River Location Although there are many culprits of headaches, did you know that one specific kind can be treated with Physical Therapy? There are many factors that can contribute to that nagging pain; such as stress and tension, allergies, posture, medication and even migraines. Although chronic headaches often tend to have more than one causative factor, this article will specifically look at the link between the musculoskeletal system and headaches. Many patients walk into All-Care Physical Therapy with complaints of occasional headaches, and the reason for this could be their posture.

HOW CAN WE HELP THE HEADACHES?

By the time headaches are being experienced by the patient, there are already significant postural changes that are causing inflammation and spasms in the neck musculature. Your therapist will perform a detailed Initial Examination to ensure your headaches are coming from a musculoskeletal origin. In addition, the therapist will feel around the numerous neck muscles and locate spasms or inflammation. This will allow for your therapist to pinpoint the specific cause related to your headache. Once this is performed, it is important to calm down this inflammation and relax the muscles using a variety of modalities we offer at All-Care Physical Therapy. This includes moist heat, ice, electricstimulation, Ultrasound, or Phonphoresis (Ultrasound with hydrocortisone cream). Your therapist will determine the most appropriate modality for your symptoms. In addition, your therapist will “release” muscles in your neck that have become inflamed or in spasm over time. This can be performed through a treatment known as a suboccipital release, in which the muscles at the base of the skull are released to offer headache reduction. Another treatment is known as trigger point release, to soften and align spasms in muscles of the neck. Your therapist will also guide you in exercises to correct postural changes that have occurred over time. You can often notice a reduction of symptoms within one visit, however changes in posture and muscular control can take several weeks. Therefore, it is important to follow the specific exercises your therapist has created for you.

Law

Elder Law Craig Michaels, DPT

Theater &Entertainment

HOW ARE HEADACHES CAUSED BY THE MUSCULOSKELETAL SYSTEM?

Research has found that irritated or inflamed nerves or muscles in the neck can refer pain over the scalp, and into the face and forehead, causing headaches. Common neck problems that can cause or contribute to these irritated nerves/muscles are trauma, whiplash, or normal wear and tear such as arthritis. Whiplash is often present in Motor Vehicle Accidents when the head and neck “whips” backward and forward quickly, commonly experienced in rear-ended collisions. The muscles and ligaments in the front and the back of the neck are strained. Secondly, trauma, such as a fall or sporting accident can result in ligaments or bones being affected. Lastly, and most commonly, normal wear and tear of the vertebrae in the neck due to the ageing process can lead to a progressive degeneration of the cervical spine (neck), which can in turn affect the muscles.

Craig Michaels received his Doctorate in Physical Therapy from Rutgers/UMDNJ Graduate School. Craig graduated at the top of his class, and received the Program Excellence Award for clinical experience, academic excellence and professionalism. He completed a series of rigorous clinical affiliations that prepared him for a wide variety of patients. These vary from orthopedic conditions, where he studied at All-Care in Toms River, to spinal cord injuries at Kessler Institute for Rehabilitation in West Orange. These experiences led to his interest in a population ranging from Orthopedic to Neurologic rehabilitation, as well as a focus on gait disorders.

Fine Art Photography

EducationAt All-Care Physical Therapy, we have the

Craig believes that flexibility is the key to mobility, and in a whole body approach to wellness. His focus is on a one on one approach and to remain very hands on with every patient. In the near future, he looks forward to furthering his manual skills and supplementing his education with continuing education courses in Maitland and myofascial release. Craig has an ultimate goal to become a Certified Orthopedic Manual Therapist.

BusinessTo schedule &F inance an appointment with Craig,

knowledgeable staff and tools to reduce musculoskeletal headaches and improve your quality of life. We will develop treatment programs for your individual symptoms and help to prevent the repeat of those nagging headaches in the future.

Please contact All-Care today for any questions 855-3ALLCARE.

contact our Toms River office at 732-505-1300.

WHAT ARE POSTURAL RELATED HEADACHES?

The skeleton and muscles of the neck and upper back must work together to allow movement. If there is a disconnect between this movement, such as forward head posture, a problem can occur. This can contribute to headaches. For example, a tension headache is almost always caused by excessive muscle tension in the neck, face, shoulders and upper back. Our muscles are made up of muscle fibers that are bundled closely together. When the muscle fibers contract together, a muscle is shortened. When we are under stress, we commonly tense and shorten the muscles of the shoulders, upper back, face, and neck which can lead to a tension headache.

1-(855)-3ALLCARE

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

Free Transportation For Patients In Need www.AllCarePTC.com

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January/Feb September/October 2015

Featured Articles

Medical Professionals

All-Care Physical Therapy Center, L.L.C. .........................2, 10 Acuity Specialty Hospital of New Jersey..................................5 Shore Vascular & Vein Center..................................................8 Ocean Otolarynoglogy Associates, P.A....................................9 AtlantiCare Regional Medical Center: The Heart Institute......11 The Children’s Hospital of Philadelphia..................................12 Atlantic Neurosurgical Specialists..........................................13 Ocean Plastic Surgery PA and Laser Center.........................15 Barnabas Health Medical Group: Ob/Gyn..............................16 Bella Derma Medi Spa......................................................19, 84 Institute for Complimentary and Alternative Medicine............24 AtlantiCare Regional Medical Center: The Institute For Surgical Weight Loss & Wellness..............25 Mona Lisa® Touch North Dover.............................................28 Bio-Behavorial Health.............................................................34 South Jersey Fertility Center..................................................36 Kathy A. Banks, DMD.............................................................37 University Urology Associates of New Jersey..................38, 39 Toms River X-Ray, CT & MRI Center.....................................40 Stephen L. Newman, MD, MBA..............................................41 Seaview Orthopaedic & Medical Associates..........................45 Gastroenterologists of Ocean County..............................46, 47 Ocean Hematology & Oncology.............................................49 Paonessa Colon and Rectal Surgery, PC........................52, 53 Caring Heart and Brain Imaging.............................................54 Barnabas Health Medical Group: Dr. Sumy H. Chang...........55

Health & Wellness

Coastal Healthcare . ................................................................3 Yoga Nine Mind/Body Studio............................................14, 80 Hypnosis for Women..............................................................18 Ocean Health & Weight Loss.................................................20 Simply Skin Day Spa..............................................................21 Brain Health Center................................................................22 Full Circle Wellness................................................................34 Jersey Shore Pharmacy ........................................................57

Awning

Giglio Awning............................................................................6

Health & Wellness

Precious Metal Buyer

Precious Metal Buyers..............................................................7

Insurance

Reliable Health Solutions.........................................................9

3 Copy, Fax & Notary Services

The Wordstation, Copy Fax +.................................................56

Book Corner

Permanent Hair Removal

Host A Little Ghost and The Story of the Mystical Mums.......56 The Crumbgrabbers Meet the HoneyLou Kids.......................64

Professional Dentistry

The Wickery............................................................................60

Fashion & Beauty

Fountainhead..........................................................................61

Nutrition & Wellness

Copiers Plus, Inc....................................................................62 Greater Toms River Chamber of Commerce..........................79

Monmouth/Brick Electrolysis..................................................12 Aesthetic Dental Creations.....................................................17 Dress 2 Impress: Bridal and Formal Boutique........................21 Jennifer Nosti, RDH................................................................23

Chiropractor

Wicker & Ratten

Adult Community

Business & Finance Acupuncture

Elder Law

Koehler Acupuncture..............................................................63 Women of Ocean County. ................................66, 67

Law

CASA for Children............................................................68, 69

Waves of Transformation Wellness Center, Inc...............26, 27 Rice Elder Law.......................................................................29 Jay Turnbach, Esq., LLC..................................................30, 31 Straffi & Straffi, Attorneys at Law............................................32 Kathleen M. Dotoli, Esq..........................................................33 The Matus Law Group............................................................35

CASA

Business Opportunity

Nerium....................................................................................73

Theatre & Entertainment

Featured on the Cover

Clever Little Lies.....................................................................74 Menopause The Musical........................................................75

Education

Tracy Harman Photography...................................................81

Business & Personal Storage

Interventional Pain Management......................................82, 83 Community........................59, 64, 70, 71, 72, 76, 77, 78

Karing with Kindness..................................................42, 43, 58 Ocean County College...........................................................44 Airship Storage.......................................................................44

Assisting Living

Spring Oak of Forked River....................................................48

Massage School

New Jersey School of Massage.............................................50

Art Gallery

Oasis Gallery....................................................................50, 65

Hair Designs

Abstrax Hair Designs..............................................................51

Fine Art Photography Pain Management

Celebrate with the Ocean County Woman by submitting your celebration to the Free Community Bulletin Board. Email staff@thecountywoman.com and submit a 25 word editorial and 1-2 pictures for the November/December 2015 issue.

Have A Healthy Life With The Help From Ideal Body Revolution

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The Ideal Protein Difference

Maintaining a stable weight after dieting often requires changes to your lifestyle habits. This is why Ideal Protein strongly emphasizes education and understanding. You must learn to eat “smarter” or risk regaining your lost weight. Therefore, when you begin the program you will be assigned a personal weight loss coach. Your coach will assist you through each of the 4 phases of the Ideal Protein method. In Phases 1 and 2 your coach will help you set your weight loss goals and support you on the journey. In phases 3 and 4 your coach will shift focus to weight stabilization and post diet living, teaching you weight maintenance habits that may assist you in keeping the excess pounds off after dieting.

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

Benefits of the Ideal Protein Difference: • Improved sleep • Better mobility • Reduced joint pain • Increased energy and vitality • Enhanced sex drive

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The wellness and weight loss program that our office offers is a medically designed protocol that results in fat loss while sparing muscle. Our method helps to control carbohydrate cravings and stabilize blood sugar by controlling the amount of

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carbohydrates that your body consumes. It is also an excellent support for cellulite reduction! We will teach you about the three types of food that affect your weight—those that cause weight gain, those that do not, and those that can prevent you from losing weight. You will also add our protein-based foods, which consist of high biological value proteins, to build complete meals. Weight loss is quick and permanent, if you follow our recommendations during maintenance. For more information, please call our office at 732-349-4994 or email coach Kristen at kacosta@coatalhealthcareNJ.com.

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

September/October 2015

Publisher’s Note

An Educational resource for Women and Their Families Since 2008

Monmouth County Woman Since 2008

Ce leb ra

r ea ting Our 7th Y

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

Welcome to the Fall Issue Of Ocean County Woman! It was a summer full of sunny weekends for enjoying the Jersey Shore with family and friends. Now, as this sizzling season draws to a close, we look forward to two special holidays. On September 7th, we celebrate Labor Day to honor the achievements of American workers. Then on September 13th, those of us who are lucky enough to be grandparents celebrate National Grandparents Day, a day to share our love and strength with our children’s children. Although Labor Day signals the “unofficial” end of summer, the “official” first day of fall isn’t until September 23rd. This wonderful season has always been my favorite. I look forward to the lower temperatures and cool, crisp air. The trees will become an orchestra of colors and fall activities will be in full swing along the New Jersey beaches and towns. The September/October issue is an essential resource publication for many different reasons. If you or a family member is in need of medical, health, legal or financial advice, you’ll find a plethora of articles written by the top professionals in our area. On a personal note, I myself have experienced great results when following the advice provided in this publication. In addition, I’ve mailed and emailed several articles to my family and friends in Minnesota, Wisconsin, California, Florida, and Illinois. They were also able to use the knowledge in the articles to improve their situations. I know you will experience the same level of success as I have when visiting and working with these professionals. Their knowledge is priceless and wonderful to share! On behalf of the staff at The Ocean County Woman, thank you for your continued loyalty, and for your comments, suggestions and support. Happy fall!

Distribution Manager..................................... Mike Dziuba For advertising inquiries, please call:

1-866-398-0898

Lynn K. Wolf, Publisher Photo by Donna Andrews Photography

All correspondence should be addressed to:

Featured On The Front Cover -

The County Woman

Karing With Kindness

P.O. Box 619 Turnersville, NJ 08012

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No No part part of of of this paper may be reproduced without written ofthe thepublisher. publisher. this paper may be reproduced without the written permission of this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper is not responsible for any editorial comment (other than The The County County Woman’s Woman’s Newspaper Newspaper isis not not responsible responsible for for any any editorial editorial comment comment (other (other than than its own), typographical errors from advertisements submitted asascamera ready ororany reproductions its own), typographical errors from advertisements submitted camera ready any reproducits own), typographical errors from advertisements submitted as camera ready or any reproducof advertisements submitted as camera ready. ready. tions tions of of advertisements advertisements submitted submitted as as camera camera ready. If anIf advertisement does notnot meet ourourstandards of acceptance, we may revise ororcancel it an advertisement does meet If an advertisement does not meet our standards standards of of acceptance, acceptance, we we may may revise revise or cancel cancel itit at at at any time, whether or not it has been already acknowledged and/or previously published. any any time, time, whether whether or or not not itit has has been been already already acknowledged acknowledged and/or and/or previously previously published. published. The The Theadvertiser advertiser assumes sole responsibility for all statements contained in submitted copy and advertiser assumes assumes sole sole responsibility responsibility for for all all statements statements contained contained in in submitted submitted copy copy and and will will willprotect protectand andindemnify indemnifythe theWoman’s Woman’sNewspaper, Newspaper, its owners, publishers, and employees, its protect and indemnify the Woman’s Newspaper, its owners, owners, publishers, publishers, and and employees, employees, against against against any all liability lossexpense or expense of claims forunfair libel, unfair trade names, any all loss arising out claims for trade patents, any and and and all liability liability loss or or expense arisingarising out of ofout claims for libel, libel, unfair trade names, names, patents, patents, copyrights and propriety rights, and all violations of the right of privacy other violations copyrights and propriety rights, and all violations of the right of privacy or other copyrights and propriety rights, and all violations of the right of privacy or otherorviolations violations resulting from thethe publication of of this newspaper oror resulting from publication newspaper advertising copy. resulting from the publication of this this newspaper oritsits itsadvertising advertisingcopy. copy. TheThe publisher shallshall be be under nono liability forfor failure, publisher liability failure, any reason, insert an advertiseThe publisher shall be under under no liability for failure,forfor forany anyreason, reason,toto toinsert insertan anadvertisement. advertiseThement. publisher shall not shall be liable by reasonby error, of omission and/or failure The not error, and/or failure ment. The publisher publisher shall not be be liable liable byofreason reason of error, omission omission and/orto failure to to insert insert any any insert of an advertisement. The publisher willliable not for be delay or failure in part of an The will delay or in partany of part an advertisement. advertisement. The publisher publisher will not not be be liable forliable delay for or failure failure in performance performance in and/or ifif all of issue performance in publication and/or distribution all or any portion an issueor delayed orfor in publication publication and/or distribution distribution all or or any anyifportion portion of an an issue isisofdelayed delayed orissuspended suspended for any The publisher exercise reasonable in instances and will suspended for any Thewill publisher exercisejudgment reasonable judgment in these any reason. reason. Thereason. publisher will exercise will reasonable judgment in these these instances and instances will make make for and appropriate. andadjustments will make adjustments for thewhere advertiser where and when appropriate. adjustments for the the advertiser advertiser where and when when appropriate. Woman’s Newspaper assumes responsibility unsolicited material reproduc TheThe Woman’s Newspaper assumes nono responsibility The Woman’s Newspaper assumes no responsibilityforfor forunsolicited unsolicitedmaterial materialoror orreproductions reproductions by made by made advertisers. tions made by advertisers. advertisers. newspaper published 15th every other month. ThisThis newspaper willwill be be published byby thethe 15th ofof This newspaper will be published by the 15th ofevery everyother othermonth. month. TM LLC TM Representations The County Woman, COPYRIGHT 2008. Representations byOcean The Monmouth Monmouth CountyLLC Woman, LLC TM COPYRIGHT Representations by Theby County Woman, COPYRIGHT 2008. 2008.

FIND US ON THE WEB! WWW.THECOUNTYWOMAN.COM And follow us on Facebook and Twitter @TheCountyWoman

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Kathleen Kenny strives to keep her clients home, happy and safe. Pictured with her family, L-R back row, Kailyn (age 2), Petrina, Paul III, Paul Jr., Kathleen, Raymond, Jennifer, and Norah (age 2). L-R front row, Paul IV (age 7), Sean (age 6), Trent (age 5), and Eddie (age 4). “Each of my children play a critical role in my company.” You can read more about Karing with Kindness and her family on pages 42, 43, & 58. Cover photo by Tracy Harman Photography.

Schedule your kid(s), family, modeling and promo headshots, and corporate and commercial portraits with Tracy Harman Photography, 732-797-0377. See more on page 81.

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September/October 2015

Medical Professionals

“Breathing Is The Greatest Pleasure In Life” ~ Giovanni Papini

Written by Claire Brown, BSN, RN

hat is probably how Paul Cimino, a forty eight year old former patient at Acuity Specialty Hospital (ASHNJ), felt when he was successfully weaned off a ventilator on June 23rd 2015 due to the skill of the devoted staff at ASHNJ. Mr. Cimino’s journey started in May when he was admitted to a local hospital with pneumonia and unfortunately had to be placed on a ventilator due to acute respiratory failure. There had been several unsuccessful attempts to remove him from the ventilator, so he was transferred to Acuity on June 3rd for more intensive respiratory care. Paul had experienced respiratory difficulties in the past and had been dependent on a CPAP machine for severe sleep apnea, which was a contributing factor to his delayed recovery. During the course of Paul’s stay at Acuity, he was assessed constantly for his ability to remain off the ventilator for defined periods of time without causing respiratory distress and a decrease in the oxygen levels in his bloodstream. By the end of his stay, he was also able to get up out of bed and take a few steps. He received nutrition via a feeding tube, but was slowly introduced to thickened liquids and then a regular house diet. On June 30th, Mr. Cimino was discharged to a rehabilitation facility to receive more physical therapy. He continued to have the tracheostomy in place to preserve his airway. “I am so grateful for all the care I received here,” he said smiling, before he left Acuity. David Woldow, BA, EMT, CRT, is one of the full time respiratory therapists at Acuity who cared for Paul Cimino. David became an EMT at 17 years old and then a police officer for 25 years. Following his retirement from David Woldow, the police force, Paul Cimino, and he entered into Barbara Stead a second career as a respiratory therapist. “My job as a respiratory therapist at Acuity Specialty Hospital is exciting, difficult, joyful, and sad, but most of all, fulfilling.” said David. “These are just a few words used to describe the emotions one can feel during a typical day working as a respiratory therapist. I have the privilege and opportunity to change people’s lives for the better each and every day.” Barbara Stead,

NPS-RRT, also cared for Mr. Cimino. She has been a respiratory therapist for the past 20 years. She graduated from the University of Medicine and Dentistry of New Mr. Paul Cimino Jersey and has worked at Acuity for the past 3 years. Barbara stated that all the staff works as a team to incorporate the best medical practices, ensuring that the patients have the highest level of functionality when they are discharged. “Our goal is to help each patient achieve the best standard of healthy living possible.” Both Barbara and David agree: “It is a great feeling when until his swallowing was efficient and safe enough to a loved one is admitted to our hospital on a ventilator begin eating meals by mouth again. Now he is back to and we are eventually able to help them breathe on their eating a regular diet. own without the ventilator. Knowing that they will be discharged breathing on their own without assistance is an Invented by a patient named David Muir, the Passy-Muir® Valve is a simple medical device used by incredible feeling for tracheostomy and ventilator patients. When placed on everyone at Acuity. “ Lynette Lattin, MS, the hub of the tracheostomy tube or in-line with the CCC-SLP is a Speech- ventilator circuit, the Passy-Muir® Valve redirects air flow through the vocal folds, mouth, and nose, enabling Language Pathologist voice and improved communication. Once the patient employed at Acuity Specialty Hospital and is removed from a ventilator, they can be taught how to also played an integral ingest food again with the use of the Passy-Muir® Valve. part in Paul’s recovery. Acuity Specialty Hospital is dedicated to utilizing the most up to date and effective tools to successfully treat Lynette graduated Paul and Lynette from Richard Stockton our patients. College of New Jersey (now Stockton University) in 2007 with a baccalaureate For more information, degree in Speech-Language Pathology and then went on contact 609-441-8123 today! to study Speech Pathology at Gallaudet University in Washington, DC. As a speech therapist at Acuity, Lynette is consulted for patients who need swallowing, Acuity Specialty Hospital of cognitive, and language therapy. Lynette works New Jersey is a long term with all different types of patients, including For Information or Referrals, Call 609-441-8123 acute care hospital located patients with chronic obstructive pulmonary inside of AtlantiCare disease, dementia and Parkinson’s disease. Regional Medical Center in Lynette especially enjoys working with patients Atlantic City. Our hospitalwho have had changes in their neurological status. Lynette said, “It’s fascinating how within-a-hospital provides resilient the human brain is, and working at 30 private rooms to the Acuity enables me to see significant changes medically complex and in a patient’s cognitive status throughout their critically ill. Patients recovery process. Most of my patients have meeting acute care criteria just weaned off of the ventilator and begun are seen by physician breathing on their own through a tracheostomy specialists daily and tube…. One of my favorite parts of my job is typically discharged to helping such patients communicate and eat Kristi Forvour– 2014 Clinican of the Year. acute and sub-acute again, typically with the help of a ‘Passy-Muir® rehabilitation centers, Speaking and Swallowing Valve.’” Lynette Our team specializes in the care of patients worked with Paul after he was weaned off the skilled nursing facilities or with needs that include: ventilator. Paul progressed well wearing his their homes. • Ventilator weaning Passy-Muir® Valve and now continues to use • Complex wounds it daily to speak with ease. His swallowing • Infectious diseases was weak, so Lynette taught him swallowing • Medically or surgically complex care exercises to increase the strength and range of • Multi-system organ dysfunction motion of his swallowing function. Different consistencies of food were slowly introduced

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www.acuityatlanticcity.com

September/October 2015

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September/October 2015

Precious Metal Buyer

ACTUAL CLIENT TESTIMONIAL: It is with much appreciation and delight that I have met a young, honest businessman by the name of Dov Oppenheim. I am a native Ocean County woman for four years. During the last years, I’ve lost my pension and all of my investments. In order to make ends meet, I had brought phenomenal pieces of jewelry to several places… BIG MISTAKE! Never use cash for gold advertisements- whether at hotels, jewelry/pawn businesses and especially through private person advertising! Unfortunately for me, I was robbed blind. I was not allowed to remove, nor was I paid for the precious stones in my jewelry. All of my stones were substantial in size and karat weight. Some were extremely rare, like my 4.5 karat emerald-cut kunzite, my 2 karat chrome diopside, and my 4 karat Burmese ruby. I was told they only wanted the gold and that the stones would be pulverized. They even deducted weight from the gold because of the gemstones. Approximately one year ago, I had the honor of meeting Dov Oppenheim at Precious • EstatesIt&was Luxury Jewelry Metal Buyers, LLC in Manchester. through Dov that I became extremely educated • Antique Silver in the “honest way” of business practice with precious metals and gems. Dov also works closely with detectives and notifies them&ofGemstones illicit business transactions. • Diamonds I trust Dov Oppenheim completely. He&has become a dear friend. Please beware of any • Gold, Silver Platinum other precious metal/gemstone scams! They are everywhere. • Rare Coins & Bullion -Maryellen S., Manchester

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September/October 2015

M edicalPP M edical rorofessionals fessionals

Veins: Varicose Varicose Veins? Not Just A Cosmetic Problem

O O

Not Just a Cosmetic“Venous Problem Reflux Disease”. ne of the most common circulatory system problems affecting individuals of all ages is venous insufficiency, also known as

be used cure venous reflux ne ofThis theoccurs mostwhen common one-way valves in the leg veins begin to failcan andoften become leaky.toThis causes disease and its symptoms. circulatory system problems blood to pool in the legs and can lead to the development of large protruding legs veins, known One of the most effective treatments affecting individuals of all asages varicose It can also cause a variety in the affected legs.is the Closure® for venous reflux disease is veins. venous insufficiency, also of painful or uncomfortable symptoms Procedure. This is aswelling remarkable known “Venous RefluxofDisease”. Some ofasthe most common these symptoms are leg pain, leg fatigue and heaviness, and new procedure that treats the abnormal This occurs when one-way valves skin itching. In severe cases, this can lead to permanent defects in the appearance and integrity of the veins with in the begin to fail skin and leg evenveins the development of and wounds, called venous leg ulcers. radiofrequency (RF) energy. The RF energy is delivered through a device called a catheter that become leaky. blood to It is estimated thatThis 20 causes to 40 million Americans suffer from venous insufficiency. Both men and is inserted into the diseased vein. This causes the pool in the legs and can lead to the women are affected. The most common risk factors are occupations that require standing, a family vein to close down, essentially removing it from development of large protruding legs history of varicose veins, pregnancy, being over weight and increasing However,The some affected theage. circulation. body then redirects the veins, known as varicose veins. It can also individuals not have any of these risks. The diagnosis of venous reflux is made with blooddisease into the normal leg physical veins. This eliminates cause a do variety of painful or uncomfortable examination painless Doppler ultrasound the venous reflux, markedly relieving symptomsand in the affected legs. Some oftesting. the Advances in treatment nowsymptoms make reliefare of the varicose veins possible the of symptoms and often improving the most common of these legsymptoms and appearance appearance the varicose pain, leg fatigue and heaviness, swelling without the need for hospitalization or painful vein stripping surgery. For some people,ofwearing specialveins as well. The procedure is performed in and skin itching. In severe cases, this venous support stockings will help control symptoms. However, when stockings alone are not sufficient, a comfortable office setting can lead to permanent defects in the or when individuals require a more permanent solution to varicose veins, new minimally invasive office and takes about 30 minutes. There are usually no appearance andbeintegrity of the skin reflux and disease and its symptoms. procedures can often used to cure venous incisions or sutures. General anesthesia is even the development of wounds, called One of the most effective treatments for venous reflux disease is the VenefitTM Procedure. This is a not required. Patients typically experience venous leg ulcers. new procedure treats the abnormalsuffer veins with radiofrequency (RF) The energy is minimal discomfort andenergy. are able to RF return to their remarkable It is estimated that 20 to that 40 million Americans delivered through a device called a catheter that is inserted into diseasedinvein. This causes the vein to close usualtheactivities about a day or two. from venous insufficiency. Both men and women are down, essentially from the circulation. The body then the blood into the normal leg veins.Point, Theredirects Shore Vascular & Vein Center, in Somers affected. The mostremoving commonitrisk factors are occupations This require eliminates the venous reflux, markedly relieving the symptoms and often improving theand appearance the is the region’s premiere vascular vein careofenter. that standing, a family history of varicose Their Board surgeons have over 50 yearsThere of veins, pregnancy, being over weight and increasinginage. varicose veins as well. The procedure is performed a comfortable officeCertified setting and takes about 20 minutes. combined experience in successfully treating thousands However, some affected individuals do not have any are usually no incisions or sutures. General anesthesia is not required. Patients typically experience minimal of patients varicose veins. They are one of New of these risks. of venous reflux disease is in about discomfort andThe arediagnosis able to return to their usual activities a daywith or two. Jersey’s leadingcenter centers performance of thedisease. Closure® made withVascular physical&examination painless Doppler Shore Vein Center and in Somers Point is the region’s premiere forintreatment of venous Procedure as well as other vein procedures, including ultrasound testing. Their Board Certified Vascular Surgeon has extensive experience in successfully treating thousands of patients with microphlebectomy and sclerotherapy for spider veins. Advances in treatment now make relief of the varicose veins and other vascular diseases. It is one of New Jersey’s leading centers in performance of the VenefitTM symptoms and appearance of varicose veins possible Procedure. sclerotherapy and Excel without theThey needalso for offer hospitalization or painful veinV Laser for the cosmetic treatment of spider veins. If you are experiencing the signs stripping surgery. For some people, wearing special or symptoms ofvenous varicose and If you are experiencing orsymptoms. symptoms of varicose veins and refluxveins disease, venous support stockings will the helpsigns control venous reflux disease, the physicians However, when stockings alone are not sufficient, or the physicians of Shore Vascular & Vein Center are available to help. Call (609) 927-3030 when individuals require a more permanent solution to of Shore Vascular & Vein Center are for aveins, consultation, or visit themoffice on the web at www.GetGreatLegs.com varicose new minimally invasive procedures available to help. Call (609) 927-3030!

Fall Is A Time For Change! Jeffrey Gosin, M.D. F.A.C.S. 442 Bethel Road Somers Point, NJ 08244

(609) 927-VEIN (8346)

Dr. Jeffrey Gosin is a Frequently Asked graduate of University ofQuestions Pennsylvania

for consultation, and a Jefferson What causes Medical College. He or visit them on varicose veins? completed his General the web at www. Surgeryveins Residency Varicose are usually GetGreatLegs. and an caused byaccredited diseased valves com fellowship Vascular in legs veins, calledinvenous reflux disease. Surgery at Robert Wood Johnson University Hospital. He is Board Will varicose veins get worse Certified in General Surgery and Vascular Surgery. over time? Dr. Gosin is a fellow of The American College As venous reflux is for present of Surgeons and a member of The Society for a for long time, the appearVascular Surgery, The Society Clinical Vascular anceother of varicose veins may and worsen, Surgery, and numerous national surgical vascular societies. but this does not always happen. Varicose veins that develop during pregnancy will often improve after delivery of the baby.

Q A

Frequently asked Who is questions affected by varicose veins? about varicose veins:

Q: What causesAvaricose veins?

Typically, men and women who have jobs that require standing, have a family history of varicose veins, or are overweight A: Varicose veins are usually caused by at increased risk. Pregnancy diseased valves are in legs veins, called venous reflux disease. is also a risk factor for women. However, it is not necessary to have any of these risks to be affected.

Q: Will varicose veins get worse over Does treatment time?

require surgery?

A: As venous reflux is Major present for ashould long not be surgery

time, the appearancerequired of varicose veins to treat varicose may worsen, but this does not always veins. Usually, if procedures are happen. Varicose veins that develop during required, minimally pregnancy will often improve afterinvasive deliveryoffice of based or outpatient procedures are the baby. most effective.

vein care covered by Q: Who is affected by varicose insurance?veins? QIshealth

A: Typically, men andThat women who have is determined on a case-

jobs that require standing, have a family by-case basis, however many history of varicose veins, or are overweight times vein care is covered. In our are at increased center, risk. Pregnancy is also our insurance specialists a risk factor for women. However, it is not health work directly with individual’s necessary to have any of these risks to be insurance companies to deal with affected. that issue.

Q: Does treatment require surgery?

Jeffrey S. Gosin, M.D.should FACS not be required to A: Major surgery Dr. Jeffrey Gosin is a graduate of if procedures treat varicose veins. Usually, are required, minimally invasive University of Pennsylvania and Jefferson office based or outpatient procedures are most effective. Medical College. He completed his General Surgery Residency and an accredited fellowship in Surgery at Robertby health IsVascular vein care covered Wood Johnson University Hospital. He is insurance? Jeffrey S. Board Certified in Surgery and Vascular Gosin, A: That is determined on a case-by-case Surgery. Dr. Gosin is a fellow of The basis, however many times vein care M.D. FACS American College Surgeons andour a memis covered. In of our center, insurance ber of The Society for directly Vascular Surgery, specialists work with individual’s The Society for Clinicalcompanies Vascular Surgery, and with that health insurance to deal issue. numerous other national surgical and vascular societies.

Eliminate your veins, don’t hide them!

www.GetGreatLegs.com

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

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

September/October 2015 November/December 2014

Medical Professionals

BAHA Implant Offers Better Hearing Millions of Americans are affected by hearing loss. It affects nearly one in three adults over the age of 65. Hearing loss can lead to social isolation, depression, anxiety and may even be involved with dementia.

there is a slight differential in the signals received. This allows the patient to localize where a sound is originating. It does not make the bad ear become functional. There is no blockage or occlusion of the ear canal, which can occur with a traditional hearing aid.

The BAHA involves a surgical

There are several different types of

hearing loss. Conductive hearing loss occurs when sound can not be transmitted from the outside world to the inner ear. The problem may involve the outer or middle ear. Sensorineural hearing loss involves a problem with the inner ear’s hearing organ, the cochlea, or the nervous connection to the brain. Finally, there is mixed hearing loss, which involves some element of both conductive and sensorineural hearing loss. Hearing loss can involve one ear or both.

Unilateral hearing loss can lead to the inability

to localize sound, head shadow effect, problems in social situations and tinnitus. This type of hearing loss may be due to chronic outer or middle ear infections, congenital adnormalities, otosclerosis, sudden hearing loss or tumors.

If there was serviceable hearing in the worse ear and

the ear canal was open then a hearing aid could be of benefit for the patient. If the hearing in the poorer ear was not functional then other alternatives exist. These include contralateral routing of sound (CROS) hearing aids, bone anchored hearing aids (BAHA) or cochlear implants.

Unlike traditional hearing aids, BAHA conducts

the sound through bones of the skull to the functional inner ear/cochlea on the opposite side. It bypasses the non-functional ear. Sound is delivered to the brain from both sides of the head through the good ear and

Insurance

procedure to place a screw into the skull behind the ear of the worse hearing ear. There are two interfaces available to connect the screw to the processor. A direct connection can be made by attaching an abutment to the screw which has its end situated above the skin. The processor snaps directly into the abutment. A second option is a magnetic connection, which is made by attaching a magnet to the screw and covering it with the skin of the scalp. Another magnet is attached to the processor. The magnets are attracted to each other with the tissue of the scalp in-between. Nothing is visible on the skin surface when the processor is not in use. The direct connection gives slightly better transmission of sound. After six to eight weeks, the processor can be utilized to restore hearing.

Stephen Kupferbuerg, MD, FACS Dr. Stephen Kupferberg is a board certified Otolaryngologist and has been in practice for 18 years. He is a graduate of Jefferson Medical College, Philadelphia, Pa. and completed his internship and residency at the Medical College of Georgia, Augusta, Ga. Dr. Kupferberg practiced in Maryland for four years before moving to Toms River where he resides with his wife and two sons. He specializes in hearing loss, nasal and sinus surgery and head and neck surgery and adult and pediatric ear, nose and throat disorders. His leisure time is spent outdoors with his family, cycling, camping, hiking and golfing.

The BAHA offers patient with single sided hearing

loss another option to restore their ability to hear sound. It eliminates blockage of the ear canal, which can happen with a traditional hearing aid. It can be hidden under the hair behind the ear. Finally, there are accessories available including a remote control, wireless phone clip, wireless mini microphone, and a wireless TV streamer. All of these can enhance a patient’s success with a BAHA and improve their quality of life.

For more information or to schedule an appointment, call 732-281-0100.

Christina Gillespie, MD

Bruce W. Peters, DO, FACS

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

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Medical Professionals

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his experience with his parents and brother, Jim Yorke. Together they recognized the need for a company that encourages an emotional and physical recovery for patients, while providing exceptional service. AllCare was then founded in 2005 in Whiting, NJ. Michael’s mission was, as it still is today, “To provide exceptional patient care in a setting ideal for both patients and personnel”. Due to the overwhelming patient satisfaction of the “All-Care Approach”, we were able to open seven new locations throughout Ocean County, NJ over the following five years. The All-Care Story During this evolution, All-Care was chosen by many of New Our founder, Michael Yorke graduated with honors from Gettysburg College in 1997, majoring in Exercise Science and becoming Jersey’s top physical therapy schools as a leading clinical affiliation site for students in their doctorate programs. All-Care has also been a licensed Athletic Trainer. He continued his education at Hahnemann recognized as a Regional Training Center for continuing education University in Philadelphia earning a Master’s degree in Physical Seminars in the pursuit of clinical excellence with a focus in orthopedics Therapy in 1999. He performed clinical rotations at the University and geriatric medicine. The success of our company has been built on of Pennsylvania and Sinai Rehabilitation Hospital. After working in Experience the All-Care our ability to provide the best rehabilitative care with a never ending the industry for a few years, MichaelCome discussed the shortcomings of Difference For Yourself! pursuit of exceptional service.

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September/October 2015

Medical Professionals

AtlantiCare’s “Do’s and Don’ts” for Heart-Healthy Weight Loss Whether you need to lose a significant amount of weight or merely a few extra pounds, reaching a healthy weight can reduce your risk of heart disease, high blood pressure, high cholesterol, type 2 diabetes, and other diseases. To help you keep your heart — and your overall health — in tip-top shape, the Heart Institute at AtlantiCare Regional Medical Center shares some practical weight loss “do’s and don’ts.”

Heart-Healthy Weight Loss DO’S To avoid heart problems or other complications, check with your provider before taking any over-the-counter drugs or herbal supplements for weight loss.

300

50 250 200 100 150

Be more physically active. Walking, biking, and other forms of exercise are good for your heart!

Dairy

Fruits

Grains

Vegetables

Protien

In addition to helping you lose weight, a healthy diet can help you control certain risk factors for heart disease, such as high cholesterol and high blood pressure. Eat plenty of heart-smart whole grains, fruits and vegetables, low-fat dairy products, and lean proteins. Limit your intake of refined (white) grains, sugar, processed meats, solid fats (such as hydrogenated or partially hydrogenated oils, butter, or shortening), and sodium.

If you have a body mass index (BMI) of at least 40 and or a BMI of 35 to 39.9 plus at least one weight-related medical problem (such as high cholesterol or type 2 diabetes), ask your healthcare provider about the health benefits of weight-reduction (bariatric) surgery. Many obesity-related health issues and heart disease risk factors can be resolved by getting down to a healthier weight.

If you have high blood pressure, consider the Dietary Approaches to Stop Hypertension (DASH) Diet Eating Plan for weight loss. Read more about it at www.dashdiet.org.

Heart-Healthy Weight Loss DON’TS Don’t take diet pills that have ephedrine (sometimes called ma huang). The U.S. Food and Drug Administration has banned the sale of ephedra dietary supplements, which are believed to cause serious side effects, including heart attacks and strokes.

For more information about AtlantiCare’s Heart Institute, visit www.atlanticare.org or call the AtlantiCare Access Center at 1-888-569-1000.

The County Woman Magazine www.TheCountyWoman.com

Being overweight or obese is a major risk factor for heart disease, so don’t eat because you are bored, stressed, or sad. So-called “emotional eating” may give you short-lived comfort, but in the long-term, it will only pack on more pounds — and put your heart health in jeopardy.

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September/October 2015

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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

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

September/October 2015 November/December 2014

Medical Professionals

Suffering From Neck or Back Pain? What You Need Law to Know … If you’re suffering from neck or back pain, you know how confusing it can be to figure out the best treatment. Dr. Jay Chun, a neurosurgeon at Atlantic NeuroSurgical Specialists (ANS), offers these clarifying insights:

Don’t let back pain ellness H ealth &W derail your life.

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• Get an accurate diagnosis as quickly as possible so you can begin the right treatment.

• A board certified, fellowship-trained neurosurgeon is the most qualified to provide an accurate diagnosis because he/she is specifically trained to treat the intricacies of the spine and surrounding nerves.

• The cervical spine – or neck – controls the head and everything below the neck including the arms, legs, bowels and bladder. • The most common chronic problems affecting the cervical spine are disc herniation and spondylosis. In both conditions, the discs that normally cushion the bones and joints of the spine become damaged and displaced. They press on surrounding nerves or the spinal cord, causing pain, numbness and weakness.

Education

• While injury to the cervical region can be catastrophic, most patients with cervical spine disorders can manage their symptoms without surgery. • When surgery is needed, the two most common types are decompression and fusion. Decompression surgery removes the disc, ligament or bone that’s pressing on the nerve or spinal cord. Fusion surgery stops the movement between two bones. • Most patients can return to work a few weeks after surgery. • In the past decade, spine surgery has become much safer and less invasive thanks to advances in minimally invasive techniques, spinal instrumentation, artificial discs and the materials that promote spine fusion.

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Back pain can impact your ability to function in your daily life. The sooner you have an accurate diagnosis, the sooner you can get your life back on track. Atlantic NeuroSurgical Specialists (ANS) is the largest neurosurgical practice in NJ and handles the most minimally invasive spine surgery cases in the state. Our nationally renowned neurosurgeons are fellowship-trained in spine and the most qualified specialists to diagnose and treat your back pain.

Business &Finance

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.

• Minimally invasive surgery can be performed on an outpatient basis with rapid return to daily function. • ANS, which performs the most minimally invasive spine surgeries in the state of New Jersey, is one of a few practices nationwide participating in a national outcomes database which carefully monitors outcomes in spinal care. This powerful tool helps identify the right treatment for the right patient at the right time. • Cervical spine surgeries have a high rate of success. They not only manage symptoms, they also limit the chances of continued degeneration and future major spinal cord injury. Want the best treatment for your neck or back pain? Contact Atlantic NeuroSurgical Specialists at 732.455.8225 and visit www.ansdocs.com. ANS has offices in Neptune, Morristown, Teaneck, Jefferson, and Summit.

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8/5/15 3:29 PM January/Feb September/October 2015

Health

Wellness

YOGA: Optimizing Your Health

Today, the concept of “health” is The benefits of YOGA are manifold and now has at its root, healthy living and physical strength– diet, being viewed from an ever broadening recognized by the western scientific community. exercise (asana) and breathing (pranayama). Intellectual, perspective--- individual health, social Research has demonstrated the physical benefits of yoga spiritual and emotional health is practiced through health, community health and even the including decreased respiratory rate and blood pressure, meditation (dhyana), kindness (ahimsa) and service to health of our planet. Healthy towns normalization of the endocrine & gastrointestinal the community (karma). This union between individual ealth & ellness produce healthy persons, healthy persons produce systems, increased musculoskeletal flexibility, increased and community health is essential, and is ultimately the healthy families; and “health” itself can be defined as strength and stamina and enhanced joint function. measure of how successfully one practices yoga. the “absence of disease,” or as “optimal function”. Psychological benefits include a decrease in the PRACTICING YOGA IS JUST PLAIN GOOD From a holistic perspective, the connection between symptoms of depression & anxiety, an increase in FOR YOU. It is for the physically astounding and the mind and the body is complex. All of us at the very the ability to focus and hold concentration and the physically challenged. You don’t have to touch your toes This is no more “Breath is the bridge, which “Chanting is no more holy than least have experienced the negative effectsconnects of stress,lifetheto consciousness, development of realistic body image. As exercise yoga or stand on your hands. You only have to breathe deeply, apparent than when listening to the murmur of a positive impact of falling in love, the achewhich of longing normalizes tone, reduces your risk of injury in move fearlessly and imagine the possibilities. Take time we watch someone unitesor your body to your muscle stream, counting prayer beads no the pain of loss. In a very basic sense the “mind is housed other exercise, balances the whole body, encourages this Fall to try a yoga class or deepen your practice, and move “gracefully”. thoughts.” ~ Thich Nhat Hanh more sacred than simply breathMoving the in the physical body” and “a healthy body is necessary internal awareness andwith increases breath capacity & optimize your health & well-being. ing… If you wish to attain onedesire of one’s Yoga notions is the art of breathwork. to sustain a well-functioning mind.” Western control. Yoga has also been shown through clinical trials ness with the Tao, don’t get caught breath (kama& side effects of treatments For more information, Breathhowever, is the crossroads between of the relationship between mind and body to lessen the symptoms up in spiritual superficialities.” prana) is, in mind and body; it is what animates tend to minimize this union. The mind,allbody and for diseases and chronic conditions like cancer, multiple call 609-404-0999 today!~ Lao Tzu (c.604 - 531 B.C.) movement. This movement (vibra- fact, the spirit are commonly viewed as separate tion) entities sclerosis, autism, ADHD and depression, and is thewhich, essence of existence. So, arthritis, definition Vinyasa is fueled by breath. It links when ailing, are treated by different practitioners whose we aretomoving. ease theAttransition menopause and pregnancy. we are alive because of grace. through Art interprets this essential Article Written by: Laurie Greene, Owner, breath the very least, our heart is beating, our therapies rarely intersect. Preventative care or self-care is Translatedmovement. as “balance” or what “union,” the “practice”and movement in accordance It views is around with the breath’s desire. It is an expresblood is coursing through our veins, Yoga Nine, Smithville & LBI us allabout the timethe from an analytic and rarely emphasized. Exercise and eating right are lifestyle of YOGA teaches wonders of human thoughts go by, our lungs inflate and sion of how the body exists; it is the novel perspective. and other choices rather than ‘medicine’ proper. By in large, we potential. It teaches gratitude,Dance, empathy, service and the deflate, cells grow and die. We move, “Keeping your dance of existence. artistic forms of movement takethat whatmatter relinquish the responsibility for our personal health to ability to distinguish between the things we change. Rumi muses on this crebody healthy is is natural and obtuse and bring it into the expertise of professionals. And do we even know force when in our lives, and the things that don’t. It is this abilityCome practice with us at Yoga Nine ative, life-giving he says, the light of understanding. Hatha an expression of what “healthy” is for us? to discriminate, focus and serve that makes yoga an and experience who you are in your yoga (physical) practice is based on how to practice for today’s professional athletes, body gratitude the Respect for the wonder and complexity“In of your the light I learnessential CEO’s, in a different way. Cometo watch this same conceptual framework. We love. In your beauty, how to the art of vinyasa when Edward Clark relationship between mind, body and spirit allow us to and those suffering chronic conditions-it’s whole cosmos-the look tofrom our natural breath in order to not of Tripsichore Yoga feel good about ourselves, be comfortablemake in ourpoems. own You dance the inside physical sweat, but the edge! It isand Nikki Durrant understand the psychological inherent movement trees, the clouds, my chest where no-one sees you, Theater of London come to perform of the bodyhealth. and then expound upon skin and recognize and “optimize” our own health. ownership of our own everything!” the art of movement in vinyasa in but sometimes I do, and that these movements sequences The practice of YOGA is a technique for exploring this How does YOGA do this?toItcreate provides practical steps their piece, FUELED BY BREATH. sight becomes this art.” ~ Rumi -Thich Nhat Hahn of and movement we call life. VINYASA. relationship and becoming empowered. to leading a full productive The physical practice

Fueled By Breath

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500 Hour Teacher Training (60Products hours) OrganicSegment Cosmetics, Green & Therapeutic Massage Yoga Therapeutics: March 11-16 Tulum Mexico (40 hours) Unique Jewelry, Bags & Gifts From Around the World April 22-24 Ventnor (20 hours) Photo by Donna Andrews

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September/October 2015

Medical Professionals

Rejuvenate Your Skin After A Summer of Fun

t has been another great summer at the Jersey shore and while enjoying those beautiful days you might have noticed some fine lines or brown spots develop over the past few months. For others it might be an area that is rough or uneven, prominent pores or red spots. These changes are most noticeable on areas that are sun exposed such as your face, chest décolleté and hands.

As we age, the collagen production in our skin decreases and the structural support decreases causing the visible changes of aging and sun damage. While you might have used good skincare and sun protection to help maintain youthful skin these products are not 100% restorative or protective. State of the art laser treatments can reverse and improve many of these changes from sun damage or aging without surgery or significant downtime What are some of your options for fine lines and wrinkles, roughened texture and prominent pores? Advanced fractionated C02 laser treatments or a Gentle Erbium laser peel results in noticeably smoother skin with a better texture, less prominent pores and improved evenness of skin tone. The fractionated treatment works by placing a grid pattern of tiny pulses of light to stimulate new collagen production and skin renewal. The fractionated non-treated skin between these columns of light allows for an accelerated recovery. Recovery that once took weeks now takes days. Erbium gentlepeel laser treatment allows a treatment that will even your skin tone and lessen pores much better than an acid chemical peel with much more precision to the treatment. This treatment can be combined with brown or red spot treatment to give truly dramatic results. The gentle peel is a series of three treatments with no downtime. Another common problem with sun exposure and aging is the development of brown spots and small blood vessels on your face. Brown spots are commonly seen on the chest and hands as well. Our center has lasers specific for treating brown and red spots. We usually can remove or greatly diminish these spots in one to three treatments. By using lasers which specifically target your problem you get a safe, fast and effective treatment.

How do you know if you are a good candidate? Most laser treatments are safe, proven and affordable treatments that are for virtually all skin types except very dark skin. A complimentary consultation will determine what treatments are right for you. How long do treatments take? Treatment length depends upon how many areas are treated but an average treatment takes Laser skincare can revitalize your about 10 minutes for a small area or a full facial skin without surgery or downtime. treatment can take about 20 minutes. What do laser treatments feel like? Most laser treatments feel like a light stinging sensation or rubber band snap on the skin. These treatments are very tolerable but we provide a topical anesthetic for our patients to apply before treatment to reduce any discomfort. What should you expect from the treatments? You will see an appreciable improvement from most treatments in as little as one week. Keep in mind individual results vary and often for optimal results more than one treatment is usually necessary. Treatment effects also vary depending upon which laser is used and what conditions are being treated. For example most blood vessel treatments around the face respond in one or two treatments while the full effects of a fractionated C02 laser are not appreciated for 8-12 months. Can you have other treatments? Treatments are personalized to restore your youthful beauty. Other procedures that will compliment laser treatments are neck liposculpture, fat transfer, and upper and lower eyelid lifts as well as cheek and neck lifts. When should I have a laser treatment? These treatments can be performed anytime. However the fall season is a great time since sun exposure needs to be minimized making skin rejuvenation treatment ideal after a summer of fun at the Jersey shore.

Give us a call today and schedule a complimentary consultation.

732-255-7155

PROMOTIONS SEPTEMBER-OCTOBER FRACTIONAL SKIN TREATMENT $1200

A refreshed youthful look with laser skincare at Ocean Plastic Surgery (model depiction)

(FULL FACIAL TREATMENT)

ERBIUM GENTLE PEEL $ 500

(UP TO THREE FACIAL TREATMENTS )

BROWN OR RED SPOT TREATMENT TO THE FACE $160 (UP TO THREE FACIAL TREATMENTS 10 MINUTES)

Non Invasive Botox Juvederm Radiesse Boletero Vanquish

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Augmentation Lift Reduction Reconstruction Revision Augmentation Revision Reconstruction

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Liposuction Tummy Tuck Body Lift

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

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Vectra 3 D Imaging Breast Face Body

GIFT CARDS ARE AVAILABLE ! Cannot be combined with any other discount or offer. Offer subject to change without notice. Not redeemable for cash. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, or treatment that is performed as a result of and within 72 hours of responding to the advertisement for free, discounted fee or reduced fee service, examination or treatment.

OCEAN PLASTIC SURGERY P.A. AND LASER CENTER

Esthetician Services Microdermabrasion Classic Facial

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

(other variations acne, back and mini)

Toms River, NJ • Manahawkin, NJ • Office: 732-255-7155

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

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

www.oceanplasticsurgerynj.com • 732-255-7155

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

September/October 2015

Medical Professionals

Adolescent Gynecology: OGOAH Offers Advice on ealth &Wellness Preparing Teens for a Visit to the OB/GYN As a grown woman, you know the importance of scheduling regular gynecological exams to stay on top of your health. But as a mother, how do you know when it’s the right time to schedule your daughter’s first gynecological visit? Eric Lehnes, MD, a boardcertified ob/gyn specializing in minimally invasive and laparoscopic surgery at Ocean Gynecological and Obstetrical Associates, part of Barnabas Health Medical Group, offers insight on the most common questions about adolescent gynecology.

Q: When should a young woman first see a gynecologist? A: While a young woman with

LawAbout Barnabas Health Medical Group

Q: What are some of the most common gynecological problems for young women? A: The number one problem

for women under 18 is painful menstrual cycles. Most of the time, it’s nothing serious and can be managed by a low-dose birth control pill. Heavy and irregular bleeding is common, too. Other issues are asymmetrical breasts, breast lumps, delayed puberty, vaginal discharge and pelvic pain. “If your daughter experiences any of these symptoms, it’s important to schedule an appointment so we can diagnose and address the issue,” says Dr. Lehnes.

Q: What happens at a preventive health visit? A: The primary goal of this visit is

to provide preventive health care services, including educational information and guidance, rather than problem-focused care. The visit usually starts with an initial sitdown consultation with the patient

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

Lakewood Office Toms River Office 475 Route 70, Suite 101 368 Lakehurst Road, Suite 303 Lakewood, NJ 08701 Toms River, NJ 08755 732.364.8000 732.349.0485 Office Hours Monday through Friday: 8:30 a.m. to 5 p.m.

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a gynecological problem can be seen at any age, the typical age for a preventive health visit is between 15 and 17.

Barnabas Health Medical Group is a multi-specialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources 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.

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and parent together, followed by a confidential visit between the doctor and patient, and concludes with a “wrap-up” with patient and parent.

The most important point: this first visit almost never requires a physical exam. It’s a chance for the daughter to meet the physician and establish a physician/patient relationship and alleviate any fears. Topics like health and family history, changes in the body and menstruation are discussed.

common than you would think as the American Congress of Obstetricians and Gynecologists reports that 47% of females aged 15–19 years have engaged in intercourse,” said Dr. Lehnes.

Q: What do I need to know about the HPV vaccine? A: Human papillomavirus (HPV)

is a virus that can be passed from person to person through skin-toskin contact. While more than 100 types of HPV have been found, about 30 infect the genital areas. It’s primarily spread through vaginal, anal, or oral sex, but sexual intercourse is not required for infection to occur.

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“We provide accurate information and confidential answers to any questions concerning sex, sexuality, sexually transmitted diseases (STDs), and contraception as some adolescents are sexually active or will be soon. During this completely nonjudgmental visit, we work to build trust, provide accurate information and dispel myths,” said Dr. Lehnes.

Q: When does a woman need a gynecological exam and what’s covered? A: The first gynecological exam

should begin at age 18. It covers a breast exam, abdominal and pelvic exam and appropriate screening for STDs. Women should get their first Pap smear at age 21. Sexually active women should get yearly screening for gonorrhea and chlamydia. “STDs are more

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Two vaccines are currently available that protect against some types of HPV. The four-type vaccine is almost 100 percent effective in preventing cervical precancer and genital warts caused by four types of HPV. The twotype vaccine also is almost 100 percent effective in preventing cervical precancer caused by two types of HPV. “Whether or not you choose to vaccinate your daughter is a personal choice. The vaccine is a preventive measure - available to girls aged 9-26 - and is most effective if it’s given before a woman is sexually active and exposed to HPV,” said Dr. Lehnes.

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September/October March/April2015 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

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.

Health

Wellness

From Fear Of Flying To Ease Of Flying

oes the mere thought of getting on an airplane make you jittery? Do you avoid flying at all costs? Do you have to rely on drugs or alcohol to get through a flight? Have you missed out on some fun-filled vacations because of this fear? Has it hurt your career – or relationships? You’re not alone. It’s estimated that a fear of flying affects over 20 million people in the U.S. And this fear can be related to a fear of crashing, a fear of kids growing up without a parent, feeling out of control, discomfort with enclosed spaces or heights, even a fear of terrorism. Chances are, some wellmeaning friends or family members have tried to appeal to your logical mind and convince you of the safety of flying, the skills and training of the crew, and the rigorous mechanical checks. Maybe you’ve read that your chance of dying on a commercial airline flight is only

1 in 4.7 million. Yet, even with that amazing statistic, you’re still terrified. So what do you do? You can keep doing what you’ve been doing and continue to limit your life – and let the fear win. Or, you can try something different – a safe, efficient approach that’s helped many people take to the skies with a sense of calm and comfort: hypnosis and coaching. You already know that using your rational, logical conscious mind doesn’t work very effectively to overcome your fear. Reviewing numbers and facts about airline safety will go just so far to ease your mind. The challenge you’re facing stems from the subconscious mind – the part related to the imagination, patterns, memories, and emotions. That’s the part that’s been going a bit haywire when you even think about flying – and when you are flying. Your automatic reaction has been to get tense and scared, to panic, to worry about the “what-ifs,”

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

and probably experience a variety of distressing physical sensations. Because hypnosis deals primarily with the subconscious mind, it can go a long way toward helping you alter your negative emotional and physical reactions to flying – and to develop more comfortable responses. Most people find that within three to six sessions, their comfort level increases dramatically. A variety of techniques are used to reinforce your ability to fly with ease, so that the change is a permanent one. Many clients notice that as they build their confidence in this area of their life, confidence spills over to other areas, as well. If you’re ready to relax your way through flights and start saying “Yes!” to more opportunities and adventures, consider this safe and empowering approach.

To schedule an appointment, call 732-270-0080 today!

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

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September/October 2015

Medical Professionals

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January/February 2015 September/October 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. Violeta, 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 laid-back approach to their wedding.Violeta 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 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. The store also offers a huge array of designer tuxedo rentals and on-site expert tailoring and alterations services.

Upcoming Events September 18 - 20

Pronovias Bridal Trunk Show 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

609-653-4444 • www.dress2impress.us

Health & Wellness

Post-Summer Treatments, Great For The Whole Body! After summer exposure is the best time for a body treatment. We have designed an array of body treatments with your skin in mind.

Equilibrium…Just like its name. This, our

signature body treatment, is an antidote to the hassled life we lead. We strive to bring balance back to the tired and weary soul. Skilled hands begin with the ancient healing art of acupressure, allowing the body to relax deeply. We follow with a full body scrub of exfoliating, deliciously scented sea salts. Surrender then to the healing powers of an aromatherapy body massage designed especially for you. Your body, mind and spirit say, “Aaaah!”

Detoxifying/Tonifying Seaweed Wrap $110.00

A customized blend of vitamin rich seaweed and plant

extracts is applied to revitalize the skin after a stimulating full body exfoliation. Your body is then warmly wrapped to encourage absorption of minerals while eliminating impurities through sweating. This is not a weight loss wrap. Seaweed has the power to detoxify, contour, nourish and tone the skin.

Petal Soft Wrap $98.00

A bed of roses to envelope your body. After a light exfoliation clears your skin, you are bathed and wrapped in rose mud to nourish, heal and moisturize the skin. We finish with a light massage of champagne and rose butter.

Black Sands Mud Wrap $98.00

After a light exfoliation, your body is cocooned with the warm, silky smoothness of a special black mud to improve skin texture. All of this will help your skin catch up from the sun damage, which happens from a lot of

exposure to elements. Finished with a light massage of moisture from mango and mandarin.

Karisoftness (Great For Mom To Be) $95.00

A translucent hydrating gel consisting of honey, polysaccharides and aromatic complex is then gently massaged onto the skin moisturizing and improving the skin’s suppleness and preventing dehydration. Finished with an application of vitamin rich shea butter. Perfect for after sun care, anti-aging skin, dehydrated skin and pregnancy.

Sea Salt Glow $80.00

Simply exfoliate your skin. Stimulate the senses. Then allow us to drench your skin with moisture using an array of scents (you choose).

Call 732-505-9448 today!

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.)

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

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September/October 2015

Health &Wellness

Make Brain Science Work For You Law

Written by Dr. Richard Ponton

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People in Monmouth and Ocean Counties are changing the way they live with the help of neuroscience. Sharon Moleski at the Brain Health Center in Wall is using advanced technology which allows people to train their brain to work most efficiently…it is biofeedback for the brain called neurofeedback. This intervention is non invasive and uses special equipment to listen to brainwaves; clients train themselves to keep the brainwaves at optimal levels. Neurofeedback has been shown to be an effective intervention for attention problems (ADD and ADHD) in adults and children. It can improve sleep problems, emotional regulation, depression, anxiety, OCD Sharon Moleski, LPC, and substance abuse. Sharon, who is licensed as a LCADC, CMHC professional counselor and a clinical alcohol and drug counselor, combines compassionate care and professional therapy with neurofeedback. She reports “…people see real results, lasting results, without medication and its side effects.”

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potential to increase physical balance.” On the playing field, in the classroom or at work, Brain Sharpening helps improve performance. The same brain science that suggests neurofeedback for athletes makes Brain Sharpening at the Brain Health Center in Wall a perfect match for seniors. If you can’t remember where your keys are, have trouble sleeping, find that you are not able to retrieve words or recall names like you used to, or if you are having trouble with balance, it may be time for brain brightening. Neurofeedback can enhance your brain’s power…without medication. The Brain Health Center is located in Wall, convenient to the Parkway, Route 18 and Route 34. Sharon and Dr. Richard Ponton, the Director of the Clinical Mental Health Counseling Program at Georgian Court University, provide personalized and affordable services in a comfortable setting. With over ten years’ experience, Sharon Moleski, MA, LPC, LCADC, CMHC, has presented seminars and workshops locally and at national conferences focusing on neuroscience and related topics. She can be reached at the Brain Health Center at 848-404-9111 or visit the website at: www.brainhealthcenter.com.

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Sharon explained that “neurofeedback is like physical therapy for your brain. If your leg wasn’t working properly and that was causing pain and interfering with your life, you would invest time and effort in physical therapy in order to heal. The same is true for neurofeedback. Like physical therapy, the length of treatment varies with the severity of the issues but significant improvement is usually seen within weeks.”

• Sharpened Attention • Emotional Regulation • Improved Sleep • Sharpened Thinking • Better Balance

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Dr. Richard Ponton LPC NJ 37PC00087400 LMHC NY –18-000614

Sharon Moleski, MA, LPC, LCADC LPC NJ 37PC00371300 LCADC NJ 3700150500

3100 Rte 138 West, Wall, NJ 07719 Close to Pkwy Exit 98, I195, Rte. 18 & 34

Brain Sharpening for a competitive edge in work, sports, school & life! www.TheCountyWoman.com

www.brainhealthcenter.com Brain science helping people of all ages to be their best!

Neurofeedback is exercise for the brain that trains the brain to function more efficiently. It uses information about the electrical waves in your brain to help the brain learn to work more at its optimum level. This noninvasive, brain-training method “hears” your brain’s electrical waves through small sensors on the scalp. A computer compares these readings to brainwave patterns that are most efficient. During a treatment session, you receive feedback from this comparison in the form of lower volume or poorer picture resolution in the movie you’re watching. The healthiest brainwave patterns produce the clearest picture and sound. Sound and picture improve when your brain unconsciously matches healthy patterns. Through such “rewards,” your brain effortlessly learns the patterns that make it function more efficiently.

Does it hurt? No! Neurofeedback is painless and easy to do for people of all ages! Unlike medication, nothing is put into the body or brain.

What problems can neurofeedback address?

Offices of:

Call: 848-404-9111

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What is neurofeedback?

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The Brain Health Center is also home to Brain Sharpening. This innovative approach to peak performance allows adults, students and athletes to maintain their edge. Olympic athletes, professional athletes in the NFL, NBA, PGA, and LPGA, as well as elite college and high school athletes have used neurofeedback to enhance performance. The Journal of the American Board of Sport Psychology published the following conclusion: “…Neurofeedback has been shown to have potential for quieting the mind to improve performance…It can also be used to improve concentration and focus, to improve cognitive function and emotional control following concussions and mild head injuries, and it has untapped

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Neurofeedback has helped people of all ages with challenges that interfere with their lives, such as ADD/ADHD and other attention issues, autism, learning disorders, PTSD, OCD, anxiety, panic attacks, depression, sleep problems, addiction, migraines, stroke, and traumatic brain injury.

What are the benefits of Brain Sharpening? Brain Sharpening is training the brain for peak performance. This training is used by pilots, military special forces, surgeons, professional and elite athletes, performing artists, and CEO’s to enhance attention, concentration, memory, and emotional regulation. Many active seniors use Brain Sharpening to keep their minds in great shape.

Does Brain Health Center provide other services? Yes, we provide individual, family, and couple counseling that is compassionate and focused on helping people make lasting changes in their lives. Often neurofeedbackJanuary/February and counseling together 2015 help people address challenges and learn new behaviors.

Please contact us today for more information!

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Nutrition

Wellness

How Critical Are Your Food Choices? Jennifer Nosti, Nutritional Therapist, RDH

e all know that we need to eat every day… but just how important is what we put into our bodies?

✤ Let’s go back to the fundamentals of human

biology. Most people are familiar with the term “DNA”, which stands for deoxyribonucleic acid- the building blocks of life. Human DNA is arranged in sequence, known as the “genome.” It carries the code for everything about you. It is responsible for making you who you are. ✤ Identical twins develop from one fertilized egg, therefore, they have nearly identical DNA and genomes. Considering this, how would it be possible for one twin to be overweight or develop high blood pressure, while the other does not? This is thought, by many, to be influenced by individual life choices. For example, one twin may eat organic food, take vitamins, make healthy life choices. One may drink excessive alcohol, smoke, and make unhealthy life choices. These seemingly irrelevant choices, actually direct each twin’s genetic expression. ✤ Years ago, people believed that if their father suffered from heart disease, it was just a matter of time before they experienced this same fate. On average, 95% of human disease is NOT genetically determined. Today, research shows that nutrition (whether it’s good or bad) switches our genes on and off. So while you may have a

Lose 15 Pounds In the First 30 Days (individual results may vary)

gene for cancer, essentially, you can “mute” this gene by improving your nutrition, your habits and how you live, thus changing your fate. ✤ If you are eating fast-food, genetically modified food (GMO), fried food, or overly processed foods, you are starving your body of critical nutrients and making it very difficult for your body to adapt to everyday toxins. On the other hand, if you are eating healthy, organic foods and taking supplements, you are supplying your body with high quality nutrients and allowing your body to expel toxins and repair any cellular damage. ✤ Anti-nutrients are foods that actually require more nutrients for the body to utilize them than what they supply to the body. These are deepfried foods, refined sugars, food additives and alcohol. An overload of these anti-nutrients makes it very difficult for the body to eliminate toxins. It is best to avoid anti-nutrient foods. ✤ On the other hand, antioxidants are a natural cancer-fighter. These antioxidants essentially donate themselves to your body to help eliminate “free radicals.” Excessive free radicals in the body can lead to cellular damage and even cancer. Science is beginning to consider Alzheimer’s disease, heart disease, diabetes, and rheumatoid arthritis the result of an antioxidant deficiency. Learning where to find antioxidants and make them a part of your daily routine. ✤ Fiber can help manage your weight by keeping your hunger in check, it improves digestion, reduces the risk of type 2 diabetes, lowers cholesterol and helps prevent cancer.

✤ Essential oils like Omega 3 and 6, are called

essential for a reason. Your body uses them for many things like building healthy cells. They can reduce inflammation within the body and improve nervous system function. Our bodies don’t make them. The only way to get them is to consume them. Learn where to find these essential fatty acids. ✤ What you put (or don’t put) into your body is extremely important! So, get educated about what you can do to express the best in yourself! Your future health depends on it.

For more information, call 1-800-661-0278. Testimonials

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

For a complimentary Antioxidant Assessment, please email jennosti@gmail.com.

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

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

M P HORMONE IMBALANCES: WOMEN DON’T SUFFER ALONE. ICAM Offers Affordable Non-Invasive Testing AS IF MAH OZONE THERAPY WASN’T ENOUGH.. edical edical

28 24

rofessionals rofessionals

ning growth hormone and other anti-aging Bio-Oxidative Therapies, was the ultimate high-tech pacemakers artificial hearts and HelloFrom patients andtoreaders! therapies. This too is an affordable test at changingealth the limbs to stem cells, America has found its rank in state of the art therapy that was literally course of disease and life for those with chronic illness. Today, I would likefortobeing present to the world health league an innovator $125. of medical technology. Unfortunately, the cost Coronary Artery Disease youwith themedical various non-invasive testing Coping yourtherapies symptoms your symptoms! OZONE THERAPY of these prohibitisn’t those controlling who Coronary Artery Disease (CAD) is still A few weeks ago I was invited to attend a benefit most from obtaining them thus procedures performed at ICAM. Don’twould let... the number one killer of men and women

Law

&Wellness

conference/workshop in California sponsored by Drs. contributing to one of the several reasons our HOT FLASHES • NIGHT SWEATS • INSOMNIA in• America ANXIETY th today.Howard As eluded to above, Robert Rowen, Robbins justita few days after countryUSA, ranks 38 in world healthcare. With the rising costs of healthcare, it is becoming DEPRESSION • JOINT PAIN • HEADACHES • would LOSS OF SEXUAL DESIRE be very useful and comforting to Shallenbergerspending several days with Dr. Frank more difficult to obtain “necessary” diagnostic tests and VAGINAL DRYNESS • BRAIN FOG • WEIGHT GAIN... another of the gurus and pioneers theone actual underlying condition of of ozone But what would to youcontrol say tohealthcare the idea ofcosts. steering procedures in attempts Don’t know therapy that I have nicknamed: “The Three Kings”. away from conventional medical thinking and open your blood vessels without undergoing the become the ‘new norm’! get me wrong, I agree this is a problem that needs to be What I didn’t know was that I would your eyes and minds to therapies that are considered expensive and risky procedures utilized be one of only only perhaps a dozen machines currently available addressed. Butoran even bigger concern liesknow, in the “need” fourteen attendees throughout the world that was “alternative” “outside the box”? You in the United States, the cost of a single ten pass today. Cardiovision testing fulfills this (at times)modalities to perform theseoffer tests the sole to symptoms present for at the their lecture by Dr. Lahodny from Austria medical that afor cure for anreason underlying Take contol and solve your treatment is a fraction of the cost of what the $9,000 need as a completely non invasive proce“cover the butts” physicians from frivolous who shared his work and experience utilizing ozone condition ratherofthan a Band-Aid to mask lawsuits. the - $15,000 MAH treatments would deliver. Most source for natural, lasting relief tothrough help the practitioner diagnose Our litigiousofsociety is in large part a contributing factor dure in much higher concentrations thanaswas previously symptoms disease? practitioners are charging a reasonable price of $1500. well as followasCAD. Bio-Identical Therapy (BHRT). “accepted” being safe and effective. He presented a in rising healthcare costs. Hormone Replacement As anUntil introductory cost of weCardioVision®, are offering this medical ease. the invention there was no different vehicle of administration for ozone through Specifically, am referring to the oxygen What’s more, Imany of the tests thatuse are of ordered in modality at a cost of “only” $1000 to our patients. to enhance medicine the treatment every the utilization of the Zotzmann CARDIVISION: THISOzon IS A2000 machine easy, inexpensive or quick way to determine if a person’s mainstream truly and don’tcure giveof thenearly provider the vessels had lost flexibility. Many people are never aware medical condition known to man. For those of from Germany that isPROCEDURE commonly used inTO Europe by INFORM YOURSELF NONINVASIVE HELP necessary, valuable or correct information required to act thatSure they this are walking around with until you that are avid readers of OCW magazine or are hundreds of medical practitioners. is a lot of money butthis you“silent needkiller” to invest upon in formulating a treatment plan. Forseveral example, an DETERMINE YOUR UNDERLYING patients of ICAM, you are aware of the articles they experience their first heart attack from occluded in your health. I encourage all interested readers vesexercise stress test and cardiacyou catheterization often RISK FOR HEART ATTACK, I have written introducing to therapiesare involving Because space is limited here I needSTROKE to be brief sels. hasmy been estimated 60-70 to goIt to website and that review the million articles Americans I will misleading more unwarranted testing OZONE. causing In a nutshell, ozone is a form of and Bio-ultibut if you go to myCIRCULATORY website I will post aDISEASE review of AND OTHER harbor this “silent andthe should both life-style make available tokiller” you over nextmake several weeks mately unnecessary Another a Oxidative Therapyprocedures. which simply meansexample that weisare my entire experience with this new form of ozone pertaining to as HOT. those interested in obtaining changes, such gettingFor more exercise, changing their STATES. introducing oxygen into the Of the various therapy coined as HOTto or High Doseregarding Ozone Therapy. PSA testing in men which nowbody. has been discouraged by or most people, the first thought that comes mind hormone this therapy be reducing for enhancing a weakened diet, quitting whether smoking,itand their cholesterol. vehicles used to exposeforthethis body to ozone, the topical, In In a nutshell, HOT canpressure deliverand a nuclear warhead many medical societies reason. immune system, improving energy, treating an addition to blood pulse information, While everyone needs to adoptoverall these changes, sometimes imbalance is a women in menopause. A decline in a woman’s hormone levels rectal and intravenous routes are the most commonly to the ailing body ridding it of nearly every toxin, Invasive procedures are not only costly but often very established acute or chronic medical condition or just the CardioVision® also generates information on the life-style changes alone are not enough. CardioVision® prescribed. inflammatory invader, autoimmune disorder or as a prophylactic therapy to ensure health, longevity risky in(estrogen, terms of immediate death, complications involv- stiffness or flexibility of theseen brachial artery. Called the progesterone and testosterone) is generally at a stage in life known identifies people who don’t even think they have a cardiochronic condition the body may develop and do so and quality of life, you should call the office to obtain ing organ damage and the need to take these risks again Arterial Index (ASI), the ASI that10 vascular problem because they are non-smokers, as exercise Asmenopause. I progress and advance my knowledge and safely atStiffness aand concentration of ozone thatisis isa number more than as The decline is usually rapid dramatic, and accompanied byinformation more and make an appointment we to verifyI that the procedure that follows the with Because arteriosclerosis skills, become even more dismayed by examination mainstream correlates times what wasarteriosclerosis. previously recognized as safe. And, regularly, watch their diet and worse,tothey don’t have once already have over fifty treatments be scheduled was successful. symptoms such as hot flashes, mood swings, gain, sleep reduces in arteries, the higherdisorders the the and asymptoms!!!. medicine and more intrigued with the alternative as thoseflexibility ofweight you who have experienced the ASI, current Consequently, the ASI can be viewed as weloss are up and running in mid-September. side. As a founding member of AAOT (American methods ozone here ICAM, you know the more likelyofsomeone is toathave hardening of theofarteries, Dementia and Memory Loss another cardiovascular “risk factor”, just like high blood ofICAM sexoffers drive, to name aguest few. Association of Ozonotherapists), and miraculous it has provided hundreds the lower thehealing number,effects the less likely. state of the art testing forlecturer dementia and In the I look to assisting you all pressure ormeantime a cholesterol levelforward above 200. Additionally, we presenterloss of through ozone therapy to hundreds of medical of Why you for ranging from is itailments important to know howallergies, flexible arthritis, arteries are? think back to optimal health and longevity. memory a computerized program known as Unbeknownst of us, however, mendisease tooand gomoving through a period or phasethat the ASI can be used to follow cholesterol lowpractitioners, I feel that it is my to dutymost to further cancer, Lyme between. Arteries are responsible for everything the in majority of the MCI-CANS. It is probably the most reliable and accuering therapy and other “risk factor” changes. understand and promote this amazing form of medical Be Well and God Bless. similar to a woman in menopause known as andropause. sometimes blood through the vascular tree.Andropause, Consequently, non-flexrate cognitive testing program available today at a mere intervention that has remarkable capabilities and Now for the real treat…. A single treatment of Mark James Bartiss, MD ible or hardened theofheart work through much cost of $125. endless possibilities. For more information on these tests and other HOT which requires 10cause passes your blood referred to as “man-o-pause” or “midlife crisis,” is arteries experienced bytonearly every male harder when it is forced to push blood through partially We have another extensive battery of tests aimed at the Zotzmann machine is equivalent to 30 to 50 MAH services offered by ICAM, pleaseHigh call Dose or visitOzone us on For more information about atUntil some point inwhat their lifetime as hormone levels decline, the onset occluded vessels. This extra strain heart and the is much determining ones biologic age versus their chronologic now, I thought I studied, researched, treatments (the current IValthough formon of the ozone therapy Therapy. 609-978-9002 today! the webCall at www.ICAMBartissMD.com. learned and was offering my patients in prior termsto ofbeginresulting blockages are aAlthough root cause of cardiovascular age. At ICAM this is used on all used here at ICAM). ICAM ofdis- sympmore gradual than inpatients women and therefore not as readily noted ashasaretwothose

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

individuals take their lives back and reclaim their health.

and a choice.

Institute for Complementary and Alternative Medicine

24 Nautilus Drive, 5 • Manahawkin, NJ and 08050 Alternative | 609-978-9002 Medicine Institute for Suite Complementary 50424Hamburg Tpk, Suite Suite5205 • Wayne, NJ NJ08050 | 973-790-6363 Nautilus Drive, • Manahawkin, | 609-978-9002

504 Hamburg Tpk, Suite 205 • Wayne, NJ | 973-790-6363 By Appointment Only: 639 Stokes Road, Suite 202 • Medford, NJ 08055 | 609-654-5900

www.ICAMBartissMD.com www.ICAMBartissMD.com

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

July/August 2014 January/Feb September/October 2015

Medical Professionals

DOES OBESITY CAUSE DEPRESSION? OR DOES DEPRESSION CAUSE OBESITY? When it comes to being healthy and feeling well, the mind-body connection is powerful. Being even a few pounds overweight can affect your self-esteem and body image, and having even more weight to lose can make it harder to keep a positive outlook. Especially if your health is suffering. If you have 50, 100, or even more pounds to lose, you may find yourself stuck in a cruel cycle of emotional eating — overdoing it on sugary, fatty, and high-carb comfort foods to dull the hurt you feel inside — which only packs on more pounds and makes you feel worse about yourself. A constantly losing battle against the scale can stir up feelings of shame or guilt, low self-esteem, and even depression. “Depression of different degrees is present in over one-third of the patients I treat, and studies show psychological health worsens with increasing severity of obesity,” says board-certified bariatric surgeon Lucian Panait, MD, FACS. Dr. Panait is a provider at the Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center (ARMC). At the other end of the spectrum, after weight-loss surgery, Dr. Panait has seen once-depressed patients move forward with renewed optimism about life and weight-loss success. “As diabetes and other associated medical conditions improve, and patients’ weight drops, I have observed resolution of depression in people who suffered from this condition before the operation. Numerous studies have shown overall post-operative improvement in depressive symptoms, self-esteem, health-related quality of life, and body image,” he says. To achieve their weight-loss goals — while also improving their mental well-being — Dr. Panait encourages his patients to “be compliant with their physician follow-ups and support group attendance, and at both venues discuss openly problems encountered when coping with life after bariatric surgery.”

Join us to learn about these minimally invasive surgical procedures for weight loss: • Laparoscopic Sleeve Gastrectomy

“Physical and psychological well-being are a reality after bariatric surgery, which can be achieved with hard work and a very close relationship between you and your surgeon,” he says.

• Laparoscopic Biliopancreatic Diversion (BPD) with Duodenal Switch (DS)

For more information about weight-loss surgery at AtlantiCare, visit www.atlanticare.org/bariatrics or call 1-888-569-1000.

• Laparoscopic Roux-En-Y Gastric Bypass • Laparoscopic Adjustable Gastric Banding (LAP-BAND®)

Morbid Obesity and Mental Health

50 percent

Rate of lifetime depression in obese individuals

Registration required, call 1-888-569-1000.

5 times

REGIONAL MEDICAL CENTER The Center for Surgical Weight Loss & Wellness

Greater likelihood of a major depressive episode* in extremely obese people vs. normal-weight people

*In one given year

WEIGHT LOSS SURGERY SEMINAR

The County Woman Magazine www.TheCountyWoman.com

View our weight loss webinars at www.atlanticare.org/bariatricseminars September/October 2015

Chiropractor

Chiropractic: What You Need To Know Written by Daniel Eric Mutter, DC Not too long ago a little boy came into our office. He was seven years old and was constantly looking down and to the left. I take care of his grandmother and one day she asked whether I could help him. He had seen neurologists and specialists and other healthcare providers and the consensus, she told me, was that “he was just born that way.”

There was interference in the communication between his brain and his body and his physical body was reflecting that he lived in a constant state of stress. When there is tension on the brain and spinal cord, which can be caused by physical, chemical, and mental/emotional stress, both the body and the mind go into “defense” mode.

Even by the age of seven he had seen his fair share of accidents and injuries, but he was just as strong and stubborn and curious as any other boy his age. And here he was, with a tremendous amount of tension and stress in his head and neck, holding patterns of defense in his muscles and his posture, being told that he would have to learn to live this way, because “that’s how he was born.” I haven’t been seven years old for some time, but that explanation wouldn’t have been enough for me then and it most certainly is not sufficient now. This little guy didn’t have a neurological condition or some kind of rare muscular disorder. He wasn’t suffering from a lack of medications in his blood. He needed to be adjusted. He needed chiropractic care.

RESPONDING TO STRESS This happens to everyone, at all stages of life. It is part of the experience in this gig we call “life.” The trick is not to get rid of, shun, vilify, or blame stress. Stress shapes us into the people we are and the people we will become. The trick is learning to respond to stress instead of reacting to it, to practice a kind of judo with ourselves. This ability to have a choice, to respond to stress, to have an internal balance when the external world turns to chaos, is all based upon the clarity in the nervous system. The nervous system (brain, spinal cord, and nerves) is the common denominator in all things that happen in and to the body.

Ultimately, we cannot (truly) live in growth and defense at the same time. When tension and stress challenge the innate ability of the body to express health and wellness, we see and experience dis-ease. We are meant to be healthy and to live connected and empowered lives. That is how we are born. That is what I told the little boy as he looked up at me with a smile on his face and took what was probably his first deep breath in a long time. IT CAN GET BETTER Never resign yourself to the concept that things can’t be better than they are or that dis-ease in any form is normal. The natural state of the body is health. When the communication within the body is clear, then health is expressed naturally, innately, and graciously. Chiropractic supports and strengthens the clarity of the body’s communication and in so doing empowers you to express your true, natural state of well-being. If you want more life in your life, get adjusted!

Call 732-244-5008 to schedule an appointment!

Waves of Transformation Wellness Center, Inc. Location: 309 Main St. Toms River, NJ 08753

732-244-5008 wavesoftransformation.com njwavesoftransformation@gmail.com

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Recipe

Donna M. Mutter, DC Daniel Eric Mutter, DC Services: b Family Wellness Chiropractic b Network Spinal Analysis b Somato-Respiratory Integration b Reorganizational Healing Workshops b CORE Score Neural Efficiency Testing

Donna M. Mutter, DC and Daniel Mutter, DC

Daniel Mutter, DC practices reorganizational chiropractic at Waves of Transformation. After studying Philosophy at The College of New Jersey and graduating salutatorian from Life Chiropractic College West, he joined his mother in practice in 2013.

Roasted Butternut Squash and Spinach Soup Submitted by Marcie Seninsky, Diet Coach/Manager at Balanced Life Weight Loss Institute

Ingredients - Serves 4

1 ½ Tblsp. balsamic vinegar 1 medium-large butternut squash, halved lengthwise 1 Tblsp. olive oil 2 cloves minced garlic 1 lb. fresh or frozen, defrosted, drained spinach 15.5 oz. can cannellini beans (white kidney), drained 7 cups low sodium chicken or vegetable broth Salt & pepper to taste ¼ tsp. nutmeg ¼ tsp. cayenne pepper ½ tsp. pumpkin pie spice ½ tsp. smoked paprika 4 Tablespoons real bacon bits to garnish

• Pre-heat oven to 425. • Spread balsamic vinegar on a baking sheet and lay squash cut-side down on vinegar. • Roast 20-25 minutes until very soft. • While squash is roasting, put olive oil in a saute pan and saute the garlic till fragrant. • Add the spinach, beans, and 1 1/2 cups of the broth. • Cook it down until there is no liquid and then add salt and pepper to taste. • When squah is cool, remove and dispose the seeds, scoop ot the flesh, and measure 2 1/2 cups into a large stock pot, on medium. • Add the remaining 5 1/2 cups of broth, nutmeg, cayenne pepper, pumpkin pie spice and smoked paprika and bring to a slow boil. • Blend until smooth and return to the stock pot. Add the spinach bean mixture and stir thru. • Spoon into soup bowls and top with one tablespoon of real bacon bits. Enjoy!

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Business Spotlight

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

309 Main St. Toms River, NJ 08753

wavesoftransformation.com

Creating Healthy Bodies From the Inside Donna Mutter, D.C. is a passionate teacher who has educated and inspired her clients for over 25 years. Her healing is done at Waves of Transformation Wellness Center where she shares the space with her son Daniel, also a chiropractor. Donna is certified at the highest level of training given a network chiropractor. “My goal is to help maximize your understanding that the tension stored in your spine and nervous system directly effects the freedom, flexibility, and function of your body. Overall well-being requires an alert mind-body connection,” she says. Many of her patients are recovering from spinal surgeries, fusions, stroke, cancer treatments, years of arthritic pain and poor posture. Her office, located in Toms River practices an evolutionary, forward-looking approach called Network Spinal Analysis. This process looks at the relationship between the spine and the nervous system, how the patterns of tension and stress in our body are intelligently organized, and how using gentle, precise contacts along the spine can help the body to unwind and reorganize this stored energy.



Meet Dr. Donna Mutter

OCW: How did you become involved in the field of chiropractic care? Dr. Donna: I became interested in chiropractic as a profession the summer of my junior year in

college. I worked as a chiropractic assistant to Dr. Joan Winters, a local Toms River chiropractor. It was my first experience seeing how working with the spine and nervous system directly improved the health and well-being of the patients she served.



OCW: What makes Waves of Transformation Wellness Center unique? Dr. Donna: Our office is unique because it utilizes the approach of Reorganizational Healing.

Specific low force contacts are applied to regions of the spine to reduce defensive tension of the spine and nervous system. By reducing the defensive tension of the spinal and neural structures, the body improves its ability to adapt to stress. Additionally, we employ a technology that will objectively measure the fitness of your nervous system’s ability to adapt to stress. Using Heart-Rate Variability, surface EMG, and thermography we can track clinical and experiential changes with certainty and accuracy.



OCW: What are the most common issues you see in your profession? Dr. Donna: There are two primary reasons people come to our office. The first is that they are

Dr. Donna Mutter Waves of Transformation is a community-centered practice that participates in monthly events like the downtown Toms River festivals, as well as specialty workshops. Their office is a warm, supportive environment committed to bringing wellness “back” into their patients’ lives. Dr. Mutter 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.”

having a challenge with their health that has interrupted their ability to do the things that are important to them. This can take many forms, from pain to chronic illness, injury to emotional trauma. The second is that once people experience what it feels like in their body to be connected, to feel less pain, to be better at adapting to stress, to think more clearly, and communicate more deeply, they see the extraordinary value of the care we provide and they choose to continue receiving wellness care.



OCW: Tell us about the different types of patients you treat. Dr. Donna: We see a variety of patients from young children to senior citizens. For children, we

evaluate their spinal health as they explore different sports, use of musical instruments, and stressors to their bodies through falls or adverse reactions to medications. We support adults and the senior community with their concerns for a more flexible body.



OCW: What do you enjoy most about working with your son? Dr. Donna: Daniel joined us two years ago and has enhanced the education of the practice

in immense ways. He provides monthly newsletters, has introduced technology that measures heart rate variability, thermography and surface EMG studies; all which provide objective data to show our patients how their spine and nervous systems are adapting to stress. After a series of visits we retest their system to see how chiropractic care and life style changes can create objective improvement in their spinal neural integrity. It brings me great joy to see his growth as a man and his dedication to compassionately serve the families that come to the office for care.

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Medical Professionals

New Laser Therapy For Women Who Suffer During Menopause And After Childbirth Do you suffer from vaginal discomforts? Vaginal discomforts as dryness, burning, urinary incontinence can occur during pre-menopause or after childbirth. The main cause is often atrophic vaginitis: a disease that can adversely affect your life and the relationship with your partner. Around 17% of women aged 18-50 experience problems with vaginal dryness during sex, even before the menopause takes place1. What is vaginal atrophy? Vaginal atrophy, also known as atrophic vaginitis, is an uncomfortable condition that many women suffer from in silence. For those who find current treatment options for this condition to be ineffective, the FDA recently approved a new procedure, MonaLisa Touch®, to combat this problem, only it’s not for the faint of heart. Vaginal atrophy is often caused by hormone changes associated with menopause, but may also occur in women who experience decreased estrogen production due to cancer or breastfeeding. It is characterized by thinning, drying, and inflammation of the vaginal walls and causes intercourse to be painful and may also contribute to problems with urination.

fractional CO2 laser, specifically created for the vaginal mucosa. MonaLisa Touch® prevents and resolves estrogen drops in the vaginal tissue (typically occurring during menopause or after childbirth) by re-activating the production of new collagen and reestablishing the conditions that the vaginal mucosa once had. MonaLisa Touch® is now the most effective non-surgical and non-pharmacological solution for preventing and treating vaginal atrophy and its after-effects, which many women suffer from during menopause and after childbirth.

What does the procedure entail?

The CO2 laser gently acts on the vaginal walls through a special scanner, creating indistinguishable micro-lesions that are required for triggering a neocollagenesis process (production of new collagen) and reorganizing and re-equilibrating the components of the vaginal mucosa. The laser’s action therefore safely and painlessly reactivates and reestablishes the proper function of the relative urogenital structures while also improving the symptoms associated with urinary dysfunction (mild incontinence due to stress). A tissue regeneration process lasting numerous weeks is triggered, but stimulation occurs immediately and significant improvements can be seen even after the first treatment.

How can MonaLisa Touch® help?

What are the expected results from MonaLisa Touch® treatments?

MonaLisa Touch® is a functional vaginal rejuvenation treatment based on a special

The mucosa tissue thus becomes more nourished and hydrated and the epithelium

Enter To Win

becomes thicker, more toned (vaginal tightening) and elastic. It also reestablishes the correct vaginal pH, which helps maintain its natural protective barrier and reduces the risk of infection. One simple treatment lasting only a few minutes, without pain, side effects or recovery time, can give the tissue the tone and elasticity it once had, with positive effects on one’s quality of life and personal relationships.

Percentage of improvement after three MonaLisa Touch® treatments: LAXITY: 54.22% DRYNESS: 74.16% IRRITATION: 65.39% DYSPAREUNIA: 63.53%

*Courtesy of Prof. S. Salvatore – Hospital San Raffaele, Milan (Italy) Source: Laumann EO et al. Sexual Dysfunction in the United States. Prevalence and Predictors. JAMA 1999; 281(6): 537-544

“It’s OK to talk about it.”

Call today for an appointment or more information! 732-914-1919

MonaLisa Touch ® North Dover • Dr. Sutherland 222 Oak Ave. • Toms River, NJ 08753 • 732-914-1919

Splendid! A first-rate cast!” -NYTimes

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Elder lderL Law aw E E lder L aw

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

National Elder Law Foundation

15 15 29

• 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 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

Nancy Rice Answers Questions AboutPart I Will Contests: How Do They Work? Nancy Rice Answers Questions About Retirement Assets, Savings Bonds And More Retirement Assets, Savings Bonds And More

judges are hesitant to “remove” an Executor after the Will over an extended period of time, it may be In New Jersey, the probate of a he or she is appointed, unless there is clear evidence argued that the Testator affirmed the contents of Will and the appointment of an that he or she acted improperly. the Will and, as a result, it may be upheld. Executor most commonly notto a has not been taxed. Capital gain is not When a person dies owning a signifineed make our clients aware of the fact hen weisplan estates or advise If the Will has already been admitted to probate, B. Due Execution taxed until you sell the property. The big cant number of US savings bonds, we that there beneficiaries will have to pay executors and trustees who are formal procedure.

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must still actthe promptly ifWhen you to of challenge has not beenbetween taxed. Capital gain is not aoption person dies owningthe to make clients aware of fact hen plan estates or trusts, advise difference income tax and capital have thewant reporting accrued income taxesour onyou the money they receive handling estates and a signifiIn New Jersey, a typewritten Will must be If a Will iswe properly executed andwe has need two taxed until you sell the property. The number of US savings final bonds, we there beneficiaries will have to pay executors are that it. In Jersey, asuch resident who has gain tax is that capital gain tax can disapinterest onreceived the decedent’s income tax from certain types of New investments, as cant need to consider bothand thetrustees incomewho tax and witnessed by two (2) persons, over the age of big Witnesses and a Notary, the Will can beincome admitted between income tax and have the option of reporting the accrued taxesIRAs, onNotice theannuities, money they receive pear atboth death income tax capital does return (1040), which is something we disand US savthe capitalhandling gain tax.estates Why?and trusts, we traditional of Probate of the Will has only four (4) eighteen (18)difference years, of(whereas whom witnessed the to probate by the Surrogate’s Office of the County not). gain tax is that capital gain tax can disapcuss 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 months to contest the filing of the Will; non• Retirement assets (IRA’s, 401(k)’s, Will signing. It isInhelpful (but not necessary) for in capital which the tax. deceased resided. No courttraditional proceeding when a person dies • When wewhich work iswith clients whose • Sometimes, we recommend that death words, (whereas income tax does (1040), something we dis- pear at other IRAs,residents annuities, and US sav-if (6) return the gain Why? profit sharing plans, etc.), annuities and have only six months. the Will to have a “self-proving affidavit” attached, issavings required, and have Surrogates Offices are set aup to is interested in leaving money to cuss owning a highly-appreciated house assets include IRAs annuities and savings not). client with the executor. bonds. bonds allassets one thing in com- ings • Retirement (IRA’s, 401(k)’s, Theleave reasons to challenge thebonds, validity ofa lot a Will, which is signed by the the Testator, the aWitnesses, orIn stock, estate/beneficiaries with of “trapped interest,” charity, that they all or part of an other words, when person get diesaand • When we work with clients whose • Sometimes, we recommend that if make the Probate process simple and cost-efficient. mon:sharing as they grow in value over theand years, profit plans, etc.), annuities include: “stepped up” cost basis, meaning we encourage them to redeem these assets a Notary. IRA to charity, naming the charity as benassets include IRAs annuities and savings owning a highly-appreciated housethat if client is interested in leaving money to youIfdo abonds beneficiary ofone anthing estate reason think not report the income earned and ato savings all have inhas com(A): The Will was subject of a fraud; these assets the estate/beneficiacarefully, up deductions eficiary of the IRA, because charities do Ifthey a Will isorentirely in are thesold, handwriting of stock, the estate/beneficiaries getthe a bonds, withmatching a lot of “trapped interest,” you do not pay taxes these that thethey Will toincome be submitted toyears, probatecharity, is not that they leave all or part of an mon: as grow in value overonthe ries report their “cost basis” as the value might have (for example, if a spouse is in not pay income taxes. (B): The Will was not properly executed; “stepped up” cost basis, meaning that if we encourage them to redeem these assets IRA to charity, naming the charity as benTestator (called a “holographic” Will), New Jersey earnings. valid, it isreport critical he orearned she contact a lawyer you do not thethat income and of the asset on the date of death! There a nursing home and medical expenses are It is important to keep in mind that (C): The person who signed the Will (Testator) did these assets are sold, the estate/beneficiacarefully, matching up deductions they eficiary of the IRA, because charities do All of these assets grow “tax deferred.” requires no Witnesses but it cannot be admitted to you do not pay following income taxes ondeath. these New Jersey immediately the arereport some limitations to thisas“step-up” in very high). only a spouse may “rollover” an“testamentary IRA. If ries theirit “cost basis” the value might have (for example, if a spouse is into the not pay income taxes. not have capacity” to This is different, of course, than “tax probate Surrogate; must be admitted by earnings. law provides that the Will cannot be admitted to 2010 because of the one year repeal of the On a non-tax note, we emphasize to you leave an IRA to children, they can of thefiling asset of onathe date of death! There a nursing home and medical expenses are upon It is important keep in mind that free.” Anthese example ofgrow a tax-free investment to IRA’s” understand or defer sign the Will; that the Court, Complaint and Order All of assets “tax deferred.” Federal Estate tax, but for most people, clients IRAs, annuities, and life insurcreate “beneficiary which will probate the Surrogate until the eleventh are some limitations to this “step-up” in very or high). would beby a Roth which funded only(11th) a spouse may “rollover” an IRA.was If coerced (D): The Testator unduly influenced This isfollowing different, ofIRA, course, thanis “tax to Show Cause. this tax rule results in them paying little ance are not governed by their Wills! We the reporting of the income. In other day date of death. During that 10-day with after-tax dollars (i.e., you do not 2010 because of the one year repeal of the On a non-tax note, we emphasize to leave an IRA to children, they can to sign the Will. free.” An example of a tax-free investment you 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 period, anyonefor seeking to challenge Will may get a deduction the amount you put the create Federal Estate tax, for most people, insur“beneficiary IRA’s” which will defer clients that IRAs, annuities, and life In the next issue, willbut discuss the would be a Roth IRA, which is funded real estatewe or stock. confirming that the beneficiaries of their the income in one year or over five years; A. Fraud in a aRoth IRA)abut it grows tax-free.ofByobjection, this tax rule results in them paying little ance are not governed by their Wills! We the reporting of the income. In other file Caveat, simple statement with after-tax dollars (i.e., you do not • When we clients about estate IRAs, annuities, and life insurance are two grounds other to advise challenge a Will: they can “stretch it out” over their life contrast, a traditional or rollover IRA isprobating notIthave is fairly unusual but possible that amount a Will was or no capital gains tax when they inherit spent a good of time with clients words, they will to report all of which prevents the Surrogate from a Will planning, we point out this rule when consistent with their overall estate plan. expectancies. get a deduction for the amount you put Lack of Testamentary Capacity and tax deferred: you get a deduction for the the income in one signed as(E,over a EE result ofI someone’s fraudulent conduct. real estate confirming that the beneficiaries of their year or five years; that IRA) Estate. Ifitagrows Will is presented, the Surrogate they wantorIn tostock. make gifts during their lifeCapital gain tax is different from the Influence. • US savings bonds and infor a Roth but tax-free. By Undue the meantime, ifestate you money you put into a regular IRA, and • When we advise clients about IRAs, annuities, and life insurance are they can “stretch it out” over their life An example of this is, if a Testator is beguiled times. We counsel against giving highly income tax. It applies when you purchase Bonds) are also tax-deferred investments. advises the named Executor under the Will that he contrast, a traditional IRAasis it believe a Will be you do not pay taxes or onrollover the money planning, weshould point out thischallenged rule when consistent with their overall plan.or that expectancies. into signing aofdocument without knowing what it asestate appreciated capital assets, because gifts of a quote capital asset (such a house, You pay one half of the value the bond tax deferred: you get a deduction for the or she must file a Complaint and Order to Show because it is defective, for one reason grows, but you do have to pay taxes when they want to make gifts during their lifeCapital gain tax is different from the • US savings bonds (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 is, what it says, or even that it is a Will. ragraph, money you put into regular Cause. He or she amust fileIRA, this and in the Superior you take the money out. or another, you should hire a seasoned times. giving highly income tax. It the applies when you purchase are also tax-deferred investments. from We the counsel “step-up”against in basis at death, and capital asset, difference between the value over the years, such that itreplace can actuyou not pay taxes on the money as it Part Bonds) 2nd sentence: “Other situations include •doSimilarly, annuities and savings Court, Chancery Division, Probate to have the attorney, who hascapital significant experiences appreciated assets, because gifts of a 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, but dotohave toYou paydo taxes where” and withit “Another example isinifa acorporation). beneficiaryWhen youinsell bondsadmitted areyou tax deferred. not pay Will probate by thewhen Court. atvalue this area ofassets law. Do not delay with your these during lifetime do not benefit stock a the time of purchase, increases in ryover basis”) and will have to pay capital ally considered to be “capital gain.” The by the time it is cashed in (dependyou take onthe themoney moneyout. as it grows but you induces athat Testator execute a Will based on false decision to engage experienced taxes If no Caveat is filed, and the Will is invalue proper the basisisatsold. death, and capital asset, the difference between the over the such it can actugains tax“step-up” whenan thein asset gain can be “adjusted” by the costs of sale from ing upon the years, interest rate). You can’tto tell • Similarly, andthe savings are required toannuities pay tax on increase in facts (e.g. a suitor promises to marry the Testator ifcommissions) attorney because the law allows only the recipient gets the donor’s basis (“carsales price and the purchase price is generally grow to three or four times the stated This tax stuff is tough to get through, (such as realtor or broker by looking at a US savings bond what it form, the Surrogate may admit the Will to probate bonds deferred. You do you not initially pay value are (buttax not on the money he is made a beneficiary under the Testator’s Will, but understanding it can really save a lot ryover basis”) and will have to pay capital and improvements you made to the propally considered to be “capital gain.” The a narrow window of time during which is worth. You can, however, use a chart value by the time it is cashed in (dependand issue to the put in). taxes on theExecutor money as “Short it growsCertificates” but you of money. erty (e.g. a new roof on the house). to value them, or enter the bonds into a gains tax when the asset is sold. gain can be “adjusted” by the costs of sale when the suitor has no actual intention of marrying ing upon the interest rate). You can’t tell a caveat and/or a Will contest may be person Executor in the Thereappointed aretoseveral reasons we pay are required pay taxas on thewhy increase in Will. Many times our clients purchased their Nancy website program located at Rice canis answer This tax stuff tough toyour get through, (such as realtor or broker commissions) by looking at a US savings bond what it filed. the Testator). to the taxation ofhas these attention As(but an not Executor the estate tremendous value on income the of money you initially stock and their residence a long time ago www.treasurydirect.gov/indiv/tools/tools_ questions and concerns, understanding it can really save a lot improvements is worth. You can, use a chart however, In the context of a Will and contest, fraud willyou notmade to the prop- but investments wetowrite Wills.the Weappointment put in). it is when power, critical prevent of Nancy can answer your and(e.g. havea quite a biton of the capital gain, which Rice savingsbondcalc.htm Call 609-398-3447. of money. erty new roof house). to value them, or enter the bonds into a be presumed. Moreover, if the Testator learns of There are several why we pay is a basis to the Executor fromreasons the outset if there Many times our clients purchased their Nancy website program located at Riceconcerns, can answer your questions and attention to the the income taxation of these because the fraudulent conduct and does nothing to change challenge Will. This is important most stock and their residence a long time ago www.treasurydirect.gov/indiv/tools/tools_ questions and Call toconcerns, Schedule an investments when we write Wills. WeRice has been practicing Estate Planning and Elder Law in New Jersey and Call 609-398-3447. Nancy and have quite a bit of capital gain, which Call 609-398-3447. savingsbondcalc.htm Appointment Pennsylvania since 1986. She was Certified as an Elder Law Attorney in 1997, and has Ocean City: 609.398.3447 maintained offices in Camden and Cape May counties, specifically in Cherry Hill and Call toHill: Schedule an Nancy Rice has been practicing Estate Planning and Elder Law in New Jersey and Cherry 856.673.0048 Ocean City. Call 609-398-3447. Appointment Pennsylvania since 1986. She was Certified as an Elder Law Attorney in 1997, and has OceanJanuary/February City: 609.398.3447 maintained offices in Camden and Capewww.TheCountyWoman.com May counties, specifically in Cherry Hill and The County Woman Magazine 2014 Cherry Hill: 856.673.0048 Ocean City. Call 609-398-3447.

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

January/February 2014 September/October 2015

Law

Divorce And Your Estate Plan Even under the best of circumstances, divorce can be exasperating. Beyond taking the steps necessary to comply with your Final Judgment of Divorce, sooner or later, there are some considerations to which you should turn your attention. Putting together a simple estate plan now that youâ&#x20AC;&#x2122;re single should be at the top of the list. Divorced people have some clear agenda items and some unique considerations when it comes to organizing an estate plan. First and foremost is taking the steps to disinherit your spouse. While all competent divorce agreements today include language intended to prevent your spouse from claiming inheritance by default, it is not impossible to see a former spouse inadvertently receive a windfall upon your death. After divorce, be sure to systematically check your financial accounts and specifically remove your ex-spouse as the designated beneficiary. Consider having a Last Will and Testament drafted to clarify your intentions upon your death. This can achieve many things; first, you can designate a trustee to receive any estate assets on behalf of your children. Failing this, while

your ex-spouse may not directly receive your assets, he or she may receive indirect control over them by virtue of receiving custody of your children. Considering that you are divorced, you may not have full faith and trust in that ex-spouse to make sound financial decisions for your children. A Will allows you to pick a trusted friend or member of your family to manage your childrenâ&#x20AC;&#x2122;s inheritance.

There is more planning than just finances to consider. Beyond the money, you may also want to take the opportunity to designate a guardian for your children in the event of your death. While such a designation is not binding upon any court, it does give substantial weight to anyone arguing that it may not in your childrenâ&#x20AC;&#x2122;s best interests to automatically go to a parent long absent from their lives, or a parent with questionable fitness.

where an estranged spouse may, as a result of your disability or death, have outsized power to prevent your friends or relatives from attending your sick bed or your funeral. Proper estate documents can clarify your estrangement from your spouse and potentially prevent them from dictating funeral arrangements or frustrating hospital visitors. If you are separated but delaying divorce, a simple estate plan can give your some peace of mind until you get around to pursuing a divorce, and it can often be done very economically.

If you are apprehensive about marrying again but you find a partner whom you cherish, estate documents can be even more The picture gets more complicated in the important. With powers of attorney and event of a long term separation without a divorce healthcare directives, you can ensure that such a person can have access to you hospital your treatment plan, and even continue Free Telephone bed, ay urnbach sq ConsulTaTion to manage your financial affairs. You can designate him or her to make funeral arrangements for you and ensure that the Divorce Mediation, Litigation, Collaborative Divorce person, who was such a big part of your Post-Judgment Divorce life, can meaningfully participate in your Enforcement of Divorce Judgments, Child Support and Aliconvalescence, hospice or funeral. Failing mony Modifications, Out of State Relocations with Children your clear intent, interfamily squabbles can General Family Law add uncertainty and unwarranted grief to the Child Custody/Parenting Time Issues, DYFS Matters grieving process for your significant other. Domestic Violence Restraining Order Hearings, Motions to Vacate Old Orders Addressing your estate plan is one way of taking control of your post-divorce life and meaningfully asserting your independence from your former spouse, while preventing the unwanted influence of a former spouse from beyond the divorce.

, E ., LLc

www.NJFamilyLawyer.net

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

732.286.4860

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

The County Woman Magazine www.TheCountyWoman.com

Schedule an appointment with Jay Turnbach, Esq., to further discuss your concerns. 732-286-4860. September/October 2015

Business Spotlight

~ Interview With Jay Turnbach, Esq. ~

A Legal Eagle With A Lot Of Heart Jay Turnbach, Esq. LLC Hooper Ave., Suite 6A Toms River, NJ 08753

732-286-4860

www.NJFamilyLawyer.net

The process of selecting the right divorce attorney is one of the more critical decisions a person must make. Ocean County matrimonial attorney Jay Turnbach understands this and is one of the few Certified Matrimonial Lawyers in New Jersey, a designation that less than one-percent of the attorneys in New Jersey hold. He adds, “The Supreme Court of New Jersey designates certification to lawyers who have demonstrated sufficient levels of experience, knowledge, and skill in matrimonial law practice.” He is also past chair of the Ocean County Bar Association Family Law Committee, and a board member of the Jersey Shore Inns of Court, which is a continuing education group for lawyers, and past president of the Jersey Shore Collaborative Law Group. In addition, he is qualified as a divorce mediator pursuant to Rule 1:40 of the New Jersey Rules of Court. Hiring Jay Turnbach to handle your divorce means hiring someone with over 20 years of experience in the field.

OCW: Describe briefly what you do in your chosen field.

Jay: I’ve been a divorce family lawyer for 20 years. I handle all aspects of family law including divorces, custody and parenting time disputes, child support and alimony disputes, adoptions, domestic violence cases, prenuptial agreements, and all manner of miscellaneous disputes between married couples and non-married cohabitants experiencing break-ups.

OCW: How did you become involved in matrimonial law? What is it about the specialty that appeals to you?

Jay: Family law is one of the last areas of the law that does not require large firm resources. It’s a good choice for those lawyers with the entrepreneurial drive to work for themselves. As time passed and my skill set developed, I’ve come to appreciate the satisfaction of extricating people from bad or unwanted situations. Helping my clients achieve a modicum of happiness, and knowing that their children can have some peace with the ending of a volatile or loveless marriage, gives me hope that what I do can make a real difference in people’s lives.

OCW: Tell us about your educational background.

Jay: I’m a graduate of Fairfield University with a degree in finance and I earned my law degree from Rutgers University in Newark, NJ.

OCW: What is the most rewarding part about your profession?

Jay: For every client, the matters I handle are most likely the most important things happening in their lives. Family law, by its very nature, touches upon every aspect of life. For a client to place their trust in me to help put them on a road to a more secure and rewarding future is very meaningful to me.

Jay Turnbach, Esq. Divorce

Mediation, Litigation, Collaborative Divorce

Post-Judgment Divorce

Enforcement of Divorce Judgments, Child Support and Alimony Modifications, Out of State Relocations with Children

General Family Law

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Domestic Violence

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OCW: What is the most challenging part?

Jay: Often, by the time people make it to my office; they are at a very low point in their emotional lives. At this very difficult time, the court is often putting enormous pressure on people to meet deadlines and make decisions that will affect the rest of their lives. Providing hope, and fostering resiliency while helping clients meet the paperwork burdens is all part of the process. Educating them about what to expect and how to evaluate their options can be a monumental task.

OCW: What sets your law firm apart from others like it?

Jay: My focus over the years of practice has been to develop a professional reputation both among my peers, and among the members of the judiciary for solving problems in a practical fashion without needless posturing, excessive litigation, or unreasonable positions. I strive to be the adversary that other lawyers hope to get when they file a new case because they know that not only will I be a zealous advocate for my client, but a true professional when dealing with them. I like to say that I’m focused on the steak, and not the sizzle. I leave the grandstanding to other attorneys because the economics of divorce do not justify wasting time or money on any action that is not focused upon bringing the matter to a fair and expeditious conclusion.

OCW: What do you like to do in your spare time?

Jay: When I am not in the courtroom, I enjoy surfing and spending time with my wife, Aimee, and our two daughters, Cassidy, 15, and Molly, 10.

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Law

Moving Forward: When Enough Becomes Enough the mailbox, where various forms of threats against one’s home, wages and belongings await. Of course, all of the aforementioned say nothing of the other daily stresses that we all know broaden our limits of normalcy by the day.

THERE IS A BREAKING POINT FOR EVERYONE. Daniel Straffi, Jr The symptoms of approaching this breaking “Normalcy” is defined as point can manifest in any being within certain limits number of emotional and that define the range of physical ways, all of which normal functioning. How I have heard and seen in we each come to define my daily interactions with aw those limits over time is a clients. The question is whole other story. whether or not a person can identify these symptoms and For many of the people be proactive in addressing I work with, a “normal” day sohelpful that inthe limits ing what it encompasses them, and motional and physical all when realizing thatof a new starts atways, 8 am, they normalcy can, once again, whether or not it is an option which I have heard and seen normalcy is always are arisen by a cacophony forringing you takes nothing more than within my daily interactions with become morereach. defined. of debt collectors

hen Enough Becomes Enough

ents. The question is whether being proactive. It their house phone and/or not a person can identify these is the will to move cell phone, harassing them forward that one mptoms and be proactive in for somoney they simply must find do within dressing them, that the limnot A normal day to take themselves of normalcy can,have. once again, include a similar that nextcall step of come moremay defined. investigating their made to their workplace, eDeFiNiNg The LiMiTS I hope some a neighbor My answerorto in anyone seek-cases options. this article proves g to redefine limits is A normal day orthese relative.

mple: it is never too late, and itwith a trip to usually ends Protect Yourself Against Foreclosure, never too early to investigate Daniel Straffi,Judgments Jr. was admitted to& practice in the States ofCreditors New Jersey and Harassing ne’s options. Bankruptcy is no Pennsylvania, as well as the District Court of New Jersey in 2001. A gradunger a “four letter” word (alas, We arein 1998 a debt agency that ate of Boston College andrelief Rutgers-Camden Schoolhelps of Lawpeople in 2001, ath was not my finest subject he began his legalfile career 2001 serving judicial law clerk forcode the forinrelief underas athe bankruptcy school). Rather, it stands for Presiding Judge of Family Law in Mercer County, the Hon. Lee Forrester, Community Chapter 7& fresh start - an opportunity to P.J.F.P. After completing his clerkship, Mr. Straffi was13 an associate at the law define the normalcy in your firm Cooper Levenson for two years where he concentrated his practice on Individual, Business and rkCreditor o w t r a the area of negligence defense. In 2004, he joined his father's law practice. wn life. e v a H Representation Luke comes home from his first ? e r a h He has focused his practice on representing individuals and businesses in the s o t aNkrUPTC Y day aS aN of oPTioN school, and his mother s kid r u Payment Plans Available yo s u areas of bankruptcy, divorce and criminal defense. He is further an active d Sen Bankruptcy isasks, not for every-did you learn today?” “What be featured toAssociations. member of the NJ and Ocean County ings Bar raw d ard! ne. However, understand“Not enough,” Luke replies. “They Bankruptcy erest boDefense • nt Criminal r Pri

IT IS NEVER TOO LATE My answer to anyone seeking to redefine these limits is simple: it is never too late, and it is never too early to investigate one’s options. Bankruptcy is no longer a “four letter” word (alas, math was not my finest subject in school). Rather, it stands for a fresh start - an opportunity to redefine the normalcy in your own life. BANKRUPTCY IS NOT FOR EVERYONE. However, understanding what it encompasses and whether or not it is an option for you takes nothing more than being proactive. It is the will to move forward that one must find within themselves to take that next step of investigating their options. I hope this article proves helpful in realizing that a new normalcy is always within reach.

For more information or to contact Dan, call 732-341-3800!

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

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Community

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debt relief agency that helps people relief under the bankruptcy code The County Woman Magazine www.TheCountyWoman.com Chapter 7 & 13

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Filing A Worker’s Compensation Claim: 23 Law aw 33 What are the benefits? 33 L aw Will You Qualify For Social Security You’ve Just Filed For Social Security Disability,

But Do You Have A Workers’ CompNow Claim, Too? Disability? 5 Questions to Ask Yourself er’s Compensation Claim: S face it.aw 23 Ok, let’s When you hear I about are someone the collectingbenefits? Workers’ hat

for any of the bills associated with your injury. Not one and I am only paid if I cent. No co-pays, no deductibles. Why should you pay get you RESULTS. anything if you don’t have to? serious back condition o many times, I meet Take care and work safely! 4. Canisyou the work you • The second benefit wagedoreplacement, alsodid in the past? Even if f you lovedclient is considering whether to file anfusion (herniated discs, withoraanew who If you have more quesyour medical condition is debilitating, as temporary disability payments. This meansbut not on the SSA’s and tunnel application for disability benefits,surgery) let meknown helpcarpal needs my help to appeal tions determine and would like to list of severe medical conditions, thedue SSAtowill then that yourhands authorized doctor says you can’t work syndrome in ifboth you the criteria the Social Security anunderstand adverse decision schedule anIfappointment if you ablemonetary to work inweekly a job that you held in the past. it your you will are receive benefits made the hardinjury, decision, Compensation benefits, the first thing Administration (SSA) uses to review your file. with Kathleen M. Dotoli, from the Social Security would be difficult to do any of your past jobs because of your from your employer’s workers’ compensation insurwith any of the associated with your injury. Not“Give one and only paid ifhis I family and call 732-228-7534. that crosses your mind is meI amalong Administration regarding ons tobills Ask Yourself Now medical condition, you wage may qualify for benefits. ance commensurate with your and rate. doctors, to filecarrier for Social t. No co-pays, noSSA deductibles. Why step shouldprocess you pay to make The uses a five decision. get youtheir RESULTS. their disability claim. We fill 5. Can you do any other type of job? The SSA Dotoli will is a licensed Kathleen a break, I go to work with aches and Those payments thing if you don’t have to? Security Disability becausewill continue as long as you are receivTake care and work safely! look at your background, education, medical conditions and attorney for over 20 years 4. Can you do the work you did in the past? Even if out the paperwork, review •leThe second benefit is wage replacement, also anpains all ing he could no authorized longer workcare, a awaiting surgery or recovering. 1. Are you the time! People should be Ifonyou have more quesyour medical condition is debilitating, but not the SSA’s own as temporary disability payments. This means aptitude to determine if there’s another type of job you could helping residents of Ocean lp the records and discuss their Written by: Protecting yourwas right to wage replacement is just another tions determine and would to back pain full day.like His presently working? Written by: list of severe medical conditions, thedue SSAtowill then authorized doctor says you can’t work working, not complaining!” do that would allow you to work full time without interference and Monmouth Counyt if your Kathleen M. Dotoli, schedule an appointment reason to file a claim. medical so can Kathleen M. Dotoli, Esq Esq. excruciating and prevented you are not working, ifIfyou are ablehistory to work inweekly a jobI that youfocus held in the past. If it r injury, you will receive monetary benefits ties.other Her types practice focuses on from your disability. It’s a good idea to consider of with Kathleen M. Dotoli, • The third benefit compensates you for the long would be difficult to do anyelements of insuryour past jobs because him of your your application on the important of from being able to mWell, your employer’s workers’ compensation Imedical wantcondition, to dispel somefor of the Workers’ benefits. Compensation and Kathleen Dotoli is a licensed before filing an application for disability call 732-228-7534. you wage may qualify e carrier commensurate with your and rate. benefits. term effects of employment your injury, also known as permanency will be reviewed crouch, crawl, carry heavy on. their case. Social Security Disability attorney Claims. She the present Co-Chair 5. Can you do any other type of job? The SSA will myths that are associated with Kathleen Dotoli is a licensed forisover 20 years helping ose paymentsby willa continue as long as you are receivsaythan you experienced a lifting injury that Disability items orbenefits. stand for Let’s longer ofillness the Workers’ Compensation Committee for the Ocean County Do youbackground, know I find atawaiting your education, medical conditions attorney forand over 20 years a toll on one’s body. Now some people authorized look care, surgery orwhat recovering. The decision to leave your job due to or residents of Ocean and Monmouth a herniated disc in your back. Hopefully you Workers’ Compensation claims. Determination Services 20could minutes. carpal tunnel by: syndrome aptitude towage determine if there’s another type ofhelping job youresidents of resulted OceanHisin Association of the Workers’ Compensation Written tecting your right replacement is all just another accommodate their Bar injuries with and a Member out intowould about half ofwork Social Writtenget by: injury should becan taken sure Counties. Her practice focuses office. If you are make a full recovery, back tonot work, and havelightly. little Making do that allow you to full time without interference and Monmouth Coun(both hands) caused him to lose dexterity, Executive Committee for the NJ State Bar Association as well Kathleen M. M. Dotoli, Dotoli, Esq on toPeople file a claim. Kathleen Esq. who file Workers’ Compensation claims are the use of helpers and light duty, but ties.other Herdemonstrating practice Security Disability claims I file? from your disability. It’s good idea types of focuses and you are the possible position forof the VincentonJ. Workers’ working, then almost by definition, you are that orhard noonresiduals fromtools thatin Unfortunately, there to qualify • The third benefit compensates youa for the longto consider as a member Apruzzese Compensation Mock Trial making it to use basic orinjury. applybest JUST LIKE They areashardworking, dediWorkers’ Compensation and Kathleen Dotoli is a licensed others can’t. Plumbers, construction and employment before filing an application forhonest, disability benefits. Social Security Disability Claims. youYOU. CAN work and probably won’t qualify for benefits. This Social Security Disability benefits is an important m effects ofThat your injury, also known permanency the underlying reason are many people who go on to have physical limitaCommittee for the NJ State Bar Foundation. pressure, skillsClaims. needed for hispresent job. Co-Chair Social Security Disability the attorneyShe forisover 20 years helping maintenance workers, nurses (the list goes catedLet’s employees who true unfortunately experienced anthan injuefits. say you experienced aiflifting injury that more She is the present Co-Chair of is especially youis aredirectly making about $1070 tions despite the best care. That doesn’t mean you can’t part of that decision. If you need guidance with your of the Workers’ Compensation Committee for the Ocean County for their disability When asked about his work history, I The decision toback. leaveHopefully your jobyou due to illness or residents of Ocean and Monmouth on and on) are simply not able to work ulted in their a herniated disc your ry at job. I’minnot talking about sprains and strains. per month. I realize this puts you in a terrible spot. You are Bar Association andwork a Member of the Workers’ the Workers’ Compensation or new enjoy life! ItCompensation just means thathesitate you havetotocontact be application, don’t me for learned that my client had routinely injurygetshould not be and taken sure Counties. Her practice focuses attributed to their former ke a full recovery, back to work, havelightly. little Making within theironlimitations because their job Executive Committee for the NJ State Bar Association as well Instead, think broken bones, herniated discs, torn rotator struggling with a serious and debilitating medical condition, Committee for the Ocean County more careful. How much you are paid depends your Compensation and you the best possible position forof the ng residuals that lifted 200-pound wateraheaters without freeTrial consultation. no fromare thatininjury. Unfortunately, there to qualify as a member VincentonJ. Workers’ Apruzzese Mock occupation and work history. requires some degree of physical activity. but at the same time you need money to live and health care cuffs, and traumatic brain injuries. In other words, the Bar Association and a Member Social Security Disability Claims. This people unique injury, occupation, job function and personal Social Security Disability benefits is anCommittee important many who go on to have physical limitafor the NJ State Bar Foundation. assistance up and down narrow basement How? Well, I’ll give you an example If that’s the case, I strongly recommend insurance and cannot quit your job. If that is the case, it is She is the present Co-Chair of 070 of the Workers’ Compensation nstypes despiteofthe bestofcare. That doesn’t mean can’t part that decision. If you need guidance with your serious injuries proven andyou supported by medical Receiving for your permanent stairs forlifestyle. nearly 25 years. Compensation Hecompensation routinely of an individual I met with just this uk are the Workers’ filing a workers’ compensation claim in important to speak to me to determine how to balance your or enjoy life! It just means that you have to be don’t hesitate to contact me for Executive Committee for the NJ injurypipe is something yousites are and unlikely to get without filing evidenceapplication, that have long term limitations. carried heavy to customer Committee for the Ocean County conjunction with their Social Security retion, careful. week. How youfinancial are paid onwith your A plumber for depends 25 yearswith a disability needs your application. aday-to-day freemuch consultation. State Bar Association as well as a a claim. hque careinjury, occupation, job function and personal often had to hold the pipe overhead for Bar Association and a Member 2. Is your medical condition so severe that it Disability application. But is filing a claim really necessary? member of the Vincent J. Apruzzese it is Receiving compensation for your permanent of theyou Workers’ Compensation I hope see now why itWorkers’ benstyle. several minutes while was Compensation 225 Washington St. The Cottage interferes with basic work related activities? For instance, Have you recently filed for Social your Mock Trial Committee for the NJ Executive Committee for the NJthem, thousands of NJ law in you New workers are entitled to ury isBy something areJersey, unlikelyinjured to get without filing efits are so important! Without being installed and soldered. on. are you a secretary who can no longer use her hands due State Bar Association as well as a Security Disability and think you may Toms River, 08753 aim. State BarNJ Foundation. three really important benefits - benefits they need in workers eachevery year single wouldwork find day themselves lacking medical Nearly to carpal tunnel syndrome? That might prevent you from member of the Vincent J. Apruzzese also have injuries associated with your I hope you see now why Workers’ Compensation benorder to get better, pay their bills, and provide compen225 Washington St. The Cottage treatment, income andhecompensation for their injuries. stance, for 25 years, had to NJ former Trial Committee for the being Without able to type, or useof the of over s are so important! them, file, thousands NJ phone for long periods Mock employment? Don’t handle Phone: (732) 228-7534 e sation for their permanent injury. If you’re ever hurt at Toms There’s no two ways about it. Workers’ Compensation River, NJ 08753 bend and crouch State Bar Foundation. kers each year wouldAre findyou themselves medical time. a long lacking haul truck driver who cannot sit forawkwardly this on your own…let me review your om work,income you’ll and need to know about these three benefits. of New Jersey workers each year sinks, behind compensation fordue their injuries. Have you or a loved one been long periods of time to a severe back injury? If benefits that’sunderneath thehelp thousands dstment, of situation to make sure you are taking Phone: (732) 228-7534 • The first and most important benefit is payment 225 Washington St. The Cottage ere’s no two ways about it. Workers’ Compensation and are there for YOU if you need them. washing machines and in or case, your condition will dictate how long you can drive and injured at work and don’t know advantage of all the rights afforded to you efits helpfor thousands of New Jersey workers year emergency inthefull medical treatment. Thattoeach means Have you or aorloved been Have you a loved onehis beeninjured at work and t’s dark crawlspaces toone do whether you will be able meet delivery deadlines. That’s where to turn to ensure ALL of during this difficult time. I’ve dedicated 225 Washington St. The Cottage for YOU if you need them.diagnostic Toms River, NJ 08753 e are andtherebills, injuredwhere at work know ALL room MRIs and X-rays, testing, surgery, don’t know to and turndon’t to ensure of your rights job. what is meant by “interference with your basic work related your rights are protected? Don’t Have you or a loved one been injured at work and That’s where to turn to ensure ALL of my law practice to injured and disabled physical therapy and even psychological testing to help Toms River, NJ 08753 are protected? Don’t navigate this maze alone! Call me activities”. That’s a workers’ navigate this maze alone! Call n’tated know where to turn to ensure ALL of your rights your rights are protected? Don’t men and women in the Ocean and deal withDon’t catastrophic injuries. You areme not responsible to discuss your injury. The consultation is FREE protected? alone! Call 3.navigate Is onethis ormaze more of your medical issues on today the SSA compensation me today to discuss your injury. navigate this maze alone! Call Monmouth County area and have helped Phone: (732) 228-7534 aySSA to discusslist yourof injury. The consultation is FREE me today to discuss your injury. disabling conditions? Some diagnoses are so severe occupational claim. The consultation is FREE and thousands get the compensation they are evere is FREE and that the SSA will automatically deem them to be totally The Youconsultation see, when someone I am only paid if I get you entitled to by law. I can help you, too. y Children’s Boutique I am only paid if I get you disabling. Others may be severe but require documentation, spends their work life RESULTS. ation, RESULTS. doctor’s reports, evaluations to assess your condition and doing heaving lifting, d Call me for a free consultation, perhaps your testimony. If you’re sure if they your condition is bending, crawling, ition is Stop by to see all that they offer! Stop by to see allnotthat offer! excessive Take care and work safely! Take care and work safely! hroughSea La onVie theChildren’ SSA list, consult just withmade me toitshelp you navigateCity. through s Boutique debut in Ventnor It isSea not your average La Vie Children’ kneeling, etc., it can take s Boutique just made its debut in Ventnor City. It is not your average

y For Social Security

Phone: (732) 228-7534

732.228.7534.

children’ They offer a mix of hand-made and store brands, embroidery thiss boutique. most important step. children’sservices, boutique. They offer a mix of hand-made and store brands, embroidery services, fun sewing classes and more! Sea La Vie carries both boys and girls clothing from sizes fun sewing 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 beenclasses in Community Newborn to Girl’s size 16 and Boys size XL. The owner, Christina Rubenstein, has been in business for five years making children’s clothing out of her home, selling at craft shows Theonline Leukemia & the Lymphoma (LLS) the world’s health agency to making children’s clothing out of her home, selling at craft shows and under business,Society Too Too Cuteis Tutus. She largest will bevoluntary creatingbusiness clothing and fordedicated five years embroidering in the andCure will leukemia, feature other local crafters. La and Vie tounder be improve blood cancer. The LLSstore mission: lymphoma, Hodgkin’sSea disease and myeloma, and Thestrives Leukemia & the Lymphoma (LLS) the world’s agency online business,Society Too Too Cuteis Tutus. She largest will bevoluntary creatinghealth clothing anddedicated unique andofaffordable and and newtheir merchandise comes in lifesaving frequently! the quality life of patients families. LLS funds blood cancer research around the

Community to BACK-TO-SCHOOL TIPS 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,

2nd Annual Come enjoy all-you-can-eat spaghetti Spaghetti Dinner with meatballs, bread, and salad! March 28, 2015 Honoring The The County Woman Magazine

world and provides free information and services. 4. cancer Prevent the Spread 3. Remember the 2. the Start Each 1. support Get a Good unique and and and newtheir merchandise comes in lifesaving frequently! quality ofaffordable life Day of patients families. LLS funds blood research around the Visit Us On Facebook Importance of Good Vision a Healthy of Germs Night’s Sleep or Instagram! with world and provides free information and support services.

09-226-3010 • SeaLaVieBoutiqueNJ@gmail.com

Visit Breakfast Approximately 5-10 percent of Us pre-On Facebook Let’s talk to our kids about the may be surprised •WeVentnor, NJ, 08406 • 609-226-3010 • SeaLaVieBoutiqueNJ@gmail.com schoolers and 25 percent of importance of hand washing after to hear that elementary It has been shown that orschoolInstagram! aged children have some sort of vision using the restroom and before eating. school-aged children need children perform better in www.TheCountyWoman.com November/December 2014 problems. Healthy vision is important Teach kids the proper hand-washing 10 hours of sleep and the classroom and on the - 6:00PM in schoolwork, play, confidence and technique: Wet hands and then apply adolescents 9 2:00 hours and playground because they safety. It is recommended that kids • Elks Lodge, 711 West Kenndy Blvd., Lakewood,aNJ, 08701• $15.00 per person at the door liquid or clean bar soap; rub hands 15 minutes! Maintaining have better concentrawww.TheCountyWoman.com November/December vigorously together and don’t2014 forget good sleep•schedule works tion, problem-solving skills, • Wonderful Raffle and Gift Auction! Visit http://pages.teamintraining.org/nj/nj15/lruane to donate!should have their eyes examined every 2 years if no vision correction the fingernails; rub for 20 seconds to calm kids and get them strength, endurance, and 2:00 6:00PM is required. When our children need (sing “Happy Birthday” song twice); in the mood to fall asleep hand-eye coordination • the Elksday Lodge, 711 West Kenndy Blvd.,lenses, Lakewood, $15.00under per person at the dooruse eyeglasses or contact theyNJ, 08701• rinse hands running water; and stay asleep so they when they start www.TheCountyWoman.com March/April 2015 usually require yearly examinations. a paper towel to turn the faucet off can be alert and at peak with a nutritionally sound • Wonderful Raffle and Gift Auction! • Visit http://pages.teamintraining.org/nj/nj15/lruane to donate! and open the door. performance during the day. breakfast. 6616 Ventnor Ave

Come enjoy all-you-can-eat spaghetti with meatballs, bread, and salad! March 28, 2015

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

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CareWater Close totheHome For Life Education works of Nolan Willence Forest Bathing

essential oils into the air so You as you walk you system. Beach to view In past articles I’ve written strictly arethrough cordially they can walk and exercise less invited pain. are breathing in those healing particles. more easily with weather is coming about WATSU and its healing benefits Physical therapy in warm water is also becoming more Just walking in nature one begins to experience a to a close and fall widely used for healing and recovery. Watsu® goes a step at a newly opened Contemporary Fine Art Gallery but I wanted talk about something verstillness notice how whichNetwork, helps quiet the chatter in the mind as is aallow wonderful time As part of ThetoChildren’s Hospital of Philadelphia Care our practices, conveniently located in Cape May, Smithville and they can walk and exercise more easily with less pain. further and does the work for you. You simply lively people seem to one’s attention is focused on the sights, sounds and to take advantage Physical therapy in warm water is also becoming more very different that is important to one’s yourself to bebirth in a quiet place and In aaccept one- most insurance plans, and Somers Point, provide comprehensivebe primary careareforin children from through agereceive. 21. We whenscents. they the that one widely used for healing and recovery. Watsu® goes step It’s then begins to FEEL life. of getting hour Watsu® session your body heals and recovers as if aoutside ver notice how lively overall health. our doctors have staff privileges at local hospitals, initseem addition to The Children’s Hospital of Philadelphia. We look forward to partnering Whether istime a outdoors water? further and does the work for you. Youtosimply allowwith people Spend long enough and you’ll connect be when they you slept yourself for 6 hours. The healing effects of a Watsu® to be in a quiet place and receive. In a oneAswith humans we were designed to live closely pool, lake, ocean or pond, you to help your children stay their healthiest. Wewater? are accepting new well as children with their families. Whether are in the experience a feeling of connectedness. Whyhealing doasyou nature, please extend beyond thepatients, physical but alsoand works onsovacationing usiness inance hour Watsu® session your body heals recovers as if

WaterE For Life E

THE OASIS GALLERY B &F

when peopleitare in thelake, ocean or connected with nature. We experience similar cycles is athere pool, andslept mental well. think are so emotional many outdoor enthusiasts? Whether visitofour website you for 6 health hours. as The healing effects a Watsu® and rhythms to nature. However, in our modern water they come pond,alive. whenKids people are extend beyond the physical healing but works they arewater extreme athlete’s, mountain climbers or the toalso find outon CHOP CARE LOCATIONS HOURS: jumping and in theswirling, they comeBenefits you’ll gain with a Watsu® session. society we’vePRIMARY become more agitated, stressedAND evenare emotionalisand mental health as well. more aboutPurchase local beach lover; Being outdoors a natural stress our a package Purchase a package of alive. Kids are jumping $ Improves muscle tone, body awareness, and screeching depressed and disconnected as a result of our fastlaughingHarborview/Smithville Harborview/Cape May Harborview/Somers Point Benefits you’ll gain with a Watsu® session. reliever so get outside, take a walk, sit in the park and upcoming retreats. and swirling, laughing and and posture with excitement. Adults are of THREE 30-minute THREE paced1315 digitalRoute lifestyle. Purchase a package Purchase 60-minute a package of 9 South 48 South New York Road 505 Bay body Ave.awareness, $you Improves tone, with payscreeching attention how$ it makes feeland onmuscle the inside. Reduces pain fatigue www.fullcirclewellenssllc.com having their fair share of toexciteWatsu® sessions watsu sessions Did you know in Japan Doctors actually prescribe and posture ment. Adults are having of THREE 30-minute THREE 60-minute Cape May Court House, NJ 08210 (Route 9)water Bayside At Full Circle Wellness we offer holistic wellness $ Reduces Muscle tension and Commons guarding fun too-body surfing, swimming laps, doing See you on the trails! OR $ Reduces pain and fatigue their fair share of fun to their patients time in nature? It’s called Shin Rin receive sessions a 4th and receive a 4th watsu sessions $ could Increases and range ofPoint, motion 609-465-6100 fitness exercisestooor playing with swimming their kids laps, inin the retreats nature. They aenergy mindful hike Smithville, NJ water 08205 Somers NJ 08244and Watsu® $beReduces Muscle tension and guarding body surfing, doing fitOR Yoku or Forest Bathing. Yes, being is not For more information, contact Audrey $ Increases Circulation water. Theoutdoors water seems to bring out the kid in all of and receive a 4th and receive aat4th session FREE! session FREE! through the woods to meditate or a kayaking $ Increases energy of motion orand byrange appointment: 609-748-2900 609-927-4235 ness exercises or playing with their kids in the water. only Monday good for you it is healing in experience so many ways! Not to bring – Friday $ Improves breathing us as we suchseems freedom ofexcursion movement that $ Increases Circulation The water out the kid in all of us as on (732) the scenic, tranquil Mullica with575-5851 session FREE! sessionValue) FREE! 609-839-3810 today! P: 657-3930 • C:River (732) • E:($200 nolan2032@yahoo.com value) ($340 only 8:30 are you getting from the sun but $ Improves sleep patterns $ Improves breathing the waterDallows. bodies resonate with the we Our experience such freedom ofon movement that sand the a.m. – 5 the p.m.Vitamin Monday –thewater Friday Monday stops sugary beaches for quiet reflection.and Friday ($200 value) ($340 Value) when you are in a naturallike setting, especially a wooded $ Improves sleep patterns waterWe allows. bodies limited resonateby with water like a tuning fork. are Our no longer These retreats help a person reconnect with8:30 themselves 8:30 a.m. –grav5the p.m. a.m. – 5 p.m. relieve: a tuning fork. no longer limited by grav-Watsu® helps landscape the trees and plants emitintheir protective ity. Being the water allowsWe ourarebodies to move in Healthy Body, Vibrant Life! Watsu® helps relieve: $ Chronic Fatigue Syndrome and nature which reduces stress and boosts immune ity. Being in the water allows our bodies to move in OUR CLINICIANS:

495 Route 9, Bayville, N.J. Saturdays 10am - 5pm Sundays 12pm - 5pm

many ways we wouldn’t dream of on land. $ Chronic Fatigue Syndrome Tuesday, Wednesday and Thursday $ Fibromyalgia many ways we wouldn’t dream of on land. $ Fibromyalgia George P. Bross Jr., D.O. • Yasmin D. Deliz, D.O. • Christopher W. Drexler, D.O. $ Headaches Audrey S. Filardi, owner In my years ofInteaching water fitness classes I 8:30 a.m. – 7:30 p.m. $ Headaches my years of teaching water fitness classes I • Sharon L. Held, have D.O.witnessed • Markhave P. Jacobson, D.O. • Christopher J. Keenan, D.O. • $ Arthritis over and over the positive healing $which Arthritis witnessed over and over the positive healing Watsu is an aquatic based bodywork technique, new to South Jersey, originated in $ Acute PainDull, Saturday of water on those whoonhave difficulty moving Courtney G.California Kivel,effects C.R.N.P. •effects Lisa Share, M.D. •have Andrea R.moving Thorp, D.O. • Chronic $and Acute Chronic Paina ofJ.water those whowater difficulty in the 1980’s. This unique warm massage was developed byand Harold $ Sleeping problems land. The who water is such a powerful therapeutic problems on land. The giving water is his suchclients a powerful therapeutic 8:30 a.m. Gerald E. Vekteris, D.O. shiatsu on practitioner began shiatsu sessions in $ theSleeping water and found they– Noon

Audrey S. Filardi Y WATSU

Y Massage Y Water Fitness Y Swim Lessons

(609) 839-3810 Stress,healing anxiety, and related disorders tooland for well recovery and wellmore being. Water iswith Stress, anxiety, and related disorders tool for recovery being. Water walking is walking were experiencing positive results much quickly along$ a$ deeper experience full.circle@comcast.net $ Depression, Hyperactivity becoming more popular as people who have trouble $ Depression, Hyperactivity more popular people who have trouble than onbecoming land. Thus Watsu wasasborn and is now offered in spas, wellness centers and clinics $ Neuromuscular Disorders www.FullCircleWellness.abmp.com walking on or exercising land that in the water $ Neuromuscular Disorders or exercising land find on that in find the water around walking the world. Watsu® sessions are given at the AtlantiCare LifeCenter in Egg Harbor Twp. For more information call 609-965-7229 or 609-839-3810.

www.fullcirclewellnessllc.com

Watsu® sessions are given at the AtlantiCare LifeCenter in Egg Harbor Twp. For more information callwww.chop.edu/locations 609-965-7229 or 609-839-3810.

Sessions are held at the AtlantiCare LifeCenter in Egg Harbor Township. For more information, please visit www.fullcirclewellnessllc.com. ©2014 The Children’s Hospital of Philadelphia, All Rights Reserved. 9363/NP/06-14 www.TheCountyWoman.com The www.TheCountyWoman.com The County County Woman WomanMagazine Magazine The County Woman Magazine www.TheCountyWoman.com www.TheCountyWoman.com

September/October 2015 January/February 2015 March/April 2015

Law

Ways To Protect Assets From Medicaid Article Written by: Christine L. Matus, Esq.

In New Jersey, a person applying

for Medicaid can have no more than $2,000 of assets. This presents a problem for those applicants who own a home. The Medicaid applicant’s primary residence will be an excluded asset if the applicant is living in the home or intends to return home and the equity in the home is less than or equal to $786,000.00. The home will also be excluded if the applicant’s spouse resides in the home, or if a minor, blind, or disabled child resides in the home. This exclusion only applies if the property served as the recipient’s primary residence prior to nursing home admission. Home equity is calculated by subtracting any debt, such as a mortgage, from the current market value, which is calculated by taking the assessed value of the property and applying the equalization ratio.

Applicants with an equity interest greater than $786,000 .00 are not eligible for long term care Medicaid (this is known as the home equity cap). The home equity cap may be waived when denial of benefits would result in demonstrated hardship to the applicant. Exceptions to the home equity cap apply if any of the following individuals reside in the home: The Medicaid recipient’s spouse. 1 The Medicaid recipient’s child under age 21 2 Medicaid recipient’s blind or 3 The disabled child of any age. (biological or adopted, without regard to marital status).

If the home is sold during the Medicaid recipient’s lifetime, the proceeds of the sale become an available asset. After the Medicaid recipient’s death, if the home is included in the

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

Certain planning strategies may be employed prior to application for Medicaid benefits (and after application for Medicaid benefits in the case of spouses) in order to avoid Medicaid’s claim for recovery against the home after the death of the Medicaid recipient, and to prevent the sale of the home from disqualifying the Medicaid recipient from benefits. Clients should consult an attorney experienced in elder law to discuss the strategies that may help a family preserve the family home. Contact The Matus Law Group at 732.281.0060 for further information.

About Christine...

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

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

probate estate, then it will be a probate asset subject to creditor claims, including a claim by New Jersey for reimbursement of Medicaid benefits. Further, New Jersey has the right to place a lien on the Medicaid recipient’s home to recover the value of benefits paid, which will be satisfied if the home is sold, whether during the recipient’s lifetime or after death.

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

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

www.MatusLaw.com5

Christine L. Matus, Esq.

Community For Parents:

Decorate children’s costumes with reflective tape or stickers. If possible, choose a light-colored costume for them and use face paint, as masks can obstruct vision. Make sure the costumes fit and are not too long to prevent tripping. z Children under the age of 12 should be trick-or-treating with an adult. If kids are old enough to go out without supervision, make sure they stick to familiar, well-lit areas. z Always check your children’s candy before they eat it! z

Halloween Safety Tips For Kids: z z z z z z

Look both ways before crossing the street. Carry a flashlight. Only go to homes that have a front light on. Only accept treats at the door. Do not eat candy without your parents’ permission. Do not eat opened candy.

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

M edical roro fessionals M edicalP P fessionals

How To Conceive A Pregnancy Presented by: South Jersey Fertility Center

ortunately for most of us, conceiving a child is as simple as the lessons we were taught in sex education class.

Potential parents don’t have to consciously think about the microscopic interactions necessary between sperm and egg in order to make a baby. Half of all couples achieve a pregnancy by the third month of unprotected intercourse. Unfortunately, not everyone becomes a parent so easily. One out of 8 couples fails to conceive a successful pregnancy despite trying for an entire year. These couples are advised to seek medical attention to search for a reason for their troubles. Understanding the nuts and bolts of human fertility becomes very important for these couples. The entire process of producing sperm, ripening eggs, and getting the two to meet to form an embryo that will grow in the womb is a carefully orchestrated process in humans.

How to optimize natural fertility? • Intercourse timing, frequency and position In couples trying to conceive, the probability of pregnancy per month increases with the frequency of intercourse and is highest when intercourse occurs every 1 to 2 days during the fertile window. There really aren’t any particular sexual positions that can enhance fertility. Sperm can be found in the cervical canal seconds after ejaculation, regardless of coital position. Some vaginal lubricants may have a harmful effect on the sperm and decrease fertility. • The fertile window The ‘‘fertile window’’ is the 6-day interval ending on the day of ovulation. Intercourse is most likely to result in pregnancy when it occurs within the 3-day interval ending on the day of ovulation. The ovulation day can vary considerably, even among women who have regular cycles. Women can use ovulation detection devices, track changes in their cervical mucus and monitor the changes in their body temperature to predict ovulation.

• Caffeine High levels of caffeine consumption have been associated with decreased fertility. It may also increase the risk for miscarriage. It is recommended to limit the amount of caffeine in the diet to less than 250 milligram a day, about the amount in two 8-ounce (240-milliliter) servings of coffee while trying to conceive. • Seafood consumption Elevated blood mercury levels from heavy seafood consumption have been associated with infertility. Women trying to conceive should not eat any fish that contain high levels of mercury (tilefish, swordfish and shark) and can eat up to 12 ounces(2 average meals) a week of other kinds of fish and seafood that are low in mercury(tilapia, salmon).

When should a couple seek an infertility evaluation?

A diagnostic evaluation for infertility is indicated if a couple has not achieved pregnancy after one year of unprotected intercourse. Earlier evaluation is indicated when either partner has a known or suspected factor for infertility (irregular menstrual cycle, pelvic infection). If the woman is over age 35, she should seek help getting pregnant after just six months of unprotected intercourse.

What can go wrong and how can it be corrected?

Obviously there are many steps in the process where things can go awry. At least 5% of men in the population have insufficient numbers of moving sperm in their ejaculate. Semen can lack sperm if there is an obstruction in the tube that transports the sperm from the testicle to the outside world. Most of the time low sperm concentrations are due to a problem in the manufacturing of the sperm. Excessive heat to the testes from a varicose vein may sometimes be the culprit. Often no clear reason is found for the low production. However, the use of steroids popular among some body builders commonly depresses sperm • Lifestyle and fertility production for several months even after the steroid is discontinued. A healthy lifestyle improves fertility. Maintaining a healthy weight, eating a healthy diet, When sperm parameters are only mildly impaired, pregnancy rates are improved by a exercising regularly and preventing sexually transmitted infections have all been shown to treatment called intrauterine insemination (IUI) which involves the simple placement of increase the odd of conception. Women trying to get pregnant should start taking folic acid the washed semen into the uterus so the sperm get a head start toward the egg. More severe supplementation to reduce the risks of birth defects. sperm deficiencies require the more labor-intensive process of in-vitro fertilization (IVF). IVF requires retrieval of eggs directly from the woman’s ovaries so that an individual sperm Things to avoid while trying to get pregnant can be injected straight in to each egg to achieve fertilization. In the most severe cases, • Smoking where no sperm can be found even with a biopsy of the testicle, donor sperm can be utilized Smoking ages the ovaries and depletes the women’s eggs prematurely. It also increases the from a sperm bank. risk of miscarriage and decreases the pregnancy rates with fertility treatment. Perhaps the most common fertility problem encountered in women is inconsistent maturation of the egg. The delicate balance of hormones SJFC Celebrating 25 Years of Creating Families in the South Jersey Area! that governs the egg maturation can often be restored with the correct use of various fertility medications such as clomiphene (Clomid), tamoxifen, injectable gonadotropins (such as Menopur, Gonal F, Bravelle, or Division of Regional Women’s Health Group, LLC Follistim), and sometimes metformin (Glucophage). If a woman has run Full Service Infertility Center With: out of eggs (premature menopause), the only chance for her to carry a SOUTH JERSEY FERTILITY CENTER · All Of The Doctors Are Board Certified In Reproductive pregnancy is to use donated eggs. is now offering a discount for IVF to Endocrinology And Infertility If the fallopian tubes are blocked, then sperm and egg are unable to · Top Doctor Awards For 7 Years In A Row ACTIVE MILITARY AND VETERANS meet. Treatments to overcome this problem include surgical correction · Laparoscopic Tubal Reversals Call 856.596.2233 ext. 1227 for more information. · Money Back Guarantee Available For Ivf And Donor Egg of the tubes or the use of in-vitro fertilization. There are conditions that · Full Service Fertility Center can cause more subtle defects in the ability of the egg to reach the tube. · Robotic Surgery Available Scar tissue surrounding the ovary is one such condition, and endometriosis – which can set up a hostile environment to the ovulated egg – is Robert A. Skaf, MD FACOG Top Row (left to right): another. Minimally invasive surgery such as laparoscopy is sometimes Peter G. Van Deerlin, MD FACOG Dr. Gary Packin, used to search for and to eradicate endometriosis or scar tissue, especially Dr. Stephen Sawin, Stephen W. Sawin, MD FACOG in women who have pelvic pain, worsening menstrual cramps, or ovarian Dr. Peter Van Deerlin, Gary S. Packin, DO FACOOG, Dist. cysts. Dr. Oumar Kuzbari Oumar Kuzbari, MD, FACOG Bottom Row (left to right): Armed with this basic knowledge of human reproduction, potential Barbara Alice, APN-C, MSN Barbara Alice, APN-C, MSN, parents who are having trouble making a baby can better negotiate the Tracy Krause, APN-C,MSN Dr. Robert Skaf, emotional journey through the medical evaluation and treatment of Tracy Krause, APN-C, MSN infertility to achieve the dream of building their family.

South Jersey Fertility Center

Pictured...

400 Lippincott Drive Suite 130 Marlton, NJ 08053 856.596.2233

Visit us on our Website www.sjfert.com Harbor Pavilions AtlantiCare Life Center 570 Egg Harbor Rd • Suite B4 500 English Creek Ave. • #225 Sewell, NJ 08080 Egg Harbor Twp. , NJ 08234 856.218.8863 609.813.2192

Burlington Prof Campus 1900 Mt. Holly Rd #4A Burlington, NJ 08016 609-386-4701

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Call South Jersey Fertility Center to schedule your appointment. For more information, visit www.sjfert.com

September/October2015 2014 September/October

M Medical edical P Professionals rofessionals

HealthSchedule &W ellness your

What Is “All-On–Four” Implant Treatment?

here are several ways to replace teeth for patients who are edentulous (completely without teeth) on the top jaw, the bottom jaw, or both jaws.

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appointment with Dr. Banks by calling 609-488-2325.

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Dentures And Traditional Implants Most Common Dr. Banks is a The most common restoration is a full upper or lower denture, graduate of Rutgers University College or both. But because full dentures are sometimes difficult to of Arts and Sciences, wear, many people choose to have two or more dental implants placed in each jaw. Special attachments (comCamden with a B.A. monly called “locators”) are placed on the implants and inside the dentures, allowing the dentures to snap onto in biology, and Temple the implants. These “snap” assemblies help keep the dentures in place during speaking and chewing, giving the University School of patient more confidence. Dentistry, Philadelphia. For some patients, it is necessary to connect the dental implants together for increased strength and to prevent Kathy A. Banks, DMD She completed a one year excessive force on the individual implants. Traditionally, the implants are placed in the jaws in parallel fashion, Advanced Education and connected by a custom fabricated bar. The denture is made with a slot to fit over the bar, and will have clips in General Dentistry Residency Program at the that fasten to the bar. This type of a restoration is called a “bar-overdenture” restoration. University of Medicine and Dentistry of New Jersey Traditionally, patients desiring “fixed” teeth attached to implants that are not removable had a number of in Camden and Stratford, NJ, and then completed dental implants arranged in parallel fashion in the areas where the teeth used to be. The multiple implants would a four year Post- Graduate Residency Program in then be restored, with each implant replacing one missing tooth. This is a nice way to replace teeth but can be Oral and Maxillofacial Surgery at the University of extremely cost prohibitive. Medicine and Dentistry of New Jersey in Newark. Now it is becoming common to utilize fewer dental implants arranged in parallel fashion, but with pontic She is a Diplomate of the American Board of Oral crowns interspersed between the multiple fixed implant crowns. This concept mimics the traditional fixed dental and Maxillofacial Surgeons and the American Board bridge and allows the patient to be restored with fewer dental implants. of Dental Anesthesiology. In the past, dental implants would be inserted into the jaws, but would not be restored until after a six-month She is a member of the dental staff at Jersey Shore period to allow for osseointegration. Recent advances in the design and manufacture of dental implants affords University Medical Center in Neptune, New Jersey excellent initial stability at the time of implant placement, allowing the implants to be “loaded” or restored and is involved with teaching the postgraduate immediately. GPR residents in the clinic and in her private The “All-On-Four” Brings New, More Comfortable Options office setting. She has been instrumental in the The “All-on-four” protocol is the newest concept in implant dentistry, and development of several New Jersey State Board of allows a patient to have fixed (non-removable) teeth inserted immediately on four Dentistry approved continuing education courses implants. offered by J.S.U.M.C Department of Dentistry For patients who are already wearing full dentures, the” all-on-four” protocol Continuing Education To Department for& dentists, Practice Limited Oral allows the patient to transition from wearing a removable full denture to having hygienists and dental assistants. Maxillofacial surgery their existing denture modified and connected to implants at 249 S. Main Street, Unit 4 the time the dental implants are placed in the jaws. Then, after a Barnegat, NJ 08005 healing period of approximately six months, the patient will have

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KATHY A. BANKS, DMD

a final restoration made and inserted. Patients who are going to have all of their teeth extracted are candidates for the “all-on four” treatment too. Their dentist makes a full denture before the teeth are extracted. Then, in one visit with the oral and maxillofacial surgeon, all the teeth are extracted and the dental implants are placed. Then the denture is modified and attached to the implants. After a healing period of about six months, a new restoration is made and inserted. This way the patient is never without teeth.

So the take-home message is this: don’t suffer needlessly with ill-fitting, painful,

embarrassing dentures. Ask your dentist or oral and maxillofacial surgeon about treatment with “all-on-four.”

Tel: 609-488-2325

Kathy A. Banks, DMD kbanks@drbanksoms.com

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

of Oral & Maxillofacial Surgeons Tel: 609-488-2325 Diplomate of The American Board Fax: 609-488-2342

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 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 Practice Limited To Oral & Maxillofacial surgery

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249 S. Main Street, Unit 4 September/October 2014 January/Feb September/October 2015 Barnegat, NJ 08005

Medical Professionals

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

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

At University Urology Associates, we specialize in:

• Adult Urology • Pediatric Urology • Urologic Oncology • Male Infertility • Sexual Dysfunction • Urodynamics • Stone Disease • Female Urology • Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology

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

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

Parvez Mahmood, MD, FACS Board Certified Urologist Adjunct Associate Professor; Fox Chase Cancer Center

Mukaram Gazi, MD, FICS, FACS Board Certified Urologist Adjunct Associate Professor; Fox Chase Cancer Center

Alexander Gotesman, MD

HOWELL

2364 Route 9 South Howell, NJ 07731

HAMILTON

1374 Whitehorse Hamilton Square Rd. Hamilton, NJ 08690

TOMS RIVER

20 Hospital Drive Toms River, NJ 08755

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Adult & Pediatric Urology Specializing in Ambulatory Urology

Michael Nazmy Jr., MD Board Certified Urologist Minimally Invasive & Robotic Surgery

September/October 2015

Meet The Doctors

University Urology Associates Of New Jersey Parvez Mahmood, MD, FACS Dr. Mahmood has been in practice in Ocean County since 1974. He received his training in New York City at Mount Sinai Hospital Services, New York University Medical Center, Bellevue Hospital Center and Memorial Sloan Kettering Cancer Center. He has active clinical privileges at Community Medical Center in Toms River and Shore Outpatient Surgicenter in Lakewood. He is the former chief of urology at Community Medical Center in Toms River and Kimball Medical Center in Lakewood. He is also former clinical instructor in urology at New York University Medical Center. Dr. Mahmood is board certified in urology and is a Fellow of the American College of Surgeons.

Mukaram Gazi, MD, FACS Using the latest advancements in urology, Dr. Mukaram Gazi provides the highest-quality urologic care for his patients. In practice since 2001, this exceptionally skilled, minimally invasive surgeon treats the full range of urinary tract and male reproductive disorders- from no-scalpel vasectomies, erectile dysfunction and urinary incontinence to state-of-the-art robotic surgery for prostate cancer and enlarged prostate (BPH). Dr. Gazi is devoted to his patients, treating them like family in a compassionate and caring manner. He says, “We spend time with our patients, creating a true partnership to help them manage their health.” A board-certified urologist, he is a leader, teacher and author, consulting for several top pharmaceutical and biotech companies and maintaining a strong affiliation with national medical organizations. He has advanced training in sub-specialties such as uro-oncology and pelvic floor reconstruction, as well as pediatric urology. Dr. Gazi’s background and expertise, combined with honest communication, have earned him recognition as one of America’s Top Urologists by Consumers’ Research Council of America and Castle Connolly Medical, Ltd., and again this year as a Top Doctor by New Jersey Monthly Magazine. Not Pictured: Leonard Staller, PA-C • Robert Peterson, DC, PA-C For more information, call

(609) 581-5900 (732) 928-5300 www.uuanj.com

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Alexander Gotesman, MD Dr. Gotesman completed medical school at State University of New York in Stony Brook and completed his urologic residency training program at Mount Sinai Medical Center in New York in 2005. Dr. Gotesman specializes in adult and pediatric ambulatory urology. He has five years of postgraduate clinical research experience and is a member of the Alpha Omega Alpha medical honor society. Dr. Gotesman maintains strong affiliations with local and national medical associations including the American Urological Association and the American Medical Association. He joined UUANJ in 2012.

Michael Nazmy, Jr., MD Dr. Nazmy received his medical degree from UMDNJ/Rutgers Medical School in Newark, New Jersey where he subsequently completed his residency in Urology. Afte residency, he completed a two-year fellowship in Urologic Oncology and Advanced LaparoscopicRobotic Surgery at the prestigious City of Hope National Medical Center in Duarte, California. Dr. Nazmy is Board Certified by the American Board of Urology and sees patients at all three of our locations. University Urology Associates of New Jersey is proud to welcome Dr. Michael Nazmy, Jr. to our practice.

September/October 2015

Medical Professionals

Health &Wellness

Dense Breasts: What Does This Mean? A sad fact is one in eight women will develop breast cancer in their lifetimes. Digital mammogram remains the most effective screening tool we have to detect this disease. Part of the mammogram evaluation by the radiologist is describing the density of a woman’s breast. In Februrary 2014, Governor Chris Christie signed a law requiring radiologists to inform women about their breast density when they have such tests. Many women are finding language in their mammography letters saying they may have dense breast tissue. As a result there has been many questions about what breast density means and how it impacts a woman’s health. Here are some of the more common questions I have been asked about this issue.

an area on a mammogram, the patient will be asked to come back for additional compression views. This is when a paddle is pressed on the breast to push the breast tissue away from an area of suspected cancer so it can been more clearly seen on the mammogram. Additionally, mammogram is the only test that can reliably detect suspicious Small lesions are more apparent Subtle lesions are more in predominately fat replaced difficult to detect in this dense calcifications.

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What is breast density? Breasts are made up of a mixture of fibrous tissue, glandular tissue, and fatty tissue. The glandular tissue is what produces milk. The fibrous and fatty tissue hold the glandular tissue in place, and they give breasts their shape. Your breasts are considered dense if you have a lot of fibrous or glandular tissue but not much fat. Density tends to decrease with age, especially after menopause.

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Why is breast density important?

breasts.

breast.

Are there any other tests I can do?

Dedicated breast ultrasounds in poorly seen or suspicious areas of the mammogram are among the most common and effective secondary tests performed. In my opinion, monthly self breast exams are an excellent way for a woman to take control of her breast health. It is important to become familiar with the way your breasts normally look and feel, and you can notice changes in the look or feel of your breasts. MRI is very sensitive in detecting cancer; however, often it can detect lesions that are not cancer and this can lead to unnecessary biopies. Additionally, not all insurance policies will cover the cost of having a breast MRI. Tomosynthesis (also known as 3-D mammography) is gaining popularity, but it is still uses X-rays like a traditional mammogram and will still have limitations for women with dense breasts.

Dense breasts make it more difficult for doctors to spot cancer on mammograms. The dense breast tissue blocks the x-ray beams and therefore dense tissue appears white on a mammogram. Unfortunately, cancer also appears white on mammograms. Trying to find cancer in very dense breast tissue can be like looking for a snowball in a snowbank. The sensitivity of breast cancer detection in mammograms of women with dense breasts may decrease by 10-20%. Breast cancer develops in the glandular and fibrous parts of the breast. Patient’s with dense breast have lots of glandular and fibrous tissue and therefore having dense breast tissue may increase your risk of getting breast cancer. There is statistical What should I do if I have dense breasts? evidence that indicates that women with dense breasts are four to six times more The best first step is to talk to your doctor to determine if you likely to develop breast cancer than women with fatty breasts and 17 times more truly do have dense breasts. Together, you can decide which, if any, likely to develop interval cancer (which is detected or presenting less than 12 additional screening exams are right for you. months following a normal mammogram). If your breasts are not dense, other factors may still place you at increased risk for breast cancer — including a family history of the disease, previous chest How common is it for a woman to have dense breasts? radiation treatment for cancer and previous breast biopsies and genetic testing Approximately 50% of women have “heterogenously dense” breasts that show you are high risk. Talk to your doctor and discuss your history. Even or “extremely dense” breasts. if you are low risk, and have mostly fatty breasts, you should still have an annual mammogram starting at age 40. If I have dense breasts, do I still need a mammogram?

QA QA

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Yes. A mammogram is the only medical imaging screening test proven to reduce breast cancer deaths. Many cancers are seen on mammograms even if you have dense breast tissue. If a radiologist is suspicious of

Business &Finance For more information contact Toms River Xray, CT, and MRI Center today at 732-244-0777

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

About The Author... Dr. Cyrus Khorrami is an

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

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

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

Tel: 732-244-0777 • Fax: 732-244-1428

www.TomsRiverXray.com5

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

EXPERIENCE & EXPERTISE you can count on.

January/Feb September/October 2015

Medical Professionals

Health &Wellness

Dr. Newman Answers More Sleep Related Questions se s to any of thAepnea. e y r e sw n a u o ep If y might have Sle questions you

? sleep apnea h it w d e s o n er been diag O NO Have you ev O YES y? a sleep stud d a h r e v e u Have yo O YES O NO hould ld that you s to n e e b r e v ? Have you e wear a CPAP O O YES O N ches? rning heada o m e v a h u Do yo O YES O NO e , able to tak y a d e th g n wsy duri Are you dro nap almost anytime? a O YES O NO air ou gasp for ? y t a th ld to leeping er been Have you evr stop breathing while s suddenly o O YES O NO ep! er night’s sle th o n a e s lo Don’t

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I am having surgery! Do I need to be screened for sleep apnea?

Yes, unidentified sleep apnea can be dangerous during anesthesia. Many people with sleep apnea do have minor and major surgery. It is important that it be identified beforehand so that your anesthesiologist and surgeon can better manage your procedure. Any concerns you have can be discussed with your anesthesiologist or surgeon.

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How many nights does a sleep study take?

Typically a sleep study takes two nights. The first night, called a nocturnal polysomnogram (NPSG), is performed to diagnose the type of sleep disorder. After the data is collected and analyzed a second night study called CPAP (Continuous Positive Airway Pressure) would be performed. During the CPAP study the patient wears a triangular mask over the nose, which delivers pressure. The pressures are adjusted to the individual until the right one is achieved. The CPAP mask is custom fit to the individual.

Theater &E ntertainment A set number of breathing interruptions called apneas need to be seen during the first

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

Why is the CPAP therapy not started during the first night?

few hours of a study night before CPAP can be started. Most of the time it takes all night to see all of these apneas, so the CPAP study needs to be done on a second night.

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If I am diagnosed with obstructive sleep apnea and started on CPAP therapy will I ever need another sleep study?

There is no set time to do a repeat sleep study. However, if there are changes in your health, weight or symptoms of sleepiness another study may be advised by your doctor.

What is an MSLT?

An MSLT is a daytime test to measure the individual’s tendency to fall asleep. A condition like narcolepsy, which involves uncontrolled sleep attacks, can be diagnosed with this test. It is not routinely used in the evaluation of obstructive sleep apnea. The MSLT is a series of naps, which is performed the morning after a sleep study. The patient is placed in a dark, quiet room and instructed to try to fall asleep. Each nap session lasts for 15 minutes after the patient has fallen asleep. If sleep is not attained, the nap session is ended after 20 minutes. There are 5 nap sessions in a typical MSLT.

What is a MWT?

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A MWT or Maintenance of Wakefulness Test is daytime to measure the individual’s ability to remain awake for a defined period of time. It is commonly used by agencies such as airlines, trucking, bus driving, and other commercial operators to help assess the individual’s ability to stay awake.

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

• • • • • • • • •

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

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

www.DrNewman.org.

For this test the patient is placed in a dimly -lit room. They are seated upright in bed with head and back supported. They are then instructed to stay awake as long as possible. Each session lasts 40 minutes or until the patient falls asleep. There are 4 sessions in a standard MWT.

Please feel free to contact us if you have any questions or visit us on the web at

www.DrNewman.org.

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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January/Feb September/October 2015

Featured On The Cover

~ Karing with Kindness ~

ounded in 1998, Karing with Kindness has made a lasting impact in the home health care arena. Owner and director Kathleen Kenny wears many hats and has formed many specialties. Her business includes a training school with a Certified Nurse’s Aide program (CNA) and a Certified Home Health Aides program (CHHA), medical equipment with a full line of quality products ranging from lift chairs to beds, and and our exciting new unique boutique which carries mastectomy products, postsurgical/recovery items, maternity and more. We have certified fitters on staff either by appointment or walk in. She describes herself and the way she conducts her business as very “hands-on” and is lovingly involved in every aspect. Kathleen is that rare individual that truly derives pleasure from helping others. If there is a need, she will find a way to fill it. Creating a good quality of life in her client’s homes is her specialty. She adds, “Our staff can help your loved one avoid the emotional trauma of leaving their cherished home. We believe that you and your family should have a choice about where and how you live, as well as who will provide your care. Being able to remain in one’s home makes a person happier and keeps them healthier, but most of all it promotes their independence.” Her clients and aides have a direct line to her at all times and she makes a point to go out and visit her clients (and their families) to ensure that services are fulfilling their expectations. Like Kathleen, her various businesses have evolved over the years and each part has played an instrumental part in helping someone that has been connected to her life. In fact, her home health care profession began while she was caring for two sisters while the family lived in another state. “The family had given me the confidence boost that I needed to pursue my business. They were so happy with everything that I had done with their relatives and felt that I took care of them as if they were my own family and in all honesty, they were.” Kathleen Kenny, Owner

In the home health care business, rules and regulations are constantly changing. She adds, “Many folks have noticed a huge change with Obama Care and though it does have many benefits, it has created a great deal of change and with that comes different pros and cons.” One of the priorities in her state approved training school is teaching compassion. In fact, her school has become known for the compassion that is shown through her aides that work with the facility. She adds, “Just by having that ‘Karing’ quality they stand out. I had an administrator personally call me recently to compliment me on it.” Due to the training that her instructors instilled in their students, this gentleman was able to pick out which came from her site. Her instructors are amazing nurses and women. She says, “We share the same beliefs and that’s what makes us work so well together. I am grateful for every single one of them.” The overall objective of the program is to prepare participants to become a CNA or a CNHA. This training will enable them to provide the highest quality of care in a compassionate manner; all while maintaining the client’s dignity and independence. In the end, they will be the ones enhancing the client’s quality of life. “

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Kathleen and her husband, Paul Jr. September/October 2015

Featured On The Cover

~ Home is Where the Heart Is ~ Her DME Company started when she began receiving calls from her aides about things they needed to keep their clients safe in their homes. She adds, “We wanted to do whatever was necessary to continue to keep our clients at home, happy and safe.” Just some of the products she offers include canes, walkers, wheelchairs as well as items to make everyday tasks easier like pill openers and grab bars. Her journey did not end there. She went a step further and opened up the Mastectomy Boutique. She adds, “ We continue to help many women going through a mastectomy. Women need to know that prior to their surgery they are entitled through most insurance companies to receive a compression bra that is equipped for post surgical needs.” They have certified fitters at each of her locations to assist. Perhaps the best part about her profession is that it includes many of her own family members. “It’s wonderful to be working with my family but debates do occur because each of us is so passionate about what we do. My family grew with my business as I had started the company while my own children were still in school. It’s nice to see the two of them grow alongside one another. Each of my children play a critical role in my company,” she adds. Hers is not the typical 9-5 job and sometimes the job is never really “done.” The greatest advantage for her is that they all live next door to each other. Their bond is very tight and it enhances her business in immeasurable ways.

(Pictured L-R) Petrina Kailyn (age 2), Paulie IV (age 7), Sean (age 6), Trent (age 5), Eddie (age 4), Jennifer, and Norah (age 2)

For Kathy, it all comes down to making a difference in her client’s lives. She wants to feel that Karing with Kindness Health Care Complex is a place to “fit all your needs.” From the looks of her success, it appears she is making that happen on a daily basis. OCEAN COUNTY 732-288-1600 2801 ROUTE 37 EAST, TOMS RIVER, NJ 08753 ATLANTIC COUNTY 609-601-2150 700 NEW ROAD, LINWOOD, NJ 08221

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Karing with Kindness

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September/October 2015

Education

New Degree Offers Job Variety

A.S. Degree in Hospitality, Recreation and Tourism Management

Looking for an Exciting Career?

Potential Career Fields Include:  Travel  Recreation  Food & Beverage  Lodging  Clubs & Facilities Management  Convention & Meeting Planning

For more information, contact Jennifer Evans at 732-255-0400 ext. 2821 or jevans@ocean.edu.

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OCWoman_HRTM Degree_Sept-Oct_2015_4x5 ad.indd 1

In Hospitality, Recreation, And Tourism

ooking for an exciting career? Set yourself apart from the competition! Ocean County College (OCC) is offering a series of courses in Hospitality, Recreation, and Tourism Management, which provide instruction in hotel, travel, recreation, tourism, food and beverage, convention and meeting planning, facilities management, and related service industries. According to Jennifer Evans, OCC Program Chair of Hospitality, Recreation, and Tourism Management, this is a developing industry and the need for educated, skilled employees is in demand and is expected to continue to grow. “Ocean County College is centrally located within the beach counties of Ocean, Monmouth, and Atlantic counties, and is the gateway to New Jersey tourism, offering tremendous job opportunities for our students,” explained Evans. According to Evans, anyone considering a degree in Hospitality, Recreation, and Tourism Management should be a “people person,” crave variety and excitement in their work day, and have a passion for food, travel, and special events. “With an associate degree from Ocean County College, students can begin working right after graduation or can transfer to a bachelor’s degree program in Hospitality, Recreation, and Tourism Management

at a four-year school,” she said. Potential careers are plentiful whether students plan to work locally in Ocean County, statewide throughout New Jersey, nationally, or even internationally. For example, careers in travel might involve working on cruise ships. If fun and recreation are at the top of your list, trained personnel may find a position at a theme or water park. Other prospective careers may involve restaurant or catering; hotels; wedding, convention, and meeting planning; and facilities management such as golf clubs and gyms. Students enrolled at Ocean County College will learn to both provide superior service treating customers as guests and to develop marketing and sales techniques to use within their specific field. Students will enroll in a variety of courses related to their area of concentration including events planning; hospitality law; food, beverage, and labor cost control; and quality guest/customer service management; among others. For more information on Hospitality, Recreation, and Tourism Management classes at Ocean County College, contact Jennifer Evans, OCC Program Chair, at 732-255-0400, ext. 2821, or jevans@ocean. edu. Visit our website at www.ocean.edu.

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00 45

The Aging Spine: Common Of Back And Leg Pain SameA Day JointCause Replacements

T M

otal and will knee replacements areatone of point orthopedics best osthip people experience back pain some in their life. As procedures. provides painas relief functionwear people age, Ittheir joints (such hipsand and restores knees) experience to and millions of individuals. Same day surgery for joint tear. The spine also consists of a complex set of joints that replacements thatdegeneration patients are admitted to a surgical center can degenerate.means When this leads to a narrowing of the spinal or a hospital in the morning, havetothe operation go home canal in the lower back, it is referred as lumbar spinaland stenosis. the same day usually in the afternoon. There has been a natural Anatomy It is important to some the basics of thehip, anatomy of the spine to understand progression inunderstand the length ofofstay of total total knee and partial lumbar spinal stenosis. The spinal column consists of a series of bones connected to one knee replacements. another by intervening discs, joints and ligaments. The bones are referred to as vertebrae.

The20vertebrae years ago, patients stayed weekscalled in thethehospital. Today thethe hospital staysand have a space within2 them spinal canal where spinal cord range fromtravel. 2 to 3Generally days. Patients can now go home faster because of new nerve roots in the low back region the spinal cord has ended and anesthesia there are nervepain rootsmanagement that supply thetechniques. legs. The sections of the spinal columnsurgery have different names, and The use of less invasive techniques whereasthe low incision back section referred to as and the lumbar spine. knee replacements allow such mini hipisreplacements quad sparing What happens as the ages? the patients to go home andspine walk the same day. This is accomplished by cutting With aging, the normal discs and joints the vertebrae degenerate. This leads less muscles and tendons. In addition,that theconnect use of multi-modal pain management to narrowing of the discs and arthritic changes of the joints, which can subsequently lead to techniques and peri-articular injections also diminish post-operative pain. pain in the low back. In addition, the ligaments overgrow and bone spurs form. All of these Multimodal pain management is a technique thatover doctors that giving factors together cause the spinal canal to get narrower time. use Once theinvolves spinal canal narsmall amounts of different pain medication such as anti-inflammatories, Tylenol rows to a certain point, the nerves that travel to the legs get pinched causing lumbar spinal and narcotics. Because the medications all work by different mechanisms, we can stenosis. use smaller and provide better pain relief. It is also important to give the What aredoses the symptoms? medications before surgeryspinal so that pain include receptors bewhich blocked incision.on The symptoms of lumbar stenosis backcan pain, can before vary depending theaddition severity ofperiarticular the arthritis. There can also be pain in buttocks can travel In injection techniques aretheused. The that injection is adown local the back of the legs, oftentimes referred to as “sciatica.” There can also be numbness or tissue tingling anesthetic or “numbing” medication that is injected around the hip or knee in the buttocks or legs. As the pressure on the nerves roots worsens, weakness can occur, during surgery that provides pain relief for 36-48 hours. This combination allows especially in the foot. Patients will often times report that the pain is worse by standing up patients to wake upbut and bebetter less groggy andand nauseous anesthesia. This allows straight and walking, gets with sitting leaningafter forward. As time progresses, patients to be more alert and in less pain which enables them to start ambulating patients will not be able to walk as far they once did without feeling pain in their legs. Some within few hours after All of these new techniques havethem led to shorter and patients,a however, note thatsurgery. leaning forward on a shopping cart will allow to walk farther without pain. shorter stays in the hospital. it treated? How Nowispatients have the option to recover in their own home. Instead of spending The begins seeing a physician dealing with the spine time intreatment the hospital wefirst canwith bring home servicestrained such asinphysical therapy andand visiting obtaining an accurate diagnosis. The diagnosis is made based on the history and physical nurses to the comforts of your own home. Many doctors feel that recovering at exam, and also with X-rays and MRI. Generally, treatment is started with non-surgical options. home has numerous advantages, such as a potential lower infection rate, faster This includes physical therapy, medications, acupuncture and steroid injections. Oftentimes mobilization, cost relief and afrom lower complication By has going home the of same patients will feellower good pain these treatments. Ifrate. a patient a poor quality life day, we believe that patients have much better spirit and motivation. They have due to lumbar spinal stenosis, and non-surgical treatments have not worked or only worked temporarily, then surgery is considered. The own main recovery stay for treating lumbar stenosis more control and confidence over their and are able spinal to return backisto to remove the ligaments, bone faster spurs and normal activities at a much rate.other compressive factors from placing pressure on nerve roots. is referred to as decompression, or a laminectomy. thePatients thatThis haveprocess same day joint replacements are the happiest patients inThe mysurgeon does not remove all of the vertebrae, only the elements in the back that are placing pressure practice. Those that have experienced the typical in hospital surgery experience and on the roots. Sometimes a spinal fusion is also needed for various reasons. The laminectomy the dayusing experience willincision, almost aalways recommend the same day experience can same be done a traditional small “mini-open” incision or a minimally invasiveto their friends. approach. The choice of approach will be determined based on the severity of the stenosis, individual patient factors. peopledone experience goodpatients pain relief in their theThis procedure is and not surgeon for everyone; it isMost typically in healthy under the legsofafter andshould are able to resume their normal after recovering surgery. ago 65.surgery Patients also have a good home lifestyle situation with family from support. However, improvement in the back is variable. It also helps to be physically fit and not obese. Having stairs or a multilevel In Conclusion .. home should not.prevent you from going home, since most patients can navigate Lumbar spinalwithin stenosisa is onedays. causeThe of back leg pain that age. stairs and walk few bestand suggestion is toaffects go inpeople to talkastothey your It is important to see a physician trained in treating this disease to obtain an accurate diagorthopaedic surgeon and see if you are a candidate for same day total hip or knee nosis. Once that is achieved, there are multiple treatment options that can help improve a replacements. It haspatient’s been truly a revolutionary change in the way I treat my more quality of life. motivated patients.

Seaview Orthopaedic & Medical Associates

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

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

Official Team Doctors Of:

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

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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. A native of New Jersey, Dr. Yalamanchili has returned home after completion of his Fellowship training. He attended medical school at UMDNJ – Robert Wood Dr. Arthur Mark has a pioneer in theresidency field and has brought this Medical procedure the Jersey in Shore area. of Hespinal is a disorders leader in Johnson Medical School andbeen completed his orthopaedic at UMDNJNew Jersey School.toHe specializes the treatment outpatient total joint programs and has lectured to other physicians and providers about his techniques and protocols in including degenerative, deformity and trauma and has particular interest in cervical (neck) surgery as well as minimally invasive and motion sparing procedures. allowing patients in going home the same day.

Dr. Arthur Mark

www.seaviewortho.com • 732-660-6200

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September/October 2015

Medical Professionals Health &Wellness

Understanding The Term ‘Irritable Bowel Syndrome’ How Is IBS treated? Law There is no cure for IBS so the goal of therapy is to properly diagnose the

Written By: Dr. Omar Tamimi, Gastroenterologists of Ocean County

Do you suffer with chronically recurring abdominal pain and/or abdominal bloating that makes you feel or even look nine months pregnant? Do you suffer with chronic diarrhea that makes you uneasy to leave your house for even short trips? Do you have to rush home from a dinner out or even rush to the bathroom before leaving the restaurant because of the urgency to have a bowel movement? Do you know where every bathroom facility is located on your ride to work? Or do you have difficulty having bowel movements with resulting pain and cramping? If you answered yes to any of these questions, you are in very good company and may be suffering with a common condition called Irritable Bowel Syndrome.

urgent that you see your doctor right away to have appropriate evaluation as these may be symptoms of much more serious conditions. But even if you do not have these alarm symptoms, you should seek medical advice for treatment of IBS if you suspect you suffer with this disorder.

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disorder and thereafter tailor a treatment to the individual. Doctors will often give advice on diet and prescribe medications depending on the nature of the symptoms. Laxatives, antidiarrheals, and antispasmotics are commonly ordered. Probiotics and alternative therapies can be of great value as well. In conclusion, IBS is treatable chronic condition that must be properly diagnosed for optimum therapy and to minimize the likelihood of more serious conditions remaining undiagnosed. There is no reason why the symptoms of IBS should stop you from enjoying what pleasures life has to offer. So speak to your doctor soon if you suspect that you suffer with the symptoms of Irritable Bowel Syndrome.

Theater &Entertainment For more information on IBS, please contact the Gastroenterologists of Ocean County today!

What Is IBS?

Irritable Bowel Syndrome or IBS is a common gastrointestinal disorder that affects the colon or large bowel. It is the most common complaint for which a gastroenterologist is consulted. It is estimated that 1 in 6 Americans suffer with some symptoms of IBS. Women suffer with the disorder more frequently than men and the initial onset of symptoms occur most often in adolescence and early adulthood but may manifest at any age. Though IBS is considered a benign condition with no risk of cancer, intestinal damage or associated inflammation, it is quite debilitating in many patients. IBS is one of the most common reasons for absence from work in the U.S. Symptoms of IBS vary by the subtype but all commonly include abdominal pain, bloating, pain relieved by defecation, mucus rectal discharge and alteration in bowel habits.

Education

What Is The Cause Of IBS?

Despite the common frequency of this disorder, there is no defined cause of IBS. Research has failed to detect any specific defect in the gastrointestinal tract that explains the illness. It has been theorized that a motility disorder (nervous system dysfunction that prevents proper muscle function of intestines) is the prime defect but this has yet to be confirmed. Most experts believe that there are likely multiple contributing factors.

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

How Is IBS Diagnosed?

Experts in the field have developed clinical criteria to help diagnose IBS. This is based on history a patient gives a doctor during a visit. These criteria can only assist your doctor in making the diagnosis but are not definitive. This means that one must exclude other illnesses that mimic IBS before the diagnosis of IBS is confirmed. Disorders that can mimic or cause similar symptoms to IBS include: infections, Inflammatory Bowel Disease (Crohn’s Disease and Ulcerative Colitis), Celiac Sprue (gluten sensitivity), Lactose Intolerance and Colon Cancer and other abdominal cancers. To exclude these disorders, when signs and symptoms are present, physicians will often perform blood and stool tests as well as place patients on selective diets. Colonoscopy is often necessary to exclude Colon Cancer or Colitis. Only once these more serious conditions have been excluded by patient history and necessary exams can patients be reassured of the diagnosis and treatment recommended.

Hospital Privileges at Community & Ocean Medical Centers

Should I Be Concerned?

If your symptoms include bleeding, weight loss, bowel movements that wake you from sleep, oily stools or new symptoms presenting later in life, than it is

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January/Feb September/October 2015

Meet The Doctors

Meet the Doctors of Gastroenterologists of Ocean County Allan Cohen, MD

Doctor Allan Cohen is Board Certified in Gastroenterology. He attended Medical School at the SUNY Health Science Center at Brooklyn (formerly Downstate Medical Center) and completed his Internal Medicine and Gastroenterology training at State University-Kings County Hospital in New York. Doctor Cohen is highly skilled and has extensive experience and has performed over 30,000 gastrointestinal endoscopic procedures. Doctor Cohen served as Chairman of the Gastroenterology Subsection at Community Medical Center in Toms River, NJ. Dr. Cohen enjoys gardening, fine wines, and collecting sports memorabilia.

Jill Collier, MD

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

Omar Tamimi, MD

Doctor Omar Tamimi joined Dr. Cohen in 1992. He is Board Certified in Gastroenterology. He is a graduate of Rutgers University and University of St. George’s Medical School. His medical training was completed at Seton Hall University, St. Joseph’s hospital, Patterson, NJ. Since completing his medical training he has performed over 25,000 endoscopic procedures and has vast experience in all aspects of the practice of Gastroenterology. Doctor Tamimi had been a member of the executive committee at Kimball Medical Center since 2003 and served as the Chief of the Medical Staff from 20072009. Doctor Tamimi and his wife Patty have three children with whom they are very involved. Doctor Tamimi enjoys outdoor sports, coaching Toms River Little League, vacationing and spending time with his family and is a big fan of Rutgers sports teams and Bruce Springsteen.

Edgar Bigornia, MD

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

Kenneth Glazier, MD

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

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

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

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Jai Mirchandani, MD

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

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.

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

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7 Sherwood Dr. Lakewood, NJ 08701 732-367-3338

www.GastroOfOcean.com

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September/October 2015

40 48

Assisted Living

Questions To Consider When Moving A Parent Into Assisted Living Part II Deciding to move a parent into assisted living is a big decision – and one that is best done by making numerous small decisions. In the May/June 2014 2015 issue we focused on four aspects in order to make your parent’s move to a new living arrangement as smooth as possible.

o begin, making a list of questions is the most important.

Checking out local and national referrals along with public services through your state’s Department of Human Resources can be helpful in finding a good place for them to live. Spring Oak of Forked River is one of the most affordable Assisted Living communities of Ocean County, NJ. To understand how to pay for it, you will need a clear understanding of your parent’s financial resources. To continue, we will focus on three more aspects in order to make your parent’s move to a new living arrangement quite simple.

What medical, emotional, financial and family resources will my parent and I need?

Be proactive! Dealing with medical paperwork, coordinating schedules, pulling together resources in ways that will be a stretch because you have never faced this challenge before is rough enough. You will also be dealing with the emotions that inevitably arise when you have deal with what is likely the final chapter of a loved one’s life. It is easy to get a little overwhelmed, and that is Ok, but you will be more effective in accomplishing what you need to get done if you try to stay on top of things. Get a flexible file, or use whatever file system works for you, and collect all medical records and all drug information (name of drug, purpose, dosage). Keep these updated and take them with you when your parent is examined, evaluated, when a new doctor is seen, and when new drugs are prescribed. If your parent has someone else take them for doctor visits be sure they have a copy of this information as well so it travels with your parent. Join a caregiver group. To find one call your local senior center, church, or local assisted living communities. The aging of the baby boomer generation will provide you with plenty of chances to find good company on this new journey in your life. Caregiver groups can be an invaluable place to get advice and emotional support. Help your parent stay engaged with family and peers, even if it’s a challenge. Have family take turns calling and visiting. Try to coordinate visits and calls with friends and neighbors. Be sure that wills, living wills and power of attorney are in order. Get as much information as you can about bank accounts, insurance policies, last wishes, names

of doctors, lawyers and ministers. This is often a difficult subject for parents and children; in our family we approached it by having the adult children discuss and take care of these tasks at the same time as our elderly parents. Engage as many family members as you can to work through this process. Too often things get dumped on a dutiful daughter or son while the rest of the family looks on. Even if everyone doesn’t agree on what is done, everyone should be heard and involved. If there is extreme disagreement in the family you may want to have an elder care attorney or minister mediate.

What can they take with them?

Spring Oak Assisted Living allows you to personal the apartment you chose. We have no restrictions to wall hangings or mounted flat screen TVs. We also allow pet. This all depends on where they’re going and how much living space they will have. Take favorite pictures and other small treasured things that may be decorating their walls; familiar things can make them feel more at home more quickly, and it gives them things to talk about with their new neighbors. Make a floor plan of their new residence on paper or on the computer and do a scaled layout of their furniture. Then decide what they will take and what to do with the excess so it’s not in your basement or an expensive storage facility for years to come. Some communities allow very small dogs and cats; most do not. Ask the community for a list of do’s and dont’s.

How much might their life change?

At Spring Oak Assisted Living we strive to have all new resident’s acclimate to their new home seamless. Our “welcoming committee,” made up of 4 existing residents, spends some time everyday for the 1st few weeks of the new resident’s arrival helping them feel comfortable. This is often one of the biggest changes in a person’s lifetime. Many seniors view this move as the last one of their lives, and it can cause them to be sad, depressed, or angry. More positive folks see it as a way to unburden their families and feel more secure about receiving the ongoing care they need. Community caregivers are trained to notice and deal with differing attitudes, and you should work with them and with your parent to help them adjust.

We at Spring Oak are here for tours 7 days a week to help family and friends of aging loved ones. We offer a full service Assisted Living and Memory Care neighborhood for those in need of dementia and Alzheimer’s care. Call for your tour 609-607-6002.

Call for an Appointment Today

609.242.2661 601 N. Main St. (Route 9) The County Woman Magazine

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Lanoka Harbor, NJ September/October 2014

September/October 2015

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Health &Wellness

Diagnosed With Breast Cancer: What’s Next?

he biopsy shows that you have breast cancer. In addition to the shock and emotional turmoil, a thousand questions go through your mind.

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 PR positive tumors are treated with Tamoxifen (before menopause), or Arimidex (Anastrazole) or Femara (Letrozole) (after menopause). In addition, your 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 the collarbone. This is temporary and can be removed after treatment is completed.

Law

“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 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.

Theater &Entertainment

Age

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.

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

Stage

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.

Tumor Characteristics

Education

Certain features on the cancer cells can predict the aggressiveness 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.

Who Needs Chemotherapy?

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 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

WeOctober now hold is Group Therapy sessions for cancer month patients and caregivers, led by Breast Cancer Awareness certified psychotherapists.

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

To Learn More, Visit www.oceanhemonc.com

Elder Law

To learn more about treatment of breast cancer or for any other cancer-related questions, contact Dr. Sarah J. Easaw MD at 732-961-0010

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Compassionate Cancer Care, Close to Home

Business &Finance W We offer a full range of Hematology & Oncology services. W We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner. W Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive 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

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

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

September/October 2014 September/OctoberJanuary/Feb 2015

Massage School

Are You Looking For A Career Change Where You Can Be Your Own Boss? 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. 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. There are approximately 320,000 trained therapists providing massage and bodywork in the United States. Today, there are more than 250 known types of massage and bodywork. The message training can also be a stepping-stone to continuing a career in the medical field. Many massage therapists enjoy the flexibility of being a therapist as well as feeling relaxed themselves. Spas employ an estimated 338,600 people in the United States. Services are provided at 88 percent of spas. Many therapists have their own private clientele and some may

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

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

Toms River, NJ

732-505-0055

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Although massages relax individuals, there are also many other benefits. 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 shows 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. In addition, massage helps children as well; Improving sleep for babies, reducing aggression and hyperactivity in adolescents with ADHD; increasing alertness in autistic children; improving lung function in asthmatic children; and reducing glucose levels in diabetic children.

Alice Marin New Owner/Director As a bilingual Spanish speaking health professional, Alice Marin has vast experience in the wellness arena. Presently, she is the owner and an instructor at the New Jersey School of Massage in Toms River. She became certified in Therapeutic Massage in 2001 from the Center for Therapeutic Massage in Holmdel and also holds an American Red Cross Certification. She shares her passion with her students while teaching Anatomy & Physiology at her school. Her past experience includes working as a Medical Assistant for different physicians where she was able to obtain first hand experience in the field.

Day and Evening Classes Start on September 9th!

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

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

NJSchoolofMassage.com for more information or to register online or call the school at

732-505-0055 for more information. “The School With A Personal Touch”

Late corners will be accepted in September!

Art Gallery

Day classes are 3 days a week, 9 a.m. to 5 p.m. for 6 months. Evening classes are 2 days a week, 6 p.m. to 10 p.m. for 10 months.

Textbooks, a massage table and a school T-shirt are included in the tuition!

You are cordially invited to view the works of Nolan at a newly opened Contemporary Fine Art Gallery

Willence

The Oasis Gallery 467B Buckingham Dr. Manchester, NJ 08759 by appointment only:

PHONE: (732) 657-3930 • CELL: (732) 575-5851 • EMAIL: nolan2032@yahoo.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Hair Designs

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its revolutionary technology, four out of five hair rejuvenation experts such as Bosley, Hair Club and other prominent medical clinics and hair replacement studios recommend the FDAcleared Theradome LH80 PRO from all around the world. Multiple clinical trials prove that our powerful helmet is one of the safest and most effective hair loss solutions amongst all other medications.

How does it work?

The Theradome™ LH80 PRO brings you advanced technology to enjoy from the comfort of your own home. Unlike Light Emitting Diodes (LEDs) devices, our laser light targets the stem cells at the base of hair follicles. This allows the formation of a new photonic pathway that can restore hair to a healthy state. Our one-of-a-kind laser helmet was engineered based on four crucial scientific criteria, which together provide the most powerful and efficacious laser hair therapy out on the market.

What to expect?

Good things come to those who wait. When it comes to achieving the thicker, luxurious hair* you’ve been dreaming of, a little patience will go a long way. While not an overnight solution, the process couldn’t be simpler. All it takes is a commitment to using your Theradome helmet twice a week for just 20 minutes. You are taking the best action possible against hair loss with the next-generation Theradome LH80 PRO. Results may vary from person to person.

Theradome What is Theradome?

IN THE WORDS OF THE EXPERTS: Laser hair therapy, the most powerful and effective treatment for hair restoration, is exploding on the market with the introduction of Theradome. With

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The County Woman Magazine www.TheCountyWoman.com

September/October 2015

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Medical Professionals Medical edical Professionals M Professionals

Understanding And Treating An Embarrassing March Is National Colorectal Awareness Month Incontinence Condition: FecalShould Here’s What You Know: How To Prevent And Treat Colorectal Cancer HCancer ealth &W ellness Health &Wellness

Law Lrofessionals aw 00 Nina M edical P NinaPaonessa, Paonessa,DO, DO,FACOS, FACOS, ananestablished colorectal surgeon established colorectal practicing in Ocean County, surgeon practicing in Elder Law answers questions about colMonmouth County discusses orectal cancer, one of thefecal leadthe basics regarding ing cancers in both men and Elder Law incontinence. nderstanding and Treating an Embarrassing Condition: Fecal Incontinence women.

Dr. FACOS, Paonessa recently specializes in a Paonessa, DO, the evaluation and treatment blished a colorectal surgery practice of patients with colon veniently located on Communityand rectal conditions/ diseases dical Center’s campus in Toms River,and N.J. frequently performs laparoonly female colorectal surgeon in the scopic surgery for her patients. on, Dr. Paonessa specializes in the She also offers conservative and uation andminimally treatment of patients with invasive treatment on and rectaloptions conditions and diseases for many commonand anouently performs laparoscopic for rectal disorders. Shesurgery frequently patients. She has been recognized a explains to her patients asthat ent’s Choice“just physician the afourth becausefor I am surgeon, secutive year. doesn’t mean everyone needs surgery. There are other options at is Fecal IIncontinence? can offer you.” Dr. Paonessa has namedincontinence, Proctologist is al incontinence,been or bowel Board-certified in general of the Year by the American inability to control bowel movements, College of Osteopathic sing the involuntary passage of stool. surgery and proctology Proctologists, awarded mptoms of and this often embarrassing a fellow of the the Patient’s Choice Award and rder rangeAmerican from occasionally leaking College of the Compassionate Doctor’s ll amountsOsteopathic of stool and passing gas, to Surgeons, Award by Vitals.com mpletely losing control of bowel for six Dr. Paonessa specializes vements. consecutive years, and is on the in colon and Honor rectal Roll. HealthGrades

Board-certified in generSheDisorder has been in ssified as a surgery. Pelvic Floor (PFD), al surgery and proctolo11 practice 10 years. l incontinence occursfor when musclesShe in gy and a fellow of colon the American completed her and pelvic area cannot support the organs in College of Osteopathic pelvis. These organs include the bladder, rectal surgery fellowship Surgeons, Dr. Paonessa specialus (women), prostate and rectum. atizesLehigh Valley Hospital in colon(men), and rectal surgery.

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SheAllentown, has been in practice foris9 in 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.

alization of the inside of How common is colorectal cancer and who is at risk? the uterus, bladder and bowel may “drop” What is Fecal Incontinence? colon and rectum. A Colorectal canceroris bowel the second most commononto cancer the and causethe the in vagina a bulge through the Fecal incontinence, incontinence, colonoscopy is a safe, painStates among bothbowel men and women. It affects 140,000 vaginal canal. Also, common, is a disorder in which isUnited the inability to control movements, outpatient procedure people annually and causes 50,000 deaths. The the average person has“stretched a less,out” rectum becomes and slips out of causing the involuntary passage of stool. performed under a light one in 20 chance of developing colorectal cancer in his/her lifetime. the anus. This is called rectal prolapse. Symptoms of this often embarrassing Dietary changes often reduce the occurrence sedation. Most patients This riskrange is increased if there is a family disorder from occasionally leakinghistory of colorectal polyps of fecal incontinence. As stool consistency a gentle oral bowel or cancer, and isofeven still in gas, those patients with a historythat of nearlyundergo It is estimated one-third of all small amounts stoolhigher and passing is affected by what you eat and drink, your prep/cleanse in preparation breast, uterinelosing or ovarian cancer, and patients with a history extenU.S. womenofare affected by one of these to completely control of bowel doctor may recommend diet modification for a colonoscopy. A narsive inflammatory bowel disease such as ulcerative colitis or Crohn’s types of pelvic floor disorders in their lifetime. movements. and adjusting nutritional supplements taken. row, flexible tube with a colitis. Although colorectal cancer may occur at any age, more than lighted camera on its tip is passed from the rectum to the beginning 90% of patients diagnosed with colorectal are over age 40 is Fecal Incontinence diagnosed? Classified as a Pelvic Floor Disorder (PFD),cancerHow If nerve or muscle damage is the cause of the colon, called the cecum. Biopsies of any growths or tumors and this risk doubles everywhen ten years. Translated, this meanswill thatbegin a the exam by asking Physicians fecal incontinence occurs muscles in theand fecalprovide incontinence, the physician seen can be done at this of time the definitive diagnosis. person’s forcannot developing colorectal cancer increases about significantly symptoms, taking a careful history the pelvicrisk area support the organs may recommend exercises and similar Based upon the findings on colonoscopy, your colorectal surgeon or with and performing a visual inspection of the in theage. pelvis. These organs include the therapies other to improve and work, a other specialist may recommend testingfunction such as blood anus and perineum. A physical examination strength. These exercises include bowel bladder, uterus (women), prostate (men), Whatcauses causes colorectal cancer? willofcheck for the What Fecal Incontinence and PFD? pelvic floor muscles. He or problem CTshe scan and pelvis, with pelvicconservative MRI and/ormeasures ultrasound. will determine the patient’s ability tothe abdomentraining andItrectum. and biofeedback. Biofeedback is generally that nearly colon andnerve rectal cancer begins damage, muscle spasms or muscle The brain controlsagreed the muscles of theallpelvic prior to exploring surgical options, if isand The best way to diagnose polyps and early colorectal cancers to control the pelvic floor muscles. He or is a technique taught by specially trained in benign polyps, called adenomas. These pre-malignant weakness.polyps, Additionally, the physician mayscreening floor through the nerves. Medical conditions when necessary. undergo routine colonoscopy. she will check for nerve damage, muscle What causes Fecal and PFD? physiotherapiststhat can increase anal growths, occur inIncontinence the of the colon and/orrequest rectum may orand perform any number medical cancer treated? ororinjuries that impact thewall health of nerves HowAdditionally, isofcolorectal or muscle weakness. The brain controls muscles of the cancer, orspasms muscle strength, allowing patients to learn eventually increase the in size and become medically speaking, tests available, including blood work, X-rays (such as diabetes, Parkinson’s disease, stroke, Bio: Nearly all cases require surgery. the physician may request or perform any of colorectal pelvic floor through the nerves. to relax cancer or contract pelvic floorRadiation muscles. and carcinoma. This is known as theMedical “adenoma-carcinoma sequence”. and ultrasounds, to uncover the cause of back surgery, spinal stenosis, or childbirth) Dr. Paonessa is board certified in general are sometimes required in addition to surgery. If the number medical testschemotherapy available, including conditions or injuries thatmentioned impact theinhealth Several factors have been the literature thatofmay fecal incontinence. can result in weakness or injury of the pelvic surgery and proctology and aapproximately fellow of the is diagnosed and Medication treated in the earliesthelps stages, X-rays and cancer ultrasounds, to of nervesa(such as diabetes, Parkinson’scolorectal blood sometimes patients with fecal increase person’s riskinforfecal developing cancerwork, and include: floor muscle, resulting incontinence American College of Osteopathic Surgeons. 80-90% of patients are restored to their normal health. The cure uncover thelifestyle, cause of fecal incontinence. disease, stroke, spinal stenosis, incontinence. When appropriate, these may age,PFD. a diet high back in fatsurgery, and cholesterol, an inactive/sedentary Who is at risk for developing Fecal and She specializes in colon and rectal surgery. rate decreases to 50% or less when the cancer is diagnosed in the or childbirth) canand result in weakness exposures. or be prescribed by your physician. obesity, smoking environmental Incontinence? She completed her colon and rectal surgery later/advanced Who is at risk for developing Fecal stages. Less than 5% of all colorectal cancer patients injury with thePFD pelvic muscle, resulting Those are floor unable toofcontrol the incancer? What of are the symptoms colorectal Although men and women are at risk of fellowship at Lehigh Valley Hospital in require a colostomy or “bag”, thanks to modern fecal incontinence and PFD. Incontinence? Is surgery required to technology. treat FecalDr. muscles in the pelvic floor to have bowel do not developing fecalphysiincontinence and PFDs, Allentown, Pa. She is co-editor of the of care Unfortunately, polyps and earlya cancers produce any Paonessa being able to maintain this standard Although men and women are at prides risk ofherself inIncontinence? movement. People with PFD contract these usually pelvic indicate floor disorders occur more frequently textbook Surgical Treatment of Hemorrhoids, cal signs or symptoms. Therefore, symptoms late or in her and ownPFDs, practice. NotThose only who is shecontinue able to minimize the number Those with PFD arerelax unable to and control the developing fecal incontinence to experience fecal muscles rather than them, because in women than men. Nearly one in 10 2nd edition. Dr. Paonessa believes in patientadvanced disease. The most common symptoms of colorectal cancer of colostomies/”bags” created for her patients, but she performs a muscles in the pelvic floor toa have a bowel pelvic floor disorders occur more frequently incontinence that continues even with of this, they either can’t have bowel are rectal bleeding and changes in bowel habits such as constipation women older than the age of 40 has fecal centered care and preserving each patient’s majority of her colorectal cancer surgeries using laparoscopic surmovement.orPeople withanPFD contractone. in women than men. Nearly one in 10 medical treatment may benefit from surgery movement they have incomplete or diarrhea. These symptoms are common in many other disorders incontinence, possibly asgery. a complication of colorectal surgery is a minimallyindependence, Laparoscopic invasive surgery these muscles rather than relax them, and women older than the age of 40 has fecal to correct the problem. Several options of the gastrointestinal tract so it is very important to have a Other thorough childbirth. risk factors include: being well being and PFD alsoofincludes urinary and small incisionsexist, are made to perform major surgery. This because this, they eitherincontinence can’t have a bowel incontinence, possibly asina which complication depending on the underlying cause examination should you experience them. NOT ALL RECTAL over the age of 55, overweight, postdignity. She pelvic organorprolapse. In an fact,incomplete many people shorter hospital decreased incisional pain andsurgery earlier movement they have one. of childbirth. Other riskallows factorsforinclude: of stays, the incontinence. In most cases, BLEEDING IS DUE TO HEMORRHOIDS. It is very important menopausal, a past pelvic surgery, nerve provides the suffering with fecal incontinence also return to work and other activities. PFD also includes urinary incontinence and being over the age of 55, overweight, options are minimally invasive, for patients to remember this and seek evaluation if theyorarea expedamage connective tissue disorder. latest, offering up-to-date experience urinary incontinence. pelvic organ prolapse. In fact, many people postmenopausal, a past pelvic surgery, nerve Can colorectal cancer be prevented? less pain, less scarring andtreatments shorter recovery riencing rectal bleeding. Other symptoms such as abdominal pain and suffering with fecal incontinence also damage or a indicate connective tissue disorder.cancer is one Colorectal of the few cancers that is preventable. time. and weight loss are usually late symptoms and quite possibly Urinary incontinence is a loss of bladder How is Fecal Incontinence treated? tailors each plan experience urinary incontinence. Obtaining aascreening colonoscopy at regular intervals is the single advanced/extensive disease. control due to bladder muscles that are too Fecal incontinence can be treated in of care to the For more How is Fecal Incontinence best treated? way to prevent colorectal cancer. Your colorectal surgeon or weak strong. Symptoms from number of non-invasive ways. Treatment individual Howoristoo colorectal diagnosed? information contact us at Urinary incontinence iscancer a loss ofrange bladder Fecal incontinence can be treated isinable a to review the guidelines for screening specialist colonoscopy mild leaking to uncontrollable wetting, and usually combines self-care, medicines, patient’s needs. Evaluation of colorectal cancer is first begun with a complete hiscontrol due to bladder muscles that are too number of non-invasivebased ways.upon Treatment Although your age, medical history and family history. today! 732-282-1500 become common with age.range therapy and home exercise. tory and physical exam, including a digital exam and possibly weak ormore too strong. Symptoms from rectalphysical usually combines self-care, notmedicines, definitively proven, studies published in the literature mention addidepends onhome the cause of problem testing the stool for blood. A wetting, colonoscopy most definitive test mild leaking to uncontrollable and is theTreatment physical therapy and exercise. tional factors that may lower your risk of developing colorectal cancer Pelvic organ prolapse is a condition in which you have and what best fits your lifestyle. used to diagnose colorectal cancer. A colonoscopy is performed by and include: eating a high fiber, low fat diet, maintaining a become more common with age. Treatment depends on the cause of problem the uterus, bladder and bowel may “drop” healthy weight, and engaging in regular, vigorous exercise. a colorectal surgeon or other specialist in order to get a direct visuyou have and what best fits your lifestyle. onto the vagina and cause a bulge through Dietary changes often reduce the occurrence Pelvic organ prolapse is a condition in which the vaginal canal. Also, common, is a Dianna D. An Appointment, of fecal incontinence. As stool consistency is Call For Client disorder in which the rectum becomes affected by what you eat and drink, your “I had a very good experience with 732-282-1500 “stretched out” and slips out of the anus. Testimonials ... doctor may recommend diet modification Dr. Paonessa. Although I was initially This is Nina called rectal prolapse. Paonessa,DO, DO,FACOS FACOS and adjusting nutritional supplements taken. embarrassed, Dr. Paonessa Nina J.J.Paonessa, In addition to being was a skilled surClient Testimonials Colon and Rectal Surgery It is estimated thatRectal nearly one-third Colon and Surgery of all reassuring and made me feel very Josephine B. B.geon, Doctor Paonessa is so caring, Josephine If nerve or muscle damage is the cause of the BoardCertified Certified General Surgery andProctology Proctology U.S. women are affected by one ofSurgery these and Board ininGeneral comfortable withinand justfound a few minutes “After had aa colonoscopy colonoscopy and found out had colon colon “After II had had compassionate and attentive, I out feltIIlike she fecal incontinence, the physician may types of pelvic floor disorders in their cancer, my primary physician recommended I see Dr. of speaking with her. She told me cancer, my primary physician recommended I see Dr. 2101 Route 34 South, Suite H • Wall, NJ 07719 2101 Route 34 South, Suite H • Wall, NJ 07719 recommend exercises and similar therapies to was my good friend. Ian goingbut to a Paonessa. Notexpect, only is she she anconsidered excellent surgeon, but lifetime. Paonessa. Not only is excellent surgeon, what to and the rectocele function she’s such such compassionate person as well. well. would she’s aawent compassionate person as would 732-282-1500••Office OfficeHours: Hours: M-F M-Fimprove 9AM to to 5PM 5PMand strength. These New York hospital I By met Dr.II Paonessa, 732-282-1500 9AM repair veryuntil well. following How is Fecal Incontinence diagnosed? recommend Dr. Paonessa to anyone and everyone.” exercises include bowel training and recommend Dr. Paonessa to anyone and everyone.” ¢ ¢laparoscopic surgery ¢¢ colonoscopy thorough feel local so buther because of herinstructions, I decided toI stay laparoscopic surgery colonoscopy ¢ laparoscopic surgery ¢ colonoscopy Physicians will begin the exam by asking biofeedback. Biofeedback is a technique ¢¢ surgery ¢ anorectal surgery ¢abdominal/pelvic abdominal/pelvic surgery ¢ anorectal surgery Patricia E. much better and no longer abdominal/pelvic anorectal surgery Patricia E. glad I did. I can’t say enough good and I am about symptoms, taking surgery a careful history and ¢¢taught byfloor specially trained physiotherapists ¢ incontinence disorders ¢fecal fecal incontinence ¢ pelvic pelvic floor disorders “I experience credit Dr. Dr. Paonessa Paonessa for saving my my life. life. Her ¢ fecal incontinence ¢ pelvic floor disorders “I credit for saving Her anyPaonessa, problems. I highly performing a visual inspection of the anus ¢ ultrasound ¢¢ office that can proctology increase anal muscle strength, things aboutand Dr. andmade I highly ¢endoanal/rectal endoanal/rectal ultrasound ¢ office proctology thoroughness and attention to to detail detail made the rec¢ endoanal/rectal ultrasound office proctology thoroughness attention the recommend Dr. Paonessa for anyone ¢ anorectal manometry/physiology and perineum. A physical examination will allowing patients to learn to relax or contract ¢ anorectal manometry/physiology difference for for mytorecovery. recovery. I’ve Inever never met aa doctor doctor like like ¢ anorectal manometry/physiology difference I’ve met ommend hermy everyone know. suffering from floor disorder.” determine the patient’s ability to control the her—so attentive andpelvic caring.” www.paonessacrs.com pelvic floor muscles. her—so attentive and caring.” ~ Marie S.

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www.TheCountyWoman.com The County Magazine www.TheCountyWoman.com January/Feb Woman Awareness September/October 2015 MedicationCancer sometimes helps patients with March is National Colorectal Month www.TheCountyWoman.com The County Woman Magazine Magazine March/April 2014 NinaThe J.County Paonessa, DO , Woman FACOS Natalie H. fecal incontinence. When appropriate, these www.TheCountyWoman.com

The County Woman Magazine www.TheCountyWoman.com

January/Febr

Business Spotlight

~ Interview With Dr. Nina Paonessa ~ An Expert in Offering Concentrated Expertise in All Areas of Colon and Rectal Surgery As a board certified general surgeon and proctologist, Dr. Nina Paonessa believes in patientcentered care and preserving each patient’s independence, well-being and dignity. Specializing in colon and rectal surgery, Dr. Paonessa has been in practice for over 10 years. She completed her undergraduate education at Siena College in Loudonville, NY with a Bachelor of Science in Biology, Magna Cum Laude, and as a member of the honor society, Alpha Kappa Alpha. After completing her undergraduate studies, Dr. Paonessa completed medical school at Lake Erie College of Osteopathic Medicine in Erie, PA and completed her colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA.

CW: When did you first decide to become a surgeon?

Paonessa Colon and Rectal Surgery, P.C. 2101 Route 34 South, Suite H Wall, NJ 07719

(732) 282-1500

www.paonessacrs.com

Dr. Paonessa: I discovered my love for the specialty during my second year of general surgery residency. I began to notice how patient outcomes varied based upon the training/skill of the surgeon. Colorectal surgery is a field in which specialized training truly impacts patient outcome. For example, in certain cases, the difference between patients having a permanent colostomy versus bowel continuity after colorectal resection is dependent upon the skill/training of the surgeon. Additionally, I had the privilege of doing a one-month rotation on the colorectal surgery service of Dr. Douglas Wong at Memorial Sloan Kettering Cancer Center in New York City. It was here that I truly fell in love the specialty of colorectal surgery.

CW: What do you like the most about being a colorectal surgeon?

Dr. Paonessa: For me, the most rewarding part is when I can make a positive impact on a patient’s quality of life and well-being, whether it be curing a patient of colon or rectal cancer and restoring bowel continuity, to ridding a patient of their hemorrhoid symptoms, to freeing a patient from the social isolation caused by their symptoms of fecal incontinence. A fringe benefit of my specialty is that I have the privilege of meeting so many wonderful and unique individuals. It is truly rewarding working with each of my patients.

CW: What is the most difficult part of being a colorectal surgeon?

Dr. Paonessa: Explaining to a patient about their diagnosis of cancer is the most difficult part of being a colorectal surgeon. Even in many cases in which the cancer can be cured, dealing with a diagnosis of cancer is stressful and at times, life-altering. I truly feel for the patients and try to make the difficult road ahead of them a bit easier.

CW: How would you describe your practice’s philosophy?

Dr. Paonessa: In my practice, my staff and I share the same philosophy of “the patient comes first.” No matter if it is benign or malignant disease for which a patient is coming to the office, we understand that it is a stressful and oftentimes an embarrassing situation for them. In my office, each patient’s privacy and dignity is preserved and respected to the utmost degree. We realize that just because we take care of colorectal problems every day, does not mean that patients are used to dealing with these issues.

CW: What are the most common reasons why a patient would schedule an appointment at your practice?

Dr. Paonessa: Men and women of all ages schedule appointments at my office for many reasons. These include hemorrhoids, fissures, colorectal cancer screenings via colonoscopy, treatment of colorectal cancers including laparoscopic surgery, squamous cell carcinoma of the anus, fecal incontinence and pelvic floor dysfunction.

CW: Tell us a success story that you have experienced over the years.

Dr. Paonessa: We have had many success stories over the past 10 years with patients. One of my favorite success stories is that of a woman who was hospitalized for perforated sigmoid diverticulitis with a large intra-abdominal abscess. I was requested to see her as a second opinion as the first surgeon proposed immediate surgery consisting of sigmoid colon resection and end colostomy. After careful history and physical exam and review of her CT scans, I proposed a plan of bowel rest, IV antibiotics and percutaneous drainage of the abscess. This allowed for the abscess to reduce in size to merely a small cavity. The patient was eventually taken to surgery, during which she had a sigmoid colon resection and colorectal anastomosis, without even a temporary stoma (bag). She recovered uneventfully and was able to return to work.

Nina Paonessa, DO, FACOS

CW: Describe some of your favorite leisure activities.

Dr. Paonessa: Outside of being a surgeon, I enjoy spending my free time with my family. I also enjoy cooking and trying new recipes, reading, dancing and spending time at the beach.

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

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Caring Heart & Brain Is Dedicated To Creating Miracles Written by Lorraine Catalano, CNMT and Imaging Director

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Q What Can Be Done About Memory Loss Or Family History Of Alzheimer’s Disease? E ducation E ducation

At Caring Heart & Brain Imaging, you are in our caring hands.

Let’s talk about the brain…Caring Heart & Brain Imaging is the first imaging center in New Jersey to be able to detect plaque in the brain, the precursor to Alzheimer’s disease. Although fighting the disease of Alzheimer’s continues to be an uphill battle, there is great hope on the horizon. That hope comes in the form of new treatments, medications, and most important new methods of early detection. The AMYVID Pet Scan is the new “weapon” on the market to combat this heartbreaking disease. If you are experiencing memory loss, and/or have a family history of Alzheimer’s disease, the Amyvid PET Scan could help you do just that.. help your children. Alzheimer’s disease affects the entire family. Help protect your children by getting an early diagnosis; the neuritic plauque that is a precursor to Alzheimer’s disease can be present in our brains years before symptoms occur. The AMYVID PET SCAN may enable diagnosis of Alzheimer’s disease by identifying beta-amyloid plaque in brain tissue. This means that the disease can be diagnosed several years before symptoms actually appear and an individual can receive groundbreaking treatments before the disease develops to advanced stages. Just as important, the incorrect diagnosis of Alzheimer’s may be eliminated for patients thought to have it and appropriate treatment decisions can be made based on the patient’s actual form of dementia. Another important benefit to undergoing a PET scan is the reduced radiation exposure. The scanner does not use CT in obtaining brain images. This is a huge factor for patients who may have had substantial radiation in the

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past. This scan will give the information needed for doctors to make appropriate treatment decisions. Be sure to stop by and tour their impressive facility and meet their friendly, talented staff.

NORMAL No plaque present

MEMORY LOSS Plaque Present

Don’t let this oppurtunity to receive the best and most accurate technology for cardiac care slip away from you. Tell your doctor you want only the best. We are happy to answer any questios you or your doctor may have.

Lorraine Catalano, CNMT and Imaging Director

CARING HEART & BRAIN IMAGING We can be reached at 732-292-1008, or visit our website at www.CHCI.biz E-mail: service@caringheartcoronaryimaging.com

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March/April 2015 March/April 2015 January/Febru January/Feb September/October May/June 2015

Medical Professionals

October is National Breast Cancer Awareness Month Health &Wellness

Like many women, you may be fully aware of your nails, hairstyle and the latest fashions. But what about your breasts? As October marks National Breast Cancer Awareness Month, make breast health a priority.

practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of Barnabas Health, the largest not-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.

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“Detecting early stages of breast cancer will give you the best prognosis,” says fellowship-trained Sumy H. Chang, MD, FACS, a board-certified general surgeon dedicated to breast health. “While there’s no “magic bullet” to prevent breast cancer, you can take preventive measures.”

T heater &Entertainment Follow these tips to better

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

• By being more aware of your breasts, you’ll more likely recognize irregularities like a lump or a change in the shape, size and texture. If you notice any changes, make an appointment with your doctor.

treatment options for breast-related issues – including breast cancer. She is also affiliated with the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch.

breast health:

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

About Barnabas Health Medical Group LawBarnabas Health Medical Group is a multispecialty group

To learn more, visit barnabashealthmedicalgroup.org.

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• Conduct regular breast self exams (BSE) to detect any changes. You can do this in three ways: in front of the mirror, in the shower or lying down. Visit the National Breast Cancer Foundation’s website for more information. • Get annual mammograms, starting at age 40. Mammography is the “gold” standard in breast cancer screening. The low-dose X-ray procedure provides visualization of the internal structure of the breast. “Hands down, mammography is the best way to detect early stage breast cancer,” says Dr. Chang. • Pay attention to your lifestyle. Women can reduce risk for breast cancer by not smoking, maintaining a healthy weight, limiting alcohol consumption, and eating a balanced diet.

risk and having two first-degree relative increases risk three-fold; radiation exposure to the breast chest wall and neck when between the ages of 10 and 30 years old; and testing positive for BRCA1 or BRCA2 gene mutation. Some women with the BRCA1 or BRCA2 gene mutation may opt for a bilateral mastectomy removal of both breasts - if she has cancer in once breast, but not the other. “This is because the risk of eventually developing breast cancer in the other breast is higher for women who are BRCApositive,” says Dr. Chang. “It’s a personal decision and offers peace of mind for many women.”

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Are you high risk? The key high risk factors for breast cancer are: strong family history – having a first-degree relative nearly doubles a woman’s

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Women who undergo single- or bi-lateral mastectomies have more options for reconstruction, including beginning the reconstruction process at the time of surgery. “It’s becoming the standard of care,” says Dr. Chang. “Again, it’s each woman’s personal choice, weighed against her individual situation and risk factors.”

January/Feb September/October 2015

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testing,equate you’ll becomewellness proficient in all the eople often toaspects theofabsence of physical illness, but another • Medical Assistant medical office including administrative and cliniimportant aspect, mental health, should not be neglected because it affects • Patient Care Technician cal tasks. This course will prepare you to sit for the Many healthcare jobs are in high demand … many areas ofClinical dailyMedical life like sleep, relationships and work. Certified Assistant certification • EKG Technician and you can train today for a great career in just

employers in Ocean County.

opy,

through the National Health Career Association • Dental Assistant three to twelve weeks! Ocean County College’s (NHA). A local, non-profit has been working for 50 years to provide about rangeCoding/Billing of topics: anxiety/depression, grief and loss, • aMedical (OCC) Department of Continuing & Professional Specialist Other Career to Options . . . mental health. education, advocacy promote hoarding, among others. Education offers opportunities support, for fast-track career and You can also expand your career options through • Medical Office Specialist training, leading to the possibility of immediate That agency is the Mental Health Association in Atlantic In an education role, workers reach the public by offering OCC’s fast-track certificates to become a Patient Vicki Phillips, employment upon successful program • Medical Scribeto assist youth or adults post- trauma or training on how Countycompletion. (MHAAC). Care Technician; EKG Technician; Assistant; Classes start in Director the fall, spring, and summer semesExecutive “Our services and supports are for those affected byDental mental crisis. • Paramedic Other staff is stationed at local hospitals to assist families Medical Coding, Medical Billing, or Medical Office ters. Register today! • Personal Trainer health problems -- we offer many programs for people living navigating the system. A special team of crisis counselors and Specialist; Medical Scribe; Paramedic; Personal Physical Therapy Aide with mental illness as well as for their families to understand case manager • Pharmacy Technician also worked with residents following Trainer; Pharmacy Technician; and Phlebotomy disaster Hurricane Sandy. the illness,” said Vicki Phillips, Executive Director. • Phlebotomy Technician Join one of the fastest growing entry level jobs Technician; among other eachers andopportunities. students, are WE CAN PARENTS TOO!! The MHAAC office isHELP located at 4 E. Jimmie Leeds MHAAC has the potential to touch the lives of nearly 1 in 5. and become a Physical Therapy Aide. This course Startyou your career and become of one struggling withpart time forof the prepares you for employment in hospitals, orthopeWe know how much paperwork is involved That’s the estimated number of people who face that an issue fastest growing fields in will the nation! those assignments need Road, Suite 8, Galloway. Call 609 652-3800 or dic clinics, nursing homes, andduring sports rehabilitation your kids are in school. We can fax or a lifetime. Moreproofreading people are reaching out for help, but For more information health careerstyping visit us when online atemail www.mhaac.info. Funded or on just simply centers. Job duties include preparing treatment scan and documents for you. There is work is still needed to and reduce stigma and raise awareness. training, call the Ocean County College Call us for more information by the NJ Division of Mental Health and Addiction up those documents? Well, we are areas, answering phones, orderingAt supplies, and staff can always a notary on site when those important MHAAC, assist one-on-one or in small groups Department of Continuing and Professional or visit us online! Services, grants and fundraising. here to help! At The Wordstation, transporting patients under the direct supervision of Education permission papers need to be signed. We’ll at 732-255-0404 or visit www.ocean.edu/cpe.htm we provide specialized services for a physical, occupational, or speech therapist. make copies of your tax documents while www.ocean.edu to view the latest catalogue. 732-255-0404 individuals who require precision and accuracy in their communications. you wait so you can apply for that financial Copy, Fax & Notary Services aid. Whatever you need, just ask, and we’ll Business &services Finance What specific can you provide for students or teachers? OCWoman_Health_Cert_July-August_2014_4x5 1 5/27/2014 2:13:32 PM do our best toad.indd help you.

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Fast and accurate typing and/or proofreading. We know how deadlines can sneak up on Call 732-477-4800 or stop in today! you. Whether your paper is completely handwritten or is rough-typed but needs to be cleaned up and finalized, we can help. Prices are discounted for students and teachers. Are there certain restrictions you must follow forProofreader helping a student On Sitewith their papers? he Wordstation, We are always careful to preserve the integrity of the work.artWe do not rewrite Thestudent’s often-neglected of proofreading is practiced he Wordstation, celebrates dailycontent; at The Wordstation. We provide contract or restructure any papers thatLtd. we type, or change the the finished product is theservices to Ltd. is celebrating agencies, publishers and independent writers its 25th year in andadvertising student’s own work. We fix grammar, spelling, punctuation errors, fix formatting and journalists, ensuring the perfect end product for all its 25th year in business business at the Jersey problems, and (if needed) make sure the paper follows APAwrite format. those who and disseminate their writing to the world. at theservice Jersey Shore. What is the most popular that you provide for students and teachers? Shore with the On-Demand, Small-Batch Transcription APA formatting usually topsopening thewith list.ofBut is a close second. It’s businesses very hardthat forneed Transcription services for those grand itsproofreading Co-located Copy transcription from time to time but can’t justify the anyone to proofread their own work. And no, you cannot depend on Microsoft’s spell check! new +office at Point Fax in Drum equipment and staff costs to do it in-house. We transcribe It’s very easy to have a word that’s Blvd. spelledincorrectly but is the wrong word for the context. 391 Brick Plaza, 391 Brick Blvd. for many Central Jersey insurance agencies and are staffed What steps do you take to proofread a paper? Brick. Co-located with to handle a lot more. I have to print it outin so Brick. I can read the hard copyCopy with Shop my trusty red pen in hand. But I do On Site Copywork Fax +near in Drum my computerWe in are caseco-located I have to look upFax unfamiliar terms with Copy +, Brick’s most Patty Shannon, Owner PointorPlaza. convenient and faxonly facility. Do it professional yourself at our proper nouns. I make sure tocopy consult trusted self-service copier, fax and computer terminals, or let us do The Wordstation provides specialized, sites.custom business it for you. B&W and color copies, single or double-sided,

support services for attorneys, insurance agencies, small up to 11″ x 17″. businesses in general and all who require precision and Notary Service TESTIMONIALS accuracy in their business communications. We pride There is always a notary on site during office hours. ourselves on our friendly service and strive to deliver what “How Patty ever unscrambled my handwritten draft and made sense out of you need in a timely, professional manner.

my ramblings will remain a mystery to me. IOur highly recommend the. .services Here’s What Customers Say . of Wordstation.” –D.H. “How Patty ever unscrambled my handwritten draft and Hi, Patty, Project-based word processing and data entry services for made sense out of my ramblings willfor remain a mystery Just a something! Thank making me a all businesses, plus manuscript services for aspiring writers “Your kindness and professionalismlittle was a joy. I would beyou honored to forward success! Your work is awesome! Thanks again! —B.J. to me. I highly recommend the services of Wordstation.” and education professionals who mustother “publish or in perish,” works the future.” –H.M.

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–D.H. but may not have the time to type and format to their Howdy, Patty Shannon , experts in APA, MLA, Gregg publisher’s guidelines. We are I’ve made changes my mentor advised. You do such “Your kindness professionalism was a joy. I would be Call 732-477-4800 orandstop in today! Owner and other major style manuals. good work I hate toother messworks it up. in Such life. —F.R. honored to forward the isfuture.” –H.M.

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The Wordstation Copy Fax + Patty and Brian Shannon

Typing • Copy • Fax • Notary Transcription • Proofreading 391 Brick Boulevard wordstation@comcast.net Office Hours: Monday-Friday, 9-5 Brick, NJ 08723 Phone: (732) 477-4800 Fax: (732) 477-4861

July/August 2014 May/June 2015

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Host A Little Ghost And The Story Of The Mystical Mums New Children’s Book Offers Story of Kindness and Adventure for Halloween Little Ghost Publishing (www.littleghostpublishing.com) is gearing up for Halloween with its debut book, Host a Little Ghost and the Story of the Mystical Mums. Written by beloved teachers Lillian Stulich and Kevin McCormick, this new children’s book was inspired by students affected by Super Storm Sandy and depicts lessons of kindness, caring, sharing, and friendship. Host a Little Ghost follows the adventure of twins Tommy and Suzie after an autumn whirlwind brings a new friend to teach them about

caring, sharing, and the joy of the Halloween season. Intended for children of all ages, the book features sight words for beginning readers and rhyme schemes for more advanced children. Further delighting readers are the book’s beautiful illustrations by Bill Dishon. These vivid, colorful, and detailed depictions allow young readers to visually appreciate the story as it unfolds on the pages. Each copy of Host a Little Ghost features an adoption certificate for

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children to name their own little ghost. In addition, there is a glow-in-the-dark companion plush little ghost toy, sold separately or as a gift set. To purchase a copy of the book and plush toy, please log on to their Amazon store at: amzn.to/1G7A4JN. The hardcover book retails for $9.95, a gift set of book and ghost plush toy retails for $19.95. For individual school sales, the authors donate a portion of the proceeds to each school’s PTO.

September/October 2015

Law

Health &Wellness

Taking The Mystery Out Of Compounding... Elder Law

Jay Greco, RPh, is the owner of Jersey Shore Pharmacy Barnegat, where he is also a pharmacist. Here, he shares his experience and expertise to answer a few common questions.

Compounding allows a medication to be personalized for an individual Theater &Entertainment patient. The ability to create these personalized medications allows

What is compounding?

compounding pharmacists to help patients with a wide variety of needs,such as re-creating a medication that was discontinued.

The short answer… it depends. Because of the magnitude of ingredients that can go into a compounded prescription it is impossible to say until we submit a claim to the insurance company. However, most insurance companies will cover compounded medications. Once we have a prescription, we can submit a claim and then let the patient know what the out of pocket expense would be.

Compounding is legal and safe. Keep in mind, all prescriptions used ducation to be compounded when you went to a pharmacy. When large scale

Is compounding legal? Is it safe?

not do compounding?

There are many different hormones available commercially. Some are natural and some are not. With a natural source, usually either a yam or a soy source. The natural source hormones match the hormones that occur in your body naturally. More importantly, wen your hormones are compounded, you are getting a hormone dose that is tailored to YOU! Commercially available hormones typically come in a few strengths. What if you need a different dose? That is where compounding can come in to help you. We can work closely with you prescriber to develop a custom formula just for you!

Business &Finance “Your special order is our pleasure to fill!”

manufacturing of medications started to occur, prescriptions were compounded less and less. However, many patients still need compounding. All pharmacies are legally allowed to compound. Certain medications need special equipment or knowledge in order to compound them correctly and safely.

Jersey Shore Pharmacy has the equipment and training to do ALL forms of pet medications. We can do creams, ointments, suppositories, chewable tablets, oral pastes, transdermal gels and capsules. We even have a sterile compounding facility to do sterile injections and eye drops.

What is the difference between a compounded hormone Fine Art Photography and hormones that I can get from a pharmacy that does

Will insurance cover compounded medications?

What type of pet medicine does a compounding pharmacy provide?

Please contact us at 609-660-1111 or at www.JerseyShorePharmacyBarnegat.com if you have any questions or concerns about compounding medicine.

When a child hates the taste of their medicine, how can a compounding pharmacy help?

We can compound oral medications into pleasantly flavored suspensions, solutions, concentrates, freezer pops, ‘gummy bears’ or lozenges, in colors that entice the child to take the medication. A palatable formulation is more likely to improve compliance and minimize spillage or waste during administration. Lollipops are an ideal alternative to “swish and swallow” medications that need to be retained in the mouth for a prolonged period of time. Most drugs can be compounded into transdermal gels that can easily be applied to an appropriate site, such as the child’s wrist, for absorption through the skin.

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Free Rx Pick-Up and Delivery Jay Greco has been a pharmacist since 1992, after graduating from Northeastern University in Boston, MA. Jay is a member of the IACP, PCCA, NCPA, and NJPhA. He is an active member in the community and lives locally. He is a Board of Directors member at Coastal Volunteers in Medicine, which is a free clinic located at 239 South Main Street in Barnegat, NJ. Jay and his partners also run Jersey Shore Pharmacies, one specializing in compounding and the other specializing in long-term-care facilities.

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January/February 2015

September/October 2015

Mastectomy Boutique

8 Out of 10 Women Are Not Wearing the Correct Bra! Fashionable, Fabulous & Pretty:

Pocketed bras restore your natural shape and hold your breast form securely, helping you feel good about the way you look.

he Karing with Kindness Unique Women’s Boutique staff are experienced, knowledgeable, compassionate and most of all kind. Our fitters will show you the many types of bras and breast forms we have available. We will listen to your story and help you restore your confidence, balance and body image. We offer a wide range of bras from many fashion colors and styles. We carry bras from band sizes 28-48 and cup sizes A-K. Bra choices vary from molded cup, soft cup, seamless, under wire, non-wired, lace, cotton and even sports bras.

Mastectomy Boutique We have a full selection of beautiful, feminine, and fashionable mastectomy bras! Our breast forms are available in many different styles, weights, and colors to fit every unique individual. We also offer a full selection of wigs, scarves, turbans, hats, and head wraps. Most Mastectomy items are covered by insurance, and we have a Certified Mastectomy Fitter (CMF) on staff.

 Certified Fitters

Here to get you into the right sized bra!

 Active Wear

Put your curvy body into our many styles of premium active wearincluding swimwear and swim forms. We offer the best support for women’s sports!

 Mothers Corner

The Karing with Kindness Mastectomy Boutique also carries a wide variety of • Fashionable, active all products for the recovery of breast surgery procedures. A large number of physicians nursing bras & tops! refer women to Karing with Kindness for personal, professional and confidential care. • Breast Pumps We work closely with your medical team in providing immediate and ongoing care and support. Garments like our post-surgical camisoles, may be worn home from the hospital allowing you to be comfortable. They also contain pouches that hold your drains, You deserve our allowing for worry free wear. When the time comes for the drains to be removed, the full attention and camisole is still delightful to wear. These camisoles are available in many styles and are you will have it. Let us help you designed to assist your recovery. before and/or after any kind of Breast Compression bra is ideal for stabilizing and maintaining breast shape after surgery. Surgery, Compression bras are designed for the following surgeries: from radical mastectomy to • Augmentation • Reduction reconstruction • Reconstruction • Plastic surgeries with our quality • Partial Surgeries • Breast Lifts garments. We also carry the belt along with the compression bra for my ladies that have gotten CALL TODAY!

Compression Bras

“Fitting” all your needs!

breast implants. The belt is used to anchor the breast implants.

Karing with Kindness

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OCEAN COUNTY 732-288-1600 | 2801 ROUTE 37 EAST | TOMS RIVER, NJ 08753 ATLANTIC COUNTY 609-601-2150 | 700 NEW ROAD | LINWOOD, NJ 08221 20% Your 1st Visit to the Boutique!

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September/October 2015

Community

The Ashley Lauren Foundation’s 2015 ‘Ride For Hope’ Motorcycle Run The Ashley Lauren Foundation, a non-profit

Ashley Lauren participating in the 2014 Motorcycle event.

organization dedicated to bringing Hope and Help to children throughout New Jersey who suffer from cancer through financial, material and emotional support, will be holding its 2015 “RIDE FOR HOPE” MOTORCYCLE RUN on Saturday, September 19 in recognition of Childhood Cancer Awareness Month. This event is sponsored by Trinity Motorcycle Ministry.   The Poker Run will be held during the NJ State H.O.G. Rally in Seaside Heights. Starting and ending point is at Hook’s, 1320 Boulevard, Seaside Heights, NJ. Registration will be from 9:00 am - 11:00 am and includes continental breakfast. Local vendors or BBQ Fest is available for lunch. There will be Door Prizes and Best 3 Poker Hands Prize. Tickets are $15 per person and are available by calling The Ashley Lauren

Foundation at 732-414-1625 or online at www.ashleylaurenfoundation.org under Events.

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September/October 2015

Wicker & Rattan

Expires 10/31/2015

Health & Wellness

What do you think it would be like to work with a Wellness Coach? Many people know what they need to do to walk in better health. They know they need to exercise more, eat less fast food, and drink more water. But, they don’t do it! They might make a declaration of “No more fast food!” The first week, they do well at avoiding the golden arches. They actually make a few meals from scratch and eat at home several nights. The next week finds their schedule even busier than the week before and their SUV automatically swerves into the “drive-through” for a burger

Health coaching, also referred to as wellness coaching, is a process that facilitates healthy, sustainable behavior change by challenging a client to listen to their inner wisdom, identify their values, and transform their goals into action. Health coaching draws on the principles of positive psychology and the practices of motivational interviewing and goal-setting. and fries. “Supersize that while you’re at it!” Before long, they’re lured back into the habitual use of fast food. They feel defeated and discouraged but they really don’t know how to make lasting change. A wellness coach rides in on a white horse to the rescue. Well, that’s a stretch but it sure sounds good. Seriously, working with a wellness coach can prevent that kind of self-sabotaging behavior. Having encouragement, support, and accountability provides what the client needs to walk out their plan. When I work with a client, we look at their

desired goals and outcomes they would like to reach. I not only tell them why something isn’t good for them, I offer replacements of healthier options and I offer resources for them to do their own research to substantiate what I’ve told them. Even though someone says they want to make changes, there are many aspects involved with making the lasting change. A coach can and does bring much needed help and support so the client can become and stay WELL. Remember it is not just about food- its the things that

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interrupt us in reaching our goals within ourselves. Sincerely,

Jill Houston, IIN Health Coach CALL 1-848-223-4685

September/October 2015

Adult Community

Active Adults – Simplified HomeC Ownership Adult ommunity

feeling the same old pressure of residing in Middlesex, he place to go when day is done, where you can set your cards aside and just “be” – HOME. Upper Monmouth County or Mercer. No, Jackson has grown and kept the relaxed feel with farm-fresh foods Active adults, like everyone else, just want along the side roads from well-established farms, and a pleasant, clean neighborhood where you feel lots of premium recreation space. comfortable, and neighbors who become friends When you drive down Rose Drive to the – Fountainhead. This is a destination to explore Fountainhead office, it is like driving into the country; whether a first-time home buyer at 55 years of age, leave your troubles outside onThe the highway. Takedenominator a empty-nester, or someone looking simplify. any budget. common t is a great and sometimesanundervalued privilege totohave a choice. leisurely look at the pre-loved homes, visit the furnished After the family is grown and the parents need a cost. The lease is easy to read and simpl It is one of the great thingslittle about our countrywe have many model(s), meet the satisfied residents, speak with the more attention than ever before, for the fiftyexperienced New home sellers. It is a family-owned or Newer Homesenterprise. Are Great C choices, an endless supply somethings of them.it is time to simplify. The Vivianos are the builders, developers, managers Simplifying the finances, the home maintenance and the The newest homes, some in the estab As we grow into the latter stages oftravel lifemight and sometimes choose seem to move where of sales professionals. and Move to a place where you are daunting in the simplification busy seniorlonger thanis aany otherattribute. new home. Yo where that cherished If friendlytoOcean County. Butof there way time to simplify, have an individualorand responsibility will give us the opportunity spend more ouris afree participating you know what you want, every efforthigh will bepeaked made to roof, co plywood sub-floor, and have a smooth to retirement. The land lease in the things we enjoy most, it is timeittoall consider all thepath choices. make it happen. There are digital resources and physical lifestyle – this is it. Consider lower ownership expenses, less budget friendly version that is also energ samples of the product enhancements you may wish to Finding The Right Match For You And Your Budget maintenance inside and out of the home, more time to be symbol with carpet and for a new home.of Youcommitment, will see the plot plan before there foroffering each other,amenities the grandchildren, and thetoparents, Adult communities can be over-the-top we hope enjoyand or select your home iselement built and to placed. Youryou. expectation please Our will experienced be where excellent services for active adults and the aging plan to enjoy- even currently enjoy. The key is to find the one that matches your be your experience. Call ahead for the most relaxed are nearby. show and demonstrate the benefits of bu wishes and does not break the bank. Breaking outisofanthe same old and exploring allintroduction and for enough time to see and hear all Fountainhead established neighborhood with Some of the more popular interior op it. homes available as well homes. From the options are two of the skills we’ve new honed along life’s trail.as pre-loved Look into land leasedabout Most homesances, are between 1000 andcountertops 1300 square feet,or circle w composite state-of-the-art energy efficiency to very well-insulated communities; you will find as wide ofolder a selection of amenities as any other 55+ choice with generous lots, mature trees situated on wide streets, homes, ownership expenses are easily manageable. also the option to go with ceramic tile fl off-the-street parking and on-site management. You will be locations without the land cost and with much ownership expense. Ranch homesless offerongoing easier maintenance and less upkeep, says “you”. The are endless w pleasantly surprised to see what youpossibilities can buy for no more and are so much easierto on new the knees there no Homes may vary in age from proposed-to-be-built, andsince there is are always than $140,000. home, so why not see what is offered? A interior stairs. “vintage” too. If you are a conservative buyer and/or not a big risk taker, land leasing Without the worries of double-digit home ownership Location is everything, and more so when the sandwich spective buyer can imagine, each manufa may be the right choice for you. A hybrid home option that generation steps ownership up to helping get the young and allows the older you expense increases, it is much simpler to be the support survive hurricane style winds and the na to the doctor orbeen events.with Fountainhead is a quarter mile off system for the loved ones. Increases are quite limited freedom to be the homeowner you have always less costly responsibilities. ordinance for long-term materials to stayaffordability. at their strongest, fo N County Line Road in Jackson – that means Meridian by the local all Fountainhead, a 55+ community in Jackson, New Jersey is one that offers a selection Without the huge weekend chores spent on the yard Health Village is less than a mile away, as are the Once you choose to itstay in th is of homeowner services that you choose as youofneed to.Walgreens, Most homeowners ShopRite Jackson, Stop N Shop all choose within and second-story home care risking your health, to spend your time on between what you wantthe Shor middle of I-195 the one-mile circle.the Twointerior/exterior miles from Exit 22 on I-195 and much simpler a home from a model or a blueprint and customize colors to do. Choose from a list of a la carte services available the shore is a quick ride and the Parkway or Turnpike visit Fountainhead 55+. design features. Then they move ontoare designing and maintaining their lot. Maximum from Fountainhead. Without having to keep up with equidistant from the exit. The middle of the state in everyone else, it Jackson is much simpler to beto yourself take privacy due to large lots, mature trees the andmiddle wideofstreets evoke neighborhood is home aboutand60,000 peo the access to the amain traffic arteries –that it feels care of yourself. Think 6Flags, Meridian Health Village, familiar and where nice people reside.doesn’t get easier than this. But don’t think you would be Patriots County we allPark, need just down the block from Fo Jackson Premium Outlets, and award-winning recreation facilities for al Land Leases Are Another Option a better ride to work.

So Many Houses For Sale, So Many Adult Com

Fountainhead

and If you Land leases are very secure, and designated by municipal land use zoning. Leases If you areaangreat activelocation. adult, you will movemust to contin affords you the time do what youa better to Ocean County you towon’t find are auto renewable, and the homeowner’s lease is protected by law. Security, mutual a place that whereto you want to docommuter it. the main routes. W understandingANand cooperation, communication; these are some of the elements that want to doaccess ACTIVE 55+ ADULT COMMUNITY make very good long-lasting lease relationship. Thea Source of a New Worry-Free Lifestyle in JacksonAt ! Fountainhead, while there are For directions to the sales nearly one hundred to build, 75% of the households have resided in • Top Qualitymore Homes • new Naturalhomes Gas and Central Air Jackson, NJ 08527 call 73 their homes for 10 years more. This has allowed for a very good market to satisfy • Deluxe Appliances • Energy or Efficient Insulation • 2 and 3 Bedrooms www.njfountainheadho • Beautiful Kitchens • Land Leasing Saves You Money • Spacious Lots, Mature Trees, Wide Streets, Off-Street Parking

Stop at the Office for The Best Home Choice For 55+ Population About Location ~ Great Homes Long TermInformation Affordability 1 Rose Drive, Jackson, NJ~08527 New homes for 2015!

• 25 min. to Trenton, 20 min. to the Shore • New and Pre-Owned Homes Available

For directions call, 732-928-3100, or visit our website www.njfountainheadhomes.com.

The County Woman Magazine www.TheCountyWoman.com

For directions to the sales center at 1 Rose Drive, Jackson, NJ 08527 call 732-928-3100 or visit www.njfountainheadhomes.com

Like us on Facebook at Facebook.com/FountainheadNJ

September/October 2015

Adult Community

The County Woman Magazine www.TheCountyWoman.com

January/February 2015

Business & Finance 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

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

July/August 2015 September/October 2015

Acupuncture

Can Acupuncture Help With Seasonal Allergies? A

cupuncture has been used successfully to treat seasonal allergies for decades in the states and for centuries in China. Acupuncture treatment focuses on opening the nasal passages, boosting the immune system and strengthening the organs and energetic pathways of the body to prevent allergic reactions from recurring. What Are Seasonal Allergies? A seasonal allergy is an allergic reaction to something that is typically only present for part of the year. Pollens are the most common cause of seasonal allergies. Spring is traditionally the worst season for allergies because of new growth on trees and weeds. Fall is also a rough time for allergies due to other blooming plants and leaf mold. How Does Acupuncture Help To Relieve Allergies? Acupuncture can help with acute symptoms of allergies, such as stuffy or runny nose, dry, itchy eyes, post nasal drip, itchy throat and cough. Needles are used to stimulate the body’s Qi (life energy). By moving the body’s qi, congestion in the sinuses and nose can be moved, and inflammation and dryness in the eyes can be cleared. Often some

relief of these symptoms can be achieved during the first treatment. Acupuncture treatment is not only focused on acute symptoms, but also the underlying causes of the allergies. In Chinese medical theory, the body is protected by Wei Qi (defensive qi). This protective energy flows at the surface of the body, providing resistance to things like cold and flu and allergies. People who have weak Wei Qi are more susceptible to get sick or have allergy symptoms. By needling some points on the body that help support the wei qi, we can help to prevent symptoms in the future. Can Chinese Herbs Help To Relieve Allergies? Chinese herbs can also be used to help with allergies. All of the Chinese medical theory about

allergies can be applied in the same way to Chinese herbs. Formulas are

made to treat acute symptoms and boost the immune system to prevent future symptoms. For convenient usage, Herbal formulas come in tablet form. One of the most appealing advantages to taking herbal formulas is that there are no unwanted side effects. People do not have to worry about drowsiness at work or while driving, or immune system suppression or over reliance on medication. How Often Do I Need To Get Treated? Initially, treatment about twice a week would be suggested. Once significant relief has been achieved, usually 2-3 weeks, treatment could be less frequent. As treatment continues and the immune system becomes stronger, symptoms should become less severe. It is possible through some continued treatment after the allergic season that symptoms the following year would be less severe or cleared completely. The younger a person is when they start treatment, the more likely they are to be rid completely of the issue. Can Acupuncture And Chinese Herbs Be Helpful With Other Allergies? Yes, In Chinese medical theory, all allergies can be addressed by treating the acute symptoms and

Conditions Commonly Treated By Acupuncture Allergies & Asthma Anxiety & Depression Arthritis Autoimmune Disorders Back Pain & Sciatica Chronic Fatigue Genitourinary Disorders Gynecological Disorders Headache & Migraine Hypertension Infertility

We Feature Complementary Techniques Moxa Insomnia Tui Na Massage Menopause Cupping Nausea & Digestive Disorders Gua Sha Neuropathy Skin Disorders Electro–Acupuncture Smoking Cessation Strains & Sprains Stress Tendonitis Weight Management Whiplash

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

www.koehleracupuncture.com

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

supporting the affected energy systems in the body. This is true for any environmental allergies, pet allergies, and even food allergies. Commonly Treated Seasonal Allergy Symptoms: • Sneezing • Runny or stuffy nose • Dry or irritated eyes • Post nasal drip • Cough • Chest congestion • Wheezing Commonly Treated Conditions: • Allergic Rhinitis • Allergic Conjunctivitis • Sinusitis • Otits Media • Upper Respiratory Infection • Asthma • Food Allergies Koehler Acupuncture can help relive those seasonal allergies. Call 732-262-0637 and schedule your appointment today.

AboutKeith...

Keith Koehler received his Bachelor’s of Science in Health and Physical Education at Lock Haven University, and his Masters in Acupuncture and Oriental Medicine from the New England School of Acupuncture. His philosophy from the very beginning has always been to treat his patients in the way that he would want to be treated. Since opening his practice in 2004, his core beliefs remain the same. His favorite Chinese principle is to treat everyone of his patients as an individual. When he is not in the office, you can find him surfing, practicing twi chi and spending time with his family. September/October May/June2015 2015

Book Corner

Children’s Book Author Captivates Young Audience With Second Book Susan Rochester Zucconi captivates her young audience with her second book in the Crumbgrabbers series, titled The Crumbgrabbers Meet the Honeylou Kids. Her wellknown pastry kids—Crumby, Crumbcake, and Crumbun—go on vacation to Hawaii to meet their pen-pals, Lulu and Louie Honeylou. Their enchanting trip takes them to learn about their friends’ culture while having fun in the process. The Crumbgrabbers Meet the Honeylou Kids will keep youngsters amused over and over each time it is read, and their smiles will speak for themselves. Another major hit among children, parents, teachers, etc. Both books are available at Authorhouse.com, BarnesandNoble.com and Amazon.com. This children’s book makes a great gift. To schedule a reading at your school, event,

etc., please email crumbgrabbers@gmail.com.

Susan Rochester Zucconi

is a real humanitarian. She is a well-known children’s author in New Jersey. Her book Crumby’s Carnival and Magic Show is a huge hit among children, parents, teachers, etc. In her spare time, she is invited to various children’s hospices in New York and New Jersey to read her book and the children just love her. She also does story time and book signings at numerous Barnes & Noble bookstores. She has been on News 12 NJ many times for interviews about her children’s books and accomplishments for children. She also was on the cover page of the Home News Tribune, where they did a huge story about Zucconi, going back 53 years earlier to her elementary school, known as Emma L. Arleth, to reach out to the children. She has even received a certified letter from the secretary to Her Royal Highness, the Duchess of Cambridge, about Crumby’s Carnival and Magic Show and the joy of Zucconi donating her book to various children’s hospices. As a Hurricane Sandy survivor, Zucconi is constantly giving back to the community, donating her time to various charities and causes. She is happily married with two grown boys, living at the Jersey Shore. At 58 years old, she doesn’t look a day over 30.

Community

LANDLORD/TENANT SEMINARS 2015 The seminar will offer information and will include the following:

• The landlord/tenant filing process • Forms and documentation involved • What happens at the landlord/tenant hearing

September 18, 2015 10:00AM - 12:30 PM Superior Court of New Jersey, Ocean Vicinage Jury Assembly Room, 1st Floor 100 Hooper Ave, Toms River, NJ 08753 Space is limited. Reservations are necessary. To reserve space, contact: 732-929-2063 or email: oceanlric.mailbox@ judiciary.state.nj.us

FREE PROGRAM OPEN TO THE PUBLIC

For more information, call: 732 -929-2063 Superior Court of New Jersey, Ocean Vicinage Legal Research and Information Center

This seminar is presented by the Ocean Vicinage Legal Research and Information Center in coordination with South Jersey Legal Services. Please note that your personal case cannot be discussed.

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Art Gallery

~ Interview With Nolan Willence ~ Nolan Willence An Artist that Reinvents Itself

THE OASIS GALLERY 467B Buckingham Dr. Manchester, NJ By appointment:

P: (732) 657-3930 • C: (732) 575-5851 E: nolan2032@yahoo.com

The word “Artist” is defined as a person engaged in one or more of any of a broad spectrum of activities related to creating art. Nolan Willence is a man that epitomizes the term. He describes himself as a Classical/Flamenco guitarist, trumpeter and chess player, among many other things. He is a wonderfully gifted artist and a man that has lived a life of true adventure. Now in his early 80’s, he is still going strong and “throwing away the rules,” just as he always has. His art combines reality with abstraction into a coherent whole. It has been called “Transrealism.” In fact, one of his most interesting pieces is titled, “The Chessboard.” The piece follows the thoughts of his mind in a game of chess. His broad career has included work as an architectural draftsman and designer. He adds, “I was designing and preparing drawings for homes and commercial establishments. My artistic ability helped me when, on occasion, I had to do perspectives and renderings. I also created scale models of homes for clients.”

OCW: When did you first discover your love of art? Nolan: As a child I loved to draw and copy the cartoon characters from the Sunday Comics.

At the age of ten I entered a poster contest at the local movie house and won 3rd prize. I also recall that the art classes at school were always my favorite. Around this same time, music took over my life. My aunt gave me a $5 birthday present, which was a month of lessons with a rental instrument from Wurlitzer’s in Manhattan. My father always had me listening to different musicians from Harry James, Jimmy Dorsey, and Benny Goodman. Once I chose the trumpet, I took lessons every week until I turned 19. Before that I had joined a children’s symphony orchestra and was accepted into a professional training orchestra. Throughout this time I was still painting because I knew that would be what I’d do when I retired.

OCW: What made you leave the music industry? Nolan: After five years as a full time symphonic musician, I realized the financial future wasn’t

great. So I went to an architectural drafting school while I was with the Atlanta Symphony Orchestra in Atlanta, GA. I went back home to New York to work as an architectural draftsman and designer. I still continued playing music but on a freelance basis in concerts, shows and operas. At 60, I lost one of my front teeth and chose not to have an implant. This meant I could no longer play trumpet professionally. I then took up classical and flamenco guitar and played for years at weddings and nursing homes.

OCW: What advice would you give to parents who would like their children to be involved with art? Nolan: Parents should encourage their children to follow any creative instincts they have

whether it is writing, art, or music. Creativity makes us human and is a wonderful way to express ourselves. Unfortunately, it is not always lucrative.

OCW: Describe the different challenges for you in art vs. playing music? Nolan: I performed my music mostly in orchestras which required the challenges of teamwork, except when I occasionally was a soloist. In art, the challenges are to express yourself as an individual, so both are challenging in different ways.

When describing his artistic work style he says, “I have no preconceived notions. I design and paint it, let it dry, turn it in all four directions to see which way it looks best, sign it; and if it reminds me of something in my experiences, then I title it.”

Nolan Willence

Nolan realizes that his viewers all have a unique way of seeing his art and that no two people will look at a painting in the same way. Although much of his work incorporates a backward reference, it still remains new and refreshing.

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Women Of Ocean County

Lorraine Fetherman, L.E., C.P.E. Monmouth/Brick Electrolysis Lorraine Fetherman, Licensed and Board Certified Electrologist, graduated from the Florence Acquire Institute of Electrology in 1995 and since then has established two successful office locations in Brick and Wall, NJ. She is a people person and with that comes a passion for helping people, which plays an important role in the profession she loves! Her biggest achievement is helping people feel more confident and uninhibited through permanent removal of unwanted hair. In addition to her passion for helping people, Lorraine is involved in supporting assorted charities, causes and people in need. Lorraine grew up in Ocean County the majority of her life and currently resides in Manchester with her family. In her spare time, she enjoys loving the outdoors, travelling, just about any social gathering with a great assortment of friends, and spending time with her extended family in the surrounding area. For more information or to contact Lorraine, please call 732-948-9547 or visit www.bhairfree.com.

Gerry Hergert Owner, Abstrax Hair Designs Gerry was born in Rahway, raised in Linden and graduated from Franklin Beauty School in 1961 as a licensed Cosmetologist and married her high school sweetheart Lou. She raised three wonderful children Laura, Maria and Louis III and moved to Brick in 1971 and opened her first hair salon in 1976. In 1989, she relocated the business to Toms River and renamed it Abstrax Hair Designers. Gerry has expanded the business to include specialties in Hair Replacement, Wigs, Air Brushed Makeup and Skin Care products, designed specifically for Cancer patients. Her passion is to make people without hair look good and feel good about them. She becomes part of providing them with a new life! Gerry just returned from an extensive threeday working conference with the American Hair Loss Council. She received her Masters Certification, as a Board Certified Master Hair Replacement Specialist. Achieving all requirements and meeting stringent guidelines, which are set by the AHLC, earned this award. When not working, Gerry enjoys spending time with family and her four grandchildren Iain, Aaron, Gavin, and Andrea. She loves flowers, birds particularly Humming Birds, and of course her Standard Poodle Luchiao. Gerry is an active member of the American Hair Loss Council, The National Hair Society, BBB, Toms River Chamber of Commerce, Professional Beauty Association/ National Cosmetology Association, Esthetics America CIDESCO USA/NCA. Gerry can be reached at 732-255-1733 or www.abstraxhair.com.

Photo by Tracy Harman Photography

Nancy Rice, Esquire, CELA

Photo by Tracy Harman Photography

Kathleen Groome, PTA

Rice Elder Law

Physical Therapist Assistant, All-Care Physical Therapy Center, LLC.

Nancy Rice is an Elder Law and Estate attorney with two offices in New Jersey: Ocean City and Cherry Hill. She has been practicing law in New Jersey and Pennsylvania for over 25 years and is passionate about helping clients with any legal needs they might have. Her four-attorney firm, Rice Elder Law, focuses on Wills, Trusts, Estates, and planning in the event of disability. Nancy is particularly passionate about providing a welcoming atmosphere in her firm- one that is both friendly and professional. Nancy was born and raised in Pennsauken, NJ and currently resides in Ocean City. Her son, Sean, is a Wealth Management Advisor at Garden State Trust Company and her daughter, Meghan, is a student at Drexel University Thomas R. Kline School of Law. Nancy’s favorite hobby is boating in the spring and summer on her boat, Crabe Diem- often with Mitzi! Additionally, Nancy loves to travel and cook for her friends and family. For more information, please call 856-673-0048 or visit www.RiceElderLaw.com and take a look at our videos.

Kathleen Groome is a physical therapist assistant for All-Care Physical Therapy’s Brick location. Kathleen received an AA in 1999 and a BA in 2001 from Fairleigh Dickinson University. She graduated from the Physical Therapy Assistant Program in 2004 from Essex County College. Kathleen believes in using a variety of hands on manual techniques including joint mobilization, PNF (Proprioceptive Neuromuscular Facilitation), MET (Muscle Energy Techniques), as well as completing FMS (Functional Movement Screenings). She is a certified ART (Active Release Techniques) provider in both the upper and lower body and is also CKTP (Certified Kinesio Taping Practitioner). Kathleen feels that providing quality care and promoting a positive atmosphere is extremely important to a patient’s recovery. All-Care treats each patient as an individual and not a number and this is what sets them apart from other companies. The goal of All-Care has always been centered on what is in the best of the interest of the patient and how we as a team can accomplish that goal. For more information about All-Care Physical Therapy Center, please call 1-855-3ALLCARE or visit our website at www.allcareptc.com.

Photo by Donna Andrews Photography

The County Woman Magazine www.TheCountyWoman.com

Photo by Tracy Harman Photography

September/October 2015

Women Of Ocean County Lynne J. Siedentop

Lisa M. Hand

Director of Operations, Ronald McDonald House of Central & Northern New Jersey Lynne is a lifelong resident of New Jersey. Although born in Dunellen she has spent her entire life in Ocean & Monmouth Counties. Lynne currently resides in Point Pleasant. She loves all the benefits living at the shore provide and never wants to be too far from a beach! Lynne has over 30 years of experience in banking and investments with her last banking position being Acting President of First Women’s Bank, NY. Lynne joined Ronald McDonald House of Central & Northern New Jersey (formerly Ronald McDonald House of Long Branch, NJ) in 2000. What started as a part time job has turned into a full time passion for Lynne. She has held several positions at RMHCNJ and is currently the Director of Operations. She believes that diversity is one of the perks of working in a non-profit environment. RMHCNJ has assisted thousands of families with seriously ill children for over 27 years at their two (2) New Jersey locations in Long Branch and New Brunswick. Lynne loves meeting and interacting with the families because it is a reminder that everyone can make a difference in someone else’s life. There is no donation too small or job too little. It all makes a difference. She can be reached at 732-222-8755 or email her at Lynne@rmh-cnj.org.

Eva Mehta, DO Barnabas Health Medical Group Eva Mehta, DO, a board-certified, Internal Medicine, Primary Care Physician with Barnabas Health Medical Group, always wanted to have a career in medicine. She chose this career path because her father was a successful veterinarian in the local community, exposing her to medicine at a very young age. Dr. Mehta earned her Doctor of Osteopathic Medicine degree from Lake Erie College of Osteopathic Medicine in Erie, Pa. Serving as Chief Resident, she completed an Internal Medicine and Pediatrics residency at Newark Beth Israel Medical Center in Newark, N.J. A member of the American Medical Association, she is certified in cardiac life support, basic life support and neonatal resuscitation. With privileges at Monmouth Medical Center, Southern Campus, a Barnabas Health facility, Dr. Mehta provides many services including: Adult Medicine, Wellness Physicals, Annual Female Exams, Sick Visits, Immunizations including Flu and more. Dr. Mehta takes a personal interest in her patients and treats each patient as an individual with personalized treatment plans and treatment options. As a member of Barnabas Health Medical Group, Dr. Mehta has access to a continuum of resources through Barnabas Health, including six acute-care hospitals, two children’s hospitals, a statewide behavioral health network and center, hospice and palliative care centers, home health care, ambulatory and outpatient centers, and extensive diagnostic laboratory and imaging services. To schedule an appointment with Dr. Mehta, call 732-928-8403.

Practice Dirctor, AtlantiCare Physicians Group Lisa M. Hand is the Practice Director for AtlantiCare Physicians Group, Surgical Services. Her role consists of managing the Vascular, Thoracic, Bariatric, General and Colorectal surgical practices. She has been employed by AtlantiCare for nine years. Lisa strongly believes in leading by example and ensures that all patients in the surgical practices she manages would receive the same care she would want her family members to be given. Lisa was born in Atlantic City, NJ in 1976 and grew up in Egg Harbor Township, NJ where she graduated high school in 1994. During her time with AtlantiCare, Lisa attended college at Burlington County College and is still continuing her education. Lisa currently resides in Mays Landing, NJ with her fiancé, Ryan. Her interests and passions include working with the Wounded Warriors Project® and our military members as well as their families. Lisa’s oldest son is a member of the US Marine Corp, and her fiancé is in the US Army. She believes in keeping positivity in all areas of life at all times and one of her favorite quotes is by Mahatma Gandhi, “Be the change you want to see in the world” and she applies that to her career as well as her personal life daily. Lisa can be reached at Lisa.Skaggs@atlanticare.org and welcomes any help she can offer.

Antoinette Gingerelli Student at Rutgers University Antoinette Gingerelli, from Howell, NJ, is a rising junior at Rutgers University majoring in Political Science, Women’s and Gender Studies, and Middle Eastern Studies with a minor in International and Global Studies. She is a proud member of Douglass Residential College, a program at Rutgers dedicated to empowering women and developing leadership skills. At Douglass, Antoinette serves as President of the Douglass Friends of the United Nations Population Fund (UNFPA) where she has found a passion for global health. She also serves as President of the Rutgers Women’s Political Caucus encouraging women to run for public office and become actors in the political sphere. Antoinette is a Harvard Public Policy and Leadership Fellow and Rutgers Lloyd C. Gardner Fellow. This past year EduCare Foundation Inc. selected Antoinette as Ms. EduCare 2015 to promote the important role education plays for young people, especially young women. Additionally, Antoinette serves as a County Committeewoman in her hometown of Howell. She also acts as the American Association of University Women (AAUW) Youth Representative to the United Nations, advocating for the rights of women and girls. Antoinette hopes to pursue a career in social policy reform and empower women to ensure they are represented in decision-making regarding public policy. For more information or to contact Antoinette, email amg385@scarletmail.rutgers.edu.

Photo by Annette Jenkins Photography

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

CASA

Choc’ N’ Roll A Public Charity Event to Support CASA of Ocean County

Friday, October 16th 2015 7pm-11pm

Doolan’s Shore Club 700 New Jersey Route 71 Spring Lake Heights, NJ 07762

• Everything Chocolate Four-course Meal! • • 2hr Open Bar (Beer and Wine) • • Raffles, Gift Baskets, and Silent Auction • Featuring Live Music by

The Jersey Shore Roustabouts! Tickets: $50 per person $45 in advance $400 table of ten For More Information Contact Vicki@casaofoceancounty.org o r 7 3 2 - 7 9 7 - 0 5 9 0 .

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

CASA C ommunity

Community

69 63

Casa Of Ocean County Seeks CASA Is Gearing Up For Summer Volunteer Training CASA Is Gearing Up For Spring Volunteer Training Volunteers For Fall Training Classes care. • A teenage girl kicked out of her house, and forced to sleep on a cot in the Abused and hallway of a group home until she turned neglected 18—when all her possessions were handed children need to her in a garbage bag as she was officially more than Ocean County to provide a CASA Court Appointed Special “aged out” of theissystem. the system Volunteer for every fosterstories. child They in are These are not isolated Advocates is a unique can provide Ocean everydayCounty. realities of children in the foster volunteer organization careCASA is actively • A six-year-old girl rescued from an and child welfareseeking system. volunteers, A system that has been serving as especially males, to advocate forpeople abusive father only to be bounced around full of devoted and deeply caring ato child’s rights advocacy children in foster care so they eight foster homes and six different that is simply too overburdenedare andnot under further victimized very complicated program incourse Ocean schools over the of twoCounty years. resourced to protectby thea rights and needs court system.children. A child in foster care, by Four children separated from one of vulnerable for•over a decade. CASA’s no fault of their becomes a part another andisplaced in different locations The solution isown, a CASA volunteer—a mission to advocate of the system, they are taken away after their mother was jailed. specially trainedand advocate, appointed by a for•the best interest of from morefor than and A young boy prescribed 12 different judge,much who fights thetheir rightshome of children vulnerable children in pro- parents/siblings. When a child is their placed psychotropic medicines by healthcare during the most vulnerable time of foster care that have been foster careAthey areadult assigned multipleto fessionals who have no access to his medi- in young lives. trusted empowered case workers, a law and the cal records or ability follow-up on his ensure that each childguardian is well cared for— removed fromtotheir homes Children in Court Judge. A CASA due to abuse and neglect. Volunteer is appointed by the Judge on the most complicated cases to ensure the child’s medical, educational, and emotional needs are met while in foster care. A CASA Volunteer is the one consistent and CASA of Ocean County is currentlycompassionate, recruiting volunteers to serve as caring advocate an Fundraising Committee Members. Committee membersthat willwill helpmake us reach our commitment to ﬁnd safe, nuturing,investigation and permanent homes the more into the for changes involving than 400 children throughout Ocean County who have the child’s life. been The removed volunteerfrom will their homes because of abuse or neglect. prepare court reports to the Judge with recommendations that will assist the Judge as they are making the best decisions on behalf of the child. The CASA Volunteer serves as the child’s • Serve for one year voice in court that is often unheard. The CASA volunteer serves as the • Give about five A foster child faces a multitude of child’s voice in court and is committed problems while in foster care due to the hoursa asafemonth to moving the child towards and lack of integration and coordination of permanent home. CASA ofmonthly Ocean meetings • Attend efforts and services that exists inside and County exists to •recruit, screen, provide Advocate on behalf outside of the Family Court System. training and supervise the CASA of our children This directly contributes to delays in Volunteers. The vision of CASA of case handling and decision making Submitted by: CASA of Ocean County, Inc.

CASA of Ocean County Seeks Fundraising Committee Members

IF YOU CAN

You may be qualiﬁed!

If interested, please contact Vicki Weiss at 732-797-0590 for more information. For other volunteer opportunities visit www.oceancountycasa.org for more information.

C A S A O F O C E A N C O U N T Y, I N C .

able to find a safe, loving, permanent home. SAVE THE DATE!!! But nearly 90 percent of the Friday June children in our community who Friday, June5th 6 need a CASA volunteer do not CASA’s Fifth Annual have one. Over 600 children in Food and Wine that areCounty not optimal Ocean don’t have the Tasting for the child who hope a CASA volunteer can offer. Held at the is waiting for their Beachwood Community Center We won’t rest until every forever home. Visit our website at child has a CASA is CASA in the Save the Date for Friday, June 6 for CASA’s Fifth Annual www.casaofoceancounty.org Food and Wine Tasting volunteer. process of screening for information on all future events. Held at thefundraising Beachwood Community Center Stand up for these children. and interviewing Visit our website at www.casaofoceancounty.org for Stay connected as we fight to every day concerned information on all future fundraising events. ensure citizensevery thatchild are has a safe, permanent, loving Volunteer Your Time to willinghome. to attend a Change a Child’s Life! 30 hour child’s rights Nobodytraining longs for a safe and loving advocacy family than a child in foster care. As class. more The advocates awill CASA volunteer, you are empowered by commit to visit the courts to help make their child/children at this dream a reality. You willabe the one consistent adult least once month, in these quarterly children’s court lives, vigilantly fighting attend for and protecting their fundamental right hearings, and serve to be treated with the for 12-18 months. dignity and respect every child deserves. The volunteer will You will not only come people from all walks of life. We are bring positive be trained to change prepareto the lives of these vulnerable children, but also their children simply looking for people who care about objective court and generations to come. And in doing so, children and have common sense. As a reports that make volunteer, you will be thoroughly trained you will enrich your life as well. recommendations and well supported by professional staff in the child’s bestWhat Do CASA to help you through each case. You must Volunteers Do? interest. pass a background check, participate in a CASA volunteers listen The ultimate goal celebrated 12 adoptions 34 family 30-hour pre-service trainingand course and first.be Then they of the CASA would assist allact. parties agree reunifications. to stay withCasa a caserelies untilon it isthe closed (a know involved during Volunteers the processget sotothe volunteers from Ocean County to assist year and a half on average). the child by talking child would ultimately return homewith to these children and need more volunteers that child’s Interested in helping children healthier parents,everyone becomeinadopted by to step up and say, “I am for the Child”. life; parents and relatives, a family member, and/or adopted by a but not ready to commit to foster medicalis profesfosterparents, family. teachers, This program so truly becoming an advocate? sionals, attorneys, social and othrewarding to know thatworkers your volunteer Forconsider more information Then sponsoring a childon and ers. They the information gather work canuse change a course ofthey a child’s providing them with a CASA of their to judges and others of what the volunteering, please visit lifeinform forever. own. Please call our office today to child needs and what will be the best per In 2014-2015, CASA served the website at become a volunteer or sponsor a child. manent home for 153 children withthem. the service of www.casaofoceancounty.org Please call the Executive Director, Vicki Who Can Beand a Volunteer? 58 volunteers 10 active Board Weiss, 732-797-0590 or at call the office or atvisit our You do not to be a lawyer or Members. Thehave volunteers donated website at www.casaofoceancounty.org social worker to be aof volunteer. We wel732-797-0590. over 10,000 hours time. CASA

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, Inc. is an independent, non-proﬁt organization committed to advocating for the best interest of at risk children in out-of-home placement who are victims of abuse and neglect. The CASA volunteer serves as the child’s voice in court and is committed to moving the child towards a safe and permanent home.

Like us at Ocean County CASA

www.casaofoceancounty.org

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September/October 2015 May/June 2014 May/June 2015

Community

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

County Library is Celebrating 90 Brilliant years one decade at a time. 9OceanCheck out the great things happening while we celebrate the 1990’s. 9

SPARKS ✽

Support the Ocean County Library Foundation, and purchase your own Sparks Plush Doll for a $10 donation. Purchase yours today at any OCL location. ✽

Take SPARKSh home wit you!

Great Gatsby Gala to benefit the Ocean County Library Foundation

Hey Old Sport! Experience the spirit of the “Roaring 20s” at our Great Gatsby Gala! Join us for an incredible evening of music, silent auction, and amazing food... 1920’s style attire is suggested but not required for this fantastic event which celebrates the Ocean County Library’s 90th Anniversary.

Saturday, September 26th, 2015, 7pm - 10pm Tickets: $75 per person, $150 per couple Ocean County Library 101 Washington Street, Toms River, NJ 08753

The Ocean County Library Foundation is a 501© (3) nonprofit organization. Serving our Community, Supporting our Library System

Event Sponsorships and Tickets Available Online at www.theoceancountylibrary.org A portion of your ticket is tax deductible. The Ocean County Library Foundation is a certified 501(c)(3) organization.

Check oceancountylibrary.org for our special events calendar, which has several programs featuring 1990’s topics.

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Community

SAVE THE DATE GOLF • TENNIS • AWARDS • PRIZES BANQUET • OPEN BAR • AUCTION • RAFFLE

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Community

MARK YOUR CALENDAR FOR…..

Big Brothers Big Sisters of Ocean County’s 8TH Annual Casino Night Friday, September 18, 2015 6-7pm Cocktail Reception 7-11pm Gaming Ramada Toms River 2373 Route 9, Toms River $75 admission price includes: $100 in “Playing Chips”, Buffet Dinner, Dessert, Beverages & Cash Bar

For more information, please call at 732 505 3400 ascotti@bbbsoc.org All winnings are in the form of coupon chances for great prize drawings! Big Brothers Big Sisters of Ocean County, 20 Hadley Avenue, Toms River NJ 08753

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

September/October September/October 2015 2015

Business Opportunity

EHT

JoAnn Juralewicz

Independent Brand Partner for Nerium International. For more information about our products, visit www.joannjuralewicz.nerium.com or call 732-232-7523.

BENEFITS

• Stronger cognitive function and overall brain health.

• Fortification of natural brain functions • Protection of neuronal networking • Enhancement of the body’s natural energy stores • A boost to the body’s immune system

• Increased focus

EHT is joining the Nerium Lineup! ™

Our skin is the largest organ of our body. Keep it healthy. My name is JoAnn Juralewicz and I am a Brand Partner for Nerium International™. I am looking for individuals who would like to improve their skin and brain health. Nerium International is predicted to be the next billion dollar company in under 5 years. We are barely 4 years old, having done 100 million in our first year with only 1 product. Amazing, you say? Oh yes it is and I am more than willing to share more information with you! Whether you are interested in good, patented, guaranteed products or a part time business from home, please reach out to me at my website: www.joannjuralewicz.arealbreakthrough.com or give me a call at 732-232-7523. Don’t miss this amazing opportunity!

Goodbye, cellulite dimpled skin! NEW LOOK! NERIUM FIRM BODY CONTOUR CREAM

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September/October 2015

Theatre & Entertainment

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

directed by

JOE DiPIETRO DAVID SAINT

MARLO THOMAS

GREG

KATE MULLAVEY WETHERHEAD

Photos by Matt Murphy

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

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September/October 2015

Theatre & Entertainment

TION A S N E S DWAY A O IA! R H B P L F E F D O THE PHILA P U S T HEA

MEN LOVE IT TOO!

The Hilarious Celebration of Women and The Change!®

SEE WHAT MILLIONS WORLDWIDE HAVE BEEN LAUGHING ABOUT FOR 14 YEARS!

Four women at a lingerie sale have nothing in common but a black lace bra AND memory loss, hot flashes, night sweats, not enough sex, too much sex and more! The story unfolds through popular tunes from the ‘60s, ‘70s and ‘80s cleverly rewritten to celebrate The Change!

SEPTEMBER 30 – NOVEMBER 22 PENN’S LANDING PLAYHOUSE

(Inside the Independence Seaport Museum) 211 S. Columbus Blvd. & Walnut, Phila, PA Box office: 1-855-448-7469 • Groups (12+): 1-888-264-1788 WWW.PLPLAYHOUSE.COM • TICKETS: $45 - $65

Philly_NJ_County Woman.indd 1

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15-08-09 7:27 PM

September/October 2015

Community

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

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

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

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

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Community Community

SCAN Offers The Opportunity To Socialize And Stay Healthy 72

SCAN (Social Community Activities

Network) is an adult social education and resource center founded in 1988, headquartered in the basement level of the Monmouth Mall. The name reflects the action-oriented its membersActivities King Manor Care Center, Laurel Bay Health CANprofile (SocialofCommunity and the vibrancy and social networking & Rehab, Monmouth County Division of Network) is an adult social Aging, Disabilities & Veteran’s Services, Ocean education and resource center strength of the organization. The main Orthopedic Associates, Pharma-Care, United founded in 1988, headquartered on draw of membership, which is open Health Care, VNA Health Group, and Williams the basement level of Monmouth Mall. to anyoneThe agedname 50 and over, is the Lift Company. reflects the action-oriented Pat Bohse – Executive Director of SCAN opportunity to socialize and stay and healthy. Mark Your Calendars: profile of its members the vibrancy John Curley SCAN is aand place ‘Where active adults meetof and FreeholderSCAN social networking strength is producing the 2015 Senior the organization. draw of Citizen Art Contest and Exhibition and to be Informed, Empowered The and main Inspired.’ membership, which is open to anyone PLEASE YOUR CALENDARS: we MARK would like to extend an invitation to all

SCAN will hold a General Membership Meeting on October 1st, 12 noon – 1:30PM. The members will be updated about the activities at SCAN, will be updated on Medicare and any changes during the Open Enrollment Period (October 15th – December 7th) and will enjoy a light lunch.

SCAN Offers Information, Empowerment, and Inspiration

Our Brain Health Fair will be held at the Monmouth Mall on November 6.

Take Control of Your Health (TCOYH) workshops will be held during the fall, check our website, www.scannj.com, for dates and locations. TCOYH is a 6-week, The Social Community Activities aged 50 and over, is the opportunity to Monmouth County Seniors to participate in evidence-based workshop designed Network (SCAN) is located at 180by Route socialize and stay healthy. SCAN is aSCANthis produced the 2015 Senior Citizen annual event. The show will be held at the Stanford University to help those with 35 in Eatontown (basement level of place “where active adults meet to Art be Contest Monmouth Library Headquarters, and County Exhibition and will display125 Monmouth Mall); to forbetter more manage information Informed, Empowered and Inspired.” st Symmes Drive, Manalapan, NJ and it will be chronic conditions all 1 place winners at the SCAN campus in and a schedule of other upcoming organized by SCAN. The art show will run from their symptoms and live life to the fullest the Monmouth Mall from September 1st call to events, 732-542-1326 or visit The August 5th to August 30th, 2015. Please even withcall their physical limitations. th September 18 , 2015. SCAN will host an www.scannj.com. SCAN for additional details. workshop is facilitated by a team Open House on Thursday, SCANArt willReception hold and display all 1st place of trained Peer Leaders. winners the SCAN campus in the Monmouth September 10atfrom 1-3PM.



Take Control of Your Health Fair Presented by

Mall from September 1st to September 18th,

2015. will host an Open Art SCAN‘s FallSCAN Semester Classes willHouse be held th September 11 fromth1-3PM. Reception Friday, 14 to December 11 . *** 2015 Event Sponsor *** from September Take Control of Your Health Digital Aging MasteryInvestors Program Bank workshops will held during the summer SCAN’s Campus of be Courses at Boscov’s please details of locations and dates. ** Sponsors ** will besoheld atcall thefor Monmouth Mall location TCOYH is a 6-week, evidence based workshop th Monmouth Mall th th SCAN celebrated our 20 session of the from September 14 to October 9 . The designed by Stanford University to help those Monmouth Medical Center Digital AgingNew Program with a birthday classes with will chronic be heldconditions at the Ocean County to better manage their jersey Natural Gas/Save Green party for everyone. Joining us for our Mall location on Wednesdays and Thursdays symptoms and live life to the fullest even with Asbury Park Press celebration wereAtrium Freeholder John Curley their physical The workshop from October 21stlimitations. to November 5th. For is at Navesink Harbor / Beacon Health & Social Services facilitated by a team Peer Leaders. and other elected officials. great time information, please lookofintrained the Sunday Captel Outreach / A Comfort Keepers of Central Jersey computer classesor areour available for was had by all.Garden Hills Residence-CIS / Healthsouth Rehab Hospital of Tinton Falls edition of theFree Asbury Park Press, US Veterans every Wednesday. You must register Horizon Blue Cross Blue Shield / King Manor Care Center website, www.scannj.com. in advance, so check the complete class listing at



Laurel Bay Health & Rehab / Monmouth County Division of Aging, Disabilities

www.scannj.com. We are working with the Monmouth Pharma-Care / United Health Care / VNA Health Group SCAN’s Annual Luncheon will beCounty held Office at Seabrook on on Aging Caregivers Department, Williams Lift Company th October 20 , 11AMand – 1:30PM we have a free Caregivers Support Group at SCAN which is open to the public. Call for We will be honoring the following people and organizations: details. 20th SCAN its annual ☼ LeadersOn of May Distinction: Theheld Geriatric Team from Monmouth Medical Center: By popular demand, we have added Control YourGoldberg, Health Fair at the PriyaTake Angi, MD, of Shira MD, Jessica Israel, MD a Parkinson’s Support Group with a Monmouth Mall. We had 24 vendors and professional facilitator which is open to the 400 attendees. We want to thank our Event ☼ Leaders of Distinction: Greater Long Branch Chamber Commerce public. Join theofgroup on 7/8, 7/22, 8/5, and 8/9. Sponsor, Investors Bank, and all of our Sponsors: The Fall Semester of classes will begin ☼ Leaders of Mall, Distinction inMedical the Field of Aging: Sandi Silber, Director, Nutrition/ Monmouth Monmouth Center, on September 8. Details will be available at the New Natural Gas/Save Neighbors, Green, Asburyand Joanne Meals onJersey Wheels, Interfaith Director, Kosher end ofGlassoff, August. Updates will be on our Meals website at Park Press, Atrium at Navesink Harbor, Beacon on Wheels & Congregate Meal Programs, Jewishwww.scannj.com. Family & Children’s Service of Health & Social Services, Captel Outreach, Greater Monmouth County The Boscov’s Campus of Courses will Comfort Keepers of Central Jersey, Garden Hills run from September 14-October 9 and details Residence-CIS, Healthsouth Jack RehabLivingstone Hospital of and Dana Rauschweld ☼ Volunteer Recognition: will be available by the end of August. Updates Tinton Falls, Horizon Blue Cross Blue Shield, will be on our website at www.scannj.com. & Veteran’s Services / Ocean Orthopedic Associates



Executive Director

 



Pat Bohse

www.TheCountyWoman.com CountyMagazine Woman Magazine www.TheCountyWoman.com The CountyThe Woman

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

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

Community

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Business &Finance

Toms River - Ocean County Chamber of Commerce - News Letter from the Executive Director My favorite time of year is upon us. I love the fall. It’s a time to jump-in with both feet as kids head back to school; we start gearing up for the holidays (a traditionally lucrative time for many business owners) and planning for the upcoming year begins. On September 3rd, we are hosting a Board of Directors Cocktail Noelle Lotano Party at the home of our Chairman, Jeremy Grunin. Following that Executive Director event, we are holding a family night out in partnership with Merrill Lynch at the Lakewood Blueclaws game on Friday, September 4th. On September 11th, our monthly Member Connect at Tuscan Bistro Bar is back! But the big event that we are gearing up for this Fall is our 51st Annual Awards Reception taking place on Thursday, October 22nd at Waters Edge in Bayville honoring: • Freehold Joseph H. Vicari, Distinguished Individual of the Year • Ocean Mental Health Services, Non-Profit of the Year • Kim Parker of Tuscan Bistro Bar, Business Partner of the Year • Urner Barry, Groundbreaking Business of the Year

Our friend’s at M & T Bank will be this year’s Event Sponsor. This is another great opportunity to network (while enjoying delicious fare, of course). Join us! Immediately after our Awards Reception is the 77th Annual Halloween Parade in Downtown Toms River. It will be at this event that our #TagTR contest winner will be announced.

Jeremy Grunin, Chairman

Which is your favorite? Cast your vote today - our top five recommendations were: #MyTR #WeAreTR #TRPride #LoveTR #TRiffic Contact the office today to vote for your favorite and register for any of our upcoming events 732-349-0220 or info@tomsriverchamber.com. PS You may have noticed that we have a new name! The Toms River-Ocean County Chamber of Commerce is now the Greater Toms River Chamber of Commerce!

Welcome New Members Coastal Environmental Consulting, LLC

Karen Gruppuso Woman Magazine

1705 Route 37 E ,Toms River NJ, 08753 848-200-9621 Environmental Services Massage Envy Eric Pallop 2 Route 37 West, Suite G-4 Toms River, NJ 08753 732-341-3300 www.massageenvy.com/clinics/NJ/Toms-River Spas/Tanning Centers

Prestige Builders Group Inc Jim Toto www.TheCountyWoman.com 1565 Route 37 West Suite 14 Toms River, NJ08755 732-240-6950 - 732-862-1415 General Contractor Up To Par Golf Center Kevin Askew & Chris Nelson 1 South Main Street,Toms River, NJ 08757 732-228-7087 www.uptopargolf.com Golf

Retail, Hospitality & Tourism Talent Good Shepherd ANCC Church Father Anthony Network January/February 2015Lipari, FCM 111 Ocean Ave Hts. NJ 08732 Caitlyn Weiss 732-349-6797 101 Vera King Farris Drive, Religion & Spirituality Galloway, NJ 08205 (609) 626-3456 - (609) 626-6050 Ocean County Score Chapter 150 http://RHTTN.org Bob Goodyear Non-Profit/Government 33 Washington St. Toms River,NJ 08753 Social Service Organizations (732) 505-6033 www.oceancounty.score.org Non-Profit/Government Social Service Organizations

Greater Toms River Chamber of Commerce

2015 AD JOURNAL SIZE AND RATE SCHEDULE FIRM DEADLINE FOR ADVERTISING - OCTOBER 1, 2015 PLEA SE EMAIL YOUR CAMERA READY JPEG/PDF FILE TO: D A N I E L L E @ TO M S R I V E R C H A M B E R. C O M F U L L PA G E C O LO R C E N T E R S P R E A D $ 5 0 0 10¼" x 7¾" (LIMITED SPOTS AVAILABLE - 1ST COME / 1ST SERVED)

F U L L PA G E B + W $ 2 5 0 4¾" x 7¾"

51 The

Annual Awards Reception

H A L F PA G E B + W $ 1 7 5 4¾" x 3¾" N O N - P R O F I T PA G E B + W $ 5 0 2¼" x 2¾"

T H U R S D A Y, O C T O B E R 2 2 , 2 0 1 5 WATERS EDGE, 125 BAYVIEW AVENUE B E R K E L E Y T O W N S H I P, N J 6:00 PM - 9:00 PM BUSINESS ATTIRE

HONORING “ DISTINGUISHED INDIVIDUAL OF THE YEAR ” FREEHOLDER JOSEPH H. VICARI WITH SPECIAL RECOGNITION WAVE AWARDS FOR: NON-PROFIT OF THE YEAR OCEAN MENTAL HEALTH P: 732-349-0220 E: info@tomsriverchamber.com W: tomsriverchamber.com 1027 Hooper Avenue, Building 1, 2nd Floor, Suite 5 Toms River, New Jersey 08753

BUSINESS PARTNER OF THE YEAR KIM PARKER, TUSCAN BISTRO BAR GROUNDBREAKING BUSINESS OF THE YEAR URNER BARRY

EVENT SPONSOR

The County Woman Magazine www.TheCountyWoman.com

R Michael Consulting Rick LoAlbo 7 Torino RD. Manchester, NJ 08759 973-908-7357 Technology Services IT Consultants CCW Consulting, LLC Charles Warczakowski 1327 Chipmunk Lane Toms River, NJ 08755 732-319-4868 - 732-505-8044 Business to Business Services Merchant Services Medical Mall Pharmacy Phil Silvestro 9 Hospital Dr, Suite B3 Toms River, NJ 08755 732-244-4747 Pharmacy The Spot DJ D’Onofrio 952 Rt. 166 Toms River, NJ 08753 732.349.2710 DJ@D2710.com www.spotpizzagrill.com Restaurant Caneda’s... “an empanada experience” Patricia Caneda 793 Fischer Blvd Toms River, NJ 08753 www.canedas.com Restaurant

September/October 2015

Health

&Wellness

Yoga Retreat in Tulum,Mexico

March 11 – 16, 2016

Join Laurie Greene for a 5 night escape to Mexican paradise on the pristine shores of Tulum. Daily yoga practice in front of the Caribbean Sea, plenty of free time for rejuvenating and relaxing in nature, beach walks, optional nature excursions and spa services will fill your retreat experience. Escape with us this winter for some sunshine on your back, quality time on your mat, and a wonderful time with amazing folks to put a smile on your face.

Early Bird sign-ups through January 1, 2016 save $100

O P E N C L A S S E S 7 D AY S A W E E K • Yoga • Pilates

• Meditation • Tai Chi

• Therapeutic Massage • Holistic Services

Gift Certificates Available for Classes or Massages

WWW.YOGANINE.COM 609.404.0999 609.289.8423 SMITHVILLE

VENTNOR

609.494.9299 SHIP BOTTOM LBI

MIND/BODY STUDIO

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September/October 2015

Fine Art Photography

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Pain Management

At Interventional Pain Management Center,

our doctors and staff are always available to address any concerns. Our goal is to make our patient’s experience comfortable and as successful as possible. We aim to relieve pain symptoms, correct the underlying cause of the pain, and enable our patients to resume their normal lives as quickly as possible.

Amit Poonia, M.D. Medical Director

Noushin Mirmadjlessi, M.D. Adity Sharma, M.D.

Hadi Moten, M.D.

Dr. Hadi Moten received his medical degree from the Rosalind Franklin University of Medicine and Science – The Chicago Medical School in 2009 and performed his internship in Medicine and Surgery at Stony Brook University Medical Center in Stony Brook, New York. He completed an Anesthesiology residency from the prestigious hospital at Stony Brook as well. He later continued his studies as a Fellow in Interventional Pain Medicine at Mt. Sinai Medical Center in Manhattan. As an expert in his field, Dr. Moten continues to stay at the forefront of new developments in his specialty. He is a member of the American Society of Interventional Pain Physicians, the Medical Society of the State of New York, New York Society of Interventional Pain Physicians and the New York State Society of Anesthesiologists. As a consultant in his field, he has contributed to many publications and has lectured extensively on various topics. ■

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

SCOTCH PLAINS 1774 East 2nd Street Scotch Plains, NJ 07076 908-490-1800

SOUTH AMBOY 2045 Route 35 South South Amboy, NJ 08879 732-727-5000

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

Dr. Sharma is a board certified internist and has been practicing pain management with IPMC since 2014. She received her medical degree from Grant Medical College, Mumbai, India. After medical school Dr. Sharma completed her internship at St. Vincent Medical Center in Bridgeport, Connecticut. She completed her residency in Internal Medicine at George Washington University Hospital, Washington DC. Dr. Sharma subsequently completed a fellowship in Hematology/Oncology at George Washington University Hospital. She is board certified in Internal Medicine, Hematology and Oncology. Dr. Sharma specializes in the diagnosis and care of pateints who suffer from chronic pain as well as cancer pain. Dr. Sharma’s practice philosophy is to blend evidence based medicine and compassion to meet patient goals. She is well known for her warm and caring approach along with vast knowledge of conditions that can lead to chronic pain. Dr. Sharma’s goals of treatment not only include relieving pain but also increasing function and quality of life. ■

WEST ORANGE 81 Northfield Ave. Suite 304 West Orange, NJ 07502 732-952-5533 Ext 2 WEST ORANGE 95 Main Street West Orange, NJ 07502 732-952-5533 Ext 2

Dr. Noushin Mirmadjlessi attended medical school at Shahid Beheshti Medical School in Tehran, Iran and completed her internship in Internal Medicine at Jersey City Medical Center. While completing her residency in Physical Medicine and Rehabilitation at the State University of New York, she participated in the research and writing of many published case reports. Dr. Mirmadjlessi has professional affiliations with The American Academy of Physical Medicine and Rehabilitation, The New York Society of Physical Medicine and Rehabilitation and The Society for Pain Management Practice. She is a board certified Physician specializing in Physical Medicine and Rehabilitation, as well Pain Medicine. Dr Mirmadjlessi specializes in epidural steroid injections, selective nerve root blocks, radiofrequency ablations and major joint injections, spinal cord stimulation and pulse stimulation treatments, as well as Electrodiagnostic studies (EMG/ NCV). She is an avid swimmer and was captain of her medical school swim team and has been a licensed lifeguard and a licensed swim coach since 1998. ■

Dr. Amit Poonia is a board certified Interventional Pain Management Specialist and Anesthesiologist. After completing his internship at Georgetown University Hospital, Dr. Poonia finished his anesthesia residency at SUNY Downstate Medical Center, where he served as Chief Resident in the Department of Anesthesiology. He later completed his Interventional Pain Management Fellowship at NYU and is board certified by the American Board of Anesthesiology for both anesthesia and interventional pain management. Awarded America’s Top Physician Award in 2013, 2014 and 2015, Dr. Poonia continually strives to improve the quality of care for his patients. He is a speaker and clinical instructor for various organizations across the nation. Dr. Poonia’s expertise is in the treatment of a variety of painful conditions including neck and lower back pain, joint pain, myofascial pain syndrome and complex regional pain syndrome. Through the use of minimally invasive techniques such as epidural steroid injections, selective nerve root blocks, radiofrequency ablations, major joint injections, spinal cord stimulation and pulse stimulation treatment, he is able to treat his patient’s pain effectively. He supports a multimodal team based approach to the prevention, treatment and rehabilitation of painful disorders. Dr. Poonia is dedicated to providing every patient with the highest quality of medical care. ■

OLD BRIDGE: 26 Throckmorton Lane Old Bridge, NJ 08857 732-952-5533 Ext 1

CLIFTON: 1084 Main Avenue Clifton, NJ 07011 800-403-1533

TOMS RIVER: 452 Lakehurst Road Toms River, NJ 08755 732-349-9099

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

OLD BRIDGE: 42 Throckmorton Lane Old Bridge, NJ 08857 732-679-8808

WEST NEW YORK: 321 60th St West New York, NJ 07093 800-403-1533

TOMS RIVER 1868 Hooper Ave. Toms River, NJ 08755 732-255-3877

STATEN ISLAND 2537 Amboy Road Staten Island, NY 10306 718-351-0155

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BROOKLYN 668 5th Avenue Brooklyn, NY 11215 718-499-4995

September/October 2015

Pain Management

The County Woman Magazine www.TheCountyWoman.com

September/October 2015

Fall Special! Expires 10/31/15

The County Woman Magazine www.TheCountyWoman.com

September/October 2015