Ocean County Woman - 2016 May/June by The County Woman

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PATIENT SAFETY PROJECT REAPS BIG REWARDS

Acuity was honored to receive the 2016 Excellence in Quality Improvement Award for their work toward reducing patient falls. Page 19

SICK? TIRED? FATIGUED? IV NUTRITIONAL THERAPY IS HERE! IV nutrition/supplementation has been used successfully as primary and adjunctive therapy for those with both acute and chronic inflammatory conditions.

Page 53

All-Care Physical Therapy Center, LLC is committed to providing optimal pain-free treatments for all patients by stressing hands on manual therapy as well as consistent therapist/patient interaction. Read more about their home therapy, facilities and services on pages 2 & 3.

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May/June

2016

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Medical Professionals

Managing Rheumatoid Arthritis

Written by Marian Nashed, OT

ave you ever noticed the joints in both of your hands to be swollen and painful? Do your joints remain painful and stiff for a long period of time, well into the morning? Has your ability to open jars, cut food, and turn doorknobs become more challenging? You may be one of the 1.3 million Americans suffering from Rheumatoid Arthritis. Rheumatoid Arthritis (RA) is a systemic, chronic, autoimmune disorder that can cause joint deformities. It can also decrease your ability to perform activities of daily living (ADL’s), cause muscle spasm and shortening, increase ligament laxity, and destroy bone and cartilage. In some cases, the synovial lining of tendons and tissues of internal organs may also be affected. Research suggests that hand involvement is an early clinical sign of RA, with joint swelling occurring at the small knuckles or your proximal interphalangeal joints (PIP’s) and your larger knuckles or metacarpophalangeal joints (MCP’s), and wrists. Signs and Symptoms of RA vary as the disease progresses, and symptoms may go into remission or exacerbate. • Stage I: Early, Acute, Inflammatory: Increased pain, joint swelling and warmth in the knuckles and wrists of both hands.

• Stage II: Moderate, subacute: Decreased range of motion (ROM), decreased pain symptoms, and weakening of soft tissues and joints. • Stage III: Severe, chronic active, destructive: Decreased ROM, increased soft tissue involvement, and increased joint deformities. • Stage IV: Chronic: Severe deformities affecting both hands, with the dominant hand being more severely damaged.

Causes and Risk Factors: The exact cause of rheumatoid arthritis is unknown, but those with a family history of rheumatoid arthritis, are more likely to be diagnosed with RA, due to the genes affecting the immune system making people more prone. Both genders may be affected, but women have a greater than 75% chance of getting RA, with onset between 20-50 years of age.

Treatment Options: In accordance with seeing a Rheumatologist to manage RA symptoms, occupational therapy and physical therapy can help: • Decrease pain in joints. • Maintain or increase range of motion and strength. • Provide education on adaptive equipment and compensatory techniques to resume ADL performance. • Fabricate resting hand splints to prevent further joint deformity and recommend daytime splinting options. - Resting hand splints: Allow your fingers and wrists to remain in good alignment, and decrease your pain. - Silver ring splints: Allows freedom to perform activities during the day, while keeping the fingers positioned in proper alignment. The Hand Therapists at All-Care Physical Therapy Center, LLC, are equipped with the knowledge and measuring kit required to evaluate the most appropriate splint to improve function. Joint Protection & Energy Conservation Techniques: • Replacing doorknobs and faucets with levers to decrease the amount of strain on the joints.

Marian Nashed, OT Hand Therapist Marian received her Master’s Degree of Science in Occupational Therapy from Howard University in 2011. She graduated with honors and served as the President of Pi Theta Epsilon, Beta Alpha Chapter, as part of the National Occupational Therapy Honor Society. Marian is continuing her education at Thomas Jefferson University, in Philadelphia, PA, to obtain her Doctorate in Occupational Therapy, with an emphasis on clinical education. She is also a certified American Occupational Therapy Association (AOTA) Fieldwork Educator. Marian’s professional focus has been on orthopedic care, with an

• Using a pizza cutter or rocker knife to cut up food instead of a traditional knife to decrease stress to the joints. • Adding built up, large cushioned handles, for commonly used items like kitchen utensils, gardening tools, and pens. • Using spring loaded scissors that are readily available to open up packages, instead of fingers to pinch. • Avoid using squeeze bottles or tubes, to decrease stress on the joints. A better alternative would be pump bottles for shampoo, toothpaste, lotions, and soaps. • Use lightweight cookware to avoid excessive load to the joints. • Use both arms to carry objects, close to the body, and avoid using hand to lift heavy groceries and handbags. Rheumatoid Arthritis can have a significant impact on the use of both your hands making your ADL’s more challenging. Recognizing and addressing RA in its early stages will provide the best prognosis for this chronic disorder. At All-Care Physical Therapy, our Hand Therapists specialize in the treatment of RA and other hand disorders. Contact your physician if you are experiencing these symptoms and ask if an Occupational Therapist at All-Care can help. OT hand therapy is currently practiced in our Toms River (732-505-1300) or Whiting (732-849-0700) locations.

emphasis on hand therapy. She has completed affiliations in hand therapy, outpatient orthopedic rehabilitation, acute care, pediatrics, and mental health. Marian is currently in the process of becoming a certified hand therapist. She has also continued to grow her knowledge base by attending and completing courses in: · Evidence-Based Physical Agents: Application and Practice · Neuro-integrative Functional Rehabilitation and Habilitation · Healing of Magic · AOTA Specialty Conference on Stroke · Kinesiotaping I & II · Mulligan Concept Upper Quadrant Course · Lymphedema (Leduc Method)

www.AllCarePTC.com

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May/June 2016

Featured

On The

Cover

It’s a Family Affair at All –Care Physical Therapy Center

Jim and Michael Yorke

s the founders of All-Care Physical Therapy, brothers Michael and Jim Yorke are in the midst of a very exciting time. With a total of eight outpatient locations throughout Ocean County (including a Specialty Services Center) their company is thriving. Michael adds, “We have experienced a busy time over the last year with major growth. Our free transportation service continues to make outpatient physical therapy a possibility for many patients who do not drive. We also have a team of therapists who do in-home physical therapy, as well as hand therapy.”

The therapists at All-Care treat a myriad of injuries and dysfunctions including but not limited to arthritic conditions, orthopedic and sports injuries, neurological disease (Parkinson’s disease, M.S) work related injuries, motor vehicle accidents, and developmental disorders. By encouraging their talented therapists to take courses on new and innovative techniques in the field, clients receive the most current and up to date therapy. Some of these include Instrument Assisted Soft Tissue Mobilization (IASTM), Kinesio taping, and LSVT Parkinson’s treatment. Besides the “physical” part of therapy, another critical part of the healing puzzle is the emotional piece. Michael adds, “Physical Therapy often goes hand in hand with surgery or a painful injury. We believe that physical rehabilitation is made exponentially more effective when paired with a positive atmosphere.

The patient testimonials say it all: “I am very pleased with the whole experience at All-Care. My therapist was wonderful and the rest of the staff was very friendly and courteous. I came in pain and left without.” 2/12/16 “My time here was amazing. The staff exceeded my expectations not only for physical therapy, but the overall atmosphere. I have never felt better and hope to continue when I get back. This place is second to none and I would recommend it to everyone.” 3/4/16

1-(855)-3ALLCARE

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

Free Transportation For Patients In Need www.AllCarePTC.com

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We hand pick our staff to meet the following criteria: they must be courteous, upbeat, and attentive.” Because All-Care is family owned and operated, they are not harnessed by a corporate regimen. Therapists are given autonomy in their treatment programs, which allows them to decide what is best for their patients. Since no two patients are alike, they vehemently oppose a cookie cutter, one size fits all approach. “We also have the unique ability of offering multiple services along what we call the ‘Continuum of Care.’ This means we can treat patients in their home first if needed, in a comfortable and familiar setting; and then when they are able, we can seamlessly transition them using our free transportation service to one of our outpatient facilities,” adds Jim. Physical therapy can be challenging in the best of situations, but the positive atmosphere at AllCare lends itself to an emotional recovery, which goes hand in hand with physical recovery. In fact, All-Care has been voted “Best Physical Therapy” in Ocean County in The Asbury Park Press Readers’ Choice Contest for the past five consecutive years. Because the field of Physical Therapy is constantly evolving, Michael and Jim encourage their therapists to take courses in innovative fields and also host courses in their own facility to educate the staff. Jim adds, “We value a fresh perspective and host many students from local universities in our facilities to complete their own clinical affiliations.” All-Care has been chosen by major universities in the area as a regional training center for clinical students. This is a mutually beneficial relationship for all parties involved. Students get an opportunity to gain valuable experience and All-Care receives the benefit of a fresh perspective and gives back to the industry by helping to educate the therapists of tomorrow. The mission at All-Care is really quite simple: “We want to provide exceptional care in a setting ideal for both patients and staff. Being a family owned and operated company has allowed us to create something truly different,” adds Michael. Working with family members and “familylike” staff has other advantages as well. The brothers get to work together to create a fun, enthusiastic and compassionate company, all while helping people. It has allowed them to make their own unique vision of physical therapy come to life.

May/June 2016

Medical Professionals

Welcomes

Dr. James Morrow Advocare Stafford Orthopedics was pleased to welcome Dr. Morrow to their practice this past summer. As a specialist in the diagnosis and treatment of complex foot and ankle disorders, Dr. James Morrow has been an ideal addition to the already outstanding practice. He is a graduate of the Temple University School of Podiatric Medicine, Philadelphia Pa. Dr. Morrow served as Chief resident while completing his surgical residency at Virtua West Jersey health systems. In addition to presenting at multiple national conventions, Dr. Morrow has participated in a fellowship with Bako Pathology, a leading dermatopathology laboratory. Advocare Stafford Orthopedics has been serving the Southern Ocean County, New Jersey community for more than 40 years! Our office is located just minutes from Long Beach Island and our physicians and staff maintains an active local presence and commitment to the area. We treat injuries and diseases of bones, muscles, joints, peripheral nerves, as well as diabetic wounds and gait conditions. Our patients range from infants to the elderly. Our philosophy is to try non-surgical forms of treament, recommending surgery only if conservative measures fail. The mission of the clinicians and staff at Advocare Stafford Orthopedics is to be the premier provider of orthopedic and podiatric care among our community. Our ultimate goal is to provide patients with both courteous and quality professional care. We accomplish this goal by treating the whole patient in the context of his or her life and circumstances. We are able to provide the personal care and the most up to date technological medical care to meet the needs of each patient. We value the clinician-patient relationship comprised of high quality patient service, and accountability of clinicians and staff to meet the needs of our patients. The practice of orthopedics involves the diagnosis and treatment of injuries and diseases affecting the hands, feet, arms, legs, neck and back. Treatment of broken bones is a large part of the practice. Sports medicine and arthritis are two of the most common areas of focus in our practice. Our orthopedic surgeon performs total hip and knee replacements and arthroscopy of shoulder, knee and ankle. We also treat carpal tunnel syndrome, wrist ganglions and trigger fingers. Our podiatric specialists provides medical diagnosis, surgical treatment of foot and ankle problems, such as bunions, heel pain, spurs, hammertoes, neuromas, ingrown toenails, warts, corns and calluses, as well as, the care of sprains, fractures, infections, and injures of foot, ankle and heel. Dr. James Morrow believes in earning the trust of his patients, not only by addressing their foot or ankle disorders, but also by treating each patient and their family with compassion. He is commited to providing the highest quality, most current care to get his patients back on their feet as quickly as possible. This follows the philosophy of the practice, which makes him a perfect addition to their team at Advocare Stafford Orthopedics. In his free time, Dr. Morrow enjoys hiking, athletics, and Long Beach Island. He resides in Barnegat, NJ with his wife and son.

1169 Beacon Avenue â&#x20AC;˘ Manahawkin, NJ (609) 597-6092 â&#x20AC;˘ advocarestaffordortho.com

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May/June 2016

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Welcome to the May/June 2016 Issue Of The Ocean County Woman! In keeping with what seems like a new tradition, April brought us snow, rain and 60+ degree temperatures, sometimes all in one day! But with the start of May, spring-like weather finally arrived. Tulips started blooming, trees started budding, and our office staff welcomed back our Canada geese family, who make an annual trek to our property to build a nest by our mailboxes. We love watching “mom” patiently sitting on her eggs waiting for the hatching of her goslings! Speaking of parents, it was a blessing for me to spend a week with my 88-year-old mother and father in April. If you are lucky enough to still have your parents around, don’t forget to tell them how special they are to you on Mother’s Day, May 8th, and Father’s Day, June 19th. In between those two celebrations comes Memorial Day on May 30th, a day when we honor all those men and women who have died in service to their country. Memorial Day is also the unofficial beginning of summer in New Jersey as the beach communities come alive with activities. We will keep you informed about many of those activities, while continuing to provide you with valuable advice from the professionals who share their expertise on these pages. I am grateful to those of you who have sent thank you notes, phone calls and emails of appreciation for articles you’ve read in the County Woman publications. I’m also grateful to our talented contributing writers, our photographer Tracy Harman whose beautiful photos grace these pages, our gifted graphic designers and my dedicated staff and distributors. Thanks to all of them, we are able to continue bringing information of value to the residents of Atlantic, Ocean and Monmouth counties. I wish you a wonderful spring, and look forward to the summer ahead! Best, Lynn K. Wolf and the staff at the Ocean County Woman Publication

Featured on the Cover All-Care Physical Therapy Center, LLC You will find Jim and Michael Yorke, owners, in the middle row, surrounded by their highly skilled and compassionate physical therapy staff. Learn more about their home therapy, facilities and services on pages 2 & 3. Thank you Ocean County College for allowing us to shoot our front cover in your beautiful new building, Judy & John Larson Study Center.

Cover photo by Tracy Harman Photography.

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

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May/June 2016

Medical Professionals

Think Laser Spine Surgery is the Answer? Think Again …

Patient horror stories, lawsuits and the lack of controlled clinical trials reveal the truth around the marketing hype If you or a loved one suffer from spine pain and you think laser spine surgery is the answer, beware.

SCARED TO SEE A NEUROSURGEON? DON’T BE.

According to Dr. Pinakin Jethwa, a neurosurgeon at Atlantic NeuroSurgical Specialists (ANS), laser spine surgery is shrouded in a cloud of marketing hype and false claims. Claim #1: Laser spine surgery is non-invasive. Truth: Like most spine surgeries, laser spine surgery requires an incision. The laser is simply a tool – albeit a controversial one – used once the incision is made. Claim #2: Laser spine surgery is risk-free. Truth: Serious complications often arise from laser spine surgery. Malpractice claims for one particular laser spine center are several times the rate of all US outpatient surgical centers. One case involved a patient who was left incontinent and with a dangerous spinal fluid leak that required a second surgery elsewhere. Claim #3: Laser spine surgery is advanced technology. Truth: Laser spine surgery is not high-tech – and it’s not new. It was introduced years ago in the 1970’s. Yet, it has never been studied in a controlled clinical trial. Actual patient cases indicate laser spine surgery often offers no real relief – and more problems. Claim #4: Laser spine surgery is less expensive. Truth: Laser spine surgery often costs $30,000, at least twice as much as most insurance companies will pay for laser-less procedures. “Laser spine surgery does not provide any clinical benefit over traditional, minimally invasive spine surgery,” Dr. Jethwa details. “It poses unnecessary risks to the spinal cord, and patients have been damaged by this approach. As a result, the vast majority of the neurosurgical spine community has not adopted laser spine surgery.” Here are a few reasons why: Laser spine surgery is less precise than minimally invasive scalpel-based procedures. For a successful outcome, the surgeon must look around corners. Since a laser beam cannot bend, laser spine surgery prohibits the surgeon from delicately navigating angles.

Seeing a neurosurgeon doesn’t always mean surgery. If you suffer from back pain, seeing a neurosurgeon might be just what you need. • A neurosurgeon is the most qualified specialist to give you an accurate diagnosis so you can begin the right treatment. • Most people who suffer from spine disorders can manage their symptoms without surgery. • If you need surgery, today’s minimally invasive techniques are safe and effective – and you’ll likely be back to your norm in just a few weeks. 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. For more information, visit www.ansdocs.com or call 732.455.8225. Not sure about your insurance coverage? We can help! Ask to speak with our insurance counselor.

Additionally, lasers destroy and cut tissue with heat that causes water molecules to boil and produce gas. This mixture of heat and gas can damage healthy nerves. A razorsharp scalpel in the hands of a skilled surgeon does not risk thermal injury. Then there’s the issue of depth of penetration. Think of holding a knife up to a balloon and pressing softly. You can feel the give and take of the pressure you are applying against the balloon and have a good idea of when that balloon will pop. Using a scalpel, surgeons use this same tactile feedback to access the tissue and achieve the exact depth of penetration. A laser does not have that ability and can cut further down depending on how long the beam sits in one place. This places nerves and healthy tissue at risk of being injured. “If you are considering laser spine surgery, be sure to know the facts,” Dr. Jethwa cautions. “Don’t get captivated by the marketing hype that’s out there. The buzzwords test well from a marketing standpoint, but the procedures don’t offer clinical benefit. Besides, do you really want a laser – often used to burn through thick metal – near your spinal cord?” For more information about laser spine surgery and minimally invasive spine surgery, visit www.ansdocs.com or call 732.455.8225. MCW & OCW Sacred/Neurosurgeon #427_r1.indd 1

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May/June 2016

Contents

^ Featured on the Cover

Straffi & Straffi, Attorneys at Law..............................44, 45

^ Windows & Power Washing

^ Medical Professionals

Ocean Pediatric Dental Associates, LLC........................14

^ Business & Finance

All-Care Physical Therapy Center, LLC.........................2, 3 Advocare Stafford Orthopedics.........................................4 Atlantic Neurosurgical Specialists.....................................6 Quality Dermatology........................................................10 Gastroenterologists of Ocean County.............................12 Ocean Hematology and Oncology..................................13 Caring Heart & Brain Imaging..........................................15 Paonessa Colon and Rectal Surgery, PC........................18 Acuity Specialty Hospital of New Jersey.........................19 Ocean Plastic Surgery PA and Laser Center...................21 MonaLisa Touch North Dover..........................................30 Ocean Otolaryngology Associates, PA............................32 Bella Derma Medi Spa.....................................................35 Reproductive Science Center of New Jersey.................36 AtlantiCare Regional Medical Center: The Heart Institute........................................................37 AtlantiCare Regional Medical Center: The Center For Surgical Weight Loss & Wellness........39 Dr. Park Avenue...............................................................40 Barnabas Health Medical Group: Ocean Gynecological and Obsetrical Associates...........41 Shore Vascular & Vein Center....................................42, 43 Kathy A. Banks, DMD......................................................47 University Urology Associates of New Jersey.................48 Barnabas Health Medical Group: Dr. Sumy H. Chang....49 Toms River X-Ray, CT & MRI Center...............................51 Institute for Complimentary and Alternative Medicine....53

^ Precious Metal Buyer

Precious Metal Buyers, LLC..............................................7

^ Interior Design

Bellissima Designs, LLC....................................................8

^ Financial Planning

Tony Karpowich, Wells Fargo Advisor...............................9

^ Law

The Matus Law Group.....................................................11 Kevin B. Riordan, Esq...............................................22, 23 Kathleen M. Dotoli, Esq...................................................29

Precious Metal Buyer

^ Pediatric Dentistry ^ In-Home Care

Senior Helpers.................................................................16

^ Construction & RREM

Window Genie.................................................................56 Copiers Plus....................................................................57 Greater Toms River Chamber of Commerce...................73

^ Massage School

^ Medicare Insurance

New Jersey School of Massage......................................60 ^ Women of Ocean County...............62, 63, 64

^ Sub-Acute Center

Mrs. B’s Boutique............................................................64

Dream Homes, Ltd..........................................................17 The Buckley Insurance Group.........................................20 AristaCare........................................................................24

^ Health & Wellness

Brain Health Center.........................................................25 Hypnosis for Women.......................................................27 Karen Cooney, MA, CHHC..............................................28 The Body Wrap Shoppe & Spa.......................................33 Ideal Body Revolution Center.........................................38 Holistic Health Spa..........................................................38 Jersey Shore Pharmacy..................................................52 Yoga Nine Mind/Body Studio....................................58, 59

^ Fashion & Beauty ^ Adult Community

Fountainhead...................................................................65

^ Education

Ocean County College....................................................66

^ Fine Jewelry

The Jewelry Link..............................................................67

^ Funeral Planning

DeGraff Funeral Home.....................................................68

^ Reverse Mortgage Lending

^ Business & Personal Storage

^ Professional Dentistry

^ Theatre & Entertainment

Barbara Sica, Homebridge Financial Services................26

Airship Storage................................................................68

^ Elder Law

Two River Theatre............................................................70 One Funny Mother...........................................................74 Cagney............................................................................75 Sex Tips For Straight Women From A Gay Man.............75 ^Mother’s and Father’s Day Tribute.........76

^ Assisted Living

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

Aesthetic Dental Creations..............................................31

^ Permanent Hair Removal

Monmouth/Brick Electrolysis..........................................34 Rice Elder Law................................................................46 Spring Oak of Forked River.............................................50 Spring Oak of Toms River................................................56

^ Acupuncture

Koehler Acupuncture.......................................................54

^ Hair Designs

^ Fine Art Photography ^ Pain Management

Interventional Pain Management...............................82, 83 ^ Community...............61, 66, 69, 71, 77, 78, 79, 80

Abstrax Hair Designs.......................................................55

The Art of Precious Metals

Part 2

In the last issue, the owner of Precious Metal Buyers, Dov Oppenheim, gave our readers some important insight before you sell your precious metals. Continuing our interview, Dov provides some important tips that are commonly attached to the business of selling gold. CW: I am not familiar with selling metals. How do I avoid being scammed? It is critical to always get a complete sales receipt. If you sell your item, be sure the buyer provides you with a complete receipt with detailed information in case a dispute arises after the sale. This information must include the following: name and address of the buyer, date of transaction, names of the precious metals purchased, the lineman of the precious metals purchased and their weights, the prices paid for the metals at the standard measure of weight and finally, the name, address and signature of the seller of the precious metals. CW: Should I weigh my gold at home first to ensure accuracy? Dov recommends that you weigh your gold at home first or test the sellers scale by putting a penny on their scale. The penny should weigh three grams or two pennyweights/dwt. You should also know the fineness/purity (i.e. 10-14 k) and the value of your gold. Never let your items out of your sight and be sure and watch very carefully as the buyer tests your gold. He has heard of jewelers that actually replaced an item with lower purity ones. Some customers have told Dov that the items that they were selling were identified as 10-14k. In these sale occasions, it is actually the jewelers that cheated their customers years ago by selling them a pair of jewelry as 14-18k that were actually only 10-14k. Lastly, Dov shared with us the stigma and negative reputation the industry has acquired. Unfortunately, many fraudulent businesses take advantage of consumer misknowledge and under pay up to 80 percent of what the consumer truly deserves. As the owner of Precious Metal Buyers, LLC, Dov Oppenheim buys, meets and trades gold and other precious metals. His business is about giving people what they deserve for their valuables through a complete transparent transaction. He is fully licensed and bonded with the state of New Jersey and is subject to monitoring the Manchester Police Department.

Stay tuned for more information in Part 3 of our interview with Dov Oppenheim coming in the next issue.

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Interior Design

An Investment For Your Home The Benefits Of Interiors Shutters

lantation shutters are timeless and bring value to your home. Your home is an investment—why not add to that investment with plantation shutters? Here are a few benefits of shutters and reasons they have become such a popular addition to American homes, especially at the shore. • Quality shutters increase a home’s resale value as they could be a permanent addition. • Shutters reduce energy bills. In the winter they keep the house warmer by providing additional insulation to the window and in the summer they keep rooms cooler by deflecting the direct sunlight. • Light can be filtered in different ways by rotating louvers to various angles. They also may be opened slightly to achieve privacy while simultaneously allowing natural light to enter the room. • Shutters minimize allergens with solid surfaces where dust can’t linger and are easy to clean and maintain. • Shutters look beautiful from the outside as well as the inside of your home. • Shutters don’t fade like drapes, shades or curtains. • You don’t have to worry about shutters going out of fashion; they have been a mainstay for decades and never look out of date.

• Cord safety has been in the news and with shutters you are free from all cords that can harm children and pets. • Shutters come in a vast array of materials, including environmentally friendly wood, wood composite and advanced polymer. You can even have them custom colored to your décor. • The life of a shutter is far greater than other window coverings. Bellissima Designs is a full-service interior design firm, so if shutters aren’t your thing or the budget isn’t there right now, there are so many different options for windows. Maria can bring many samples to show you from wood blinds to shades, and of course she can design a window treatment that will be perfect in your home. Before you go to those big box stores thinking you’re saving money, call Maria and she can come to your home and get those windows you want, working within your budget. If you’re thinking about any type of interior projects other than window treatments, Bellissima Designs offers kitchen and bath designs, architectural plan review, pegRAIL closet systems, color consultations, or if you just need a helping hand in shopping for the right accessory for your home.

Call 908-872-1183 today for a free consultation.

“If you invest in Beauty it will remain with you all the days of your life.”

Frank Lloyd Wright

Testimonial

Maria has made our shore house a paradise retreat! Her attention to detail and knowledge of architecture allowed us to maximize space while creating an amazing environment to entertain many guests. Her flair for designing and one of a kind ideas have made our beach home the talk of the town! Tom - Ocean Grove, NJ Maria has been designing dream rooms for clients since 2005. With her eye for detail, she finds inspiration from her clients’ taste and personalities as well as the architectural space they are trying to bring to life. She keeps on top of the latest products and trends and has been an active member of Window Covering Association of America since 2011 and National Kitchen and Bath Association since 2007. Maria can be reached at 908-872-1183 or mariaa.pulice@gmail.com.

Bellissima Designs, LLC

1869 Ensign Ct • Toms River, NJ 08753

908-872-1183 www.bellissima-designs.com Enter To Win

mariaa.pulice@gmail.com

Enter To Win A $100 Gift Certificate Towards Any $750 Shutter, Blind, or Window Treatment Project Name: Address: City: Phone:

Email:

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Mail to: The County Woman • P.O. Box 619 • Turnersville, NJ 08012

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Winner will receive a $100.00 gift certificcate. One entry per person. Multiple entries will be disqualified. Entries will be accepted through June 30, 2016. Company does not provide any personally identifiable information to third party ad servers or ad networks without your consent.

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908-872-1183 May/June 2016

Financial Planning

Tony Karpowich

Chartered Retirement Planning Counselor™ Senior Financial Advisor Tony Karpowich has been financially advising clients in Ocean County and surrounding areas for the past 25 years. He holds the designation of Chartered Retirement Planning Counselor (CRPC), specializing in financially advising people who are nearing retirement as well as those who have already entered retirement.

Has formed

Gold Star Wealth Management in association with

While proper asset allocation, diversification, and the importance of time are crucial to financial success and wellbeing, Tony believes that building strong lasting relationships with his clients goes a long way to improving over-all success. He prides himself on being accessible and in educating his clients. Maintaining a high standard of accessibility is comforting to clients; clients know that he is always there for them and that his door is always open. According to Tony, educating clients about the various nuances and intricacies of investing and the markets is what a good financial advisor naturally does for his clients.

In recognition of his financial expertise and dedication to the principles of sound investing, The American Funds Group has several times named Tony as a member of their All-American Team. During the course of his career, he has been appointed to the Municipal Fund Advisory Council of Oppenheimer Funds Rochester, saluting his outstanding achievements and recognizing his expertise and stature within the industry. Franklin/Templeton Funds has recognized him as well, citing his expertise and dedication to the principles of sound investing by naming him a member of its Kite & Key Club. Tony is joined in his practice by his wife of nearly 30 years, Jo Ann Banas Karpowich. Prior to raising their children, Jo Ann served in the Ocean County Probation Department and substituted as a judicial secretary in the Ocean County court system. She also was an executive secretary at the Bergen Record, Hackensack. Tony and Jo Ann have two children. Brandon is finishing his third year at the University of Pennsylvania – Wharton, majoring in economics, minoring in mathematics, with concentrations in finance and accounting. A three-year Dean’s list member, Brandon will be interning this summer at Houlihan Lokey in mid-town Manhattan, specializing in re-structuring and distressed debt. Brianna is in her final year at Toms River North High School. She is the recipient of the Washington & Lee University four year fully paid Johnson Scholarship, has been accepted to Notre Dame and Emory, and awaits decisions from Harvard, Washington University (St. Louis) and Cornell.

“Moving my practice to Wells Fargo Advisors Financial Network has been a great move so far,” says Tony. “Wells Fargo has such a strong brand recognition and heritage of client service. They are very dedicated to Financial Advisors and their relationships with clients. Home office and field support has been nothing less than phenomenal thus far. At the same time, it was very important for me to find a platform of enhanced products and tools to have at my disposal to help my clients reach their financial goals; particularly with respect to retirement planning.”

Investment products and services are offered through Wells Fargo Advisors Financial Network, LLC (WFAFN), Gold Star Wealth Management is a separate entity from WFAFN.

Gold Star Wealth Management (848) 200-1170 | tony.karpowich@wfafinet.com

680 Hooper Avenue, Building A, Suite 104 | Toms River, NJ 08753 www.goldstarwealthmanagement.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Medical Professional

The Second Most Common Form of Skin Cancer:

NONMELANOMA SKIN CANCERS

Presented by Dr. Renata Flaks

Nonmelanoma skin cancer (NMSC) is the most common cancer in the United States, accounting for more than one million new cases annually. Squamous cell carcinoma (SCC) and basal cell carcinoma (BCC) constitute nearly all NMSC, and the incidence of these tumors continues to increase. One of the major, preventable risk factors for nonmelanoma skin cancers is overexposure to the sun’s UV rays. In Ocean County, nonmelanoma skin cancers are on the rise because of close proximity to the shore. At least 75 percent of NMSC arises in the head and neck but they can be found on any sun exposed area of the body. Most NMSC cases are controlled successfully by treatment or complete excision done in a dermatology office. However, nonmelanoma skin cancers are associated with a lifelong risk of developing second primary skin cancers requiring periodic skin cancer screenings by a dermatologist. Compared with skin BCCs, skin SCCs are more likely to metastasize, and be a cause of mortality. To avoid deadly consequences of nonmelanoma skin cancer a regular, full body check-ups by a dermatologist are recommended.

Actinic Keratosis (AK), Precancer

Treated timely with simple freezing spray, AKs are highly curable. If not treated, they will eventually turn into SCC. Nonmelanoma skin cancer is mainly caused by cumulative ultraviolet (UV) exposure over the course of a lifetime; daily year-round exposure to the sun’s UV light, intense exposure in the summer months, and the UV produced by tanning beds all add to the damage that can lead to NMSC. Typically, nonmelanoma skin cancer can be treated with a relatively simple surgery. If the cancer is very small or in its precancer stage (AK), medicated creams prescribed by a dermatologist, cauterization (burning), or cryosurgery (freezing) is used to treat them.

Basal Cell Carcinoma (BCC)

BCC is the most frequently occurring form of all cancers. More than one out of every three new cancers is a skin cancer, and the vast majority are BCCs. In 2010, an estimated 2.8 million cases of BCC were diagnosed in the US, and the figures have continued to climb. It often look like open sores, pink growths, shiny bumps, or scars; sometimes BCC can look like a dry patch and often mistaken for eczema.

Dr. Renata Flaks

At Quality Dermatology, owned by Renata Flaks, DNP, we place a great emphasis on early detection of skin cancer. Call us for an appointment or your comprehensive skin cancer screening today. 732-244-2666. We accept most insurance plans.

Visit www.qualityderm.com

QUALITY DERMATOLOGY

Squamous Cell Carcinoma (SCC)

SCCs often look like scaly red patches, open sores, elevated growths with a central depression, or warts; they may crust, itch or bleed. They can become disfiguring and sometimes deadly if allowed to grow. An estimated 700,000 cases of SCC are diagnosed each year in the US, and between 3,900 and 8,800 people have died from the disease in the US in 2012. Incidence of the disease has increased up to 200 % in the past three decades in the US.

Dr. Renata Flaks, DNP

732-244-2666 707 Main Street • Toms River www.qualityderm.com Open Monday - Friday

Same Day Emergency Appointments Available

Accepts most insurance plans Accepting New Patients The County Woman Magazine

www.TheCountyWoman.com

May/June 2016

Law

Diverse Life Challenges Inherent in Raising a Special Needs Child Part 2 Career

In part one of this two-part series, I discussed financial and emotional challenges when raising a special needs child. In this issue, we will discuss logistical and career challenges when raising a special needs child and mindfully examine how effective planning for these four aspects of your life can help you become more effective.

A simple fact of raising a special needs child is that you and your family will at times be forced to make sacrifices. Having a disabled child could especially impact your career prospects. In pursuing your career, you will have to consider all of the discussed three factors. Can you support your child throughout his or her life with the salary you earn? Can your mental health survive raising a disabled child and working at a high-stress job? Will both you and your spouse be able to work, or will someone have to be a stay-athome parent? And will your chosen career present logistical issues, such as forcing you to travel often when your child may need you to be around more often? Be sure to analyze how your chosen career will impact your ability to provide the love and care your child deserves. Effectively planning for these four aspects of your life when faced with the prospect of raising a special needs child will allow you to develop more productive behaviors and habits, and it would be an honor for our firm to have the opportunity to advise you and assist you. Please call The Matus Law Group today and let’s begin the process of ensuring you are ready and able to provide for your special needs child throughout his or her life.

Logistical This, like the financial component, is a very practical consideration. There will be logistical aspects of raising a child that are unique and unexpected. You will likely need to live somewhere close to facilities that can provide your disabled child with the care they need. You may need to consider living closer to the loved ones that comprise your potential support system. You may need to purchase items that specifically cater to your child’s needs, such as a vehicle that can accommodate a wheelchair, or take steps to find an inclusive and accommodating education or healthcare environment. Once again, you will have to take a mindful look at your family’s unique circumstances to know how to properly plan for the logistics of raising a special needs child, just keep in mind that there almost always will be major logistical impacts to your life.

Visit www.MatusLaw.com

Helping people protect assets for Special Needs Children and conduct smooth real estate closings for almost two decades. Basic Estate Planning FOR PARENTS WITH SPECIAL NEEDS CHILDREN

732.281.0060

Do you have someone in your life with a disability? Are they financially protected?

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

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

81 East Water St. Suite 2C • Toms River, NJ, 08753 download our free ebook now

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Christine L. Matus, Esq. with her family

May/June 2016

Medical Professionals

I’m Having Rectal Bleeding–Should I Be Concerned? Written by Edgar Bigornia, MD Gastroenterologists of Ocean County

What can cause rectal bleeding?

here are many different causes of rectal bleeding including: internal hemorrhoids, colon polyps, cancer, colitis, diverticulosis, angiodysplasias or anal fissures and tumors. Due to the many possible causes of rectal bleeding one can see the importance of talking to your doctor to define the exact cause of bleeding. What color is the blood?

Is the color of the blood bright red or is it maroon or black in color? In general, the brighter red the color of blood the closer to the rectum the source of bleeding is. As one travels higher up in the intestines bleeding from these areas tend to be darker in color. For example, a bleeding ulcer in the stomach may present as black tarry stool not even resembling blood. Diverticular bleeding is usually massive and typically results in hospitalization.

Is the bleeding associated with pain?

Painful rectal bleeding is typical of an anal fissure. Patients describe a tearing sensation during a bowel movement associated with passing bright red blood. An anal fissure is a small tear in the lining of the anal canal, which can result from passage of hard stools or straining during a bowel movement. This can readily be diagnosed on physical examination. Rectal bleeding associated with Crohn’s disease, ulcerative colitis or ischemic colitis can also be accompanied by abdominal cramps and pain. Massive painless rectal bleeding can be seen with diverticular hemorrhage. A small amount of blood around the stool or on the toilet paper is typical for hemorrhoidal bleeding. This is quite common in women after childbirth. Painless rectal bleeding can also be caused by colon polyps, colon cancer, and cancers of the anus or angiodysplasias, which are abnormal collection of blood vessels that can bleed. One should not assume that their rectal bleeding

is from internal hemorrhoids. I’ve had the unfortunate experience of performing colonoscopy on patients who assumed that their rectal bleeding was from internal hemorrhoids only to find a large rectal tumor during colonoscopy. Unfortunately, in many cases the tumor was advanced because it was not detected in a timely fashion.

What danger signs should I be looking for?

Any change in bowel habits including: decreased size or caliber of the stool or change in the frequency or consistency of bowel movements. The presence of abdominal pain or significant weight loss should also raise a red flag. Patients who are found to be anemic on routine blood work warrant further evaluation. If you have alarm symptoms, a colonoscopy should be performed immediately. Colonoscopy is an easy, nonpainful examination under anesthesia. The procedure can be performed in an outpatient setting and can readily determine the source of rectal bleeding. If polyps are detected during the colonoscopy they can be removed and sent for pathologic examination. If colitis or inflammation of the colon is detected, biopsies can also be obtained to determine the type of colitis so it can be treated appropriately. If a growth or tumor is detected during colonoscopy, this can be biopsied so that the diagnosis can be made and the patient can then be referred for definitive treatment.

symptoms then discuss possible treatment of your hemorrhoids with your gastroenterologist. As you can see there are many causes for rectal bleeding with very distinct therapies. Most importantly, do not ignore your symptoms. Talk to your gastroenterologist to determine the proper testing and treatment for you.

Call to schedule your appointment at Gastroenterologists of Ocean County.

How can hemorrhoids be treated?

Conservative treatments include avoidance of constipation by drinking enough water and eating a high fiber diet. Sitz baths and topical medications including creams and suppositories can bring relief. If symptoms persist, internal hemorrhoids can be treated by rubber band ligation, sclerotherapy, or surgery. However, these methods tend to be associated with pain after the procedure. Newer methods for treating internal hemorrhoids include laser and heater probe ablation of internal hemorrhoids, which can be performed under sedation during colonoscopy. Patients generally do not have any pain, discomfort or bleeding after the procedure and can return to work the following day. If local treatments and medications are not effective in controlling hemorrhoidal

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

Patient Tesimonials:

“Dr. Bigornia was caring and took time to chat with me and make me feel comfortable. Very nice and caring staff.” Deborah, 51, Toms River “The staff and Dr. Bigornia had the best bedside manner of any doctors I’ve known. The encouragement and caring from the start to finish of my colonoscopy experience was great”. Beverly, 69, Toms River “ Outstanding professional courtesy. Dr. Bigornia couldn’t be better.”

Rich, 80, Toms River

Hospital Privileges at Community & Ocean Medical Centers

“The doctor and staff are wonderful. Their personalities are very uplifting and personal. I would recommend Dr. Bigornia and the Endoscopy Center to everyone who needs this service.” Lena, 66, Toms River

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Medical Professionals

Celebrate Women’s Health Week…

Women and Cancer

From May 8-14, 2016, the U.S. Department of Health and Human Services’ Office of Women’s Health is coordinating a week-long observance celebrated nationwide as Women’s Health Awareness Week. The aim is to empower women to improve their physical and mental health.

There are a few important steps women must take in the road to health: • Visit a health care professional regularly for check-ups and preventive screenings. • Get active. • Eat healthy. • Pay attention to mental health, which includes getting enough sleep and managing stress. • Avoid unhealthy behavior. One of the major diseases affecting women is cancer, which kills more than a quarter million women every year in the U.S. But that number could be reduced through early diagnosis and appropriate treatment. Some cancers affect both men and women while others are unique to women. They include breast cancer (the most common in the U.S.) as well as cancer of the ovaries, cervix, uterus and external genitalia. That is the group we will focus on here.

Part 1

also among the top ten causes of cancer deaths among women in the US. Over 95% of cases are linked to a sexually transmitted virus called HPV (Human Papilloma Virus). Risk factors include early and promiscuous sexual activity, smoking, prolonged use of birth control pills, STD’s, and immunosuppression. In its early stages, this disease can be asymptomatic. Symptoms in later stages include bloody vaginal discharge, pain, and abnormal vaginal bleeding (in between regular menstrual cycles, post-coital, and postmenopausal).

Screening and Early Detection

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

cancer that are linked to HPV. The virus is given to females between the ages of 9 and 26 years, and to males between 9 and 21. It’s given in three doses, ideally before the person has become sexually active. Please note: vaccinated women still need screening! Side effects include mild redness, tenderness and swelling at the injection site, as well as an increased risk of blood clots, but no long-term side effects have been reported.

Stay tuned for part-two of this two-part series in the July/August issue. Next issue we will discuss Cancer of the Uterus.

HPV Vaccination

Cervical cancer

Cervical cancer is the third most common cancer among women worldwide. More than 85% occur in developing countries, but it is

Another good piece of news is that there are two very effective vaccines – Gardicil and Cervarix – that will prevent those cases of cervical

Visit www.oceanhemonc.com

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

1255 Route 70, 31S Near Exit 88 on GSP

Lakewood, NJ 08701

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

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

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

Compassionate Care, Close to Home

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Pediatric Dentistry

Why You Should Choose A Pediatric Dentist Written by Dr. Elisa Velazquez

How do you choose a dentist for your child?

You may wonder whether you should bring them to see a special pediatric dentist or just your regular practitioner. Here are four reasons why a pediatric dentist just might be the ideal choice FOR YOUR FAMILY.

Specialized in Children’s Dental Health

Pediatric dentists are the pediatricians of dentistry. A pediatric dentist graduates dental school AND then completes two years of additional training ONLY WORKING WITH CHILDREN. We are specifically trained to treat children’s developing teeth. We know the unique problems that children face, such as cavities and gum problems. The two years of pediatric education includes advanced training in behavior management, child psychology, growth and development, hospital dentistry, interceptive orthodontics, sedation, special needs patients, and techniques to alleviate anxiety and build trust with children and their parents. This extensive training provides pediatric dentists the knowledge and skills to provide a positive dental experience and to educate children on the importance of maintaining good oral health for a lifetime!

Smaller, Child-Friendly Equipment

While there’s nothing wrong with using standard-sized dental equipment on children, it’s nice that our pediatric dental offices use smaller equipment specifically designed for a child’s mouth. We take our time and use TELL SHOW DO techniques. This can help children get used to the complex and often “scary-looking” equipment without overwhelming them. The staff at Ocean Pediatric Dental Associates is all trained to work with infants & children.

Fun & Friendly Office Design

Our pediatric dental offices are child friendly, complete with TVs, toys and games in the waiting room, to help your child feel more at home. We hand out stickers and gold tokens for prizes at the end of the appointment to help build up your child’s level of comfort. Additionally, when your child sees other children having a positive dental experience, they can use this as a model to follow. Kids love coming to our offices and have fun with their visits!

Prevention & All Treatment Options

Pediatric dentists and our trained staff focus on prevention of dental problems to ensure a lifetime of good dental health. We start dental visits at age one until teen years! OUR TEAM can offer you advice and teach your child about developing healthy dental habits. When dental problems arise, we have all options to help your child have their dentistry completed in a safe manner. We offer nitrous oxide, oral sedation, IV sedation and hospital dentistry when needed. OCEAN PEDIATRIC DENTAL ASSOCIATES ARE SPECIALISTS DEDICATED TO INFANTS, CHILDREN & ADOLESCENTS AND OUR OFFICE HAS BEEN DESIGNED AND CREATED JUST FOR KIDS!

WHY CHOOSE A PEDIATRIC DENTIST? • 2 YEARS ADVANCED TRAINING • CHILD-APPROPRIATE EQUIPMENT • CHILD-FRIENDLY OFFICE STAFF & DÉCOR • PREVENTION FOCUS WITH ALL TREATMENT OPTIONS FOR KIDS Dr. Elisa Velazquez

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

Your Child’s Dental Home! Toms River

Manahawkin

368 Lakehurst Rd. Toms River, NJ 08755

102 East Bay Avenue Manahawkin, NJ 08050

732-473-1123

609-597-9195

www.OceanPediatricDental.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Medical Professionals

When Does Forgetting Become An Issue? Is it memory loss or am I just being forgetful? Did I just lose my keys or will I never remember where I put them? Is it OK that I can’t remember how to do basic chores because I’m “getting older”? The first answer brings good news because you are asking these important questions, not someone on your behalf, and, even more important: there are answers! When your memory has significantly declined, is poor compared to performance typical for your age but DOES NOT interfere with independent, dayto-day functions, you can be described as having Mild Cognitive Impairment or MCI. Dementia is an advanced deterioration of MCI and means that you no longer are able to independently perform dayto-day functions. Alzheimer’s Disease or AD is the most common form of dementia, and we know that a protein-based plaque exists in the brains of these patients at abnormally high levels. We also know that this plaque begins to accumulate and clump together within the brain as early as a decade or more before you may experience any memory loss, impairment or dementia. On a positive note, we are living longer and could prepare to enjoy this new stage of living proactively and productively. Exercise, proper diet and remaining busy, active and engaged are proven factors that minimize developing symptoms of dementia. But the research, proper diagnosis and treatment options leave much to be desired and are far from where we need these areas developed at this era of science, technology and awareness. But as we said earlier, there are answers: The Memory Enhancement Center of New Jersey in Eatontown and Caring Heart & Brain Imaging in Manasquan. Dr. Joel Ross is the founder of the Memory Enhancement Center and is an expert in the detection and evaluation of dementia. Dr. Ross is currently directing some of the most advanced research studies sponsored by the leaders in pharmaceutical research for dementia and Alzheimer’s disease. Caring Heart & Brain Imaging is the first imaging facility on the Jersey Shore to offer expert PET imaging of the brain to diagnose dementia and differentiate between Alzheimer’s disease and other forms of dementia. Caring Heart & Brain Imaging has an impeccable and extensive track record because our

interpreting radiologist is expert in interpreting PET scans with extensive training in interpreting brains affected by dementia. We are the only facility in New Jersey that has performed over 100 AMYVID PET scans to identify the protein plaque associated with Alzheimer’s disease. And Caring Heart & Brain Imaging is the only dedicated PET scanner in New Jersey and that means less radiation exposure because there is no CT scan involved. And the best news of all is that all Medicare recipients can now have an AMYVID PET scan at no cost or any out-of-pocket charges, providing your annual deductible has been met and you have traditional Medicare coverage. The scan is totally covered by a new research study called the IDEAS PROGRAM. The study is being run by Alzheimer’s disease and imaging researchers, the Alzheimer’s Association, and the American College of Radiology. Amyloid PET scans in the IDEAS Study are conducted with FDA-approved imaging agents, and are paid for by the Centers for Medicare & Medicaid Services (CMS) as a covered service for Medicare beneficiaries who are participating in the trial (one scan per person). Medicare does not cover clinical beta-amyloid PET scans that are not being done as part of the IDEAS Study or other CMS-approved studies. Both Dr. Joel Ross and Caring Heart & Brain Imaging are certified participants in the IDEAS PROGRAM and together can offer you a full assessment and accurate diagnosis with the only scan that can indentify plaque in your brain. This means you can have answers and consultation to address the possibilities with expertise, promise and options otherwise unavailable. NOW, the next step is yours. All you have to do is reach out to the possibilities. Step forward boldly with the confidence that there is strength in knowledge and there are answers that will keep the reins in your hands! You remain in the driver’s seat to conduct your own course of action and navigate what can be the most rewarding stage of your life! Call for an appointment to meet with Dr. Ross and you will have an intensive consultation, expert scan and a future of knowledge and answers.

Caring Heart & Brain Imaging can even provide transportation if you need a ride!

Take charge of your life, your future and the promise of hope for you and your family!

• Is it just forgetfulness or is it a symptom? • When do I decide to consult a specialist? • Who do I see about my memory “issues”? • Do I want to know if I have a memory issue?

The time is now to be part of the Imaging Dementia - Evidence for Amyloid Scanning (IDEAS) Study

Caring Heart & Brain Imaging

Memory Enhancement Center 4 Industrial Way, Eatontown

732•292•1008

732•263•0101 www.memorycenternj.com

2414 Highway 35N, Manasquan

• Am I being forgetful or am I forgetting?

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

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The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Construction

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May/June 2016

Medical Professionals

Suffering From Pelvic Pressure And Difficulty Eliminating?

Dr. Paonessa Helps To Make Sense Of Your Symptoms… Are you a woman that has had a vaginal delivery that resulted in birthing trauma such as forceps delivery, vacuum delivery, tearing with vaginal delivery, or episiotomy? Perhaps you have a history of constipation, straining with bowel movements, or have had prior gynecologic (hysterectomy) or rectal surgeries. If so, there is a possibility that you can be suffering from weakening of the pelvic floor muscles because all of the above are common causes of pelvic floor disorder (PFD). A common form of PFD is a rectocele.

A rectocele can usually be diagnosed by taking a complete history and a physical examination by your doctor. In many cases further testing will need to be done. There are special x-rays including defecography, barium enema and pelvic MRI/defecography that may be performed to help assess the degree, severity and size of the rectocele.

How is a rectocele treated?

cannot be controlled with medical/non-surgical management. Most women exclaim that they cannot believe they waited so long to seek treatment and relief of their symptoms, especially since treatments are quite simple. Women who have received treatment for their symptoms of rectocele/ PFD have improved quality of life. The anxiety and social stress and/or isolation associated with the symptoms caused by a rectocele/PFD can be eliminated.

A rectocele should only be treated when symptoms are significant and interfering with a woman’s quality of life. There are medical and surgical If you feel that you may be experiencing any What is a rectocele? treatment options available. As with any treatment, of the symptoms discussed about rectocele/ A rectocele is a bulging of the front wall of the your physician will review all of the options and let rectum into the back of the vagina. A rectocele is you know the best option for your condition. PFD, call Dr. Paonessa’s office today to caused by the thinning of the rectovaginal septum. The Most patients can be treated with medical schedule an appointment for a consultation. rectovaginal septum is the tissue between the rectum management. Like with other rectal conditions, it is and the vagina. This occurs secondary to weakening very important to have a good bowel regimen to avoid Visit www.paonessacrs.com of the muscles of the pelvic floor. Other pelvic organs constipation and straining during bowel movements. that may bulge into the vagina are the bladder, (this By doing this it will allow for softer stools which is called a cystocele), and the small intestine (called eliminates straining during bowel movements and an enterocele). All of these disorders are classified as Donna L., Toms River, NJ avoids stool trapping in the rectocele. Another forms of pelvic floor disorder (PFD). “Caring, thorough, and sincere - describes Dr. Nina treatment is strengthening the pelvic floor muscles Paonessa. I will highly recommend her” What are the symptoms of a rectocele? with exercises called Kegels. Biofeedback is a specialized form of pelvic floor training that can A majority of patients that suffer from a rectocele be done as an outpatient. have no noticeable symptoms. When symptoms are Susan C., Barnegat, NJ Surgical treatment will only be considered after the “Dr. Paonessa is a very warm, compassionate and caring present, they are classified as either rectal or vaginal. medical alternatives have not been successful. There are doctor. ...By following her instructions, I am no longer in Women who experience rectal symptoms may be three different surgical approaches used to surgically having a difficult time evacuating during bowel pain and consider myself cured.” repair a rectocele: abdominal, rectal, and vaginal. Your movements. Some women actually need to press against the back wall of the vagina or the perineal body surgeon will determine which approach is best for (the area between the vagina and the rectum) to have you. Surgery for rectocele is to remove a bowel movement. There are women that even have to manually remove the stool from the rectum. Those the excess tissue that comprises the rectocele and to strengthen the wall of who experience vaginal symptoms may have a bulge the vagina and rectum. or a fullness in the vagina, protruding of the vagina, and/or discomfort during sexual intercourse. Many Colorectal surgeons are trained to women often have a combination of both rectal and diagnose and treat rectoceles and other vaginal symptoms. forms of PFD. Dr. Paonessa is a fellowship trained colorectal surgeon A symptomatic rectocele may lead to excessive who has been treating women with straining, an urge or need to have multiple bowel rectoceles and PFD for over 12 years. movements, rectal pain, fecal incontinence, and/or Her approach is conservative stool trapping in the rectocele that will seep out of the Colon and Rectal Surgery anus later on during the day. Significant stool trapping management of a woman’s symptoms. Board Certified in General Surgery and Proctology Surgical intervention is reserved only in the rectum leads to an increased urge to defecate, for those women whose symptoms especially when standing. • laparaoscopic surgery • colonoscopy • abdominal/pelvic surgery • anorectal surgery Board-certified in general • fecal incontinence • pelvic floor disorders surgery and proctology and NEW • endoanal/rectal ultrasound • office proctology LOCATI a fellow of the American ON!! • anorectal manometry/physiology College of Osteopathic 2101 Route 34 South, Suite H 1172 Beacon Avenue, Suite B Surgeons, Dr. Paonessa Wall, NJ 07719 Manahawkin, NJ 08050 specializes in colon and rectal surgery. She believes Phone: (732) 282-1500 in patient-centered care Fax: (732) 282-1501 and preserving each Office Hours: M-F 9AM to 5PM patient’s independence, Nina Paonessa, www.paonessacrs.com well being and dignity. DO, FACOS

The County Woman Magazine

www.TheCountyWoman.com

May/June 2016

Medical Professionals Patient Safety Project Reaps Big Rewards On January 29th, 2016, representatives from Acuity Specialty Hospital of New Jersey attended the 97th New Jersey Hospital Association Annual Meeting held at the Hyatt Regency Hotel in Princeton. Acuity was honored to receive the 2016 Excellence in Quality Improvement Award for its work toward reducing patient falls.

According to the Agency for Healthcare Research and Quality [AHRQ], somewhere between 700,000 and 1,000,000 patients in the United States fall in the hospital every year. Research shows that close to one-third of those falls can be prevented. Inpatient falls can cause increased morbidity, mortality, and distress for patients. They also contribute negatively to the cost of healthcare for all consumers. At Acuity, a team of clinicians focused specifically on reducing repeat falls and reducing the likelihood of falls in very high risk patients by changing the way nurses assess patients for fall risk. Additionally, nurses were empowered to order all necessary fall prevention interventions on the spot for each patient based on that patient’s specific needs. High level fall prevention interventions can range from specially designed low beds with soft floor pads, alarms that alert the staff when a patient is trying to exit their bed or chair without assistance, changes in the frequency of patient observation and more depending on the patient’s assessed level of risk. As a result of this project, Acuity Specialty Hospital was able to reduce patient falls with injury by 100%, and all patient falls by 57% over a six month period. These impressive results were made possible by the diligence of the clinical staff in adhering to the new risk assessment process. This project demonstrates the core values of Acuity Specialty Hospital: “Integrity First, Service before Self, and Excellence in All We Do.” Acuity Specialty Hospital of New Jersey is a long term acute care

For Information or Referrals, Call 609-441-8123

hospital located inside AtlantiCare Regional Medical Center in

A Simple Choice for Complex Patients

Atlantic City. Our recently renovated hospital-within-ahospital provides 30 private

•

rooms equipped with state of the

•

art monitoring to the medically

•

complex and critically ill. Patients are seen by physician specialists daily and typically discharged to acute and sub-acute

rehabilitation centers, skilled nursing facilities or their homes.

Jennifer Brown, BSN, RN, Employee of the Year 2015 and Kathy Kerstetter, MSN, RN, ACNP-C, Leader of the Year 2015

Our achievements speak for themselves:

• •

First hospital in New Jersey to achieve ISO 9001:2008 certification, maintained since 2012 New Jersey Hospital Association Excellence in Quality Improvement Award- 2016 American Association for Respiratory Care Center of Excellence 2012-present Current ventilator weaning rate over 80% Wound healing rate over 80%

Our team specializes in the following needs of our patients: • • • • •

Ventilator weaning Complex wounds Infectious diseases Medically or surgically complex care Multi-system organ dysfunction

www.acuityatlanticcity.com

Thomas Haas

“A husband, a grandfather, a friend and a wonderful human being.” Written by Claire Brown BSN, RN On January 16th 2016, Thomas Haas arrived at Acuity from the Presbyterian Medical Center, part of the University of Pennsylvania Health System in Philadelphia. He had been extremely ill at Presbyterian with a multitude of medical conditions including Robyn and Thomas Haas complications following a heart valve replacement. He had experienced many infections including ulcers in his stomach and bowel. Unfortunately, during his prolonged hospitalization, he had developed a wound to his sacral region. By the time he arrived at Acuity, his hope for survival was very poor. The medical team at Presbyterian Medical Center did not expect him to survive so his full recovery at Acuity was incredible. Dr. Adams, Medical Director and Pulmonologist at Acuity said, “Everyone worked so diligently to recover him. Every time he failed the weaning trials, we persevered, reexamined his ventilator mechanics and physiology, made changes, and pressed on. I’m so proud of our hospital. Without it, yet another family would be without a husband, a grandfather, a friend and a wonderful human being. That alone makes all that we do worth every hour.” Thomas explained, “I woke up feeling trapped. About eight days into the stay (with Acuity), I wasn’t as scared. I was able to tell Dr. Adams that the tracheostomy was hurting me. They changed my extra-long tube and eventually it was able to be removed. I had been constantly asking for water after my surgery as well. When I was able to drink water for the first time, it was the best water in the world! My wife was there the whole time. If I needed to be held down, she held me down and when I needed to be comforted, she comforted me.” Robyn his wife said, “I would call every night before I went to bed. Ben, the Charge Nurse, would answer and say “how are you tonight, my friend?” He would talk to me like a friend. I could go to sleep at night and really feel like they were going to take good care of him.” “Dr. Nwotite was very calming. She spoke in terms you could understand and made us feel as though we were important. We know she did everything possible to help. She was easy to talk to and listened to all of my concerns,” continued Robyn. Mrs. Haas, Robyn, said “Even after his wounds were healed, Ronnel, Acuity’s wound care nurse, would stop in. “Hey Chief!” he would say. It meant a lot since Thomas was the former Chief of Police for the City of Millville”. Mr. Haas went to the HealthSouth Acute Rehabilitation Unit in Vineland on March 17th for continued care.

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Medicare Insurance

Why Do Women Need Life Insurance? Single moms

h Kerri & Derick Buckley, Agents

Whether you’re divorced, widowed, or simply a single mom, you’re most likely primarily responsible for your child’s support. If you die prematurely, life insurance can provide ongoing income to cover childcare costs, medical expenses, debts, and future college costs.

Stay-at-home moms

oday, women have more financial responsibilities than ever before. How will your family or loved ones manage financially if you die? Whether you are single, married, employed, or a stay-at-home mom, you probably need life insurance. At the very least, life insurance can help pay for the costs of funeral and burial services, estate administration, outstanding debts, estate taxes, and the uninsured expenses of a final illness.

Who needs life insurance? Working women

Increasingly, families depend on the income of two working parents. If you’re a working mother, your income can have a significant impact on the quality of your family’s lifestyle. Your income helps cover the cost of ordinary living expenses such as food, clothing, and utilities, and it provides savings for your children’s college education, and for your retirement. Life insurance protects your family by providing proceeds that can be used to replace your lost income if you die prematurely.

Single women

Often, women, like men, think that it’s not necessary to buy life insurance because they have no dependents. What’s often overlooked is that life insurance can provide necessary funds to pay off car loans, education loans, debts, a mortgage, taxes, and funeral expenses that might otherwise be the responsibility of family members. Also, the cash value of permanent life insurance may be used to supplement retirement income.

Maintaining a household is a full-time job, and you have many important roles and duties. The cost of the services performed by a stay-at-home mom could be quite significant if someone had to be hired to do them. If you die, your surviving spouse may have to pay for services such as child care, transportation for your children, and housekeeping. Taking over these added responsibilities could cause your spouse to shorten work hours, resulting in a reduction in income. Proceeds from your life insurance can help your spouse pay for services that keep the household running and allow your spouse to keep working.

Family caregiver

Many women find themselves providing care for both children and elderly family members. Caring for an aging parent or family member can include paying for the costs of adult day care, uninsured medical expenses, and extra transportation. Adding these expenses to the costs of maintaining a household, child care, and college tuition can be financially overwhelming. Unfortunately, these added financial responsibilities often continue after your death. Life insurance provides a source of funds that can be used to help pay for these expenses.

Business owner

You may be one of the increasing number of women business owners. If you die while owning your business, life insurance can be used to provide cash for company expenses such as payroll or operating costs while your estate is being settled. Also, life insurance can be a useful tool for business owners structuring buy-sell arrangements or providing benefits to key employees.

For more information, call 732-746-3320 or visit www.buckleynj.com

2060 RT 88 Second Floor • Brick, NJ

www.buckleynj.com • 732-746-3320

Happy National Pet Month!

How To Celebrate National Pet Month In May May is National Pet Month, a time to celebrate the importance of pets and pet ownership. Pets bring a lot of joy into people’s lives. However, like so many of life’s everyday joys, we can easily take pets for granted. Not this month, though! We’re going to learn about National Pet Month and get some good ideas on how to celebrate it.

National Pet Month began over twenty years ago. It started in England, where it is celebrated in April instead of May. Pet Month, in both countries, has five specific goals. Let’s look at these goals: • Promote the Benefits of Pet Ownership • Support Pet Adoption • Promote Responsible Pet Ownership & Care • Increase Public Awareness of Animal Care Professionals • Raise Awareness of the Value of Service Animals Celebrate your four-legged friends throughout the month of May. For many, pets are considered a part of the family!

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Medical Professionals

Get The Skinny On Summer By Vanquishing® Your Tummy

etting the skinny on summer can be quick and easy with Vanquish®. Those tough to treat areas of the hips, belly and love handles can be reduced permanently with a straight forward office treatment. This is a revolutionary non-invasive treatment to reduce and eliminate fat. Vanquish® has recently been on Dr. Oz, The Doctors and The View demonstrating the amazing results which can be achieved without surgery. Vanquish® uses RF energy to specifically eliminate body fat through controlled warming with results that are proven and lasting. Vanquish® is FDA approved for the circumferential reduction of the abdomen. You can safely shape those areas that have been resistant to fat loss on the abdomen and love handles. We have seen our own patients lose one inch to 4.5 inches after four treatments!

and love handles as well as the low back. Additionally, Vanquish® can be combined with other contouring procedures for an even greater benefit. Liposuction is another great alternative to treat additional areas which can compliment Vanquish® treatments. Most areas of liposuction can be done in less than an hour with minimal downtime.

The benefits of Vanquish® • Non-Contact • Painless • No-Downtime • Treat Yourself During the Summer • Treatments take 30 minutes

The Results

After

Before

After

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4 Weekly treatments-Dramatically improved belly contour

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(Photo courtesy of BTL Aesthetics)

Give us a call today and schedule a complimentary consultation to see if you are a good candidate for Vanquish® or Liposuction.

Treatments

Vanquish® eliminates fat without touching your body and it is pain free. Vanquish® treatments feel like a soothing warmth on your belly when you just start to lie in the sun. There is no downtime with treatments and it is not a laser so you can have a treatment even if you have a dark complexion. Treatment time for Vanquish® is about 30 minutes and you can go back to work or the gym right after a treatment! You really could have a treatment over a lunch break.

Before

Xeomin $10/unit

Vanquish $300 off

Disclaimer: Void where prohibited by law. Must be 18 years of age or older. Offer expires June 30, 2016. Non-transferrable and Not redeemable for cash or any other treatment. Individual results may vary. The patient and any other person responsible for payment has the 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 the free, discounted fee, or reduced service, examination or treatment. Vanquish® discount is applicable to series of four treatments; not individual treatments.

732-255-7155

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Vanquish® has been shown in clinical studies to reduce belly fat by 2-4 inches and can tighten the skin. While individual results can vary Vanquish® has proven to be an extremely safe and comfortable procedure while giving lasting results. Vanquish® can be used to treat the belly

Body

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www.oceanplasticsurgerynj.com • 732-255-7155

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Law

PERSONAL INJURY CLAIMS – WHEN YOU NEED A LAWYER

hen bad things, like a serious injury, happen to good people, a lawyer’s services are necessary to ensure that you get the most compensation for your injuries. Why do I need a personal injury attorney?: Experience and expertise. Personal injury attorneys often have: • Trial experience (whereas other types of attorneys may not); • Negotiation experience; • An in-depth understanding of medical diagnoses and processes associated with personal injuries; and • An in-depth understanding of negligence law and other torts. Factors to consider When you begin the process of choosing a personal injury attorney, you will want to understand what makes a good lawyer. One important factor is trial experience. While not all cases go to trial and most settle out of court, you will want to hire an attorney who is a certified trial attorney and is not intimidated by a trial. Know the facts of your case and have as much documentation as possible Before meeting with an attorney for an initial consultation, write down and know as many facts of your case as possible. The attorney may want to see any or all of the following: • Police or incident report • Medical documents, including bills, diagnoses, and test results • Pictures of the location of the incident or accident, damage, injuries or anything from the scene • Written statements from witnesses • Your insurance policy (if applicable)

Size Matters Law offices range in size from sole practitioners to firms with hundreds of lawyers. While large firms may be more attractive, there are undeniable benefits to hiring a smaller firm. Sole Practitioners Sole practitioners can be excellent lawyers and so you may want to consider retaining one if it makes sense, given the nature of your legal problem. Although no two lawyers are the same, potential benefits of hiring a sole practitioner include: • A more direct one-on-one working relationship with your lawyer. Your case is not going to get lost in the shuffle or handed off to another attorney. • Lower fees and costs. It is not unusual for a sole practitioner to charge less than a big firm might charge for doing the same type of work. • A more informal working relationship. You are likely to get to know everyone in your lawyer’s office if he or she is a sole practitioner. This can lead to a better one-on-one working relationship, which may make you feel more comfortable. For a free consultation, please contact Kevin Riordan, Esq., at 732-240-2250.

Kevin B. Riordan

CERTIFIED BY THE SUPREME COURT OF NEW JERSEY AS A CIVIL TRIAL ATTORNEY

Feel comfortable with the attorney You are going to be spending a good amount of time with your lawyer, so you want to make sure they make you feel comfortable, will be available to answer any questions you may have, and will have a positive outlook about your case.

(732) 240-2250 kbrlaw@comcast.net

20 Hadley Avenue, Toms River, NJ 08753 fax: (732-240-3334 • www.kbrlaw.com Independent Counsaltant

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The County Woman Magazine

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Business Spotlight

A Trial Lawyer Who Will Fight

personal injury lawyer is a lawyer who provides legal representation to those who are injured either physically, or psychologically as a result of the negligence or wrongdoing of another person or company. Many of these lawyers tend to be knowledgeable in the area of law known as tort law, which includes civil wrongs and economic or non-economic damages to a person’s property, reputation or rights.

For over 30 years, personal injury attorney Kevin Riordan has handled a wide variety of legal cases. Being involved in an accident or incident that results in personal injuries can be devastating to an individual and their family. The personal injury field allows he and his staff to help innocent victims maneuver through the legal process, which can be complicated and time-consuming. Adds Kevin; “We try to get the most compensation for their pain and suffering, while treating them with compassion, dignity, and respect.” Another benefit to hiring Kevin is that he is a sole practitioner. Sole practitioners of personal injury law offer a number of benefits to potential clients, which include more personal attention and a one-on-one working relationship between the lawyer and the client. They are also more willing to take on smaller cases and often have lower fees and costs. OCW: What is the most rewarding part about your profession? Kevin: As a certified trial attorney, I have the ability and reputation to negotiate a settlement to properly compensate my clients for their injuries. I enjoy fighting for my clients to get the best result, even if it means taking a case all the way through the trial process.

OCW: What sets your practice apart from others like it? Kevin: I have worked in large, medium and small firms during my 30 years in practice. While they all have their advantages and disadvantages, I appreciate being able to make my own decisions and to treat each client individually, rather than as number or a quota to meet. We thoroughly investigate and prepare each case as if it is going to trial. However, my practice is run very efficiently for quick results, but without rushing to settlement. This ensures the best possible end result. OCW: Are there any memorable cases that stick out in your mind?

Kevin: Unfortunately, we remember the most traumatic cases that involve horrific injuries or a fatality. However, each case is unique and even the accidents or incidents that may seem insignificant can turn one’s life upside down. Making a personal injury claim can be difficult and time consuming. We work hard and deal with the courts, witnesses, doctors, and insurance companies, to allow one to focus on recovering from injuries.

VISIT www.kbrlaw.com With over 30 years of trying cases in New Jersey, you can rest assured that if you hire Kevin Riordan, he will not settle for less than the fair amount. Unfortunately, bad things happen in life to very good people. A lawyer’s services are necessary to ensure you get the most compensation for your injuries. Kevin attended Kalamazzo College and received his law degree from New York Law School. He is a member of the Ocean and American Bar Associations.

OCW: What is the most challenging part? Kevin: The most challenging part is when a client has a permanent injury that will not allow them to be whole again. While we can help with the process, we cannot turn back the clock to return them to their previous state. OCW: What are the most common issues you see in your profession?

Kevin: If you are not represented by an attorney, insurance companies will try to make you settle for a lower amount, as they want to cut their losses. The most common issues in personal injury matters are proving fault, complexity of injuries, and arriving at a fair dollar figure. That will all depend on the type of accident and the extent of injuries. The County Woman Magazine

20 Hadley Ave. • Toms River, NJ 08753 732-240-2250 •kbrlaw@comcast.net

www.TheCountyWoman.com

May/June 2016

Sub-Acute Center

AristaCare Helps Fight the Biggest Disease

Amongst Seniors in Ocean County… Loneliness We often hear about families who struggle with a loved one diagnosed with Alzheimer’s or seniors who suffer from heart disease, but we don’t often hear about loneliness. Loneliness is a disease and it is an epidemic amongst seniors. Studies show that 18% of seniors live alone and 43% percent feel lonely. In Ocean County these percentages are much higher due to the amount of seniors living here without family. The reality is, loneliness is prevalent amongst seniors and can impact your health. Seniors who feel isolated have a 59% chance of suffering from a mental or physical decline compared to those who are more social and active. Unfortunately studies have also shown that loneliness can be cyclical, the lonelier you feel the more you isolate yourself and shy away from others. You might be wondering how does AristaCare, a Sub-acute rehab and Long Term facility Care facility address this epidemic of loneliness and provide a social outlet for the community at large? To help fight this disease, AristaCare has created extensive networking opportunities of varied interests where seniors are able to come and meet new people. This has made a profound impact on local seniors. The impact AristaCare has made was crystallized by a comment made at recent luncheon held at the facility. A gentleman stood up and thanked AristaCare for all that we did for the local community stating “The number one disease amongst the elderly is loneliness and AristaCare provides opportunities for seniors to get out, meet other seniors and become a part of a community as well as feel cared for.” Through our events, people really have created real and meaningful friendship with their peers, even romantic relationships! Who says just because you’re over

Join us for live music, food, and fun at AristaCare at Manchester!!

Thursday June 23rd 6-7:30 WHO ARE YOU GUYS Thursday July 28th 6-7:30 Thursday August 25th 6-7:30 Thursday September 22nd 6-7:30

65 the romantic spark dies?

The AristaFamily as we often refer to our friends in the community, also creates a very important side benefit. Going to any healthcare facility is usually unexpected and can be a very scary experience that could make one feel helpless. When someone from our extended community ends up as a patient the feeling they have expressed time and again is “I feel like a king/queen, I know people in high places”. The idea that they are surrounded by people they know and trust rather than being alone, provides them with a sense of security. Seven years ago, our vision was to make AristaCare much more than just a local rehab facility. Today in the Manchester and Whiting area, AristaCare is the Sub- Acute rehab facility of Choice. The name AristaCare has become synonymous with high quality care provided by expertly trained and caring staff, it has also become synonymous with kindness and genuine friendship. It is the Sub-Acute Rehab facility trusted by many to care for their loved one, friend, neighbor, or even themselves. It is the place that everyone knows someone in high places. We welcome you to join us at our upcoming events. The summer is a great time to get out and enjoy the nice weather and meet new friends! To be placed on our mailing list please contact our receptionist at 732.849.4300.

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Health

&Wellness

“Why Can’t You Just Listen?” Sharon Moleski, LPC, LCADC, CCMHC

The Brain Sharpening program at Brain Health Center employs neurofeedback technology that has been used by the military, professional athletes, NASA, and corporations to enhance attention and success.

Special Summer Programs –

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College and High School Students – • Improve your grades, ease your learning

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 When your third grader comes home from school, forgetting his assignment, you might ask “Why can’t you just listen?”  When your teenage daughter goes off like a fire-cracker when you tell her to clean her room, you might ask, “Why can’t you just listen?”  When your partner can’t discuss family finances without becoming angry and defensive, you might ask, “Why can’t you just listen?”  When you are anxious and depressed, and ignore positive messages from you and everyone else, you might ask yourself, “Why can’t you just listen?”

Children with ADHD –

• Learn new strategies and reduce or eliminate the need for medication

Act NOW, openings are limited. At Brain Health Center, neuroscience is integrated with compassionate and solution-focused counseling to assist families, couples or individual adults, teens, and children to address challenges that interfere with effective and joyful living.

While there may be many reasons why people can’t listen, one common reason is a faulty attention system. Our brains are built to tune in to those things that are important and to attend less to messages that are less important. We are constantly assessing information that comes into our brain, is this something to attend to, is it something to remember, is it something to act on? When our brain is working properly we can focus on what we need to and all the rest becomes background noise, overshadowed by the focus of attention. But….when the attention system is “on the fritz”, either because of attention deficit disorder or overload…we lose focus. If a person is too stressed, too busy, to hooked in to electronics, too sad, or too tired- the attention system becomes overloaded and fails. If you listen to the radio when you drive, you have had the annoying experience of being engrossed in a song or talk-show, just as you begin to move out of range for the station’s signal…and without touching the dial you are listening to something else! That is very much like the answer to your questions, “Why can’t you listen?” It isn’t that your child, teen, or partner isn’t listening…it is that the tuner in their brain can’t keep your signal focused as other signals move in. At Brain Health Center, we work with clients of all ages to help them sharpen their attention systems in order to rid themselves of the static that blocks their joy, impedes their academic, professional or athletic success, or stands in the way of satisfying relationships. Call us for more information at 732-404-9111.

Call: 848-404-9111

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One entry per person. Entries will be accepted through June 30, 2016. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be included. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

Name: _________________________________________________________ Address: _______________________________________________________ City: _________________________ State: _________ Zip: _______________ Phone: ____________________ Email: _______________________________ Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012

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The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Reverse Mortgage Lending

TOP

Revers Mortgag

MYTHS MYTH 1 A Reverse Mortgage will cause me to lose my home.

FALSE

MYTH 2

FALSE

MYTH 3

FALSE

A reverse mortgage is a lien; you still own your home. You will have to continue to pay your property taxes and insurance on the home.

The income I receive from my Reverse Mortgage will aﬀect my Social Security and other benets. This is a wonderful benet of a Reverse Mortgage. It is a loan, and therefore is not considered taxable income. It will not lower important Social Security and Medicare benets.

My children will be responsible for the repayment of the Reverse Mortgage loan. If a borrower or their estate wants to retain ownership of the property, the balance of the loan must be paid oﬀ. However, the owner can sell the home, and any equity in the home at the time of sale will go to the estate, not the bank.

MYTH 4 If I get a Reverse Mortgage, the bank will own my home.

FALSE

You will always retain ownership of your home. You can sell your home at any time, and your home will not be foreclosed on as long as you can continue to live in your home and maintain your property taxes and insurance.

Call me today and let’s see if a Reverse Mortgage is right for you! Barbara Sica

Director of Reverse Lending Mortgage Loan Originator NMLS # 404007 Oﬃce: 732-738-7100 Ext.466 Cell: 732-569-4830 bsica@homebridge.com www.HomeBridge.com/BarbaraSica HomeBridge Financial Services, Inc. Corporate NMLS ID #6521 (www.nmlsconsumeraccess.org). 194 Wood Ave South, 9th Floor, Iselin, NJ 08830. New Jersey Residential Mortgage Lender License 9200151. Licensed Mortgage Banker (B500691) - New York State Department of Financial Services. Licensed by Pennsylvania Department of Banking 20394.

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Health

Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com

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.

De-Stress and Relax -

Everyone feels stressed at times; but if this becomes a frequent pattern, it can siphon the joy right out of your life. As a society, we’re gravitating toward natural, integrative approaches as a way to improve well-being. “I don’t want to have to take drugs to deal with stress,” is a comment often heard by hypnosis practitioners. It’s not surprising, then, that more people than ever are using hypnosis / coaching as a way to manage stress, and improve their ability to relax the mind and body. The tools and techniques acquired in several sessions can be used for a lifetime – leading to a greater sense of optimism, the ability to handle challenges, improved health, and better immune system functioning. It’s not unusual for an uptight person say, “I’m a Type A personality,” as though that’s set in stone – and they are doomed to live out their lives as stressed-out messes. The truth is, there are a lot of factors that determine how we respond to stress – and, fortunately, we can change and become more adept at handling challenging people and situations, and calming down.

If you identify with one or several of the following, you would likely benefit from this approach: • Often feeling jumpy, tense, irritable, angry, super-sensitive

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

Wellness

A Safer, Smarter, Natural Way to

Hypnosis for Women Professional Hypnosis & Coaching

• Constantly worrying about all the “what-ifs” • Expecting terrible things to happen • Feeling overwhelmed, pulled in a million directions • Feeling foggy, lacking clarity • Having trouble making decisions or solving problems • Difficulty sleeping • Dealing with muscle tension, jaw clenching • Engaging in unhealthy coping habits, like overeating, junk food eating, excessive drinking, nail biting, etc. There are some people who normally tend to manage stress fairly well, but have a particular issue that may be causing undue stress – like upcoming presentations, performance blocks, testing fears, concerns about flying, driving discomfort, concerns about medical / dental procedures or health conditions, etc. Whether stress is more global in nature or related to a specific challenge, this approach helps. More than just training the mind and body to relax deeply, this approach allows you to identify the problems causing stress and deal with them effectively. Most practitioners provide CDs for reinforcement, and training in self-hypnosis, which is extremely empowering.

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 feel anything that runs counter to who you are and what you want.

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When deep relaxation is used to induce a hypnotic state (which is actually a state of focused concentration), there are many physical benefits, including . . . • Muscle relaxation • Lowered blood pressure and pulse rate • A slowing of brain wave activity (as with meditation) • Subtle changes in breathing After several sessions – and with practice – the vast majority of clients enjoy . . . • Greater feelings of well-being • Improved sleep quality • Improved clarity and problemsolving abilities • Higher productivity • Better ability to focus, concentrate, recall • Improved physical comfort • Emotional calm If you would like personalized assistance to help you move forward, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being. Note that these services are not intended to be a substitute for licensed medical or mental health care.

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

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

May/June 2016

Health

&Wellness

Are You Ready For Food Rehab?

ost of us know we need to make some lifestyle changes in order to experience better health and vitality. The trouble is HOW do we make those changes? Somewhere along the way we have stopped eating real food. We can’t figure out what is real and what is processed. Everyone is confused and hearing so many mixed messages. No wonder we have lost our way. My best advice to you is DO NOT get your nutrition advice from the media. Rethink everything you’ve ever heard about what healthy eating really is and keep an open mind. We eat very poorly in this country and we need to get back to basics. We are overweight yet undernourished. Our bodies have nutritional needs that can only be met by eating real whole foods. You cannot possibly get what you need from these food-like products that are stripped of their vitamins, minerals, enzymes and fiber. We are literally starving for nutrients. And what we are left with, after years of poor eating, are a whole lot of ailments. We are overweight, sick, weak, tired, have autoimmune diseases, anxiety, depression, fibromyalgia, colitis, IBS, autism, ADD, ADHD, Asperger’s, migraines, and blood sugar imbalances that lead to heart attacks, strokes, diabetes, high cholesterol. You name it—we’ve got it. We are needlessly suffering. The answers are right under our noses. We don’t have a Prozac deficiency—we have a global nutrient deficiency. The good news is you can practice nutrition therapy all on your own! You have the ability to heal yourself with natural substances that your body actually recognizes and is craving instead of relying solely on medications and surgeries. It’s time for us to become more proactive about our health and our bodies and get our lives back. There is not one specific diet for all of us. Everyone is different and we have different physical, environmental and nutritional issues and needs. I will figure out those needs for you and specifically tailor a meal plan based on your individual needs. How can we correct the problem if we don’t figure out what the problem is? We will work on digestion, detoxification, improving immune function, and determining what nutritional deficiencies you may have. We will determine if you suffer from food intolerance that may cause inflammation in your body, causing autoimmune disease and inflammation in the brain. Certain proteins can turn into opiate compounds which can leak into your bloodstream through a leaky gut and cross the blood-brain barrier. If you are an overeater, for example, you may literally be addicted to certain foods because of this, just like a drug or alcohol addiction. It is time for food rehabilitation. Stop blaming yourself. It will take patience and persistence as we incorporate new foods into your lifestyle until you finally reach your optimal level of wellness.

Are you ready to make a change in your life or help your children make changes in theirs? Are you ready for a Food Rehab? Community

Karen Cooney is a Nutrition Therapist and Psychological Counselor. She is a Board Certified Health Practitioner and a member of the American Association of Photo by Drugless Practitioners. Studio 539 She has a Bachelor’s degree in Nutrition/Dietetics and a Master’s degree in Psychological Counseling. Check out her website, www.KarenCooney.com, to find out more or call 609-548-9029.

-Holistic Health Counseling A Balanced Approach

What is making you sick, tired and overweight? Have you tried doctors and medications without any relief?

DID YOU KNOW

70 -80 % of immune system is located in your gut and 50% of your serotonin is found in your gut.

Possible Food Sensitivities/Alzheimer’s/Autism Spectrum Disorders/Autoimmune Disorders/Cancer/Extreme Fatigue/ Gastrointestinal Disorders/Gluten Issues/Weight Gain/Chronic Congestion/Ear Infections/Yeast Infections/Depression Having a healthy gut is central to your health. It is connected to everything that happens in your body. • We will test for hidden food sensitivities, heavy metal toxicity • Cleanse/Detoxification • Provide individualized nutrition plans made specifically for you • Promote tissue healing in the gut • Provide nutrition supplementation

Karen Cooney, MA, CHHC - Nutrition Therapist The Commons at Royce Run, 1064 S Main Street Manahawkin, NJ 08050 • Building 1 - 2nd Floor

609-548-9029 www.KarenCooney.com

“Let food be thy medicine and thy medicine be thy food” Hippocrates

Spring Lake Historical Society: 37th Annual House Tour Spring Lake is primarily a unique year-round community that welcomes a large influx of summer vacationers. The town boasts a quaint downtown area and a variety of charming historic Victorian homes, lovely bed and breakfast inns and a comfortable two-mile non-commercial boardwalk that borders a beautiful sand beach. On Thursday, June 2, 2016 from 10:00 a.m. to 3:00 p.m., the Spring Lake Historical Society will hold its 37th annual House Tour. The tour will feature six wonderful homes. In addition, the historic Villa Park House, St. Andrew’s United Methodist Church and Larimar Restaurant will also be featured. The Historical Society’s Museum will be open for viewing with its Main Gallery, which contains the permanent collection, as well as the Changing Gallery with its Hidden Treasures, Spring Lake Police, Firefighters and First Aid Exhibit, and a new Exhibit saluting the Mayors of Spring Lake. Tickets are $35.00 and are available for purchase prior to the tour at the following shops in downtown Spring Lake: Kate & Company, 1100 Third Avenue, Camel's Eye, 1223 Third Avenue and J. Mclaughlin at 1306 Third Avenue. Tickets will also be available on the day of the tour at the Spring Lake Train Station, Warren Avenue, where coffee will be served from 10:00 to 11:30 a.m. We look forward to seeing you at the House Tour. It is suggested that you start your day early so you have time to see everything.

The County Woman Magazine www.TheCountyWoman.com

For further information about the tour, call Dorothy Lau at 732-974-1476 or e-mail djlau34@aol.com or info@springlakehistoricalsociety.org.

May/June 2016

Law

You’ve Been Hurt at Work. Do You Need an Attorney? My law practice is devoted to workers who have been injured on the job. Knowing that, I bet it would surprise you to learn that not all workplace injuries require the assistance of an attorney. You’re Thinking: What? An Attorney Turning Away Business? 1Truth. If the injury is minor, it’s probably not worth it to file a claim. What do I mean by minor? A small cut, bruise or sprain that heals itself within a short period of time without any lasting marks or physical limitations is not really a viable claim. You see, NJ Workers’ Comp laws pretty much require you to show a lasting physical problem in order to obtain compensation. But What if the Injury is Serious? If you herniated a disc in your neck or back, broke a bone, ruptured ligaments in your knee, or tore your rotator cuff, you are likely to experience long-lasting physical problems. You are entitled to permanency benefits most insurance companies will not tell you about even if they pay for all of your medical treatment and wage replacement. Calculating permanency benefits can be a complicated negotiation that addresses the injury, doctors’ opinions, pre-existing conditions, and occupation. In that scenario, hiring an attorney experienced in workers’ compensation matters is a smart thing to do. How Can a Lawyer Help? I help my clients with all sorts of things you cannot anticipate after a work injury. Sometimes the workers’

compensation insurance carrier terminates treatment prematurely as a cost-savings measure, often at the expense of the injured worker’s health. I file motions to correct that. Sometimes a second medical opinion is necessary or bills aren’t being paid. I make sure that my clients are protected medically and financially. Sometimes the entire claim is denied, often leaving the injured worker with no assistance whatsoever. Fortunately, we get these cases back on track. When Should You Contact a Lawyer? Consulting with me sooner rather than later can help you avoid many of the pitfalls and insurance company double-talk you might encounter dealing with your claim. After all, this is probably all new to you. But remember! The people you are dealing with, like claims adjusters, personnel departments, etc., will certainly be more knowledgeable about workers’ comp and you may be at a disadvantage due to your lack of information. Placing your case in the hands of an experienced attorney should help you feel more secure in the knowledge that you are receiving your maximum benefits and allow you to concentrate on getting better. Consulting me early on also allows me greater opportunity to gather necessary documentation to keep your medical treatment and wage replacement from being unnecessarily delayed.

How Does a Lawyer Get Paid? No worries! There is never a fee for a consultation and our fees are set by an experienced judge of workers’ compensation only if we win your case. If you need guidance, call 732-228-7534 today for a free consultation.

Call 732-228-7534 Today! Your consultation is free! 225 Washington St. The Cottage, Toms River, NJ 08753 Kathleen M. Dotoli, Esq. was raised in Westwood but spent weekends and summers at her family’s shore house in Ocean Beach. Eventually, she made the move to Ocean County to live full time. She says:

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May/June 2016

Medical Professionals

Laser Vaginal Revitalization with the MonaLisa Touch® According to the North American Menopause Society, as many as 45 percent of post-menopausal women suffer from vaginal atrophy, which causes symptoms that severely detract from their quality of life and intimate relationships. For over 30 years, Dr. Sutherland has worked with CO2 lasers in many gynecological treatments and is the first doctor in Monmouth and Ocean Counties that is trained in the MonaLisa Touch® application, a minimally-invasive treatment for woman that treats problem vaginal symptoms such as dryness, itching, irritation, burning and painful intercourse. How Does MonaLisa Touch ®Procedure Work? The MonaLisa Touch® is a minimally invasive procedure that uses C02 fractional laser technology to reverse vaginal atrophy and laxity, often caused by hormonal changes in pre- and post-menopausal women. The laser is inserted into the vagina and laser pulses stimulate new collagen production in the vaginal wall. Laser vaginal revitalization naturally increases blood flow and lubrication to help improve the natural function of the vagina. What Can You Expect During The Procedure? MonaLisa Touch® vaginal revitalization is an outpatient procedure that lasts less than 30 minutes. Three sessions are recommended to achieve the best results. Laser vaginal revitalization is not painful, but an anesthetic cooling cream can be applied before the treatment to reduce discomfort. Patients should refrain from sexual activity for two days following the procedure, but can otherwise resume their normal routine. MonaLisa Touch® received FDA approval in late 2014 and launched in March 2015. The procedure, which is typically three treatments spaced six weeks apart, has been met with excellent results in Europe, Australia, and South America, where MonaLisa Touch® has been performed on thousands of patients.

“It’s OK to talk about it.” Call today for an appointment or for more information!

VISIT www.monalisatouchnorthdover.com

One simple treatment lasting only a few minutes, without pain, side effects or recovery time, can give that tissue the time and elasticity it once had, with positive effects on one’s quality of life and personal relationships.

Recipe

Crab Quiche-Serves 6

MonaLisa® North Dover • Dr. Sutherland 222 Oak Ave., Toms River, NJ 08753

732-914-1919

Spring Time Brunch Entree Compliments of Chef Steph

Prepared pastry for 1 pie crust 4 eggs 2 cups heavy cream 1/8 tsp ground nutmeg 1 cup swiss cheese, shredded 3 T butter 2 T green onion, minced 12 oz crabmeat, well drained 2 T dry vermouth 1/8 tsp cayenne

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732-914-1919

Preheat oven to 425°. Prepare and place pastry in pie plate. Chill well. With a wire whisk beat the eggs, cream, and nutmeg. Stir in cheese and set aside. In sausepan, melt the butter. Add the green onions and cook until tender. Stir the onions and remaining ingredients into the egg mixture and pour into the prepared crust. Bake for 15 minutes. Reduce temperature to 325° and bake an additional 35 minutes or until knife inserted in the center of the quiche comes out clean. Serve the quiche with salad or toasted English muffins. For dessert, enjoy fresh fruit topped with whipped cream. Recipe by: Cutting Board Creations

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May/June 2016

Professional Dentistry

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May/June 2016

Health & Wellness

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

- Brianna H.

chieve that beach body fast this summer with a Thermasculpting treatment or Body Wrap session at The Body Wrap Shoppe & Spa, where not only will you lose inches from your waist, but come out feeling rejuvenated. INTRODUCTORY OFFERS Slim Wrap

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The County Woman Magazine

Thermasculpt A new and revolutionary tool that uses unique cavitation technology for the removal of stubborn fat without surgery! Eliminate saddlebags, love handles, loose skin, scarring, and stretchmarks. Body Wraps Body Wraps are an advanced treatment that use minerals and compression to draw out toxins, tighten skin, reduce cellulite, and lose inches. Guaranteed 6-20-inch loss throughout the body The Double Whammy Ideal for those looking to target the midsection. The Slim Wrap For those stubborn area in your legs, hips and thighs! The Super Slim Down Immediate results especially in the lower body! We invite you to reserve a consultation with a Body Wrap Shoppe and Spa expert to discover your needs and customize the ideal program for you!

Visit www.TheBodyWrapShoppe.com

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732-323-3000 277 Route 70, Suite 201 Toms River, NJ 08755 www.TheBodyWrapShoppe.com

May/Junel 2016

Medical Professionals

May is Better Hearing Month May is Better Hearing Month! Help raise awareness about hearing loss prevention by scheduling a hearing evaluation and reviewing the common signs of hearing loss listed below as recommended by Ocean Otolaryngology Physicians.

Hearing loss is a common health concern for people of all ages. It can adversely impact speech and language development, communication, and learning in children. In adults untreated hearing loss can negatively impact social, academic and vocational success and has also been linked to social isolation, depression, and reduced quality of life.

Common signs of hearing loss in children: • Lack of attention to sound (birth to one year)

• Does not respond when his/her name is called (seven months to one year) • Failure to follow simple directions (one to two years) • Delays in speech/language development (birth to three years) • Pulling/scratching at his/her ears • Difficulty achieving academically, especially in reading and math • Social isolation and feeling unhappy in school • Persistent ear discomfort after exposure to loud noise

Common signs of hearing loss in adults: • Buzzing or ringing in the ears • Failure to respond appropriately to spoken words • Muffled hearing • Constant frustration hearing speech and other sounds • Avoiding conversation • Social isolation • Depression

Most Hearing Loss and Other Communication Disorders Are Treatable According to the NIDCD (National Institute

on Deafness & Communication Disorders), most communication disorders are treatable, but are often overlooked. And the longer hearing loss or related conditions are overlooked, the harder they can be to treat or manage. Early detection and early intervention of hearing loss or speech and language disorders contributes to shorter treatment periods, reduced costs, and a better quality of life.

RESEARCH SHOWS Many Causes, Early Symptoms

Everything from genes and noise exposure to medications, head injuries and infections can play a role in hearing loss.

Not hearing well isn’t just frustrating; it can bring surprising health risks. Here’s what you need to know.

Hearing loss is frustrating for those who have it and for their loved ones. But recent research from Johns Hopkins reveals that it also is linked with walking problems, falls and even dementia. In a study that tracked 639 adults for nearly 12 years, Johns Hopkins expert Frank Lin, M.D., Ph.D., and his colleagues found that mild hearing loss doubled dementia risk. Moderate loss tripled risk, and people with a severe hearing impairment were five times more likely to develop dementia.

The Links Between Hearing and Health “Brain scans show us that hearing loss may contribute to a faster rate of atrophy in the brain,” Lin says. “Hearing loss also contributes to social isolation. You may not want to be with people as much, and when you are, you may not engage in conversation as much. These factors may contribute to dementia.” As you walk, your ears pick up subtle cues that help with balance. Hearing loss mutes these important signals, Lin notes. “It also makes your brain work harder just to process sound. This subconscious multitasking may interfere with some of the mental processing needed to walk safely.”

Noise Exposure and Hearing Loss Risk!

Thirty-six million Americans have hearing loss. One in three developed their hearing loss as a result of exposure to noise. This May is “National Better Hearing Month” and Ocean Otolaryngology Associates are encouraging everyone to protect their hearing by wearing hearing protection when around loud sounds and by turning down the volume when listening to the radio, the TV, and MP3 player. Noise-induced hearing loss is caused by damage to the hair cells that are found in our inner ear. Hair cells are small sensory cells that convert the sounds we hear (sound energy) into electrical signals that travel to the brain. Once damaged our hair cells cannot grow back, causing permanent hearing loss.

If you would like more information or you would like to schedule an appointment to see one of our specialists, please call us at 732-281-0100. VISIT www.OceanENTFacialPlastics.com

Bruce W. Peters, DO, FACS

Christina Gillespie, MD

Stephen Kupferberg, MD, FACS

Ocean Otolaryngology Associates, P.A. 54 Bey Lea Rd., Suite 3 Toms River, NJ 61 Lacey Rd., Whiting, NJ

732-281-0100 www.OceanENTFacialPlastics.com

The County Woman Magazine

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May/June 2016

Permanent Hair Removal

STOP TWEEZING AND WAXING!! YES, YOU!!

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

FAQ about Electrolysis

Q. What is Electrolysis?

Electrolysis is the only method approved by the FDA for permanent removal of unwanted hair.

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

could take several visits before each hair is treated for the first time due to the shedding cycle. Every time we do a treatment, hair has been permanently removed. Keep in mind there are approximately 350+ hair follicles per square centimeter of skin!

Q. Can hair be removed from any part of the body?

Almost. These are the most commonly treated areas for woman, men and teenagers:

! CHIN ! UPPER LIP ! EYEBROWS ! HAIRLINE ! EARS ! CHEEKS ! ABDOMEN ! BREAST ! BIKINI LINE

! SHOULDER ! BACK ! LEGS ! CHEST ! UNDERARMS ! TOES ! HANDS ! BEARD ! NECK

Does it hurt? Q. How long does it take to get rid of the hair? Q. It is impossible to destroy the hair growth The frequency of visits, the length of time needed for each visit, and the overall amount of time it will take to successfully clear an area is different for each client. There are many factors to take into consideration: the amount of hair the client wants removed, if they have used temporary methods of hair removal, hormone function, medications, etc. After a complete consultation and health background evaluation, a recommended schedule of treatment can be determined to achieve the best results.

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

For more information, call 732-477-9040.

Q. After one treatment is the hair gone forever? Your hair grows in cycles. We shed our hair on a regular basis and grow new. After each treatment a good percentage of the hairs treated will be permanently removed; there will be a percentage that come back finer due to damage caused by the treatment; and then some will come back as new growth and regrowth. This is the normal pattern. It

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

522 Brick Blvd. Brick, NJ 08723

732.477.9040 bhairfree.com

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

I am proud and excited to say I just celebrated my 21st year as an Electrologist in March 2016. I love what I do. I am Lorraine Fetherman, L.E., C.P.E. Debbie Matusas, L.E., C.P.E. one of the lucky people who look forward to going to work. I get better about themselves, feel more confident and less inhibited. I am passionate about what I do and the people I help. I am always looking to learn more. I attend several lectures, workshops and seminars every year in the U.S., keeping up with the constant changes in the health and beauty world.

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

One of my two associates, she has been an Electrologist for over 18 years. She is a great asset to our practice and her clients love her. I hear wonderful feedback all the time. She is very accommodating to our clients’ needs, offering her services days, nights and weekends at our Brick location. Debbie also continues her education attending workshops, seminars and lectures every year.

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

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May/June 2016

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Medical Professionals

Preimplantation Genetic Testing and In-Vitro Fertilization

ith the ever-increasing awareness and use of in-vitro fertilization (IVF) to achieve pregnancy, women may be surprised to learn that their embryos can be tested to check for problems that may affect their likelihood of a successful pregnancy and the future health of their offspring. Preimplantation genetic testing (PGT) can be performed on high quality embryos, and this technology can improve the selection of a genetically normal embryo that in turn has the possibility of reducing future genetic disease.

What is preimplantation genetic testing?

Preimplantation genetic testing (PGT) is a laboratory technique where a few cells of an embryo are removed and tested, providing genetic information that is used to select the best embryo/embryos suitable for transfer. Patients undergo an IVF cycle, and embryos are then tested either for their chromosome number or for a specific genetic mutation.

What tests are done with preimplantation genetic testing? Embryos undergo genetic testing to check for either a specific disease, or are screened to look at the number of chromosomes present. The results tell whether an embryo carries a specific genetic mutation, or if it has a normal

number of chromosomes. There are two techniques that correspond to each testing condition. This includes preimplantation genetic diagnosis (PGD) and preimplantation genetic screening (PGS).

What is preimplantation genetic diagnosis (PGD)?

For women with hereditary or familial cancers, one way to avoid the risk of potentially transmitting genetic mutations is to perform preimplantation genetic diagnosis. PGD involves testing for specific genetic mutations, such as the BRCA breast cancer gene, cystic fibrosis, and other single gene disorders. PGD can dramatically decrease the chances of disease in patients undergoing IVF.

What is preimplantation genetic screening (PGS)?

PGS involves testing an embryo for chromosome abnormalities and chromosome number. This testing becomes more important in older women or in those with advanced ovarian aging following fertility testing. It does not test for specific genetic mutations or diseases as with PGD. Since many women and men will have eggs and sperm that are not chromosomal normal, use of PGS can help increase the pregnancy success following IVF and embryo transfer.

Should I have preimplantation genetic testing done?

We welcome you to schedule an appointment in our office to speak with one of our physicians about whether preimplantation genetic testing is right for you. At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation, and present you with individualized options for conception all in a comfortable, caring setting. We are a full service fertility center experienced in all the latest technologies and look forward to help you achieve success.

What is the success rate for preimplantation genetic testing?

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

Although both PGD and PGS utilize the latest cuttingedge laboratory technologies and are helpful in selecting the

Visit www.FertilityNJ.com

Helping Small Miracles Happen • Comprehensive Fertility Care

• Egg Freezing

• InVitro Fertilization (IVF)

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Pets

best embryos for transfer into the uterus, the success and pregnancy rates are affected by many factors. This includes the age of the patients, presence of good ovarian reserve and creation of fairly large numbers of high quality embryos for testing. Your individual success rate should be discussed with your physician, and a tailored treatment plan will be constructed to give you the highest chance of pregnancy and delivery of a healthy child.

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The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Medical Professionals

Healing hearts throughout southeastern New Jersey If heart disease is a concern in your family, AtlantiCare is an excellent place to receive the specialized care you need. Our patients appreciate the exceptional personalized care they receive from our dedicated and skilled healthcare providers, such as Nurse Practitioner Rochelle Sateri, RN, MSN, APN-C. Rochelle has been personally affected by heart disease in her family, so she has a strong sense of compassion for patients with heart disease and the loved ones involved in their care. In fact, her mother’s long battle with coronary artery disease was one of the reasons Rochelle chose to pursue a career in cardiology. “My mother had suffered heart attacks in her life before she passed, and she was extremely proud of her daughter becoming a nurse practitioner. Mom was always clipping articles about medicine and remedies to share with me. She bought me books on medicine and nursing and supported me in my journey and endeavors in life,” recalls Rochelle, who’s been in practice for more than 10 years. One of Rochelle’s other inspirations was her preceptor and mentor, Tomé Nascimento, M.D. She met Dr. Nascimento while attending Stockton University as an adult nurse practitioner student. “It was Dr. Nascimento who saw my potential and offered me a position in my dream field, cardiology. I am still learning from him and the other extremely talented and gifted cardiologists at APG Cardiology. It’s a privilege to work alongside such a committed and caring team of medical professionals,” Rochelle says.

About Cardiology Services at AtlantiCare Whether you’re seeking an expert diagnosis, a second opinion, or a specialist to see for follow-up heart care, our cardiology providers are highly experienced in the evaluation, treatment and management of diseases that affect the heart, heart valves and blood vessels. The AtlantiCare Heart Institute is located at AtlantiCare Regional Medical Center’s (ARMC) Mainland Campus in Pomona. APG Cardiology has many convenient locations to serve you: Cape May Court House, Egg Harbor Township, Galloway, Hammonton, Linwood, Manahawkin and Ventnor City. APG Cardiology accepts most major insurance plans, and new patients are welcome.

Call 1-888-569-1000 to make an appointment or learn more about our cardiology services.

The Heart Institute at ARMC Receives Top Healthgrades® Honors AtlantiCare Regional Medical Center is the only hospital in South Jersey* to achieve the Cardiac Surgery Excellence Award™ and five stars for heart attack treatment from Healthgrades. These high ratings are just two of the 16 quality designations we received for heart care from Healthgrades. These honors represent the work we do — and the thousands of hearts we’ve healed — as the only full-service cardiac program in the region. We do it all, from diagnostic and interventional cardiac catheterizations to cardiac surgery. And whether we’re using minimally invasive methods to replace a heart valve or resolve an irregular heartbeat, we put all of our heart into everything we do. More information: www.atlanticare.org/heart or www.atlanticare.org/healthgrades *South Jersey is comprised of Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, and Salem counties.

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Health

&Wellness

Prepare Yourself For Summer With Ideal Protein!

Christine Gigliuto, MD, Angela Adelizzi, DO, & Deborah Camiscoli, MD

s primary care physicians, we have seen a rapid progression of obesity and its associated issues. We stress the importance of preventive care in order to decrease the health risks that can occur with time and undiagnosed medical conditions.

Muscle is the engine that burns calories. If you lose muscle, you burn fewer calories and store more fat! The solution is to restrict your daily consumption of simple and complex sugars and fats, but consume high biological protein at the same time to prevent muscle loss. This is what our protocol provides. Our Ideal Weight Loss Protocol is a weight loss system medically supervised by Drs. Adelizzi, Gigliuto and Camiscoli, to change your lifestyle.The program uses fresh vegetables, lean protein and the meal replacements. The average weight loss is two to four pounds per week. The program guides its members how to shop, prepare healthy meal plans, and importantly, how to keep the weight off. The health benefits of even losing 10% of your body weight are remarkable. It is not just a diet, it’s a life style change! Coastal Healthcare is committed to its patients by providing quality healthcare for the entire family in a friendly, safe and convenient environment. Visit our website, wwww.coastalhealthcareNJ.com or to schedule an appointment, call 732-349-4994.

Schedule a FREE consultation with Coach Kristin at 732-349-4994 ext. 5.

Ideal Body Revolution Center A Weight Loss Management Center

Coastal Healthcare Internal Medicine

1314 Hooper Ave., Bldg B 2B Toms River. NJ 08753 Angela Adelizzi, DO Deborah Camiscoli, MD Christine Gigliuto, MD 732-349-4994 #5 Coach Kristen Email: kacosta@coastalhealthcareNJ.com

Health & Wellness

Why Schedule A Regular Massage? In our hectic, overloaded daily lives, it’s easy to put our health on the back burner. To ignore those little aches and pains until we get so tight and stiff we cannot function normally. Most people have experienced a stiff neck to the point where it’s problematic to look over their shoulder or that twinge in their back when they bend over even slightly. These are signals from your body letting you know it’s time to take care of yourself. A regularly scheduled massage will stop your body from getting to the point of dysfunction. With just the right amount of pressure and skillful manipulation, patterns of tension are released in overworked muscles. At Holistic Health Spa (HHS) you will find a relaxing and nurturing atmosphere. Our therapists are skilled in a variety of techniques ranging from Swedish to

geriatric as well as prenatal massage. Unlike most other massage providers, we offer deep tissue at no additional cost. At HHS our goal is to provide a customized, relaxing, therapeutic experience to enhance the well-being of your body and spirit. Come surrender your stress with us.

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The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Medical Professionals

CHOOSING THE RIGHT MEDICAL PARTNER FOR WEIGHT-LOSS SURGERY You’ve tried diets, exercise, and maybe even medication, but you just can’t keep the weight off. Maybe you’re wondering if weight-reduction (bariatric) surgery might be right for you — or maybe you’re ready to take the next step and meet with a bariatric surgeon. If that sounds like you, or someone you love, here are some factors to consider when choosing the best medical partner for you.

DO YOUR HOMEWORK: Advice from AtlantiCare Experts

FACTOR #1: Coordinated team approach to your care According to Alexander Onopchenko, MD, FACS, medical director of The Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center (ARMC), “A comprehensive team-based approach to your care is the single most important factor you should look for when choosing a surgeon and a hospital for your weight-reduction surgery.”

Visit trusted websites such as www.asmbs.org/patients. Take your time. Ask lots of questions.

“What I mean by that,” he explains, “is that in addition to a technically skilled surgeon with personal operative experience, your patient care team also should include a registered dietitian, a clinical program coordinator with a nursing background, exercise physiologists, an experienced psychological evaluator and therapist, and a physician specializing in medical management of obesity.”

Speak with others who have already gone through bariatric surgery. Attend a free seminar. Attend a free AtlantiCare webinar at www.atlanticare.org/bariatricseminars.

FACTOR #2: National accreditation recognizing quality patient care In addition to a multidisciplinary patient care team, you’ll also want to make sure the hospital you choose is nationally accredited by a third-party organization such as the American Society of Metabolic and Bariatric Surgery. “To quote from an article published by the non-profit Obesity Action Coalition, ‘When you have bariatric surgery, the primary goal is always your safety. By following all of the guidelines to become an accredited center, the surgeon and program demonstrate their commitment to your safety and to delivering your care in a sensitive manner,’” says Dr. Onopchenko. FACTOR #3: Resources and tools to support your success before and after surgery “The best preparation for such a comprehensive life change is education, and our team at AtlantiCare goes beyond the basics to support patients every step of the way. Starting with our live seminars and our internet webinars, and proceeding to our presurgery orientation program and post-surgical support group, we provide lifelong support for all patients. We’re here to help you achieve optimal health and enjoyment of life with every tool available in the treatment of morbid obesity,” Dr. Onopchenko says.

Alexander Onopchenko, M.D., Medical Director for the Center for Surgical Weight Loss and Wellness at AtlantiCare Regional Medical Center, is recognized as a “Top Doctor” for his commitment to excellence in Bariatric Medicine/Surgery & Weight Loss. The Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center is designated as a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery.

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

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Medical Professionals

SmartLipo - Is It Right For You? Who is a good candidate for SmartLipo?

Before

After

Immediately after your procedure you will walk out and be able to perform mild activities. Unlike the need for prolonged recovery and possible overnight stay when liposuction is performed with heavy anesthesia, downtime is minimized. SmartLipo significantly reduces tissue trauma and post-procedural pain while completely eliminating post-anesthesia recovery. Most patients are able to return to normal desk-type work in one to two days and some patients are able to return to work the same day, depending on the area treated.

Before

After

SmartLipo only requires local numbing. This ensures patient safety and improved recovery. In traditional liposuction procedures, heavy anesthesia allows the surgeon to use larger instruments with more aggressive and quicker movements, which result in faster overall procedure times. Faster procedure times means more procedures can be performed, but because they are using heavy anesthesia, larger instruments and more aggressive movements, their patients are exposed to greater risks and have longer and more painful recoveries. SmartLipo is done using smaller instruments; patients have more uniformity in their result, less bruising due to the characteristics of the laser, and generally just a better cosmetic result.

Before

After

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

How much downtime will I have?

Why doesn’t the SmartLipo procedure need heavy anesthesia?

How many SmartLipo sessions will I need? Only one session per area is needed to achieve full results.

Will Smartlipo results be permanent?

As adults we do not create new fat cells; when we gain weight, our fat cells expand. When SmartLipo is done, the fat cell is destroyed and no longer has the ability to hold fat. The body will readjust to not having those fat cells and will place fat in cells in other parts of the body. For this reason we advise that clients do not use this procedure as a diet. After Smartlipo it is very important that clients eat well and exercise to avoid weight gain in other parts of the body.

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What Our Happy Clients Have To Say…

“When I first went I was a little skeptical. The doctor assured me that the procedure was nonlife-threatening (shows you how much of a scary mary I am). The atmosphere in the office was very relaxing. The doctor answered all of my questions. My procedure was an experience. I was awake during the procedure; I did not feel any pain. My recovery time was great, I was back in the gym within a week. I have recommended a few friends and they were shocked after seeing my results. As a matter of fact, I will be taking a friend of mine back to see the doctor in 2 weeks, her consultation has been made. My stomach looks so much better than it did. I am so happy that I finally decided to do this for me. Yes, I am a satisfied customer, and would recommend Dr. Park Avenue. Thank you.”

I’m Done With My Wings!!

“I gained a lot of weight in the last five years and my back started to have wings and saggy skin all over. In front my belly was no different, it was hanging down. When I gain weight, my skin gets super saggy. I had lipo years ago in Florida and I promised myself never again, it was a waste of my money and time. With Dr. Paul, I had a laser lipo and liposuction on my back and low belly. The other doctors told me that it would be necessary to cut the excess skin from my back, which was just horrible, I couldn’t wear a t-shirt. But with Dr. Paul I have the discipline to wear my garment for the 3 months, and today my back is back!! My belly is wonderful and I feel like a person again. We can never give up in life.”

Brick

Hoboken

Franklin Lakes

732-262-5476

201-942-9292

201-485-8400

www.drparkave.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Medical Professionals

Health &Wellness

Vaginal Birth After Cesarean (VBAC) is a Viable Option for Many Women

Law

C-sections for subsequent births due to the fear of the uterus rupturing along the prior incision scar. In the 1980s, as the risks of repeated C-sections became apparent, many health professionals, advocates, expectant women and researchers encouraged VBAC, which was determined to be safe.

Eric G. Lehnes, MD Many women still believe the adage “once a C-section, always a C-section.” While that was the case in the 1970s, it no longer holds true. Eric Lehnes, MD, a board-certified ob/gyn specializing in minimally invasive and laparoscopic surgery at Ocean Gynecological and Obstetrical Associates, part of Barnabas Health Medical Group, offers his thoughts on vaginal birth after cesarean (VBAC). Having performed more than 1,000 VBACs throughout his career, he counsels patients based on his vast experience so they can best make an informed decision regarding their birth plan.

“During the late ‘80s it was almost a requirement for women with a prior C-section to undergo a trial of labor,” says Dr. Lehnes. “The pendulum probably had swung too far at that time and success rates were not as high as had been anticipated.”

routine repeat C-sections. “We’ve turned into an instant gratification society in which scheduling a C-section may be a matter of convenience for some mothers and physicians. In addition, with the malpractice insurance crisis of this same era, many obstetricians abandoned VBAC in an attempt to lower their exposure to litigation,” says Dr. Lehnes. “The most important thing is for women to arm themselves with information and work with an obstetrical team and hospital that are open to VBAC if that’s the route they choose to take.”

Ocean Gynecological and Obstetrical Associates has two convenient office locations: For more than 50 years, women in Ocean County have trusted Ocean Gynecological and Obstetrical Associates (OGOA) to provide comprehensive obstetric and gynecological care. In 2012, OGOA took the bold step of expanding to include a team of experienced, board-certified nurse-midwives to join its seasoned group of 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.

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

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

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

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. To learn more, visit barnabashealthmedicalgroup.org.

Elder Law

The key to helping expectant mothers Over heater the past 15 years, however, T &E ntertainment decide whether to undergo labor there’s been renewed interest in

Education

VBAC is a safe option for many women. Prior to 1980, it was common for women who had C-sections during their first childbirth experience to have planned, repeat

About Barnabas Health Medical Group

Is VBAC for you?

well as increased risk to having a hysterectomy, placenta previa and placenta accreta.

or a repeat C-section is weighing her individual risks against her chance of a successful VBAC.

What are the benefits of VBAC?

Fine Art Photography

Women who need a C-section for a breech baby, a placenta previa or fetal heart tracing issues essentially have an untried pelvis and have a higher rate of success than women whose first baby simply “got stuck.” There’s also an increased success rate if a woman goes into labor on her own and isn’t induced, if she's only had one prior C-section, if she begins labor before her due date or if she has had a vaginal birth in addition to the C-section in her past. The greatest risk of VBAC is rupture of the uterine scar, which requires an emergency C-section. Therefore, all VBACs should be performed in a hospital setting that is capable and staffed to handle such an event. Success rates for all VBACs have been reported to be between 60-80%, and with “well-chosen” candidates based on individual risk factors, success is around 75%.

With VBAC, women can avoid an invasive C-section, as well as its risks, resulting in shorter recovery times, decreased risk of infection and decreased blood loss. VBAC also allows women and their partners full participation in vaginal birth – something that many women associate with motherhood.

Why aren’t all women candidates for a VBAC?

Business &Finance

What happens during a C-Section? After the mother gets the appropriate anesthesia, the doctor makes an incision through the abdominal wall, the fascia (connective tissue that groups the abdominal muscles together) and the uterus to remove the baby. The surgical team then closes up the incision while the pediatric team tends to the baby. Every time a woman has a C-section, there’s increased risk to injury to the bowel and bladder, as

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

Some women aren’t candidates for VBAC due to a prior vertical incision in the uterus (from a classical C-section or fibroid removal) or a previous uterine rupture, a breech baby, placenta previa, twins or any other contraindication for vaginal birth. Also, women who have had more than one prior C-section generally do not have a VBAC due to increased risk of uterine rupture. VBACs should only be performed in hospitals with the staffing and availability to perform an emergency C-section, should it be needed.

Conclusion: VBAC may be an excellent and safe option for women who have had a prior C-section. It’s important for each expectant mother to make an informed decision with her obstetrical team that will lead to the best outcome for both mother and baby, based on individual circumstances and medical history.

May/June 2016 January/Feb

Medical Professionals

Groundbreaking New Technology for Laser Tattoo Removal

hore Vascular & Vein Center / Aesthetic Laser Center announces enlighten™, the newest, most complete solution available anywhere for laser tattoo removal. Enlighten™ is the most advanced laser system available for safe and effective tattoo removal. It is the world’s first laser system to combine both picosecond and nanosecond technology with dual wavelength lasers. This allows individualized treatment of all colors of ink and skin types for the fastest, most complete laser tattoo removal ever available.

However, since the exact number of treatments will not initially be known, we offer complete tattoo removal packages. That gives you a set price in the beginning and eliminates the uncertainty of not knowing the exact number of treatments that will ultimately be needed. Our staff can give you more information about pricing after we examine your tattoo.

About Us

Our medical director, Dr. Jeffrey Gosin, is a Board Certified Vascular Surgeon. He has years of experience in performing cosmetic vascular laser procedures using the highly acclaimed Excel V™ laser. Over those years, he has been asked by many patients if he could also remove their tattoos with his laser. While the Excel V™ laser is best-in-class for vascular applications, it is not designed for removing tattoos. Other prior lasers also had significant limitations. Therefore, he previously would not provide this service.

The “Pico” Difference

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

Flexibility

Picosecond lasers are the newest, most advanced tattoo removal technology available. Our enlighten™ laser combines this “pico” technology with the flexibility of both 1064nm and 532nm dual wavelength lasers. Never before has this combination of power and versatility been available. This now allows for the treatment of all color tattoos and skin types, even the traditionally very difficult ones, with a single device. This provides effective results in approximately half the number of treatments of prior lasers.

Number of Treatments Required and Results

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

When the new enlighten™ laser finally became available, that completely changed things. Dr. Gosin researched the technology, attended conferences, and personally consulted with laser experts from around the country who were involved in the very early use of this remarkable new device. It became clear that this technology would set the new standard in laser tattoo removal. We are very pleased to be the first center in the entire Delaware Valley to be able to offer this cutting-edge technology.

If you are experiencing “tattoo regret” and would like to have your tattoo removed or changed, call us for a consultation. For more information, call 609-927-8346 or visit www.GetGreatLegs.com FREE consultations for a limited time.

Call today for more information!

Partial Tattoo Removal

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

Cost

Cost will vary depending on a number of factors including the size of the tattoo and the number of treatments needed. Keep in mind that with enlighten™, you should anticipate requiring far fewer treatments than required with other lasers. You can also anticipate more complete results. The County Woman Magazine

442 Bethel Road Somers Point, NJ 08244

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

www.TheCountyWoman.com

May/June 2016

Business Spotlight

Interview With Surgeon

Dr. Jeffrey Gosin

s a young man, Dr. Jeffrey Gosin was very interested in science so it was a natural progression for him to pursue a career in medicine. His specialty is the treatment of disorders of the circulatory system – also known as vascular surgery. He grew up in a “surgical” family and his dad was his partner for 17 years until he retired last year. He adds, “When I was a child my Dad would bring me to the hospital to make rounds with him on weekends. I really looked up to him and what he did for a living.” It was his father’s dedication and satisfaction with his own career that had a lasting impression on the younger Gosin. CW: Describe what you do in your chosen field. Dr. Gosin: My specialty involves treating vein problems, such as varicose veins and spider veins. I also treat diseases of the arteries such as aneurysms, blockage in the arteries to the brain, called carotid artery stenosis, and peripheral artery disease (PAD). As a surgeon, I am able to perform surgery when necessary. However, in many cases I am able to treat these vascular problems using modern, minimally invasive non-surgical methods. CW: What is the most rewarding part about your profession? Dr. Gosin: I feel quite fulfilled when I check my patients after they have had a treatment or surgery. They come back to my office feeling better and healthier. In some cases, people experience dramatic improvements in their quality of life. It is a wonderful feeling to know that I was able to provide that.

That is one of the reasons why it is so critical for people to obtain their care from a specialist. While varicose veins may cause cosmetic concerns for some people, others with this condition will actually have an underlying abnormality with the valves in the leg veins. That is a specific vascular disease called venous reflux or venous insufficiency. Leg pain and fatigue, swelling and a variety of other symptoms are common. If the varicose veins are treated without first diagnosing and treating the underlying condition, then treatment will likely be incomplete and provide only temporary improvement. Therefore, it is essential that an individual receive a thorough evaluation. Most all of the treatments for varicose veins that I offer are minimally invasive and do not require major surgery. There is a fast recovery with minimal pain and “down time.” CW: How do you stay current with trends happening in your profession? Dr. Gosin: Vascular surgery is a specialty that has seen fantastic changes in recent years. It is critical that I offer the most up to date care to my patients. My Board Certification ensures that I participate in a program of “lifelong learning” and maintenance of my certification. I stay current with the major specialty journals and regularly attend conferences.

CW: What is the most challenging? Dr. Gosin: Every case can provide its own unique challenge. It is important to remember that each patient I treat is an individual. Certain elements of his or her care may be more challenging than a similar condition in another person. It is that variation that makes my job so interesting. CW: Are varicose veins a genetic problem? Can they be prevented? Dr. Gosin: Genetics are one of the most important risk factors in the development of varicose veins. Individuals with a family history are more likely to develop the condition themselves, than individuals who do not have that family history. However, genetics are just one of a number of recognized risk factors. Other risk factors include prolonged standing, pregnancy, increasing age and being over weight. It is also interesting to note that some people will develop varicose veins without any of those risk factors. Although there is no way to absolutely prevent the development of varicose veins, certain precautions, like wearing compression stockings, may help to keep the symptoms at bay.

Jeffrey S. Gosin, MD, FACS

VISIT www.GetGreatLegs.com

CW: What is the most effective way to treat this condition? Dr. Gosin: Treatment varies based on an individual’s particular situation. The County Woman Magazine

r. Gosin grew up on the Jersey D Shore, and after graduation from the University of Pennsylvania and Jefferson Medical College, he completed his training and was delighted to come back and begin his practice. He completed his residency in general surgery and a fellowship in vascular surgery at Robert Wood Johnson University Hospital. He has three children and enjoys spending time at the beach and boating. Dr. Gosin is a fellow of The American College of Surgeons and a member of The Society for Vascular Surgery, The Society for Clinical Vascular Surgery, and numerous other national surgical and vascular societies.

www.TheCountyWoman.com

442 Bethel Road Somers Point, NJ 08244

(609) 927-VEIN (8346) www.GetGreatLegs.com May/June 2016

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This procedure can How can I get a copy ofto a bankruptcy filing? based on your unique needs. Next, in a single the pen will process results in a thicker dermis, which softens wrinkles. “I look forward to every treatment because I see results immedithis treatment, my skin feels and looks so much better. I’m a changed “Micro-needling is a fantastic treatment! I was in no pain without to paygliding any inmoney back. Chapter 13, which is known asand I could take 15-30 minutes, depending onpressed the size of the areathe treated. be gently against skin whilehaving simultaneously Bankruptcy filings are done electronically through the federal court ately. All of my friends compliment me on my skin now and so the same day. After a few days my skin was so soft go backI am to work person and I have regained my peacerepaying of mind.” creditors, most one direction until the entire treatment area has been covered. 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Immediately after the treatment youalso willmakes notice a bright redness to electronic system can easily obtain bankruptcy filings. motion, “I used to have problems with acne scarring, but since I’ve started the treatment more tolerable. This procedure can based on your unique needs. Next, in a single plied the pen will

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patients heal completely as 24 hours.River, Utilizing quality 670 Commons Wayin as•littleToms NJskincare products that we will provide you with can help to speed up the healing process. CALL: 732-341-3800 WHEN WILL I SEE THE RESULTS? VISIT: www.straffilaw.com

Immediately after to needle tip reduces discomfort while the hydrating gel that was ap-the treatment you will notice a bright rednessdeveloped an exclusive “I used to have problems withdepth acne scarring, but since I’ve started The total time depends on the of needles plied also makes the treatment more tolerable.the Thisskin. procedure can healing medical-grade skin carecertified line forplastic surgeon my skin feelsour andskincare looks so much better. I’m a Board changed used the numberthis of treatment, overlapping passes profestake 15-30 minutes, depending on the size of the areaand treated. person patients and I have regained ofpatients. mind. ” sional performs. On average, are red up my to 2peace tohis 4 days. Some TheseChristopher productsP.are Godek, MD, FACS patients heal completely in as little as 24 hours. Utilizing quality sk-- Leslye S.

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May/June May/June 20162014

Business Spotlight

Straffi & Straffi Are The Key To Your Financial Health

ou could say that Daniel Straffi Jr. has bankruptcy law in his blood. After joining his father’s law practice in 2004, his own knowledge and expertise in the field grew. Daniel’s father is a Chapter 7 Bankruptcy Trustee and his background has been invaluable in assisting Daniel with his own personal practice. He has focused his practice on representing individuals and businesses in the areas of bankruptcy and divorce. Filing for bankruptcy is a serious and sometimes very emotional step. It is critical to have the right representation as well as someone you feel you can really trust. Personality, as well as professionalism matter and you must believe the person you hire is working to service your best interest. CW: Why did you select bankruptcy law as your specialty? Daniel Straffi: I enjoy bankruptcy work because I am able to truly set a course for navigating clients from what is usually the most difficult time in their lives to a path of hope and rebuilding. CW: What are the most challenging aspects of your profession? Daniel Straffi: There are many challenging aspects to the legal profession. As any attorney will attest, time management usually requires the most work and attention. CW: What are your top three tips for financial “health” for young families? Daniel Straffi: My advice to any young family starting out is to communicate with each other about your respective finances. Openness about spending, bills, and income can help find or address problems before they become too difficult. With good communication comes greater financial health in terms of budgeting and spending.

CW: What are the primary reasons the average person files for bankruptcy? Daniel Straffi: The majority of people I represent are hard working individuals accustomed to paying their bills. With the cost of living in the state of New Jersey being so high, it does not take much to fall behind. The primary reasons for filing bankruptcy are loss of income, medical reasons and divorce or separation. CW: What are the average fears or anxieties surrounding filing for bankruptcy? Daniel Straffi: Most clients are very concerned with the effect a bankruptcy will have on their credit. They view it as an “end” rather than (what it is) a “new beginning.” It is the intent of the courts to provide the honest debtor with a fresh start. This includes the ability to rebuild one’s credit over time. CW: Why is there so much incorrect information out there about bankruptcy? Daniel Straffi: Unfortunately some people wait too long to get accurate information they need from a reputable attorney. Some fall prey to the misinformation spread by debt consolidation companies, banks or other creditors that have an interest in preventing debtors from obtaining the powerful relief that bankruptcy can provide. CW: How long will the “average” bankruptcy be on a person’s credit report? Daniel Straffi: Usually it will be on a credit report for a period of ten years. Generally speaking, it takes folks about two years to rebuild their credit. In the interim, the cash that will be freed up from not having to pay the exorbitant minimum fees from credit cards will help most debtors operate their households while simultaneously rebuilding their credit.

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

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

670 Commons Way • Toms River, NJ • 732.341.3800 • www.straffilaw.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Elder Law

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

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

What Is How Elder Law? “ WILL CONTESTS: Do They Work? ”

by Nancy M. Rice, Esquire, CELA We discussed A.) Fraud and B.) Due Execution in the Atlantic

What is “Elder Law”? Q:

County Woman September/October 2015 issue, Part 1 of 2. Today, we will continue in our discussion with C.) Testamentary Elder Law is a sub-specialty within the practice of law. Until the early 1990’s, this Capacity and D.) Undue Influence.

area of practice was more generally known as “Estate Planning,” which is one of the core subjects taught to first-year law students. C.) Testmentary Capacity Elder Law developed as a sub-specialty of Estate Planning in the late 1980’s. The The test for determining testamentary capacitywas is rather permissive. Indeed, National Academy of Elder Law Attorneys (NAELA) founded in 1987. It is a the level of association capacity needed to execute a Will is lesstothan that required to enter professional of attorneys who are dedicated improving the quality of legal into a contract. The key questions are whether the person who made the Will services provided to seniors. (calledisthe “Testator”) understood: What “Estate Planning”? Estate Planning generally involves the drafting of Wills, and planning for the The nature and extent of the property subject of the Will; in other words, disposition of estates upon death. Estate Planning can also include tax planning, to what assets the Testator had and planned to leave under his or her Will. reduce or eliminate the various death taxes, which can, in some cases, seriously deplete an estate. The “natural objects of his or her bounty,” that is, who are the Testator’s Do Estate Lawyers address planning in theanything event I under nextPlanning of kin (whether or not he or she wants toissues leave them become incapacitated? the Will, the Testator needs to know who they are). During the 1980’s and 1990’s, Estate Planning expanded to include planning for incapacity as effect well. Ifofyou in athat car accident suffer dispose a stroke,of leaving you following unable to The theare Will; the Willorwould property tend to your legal affairs or make medical decisions, a Will be of little use to you, as it is death. only effective upon death. Thus,The mostrelation lawyers of today you about Durable eachwill of talk thesetofactors to the other.Powers of Attorney and Advance Medical Directives (“Living Wills”) when you go in to talk about drafting a Will. Notably, the focuses law presumes thatlaw, all Testators are ofofsound and competent If an attorney on elder what areas law would that include? mind when a Will is executed (assuming he/she was at least 18 years of age and Elder Law encompasses many different fields of law. Some of these include: not been declaredofby a court to betolegally incapacitated). To overcome •has Preservation/transfer assets seeking avoid spousal impoverishment when athe presumption of capacity, the contestant must prove lack of testamentary capacspouse enters a nursing home. ity at the time the Will was executed, by clear and convincing evidence. It is • Medicaid. important to know that it is not enough to show that the Testator was addicted • Medicare advocacy, claims, and appeals. •to Social and disability claims and appeals. drugssecurity or alcohol; you must prove that the person was under the influence of •aSupplemental long term health insurance issues. substance at and the time of the execution of the Will. Nor is it sufficient to show •that Disability planning, including: use Durable the Testator was forgetful atofthe time, Powers so long of as he or she had some capacAttorney, Living Trusts, and “Living Wills.” ity to manage his or her business affairs.

1 Q:2 3 4

• Conservatorships and guardianships. • Probate, Administration, and management of trusts and estates. Undue Influence •D.) Long-term care placements in nursing home and life care communities. • Nursing home issues, including questions: of patients’ andthat nursing quality. Undue influence has been defined as any type of rights exertion canhome prevent • Elder abuse and fraud recovery cases. the Testator from following his/her free will. This can include physical, men• Housing issues, including: discrimination and home equity conversions (“reverse tal, or moral exertion. Mere suggestions, persuasions or the exertion of some mortgages”). is not enough to invalidate Will. Ordinarily, challenger hasand the •influence Retirement, including: public and privatea retirement benefits,the survivor benefits burden of proving undue influence. If, however, the Will benefits one who pension benefits.

Part 2 of 2

enjoyed a special or “confidential relationship” with the Testator, and there are Most elder law attorneys do not specialize in all of these areas. For example, I do not “suspicious circumstances” surrounding the execution of the Will, the burden of handle Social Security Disability appeals or Elder Abuse cases. Additionally, some Elder proof will shift to the defender of the Will. Law attorneys handle matters for clients who are not elderly. For example, I draft Wills for clients of all ages. relationship” can be found where there is some special trust A “confidential

If I see the designation “CELA” after an attorney’s name, what does that Q: mean?

between the Testator and a beneficiary under the Will and where the nature of that special relationship creates some type of reliance or dependency. At times, special or confidential relationship has been found to exist Testator a One of the ways to evaluate the experience and knowledge of anbetween attorneyawho claims an adult relative;whether a healthcare provider; a neighbor; an attorney; toand: practice Elderchild; Law isother to consider he or she is Certified as an Elder Law Attorney (CELA). Notably, while a confidential relationship naturally exists beor an accountant. tween The purpose of this program is to of identify lawyerswill whonot have the a husband andcertification wife, the presumption unduethose influence generenhanced experience, and proficiency to be properly identified as ally ariseknowledge, even whenskills, the Testator’s children are disinherited. Certified Elder Law Attorneys to the public. Ascriteria to the “suspicious circumstances” The for certification include: component of an undue influence Will the- evidence on this can be “slight.” Suspicious circumstances 1.contest, Licensure The Attorney mustissue be licensed to practice law in at least one state orhave in the District of Columbia. been found where a beneficiary of the Will engaged his attorney to prepare the 2. Testator’s Practice -Will The and Attorney must have practiced law during five years preceding his where a nursing home patient was the removed from the facility or her application and must still be practicing law. by the beneficiary of a Will that was signed a few days later. 3. Integrity/Good Standing - The Attorney must be a member in good standing of the state barbelieve in all places which they are If you that ainWill should be licensed. challenged because it was not executed 4.properly Substantial Involvement The Attorney must spent an average of at least (i.e., it was forged, didn’t have the have correct number of witnesses, etc.) or 16 hours per week practicing elder law during the three years preceding his or her because the deceased was not competent when he/she signed it or because the application. In addition, he or she must have handled at least 60 elder law matters Will wasthose the product of undue influence,distribution you should hire asubjects, seasonedasattorney, during three years with a specified among defined by who has significant experience in this area of law. Do not delay with your decithe National Elder Law Foundation. to engage an Education experienced attorney because the law allows only narrow 5.sion Continuing Legal - The Attorney must have participated in ataleast 45 hours of Continuing Legal Education (CLE) in Elder Law during the preceding window of time during which a caveat and/or a Will contest may be filed. three years. 6. Peer Review/Professional The Attorney must submit names of five Nancy Rice can References answer -your questions andtheconcerns! references from attorneys familiar with his or her competence and qualifications in Elder Law. These attorneys must themselves satisfy specified criteria. 7. Examination - The Attorney must pass a full-day certification examination.

Call 609-398-3447 today!

I have been practicing Estate Planning and Elder Law since 1986. I sat for the CELA exam in the Fall of 1996, passed it, then satisfied all of the other criteria listed above. Additionally, I have been Certified as an Elder Law Attorney since the Spring of 1997. In 2002, and again in 2007, I satisfied the conditions for re-certification.

Nancy Rice can answer your questions and concerns, call 609-398-3447.

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

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

www.RiceElderLaw.com

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November/December 2015 May/June 2016

Medical Professionals

What Is “All-On-Four” Treatment? here are several ways to replace teeth for patients who are edentulous (completely without teeth) on the on the top jaw, the bottom jaw or both jaws. The most common restoration is a full upper

or lower denture, or both. But, full dentures are sometimes difficult to wear so many people choose to have two or more dental implants placed in each of the jaw or jaws. Special attachments (commonly called “locators”) are placed on the implants and inside the dentures; allowing the dentures to snap onto the implants. These “snap” assemblies help keep the dentures in place during speaking and chewing; giving the patient more confidence. For some patients, it is necessary to connect the dental implants together for increased strength and to prevent excessive forces on the individual implants. Traditionally, the implants are placed in the jaws in parallel fashion, and connected by a custom fabricated bar. The denture is made with a slot to fit over the bar and will have clips that fasten to the bar. This type of a restoration is called a “bar-overdenture” restoration.

are placed in the jaws. Then, after a healing period of approximately six months, the patient will have a final restoration made and inserted. Patients who are going to have all of their teeth extracted are candidates for “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—don’t suffer needlessly with ill-fitting, painful, embarrassing dentures. Ask your dentist or oral and maxillofacial surgeon about treatment with “all-on four”.

Visit www.drbanksoms.com

For patients desiring “fixed” teeth attached to implants that are not removable, earlier treatments are described as having a number of dental implants arranged in parallel fashion in the areas where the teeth used to be. The multiple implants would then be restored with each implant replacing one missing tooth. This is a nice way to replace teeth but can be extremely cost prohibitive.

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

This concept gradually developed into common acceptance of utilizing fewer dental implants arranged in parallel fashion, but with pontic crowns interspersed between the multiple fixed implant crowns. This concept mimics the traditional fixed dental bridge and allows the patient to be restored with fewer dental implants. Traditionally, dental implants would be inserted into the jaws, but would not be restored until after a six month period of healing time to allow for osseointegration. Recent advances in the design and manufacture of dental implants affords excellent initial stability at the time of implant placement, allowing the implants to be “loaded” or restored immediately at the time of implant placement. The” all on four” concept takes some of these newer principles into consideration and allows the utilization of newer concepts in numbers of dental implants placed, immediate restoration, and as well as the alignment of dental implants in the jaws. For patients who are already wearing full dentures the” all on four” protocol allows the patient to transition from wearing a removable full denture to having their existing denture modified and connected to implants at the time the dental implants

The County Woman Magazine

Kathy A. Banks, DMD Practice Limited To Oral & Maxillofacial surgery 249 S. Main Street, Unit 4 •Barnegat, NJ 08005

609-488-2325

kbanks@drbanksoms.com

www.TheCountyWoman.com

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

May/June 2016

Medical Professionals

Law

Health &Wellness Elder Law

Theater &Entertainment

Fine Art Photography Education

Business &Finance

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May/June 2016 January/Feb

Medical Professionals

Double Mastectomies on the Rise: Is it Right for You? Health &Wellness Dr. Sumy H. Chang Offers Balanced Perspective

Over the past decade, the number of double mastectomies for breast cancer as a preventive measure has soared. But new research shows the survival rates are the same for women who underwent breast conserving surgery and mastectomy. Fellowship-trained Sumy H. Chang, MD, FACS, a board-certified general surgeon dedicated to breast health, offers a balanced perspective on this controversial issue to help women make an informed decision. A member of Barnabas Health Medical Group, in partnership with Community Medical Center, Dr. Chang provides Ocean County women with access to the latest prevention, detection and treatment options for breast-related issues – including breast cancer. She is also affiliated with the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch.

Mastectomies Throughout the Decades Over the years, the landscape for breast cancer treatment has changed. In the 1970s, a breast cancer diagnosis led to a mastectomy, which was disfiguring and the only surgical treatment. In addition, reconstruction was not offered. Since then, doctors have worked hard to preserve a woman’s breast. Fast forward to 2016, as now, as a society, mastectomies are becoming more widely accepted. However,

LawBarnabas Health Medical Group is a multispecialty group practice

more than ever, many women want doctors to remove not only their diseased breast, but their healthy breast, too. This is known as a contralateral (opposite breast) prophylactic (preventive) mastectomy.

Why More Women Are Opting for Double Mastectomies Today, more women are choosing to have prophylactic mastectomy of the healthy breast when they are diagnosed with early stage breast cancer. This is a result of many factors contributing to a woman’s decision to have her healthy breast removed. For women who qualify to undergo genetic testing, we send their blood or saliva for genetic testing. For women who test positive for an abnormal BRCA 1 or BRCA 2 gene, we counsel them on their risks of breast and ovarian cancer, which is higher than the general population. On average, the risk of breast cancer for a woman in the U.S. without any family history is 12 percent. A woman with the BRCA mutation, depending on mutation, has a 20-60 percent risk of getting breast cancer. Although 60 percent is high- it is not definite for an individual to develop breast cancer in their lifetime. Therefore, we recommend keeping a closer eye on their breasts and ovaries. Some women who test positive for a gene mutation after

Sumy H. Chang, MD, FACS Fellowship Trained Breast Surgeon 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

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. To learn more, visit barnabashealthmedicalgroup.org.

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their diagnosis of breast cancer choose to Theater &E ntertainment have double mastectomy for this reason.

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

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However, we can also monitor women for breast cancer with BRCA 1 or BRCA 2 gene mutations closely if they choose not to have mastectomy. At this time, we do recommend removing the ovaries once the women are done having children. The age of their ovary removal varies - based on the family history and their BRCA status.

Ultimately, it’s the patient’s choice to determine which route to take. For a woman considering undergoing mastectomy of both breasts, I emphasize that a double mastectomy is a lot more surgery with more risks of complication and may not improve her survival outcome if she does not have a BRCA or other breast cancer gene mutation.

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Women now have the option of high quality breast reconstruction. As reconstruction techniques have improved dramatically, women are more comfortable with the aesthetic outcome. In addition, these reconstruction options are available at the time of her mastectomy. Another reason may be that women are starting families at a later age; many of them have young children when they are diagnosed with breast cancer. Women are afraid the cancer could come back and they do not want to take the risk of undergoing additional treatment. They may experience stress and anxiety related to future cancer screening of the remaining breast. In some cases, the risk - based on tumor size and medical history - may have a good medical outcome without a double mastectomy. For early stage breast cancer, the overall survival of a lumpectomy is the same as a mastectomy. In addition, I believe that a double mastectomy has become more acceptable for women as they feel comfortable with the procedure.

For BRCA negative women, a double mastectomy may not be medically necessary for all women, and doesn’t improve survival, yet some women are still choosing this option. Why? They may feel a constant threat looming over them and have fears of developing breast cancer in the healthy breast. For early stage breast cancer, the overall survival of a lumpectomy is the same as a mastectomy. I present to patients if they have lumpectomy and radiation (how most patients are treated), if cancer comes back, standard treatment recommendation is to have a mastectomy. For most of the patients with early stage breast cancer, they do not have cancer recurrence. If they get cancer in the other breast, they may have a lumpectomy.

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Personal Decision Although it’s a patient’s decision, I provide my patients with a range of options available for them based on their cancer, family history, genetic mutation status, age at diagnosis, other medical conditions, along with my personal experience having treated many women with breast cancer. It is a patient’s personal choice of how much risk they willing to take of the cancer returning in the future vs. the risks to take to treat the cancer now.

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On the flip side, what is the risk getting cancer on the other breast? If a woman doesn’t have the gene mutation, she has only less than a half of 1 percent chance a year of getting breast cancer on the other side. Surgery on the healthy breast may cause possible complications such as infection, more pain, additional surgery, longer operative time, longer recovery, the traumatic experience of it all, and poor aesthetic outcome. Breast cancer is the most commonly diagnosed cancer in women but it is treatable. At the end of the day, the decision for what type of treatment should be appropriate for the disease we are addressing. That decision should be individualized by the patient and the treating physician, not the background buzz.

May/June 2016 January/Feb

Assisted Living

Welcome To Our Home Compassion for both our residents and their loved ones is our top priority. We understand the challenges that can arise when assisting with all the comforts of life for an older adult. Our administrative team practices an open ear, open heart, and open door policy to assist individuals involved with the significant responsibility that accompanies the care and nurturing of any older adult in need of healthcare services. This exemplary service, that is personalized for each individualâ&#x20AC;&#x2122;s needs, is what distinguishes Spring Oak from all others. At Spring Oak of Forked River, we provide exceptional physical, occupational and speech therapy at the community in the comfort of our residentsâ&#x20AC;&#x2122; own home and those services are covered under Medicare Part B. We provide transportation for local physician appointments and have other medical specialists visit the community as well. We have recently started a Strength, Mobility, and Balance exercise program to help increase the activity level of our residents. This new proactive approach will help enhance each resident as they participate in the twice weekly program. At Spring Oak we offer three home-style meals per day in our restaurant style dining area, weekly housekeeping services and daily housekeeping staff available, a private transportation service to off-campus outings such as shopping centers, banks, and popular visiting areas, access to internet, a 24hour emergency call response system and our caring and skilled medical staff is available 24 hours a day, seven days per week.

The Bridges Memory Support program at Spring Oak of Forked River celebrates and embraces the different experiences and

life histories of each resident. Our program of traditional and innovative activities promotes not only physical wellness, but social and cognitive success as well as psychological enrichment. With no specific times or time limits, our activities cater to the needs of the residents on each day at each moment. Building our program around the residentâ&#x20AC;&#x2122;s strengths, such as daily chores like mending and housework allows for a sense of comfort and familiarity. With our knowledge and understanding of memory care, we emphasize cognitive programs in the morning when mental clarity is better and physical tasks in the afternoon as sun-downing and anxiety can occur. You have already taken an important first step in obtaining for you or your loved one the finest lifestyle and care possible. We invite you to contact us online, by phone or mail for additional information. We look forward to the pleasure of your company for a tour, a cup of tea, or just a hello in the near future.

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Lanoka Harbor, NJ May/June 2016

Medical Professionals

Diagnosing Alzheimer’s Disease Due to our growing elderly population, dementia has become a major public health issue. Dementia affects 5% of people over the age of 65 and is estimated to affect 4 million Americans. There are many different types of dementia including vascular dementia, Lewy body dementia, drug toxicity, thyroid disease, excessive alcohol use, vitamin deficiencies, and frontotemporal dementia. However, far and away the most common form of dementia is Alzheimer’s disease, which accounts for 50-75% of all cases. Those suffering Alzheimer’s disease show a progressive loss of mental ability including memory loss, difficulty completing familiar tasks, difficultly solving problems, personality and mood changes, mental instability, and displaying poor judgment. There is currently no cure for Alzheimer’s disease but early detection and treatment can slow the progression of disease and improve the quality of life. Q: What causes Alzheimer’s disease?

Q: Are there tests that can show the activity of the brain?

A: Patients with Alzheimer’s disease create a protein that deposits in the brain called Beta Amyloid. This protein disrupts the connection between normal brain cells and is believed to be the cause of the mental decline. It is believed that this protein begins accumulating in the brain a decade or more before the onset of symptoms. The proteins disrupt functions in specific parts of the brain. It is not understood what forms these proteins. A lot of research is currently underway to create a drug to remove these proteins and restore normal brain function.

A: PET/CT is the test of choice to detect cancer in the body. However PET/CT is also the best test available to show brain activity. PET/CT stands for Positron Emission Tomography/ Computerized Tomography and uses radiolabeled sugar to measure brain metabolism. This is how it works: (1) Active brain cells normally burn the sugar glucose; (2) Patients to be scanned are given an injection of radiolabeled glucose that the PET scanner can detect; (3) The patient waits one hour for the sugar to be taken up by the brain; and (4) areas of the brain which are not functioning properly will eat less of the sugar than the rest of normally functioning brain.

Q: How do you diagnose Alzheimer’s disease? A: It is important to distinguish Alzheimer’s

a PET/CT machine, one can detect whether beta amyloid is present in the brain. This can improve the specificity of detecting Alzheimer’s disease by 90%. These amyloid scans are still under investigation and are not reimbursed by insurance companies. Currently many medical research centers are conducting studies investigating the uses of this cutting edge technology including several neurologists in Toms River.

Q: What do the different types of dementia look like on PET/CT? A: Each type of dementia has a unique appearance

disease from other forms of treatable dementia. Testing includes performing a physical and neurologic exam, taking a thorough medical history, mental status testing and radiological tests such as an MRI of the brain. The MRI is used to determine whether the cause of mental decline is related to a cancer, strokes, or tiny bleeds in the brain all of which can mimic the symptoms of dementia. However, for a majority of patient’s with Alzheimer’s disease, the MRI of the brain is normal. The MRI is fantastic at showing detailed pictures of the brain but it does not show the decreased activity of the brain, which is the cause of Alzheimer’s disease.

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Normal brain without decreased metabolism.

on PET/CT. In Alzheimer’s disease, the temporal lobes and parietal lobes are the most affected and therefore show little uptake. In contrast, Pick’s disease dementia features decreased metabolism in the frontal lobes and temporal lobes.

Q: Are there new test on the horizon? A: There has been a recently approved test called

Florbetapir. Instead of using radiolabeled sugar and seeing which parts of the brain show decreased function, Flobetapir binds directly to beta amyloid plaques (the proteins that cause Alzheimer’s disease). Using

Brain MRI of a patient initially thought to have dementia shows a slow growing tumor causing gradual mental decline.

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

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Decreased metabolism in specific areas of the brain shown in green (arrows) consistent with Alzheimer’s disease.

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

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Health

Wellness

Is Hormone Replacement Right For You? Submitted by: Jay Greco, RPh

Everyone probably has heard in some shape or form about hormone replacement therapy. Maybe you heard it from your friend, co-worker or from a news report of some sort. But is it right for you?

f course there is no one correct answer. One thing is for sure though---hormone replacement therapy has helped millions of men and women feel better. Many patients like the fact that they can use something from a natural source and it will make them feel better. Let’s look at the major hormones that are commonly prescribed. • Estrogens: There are three principle estrogens in human females. They are estriol (E3), estradiol (E2) and estrone (E1). These hormones are prescribed in different combinations to treat menopausal symptoms such as hot flashes, postmenopausal problems such as vaginal dryness, painful intercourse and they are also thought to decrease the risk of osteoporosis. • Progesterone: Progesterone is secreted by the ovaries in the second week of the menstrual cycle in productive age ovulating women. It is commonly used to treat abnormal bleeding problems during menses, PMS syndrome and for women with infertility or frequent pregnancy loss. In menopausal women it is commonly used to treat hot flashes and to balance estrogen. • Testosterone: In women, testosterone is used to increase libido and to treat vaginal dryness. In men, testosterone is used to improve psychological well-being and mood, improve erectile dysfunction and libido, increase muscle mass and preserve bone mass. Natural testosterone must not be confused with synthetic derivatives or “anabolic steroids,” which when used by athletes and body builders have caused many problems.

Jay Greco, RPh Jersey Shore Pharmacy

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How does your physician determine which hormones and in what quantity to give you?

Many physicians will initially prescribe you a combination of hormones based on the symptoms you have. They will also do blood work or saliva tests to determine what your actual hormone levels are. From that point, your dosage may be increased or decreased based on your lab results or your symptoms. Hormones can be given in many different dosage forms. Most commonly, they are given in a cream or gel form which is applied to your skin and the hormones are absorbed into your blood stream through your skin. Hormones can also be given in a capsule form to be used orally, injections to be given weekly or monthly, suppositories to be used vaginally or troche form which dissolve in your mouth and are absorbed through mucous membranes. The great thing about compounded natural hormones is that the dosages are customized just for you. The amount of hormones you need will be different from your sister, brother or neighbor.

Join In The Fight For Your Rights . . .

Please join P2C2. Bowing to pressure from Wyeth, a big pharmaceutical company, the Food and Drug administration (FDA) is asserting a new policy to deny women’s access to natural hormones. If this policy is enforced, federal regulators will decide what medicines you can take instead of you or your doctor. Do you really want to leave your customized medicine needs in the hands of the government? You can help by joining Patients and Professionals for Customized Care (P2C2). P2C2 brings together patients, physicians, veterinarians, pharmacists and healthcare advocates who know how critical compounded medicines are to modern, individualized healthcare. Membership is free. It’s easy-it only takes 15 seconds to join. It’s effective-Congress listens to their constituents. Your voice is critical to win this battle. Together, we can be one voice and save your medicine choices. Join P2C2 at www.savemymedicine.org today.  We welcome any questions that you may have. We also welcome any topics that you would want covered in future articles.

Please contact us at 609-660-1111 today.

Nothing herein constitutes medical advice, diagnosis or treatment, or is a substitute for professional advice. You should always seek the advice of your physician or other medical professional if you have questions or concerns about a medical condition.

“We have everything you need for a healthier tomorrow.”

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May/June 2016

Medical Professionals

M P rofessionals 30 28 Medical edical P rofessionalsTherapy Is Here! HORMONE IMBALANCES: Sick? Tired? Fatigued? IV Nutritional

Health &Wellness WOMEN DON’T SUFFER ALONE. The Answer To Curing Weight Loss: The hCGTesting Method AICAM Offers Affordable Non-Invasive H

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ning growth hormone and other anti-aging ealth Hello and is contraindicated! What more can the A new patients “FAD” hasreached been readers! sweeping across America that so is opening the eyes Why is hCG popular? worldwide therapies. This too is an affordable test at average overweight American ask for? The biggest reason for its recent and minds of those suffering with fatigue, generalized malaise, aches/pains and proportions, and Today, I would like to present to $125. Won’t I Starve on 500 Calories a day? aw popularity and growth is workers, because it just about everythingsociety in between. to construction facesFrom a housewives Absolutely not! When you metabolize Coronary Artery Disease works. It not only achieves weight loss, it the various non-invasive testing actorsyou towith athletes, children to grandparents, literally thousands ofyour Americans are Coping your symptoms isn’t controlling symptoms! problem that fat you break it down into carbon produces a significant loss of inches –and Coronary Artery Disease (CAD) is still self-searching answers to their medical needs and a resolution to their troubling procedures performed at ICAM. dioxide (which you exhale), ketones- a will cause more Don’t let... from the right It melts awayoffat aw theplaces! number one killer men and women

popular trend is now sweeping across the country that is utilizing a simple concept to assist our body in achieving our daily requirements Obesity throughhas what call IV Nutrition. excellent long-term results. nowsome

prepare, it is simple and easy and exercise

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symptoms. source of energy that gives many an sculpts the body to today. a trimmer and to above, HOT FLASHESsuffering, • NIGHTdisease SWEATS • and INSOMNIA ANXIETY in• America Asand eluded it amphetamine like natural high, and water Most of us are aware of the benefits and essentials of having a good diet With the rising costs of healthcare, it is becoming leaner you •while preserving your muscle and death than any otherPAIN plague DEPRESSION • JOINT • HEADACHES LOSS OF SEXUAL DESIRE would be very useful and comforting to which you expel through the kidneys. proper nutrition but so hundred few of us make a heartfelt effort to the apply thistoknowledge massand and thus ability burn calories more difficult to three obtain “necessary” diagnostic tests over the last years. VAGINAL DRYNESS • BRAIN FOG • WEIGHT GAIN... The truth is, the “magic bullet” already know the actual underlying condition of when the diet is stopped. Muscle burns and offer ourinbody whattoitcontrol asks for and truly needs. It is far too often the norm procedures attempts healthcare costs. Don’t IVexist nutrition/supplementation has been used successfully as primary and does but in the form of a sublingual The hCG method may well be the your blood vessels without undergoing the about 35 calories per pound/day (at rest) become the ‘new norm’! that continue ignore the little (that are actually messages)— getwe mecan wrong, I agree to this is a problem thatsubtleties needs to be adjunctive therapy for those with both (under the tongue) pellet or drop or as acute and chronic inflammatory conditions safest and most effective alternative for while fat burns only aor fewif risky calories. So, expensive and procedures utilized which later become “warning signs” that our body is being taxed left addressed. But an even bigger concern lies in the “need” an injectable shot. However, all three including but not limited to: fibromyalgia, heart disease, depression, Lyme and treating those millions of individuals when you lose muscle with othertesting fad fulfills this today. Cardiovision unattended, attacked! Despite what we think is eating “clean, organic and healthy,” (at times) to perform these tests for the sole reason to modes of administration will produce the suffering Take obesity and its associated health your infectious diseases, chronic fatigue, disc disease and more. Most patients diets - including gastric bypass surgery, contol and solve symptoms at their needhow as a it’s completely non invasiveother procesame results. IV Supplementation report increased it “cover isrisks impossible toofknow where the frivolous food eat comes from, grown, the butts” physicians from (i.e. Hypertension, Diabetes, Breastwe lawsuits. Dr. Mayer Eisenstein, who mood, your ability to maintain your weight loss after receiving energy, enhanced source for natural, lasting relief through dure to help the practitioner diagnose as instructs other doctors in the use Cancer, Colon Cancer, Heart Attack and packaged, preserved, shipped and processed—all of which affects its quality, Why should I choose ICAM for my Our litigious society is in large part a contributing factorenergy burning is now impaired decreased through stress and anxiety, improved sleep, more energy, heightened immunity, of the hCG, lost 100 pounds well as follow CAD. Stroke to name a few). Bio-Identical Hormone Replacement Therapy (BHRT). weight loss needs? since the muscle loss has lowered your viability usability within the body. in risingand healthcare costs. improved hydration, and ease. quicker time after exercise. there was no Untilrecovery the invention of itCardioVision®, using himself. Most people agree thatago, ICAM’s hCG program is second BMR (basal metabolic rate) and you For thisoverweight reason, over medical What’s more, many oftwo the decades tests that are ordered in innovators/entrepreneurs easy,WORK? inexpensive or quick way tograde determine if a person’s HOW DO IV’s medical vitamins, minerals and weight loss needs to become a priority to IS none. feesTHESE are competitive and Using will as gain back CARDIVISION: all your weight loss and THIS A Our launched a billion-plus-dollar known industry. mainstream medicine don’tenterprise give the the the nutraceutical and although nearly truly everyone wants to provider hadout lost IV’s flexibility. Many to people never aware other chemicals, these are similar IV’sare used in outpatient our services do not stop“custom-made” atvessels handing more in a very short period of time. Of And, industry is faced withrequired mixed opinions true ifPROCEDURE NONINVASIVE TO HELP necessary, valuable or correct information to act sameregarding feelalthough happy, bethis healthy and look fit, not hCG and goodwhere luck. Wethey explain note, the thing willits happen you that are walking this “silent killer” until clinics andsaying hospitals the ingredients arearound basedwith on desired outcomes and medical value, necessity andthe efficacy both the public and medical sectors, its upon formulating treatment plan. from For example, an DETERMINE YOUR UNDERLYING manyinare willing to amake sacrifices the principles, risks and benefits of theThetheir purchase FDA banned over the counter they needs. experience first heart attack from delivery occludedallows ves- for patients’ deficiencies/specific IV route of medication popularity and sales of various vitamins, supplements continue requiredstress to achieve and maintain these minerals exercise test and cardiac catheterization arehCG. oftenand other and discuss options We RISK FOR HEART ATTACK, sels.toIthCG. has to been that 60-70 Americanswhile aprotocol muchSTROKE higher dosage of nutrients beestimated administered safelymillion and effectively goals. Too causing many “should be” dieters are also make ourselves available throughout HCG tomisleading rise yearly. Opponents feel that supplement utilization produces nothing more more unwarranted testing and ultiAND OTHER CIRCULATORY DISEASE harbor this “silent killer” and should make both having the potential of 100% absorption on a cellular level, which farlife-style exceeds waiting for theurine. “magic bullet” Another thatcontend willexample your weight loss experience. We provide one than expensive Proponents thatisthe often similar mately unnecessary procedures. a effects/results areaddresses that of the oral, sublingual and topical vehicles of administration. For many, this changes, such as getting more exercise, changing their STATES. provide and permanent weight nutritional consultation as well as of use the major orPSA equal toinstant if in not better (and safer) than those the of to mind testing men which nowmuch has been discouraged by seen through or most people, the first thought that comes regarding hormone decreases the amount oral one and mayreducing need totheir achieve optimal and loss results with the least bit of energy diet,supplements quitting smoking, cholesterol. medical evaluation andofintervention underlying pharmaceutical prescribed drugs when by an experienced many medical societies for this reason. In addition to bloodofpressure therapeutic and pulse information, and monetary expenditure. WOWif taken as recommended regarding other aspects of your life such problems levels both in terms of daily dosage and weeks versus months of time While everyone needs to adopt these changes, sometimes imbalance is women in menopause. A indications, decline in a woman’s hormone levels care andthis knowledgeable practitioner under Invasive procedures arehow notaonly costlythe butappropriate often very conditions, were truly possible, many the CardioVision® information on the as: hormone balancing, preventive obesityalso bygenerates requiring these high-dosing schedules. It alone does come a price,CardioVision® however—meaning life-style changes are notatenough. dosing and time intervals. people would toprogesterone their death, healthcare risky in terms ofrace immediate complications involv- stiffness or and Itthe islife thisknown holistic approach resettingofthe theseen brachial Called (estrogen, and testosterone) is flexibility generally atartery. aanti-aging. stage in out-of-pocket expense. Drips range in price to asahigh as $400 identifies people whofrom don’t just evenover think$100 they have cardioproviders to get a prescription?! Regardless of where you are on the spectrum, the industry is booming. In fact, that sets us far apart from the others. hypothalamus ing organ damage and the need to take these risks again Arterial Stiffness Index (ASI), thefor ASIhighly is a number that specific formulations. vascular problem because they are non-smokers, exercise as menopause. The decline isattothe usually rapid and dramatic, andI welcome is accompanied by Welcome the hCG Diet a higher rate of metabolism thus when browsing the net you willfollows be amazed various applications sources Because to verify thattothe procedure that the examination you to joinregularly, the correlates with and arteriosclerosis. arteriosclerosis watch dietisand worse,OPTIONS they don’t have THE BOTTOM LINE: Once again their ICAM offering to and for The reason for most popular diets preventing the “yo-yo” effect of weight ofwas these services that cater as to the patient. Frommood doctors’swings, offices toflexibility IV spa rooms to the thousands of happy andahealthy successful. symptoms such hot flashes, weight gain, sleep disorders and loss reduces in arteries, higher the ASI, the symptoms!!!. Consequently, the ASI can be viewed asto one of leading to disappointment and poor fluctuations seen in between diets. your Healthcare Needs. For more information, contact ICAM to speak individuals helped by Dr. Bartiss who mobile RV’sistraveling to homes and popular events such more as sports likelyoutings, someoneliterally is to have hardening of knowledgeable the arteries, Dementia and Memory Loss outcomes in large part because they another cardiovascular “risk factor”, just like high blood have experienced remarkable health the highly medical staff members to see how you may benefit from How does it work? ofICAM sexunrealistic drive, to name a few. thousands of Americans are receiving these “tailor-made IV addressing impose on how theiscocktails” lower the number, offers staterestrictions of the art testing for dementia and hCG benefits through the physical, mental pressure or a cholesterol level above 200. Additionally, we When ingested the bodythe less likely. IV Nutrition. thememory recipients’ needs and desires fend off anything from fatigue hangover to you live loss yourthrough life. The hCG diettohas andflexible emotional changes Why is and it fat important know how arteries are? established a computerized program known ashowever, is able to tap into stored totoo burnto think that the ASI can be used to follow cholesterol lowUnbeknownst to most of us, men go through a period or and phase through his alternative integrative appetite suppression and immune enhancement. become one of the most successful and are responsible the majority of and the Wealth, as energy and calories). When for moving MCI-CANS. It is probably the most reliable and accu- (fatArteries Dr. Eisenstein and wife ering therapy and other “risk factor” changes. Yours in Health approaches to your health care needs. popular weight loss programs worldwide. combined with a very low calorie WHY IV NOT ORAL? IV Vitamin Drips deliver vitamins, minerals and tree.Andropause, similar to a woman in menopause known as andropause. sometimes Karen, Before (above) and blood through the vascular Consequently, non-flexrate cognitive testing program available today at a mere Mark Bartiss, MD Yours James in Health, Pioneered in 1950 it has gained steady diet, the will metabolize After (below) the hCG Diet. amino to the body for maximalrestricted absorption, thus allowing for ible orbody hardened arteries cause theMark heart tonearly work much cost ofacids $125.directly momentum ever since. Although hCG For more information on these tests and other J. Bartiss, MD referred to as “man-o-pause” or “midlife crisis,” is experienced by every male abnormal fat stores and burn 1500 to nourishment onwith a cellular In addition, higher can bewhen given, it isproviding forced to push blood through partially havemet another extensive battery of tests aimed at dosesharder hasWe been much level. criticism from services offered by ICAM, please call or visit us on 3000 calories of energy daily. This equals Call Today! at some point inand their lifetime as hormone levels the onset higher, yet safeones levels without the limitation these doses have upon thedecline, oral route although Visitis much www.ICAMBartissMD.com occluded vessels. This opponents, proponents participants determining biologic age versus their chronologic a loss of one to three pounds everyextra day!strain on the heart and the the web at www.ICAMBartissMD.com. (gastrointestinal sideto of hCG continue proveonits safety andprior There blockages are a root of cardiovascular dis- sympVisit age. At ICAM this iseffects, used all patients to beginare no resulting special foods to or cause more gradual thanetc.). in women and therefore not aspurchase readily noted aswww.ICAMBartissMD.com are those

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

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

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Hair Designs

CREATING A LOOK THAT IS UNIQUELY YOU A

s the summer quickly approaches and the days appear longer, we at Abstrax Hair Designs do not want you to forget how important it is to keep your locks looking fresh and bold throughout the entire season. HAIR SERVICES Let our experienced stylists cater to your distinct hair type, facial shape and life style! During your visit, we will teach you how to obtain the salon finish look everyday and recommend products for your daily, at home maintenance. The hair industry is a visual art form. Please feel free to bring pictures, magazine clippings, and any other examples to aid your stylist in grasping your vision. Other helpful hints include a description of your lifestyle, job requirements, and the amount of time you allot for daily care. HAIR EXTENSIONS At Abstrax Hair Designs, our professional staff has over 15 years of experience in hair extensions. Hair extensions are perfect for adding more length, fullness, volume, body, highlights, lowlights, fixing a bad hair cut, growing out bangs, or just driving your boyfriend crazy! Lighter or brighter extensions is also a perfect way to kick it up a notch. Look like the celebrities with great natural hair extensions. We use the “Great Lengths” bonding method. We’ll start with the consultation to determine what look you would like to achieve with the extensions. Remember to ask, ask, ask as many questions you can! It will be helpful for you and your stylist. At all times, our staff promises

professional services and a natural style that fits all of your individual needs. The method of bonding your hair extensions is attaching the extension to the base of your own hair using natural proteins to bond the extensions in place. This special technique used in this process allows the extensions to be attached higher on your hair shaft, which results in healthier, more natural flow of your hair. VEGAN PRODUCTS In addition to natural hair extensions, we offer Zerran’s vegan product called RealLisse. Zerran RealLisse is a patented, botanically based system offering semi-permanenet smoothing MINUS the use of formaldehyde or other harsh chemicals. This professional system is for salon use only. No chemical or health worries. RealLisse can be used on hair that is colored or bleached. Smoothing results last two to four weeks.

Services include:

Hair Cuts Chemical Process • Men • Color • Women • Double Process • Children • Half/Full Head Foils • Bangs • Frostings w/ Cap • Wash, Cut, & Blow Dry • Perms • Shampoo & Set • Color Rinse • Cut, Shampoo, & Set • 5-Step Treatment • Flat Iron • Zerran Smoothing • Up Do’s • Spiral Perm • Braiding • And Much More!

Waxing • Make Overs Manicures and Pedicures

Enjoy ultra smooth, shiny and easy care hair that takes half the time to style. Keep the look and feel of improved natural hair without compromise! We are extremely happy to welcome and accommodate MaryAnn Verderrosa to our staff! She was employed with Toms River’s exclusive Thomas Salon, which closed after 50 years in business. We are looking forward to her continuing career with us! We at Abstrax Hair Designs would love to give you an individualized, amazing look. Call 732-255-1733 to schedule an appointment today. You will not be disappointed. Your time is precious, we will not waste it!

732-255-1733

2494 Moore Rd. Ste #1, Toms River, NJ 08753 Email: gerry@abstrax.com www.abstraxhairdesign.com

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Assisted Living

Welcome to Spring Oak of Toms River

Monthly Rate Includes:

apartments that feature a kitchenette, e are a leader in bathroom and emergency call affordable assisted system. A variety of floor plans are living communities. available, with residents furnishing We own and operate and decorating the apartment to their communities for older adults that feature independent living, taste. assisted living, and specialized Staff is on-duty 24 hours a day, seven days a week to provide memory support apartments. personal assistance with medications Our communities are designed and a full array of activities. Meals, to serve older adults and provide a housekeeping and laundry services wonderful alternative to struggling are also included in our affordable alone at home while still helping to monthly fee. maintain their independence. This valuable combination of We strongly believe that the housing and optional services need for assistance as we age does provides a home-like setting with the not mean having to give up one’s right balance of health and wellness independence. Our emphasis is on without compromising an individual’s helping each resident to maintain choices, dignity, or independence. their health, wellness, dignity and Visit our community and learn enjoy socialization our communities more about what we have to offer. provide. At our affordable assisted living Visit communities, residents live in private

www.springoaktomsriver.com

Starting At

$1995

NO ENTRANCE FEE!

Three Homestyle Meals Daily Social and Recreational Activities Weekly Housekeeping Utilities Included Emergency Call System Spacious Studios, 1 & 2 Bedroom Apartments Access to Common and Social Areas Additional Services Available: Assisted Living Services Personal Care Assistance Wellness and Health Monitoring Laundry • Medication Management Scheduled Transportation Memory Support

2145 Whitesville Road • Toms River, NJ 08755

Call Spring Oak today to schedule a tour!

732-905-9222

www.springoaktomsriver.com

Windows & Power Washing

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Business & Finance

Keeping it in the Family

Copiers Plus

Epitomizes a Family Business

When Bob and Debra Matthews started their seemed like a natural diversification. I felt that we would be able business, Copiers Plus, they knew that customer to leverage our expertise in the equipment business to be successful in the commercial printing business. service would be a priority. In fact, their company slogan: “Service is our Specialty,” also became words to live by for their staff. Serving as a CW: How does it feel to have your children follow in your footsteps? Was it a natural progression for them? traditional and specialty digital office equipment company, they represent over 28 years in the BOB: It’s extremely rewarding. I think many parents would love to have field selling and servicing equipment. Bob adds, their children follow in their footsteps especially if they own a “We continue to grow as a result of our loyal business. It presents excellent opportunities and challenges for customers who refer our company to others. Our everyone involved. I feel very fortunate to have both of our sons customers and our employees are the most important people in our working in the business. business. We are dependent on them.” CW: Tell us about the vehicle wrapping services you offer. CW: Tell us about the main services you provide. BOB: We have provided vehicle wrapping and lettering for over two years with over 50 projects completed. They are mostly advertisBOB: We have a walk-in retail business for copying, blueprint copying, ing graphics along with partial wraps and a few full color changes. fax and e-mail service along with document scanning. We also This is an extremely labor intensive and technical procedure. We offer commercial printing for letterheads, business cards, forms, provide a complete solution from concept and design, through invitations and graphic design. Finally, we offer large format color production and installation. We also provide vinyl lettering and printing for banners, posters, indoor and outdoor signs, vehicle magnetic signs. graphics and vinyl wraps. CW: W hat is the single most important aspect of your business that sets it apart from others like it? BOB: We provide very fast turnaround for most projects by our courteous and knowledgeable staff. We take a “can do” attitude to every single request. It really comes down to good old fashion customer service.

If you are in need of any office equipment or commercial printing for your business, call Copiers Plus, 609-645-7578 and schedule an appointment with one of their knowledgeable staff member. Visit their website at www.copiersplus.com and like them on Facebook. Visit www.copiersplus.com

CW: How did you become involved in printing services? BOB: About 12 years ago we relocated into a larger facility on Fire Rd. in Egg Harbor Township. Being as we were located on a major highway and surrounded by commercial and retail businesses, we decided to create a new division focused on retail and commercial printing. Already in the digital copier equipment business, it

THREE CONVENIENT LOCATIONS!

935 West Ave. Ocean City, NJ

609-398-7676

3112 Fire Road, Unit C Egg Harbor Twp., NJ

609-645-7587

21 East Broad Street Palmyra, NJ

1-800-834-3598

CONTRACTORS SPECIAL!

Plumbing, Heating and Air Conditioning, Electricians, Landscapers, Builders, Etc.

Up to 20% OFF design, production, and installing for truck and trailer lettering and wrapping. The County Woman Magazine

www.TheCountyWoman.com

May/June 2016

Health & Wellness

The Season of Freedom & Discipline Written by Laurie Greene, PhD, ERYT • Owner: Yoga Nine, Smithville & LBI

“The seasons are what a symphony ought to be: four perfect movements in harmony with each other.” ~Arthur Rubenstein Spring is celebrated in many traditions as a time of optimism born in renewal, resurrection and redemption. This optimism is based on a sense of potential “freedom” which arises in the Spring season; freedom from death & decay, from confinement and drudgery. Freedom from jackets and clothing, from confinement indoors, from school, from inertia. All things seem possible in the Spring as we watch the weather warm and flowers start to sprout and bloom. The rhythm of the seasons, their predictability and cycling is what allows us this sense of optimism. There is freedom in this yearly “discipline”. Hmmm… In our modern culture we often see freedom “from” doing rather than freedom “to” do. We do not see the value of restrictions, what the anthropologist Barbara Meyerhoff called “the emancipation of ritual” in describing the highly structured lives of Orthodox Jews. We associate “disciplines” like these obstructing our freedoms, not creating them. According to many orthodox traditions, to enjoy freedom we have to control ourselves and regulate our lives. It is through the dedication to some structured practice that freedom is best experienced. Discipline is a decidedly unpopular notion today, associated with the denial of pleasures and the lack of personal autonomy. But, the word discipline means, “to impart knowledge” or “to enlighten”. It is a way of containing our thoughts, energy and actions so that we can live our lives in a more “potent” way. As the Russian proverb states, “A bucket with many holes cannot carry water from one place to another”. Most of us do not really want freedom (as we may think we do), because freedom involves responsibility. We falsely believe, like Peter Pan, that freedom means lack of responsibility. But in our necessity to choose, to be decisive, lies our personal growth and our freedom. Being “the boy who won’t grow up” seems seductive at first, but this belief is a sign of immaturity and narcissism. With maturity comes the acceptance of responsibility and the discipline and choices that come with it. In the Gita, Arjuna is shown to mature into an everyday hero. He is given undesirable choices, and first desires not to act, to avoid the responsibility that comes with decisiveness. But

as he grows and learns through the “discipline” of Krishna’s teachings, he finds that no freedom is found in lack of dedication; in non-commitment there is only suffering. By dedicating himself to fulfilling his purpose in life (his dharma), with its restrictions and responsibilities, he finds “Kaivalya” enlightenment through absolute freedom. The practice of yoga according to sutras 1.12-1.14 involves: “…thought patterns mastered, regulated, coordinated, controlled, stilled, quieted through practice and dispassion. By choosing, applying the effort, and doing those actions that bring a stable and tranquil state. When that practice is done for a long time, without a break, and with sincere devotion, then the practice becomes a firmly rooted, stable and solid foundation”. ~ Swami Jnaneshvara Whether our discipline leads us to freedom or not, depends on what drives us to practice. Discipline can be just as effective as sloth in helping us escape from reality. We can schedule, control and otherwise fill up our day to avoid the responsibilities that we have! Discipline should set us free to experience our lives in the fullest way possible. What we try to find in discipline is a flexibility that allows outside possibilities and changes in. How do we do this? Find out what lies at our foundation and dedicate ourselves to it. This may be a physical practice, a set of ethical standards, or a dedication to service, family or career. From these roots, the sun can warm us, and we can experience our personal springtime, where new beginnings are possible and change and growth are always part of our yearly cycle. Until a person is committed to something in a disciplined and predictable way, there is hesitancy, and the chance to draw backward. A whole stream of events issues from one decisive moment. So, as Goethe encourages us, “Whatever you can do or dream you can, begin it. Boldness has genius, power and magic in it. Begin it now.” What would you like to begin? Springtime is the perfect time to find your practice. Take off your jacket and begin!

“Emancipation from the bondage of the soil is no freedom for the tree.” ~Rabindranath Tagore

VISIT www.yoganine.com The County Woman Magazine

www.TheCountyWoman.com

May/June 2016

Business Spotlight

Yoga as a Way of Life:

MeetYogi Laurie Greene Yoga Nine is dedicated to helping each client achieve their personal goals and improve the quality of their life in a fun, noncompetitive, and community-centered environment.

Laurie Greene

Their facility is designed for laying back!

As a child who grew up in a “yoga family” Laurie Greene had the opportunity to meet many wonderful teachers who made quite an impression on her. Those influences can be seen today in her role as the director of Yoga Nine Mind Body & Wellness Studio. The studio aims to promote community health by providing a variety of classes taught by the most highly trained teachers. Laurie believes wholeheartedly in what she does. Admittedly not a good sales person, she struggles with having to “sell what you do” and what you can offer, rather than selling yourself. She adds, “The Instagram age encourages you to sell yourself but that’s not my style. Our practice is solid and deep, but its not flashy or trendy.” Her studio has become a place where many new teachers gather and continue to inspire each other. In fact,it is her passion to blend many styles into a practice that is instructive and fun. “I have studied with many different teachers and I am forever grateful to all of them,” she adds. The studio is also involved in a number of community service and fundraising projects all aimed at supporting local charities. One of the primary benefits of yoga is that it provides the opportunity to have a real conversation with yourself. She adds, “If you truly practice, you know who you are and what you want. This self-knowledge is what makes yoga so powerful. The ancillary benefits are great as well. From improved fitness and community, to long lasting friendships. However, the real benefit is the way yoga allows you to imagine the possibilities in your life. You aren’t stuck; you are fluid, dynamic, and powerful.” Yoga Nine has served the community for over a decade. Their teachers are trained professionals equipped to teach all participants regardless of any limitations. They provide yoga therapy in addition to their open classes through credentialed professionals. Therapeutic yoga is designed to tailor individual practices for the prevention and recovery from injuries. Therapeutic yoga may also be used as a way of improving our physical and psychological performance, whether one is a competitive athlete, struggling with asthma, living with a stutter, osteoporosis, MS,or cancer. Therapeutic yoga programs are customized to meet each individual’s needs, utilizing a combination of stationary postures and movement which build strength and stability as well as flexibility, often assisted by props. At the foundation of this therapy are breathing techniques. The County Woman Magazine

She adds, “We see ourselves as a school, rather than a fitness facility. You will get taught here.” Offering a vast array of classes from Yin Yoga, rigorous vinyasa yoga, gentle yoga, meditation and breathwork along with other therapeutic modalities. Each class is open to all segments of the community, including children, senior citizens and those living with chronic illness and physical disabilities. Laurie has noticed there are some common misconceptions people have about the practice of yoga. For instance, people think you have to be young or flexible. She clarifies, “You do not have to be any of these things. Yoga is a practice for everybody. We can modify and tailor it to the student’s unique needs. With proper instruction, yoga is safe and is as much about strength as it is about flexibility. No, you don’t have to ever touch your toes, but yoga will get you closer to them.” Her goals for the studio include creating a place where people gather to learn and grow. Yoga Nine also houses a “fair trade” store called Buddha Body. She adds, “We feature products by local artists and others created through cooperatives around the world which support impoverished communities.” They are also a member of the Green Studio Association and make continuing efforts to provide products made from renewable resources and organic materials. Laurie has a PhD in Anthropology and is an associate professor of Anthropology at Stockton University. She also teaches a senior interdisciplinary course on the history, philosophy, and practice of yoga. Her training is a combination of classical “hatha” traditions. “I have trained extensively in the Iyengar tradition where the emphasis is on safety, technique, and proper alignment. In this way, students receive the greatest benefits from their practice and also experience the joy that yoga affords, she says.” Laurie is certified in Vinyasa flow and is registered with the Yoga Alliance as an “experienced teacher” and trainer. She lives in Ventnor City and has three grown children.

VISIT www.yoganine.com Smithville • Ventnor • Ship Bottom LBI 609-404-0999

www.TheCountyWoman.com

May/June 2016

Massage School

60 ewent N er em d Un nag Ma

Start A New Career In Helping Others:

Massage Therapy

he ability to help another, and the desire to want to help another are two different forms of thinking. At NJ School of Massage, we provide the tools and education necessary for those with the wanting to help others.

Through their training at NJ School of Massage, students will not only gain success from the training they will receive, but learn about professionalism and communication. After completing the requirements, we help our students with the license registration process, as well as connect them with the Brookdale Community College Small Business Development Center. In addition, we assist them with finding employment with local spas and medical centers. We provide multiple, convenient courses to choose from. Day classes consist of three full days between 9 a.m. to 5 p.m. and last approximately six months. The evening class consists of two evenings from 6 p.m. to 10 p.m. and lasts approximately 10 months. We understand that life takes its own course at times, and so we will try to accommodate a student’s personal life schedule to make it more comfortable for them and their family.

Some of our specialty training includes:

• Swedish Massage-For Relaxation • Medical Massage-For Pain Relief • Sports Massage-Improves Stretching • Cancer Massage-For Comfort & Stress Relief • Prenatal Massage • Geriatric Massage

✤

massage therapists. They are fully prepared to help clients with not only their pain or relaxation needs but are able to convey the message of the importance and benefits of massage. Our personal focus is to help our students improve their overall lifestyles, become more creative, while contributing to society by participating in community events. *Must be 18 years old and possess a high school diploma or a GED.

Whether you are a senior in high school, an empty nester looking to keep busy, or seeking a career change, NJ School of Massage is open for all with the desire to better themselves and others.

✤

Our mission at the NJ School of Massage is to use all available resources to train and develop willing and passionate students to succeed. We take pride in our students who graduate as confident, professional

Guaranteed Job Placement

For Those Who Qualify Textbooks, a massage table and a School of Massage school t-shirt are included in the tuition! Learn. Renew. Succeed.

917-5 North Main Street corner of Route 37 & 166 Toms River, NJ

732-505-0055 • njschoolofmassage.com Community

$500 OFF Tuition Testimonial

Good through 6/30/16.

“Being a student at NJ School of Massage is a very integrative experience. The instructors and students all become very close with each other which provides a really great learning environment. The individual attention that is given to the students is absolutely wonderful. Alice, as the owner, has a very big and evident passion for ensuring that all of her students succeed and do well, both academically and clinically. As a graduating student of this school, I couldn’t be more proud to have matriculated through such a fine institution.” -Lindsey Tucker 2016

Morning Walk and Smoothies with Christina & Amy! Come join Christina and Amy for a relaxing morning walk, followed by a healthy smoothie!

Please show up on time with comfortable shoes, so we can all start walking together and make the smoothies as a group!

Where: 1433 Hooper Ave Suite 121 Toms River, NJ Fun for Adults When: Friday May 20th & Kids! Time: 9:00am-11:00am

Raffle will be drawn for attendees! Contact Christina or Amy if you would like to attend! 732-557-5037 (Christina ext 206/ Amy ext 214)

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Community

Host a Mammogram Party at the Jacqueline M. Wilentz Breast Centers at Monmouth Medical Center

Turn Your Next Mammogram Appointment into a Fun, Relaxing Experience With Friends, Family, or Co-workers. The Jacqueline M. Wilentz Breast Center provides: • • • •

The date and time most convenient for your group The mammography technologist and state-of-the-art equipment A private area for you and your guests Invitations for you to mail or handout; plus all the “fun” amenities at no charge, including facials, chair massages, refreshments, hostess gift and goodie bags for all guests

You provide: Four to seven people who are due for their yearly screening mammogram and their email addresses Your guests provide: Insurance information, referring physician name, address and phone number and prescription, if required; along with films of their previous mammograms if done at another facility.* (*Most insurance companies & Medicare will cover the cost of an annual screening — must be 12 months plus one day from your last mammogram. We can obtain films for them if a release form is signed with the location and date of their last mammogram.)

Choose your location.

Call for more information.

Colts Neck 310 Route 34 South, Second Floor

Call Laura Gallo at 732.923.6509 or lgallo@barnabashealth.org to reserve the date and location for your mammogram party.

Howell 59 Kent Road, Village Square Shopping Center Lakewood 600 River Avenue Long Branch 300 Second Avenue (main Monmouth Medical Center campus)

www.monmouthwilentzbreastcenter.com

Community

Coastal Volunteers In Medicine

Coastal VIM is a 501(c) (3) non-profit and free clinic in southern Ocean County for those with no health insurance nor Medicaid, and low or no income. We have seen over 500 patients since opening in April 2013. We provide essential, primary care and psychiatric services in an area of New Jersey hit hard by Hurricane Sandy, and underserved by medical professionals in these fields. Business owners who cannot provide medical insurance to their employees have referred them to our clinic. Our staff of about 35 volunteers includes CoMedical Directors, Edward Niewiadomski, MD and Kim Hogan, MD. In addition, we have five APN -Family; two APN-Pediatrics; and one APN-Psychiatry. Coastal Volunteers in Medicine is part of a national network of 96 clinics working as part of the solution to healthcare for all since 1994. Volunteers in Medicine is the only national nonprofit dedicated to building a network of sustainable, free primary health care clinics for the uninsured in local communities.

All interested volunteers are welcome to contact our Volunteer Coordinator Danni Hagler at volunteer@coastalvim.org or call (609) 384-0102.

Our current community affiliations include Horizon Foundation of New Jersey; BioReference Laboratories;

Seaview Orthopedics; NJ Cancer Education and Early Detection (NJCEED); Ocean First Bank Foundation; Ocean County Health Department; and Barnegat Family Chiropractors. Appointments are required and provided to those without health insurance or assistance and a family/household income of up to 250% above Federal Poverty Level. Patients must reside in Waretown (08758); Barnegat (08005); Manahawkin (08050); Eagleswood/West Creek (08092); Little Egg Harbor (08087); Long Beach Island (08008); Barnegat Light (08006); New Gretna (08224); Chatsworth (08019); Forked River (08731); or Lanoka Harbor (08734). Please call (609) 384-0102. 249 South Main Street, Suite 8, Barnegat, NJ 08005 “Since we opened in 2013, we have served the primary health care needs of more than 500 patients,” said Sonia Rich-Mazzeo, APN, chairperson & executive director. “We have managed their chronic conditions such as diabetes, asthma, hypertension, COPD and high cholesterol. It is estimated that 632,000 in New Jersey will remain uninsured after the implementation of the Affordable Care Act; these individuals do not qualify for Medicaid and cannot afford any insurance coverage. Many of those persons are exempt from participating in available health insurance coverage. Many of the residents of Southern Ocean County and surrounding areas turn to Coastal Volunteers in Medicine. Our journey for about 3 years has been gratifying and healing

The County Woman Magazine www.TheCountyWoman.com

Coastal Volunteers in Medicine volunteer staff at their recent volunteer meeting to develop patient services, volunteer staff and fundraising plans.

for volunteers and patients alike. We invite volunteers to become a part of CVIM and help keep our community healthy. We need volunteers at clinic but also for fundraising, public relations and event planning.” “We’re seeing an average of three or four new patients every week,” said Rich-Mazzeo. “More than 80 percent of our clients are employed, but either their employer doesn’t offer them health insurance or they can’t afford it. In addition, many of our patients are still affected by Superstorm Sandy and would otherwise lack medical and psychiatric care without Coastal Volunteers in Medicine.”

249 South Main Street, 2nd floor, Suite 8 Barnegat, NJ 08005

(609) 384-0102

May/June 2016

Women Of Ocean County

Christine L Matus, Esq., The Matus Law Group

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

You can reach her at 732-281-0060 or visit www.MatusLaw.com for more information. Photo by Tracy Harman Photography

Jennifer Schreiber, Patient Safety Officer, Acuity Specialty Hospital of NJ Jenn Trallo Schreiber has been with Acuity Specialty Hospital of New Jersey in progressive leadership roles since late 2009, when the hospital opened. She is currently serving as the hospital’s Patient Safety Officer and is about to expand her role to encompass oversight of quality reporting for all of Acuity Healthcare’s hospitals throughout the country. Jenn loves working for Acuity because the organization is small enough that the leadership team can collaborate with bedside staff to have a direct and immediate impact on patient care. Highlights of her time at Acuity include the hospital being the first in the state to achieve ISO 9001:2008 certification (an internationally recognized measure of quality) in 2013 and being awarded the 2016 New Jersey Hospital Association Excellence in Quality Improvement Award. Jenn holds a Bachelor of Science in Nursing degree from New York University, a Master of Science in Nursing, and a Master of Business Administration, both from Wilmington University. She is also a Certified Professional in Patient Safety. Jenn lives with her husband Bruce and middle school aged son, Gabe, in Egg Harbor Township. The family enjoys travel, boating, and excellent meals. For more information, call 609-441-8123 or visit www.acuityatlanticcity.com. Photo by Donna Andrews Photography

Adity Sharma, MD, Interventional Pain Management Center

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 patients 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.

For more information or to schedule an appointment, call 1-800-403-1533 or visit www.interventional-pain-management.com.

Natalie Stewart, House Manager, Long Branch Ronald McDonald House I have heard it said that it is rare for one to earn a living doing what they love. I am most fortunate that as the House Manager of the Long Branch Ronald McDonald House of Central & Northern New Jersey every day I come to work is an opportunity to live out my passion and do what I love! My professional background which includes serving as a seminary trained ordained clergyperson and a development officer (fundraiser) for religious, parachurch and hospital nonprofit is filled with wonderful learning opportunities that fostered within me a continuous desire to approach every task with excellence, compassion and dedication. To that end, I am excited about managing the logistics of the house, growing our volunteer family, and collaborating with the hospitals and communities to fulfill our mission of “Keeping families close” to their ill child receiving medical treatment at area hospitals. For more information regarding volunteer opportunities, speaking engagements or tours please call Natalie Stewart, House Manager at 732-222-8755 ext. 5000. Photo by Annette Jenkins Photography

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Women Of Ocean County

Kerri Buckley, Owner, The Buckley Insurance Group Kerri Buckley, owner of The Buckley Insurance Group, a family-owned agency, resides in Brick, NJ with her husband Derick, their two children, Connor and Sydney, and their two dogs, Holly and Lily. She currently sits on the Board of Directors for the Brick Chamber of Commerce. Kerri worked in Human Resources for Meridian Health and also in the Brick school system. Derick started a business helping seniors with Medicare, life insurance and annuities. After Derick’s business proved to be a necessity in the area, Kerri obtained her health insurance license and together they opened The Buckley Insurance Group. “Medicare is so confusing for many seniors and it is truly a pleasure to provide a free service to help them get through the process and answer their questions. A lot of times they do not know that they are paying too much for their plan and that they are able to switch plans without having to change doctors,” says Kerri. “Our business is very rewarding in that we get to help seniors save money at a time in their lives when every penny counts. We are very proud to have helped over 1,800 NJ seniors find their Medicare plans.”

For more information, call 732-746-3320 or visit www.thebuckleyinsurancegroup.com. Photo by Tracy Harman Photography

Dr. Angela Adelizzi, Coastal Healthcare Dr. Angela Adelizzi is one of four Board Certified Primary Care Internists conveniently located at 1314 Hooper Ave in Toms River. She focuses on primary and preventive care and is skilled in the diagnosis and management of many chronic illnesses, including diabetes and hypertension. The office is also registered to perform CDL physicals. IDEAL BODY REVOLUTION is a weight loss system medically supervised by Dr. Adelizzi to change your lifestyle. The program uses fresh vegetables, lean protein and the meal replacements. The average weight loss is 2 to 4 pounds per week. The program guides its members on how to shop, prepare healthy meal plans, and most importantly, how to keep the weight off. The health benefits of even losing 10% of your body weight are remarkable. It is not just a diet, it’s a life style change! Schedule a free consult. Call Kristin at 732-349-4994 extension 5. Coastal Healthcare is committed to its patients by providing quality healthcare for the entire family in a friendly, safe and convenient environment.

Visit our website: www.coastalhealthcareNJ.com or to schedule an appointment, call 732-349-4994. Photo by Tracy Harman Photography

Kathleen Dotoli, Esq., Law Office of Kathleen M. Dotoli Kathleen attended Farleigh Dickinson University and Quinnipiace College School of Law. She has been working in this arena for over 20 years and has been the co-chair of the Ocean County Bar Association’s Worker’s Compensation Committee since 2005. She is also a member of the NJ Bar Association’s Worker’s Compensation Executive Committee and completed several years of training with the Justice James Coleman Workers’ Compensation Inns of Court. Additionally, Kathleen is a Board Member of the American Red Cross, South Jersey Division, and is a Member of the Paralegal Advisory Committee of Ocean County College. Today, Kathleen continues to lecture to the public and her colleagues on the subject of workers’ compensation and social security disability several times throughout the year. One of her proudest achievements is being a member of the NJ Bar Foundation’s Vincent Apruzzese Mock Trial Committee. This is the committee that creates the challenging statewide mock trial program for high school students statewide. Kathleen was raised in Westwood and spent weekends and summers at her family’s shore house in Ocean Beach. Eventually, she made the move to Ocean County to live full time. “This is where my heart is and where I was meant to live, practice law, and help others,” she adds.

For more information, call 732-228-7534. Photo by Tracy Harman Photography

Lisa M. Hand, Practice Director, AtlantiCare Physician Group Lisa M. Hand is the Practice Director for AtlantiCare Physician 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. Photo by Donna Connor

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Women Of Ocean County

Smita Kargutkar, M.D., Barnabas Health Medical Group

Smita Kargutkar, M.D., a board-certified, fellowship-trained endocrinologist with Barnabas Health Medical Group, never had any doubts about becoming a physician. “I wanted to help people feel better and live normal, healthy lives,” said Dr. Kargutkar. “My mom is a diabetic, so I witnessed how much we need doctors who specialize in treating it.” Dr. Kargutkar earned her medical degree at Seth G.S. Medical College in Mumbai, India. She completed her internal medicine residency at Monmouth Medical Center, a Barnabas Health facility, in Long Branch and her endocrinology, diabetes and metabolism fellowship at Albert Einstein Medical Center in Philadelphia. Dr. Kargutkar strives to offer comprehensive care and make her patients feel better. Her motto is: “The good doctor is the one who makes the patient better just by mere presence.” As a member of Barnabas Health Medical Group, Dr. Kargutkar has access to a wide-range of resources, including seven 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.

For a consultation, please call 732-544-1048 or visit www.barnabashealth.org.

Maria Pulice, Owner, Bellissima Designs

Maria has been designing dream rooms for clients since 2005. With her eye for detail, she finds inspiration from her clients taste and personalities as well as the architectural space they are trying to bring back to life. She keeps on top of the latest products and trends and is an active member of WCAA Window Covering Association of America since 2011 and NKBA National Kitchen and Bath since 2007. She was born and raised a Jersey Girl and recently made the shore her home with her husband Frank. She is a proud Mom of three children, Frank, Alyssa and Gabriella. She loves to spend time with her family and friends, loves entertaining, skiing, playing golf and boating. Maria has been an active volunteer at Ronald McDonald House and is always eager to lend a hand in many fundraising events for special causes. She is eager to bring her design inspirations and talents to the people in the community.

Maria can be reached at 908-872-1183 or mariaa.pulice@gmail.com. Photo by Tracy Harman Photography

Fashion & Beauty

Color Your Life With The Spring/Summer 2016 Collection From Mrs. B’s! Vibrant graphic prints, layers of bold color and brush

strokes dominate this year’s fashion trend. This season we highlight our love of prints, fashion and most of all comfort. Our Shoe Boutique has expanded and is better than ever! We pride ourselves in stylish trendy shoes with emphasis on comfort. We all have to look good and we have to feel good too! Come in today and treat yourself! As always we pride ourselves on the most excellent customer service and friendly atmosphere.

Shoes by Cordani, Fashions by Analili and Joseph Ribkoff

Mrs. B’s Boutique

609-449-8159

• 7312 Ventnor Ave. Mon-Sat 10-5pm and Sunday 10-4pm

or shop online at www.MrsBsBoutique.com

The County Woman Magazine www.TheCountyWoman.com

Shipping available! May/June 2016

Adult Community

Fountainhead: The Best Kept Secret In Jackson Spectacular Home Savings! Fountainhead Adult Community in Jackson F Township, Ocean County, NJ is the best-kept secret around for empty nesters and seniors who wish to own a home with less work and expense while remaining close to family.

With the right size yard, a limited amount of home maintenance, and an easy to maintain interior, these advantages are offered at Fountainhead and they deserve serious consideration as the perfect solution. Land lease communities offer valuable independence and immediate relief from some of the stressful aspects of homeownership. The lease discloses all financial elements, taxes are included, and are disclosed a year in advanceallowing the homeowner to plan and budget. An impartial municipal board regulates all annual increases providing cost protection for homeowners. Many people 55+ are choosing to lease land and buy their home rather than re-investing the sale of the family home into another mortgage. The cost of owning the home and leasing the lot is a viable long-terms solution as the Fountainhead history demonstrates. The ownership costs remain well below the rate of inflation or cost of living increase percentages. For most people the desire to be self-reliant until the end of days is very important. A right-size home decision that fits the retirement finances now can result in a healthy cushion later. Result: stay independent. There are so many options for a new home. It can be customized from the choice of sites available to the color of the handles on the cabinets. Adequate size samples and digital imagery provide a clear and exciting look at what will be your new home. Most shore people are aware modular homes are the best solution to storm rebuilding. Part of the same “family”, manufactured homes can be a solution as well, they are built to go either on a foundation or for land lease community placement. The subtle differences in construction are not detectable after completion. Manufactured homes are most cost efficient when in a land lease setting as land acquisition and development costs are the most significant variable in home ownership. Once again, the long term

cost effectiveness in a land lease community. Efficiently combining the home financing costs and land use costs into a combination that is fixed and reaches maturity before a mortgage would. This added savings of less interest over the amortization period is often a very significant soft savings, and often not calculated by the comparison shopper. New manufactured homes, averaging just under $100,000 and “ready-for-residents” can be the right answer for people who realize land ownership is the most costly element of single-family home ownership. Especially in the later years, a lot of the expense can be eliminated with no downside. Fountainhead’s experienced housing consultants can offer insights and information in a stressfree environment. Quality construction, energy efficiency and a vast selection of options to personalize your new home make this an opportunity home shoppers should look into. Couple that with an Ocean County location just 8 miles from Freehold, 10 miles to Six Flags, 15 miles to Toms River and Arneytown (Brig. Gen’l Doyle Cemetery), 20 miles to Seaside and Point Pleasant and you’ve found your pot of gold. Land leasing offers less expensive costs for utilities, taxes, trash, and home maintenance. At Fountainhead, the average increase over ten years has been around 1.25%. Customers cannot compare this to anything experienced in owning their present single-family home or apartment rental. Jackson is a community of about 55,000 people, 25 miles east of Trenton, 50 miles to NYC and Philadelphia, just under an hour from Staten Island and is the geographical center of New Jersey. I-195 links the Garden State Parkway to the NJ Turnpike and I-295. Fountainhead is less than 2 miles from I-195, Exit 22. The location is easy for the family to access from all parts of NJ and NY. When it’s time for a change, visit the Viviano Family, who are the owners and developers of Fountainhead and change your life for the better. For directions to the sales center at 1 Rose Drive, Jackson, NJ 08527 call 732-928-3100 or visit www.njfountainheadhomes.com.

You Luv’ Em, We Luv’ Em Too!

The County Woman Magazine www.TheCountyWoman.com

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

1 Rose Drive, Jackson, NJ 08527 For directions call

732-928-3100

or visit our website

njfountainheadhomes.com

May/June 2016

Education

Change Your Life – Earn A College Degree!

Recent high school graduates, career professionals, job-seekers, or students returning to school after a hiatus – Ocean County College has something for everyone. Register now to take advantage of all that Ocean County College has to offer! For 50 years, Ocean County College has provided area residents with the opportunity to benefit from higher education. Students of all ages, backgrounds, and interests can earn a degree, work toward a certificate, develop new skills, and enhance self-confidence through courses on Ocean County College’s Main Campus in Toms River, the Southern Education Center in Manahawkin, and at offcampus locations throughout Ocean County. Whether you want to start your college journey, meet a long-term career goal, or just enjoy a leisure course for personal interest, Ocean County College lets you design a schedule that fits into your busy life. Many classes meet just once or twice per week, and

OWE.

OH!

you can choose from day, evening, weekend, $150,000+ $31,672 and online classes. for your college education. for your college education. Generally, registration for Summer classes Your college education could cost Or, you could earn your Bachelor’s Degree runs February through June, Fall Semester this much or more. from Kean-Ocean. registration begins in April and runs through August, and registration for the Spring Semester runs November through January. Ocean County College also offers a three-week For over 50 years, Ocean County College has provided area residents with the Winter Intersession along with Fall and Spring opportunity to benefit from higher education. Quick Terms – where students can earn credits in just ten weeks; registration begins around With the Kean-Ocean program, students can complete an associate degree at OCC and then continue on to the start of the major semesters. earn a Kean bachelor’s degree without ever leaving Ocean County. Choose from Classes fill up fast, so enroll now! New day, evening, weekend, and an extensive selection of online classes. students can register for courses in person in the Office of Registration and Records, while Register today to begin your college journey. Ocean has the resources to help you toward personal and academic success. current students can register either in person or Summer and Fall 2016 classes are available now! online. Ocean County College has just Because a college education should be worth a fortune. what you’re looking for – so call, log It shouldn’t cost one. on, or stop by today!

For more information on Ocean County College, call 732-255-0400 or visit www.ocean.edu.

www.ocean.edu Source: http://www.state.nj.us/highereducation/documents/pdf/statistics/tuition/Tuition2015.pdf. Kean-Ocean amounts based on two years of 2013-14 OCC tuition/fees + two years of 2013-14 Kean University tuition/fees.

Community

DOMESTIC VIOLENCE SEMINAR The seminar will offer information on the following: 

The Prevention of Domestic Violence Act



Criminal statutes



Process of filing a domestic violence complaint



Court proceedings



Types of relief allowed under a TRO/FRO, and



Consequences of having an FRO against you.

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

FREE PROGRAM OPEN TO THE PUBLIC

June 10, 2016 To reserve space or for more information please call: 732-929-2063 or Email: oceanlric.mailbox@njcourts.gov

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

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Fine Jewelry

Safety Workshop

Bike & Summer Safety Workshop Prepare Wisely For Your Childrenâ&#x20AC;&#x2122;s Summer Fun

Presented by The Ocean County Family Success Center Where: 1433 Hooper Ave., Suite 121 When: Friday, May 27th Time: 11:00 am - 1:00 pm Kids Are Welcome! FREE Bike Helmet Giveaway, Sign Up Early! For more information or to R.S.V.P.,

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Business

&Personal

Storage

Take Back Your GarageWe’ve Got Space!

www.AirshipSelfStorage.com

We Now Rent UHaul Trucks For Your Convenience

2420 Ridgeway Blvd. Manchester, NJ

732-323-0700

First Month ’s Rent New Custo mers Only

Coupons may not be combi ned with any other of fer. With Co unty Woman Coupon Onl y. Expires 6/ 30/2016.

Clean & Friendly • Affordable • 27/7 Hr. Access Alarmed • Video Surveillance • Safe & Secure Funeral Planning

DeGraff Lakehurst Funeral Home We Are Here To Assist You In Making Your Funeral Arrangements

he DeGraff family purchased the funeral home in 1979. We are family owned and operated. We serve all faiths, offering personal care with reasonable pricing. We have traditional funeral services and cremation options with a wide variety of memorial service packages tailored to meet the needs of each individual family. We would like to answer some frequently asked questions regarding the involvement of Medicaid and Social Security for funeral arrangements.

What does Medicaid contribute toward funeral expenses?

For individuals over two years of age, Medicaid will

pay the funeral home up to $2,246.00 and provide

up to $524.00 toward cemetery / crematory expenses. The family is allowed to contribute an additional $1,570.00. These amounts change for stillborn and children under two years of age. The Ocean County Board of Social Services will check all resources available before the allowance is issued.

Does Social Security contribute money toward funeral expenses?

No. Social Security pays a onetime death benefit of $255.00 to a surviving spouse. If you are single, there is no death benefit. Providing excellence, honesty and dedication to every family we serve is our primary goal. If you would like additional information on the services we offer or prearrangement options, please do not hesitate to contact our dedicated staff at 732-657-7868 or you may visit our website at www.degrafffuneralhome.com.

The County Woman Magazine www.TheCountyWoman.com

DeGraff Lakehurst Funeral Home 119 Union Ave. Lakehurst, NJ 08733 www.DeGraffFuneralHome.com

Call: 732-657-7868 Family Owned and Operated Serving All Faiths Sherry DeGraff

Manager, NJ Lic. No. 3921

May/June 2016

CASA

CASA of Ocean County Celebrates Ten Years Court Appointed Special Advocates (CASA) of Ocean

County is celebrating its 10 Year Anniversary of providing quality child advocacy services in the Ocean County Superior Court System for the communityâ&#x20AC;&#x2122;s most vulnerable children. ACASA of Ocean County works to speak up for abused and neglected children that have been removed from their homes and placed in foster care. In Ocean County alone, as of January 2016, there are over 750 of these children living in out of home placement by no fault of their own. This is a staggering number of children, and it is essential for this organization to continue its work and expand the advocacy services to every child in Ocean County that needs a CASA Volunteer of their own. Over the past decade, the CASA program has trained 165 every day concerned citizens with an evidenced based 30 hour training course to become Judicial Volunteers. These remarkable advocates assisted 374 abused children by working with the court system to move them to a permanent and safe home. Over the past ten years, the Advocates worked with the court system to successfully reunify 131 foster children with their healthier parents. This unique nonprofit organization has made a tremendous impact into so many very special lives. It is a childâ&#x20AC;&#x2122;s right to have a safe and loving home that they deserve. As a CASA supporter, we thank you for your past commitments you have invested into each one of their lives. This is a priceless gift and we could not have made these accomplishments without your support! In celebration of our 10 Year Anniversary, it is our goal to serve an additional 100 foster children by giving them a CASA Volunteer that will work to move them into a forever home. Thank you for your continued support and visit www.casaofoceancounty.org to learn more on how you can help this amazing organization.

Volunteers Wanted!

Abused and Neglected Children in Foster Care Need a Voice in Court YOU CAN BECOME THAT VOICE. Learn about CASA of Ocen County and Join the Training to Become a

Court Appointed Special Advocate

Visit: www.casaofoceancounty.org For info please call CASA at 732-797-0590 email: Kara@casaofoceancounty.org

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

Vicki Weiss Executive Director CASA of Ocean County

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Theatre

&Entertainment

“BRILLIANT...TRANSCENDENT...MAGICAL... A GIFT AND A MIRACLE” – HILTON ALS, THE NEW YORKER

BY JOHN VA N DRUT EN A DA P K AT H T E D F R O M YRN F ORBE MAMA S’ ’S BA N K AC C O UNT DIREC

TED B Y JAC K CUMM INGS III — JUNE 4—2 6 / 20 16 Theate r

Use Co tickets make de: C O U N T Y the perfect M WO M E N for w other’s Day g i aived o rder fee ft! s.

TICKETS ON SALE NOW! | 732.345.1400 | TWORIVERTHEATER.ORG | 21 BRIDGE AVENUE, RED BANK, NJ

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Community

Sue Davies, Judy Okun, Linda Kropf, Relda Lockwood and Alice Hines

Ninth Annual Mirage Go Red For Women Fundraiser Submitted by: Marie Tansey Photos by Tom Sangemino

n Friday morning, February 5th, Barnegat, New Jersey looked like a winter wonderland. Snow covered ground and trees took on the look of a Currier and Ives photograph. Once we reached our destination at Sea Oaks Country Club, the scene changed dramatically. The ballroom radiated with red outfits proudly worn by the women of Four Seasons at Mirage, as we celebrated the Ninth Annual Mirage Go Red for Women fundraiser. Red outfits are a sign of support to the American Heart Association’s National Go Red for Women campaign.

Raising awareness of the number one killer heart attack and stroke of women is the purpose and objective of this campaign. Since 2003, the red dress has been the national symbol of commitment to take swift action against heart disease and stroke in women. Out of this, National Wear Red Day was born. On behalf of Judy Okun and herself, Linda Kropf stated: “The Go Red for Women movement, because of groups just like ours, has made incredible inroads in “getting the word out”. Other women’s groups and corporations are joining in spreading the word about the Go Red for Women Movement. Recently it was announced that Google Life Sciences has teamed up with the American Heart Association to continue research to reduce cardiovascular disease and stroke worldwide. The American Heart Association and Goggle Life Sciences will each commit $25 million, for a total of $50 million, to ignite this effort.” Surely you are all familiar with the play Man of La Mancha and its famous song “The Impossible Dream”. The verses include: “For this is my quest, to follow

that star, no matter how hopeless, no matter how far. To fight for the right without question or pause, to be willing to march into hell for a heavenly cause”. That song articulated what Don Quixote called the knight’s quest. That life was not about winning or losing, but being true to one’s purpose. Go Red for Women continue to move forward in the leadership needed to expand educating all women about the prevention of heart disease. We are no longer looking at the stars, but rather reaching for them. We, the women in this room, have started the movement toward a world without heart disease. We would like to applaud our team of people right here at Mirage and our partners around the world who are listening. Thank you for being less concerned about winning or losing, but for being passionate about being true to our purpose. Sue Davies lit the candle for the candle lighting ceremony in honor of her son Frank who underwent two separate procedures, placing six stents in his arteries. Thankfully Frank heeded the warning signs, was diagnosed early and has recovered. Terri Cassidy in her reflection said that Go Red for Women started here at Mirage in 2007 when several women got together and didn’t really know much about the movement, except that the program was about Heart Disease in women What was once considered a man’s disease, is the number one killer of women. We’ve learned what our risk factors are, prevention and how to recognize symptoms. As I reflect on my years with this program, and why I became a part of it, I know one thing for sure –we are not done yet! Jane R. DeMarzo stepped up to the podium as our guest speaker was unable to attend. Jane explained she is not medically knowledgeable but knowledgeable thru life experiences. Jane is a Cancer Survivor, has a

The County Woman Magazine www.TheCountyWoman.com

Pacemaker and suffered two strokes. Jane’s primary point was “listen to your body”. She has some ongoing effects, but considers herself fortunate. Her message is to know your body and listen when it talks to you. Do not ignore small different feelings; they could be of the utmost importance. Judy Okun reached out to the Mirage Nimble fingers and told them of a new program launched by the American Heart Association called “Little Hats, Big Hearts”. The program was established to spread awareness of congenital heart disease in infants and they are looking for volunteers to crochet and knit red hats to donate to infants with congenital heart disease. Judy thanked the Nimble Fingers of Mirage for their donation of 130 hats. As a result of our fundraising efforts, we are contributing over $10,000 to the Go Red for Women Program. Our total contribution exceeds $65,000. We thank our contributors, supporters and donors.

Terri Cassidy

May/June 2016

Travel

The Best TIme To Go Fishing Is...

NOW!

Jensen’s Marina At Captiva Island! Jensen’s Marina is known as the “Fishing Headquarters of Captiva Island”. Sanibel and Captiva Islands area offers prime fishing for many species including the much sought after Snook, Redfish, Sea Trout and Tarpon. The annual migration of tarpon starts around mid-April and goes well into the month of July. Jensen’s Marina is ideally located for the Tarpon fishing in famous Boca Grande Pass (known as the World Capital of Tarpon Fishing) with professional captains in large boats. This area offers the ultimate in Tarpon fishing…so many casts, so many opportunities. The pristine waters surrounding Sanibel Island and Captiva Island provide excellent opportunities for fishermen of all skill levels…from the novice to the World Record seeker. Whether offshore, inshore, mangroves on the bay-side, pier, beach or wade sea fishing, fish can be found here year Boat Rentals ‘round. Most of the fishing occurs about nine miles from the beach. The abundance of fish available in and around Captiva makes fishing Boat Rides possible any time of year. The area is known for Tarpon, in season during Water Taxi the spring and summer; Snook, a year-round favorite; and King Mackerel, a Fishing Guides spring and fall catch.

Bait Tackle TShirts Ice Gas Hats

239-472-5800

Call and reserve your cottage at Jensen’s Twin Palm Cottages and Marina Resort, today!

Jensen’s Twin Palm Cottages and Marina Resort

“Experience True Captiva Jensen Style” 15107 Captiva Drive • Captiva Island, Florida 33924

Phone: 239-472-5800 Open 7 Days a Week • 7:00am till 6:00pm For more information and make to make a reservation, visit www.gocaptiva.com and go to the Marina Resort page and view cottages and make your selection!

Jensen’s Marina Historic Marina Cottages

Captiva’s Boating & Fishing Headquarters Water Boat Fish Fun

239-472-5800 • www.gocaptiva.com.

The County Woman Magazine www.TheCountyWoman.com

May/June 2016

Business &Finance

Greater Toms River Chamber of Commerce Since then, I’ve been mentored by co-workers, fellow volunteers, and local After high school, I went off to college community members. where I met a female professor who I Jeremy Grunin, A good mentor can became close with. I wasn’t working at Chairman the time, nor did I have my major nailed change your personal or professional trajectory. down, but years later as I refer back to our conversations, I remember her Let’s be thankful for those people in tenacity and her warmth. A mentor. Because of course I did. our lives today. After college, I started my first Growing up, I had my father - a Noelle Lotano, CEO business after a successful businessman, fellow entrepreneur - who I joined P.S. who happened to be my nextdoor networking events and followed www.TheCountyWoman.com WomanatMagazine January/February 2015 Happy Mother’s Day! neighbor, gave my partner and I an around on weekends from jobsite to inspiring concept that he help us to jobsite. For several years, he worked Happy Father’s Day! directly out of our house which gave me nurture along the way. A mentor. I have been in business for a long time, but if you asked me last year if I had ever had a mentor, I would Noelle Lotano have unequivocally Executive Director said, “no!”. But I would have been wrong.

the opportunity to actually watch him work, and afforded me the ability, as I got older, to work with him. A mentor.

Welcome New Members Toms River Regional Schools Northeastern Benefit Services, LLC Brower’s Vending

Nine + Dine

SCHOLARSHIP

DINNER

Harrogate Homestead Run

Monday, June 13, 2016 | Toms River Country Club

Lypowy Studio

After nearly a quarter century, we have combined our popular golf outing with our longstanding tradition of providing scholarship opportunities to deserving students.

Peoples Pantry

Dinner Tickets • $65.00

Caring Transitions

Event Sponsorships are available from $150 and Up In lieu of Major Gifts we are asking for a small donation to benefit our scholarship fund. Please send check attention: Scholarship Fund to: Greater Toms River Chamber of Commerce 1027 Hooper Avenue, Building 1, 2nd Floor, Suite 5, Toms River, NJ 08753 Tax ID# for Donations - 21-066714-4

Schedule of Events

Golfer Registration

RSVP Dates Major Sponsors that RSVP by May 23, 2016 will be included in all Chamber promotions

2:00 pm - Registration

Entry Fee: $100.00 per player

3:00 pm - Shot-Gun Start

Fee Includes:

6:00 pm - Cocktail Hour

Green Fees & Cart • Driving Range • Cocktail Hour Awards • Networking Dinner

7:00 pm - Dinner Contests & Prize Awards

Proper Attire Required

RSVP for Sponsorships June 1, 2016 RSVP for Golfers & Foursomes June 8, 2016

REGISTER ONLINE • www.tomsriverchamber.com and click on the Events Tab For Questions, Additional Information or to become an event sponsor for Nine+Dine, please contact Danielle Norcross at the Greater Toms River Chamber of Commerce at danielle@tomsriverchamber.com A portion of the evenings proceeds will benefit Greater Toms River Chamber of Commerce Scholarship Fund Nine + Dine Scholarship Dinner Greater Toms River Chamber of Commerce 1027 Hooper Avenue, Building 1, 2nd Floor, Suite 5, Toms River, NJ 08753 732-349-0220

Keller Williams Shore Properties

The County Woman Magazine www.TheCountyWoman.com

Press Communications, LLC Tech Medic Urgent Care Movement Mortgage American Hearing Centers Miracle Method of Toms River Merandex Technology Solutions Always Immaculate Services, Inc. Priceless Live Events May/June 2016

Theatre

Entertainment

A Hilarious Night of Laundry, Laughs and Liquor!

Have you ever gone un-showered for days, fought with your husband over who works harder or had a kid pee on you? Dena Blizzard’s new show will make you realize that you’re not crazy…motherhood is! The perfect “Girls Night Out” or “Date Night” for anyone who IS a Mom, HAS a Mom or is MARRIED to a Mom! Brought to you by:

OneFunnyMother.com

Telecharge.com 212-239-6200 New World Stages, 340 W 50th St. FOR USE 1.5” AND SMALLER

The County Woman Magazine www.TheCountyWoman.com

FOR USE 1.5” AND SMALLER

May/June 2016

Theatre

NJCountyWomen.4.75x11.5.4C.indd 1

Entertainment

4/19/16 1:31 PM

NJCountyWomen.Cagney.4.75x11.5.4C.indd 1

The County Woman Magazine www.TheCountyWoman.com

4/19/16 1:59 PM

May/June 2016

Happy Mother’s

Father’s Day!

Happy Mother’s & Father’s Day! My parents, George and Janet Achenbach, are my heroes and will be celebrating their 52nd wedding anniversary this year. Thank you, mom and dad, for teaching me the values of family, love, laughter, hard work and great food!

My 86-year-old mom is smart, funny, strong and fiercely independent. She and her amazing friends are intimidating in their knowledge of current affairs, politics, art and music, and they love a good party! As matriarch of our family, she guides, comforts and inspires all of us.

Love, Paul and Steph Hopkins

Love you, Mom! – Eileen

Mom and Dad, I grew up cocooned in your love, comforted by your hugs and motivated by your lives… and I wouldn’t have it any other way. Thanks for everything.

My dad was a paradox: a small, quiet man with a huge intellect and powerful leadership qualities. Ethical and hardworking, he inspired respect and affection among friend, family and colleagues. He was someone I could always turn to for solid advice and unconditional love. Wish I still could.

Love, Lauren Dad, Ever since I was a little girl following you around screaming “Ice Cream!” down the beach I knew you would always be there for me. So, thank you dad for being my best friend that I can joke around and laugh with. You are the greatest man I know and I am always proud of your accomplishments. Love Always Your Little Girl, Jessie Mom, I have always looked up to you since I was a little girl, and even though I am growing up I still look to you for guidance. You are more then just my mom, you are what makes me laugh and smile everyday. I know this year was hard on us but just know Gram is looking down smiling at us too. Love Always Your Bunny, Jessie A father’s goodness is higher than the mountain, a mother’s goodness deeper than the sea. -Unknown Happy Mother’s and Father’s Day. All my love, Leah

Kelly Brown, My Mother. Who is my mother? She is a sister, a wife, a daughter and a friend. My mother is a kind, quick thinking and proud woman who wouldn’t hurt a fly but would do anything for her kids. My mother is also very strong and wise. Most importantly however, my mother is very loved. Love Always Your Son & Daughter, Micheal & Kelbie

Miss you, Dad.- Eileen I want to honor my mother in law, Racielle Lande. Besides being a wonderful mother to the man I am married to, she is also known as “Mee-ma” to my seven-year-old twin boys. They are so lucky to have been blessed with a Grandma who has bestowed her love on them in ways that just can’t be measured.

Dad, I love you! You have always taught me and helped me grow. I love knowing that even though I’m grown up, I know you are always there for me. Happy Father’s Day to the best Dad, and the best PopPop too! Love, Laura

We Love you Grandma! - Gena We can’t thank you enough for all the help and guidance you gave us during the evolution of All-Care. Throughout our lives you have shown us so much love and support that has been so crucial to our family’s happiness. We couldn’t have done it without you! Love, Mike and Jim To my parents, Rita and Ron Concordia. You are incredibly wonderful parents and have shown me that parenthood is a journey not a destination. Thank you both for always being there for my family and me. Wishing you both a Happy Mother’s Day and Happy Father’s Day!

Mom, I love you! Being a mom has shown me even more how much love and hard work goes into motherhood. I am so lucky and appreciative that I get to learn from you, work with you, and spend time with you every day. I love you! Love, Laura Mom & Dad, You have always been there for me, and pushed me to achieve my goals. I wouldn’t be the person I am today with out both of you being there encouraging me. Thank you for the memorable Disney Trips. I love you! Love Always, Paige, Tyler, Brandon, Zeus, Moxie and last but least Daisy

Love, Rita

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May/June 2016

Shop Rite LPGA

May 30-June 5, 2016 Stockton Seaview Hotel & Golf Club www.shopritelpgaclassic.com

n o i t i d a r T e r o h AS

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May/June 2016

Community

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

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May/June 2016

Community

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May/June 2016

Community 37TH ANNUAL

Monday, June 6, 2016 Spring Lake Golf Club Rain Date: Monday, June 20, 2016

901 Warren Avenue, Spring Lake, NJ 07762

Not a golfer? No Problem! Join the Party! This is not your traditional golf outing dinner! Join the American Cancer Society for the party of the summer. Dance to a live band, bid on exclusive auction items, enjoy a delicious dinner and open bar, all while you support the mission to end cancer. Space is limited. Register today by contacting Tswana Sewell at 856-673-5732 or Tswana.Sewell@cancer.org. Honoring: Frankie Browne, The Atlantic Club

6:00PM Cocktail Hour | 7:00PM Dinner, Program and Live Entertainment Dinner ticket price: $150 Featuring Live Entertainment â&#x20AC;&#x201C; The Billy Lawlor Band, Horns & DJ

Dinner | Open Bar | Silent Auction, and more!

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May/June 2016

Fine Art Photography

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May/June 2016

Pain Management

Radiofrequency Ablation (RFA)/Rhizotomy

An Effective Treatment for Chronic/Acute Neck and Back Pain Submitted by: Dr. Amit Poonia and Dr. Adity Sharma

s Pain Management physicians, Dr. Amit Poonia and Dr Adity Sharma specialize in the diagnoses and care of patients who suffer from chronic pain and acute pain. The neck and back are two of the most common areas that physicians treat for chronic/acute pain. At Interventional Pain Management Center (IPMC), Dr. Amit Poonia and Dr Adity Sharma use Radiofrequency Ablation (RFA) as an effective treatment for those patients suffering with these symptoms. Radiofrequency Ablation is a minimally invasive procedure where the nerve will be numbed and radiofrequency will create a lesion so that this nerve can no longer transmit pain signals to the brain. Radiofrequency Ablation is a procedure used to mainly reduce axial pain. Axial pain is confined to a specific area such as the neck or lower back. This procedure is essentially used to treat patients with chronic long lasting pain in the neck and lower back. In order to be a candidate for the Radiofrequency Ablation you must undergo a Diagnostic and Comparative Medial branch block injections which helps to discern the source of pain or reduce inflammation and pain. A medial branch block is an injection of local anesthetic. If a patient pain relief is greater than 50% after the Diagnostic and Comparative medial branch block, then a Radiofrequency Ablation can be performed. Radiofrequency Ablation gives longer-term pain relief. Many types of chronic/acute pain respond well to RFA including, but not limited to: • Injuries such as whiplash • Neuropathic pain conditions like: - Complex regional pain syndrome - Peripheral nerve entrapment syndromes • Prior spine surgeries • Spinal arthritis (spondylosis) Dr Adity Sharma states, “The RFA procedure is effective and extremely safe. RFA/Rhizotomy is one of the most common methods for treating back and neck pain.” During the procedure, the patient is placed in a prone position and a fluoroscopic x-ray machine is utilized to visualize the spinal column and spine anatomy. After the anesthesia is used specialized insulated needles are placed next to the nerve at the region of the facet joint. A small radiofrequency current is directed to the medial branch nerve of the joint capsule for 60 to 90 seconds. The radiofrequency waves produce heat and create a lesion in the nerve tissue that is sending the pain signals to the brain. This procedure is done with sterile

Interventional Pain Management Center Welcomes Steven S. Schiebert, DO, MD

Amit Poonia, M.D.

Adity Sharma, M.D.

technique to minimize the risk of infection. During the immediate days following the Radiofrequency Ablation, you may experience some soreness in the area of your treatment (which can be relieved with ice pack), which is normal. However, it is caused by muscle and nerve irritation. This healingprocess usually takes up to one week. However, you may be able to resume everyday activities 1-2 days after your procedure. One of the best features about RFA is that a patient can experience relief for up to 6-9 months and it can be repeated in the future when needed. RFA/Rhizotomy, allows a patient to feel improvement, able to continue with their daily activities, enhance the ability to straighten the back, bend and/or move more frequently without feeling any discomfort. Many of Dr Adity Sharma’s patients have improved range of motion in the particular region being treated and no longer wake up with severe stiffness and or pain. When combined with a moderate exercise regimen, it can last even longer. It is extremely important to build up strength and fitness gradually. This is a life-changing procedure for many people. Many of her patients were told they had to live with the pain because there was nothing that could be performed on them. Many of the patients felt like they were trapped or a burden to their family or friends not having someone to help them with their pain. Patient status post RFA/Rhizotomy, 70% of patients experienced pain free which has been proven to be a cure and safe way to proceed with this treat for specific pain. It is rewarding to watch, how patients are able to improve their quality of life after being treated with RFA. The patients no longer feel isolated because of their limitations. n

r. Schiebert is a fully trained Orthopedic Surgeon with specialization in General Orthopedic and Spine Surgery. He performs comprehensive operative procedures on every segment of the cervical, thoracic and lumbar spine, including discectomy, laminectomy, decompression, arthrodesis, correction of adult spine deformities, spine trauma, as well as minimally invasive surgeries including percutaneous discectomies, fusions, as well as steroid injections in epidural space, transformational, and facet joint injections. He is also trained in Joint Arthroscopy surgical procedures. Dr. Schiebert’s philosophy in patient’s treatment is to avoid extensive operative procedure and to be able to achieve successful outcomes with use of minimally invasive procedures. His goal is to provide compassionate care to all of his patients and he will use all of his extensive experience and knowledge to accomplish it. Specialty: General Orthopedic and Spine Surgery Certifications and Licensure: American Board of Orthopedic Surgery New Jersey State Medical License New York State Medical License

TWO NEW TOMS RIVER LOCATIONS 732-349-9099 • 452 Lakehurst Road • Toms River, NJ 08755 732-255-3877 • 1868 Hooper Avenue • Toms River, NJ 08755 www.StateWidePain.com

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May/June 2016

Pain Management

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May/June 2016

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May/June 2016