Ocean County Woman - 2014 September/October by The County Woman

Ocean

Woman COUNTY

An Educational Resource for Women and Their Families FREE ~ Please Take One Sleep Deprivation: New Study Links Sleep Deprivation With False Memories

For the first time in the history of sleep, investigators at Michigan State University have linked sleep deprivation to the causation Page 11 of false memories.

Want The Best Advice On Divorce? Ask A Divorce Lawyer

Every case is dealt with by the courts on an individual basis, with small differences in facts among cases, often resulting in large differences in outcomes. Page 29

Whiting Healthcare Center Is ‘Patient-Centered’

A 200 -bed skilled care center.

L-R: Rhoda Kopy, Jennifer Krebs, Maria Cito, Jill Houston, Joanne Jurlawicz and Vicki Weiss are talented, caring women who are dedicated to helping you achieve maximum wellness. Read more about these skilled professionals on pages 54, 52, 50, 48, and 56

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Visit Us Online...www.TheCountyWoman.com

Pages 42 & 43

Photo By Tracy Harman Photography

Sept./Oct. 2014

Please Take One

Medical Professionals

What Is The Link Between Posture And Shoulder Pain? By: Jamie Douglass, DPT, for All-Care Physical Therapy Center’s Brick Location

any patients walk through the door at All Care Physical Therapy with complaints of shoulder pain. While there are many culprits of shoulder pain and injury, one factor that may be originally overlooked is poor posture.

A forward head posture with rounded shoulders can stress joints, muscles, ligaments, and other soft tissue structures in ways that they were not originally meant to be stressed. As seen with the provided picture, there are many biomechanical changes that occur when our posture changes. Our muscles are designed to work best at a certain length, and when we contract and relax them throughout our daily routine and during exercise they are working at their optimal function. When the head begins to push forward and the shoulders round, an overstretching occurs to the muscles in the back and a shortening of the muscles in the front of the body. This causes muscle imbalance; leading to fatigue, muscle and soft tissue changes, and pain. There are many injuries and syndromes that can develop due to poor posture, but this article will focus on shoulder pain and impingement and how to address these impairments. Some factors that can lead to forward head posture are sleeping with too many pillows, poor positioning with prolonged computer use or television watching, sports or motor vehicle injuries, and prolonged immobility. However, some of the effects of forward head posture can be addressed with proper exercise to give the patient significant, long lasting relief.

How is the shoulder affected by poor posture?

The shoulder is a multi-plane joint, meaning it can move in multiple directions. Stop for a moment and think of all the activities that are completed in a day with shoulder movement; from brushing your hair and teeth in the morning to completing push-ups at the local gym, the shoulder is constantly moving the upper limbs to complete even the simplest of tasks. The glenohumeral, or shoulder joint, requires strong, functioning muscles to carry out these actions. The rotator cuff, deltoids, biceps and triceps

and scapular (shoulder blade) muscles all work together with different actions to achieve upper limb movements. The second part of shoulder movement occurs at the scapulothoracic joint, or the movement of the shoulder blade on top of the ribs. The muscles that are responsible for squeezing and rotating the shoulder blades includes the rhomboids, serratus anterior, levator scapulae and trapezius muscles. The scapulothoracic and glenohumeral joint move in sync when functioning properly, which allows the arm to reach fully overhead. However, when poor posture occurs, these muscles fall out of sync and compensations and abnormal movements begin to occur. As the shoulders begin to round forward, the scapulae, or shoulder blades, begin to move apart and the muscles overstretch posteriorly. As the shoulder blades continue forward, they begin to limit the amount of room the rotator cuff tendons can move. This small space can lead to fraying, catching, and possible tears. When trying to complete reaching over head tasks, the humerus or arm bone, moves up in the ball and socket. When the shoulders become rounded, and that rotator cuff space shrinks, the humerus can cause the tendons to hit into the acromion with overhead movements. This is called impingement, and can be very painful.

stretching/range of motion during sessions to help alleviate aggravation of the tendons. To address biomechanical changes of forward head posture takes time. Exercises are used to stretch the front of the arms and chest and strengthen the overstretched muscles in the back. Forward head posture becomes a habit over time, and the exercises as well as self-body awareness are trying to overcome those bad habits and create better ones. To increase proper, upright posture usually takes about 4-6 weeks for a noticeable improvement. However, it will now be a lifelong task to maintain good upright posture in order to minimize the possibility of shoulder pain returning. At All-Care Physical Therapy the Physical Therapists have the knowledge and experience for treating shoulder pain and helping to correct postural issues. They will develop treatment programs based on a patient’s individual symptoms and goals to help you get back to a pain-free lifestyle.

To make an appointment at the Brick location, please call 732-451-0010.

How can we fix the pain?

By the time pain is occurring from shoulder impingement due to forward head posture, there is significant inflammation and muscle imbalance. The first step is to relieve and manage pain. Physical therapists will use ice and phonophoresis (ultrasound with hydrocortisone) to reduce inflammation, deep tissue massage and manual

Brick Location

Jamie Douglass, DPT, Brick Physical Therapist

1-(855)-3ALLCARE

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

Hand Therapy Specialist

Free Transportation For Patients In Need www.AllCarePTC.com

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

September/October 2014

^ Medical Professionals All Care Physical Therapy, LLC...............................................2 Acuity Hospital........................................................................5 Shore Vascular & Vein Center..................................................6 AtlantiCare Cardio...................................................................7 Stephen L. Newman MD MBA..............................................11 Gastroenterology of Ocean County.................................12, 84 Atlantic NeuroSurgical Specialists........................................13 Ocean Plastic Surgery P.A. and Laser Center.......................19 Total Hearing Care.................................................................21 University Urology Associates of New Jersey.......................22 AtlantiCare Regional Medical Center Bariatric......................23 South Jersey Fertility.............................................................25 Banks, Kathy A., DMD...........................................................26 Bella Derma Medi Spa...........................................................27 Nina J. Paonessa, DO, FACOS.............................................30 Ocean Hematology & Oncology............................................32 Premier Pain Centers............................................................33 Ocean Gynecological & Obstetrical Associates....................34 Toms River X-Ray DT & MRI Center......................................35 Garden State Foot and Ankle Group.....................................38 Seaview Orthopaedics..........................................................39 Whiting Health Care by Revera.......................................42, 43 Caring Heart & Brain Imaging................................................44 Barnabas Health Medical Group: Dr. Sumy H. Chang..........45 The Children’s Hospital of Philadelphia.................................46 Jersey Shore Pharmacy........................................................58 NJ Community Spine & Pain.................................................59 Institute for Complementary and Alternative Medicine.........62 ^ Precious Metal Buyer Precious Metal Buyers............................................................3 ^ Contemporary & Rattan Furniture Heritage House Interiors.........................................................8

Precious Metal Buyers

Featured Articles ^ Heading Financial Management Mark S. Rushwald...................................................................9 ^ Professional Dentistry Aesthetic Dental Creations....................................................10 ^ Fashion & Beauty Leisure and Lace...................................................................14 Barbara’s Boutique................................................................15 ^ Education Ocean County College..........................................................16 Star Career Academy............................................................17 ^ Health & Wellness Holistic Care Services...........................................................16 Marin Integrative Therapy......................................................20 Simply Skin......................................................................48, 49 Ocean Health & Weight Loss...........................................50, 51 Meridian Fitness..............................................................52, 53 Hypnosis for Women.......................................................54, 55 Yoga Nine Mind/Body Studio....................................64, 65, 66 ^ Interior Decorating Decorating Den Interiors.......................................................18 ^ IT Services RS Technical Services...........................................................20 ^ Elder Law Rice Elder Law......................................................................24 ^ Law Straffi and Straffi Attorneys at Law.......................................28 Jay Turnbach, Esq., LLC.......................................................29 Matus and Connell................................................................31 ^ Elder Life Management Elder Life Management, Inc............................................36, 37 ^ Assisted Living Spring Oak of Forked River...................................................40

3 ^ Home Health Care Peter Mangiola, RN...............................................................41 ^ Business & Personal Storage Airship Storage......................................................................46 ^ Wigs & Hair Replacement Abstrax Hair Designs.............................................................47 ^ Copy, Fax & Notary Services The Wordstation Copy Fax +.................................................48 ^ CASA CASA for Children...........................................................56, 57 ^ Adult Community Fountainhead.........................................................................60 ^ Awning Giglio Awnings.......................................................................61 ^ Acupuncture Koehler Acupuncture.............................................................63 ^ Whiting Business Association......................................67 ^ Women of Ocean County........................................68, 69 ^ Theatre and Entertainment Stalking the Bogeyman.........................................................70 Iluminate................................................................................78 Gazillion Bubble Show..........................................................78 Stomp....................................................................................79 The Belle at Amherst.............................................................79 ^ Business & Finance Copiers Plus..........................................................................71 Toms River Chamber of Commerce......................................81 ^ Travel Vagabond Travel....................................................................77 ^ Fine Art Photography Tracy Harman Photography..................................................83 ^ Community...........................66, 72, 73, 74, 75, 76, 80, 82

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

The Art of Precious Metals… Avoid Being Scammed! Written By: The County Woman Staff

As the owner of Precious Metal Buyers, Dov Oppenheim buys, melts and trades gold and other precious metals. His business is about giving people what they deserve for their valuables through a completely transparent transaction. In the last issue, Dov gave our readers some important insight on myths and stigmas that are commonly attached to the business of selling gold. Tip #6 Testing in plain sight. Dov recommends watching carefully as the buyer tests your gold. Dov Oppenheim, Owner

Many of my customers have told me that their items came up as 10-14k after testing. When in fact, the items were stamped as 14-18k. However, on rare occasions it’s the jewelers that cheated their customers years ago by selling them a piece of jewelry at 14-18k that was actually only 10-14k. Tip #7 Weighing in plain sight. By law, the buyer must weigh your items individually and in plain sight of the seller. Make sure the buyer’s scales are inspected and certified by the Office of Weights and Measures. If you don’t see a blue sticker with the current date on it, or if you see a RED sticker; Take your gold, leave the store and report the incident to Ocean County Weights and Measures at (732) 929-2166. Tip #8 Get a COMPLETE sales receipt. If you sell your item, be sure the buyer provides you with a complete sales receipt with detailed information in case a dispute arises after the sale. This information must include: the name and address of the buyer, the date of the transaction, the names of the precious metals purchased, the fineness of the metals purchased, the weights of the precious metals purMust Call To Schedule Your chased, the prices paid for by the precious metals at the standard measures of weight, and the name, Personal Private Appointment address and signature of the seller of the precious metals. Maximize your profit when selling your gold and silver by knowing your rights, and knowing how to stay away from scams and cheats. Call 732-597-2225 to schedule your appt. with Dov Oppenheim.

The County Woman Magazine

Part III

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visit www.pmbuyers.com

September/October 2014

Publisher’s Note

Ocean

An Educational Resource for Women and Their Families Since 2008

Woman COUNTY

Publisher.........................................................Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Associate Publisher..................................... Kristina Pruitt kristina@thecountywoman.com • 609-412-1914 Professional Page/Graphic Designer............ Darlene A. Davis DesignsByDar@comcast.net Art & Production Associate........................ Meghan Morse staff@thecountywoman.com • 856-885-8066 Writer and Production Associate................ Lauren Shover staff@thecountywoman.com • 856-885-8066 Feature Cover Writer . .......................... Gena Ansell-Lande Graphic Designer, Real Grafix Design................... Cathy Tveici Website Designer.............................................. P.J. Santos www.digitalartstation.com Distribution Manager......................................Mike Dziuba

For advertising inquiries, please call:

1-866-398-0898 All correspondence should be addressed to:

The County Woman P.O. Box 619 Turnersville, NJ 08012 The County Woman’s Newspaper is published bi-monthly and is available free of charge at display stands in approved private and public establishments and authorized distributors only, or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify the Woman’s Newspaper, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for libel, unfair trade names, patents, copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication of this newspaper or its advertising copy. The publisher shall be under no liability for failure, for any reason, to insert an advertisement. The publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. The publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The Woman’s Newspaper assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published by the 15th of every other month. Representations by The Ocean County Woman, LLCTM COPYRIGHT 2008.

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The County Woman Magazine

Welcome to the Fall Issue Of Ocean County Woman Fall - my favorite season - officially begins on September 22. But first we close out the summer with two special holidays. On September 1, we celebrate Labor Day to honor the achievements of American workers. Then on September 7, those of us who are lucky enough to be grandparents celebrate National Grandparents Day, a day to share our love, strength and guidance with our children’s children. This is also a time for children to honor their grandparents in both words and actions. The New Jersey beaches and towns remain active during fall with Oktoberfest, family festivals, wine and food festivals, and craft fairs. Enjoy all the fall activities in New Jersey as the landscape bursts into vibrant shades of red, yellow and orange. This issue offers a wealth of knowledge written by experts in their professions. In every article, you will clearly see the professionals’ dedication to providing superior service, training and products to the residents of Ocean County and beyond. On behalf of the staff at The Ocean County Woman, thank you for your We are the Media Partner with continuous loyalty, and for your comments, suggestions and support. NJAWBO Monmouth, Ocean, Happy fall! Middlesex Region. We are members of Toms Lynn K. Wolf, Publisher River-Ocean County and the Staff of the Ocean County Woman Chamber Of Commerce.

The County Woman Family Has Grown! I’m proud to introduce my second Grandson,

“Precious One”

Parker Samuel WeStaWay

Author: Unknown

Precious one, So small, So sweet Dancing in On angel feet.

Born to my daughter Kim and husband Mike on July 2, 2014 Weighing 7 lbs. 12 oz. and 20 ¼ inches long.

His bigger brother, Owen, age 4, is thrilled to have a little brother!

Straight from Heaven’s brightest star What a miracle you are. Featured On The Front Cover: (l-r) Roda Kopy, Hypnosis For Women; Jennifer Krebs and Maria Cito, Meridian Fitness & Wellness; Jill Houston, Ocean Health & Weight Loss; Joanne Jurlawicz, Simply Skin; and Vicki Weiss, CASA of Ocean County. Learn more about these talented women on pages 54, 52, 50, 48, and 56. Cover photo by Tracy Harman Photography. Tracy can be contacted for appointments at 732-797-0377. There is still time to schedule your beach and portrait photography and she takes impressive commercial head shots. See page 83.

Change Your Life in 2014 Licenses Available In Your Area Woman Publishing Entrepreneurs Wanted ... Join over 371 other counties that are publishing or have an option to publish in the United States and BE YOUR OWN BOSS! We are looking for a few bright, energetic, creative women and men to publish our trademarked, copyrighted newspapers IN YOUR COUNTY, IN YOUR STATE, IN YOUR OWN BUSINESS! Join the fastest growing educational Woman’s Newspaper syndicated in the United States. MINIMAL INVESTMENT REQUIRED! Maximum return ... Be your own boss, set your own hours and make your life mean more! ALL TRAINING PROVIDED! If you are interested in developing with us in 2014 in your STATE, in your COUNTY ...

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

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September/October 2014

Medical Professionals

Happy Reunion With The “Angels At Acuity” Written by Claire Brown, BSN, RN, Director of Provider Relations, (609) 534 3734.

ark Damico was delighted to be out riding his motorcycle on October 10th, 2013. He had recently retired from his long career as a motorcycle policeman in Wildwood and was enjoying the sheer pleasure of just riding his motorcycle. Unfortunately, it would be quite some time before he would get to ride his bike again. The Accident That Changed His Life

After his recovery, Mark Damico poses with Dr. Nwotite

During that motorcycle ride, his life and the lives of his family would be changed forever. While on his bike, he was involved in a terrible accident with a school bus and according to witnesses his bike became embedded in the bus. As he lay on the side of the road, he remembers looking up and seeing members of the rescue squad and firemen he knew well and with whom he had previously worked alongside. He lost consciousness and remembered waking up attached to a ventilator helping him breathe and two tubes inserted into his chest. He had multiple fractures and his spleen had been surgically removed. He said that a family member thought he was going to be okay, because he winked at the female trauma surgeon when she came into his room. However, Mr. Damico’s condition was critical with a very poor prognosis, according to the AtlantiCare trauma team. They saved his life by providing tremendously skilled emergency trauma care, and then they proceeded to spend an intensive period of time stabilizing his medical condition.

(L-R) Theresa Leary RRT, Colleen Kenney PT, and Mark Damico

The Journey To Recovery At Acuity Specialty Hospital On November 11th, the trauma team believed that Mr. Damico was stable enough to move onto his next stage of recovery. At that time, he was transferred to Acuity Specialty Hospital. Dr. Catherine Dudick, Trauma Medical Director at AtlantiCare, said recently that “the Trauma (L-R) Dr. Nwotite, Ronnel Alumia, RN, Wound Care Nurse, and Mark Damico. Department at AtlantiCare is glad to have Acuity Specialty hospital housed within AtlantiCare. It is good to know that the patients can move smoothly to the next level of care. The care is excellent there.” Along the hallway and up in the elevator, Mr. Damico made the short journey to Acuity’s uniquely specialized 30 bed hospital. He was about to embark on the next phase of his arduous recovery. He was still on a ventilator with a wound vacuum therapy machine attached to his abdomen. Mr. Damico does not have many memories of his early days at Acuity; however, he and the staff do recall his sheer determination to get out of bed and walk again. Marge Hipple, Director of Respiratory Therapy, remembers that he was cooperative and willing to participate in the ventilator weaning process. He always exhibited a very strong will to get better. Marge also said that an essential part of the respiratory weaning process at Acuity is the emotional support provided by the staff during the significant amount of time spent with each patient. Since a patient can spend up to 25 days or more at Acuity, the staff becomes very attached to the patients. Acuity’s staff and patients alike agree that this promotes better healing and patient outcomes. Mr. Damico was determined to stop taking pain medications so he could recover as quickly as possible. His personal goal was to go home before Christmas. During this time, Dr. Nwotite started to taper off his medications early in his stay at Acuity. According to Mr. Damico, a night nurse would assist him out of bed most nights so he could walk the hallways to get extra exercise.

A Successful Recovery

Dr. Nwotite said “our goal is to reduce a patient’s pain medications as early as possible in their recovery safely and painlessly.” Mr. Damico left Acuity Specialty Hospital to go home on Dec 23rd where he was greeted with a surprise party from his family. He is now driving and walking independently. He recently underwent a knee surgery and will need further surgeries to one of his shoulders; otherwise he is almost fully recovered. Recently, Mr. Damico walked into the hospital to visit the staff with a large smile on his face. He hugged Dr. Nwotite and many of the staff that cared for him. He stated he was elated to be alive and able to function again as an independent person.

For more information on Acuity Specialty Hospital or a tour of our hospital, please contact our Admissions Department at (609) 441 8123 or visit www.acuityatlanticcity.com.

The County Woman Magazine

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Meet the staff at Acuity Specialty Hospital of New Jersey Top row (left to right): Kim Faust RN, Kathy Hoffman RNCM, Alex Tempongko RN, Dr. Edward Hamaty. Front row: Jo Ann Sackett LSW, Cathy Reedy RNCM and Nancy Fitzgerald LPN.

September/October 2014

Medical Professionals

Varicose Veins? Painful Swollen Legs? Help Is Available! underlying cause, known as V venous reflux disease, are the most

An Interview With Dr. Jeffrey S. Gosin...

aricose veins and their

common circulatory problems that affect individuals of all ages. These conditions are twice as common as coronary heart disease. They occur when vein valves in the legs become damage, causing abnormal blood flow in the affected veins. Consequently, blood is allowed to pool in the lower legs. This causes a variety of physical symptoms such as leg pain, leg swelling, heaviness and fatigue, and skin itching. It can also cause the appearance of unsightly varicose and spider veins. People who have occupations that require standing, such as casino employees, food servers, school teachers, and many other similar jobs are especially prone to these problems. In addition, people who have a family history of varicose veins, who are overweight, or who have been pregnant are at risk. It is also possible to have varicose veins without any of these risk factors. Venous reflux disease and varicose veins become more common with age. Existing varicose veins can also become more prominent or symptomatic, as individuals get older. In more severe cases, people with long standing varicose veins and chronic leg swelling can develop permanent loss of integrity and discoloration of the skin, leg wounds, and blood clots.

The good news is that modern vein care allows for treatment of many of these problems in a far less invasive way than in the past.

Hospitalization and painful vein stripping surgery are usually not necessary. Jeffrey Gosin, M.D., a Board Certified Vascular Surgeon with Shore Vascular & Vein Center states, “In our practice, we have been caring for individuals with vascular problems, such as varicose veins, for our entire careers. In recent years there have been fantastic advancements in the treatment of vascular disease. In many cases we can offer these state-of-the-art treatments to our patients. As a result, we are able to treat most of the vein problems that people experience with minimally invasive, outpatient procedures. Many of these are performed right in the office. These procedures have the advantage of being very safe and effective. Patients usually experience minimal discomfort, are able to walk immediately following the procedures, and have fast recovery.” One of the advancements in vein care is the *Venefit® Procedure (formerly known as Closure). This procedure treats varicose veins at their underlying source, by eliminating venous reflux. Dr. Gosin states, “The Venefit Procedure has greatly improved the way that we treat patients with varicose veins and venous reflux disease. It is performed in a comfortable office setting. General anesthesia is not necessary. The whole procedure is guided by ultrasound. Therefore, incisions and sutures are not needed. That means less pain and faster recovery for our patients. The procedure takes about 20 minutes to perform and is over 95% successful in eliminating venous reflux, which is the cause of most varicose veins. We have now performed thousands of these procedures and results have been excellent.” “One of the significant advantages to seeing a vascular surgeon for vein care is that we treat the full spectrum of vascular diseases, from routine to very complicated ones”

Get Great Legs for Summer! Jeffrey Gosin, M.D. F.A.C.S. 442 Bethel Road Somers Point, NJ 08244

Eliminate your veins, don’t hide them!

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

The County Woman Magazine

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The good news is that modern vein care allows for treatment of many of these problems in a far less invasive way than in the past. says Dr. Gosin. “We have experience with conventional open surgery, and are certainly prepared to do that when necessary. However, more and more we are able to treat our patients with minimally invasive procedures. This is especially true for varicose veins and venous reflux.” If you are suffering from the symptoms or appearance of varicose veins, or if you think you have leg symptoms that you think might be related to your circulation, the Board Certified Vascular Specialists of Shore Vascular & Vein Center are available to help. Most health insurance is accepted.

Please feel free to call for a consultation or for additional information.

(609) 927-VEIN (8346) or visit us on the web www.GetGreatLegs.com Jeffrey S. Gosin, M.D. FACS Dr. Jeffrey Gosin is a graduate of University of Pennsylvania and Jefferson Medical College. He completed his General Surgery Residency and an accredited fellowship in Vascular Surgery at Robert Wood Johnson University Jeffrey S. Hospital. He is Board Certified in Gosin, Surgery and Vascular Surgery. Dr. Gosin M.D. FACS 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.

September/October 2014

10.5 WJ Cardio_Layout 1 8/6/14 4:50 PM Page 1

Medical Professionals

Heart attacks don’t take holidays. On the Saturday of Labor Day weekend

2013, Dave was at his Margate summer

it landed him in a local hospital’s emergency department. Because tests

home doing his usual three-mile walk with his wife Teresa, when he felt pressure in his chest. By Sunday, the pain was so bad,

were inconclusive, the staff wanted to transfer Dave to a larger hospital outside of the area—

Vicky Miesemer and her daughter Taylor Egg Harbor Township, NJ

Dave & Teresa but not until Tuesday, when they would have sufficient personnel to properly intervene. Teresa didn’t want to wait for him to get the care he needed. She called AtlantiCare. They arranged to have him transferred immediately to AtlantiCare Regional Medical Center (ARMC), where he was wheeled into the procedure room the minute he arrived. A 99 percent blockage of an artery was

I believe

discovered. Says Teresa, “The doctor told me Dave was 24 hours away from a major

you’re never too old for a new lifesaving procedure. At age 87, Vicky Miesemer was diagnosed with aortic stenosis. Open-heart surgery is usually recommended. But Dr. Dib, her cardiologist, suggested TAVR—a minimally invasive procedure. During a TAVR procedure, a surgeon inserts a new aortic valve within a diseased valve—while the heart is beating. Vicky’s daughter Taylor wanted a second opinion, believing the best of the best are in Philly or New York. However, Vicky trusted her cardiologist and decided on AtlantiCare for the surgery. Her two-hour procedure couldn’t have gone more smoothly. After three days in the care of Drs. Dib, Levite, Axelrod, Dralle and Van Hook, Vicky went home, without needing rehab or pain medication. Her Valve Program Coordinator, Dawn Christensen, MHA, BS RT (R) (CV), was especially appreciated during and after Vicky’s hospital stay, and is now like a member of the family. “The procedure was miraculous,” says Vicky. And it changed Taylor’s belief about where excellent doctors can be found: “The best of the best are right here.

cardiac event.” After angioplasty and a stent, Dave spent five days in ARMC and, after three months, his heart function has returned to normal. And although Dave lives in the Gloucester Township area, he has chosen to remain with his AtlantiCare Physician Group Cardiologist, Dr. Sanjay Shetty, for follow-up care. Dave has realized the value of the heart care that saved his life: “We wouldn’t go to anyone else.”

I thank them for giving my mom the heart of a 30-year-old!”

For more information about the Healthcare you can believe in.

The County Woman Magazine

1-888-569-1000 www.atlanticare.org/TAVR

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AtlantiCare Heart Institute, call 1-888-569-1000 or visit www.atlanticare.org. September/October 2014

Contemporary &Rattan Furniture

When Shopping . . . The Differences Between Men and Women

rofessor Daniel Kruger did a study called Evolved Foraging Psychology Underlies Sex Difference In Shopping Experiences and Behaviors released in 2009. In this study Professor Kruger refers to the early foraging strategies of humans though out history – men being hunters and women being gatherers as an explanation of how men and woman shop today.

Women Enjoy The Social Activity, For Men It’s A Hunting Mission

Women score higher on skills and behavior associated with gathering. Shopping is a recreational and social activity for many women. They use new locations as an opportunity to shop. Men tend to find what they are looking for and buy it. Kruger says, “When I think of men shopping, it’s a hunting mission. They want something, and they get in and out. They want something that’s obvious and to the point. Give them the info to get what they need and get out.” Women on the other hand, make more of their purchasing decisions based on sensory experience via browsing and asking questions. The Professor says, “For women, it’s much more of a browsing experience. Sometimes the point is not to buy something but to look around and try on things. They also pay more attention to the quality of product.”

Heritage House Showrooms Appeal To Both Men And Women

Kruger believes that in today’s fast paced sales the male approach is best. At Heritage House Interiors we think a balance is the best approach. Our showroom is arranged in a series of different size rooms

creating a feeling of intimacy that appeals to women. There is an element of surprise and discovery as you round the next corner. The rooms are displayed in organized cluttered vignettes that may upset some men on a mission. However, our staff always greets a client with a friendly hello and up to date information concerning item locations, availability and current sales, promotions and closeouts. A man likes that and gives him the opening to ask his questions and find what he is looking for as fast as he would like. Our staff is knowledgeable about sizing, construction, and durability that would appeal to both sexes. Men these days are getting more involved in domestic chores and decisions. Many times a retired man will do the “leg work” when in the market for new furniture or recovering job. He will come into our showroom with a list of questions. He gives us a quick look around and makes a decision whether it is worthwhile to bring in his wife. He knows that when he returns with her he will spend a good deal of his precious day shopping. It has to be worthwhile. Most men who “case” Heritage House interiors get their questions answered promptly and return with their spouses.

Devon Sofa

Sagamore Dining

Swivel Rocker

Outdoor Swivel Glider

Heritage House Has It All

If you are serious about buying great handmade furniture for every room at the best prices . . . Heritage House Interiors is THE PLACE. It is small, select and has a 40 year reputation for good value, good service and prompt courteous delivery. Whether you are a man or a woman, hunter or gatherer, Heritage House Interiors has something for you.

WHY PAY MORE? rating 40 Years b e l e C

Claridge Sectional

Customer Testimonial

We wish you a very Happy Anniversary, 40 years in business and always a wonderful staff. Buying from you since 1984 has been a pleasure. You have always been reliable and we love our furniture. This is why we keep coming back.

25%-40% OFF*

ENTIRE STORE

Thanks for your help in the past. See you in the future. ~ As ever, P and B Ealan

FURNITURE • LAMPS • ART ACCESSORIES INCLUDING CUSTOM ORDERS *Cash or Check (Charges and debit cards 20% OFF)

HERITAGE HOUSE INTERIORS Let Us Recover Your Cushions & Repair Your Wicker

The County Woman Magazine

Written By: Wendy Miller

OPEN 10-5 • FRI. • SAT. • SUN. • MON. • CLOSED TUES., WED. & THURS. 408 N. MAIN ST. (RT. 9) • BARNEGAT, NJ - 609-698-7621

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September/October 2014

Financial Management

Why Women Worry About Retirement How concerned are you that in retirement . . .

PRACTICAL TIPS TO MOVE FROM ANGST TO ACTION:

• You will outlive your money • The cost of living will grow faster than your income • The cost of health care will grow faster than your income • Your physical health will decline • You will not have enough to do in retirement • You will have difficulty managing your money

Start Early 3 Women need to start saving early in their careers. Since women spend fewer years in the workforce than men, getting an early start is essential.

Actively Participate 3 Women who are married should not ignore retirement planning or leave it entirely

Gender matters in retirement planning. Research from The Hartford and

the MIT AgeLab shows that women are more concerned than men about retirement risks. In the larger economic and demographic picture, women have good reason to worry. However, with a skillful and knowledgeable advisor guiding them, angst can be turned into action, and women can feel more secure both in the retirement planning stage and once they have retired.

Women are worried with good reason. In addition to the greater personal

responsibility for retirement that all Americans face today, women confront unique challenges while they strive to save for retirement, make those savings last throughout their lifetime and protect themselves from major events like health problems or widowhood. Women today work on average about twelve years less than men1. Women’s caregiver responsibilities (childrearing, care for older relatives or their spouses) are the primary reason they spend fewer years in the workforce. With lower lifetime earnings, women tend to save less and, since Social Security and many employer retirement benefits are tied to earnings, women end up with lower levels of guaranteed retirement income. A women’s median income in retirement is only 58 per cent of men’s.2

When a woman out lives her husband, her income decreases by 50 percent on average yet expenses only decrease by 20 percent.3

Mark S. Rushwald Certified Financial Planner

™

(732) 505-4422 msr@rushwald.com

700 Hooper Avenue, Suite 201 • Toms River, NJ

www.rushwald.com

SecuritieS Offered thrOugh cOmmOnwealth financial netwOrk, member finra/SiPc

to their spouse. Women have different concerns about their retirement years that may not be properly addressed if they do not participate in the planning.

Have a Balance Plan 3 Women need to make a retirement plan that includes: guaranteed sources of income (Social Security, Pensions, Annuities), growth investments that keep up with inflation, and insurance to protect against significant losses.

an Expert 3 IfConsult a woman feels she lacks the expertise or confidence to do her own planning, she can benefit from working with a trusted advisor. At any age it is beneficial to have a professional working with you to aid you in maximizing your benefits.

Taking the Worry Out of Retirement 3 Aging is a woman’s world. Women are likely to outlive men, remain active longer

and be responsible for caring for their spouse and others. Plus, women often need to stretch smaller savings over longer lifetimes. So it makes sense that women are more worried than men about finances in retirement. The good news is that an adequate level of worry can help motivate women to plan for their future. By taking some basic steps such as those outlined above and working with a qualified financial professional, women can turn their angst into action and take a lot of the worry out of retirement. References: 1> Munnel, Alice: Center for Research Boston College, 2> Hounsell, Cindy: Women’s Institute for Secure Retirement 3> Market Fact Quarterly: Fall 2006

Please contact us with any questions or to set up a complimentary initial consultation: Mark S. Rushwald 700 Hooper Avenue, Suite 201, Toms River, NJ 08753 Telephone: (732) 505-4422, Fax: (732) 240-4797 E-mail: msr@rushwald.com

Let me put my professional expertise, experience and client commitment to work for you and your family. I will do the heavy lifting so you can focus on what you prefer to do best and stop spending time and worrying about what you haven’t done. Let me show you how I can help you.

Community

Pathways to Serenity:

Holistic Health Extravaganza Saturday, October 18th, 9:30am-5pm

T’ai Chi Chih: Joy thru Movement

N e e d b et t e r b a l a n c e , c o n c e r n e d a b o u t

h i g h b l o o d p re s s u re , o r i s q u a l i t y s l e e p a c h a l l e n g e ? Fo r m o re i n fo , c o n t a c t Siob han Hutchinson at 609-752-1048 or S i o b h a n @ N e x t St e p St r a t e g i e s L LC . c o m .

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2 Meadowbrook Lane, New Egypt, NJ 08533

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609.752. 1048

September/October 2014

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Professional Dentistry

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September/October 2014

Medical Professionals

Sleep Deprivation: New Study Links Sleep Deprivation With False Memories For the first time in the history of sleep, investigators at Michigan State University have linked sleep deprivation to the causation of false memories. Currently accepted studies clearly document the importance of sleep in preservation and consolidation of memory. Most feel the purpose of dreams is to mold and consolidate our memory rather than any specific life event being represented. These investigators found that under certain conditions, sleep deprivation increases the risk of developing false memories. When sleep deprived individuals were asked to memorize an event, false memories were formed. In contrast, after an event was memorized, subsequent sleep deprivation did not cause a false recollection of these previously established memories.

The consequence of sleep deprivation resulting in false memories cannot be overestimated in all aspects of our daily life and occupation. Further studies simulating sleep under “Stone Age Conditions” at the University of Freiburg indicates that modern man, with the advent of the electric light compounded by modern technology of laptops and smart phones, has artificially shortened the duration of sleep. Indeed, with artificial illumination eliminated, sleep increased by 108 minutes and the onset of sleep by two hours. It seems that our ready adoption of technology may be impairing our healththe duration of sleep. Indeed with artificial illumination eliminated, sleep increased by 108 minutes and the onset of sleep by 2 hours. It seems that our ready adoption of technology may be impairing our health.

Sleep Duration

One of the most common questions asked of me, and I imagine of most sleep physicians, is what is the optimal amount of sleep I should get. The answer is still a process in evolution, yet the majority of evidence supports that short sleepers (those people who get less than 7 hours) and long sleepers (those people who get greater than 9 hours) have a higher rate of medical illness ranging from cancer to heart disease. A recent study observes that arterial stiffness, a correlation of hardening of the arteries, increases in long sleepers.

Post Traumatic Stress Disorder

Posttraumatic Stress Disorder is marked by disruption in REM sleep duration and periodicity. As the disorder becomes more chronic, so does the disturbance in REM sleep. As noted in earlier publications, REM sleep is crucial to both the correct formulation of memories as well as consolidating memory formations.

Restless Legs

Most studies have indicated restless leg syndrome, also known as periodic leg movement syndrome, is limited to adults. A recent study from the University of Arizona indicates that similar to adults, this condition affects approximately 8.4% of adolescents.

Sleep apnea and driving

To date, most studies have indicated that untreated sleep apnea carries with it a high proportion of driver fatigue and sleepiness leading to a 2-7 fold increase of driving accidents. Yet, most sleep disorders physicians are well aware that not all of their patients with severe sleep apnea are invariably sleepy drivers. A recent study performed with driving stimulators indicates there was a great deal of individual variability in performance with a driving stimulator.

Bedroom Sound And Temperature

We have learned throughout our childhood that our bedroom should be comfortable, not too hot or cold, and without light. The background sound should be appropriately quiet. Studies have concluded that a sound level below 50 decibels and a room temperature without bedclothes or covering of 66-68 degrees Fahrenheit, or 62-65 degrees centigrade with pajamas or similar bedclothes is the most conducive to sleep. Such companies as Chili-Pad and Sleep number have made mattress pads or mattress that permit individual control on each side of a queen or king mattress to suitable to the taste of the sleeper.n each side of a queen or king mattress to suitable to the taste of the sleeper. Call Dr. Newman to schedule a sleep evaluation at 732-920-0822. Community

Craft Shows This Autumn

Fourth Italian Festival, Sept. 27

Downtown- Smithville, NJ

A Taste of Italy... Enjoy delicious Italian food and delectable desserts, along with live Italian music and folk dancing. Tournaments, Classic Cars & more!

Fall Craft Vendor Fair, Sept. 20-21 Popcornpark Zoo- Forked River, NJ 3rd Annual Craft Vendor Fair Fall Fesitval. All space fees go toward the animals in our shelters and zoo. Please come support them while you get a chance to sell and promote your product in a fun environment.

The County Woman Magazine

Waterfront Wine & Food Festival, Sept. 27-28

Lake Lenape Park- Mays Landing, NJ

Come and enjoy this premier 2 day event where you will be able to sample dozens of wines produced by the 10 South Jersey Wineries participating. A select group of food vendors will be on hand to satisfy your appetite.

www.TheCountyWoman.com

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

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

◌ Fatigue evaluation ◌ Sleep Apnea ◌ Ambulatory, at home, sleep studies ◌ Overnight in laboratory diagnostics ◌ Driving evaluation ◌ Cognitive Behavioral Therapy of Insomnia ◌ CPAP/BIPAP therapy ◌ Provent therapy ◌ Snoring evaluation and treatment ◌ Narcolepsy evaluation 35 Beaverson Blvd, Suite 7C Brick, NJ 08723 Phone: 732.920.8022 drslnewman@drnewman.org

www.DrNewman.org Fall Family Festival Weekend,

Sept. 13-14 Promenade- Sea Isle City, NJ Sea Isle City’s Fall Family Festival in it’s 24th year is sure to bring a lot of great items and food to the visitors the city will see.

Oktoberfest... 100+ Crafters!, Oct. 4-5

Historic Smithville & Village Greene

We have over 100 Juried crafters, an International Food Court, Music, Kids Activites, non-profit organizations and more...

Find out more at FestivalNet.com September/October 2014

Medical Professionals

Burning Questions About Gastro Esophageal Reflux Disease

Written by: Kenneth Glazier, MD Gastroenterologists of Ocean County

ost of us at one time or another has suffered from heartburn. We have all seen the ads for the numerous acid suppressing medicines. The question is when to take notice of these symptoms and to seek the advice of a doctor.

What is GERD?

Gastro Esophageal Reflux Disease (GERD) is a condition related to stomach acid backing up into the esophagus. The esophagus is the food tube that connects the mouth to the stomach. At the bottom of the esophagus is a muscle called the lower esophageal sphincter (LES). The job of the LES is to squeeze the bottom of the esophagus tight to prevent the stomach acid from splashing up and burning the esophagus. It is supposed to stay closed at all times except when we swallow, belch or vomit. The LES can inappropriately relax causing acid to enter the esophagus. When stomach acid enters the esophagus it can damage the lining of the esophagus and cause symptoms such as a burning sensation in the chest called heartburn. Reflux may be so severe that a person may believe they are having a heart attack. Atypical symptoms can also occur like excess belching, hoarseness, sore throat, asthma, or chronic cough.

What can I do to prevent GERD? There are a number of lifestyle and dietary changes that can be tried for most people with GERD. Avoiding foods and beverages that can inappropriately relax the LES is recommended, such as fatty foods, spices, tomato products, coffee, alcohol and sodas. Stopping cigarette smoking and losing weight if overweight can improve symptoms. Behavior modifications such as elevating the head of your bed

on blocks or using a specifically designed wedge will help keep the stomach contents and acid in the stomach. Decreasing the size of portions of dinner and eating dinner 2 to 3 hours before bedtime can also avoid night time GERD.

tor. Patients with heartburn for a long time dramatically increase their risk for developing Barrett’s esophagus and cancer of the esophagus.

What medicines are used to treat GERD?

Barrett’s Esophagus is a permanent change in the type of cells lining the esophagus in a reaction to chronic acid injury. This condition is associated with an increased risk for the development of cancer of the esophagus. Esophageal cancer is increasing in incidence more rapidly than any other type of cancer. Barrett’s esophagus is most commonly diagnosed in Caucasian males in their fifties to sixties. Barrett’s Esophagus and cancer of the esophagus are best diagnosed with upper endoscopy.

Medicines used to treat GERD include antacids which neutralize acid already produced by the stomach. Other medicines like H2-blockers and proton pump inhibitors suppress the production of acid by the stomach. These medicines are used to prevent symptoms of heartburn and aid in healing of acid induced injury. These medicines are available both over the counter and by prescription. Prescription medications are usually stronger and may give better relief of symptoms.

When should I worry about GERD? There are certain alarm symptoms that may indicate a more serious condition than just typical GERD. If someone with heartburn has problems swallowing, weight loss, nausea, anemia, or blood in the stool then they should tell their doctor. Patients who have had heartburn more than five years or have heartburn starting after the age of 45 should also be concerned and notify their doctor. Alarm symptoms may indicate bleeding ulcers, scars in the esophagus called strictures or even cancer of the esophagus. If medications are required for more than an occasional use or for prolonged periods of time it is important to discuss with your docHospital

What is Barrett’s Esophagus?

doctor if your symptoms are long standing, require chronic medication therapy or are associated with alarm features.

Patient Testimonials

Glazier is so informative. He takes his time with you. Everyone z“Dr. is concerned for your comfort. The facility is beautiful and clean. The nursing staff is very friendly and knowledgeable. Everyone took their time with me and made me feel very relaxed and comfortable. Dr. Glazier is so nice and so informative every step of the process he will take. I really like him and I trust he will be able to help me with my gastric problems.” ~ Susan, Bayville (EGD)

husband and I are long standing patients of Dr. Glazier. He is the z“My absolute best. His compassion and caring are over the top. Everyone

at both Endoscopy Centers are top notch. We would not go anywhere else.” ~ Doris, 59, Jackson but the best to say about Dr. Glazier and his staff. z“ITheyhavearenothing very attentive, knowledgeable, caring, and very pleasant. I

recommend Dr. Glazier to anyone who asks!” ~ Sandra, 50, Lanoka Harbor

What is Endoscopy?

Upper endoscopy is a painless procedure that is performed in our outpatient endoscopy center. The test may only take five minutes to perform. The test is performed by a gastroenterologist while you sleep. An anesthesiologist is also involved to provide sedation through an intravenous needle. The doctor will take a pencil thin tube with a light and a camera on the tip and slide it into your mouth and follow the pathway the food takes down the esophagus, stomach and small intestine. These areas can be carefully examined, photographed and biopsied. The risks of complications from the test are very small. There are no alternative tests that can allow the doctor to take important biopsies of the esophagus which are necessary to diagnose Barrett’s esophagus and cancer of the esophagus.

Gastroenterologists of Ocean County

Meet The Doctors Of Gastroenterologists Of Ocean County.

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

Board Certified Gastroenterologists

Allan Cohen, MD • Omar Tamimi, MD • Jill Collier, MD • Edgar Bigornia, MD • Kenneth Glazier, MD • Jai Mirchandani, MD Hospital Privileges at Community and Ocean Medical Centers

• Colonoscopy and colon polyp removal • Colon cancer detection & screening • Rectal bleeding evaluation • Ulcer pain evaluation and treatment

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

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• Swallowing disorders • Endoscopic treatment of hemorrhoids • Capsule Endoscopy • Bravo pH Monitoring

7 Sherwood Drive Lakewood, NJ 08701 732-367-3338

Medicare, HMO’s and most insurance accepted.

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As you can see heartburn may not just be a symptom to grin and bear, but may represent a serious health problem. It is therefore very important to talk to your

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Now you can have your Colonoscopy, Polypectomy and Upper Panendoscopy in our tranquil and private endoscopy centers. You will receive intravenous sedation, which will make you sleepy and comfortable. Our colonoscopy preparation does not require you to drink a gallon of solution of Golytely or Colyte. 939 Lacey Road Forked River, NJ 08731 609-971-5949

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patients in our new Brick office location!

September/October 2014

Medical Professionals

The Data-Driven Healthcare Revolution: How big data is changing what we know and how we learn and practice medicine. Information is the global currency of the 21st century and healthcare is only beginning to unleash the power of big data. Atlantic NeuroSurgical Specialists (ANS), New Jersey’s largest neurosurgical practice, is lending its expertise to this enormous challenge in an attempt to drive healthcare into the next frontier. A first of its kind, the National Neurosurgery Quality and Outcomes Database (N²QOD) is being utilized to provide the best and most personalized care, and at the lowest cost. The NeuroPoint Alliance (NPA), established in 2008 by the American Association of Neurological Surgeons (AANS), launched the database in 2011. Since its inception, ANS neurosurgeons have overseen the N²QOD in order to improve the inconsistent quality and unsustainable costs associated with today’s healthcare. ANS understands that we must shift the focus and incentive away from the volume and profitability of services provided and replace it with patient outcomes. Medical and surgical spine care is, above all, aimed at improving a patient’s health status and quality of life. ANS is always looking to evolve their understanding of what works and what doesn’t in each setting for each individual patient. This powerful tool helps to identify the right treatment, in the right patient, at the right time. Prior the N²QOD, neurosurgeons developed and acquired evidence from clinical trials that consisted of certain subsets of consenting patients. While these trials are important, they cannot be generalized to the overall patient population. ANS is looking for real-world effectiveness. The N²QOD considers the huge variation of diseases and patient subtypes and integrates these real-world settings with patient outcomes. The patient outcomes are detailed and collected for a year after the patient has been treated. The N²QOD’s ability to analyze these mass quantities of integrated data allows us a better and more granular understanding of what care has the most value in each unique spine care setting. ANS, a proponent of advancing novel technology, has always advocated any undertaking that improves patient outcomes. It comes as no surprise that they are among the first neurosurgical practices in the country and the only practice in New Jersey to implement this program. Within 3 years, ANS has applied their findings to improve their practice and its overall clinical quality. The new standard of care set by the N²QOD will assist practices in redefining neurosurgical care throughout the nation. ANS’s Manager of Clinical Quality and Outcome, Bonnie Weiss, RN, MSN, explains that it won’t be too long before other practices follow suit: “There is a combination of forces that will encourage physicians to really scrutinize their data like never before. With evolving federal regulations, new requirements outlined in the Affordable Care Act, implementation of electronic medical records, and a new focus on quality improvement, it is only a matter of time before other practices implement the N²QOD and realize the more personalized and massively higher quality approach to medicine it provides.” What this program means to the field of neurosurgery goes well beyond competency. These complex, diverse data sets have endless possibilities for medical improvements and scientific discovery.

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Searching for Answers?

Getting answers about the cause of your back pain is complex but critical. Your diagnosis can require remarkably different treatments. The sooner you have an accurate diagnosis, the sooner you can begin the treatment plan that works for you. Trust the diagnosis of your spine and spinal cord with a boardcertified, fellowship-trained neurosurgeon. A neurosurgeon is specifically trained to treat the intricacies of the spine and nerves involved. Additionally, neurosurgeons fellowship-trained in spine spend 8 years in surgical spine training while mastering the art of diagnosis. Atlantic NeuroSurgical Specialists (ANS) provides patients with access to the specialists you need for an accurate diagnosis. ANS. Your ANSwers start here. Don’t let insurance come before your health. Call to speak with our insurance counselor. For more information visit www.ansdocs.com or call 732.455.8225.

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8/11/14 1:46 PM September/October 2014

Fashion

Beauty

Fall Fashion Must Haves Dreamy Holiday Gifts from at Leisure and Lace Leisure and Lace Yes, we have Spanx along with several other amazing problem-solvers. But we also have

many other great solutions you may not be aware of. So stop in and take a look at the assortNot sure what to get?anA assortment gift certificate from Leisure and Lace is always ment of products we offer for solving of problems.

a winner. Hand written and beautifully wrapped, our gift certificates are more personal than your average plastic card. good fit takes time and patience, something you’ll find plenty of among the staff at Leisure and First, do not go near a measuring tape! All bras are not sized the same way. Getting a

Lace. Does your new outfit have a low back, no back, or a plunging neckline? Do you need a push-up or a push-in? Does that clingy dress need to lay just right? We can minimize, maximize, smooth or slim. No, it’s not magic, it’s simply years and years of experience. oday’s sleepwear has a

ift Certi You might have gotten a good deal on it, but do you look like you are hangG you are wearing. Before you come in, take a critical look at the bra ficate

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We pay special attention to exceptional support woman's wardrobe, from and comfort. sleepwear toWe the look most for superb fit in the front comfo comfortable thongs and in the back and solving while eliminating ride-up panties on the market. A the infamous “double bubble.” Finding the correct Hanky Panky gift is always fit can appreciated. be challenging, but with the help from the women of Leisure and Lace, the properly fitting bra and undergarment is no longer a myth.

Tready to wear look. RelaxNow for the Bride to Be... on your front porch in your We carry everything a bride could need for her special day. Your dress PJs and no one will ever have to know! is in, your fitting is near and we

have the undergarments to make it all work. While you’re here, you will notice we offer bridal chemises, peignoir sets, and bridal sleepwear adorned with “Bride” in rhinestones that can be customized for your entire bridal party. We also carry playful Hanky Panky thongs in a rainbow of colors, a treat for the groom and much more exciting than a toaster!

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Recently a young girl, on her way to college to major in architecture, bought new bras and was taught Don’t forget, Leisure and Lace is the place to get all of your her first lessonholiday in the importance of from bras and shape wear to hosiery and outfit needs, a “good foundation.”accessories that will make you look your very best.

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The County Woman Magazine

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September/October 2014

Fashion

ith the next season just around the corner, it’s almost time to move those sleeveless tops and shorts to the back of the closet and make way for your fall wardrobe. If you’re looking for a way to freshen it up and round it out, Karen and Stephanie at Barbara’s Boutique can help. They’ll guide you in selecting just the right accent pieces or help you put together whole new outfit. The sooner you get there, the better, because there is only one size of each item in the store. You’re guaranteed that every item you buy is one-of-a-kind! This fall, the fashion is in the detail – lace illusion, leather, and faux fur will give you the look and feel of luxury without breaking the budget. Tunic tops are hotter than ever, worn over leggings or skinny jeans. They have a relaxed, casual and edgy look available in many designs, fabric choices and prints. A good pair of jeans is hard to find…but not at Barbara’s. Whether you’re a size 2 or 14, apple-shaped or pear, you will find jeans to fit your body. Barbara’s carries several wonderful brands in a variety of colors. Miraclebody jeans are made from soft ultra-lightweight fabric with the ideal amount of stretch. They have a discrete tummy control, and because they are worn as a slightly higher mid-rise, the muffin top and back gap are eliminated. NYDJ (Not Your Daughter’s Jeans) is another amazing brand, made with an exclusive “Lift Tuck Technology” designed to make you look and feel a size smaller! These jeans sit at the natural waist for a comfortable fit and flattering,

Beauty

slimming silhouette. The contoured waistband helps to eliminate the common fitting problems many women have with jeans. Another change to look forward to in the fall is a whole new pallet of colors, deep and warm to reflect the brilliance of the season. This year’s signature colors are radiant orchid, royal blue, aluminum, aurora red, misted yellow, sangria, mauve mist, cognac, bright colbalt, cypress and of course black. The new season brings a change of fabrics as well. This year, cashmere is big – you’ll see many new pieces from White & Warren, a fresh, contemporary and innovative knitwear company. The company has also created a line of cashmere blend and cotton sweaters and accessories that excite the senses and inspire fun living. It’s a brand you’ll find many high profile celebrities wearing. Every garment is made with unbeatable craftsmanship and the highest quality materials. White & Warren clothing offers the perfect blend of style and comfort: innovative designs that are made well and fit perfectly. One other thing to note when you stop by Barbara’s Boutique this season is an emphasis on clothing made in the USA. The store now carries the Heyne Bogut clothing line, locally produced by Philadelphia artists Paul Heyne and Karen Bogut. From the beautiful, ultra-soft sweatshirts to the hand-screened tops and dresses, each garment is a one-of-a-kind piece of wearable art. Stop by Barbara’s today, and start building your casual, elegant fall wardrobe. Fashion experts Karen and Stephanie are at your service! n

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September/October 2014

Education

Ocean County College – Where Dreams Come True, One Class at a Time! Looking to make your dream of earning a college degree come true? If so, Ocean County College (OCC) can help you succeed! In 2010, OCC received a five-year grant to help fuel student success – and you or someone you know may qualify for this exciting opportunity! Now in the final year of a five-year federal TRIO grant, OCC’s Career, Employment, and Counseling Services Department is recruiting students to take advantage of its comprehensive Student Support Services Program, which is dedicated to increasing the completion rate of first-generation students, low income students, and students with disabilities. By providing support in an accessible and respectful environment, Student Support Services provides personal, academic, and career coaching that encourages excellence and promotes success through educational opportunities and campus resources. You may qualify for this program if you are a currently-enrolled OCC student or have applied for the fall 2014 semester, and you meet any of the following eligibility requirements: you are a first-generation student, meaning neither of your parents earned a bachelor’s degree; you meet federal income guidelines; or you have a documented physical, learning, and/or mental health disability. Student Support Services connects you with a

Health & Wellness

staff member, who can help you with every aspect of being an OCC student. Program benefits include academic advising and assistance with course selection, career planning, economic and financial literacy education, information and assistance applying for financial aid and scholarships, personal counseling, transfer services, and tutoring with a professional tutor. In addition, participants in the program have the opportunity to join in a variety of social and cultural activities (previous trips included The Bodies Exhibit, The United Nations, and the Broadway show Motown in New York City; Independence Hall, the National Constitution Center, and Reading Terminal in Philadelphia; and the National Aquarium in Baltimore; among others). The federal TRIO programs focus on outreach and student services programs, and are designed to identify and provide assistance for individuals from disadvantaged backgrounds. Through a grant competition, funds are awarded to institutions of higher education to provide opportunities for academic development, assist students with basic college requirements, and motivate students toward the successful completion of their postsecondary education. Applications for the Student Support Services Program are being accepted. For more information, call 732-255-0400, ext. 2352, or email studentsupportservices@ocean.edu. Visit us on the web at www.ocean.edu/career.htm.

Health

s dream e r e h ne ...W true, o ! e m o c e t a t im a s s a l c

Looking to make your dream of earning a college degree come true? If so, Ocean County College (OCC) can help you succeed! Now in the final year of a five-year federal TRIO grant, OCC’s Career, Employment, and Counseling Services Department is recruiting students to take advantage of its comprehensive Student Support Services Program. Student Support Services at OCC is a comprehensive program dedicated to increasing the success rate of first generation and low income students, and students with disabilities.

Contact our advisors to learn about eligibility or to submit an application.

& Wellness

732-255-0400 ext. 2352 studentsupportservices@ocean.edu www.ocean.edu

A program of OCC Career, Employment & Counseling Services Funded by the U.S. Department of Education

Each Day Is A New Beginning!

OCWoman_StudentSupportSvcs, Sept_Oct_2014_4x5 ad.indd 1

From early in her career, Susan Castiglia recognized that mainstream medicine often fell short, particularly in the way it turned a blind eye to disease prevention. For that reason, the Health Coach Training Program resonated deeply with Susan.

7/28/2014 4:10:15

Ongoing! SUP n’ SPa HoliStic RetReat

With 35 years of traditional and holistic nursing experience, Susan is a graduate of the Institute for Integrative Nutrition’s Health Coach Training Program. Most recently, Susan founded her own Nutrition, Health & Wellness Company, Holistic Care Services, which provides innovative, personalized wellness programs for individuals, families and companies. Holistic Care Services offers Holistic Care Coaching on land (nationwide via Skype and phone) and at our Stand Up Paddleboarding (SUP) water studio at the Jersey Shore for men and women. As a practicing Registered Nurse with expertise in Holistic/Integrative healthcare, Susan’s specialties include: Holistic Nursing, Integrative Nutrition/Health Counseling, Stand-Up Paddleboard (SUP) lessons, SUPYoga, SUP fitness programs and Yoga therapy (private studio sessions). The mission at Holistic Care Services is to educate the public about holistic healthcare options and provide individualized holistic health coaching. Susan Castiglia, Holistic RN, draws on her broad backSusan Castiglia RN, ground in nutrition, wellness coaching, fitness and preventive health to embrace a unique vision and BSN, HNC-BC, CHHP, healing approach – it’s an approach that helps individuals, families, communities, and companies to make HTP better choices for staying healthy and fit. Her programs entail easy to use motivational tools and FOR YOUR FRIEND strategies for ongoing accountFOR YOU ability, leading to transformaReceive $10 off your next visit Use this coupon and receive when a new patient appointment tion of body, mind and spirit. 15% off your new patient “Each day shares they were referred by appointment. Be sure to share We offer: you. May not be combined with who referred you. Offer may not SUP | Paddle-Yoga | Paddle Fit classes 609-209-0107 other promotions. be combined. Expires 10/31/2014 Aqua Lodge SUPnSpa retreats www.Susancastiglia.com Holistic RN Wellness Coaching Expires 10/31/2014

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September/October 2014

Education

ITâ&#x20AC;&#x2122;S TIME TO LOVE WHAT YOU DO... Start your future with Star Career Academy! Dialysis Technician Medical Assistant Surgical Technology Egg Harbor Township Campus

Brick Campus

3003 English Creek Avenue, Unit 212 Egg Harbor Township, NJ 08234

150 Brick Boulevard Brick, NJ 08723

(609) 407-2999

(732) 451-9710

Call or Visit Online Today! StarCareer.edu For more information about our graduation rates, the median debt of students who completed the program, and other important information, please visit our website at www.starcareer.edu/faq. Salon services available by appointment. Performed by students, overseen by instructors. Star Career Academy is an approved BONENT program.

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Interior Decorating

Are you…

• Having company for the upcoming holidays? • Tired of the ‘same old’? • Someone who has experienced transformation, and wishes your room would do the same?

Deborah Hrbek is Proud to Announce the Grand Opening of Decorating Den Interiors!

Imagine the fun and convenience of having your own personal interior decorator come to your home to take care of your challenging project - with talent, creative ideas, and an incredible array of brand names you love, all to ﬁt your taste, your style and your budget With 30 years of decorating experience, Debbie will visit with you to create a living space you’ve always wanted. The focus is on you. Whether you’re a newly married couple or a retiree, have a small or large budget, or might still be recovering from Sandy, Debbie can help! She will work with your existing pieces or discuss new purchases and window treatments to make your living space come to life.

A Message from Debbie…

“I work with you to create the look you have in mind. From window treatments to an entire room makeover, I listen and your vision becomes a beautiful reality. It’s all about YOU! If you’re looking for a decorator who is easy to work with, works within your budget, decorates around your lifestyle, expands upon your ideas and makes decorating a fun experience, please call on me. My mission and goal is to “Make the world more beautiful, one room at a time!” A delightful, enjoyable and affordable design experience can be YOURS!” From custom window treatments to bedding, wall and ﬂoor coverings to accessories, Debbie can help make your dream a reality. Give her a call to schedule your FREE consultation, and be sure to attend her grand opening celebration for FREE decorating tips, door prizes and more!

20% OFF Window Treatments for new customers! Expires 10/31/14

DECORATING DEN

Grand Opening!

Don’t miss this event! Meet Debbie and enjoy her free decorating seminar where you will get new and useful decorating tips for your home!

Free Seminar • Door Prizes • Complimentary Wine and Cheese • Coffee and Dessert 732.202.8959

debhrbek@decoratingden.com www.debbiehrbek.decoratingden.com

The County Woman Magazine

When: September 30th • Where: La Bove´Grand • Time: 6:00p – 8:00p 800 Route 70 Lakehurst, NJ 08733 • www.labovegrand.net www.TheCountyWoman.com

September/October 2014

Medical Professionals

Vanquish The Fat And Conquer Your Core Submitted by: Dr. Stephen E. Small, Board Certified Plastic Surgeon

anquish the fat and conquer your core. Sometimes we have areas on our abdomen and hips that just won’t go away even with good diet and exercise. These “ figure faults” can be easily treated with Vanquish, which will eliminate the fat permanently. 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. You can safely shape those areas that have been resistant to fat loss on the abdomen and love handles. Vanquish has been shown in clinical studies to reduce “belly fat” by 2-4 inches.

Treatments

Vanquish eliminates fat without touching your body and it is pain free. Vanquish treatments have been described as feeling 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 your skin is tan from the sun or 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. Vanquish gives the best results with a 30 minute treatment once a week for a month.

The Results

2.7 inches in 4 weeks

Photo courtesy of BTL Aesthetics

Vanquish has been shown in clinical studies to reduce “belly fat” by 2-4 inches and with skin tightening. 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 and love handles as well as the low back.

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

4 Weekly Sessions Photo courtesy of BTL Aesthetics Improved low back and hip contour 732-255-7155

PROMOTIONS SEPTEMBER-OCTOBER, 2014 Complimentary Vanquish Consultations Schedule Your Consultation Today

Vanquish Breast Cancer!

You can help fight breast cancer and Vanquish Your Fat in September and October. We will donate to the American Cancer Society at the end of October in your name $100 for a series of 4 treatments.

Free Radiation Tattoo Removal at Ocean Plastic Surgery! Call our office and schedule an appointment to have your tattoo marks removed. We offer this year round to anyone.

Disclaimer: Void Where Prohibited by Law. Must be 18 years of age or older. Non- transferrable. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, and/or treatment that is performed as a result of and within 72 hours of responding to the advertisement for free, discounted fee, and/or reduced fee service, examination or treatment. Offer subject to change without notice. Photos and logos courtesy of BTL Aesthetics.

Artistry • Beauty • Rejuvenation Non Invasive Botox Juvederm Radiesse Boletero Vanquish

OCEAN PLASTIC SURGERY P.A. AND LASER CENTER

Face

Body

Liposuction Tummy Tuck Body Lift

Laser Center

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

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

Matrix Fractional C02 Resurfacing Hair Removal Augmentation Spider Vein Lift Tattoo Removal Reduction Vectra 3 D Photofacials Reconstruction Revision Augmentation Erbium Laser Imaging Revision Reconstruction Refresher Peels Breast Pulsed Dye Laser Face Scar Treatment Body

Breast

1301 Route 72 West Suite 260 Manahawkin, NJ

780 Route 37 West Suite 240 Toms River, NJ

We seek to enrich lives by enhancing or restoring your natural beauty. We listen to your unique needs and desires and look to see that you have an exceptional experience. Our practice is a state of art facility that provides a comfortable, compassionate setting with an experienced staff that is ready to serve you. Dr. Small is devoted to giving you an excellent result and with his warm caring manner, meticulous skill and extensive experience your needs will be fully met. Call to schedule your appointment, 732-255-7155.

www.oceanplasticsurgerynj.com • 732-255-7155

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

IT Services

Are You Prepared For A Computer Disaster? After Super Storm Sandy we learned valuable lessons in terms of disaster preparedness.

the impact to your business operations can be severe.

choosing the best recoverY plan for you

Disaster Recovery Planning

In the IT world disaster recovery is more than just backing up files. It usually involves a plan that has different levels of preparedness. What does that mean exactly? Well, depending on your business requirements time to recovery is the guiding factor in determining how long or how sever an outage will be. The pain and recovery factor is inversely proportional to the money you wish to invest on preparedness.

Investing In Preparedness

Most users perform a basic data backup which is a copy of your documents and other data files. Having this business data is extremely important, however assuming some catastrophic event has occurred, without a platform to run it on or a plan to mitigate the situation

A disaster recovery plan needs to be comprehensive and cover everything from simple file loss or corruption to a catastrophic disaster such as a fire or storm that can put you out of business. Depending on the number of servers you have, the degree of virtualization and cloud integration that is present, there are many options. Your investment in preparedness will reap dividends should the unthinkable happen. In today’s world, leveraging virtualization and the connectivity of the Internet, can make building a disaster recovery plan, more cost effective than ever. In view of the upcoming anniversary of Super Storm Sandy, RSTS will provide a free consultation through the month of October, to determine your Disaster Recovery Preparedness. Call Robert Schwartz at 732-792-0707.

Health

Robert Schwartz, President and CEO, RS Technical Services, Inc. Robert Schwartz received his education in Electrical Engineering Technology from MSOE with additional training in Electronics courtesy of the US Navy. Prior to creating RSTS in 1993 Robert spent 15 years as the CEO of American Instruments, Inc. A scientific instrument company providing equipment and support to organizations like, AT&T, IBM, NASA, Intel, the DOD, other government, research facilities, universities and large enterprise companies. Robert brings to our clients strong analytical and problem solving skills. His technical experience spans more than thirty five years in Electronics, Computer Science, Physics, and Chemistry.

& Wellness

Testimonial from a long-time client: “We have used RS Technical Services for the past seven years. Robert’s level of knowledge and expertise impressed us from the get go. He literally

changed the way our infrastructure was constructed within days of a major internal IT disaster. My company could not function without the prompt care and dedication of Robert and RS Technical Services. He is always there when called upon within minutes, and I know that I can rely on his advice at all times. It is a rare occurrence these days to find someone as competent and trustworthy as Robert.” ~ Stewart Lenner, President, Arrow Environmental Services

Health &Wellness

Are You Running On Empty?

any of us feel stressed, exhausted, anxious and empty. Once able to handle it “all”, now feeling irritable or unable about doing “one more thing”, we feel like empty, battered remnants of our true selves. We don’t often think about it, but we aren’t limited to our physical being. We forget about our mental and spiritual components.

eat for fuel, but what fuels you mentally? e WeWhat inspires and nurtures you?

The County Woman Magazine Filler

Let our exceptional staff offer you our many years of experience along with compassionate, individualized attention. We understand total wellness includes services for both your mind and body! Pick one service or choose them all...

We are here to meet your individual needs!

Individual, Couple, and Child Counseling Weight Loss/Nutrition Services Groups and Classes on a variety of subjects

(Please check our website for our latest schedule. Pre-registration is required.)

It may be going for a long, leisurely walk, reading a book, or soaking in the tub, taking in the latest art exhibit, or simply sitting appreciating the sounds of nature. Whatever it is, you need it. This is where many of us get caught up. We feel guilty because there are so many other things yet to do on that never-ending list. There’s a reason we refer to it as a never-ending list. It isn’t going anywhere. This is the key. People will often not do things for themselves because they feel selfish. They often feel guilty taking the time to do the things that inspire and nurture them. But there is a difference. Nurturing, feeding, and fueling yourself mentally is about being the best “you” you can be so you can be even better to those around you. You benefit. They benefit. It’s a gift really. So, go ahead. Nourish your mind and spirit. If someone accuses you of being selfish, you can look them in the eye and honestly say, “This is my gift to you”. Please call us so we can help you find the way to obtaining better balance in your life and learn how to refuel yourself and stop “running on empty”! Marin Integrative Therapy, (732) 244-2210.

Professionals dedicated to total wellness.

www.TheCountyWoman.com

Hours of Operation: 8am-8pm Mon-Fri Weekends by appointment.

www.MarinIntegrativeTherapy.com Beth Kane, M.S.W.,

LCSW, co-founder of Marin Integrative Therapy, LLC, started her career working with individuals with severe medical and mental health issues. Sought after for professional interviews and articles in her field, she has developed a specialty for depression, anxiety, coping with chronic medical illness, and grief. Marin Integrative Therapy, (732) 244-2210. 86 E. Water Street, Toms River, NJ 08753

September/October 2014

Medical Professionals

September is Healthy Aging Month! It’s a great time to think about your overall wellness, including your hearing. Hearing loss can have a profound influence on your health, relationships, and quality of life. Did you know that 30 million Americans have hearing loss in both ears? The number jumps to 48 million Americans who have hearing loss in at least one ear, according to researchers at Johns Hopkins University School of Medicine. According to the Better Hearing Institute, most people are close to 70 years of age when they purchase their first hearing aids, despite the fact that 65% of people with hearing loss are below the age of 65, and nearly half of all people with hearing loss are below the age of 55. Hearing loss can have an impact on a variety of chronic diseases, such as moderate kidney disease, arthritis, and diabetes. It impacts a person socially, psychologically and cognitively. A recent Better Hearing Institute study reveals that unaddressed hearing loss even has a significant impact on people’s ability to earn a living! Getting regularly scheduled hearing screenings is as important as getting a physical or a dental checkup on a regular schedule. Having a baseline hearing screening and maintaining an audiologic history makes it easier to assess your hearing, determine when you may be a candidate for hearing aids, and choose the best hearing device solution for your budget and lifestyle.

The County Woman Magazine

Nearly Invisible

HEARING DEVICES YOU CAN AFFORD September & October Only!

Penny appears actual size.

750

SONIC CHARM 60 STANDARD

Invisible-In-The-Canal is designed to improve speech understanding.

CALL NOW to schedule your appointment. Brick 732-474-8949

525 Jack Martin Blvd., Suite 104

Neptune 732-474-8977

444 Neptune Blvd., Suite 1

50% OFF* † SRP On a Pair of Ultimate or Premium Digital Hearing Devices.

Sea Girt 732-800-4581 700 Brooklyn Blvd.

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Wireless Connectivity

Hearing Screening & Demonstration of the Latest Digital Technology.

Like us on Facebook/Total Hearing Care • Follow us on Twitter/Total_Hearing www.njhearingaids.com Elizabeth W. Cook, M.A., F-AAA, Chief Audiologist, NJ Hearing Aid Supervising Dispenser Lic. #697 * Offers may not be combined. Service fee may apply. No other offers or discounts apply. Discount does not apply to prior sales or any 2fer Special. Offer expires 10/31/14. †Suggested Retail Price.

www.TheCountyWoman.com

ACCREDITED BUSINESS

September/October 2014

Medical Professionals

Enlarged Prostate And Urinary Tract Issues

My husband just turned 68 years old and is waking up three or four times per night to urinate. He has also complained that he strains to pass urine. Our primary care physician diagnosed him with BPH (Benign Prostatic Hyperplasia). Is there any hope for us to get a good night’s rest again? ~ Sarah Q. I am happy to tell you with a little medical intervention, getting a full night’s sleep is definitely possible. We see many men with BPH who ultimately find relief from their symptoms. Understanding BPH The prostate is a walnut-sized gland that produces semen, the fluid that transports sperm and is located below the bladder and surrounding the urethra (the tube that carries urine out of the body). BPH is a common, non-cancerous condition in men where the prostate gland becomes enlarged. An enlarged prostate can constrict the urethra and cause a wide variety of symptoms including frequent urination or difficulty urinating. The National Institutes of Health (NIH) data states that more than 50% of men in their 60’s and as many as 90% in their 70’s and 80’s have some symptoms of BPH.

The common signs and symptoms of BPH include: • An often recurring, sudden urge to urinate. • An increase in frequency of urination - especially at night. • A weak or interrupted urinary stream. • Difficulty starting and stopping urination. • Dribbling or leaking of urine. • Inability to completely empty the bladder.

Diagnosing BPH

Diagnosing BPH is often initially done through a routine digital rectal exam (DRE). Additionally, we also order a common blood test known as PSA (prostate specific antigen) to explore and rule out other causes for these symptoms including prostatitis (infection of the prostate) and prostate cancer. In certain cases, we recommend our patients have a cystoscopy. This procedure allows us to see the size of the prostate and evaluate the degree of obstruction.

Patient Testimonials:

I have been a patient at University Urology since 2005. My family doctor referred me to Dr. Gazi because of his good reputation amongst the doctors and he was right. I was suffering day and night with urinary issues. At my worst, I was going to the bathroom every hour and would dribble urine. I was diagnosed with BPH. I tried the medications and they helped but I did not feel completely better. After a flow test, the doctors recommended I have a procedure. After reviewing all the information, I was willing to proceed. Within a few weeks after the procedure, I noticed a remarkable change. I am peeing like I was 20 again! ~ S.P., North Brunswick, NJ

Treating BPH

Men who have symptomatic BPH will eventually require some medical intervention. BPH can be treated by taking daily medications, however, many men find this to be a burden. Ultimately many patients often find minimally invasive treatment or surgery to be the correct treatment option for them. Such treatments are done in the office or at the same day surgery department and rarely require any admission to the hospital. Untreated BPH can lead to permanent damage to the bladder or kidneys. I would urge you to take your husband to a urologist for further evaluation and to discuss the treatment options that are best for him.

I met Dr. Gotesman at the hospital in July. We consider ourselves blessed that he was on-call that weekend. We were very surprised that he took the time to discuss my issues and answer my husband’s questions. He even took the time to draw a picture of the kidney and bladder and explain why I am having issues. He is like an encyclopedia for Urology. We switched to UUANJ and feel so lucky to have found such a caring doctor. ~ Mary R., Toms River, NJ

For more information, call 609-581-5900, (732)928-5300 or visit www.uuanj.com

Mukaram Gazi, MD, FICS, FACS

Director, Robotics & Laparoscopic Surgery Board Certified Urologist Assistant Clinical Professor Rutgers/RWJ Medical School NJ Monthly Magazine Top Docs Recognition; 2012 - 2014 Consumer Research Council, America’s Top Urologist; 2008 - 2013 Consumer Research Council, Compassionate Physician Award; 2008 - 2013

University Urology Associates of New Jersey was established in 2003

and is proud to be serving Mercer, Monmouth and Ocean Counties. Our mission is to be a solutions based practice, maximizing the value of the service we deliver our patients with commitment to excellence, integrity, innovation and treatment. We continually strive to provide comprehensive state of the art urological services with emphasis on patient education and shared decision making. Treating patients with compassion, dignity, mutual respect, and trust remains out steadfast goal.

Alexander Gotesman, MD

Adult & Pediatric Urology Specializing in Ambulatory Urology 5 Years of Post Graduate Clinical Research Experience Member- Alpha Omega Alpha Medical Honor Society Member - American Urological Association Vitals - 2014 Compassionate Physician Award



1 2

 Howell 2364 Route 9 South

Robert Peterson, DC, PA-C

Howell, NJ 07731

Board Certified Physician Assistant Professor - Physician Assistant Program, Philadelphia University

3 4

Dominique Etienne, PA-C Board Certified Physician Assistant Howard University Physician Assistant Program Cum Laude Honors College of Pharmacy, Nursing and Allied Health: Dean’s List, 2008-2013 Trustee Scholar, 2009-2011

The County Woman Magazine

LOCATIONS: Hamilton 1374 Whitehorse Hamilton Square Road Hamilton, NJ 08690

 Lakewood 900 Route 70 East Lakewood, NJ 08701 River:  Toms 20 Hospital Drive Toms River, NJ 08755

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

www.TheCountyWoman.com

(609) 581-5900 (732) 928-5300 UUANJ.COM September/October 2014

610.3 WJ Bariatric_Layout 1 7/31/14 10:57 AM Page 1

Medical Professionals

Surgical Weight Loss Options at ARMC’s Center for Surgical Weight Loss & Wellness Feature on Sleeve Gastrectomy

The Center for Surgical Weight Loss & Wellness at the AtlantiCare Regional Medical Center (ARMC) Atlantic City Campus offers several surgical options for patients seeking treatment for morbid obesity. Options include gastric bypass surgery, laparoscopic sleeve gastrectomy, laparoscopic biliopancreatic diversion (BPD) with duodenal switch (DS) or laparoscopic adjustable gastric banding LAP-BAND® procedures. One of the latest available options is the laparoscopic sleeve gastrectomy. Originally designed as the first step in a larger procedure for morbidly obese patients, sleeve gastrectomy is now offered as a stand-alone procedure for patients with a Body Mass Index (BMI) between 35 and 40 with illness associated with morbid obesity or a BMI greater than 40.

Similar to other surgical weight loss options, laparoscopic sleeve gastrectomy patients may experience the following benefits, however individual results may vary: • 30 to 80 percent loss of excess body weight within three years of surgery • Decreased or remission of disorders resulting from obesity, including: o Diabetes o High blood pressure o Gastric reflux o Sleep apnea and other conditions

The County Woman Magazine

The laparoscopic sleeve gastrectomy is a procedure in which stomach volume is reduced by stapling and dividing it vertically. Approximately 80 percent of the stomach is surgically removed. This results in a slim, one to five ounce stomach. Because the portion of the stomach responsible for producing an appetite stimulating hormone, ghrelin, is removed, the patient’s

hunger is diminished by biochemical means, similar to what is achieved with gastric bypass. This procedure is not reversible. Improvement or complete resolution of medical problems is not guaranteed, and they may recur if weight is regained. ARMC’s Center for Surgical Weight Loss & Wellness is an American Society for Metabolic & Bariatric Surgery Center of Excellence.

REGIONAL MEDICAL CENTER

For more information about ARMC’s Center for Surgical Weight Loss & Wellness, including free seminars, or other AtlantiCare services call the AtlantiCare Access Center at 1-888-569-1000, visit www.atlanticare.org.

FREE WEIGHT LOSS

SURGERY SEMINARS To register call 1-888-569-1000.

“Minimally Invasive Bariatric Surgery” Join us to learn about these minimally invasive surgical procedures for weight loss: • Laparoscopic Sleeve Gastrectomy • Laparoscopic Biliopancreatic Diversion (BPD) with Duodenal Switch (DS) • Laparoscopic Gastric Bypass Roux-En-Y • Laparoscopic Adjustable Gastric Banding (LAP-BAND®)

REGIONAL MEDICAL CENTER The Center for Surgical Weight Loss & Wellness

View our weight loss webinars at www.atlanticare.org/bariatricseminars www.TheCountyWoman.com

September/October 2014

Elder Law

• Estate/Trust Administration • Guardianships • Will Contest • Special Needs Trust

• Medicare, Medicaid, Long-Term Care & Disability Planning

Elder and Disability Law

Nancy M. Rice,

Esquire, CELA

Certified as an Elder Law Attorney by the National Elder Law Foundation

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

www.RiceElderLaw.com

TRUSTS: What Are They? Do I Need One? There are all kinds of Trusts . . . Revocable, Irrevocable, Living, Testamentary, Disclaimer, Special Needs, etc.

It is confusing, to be sure. For the most part, lawyers learn little or nothing about trusts in law school. I learned everything I know “OTJ” (“On The Job”) after law school! You will note that I did not include Trusts in my prior articles as one of the documents everyone should have. That is because not everyone needs one.

Revocable “Living” Trusts

have become increasingly popular as substitutes for Wills in estate planning. Many people believe that by creating a Trust, naming themselves as Trustees, and transferring their assets into the Trust, they will save taxes, simplify the administration of their estates, and save money for their children or other beneficiaries. Others believe that if they set up and fund such a trust, their assets will be protected if they need to go into a nursing home. Unfortunately, these beliefs are not based in fact. Some of these “myths” are untrue in all cases, some are untrue because of the state you live in. Read on: Myth # 1:

Revocable Living Trusts Save Taxes. This is absolutely wrong. All of the assets in a living Trust are subject to both State Inheritance tax and Federal Estate Tax, and here in this wonderful state, the New Jersey Estate Tax. One of the reasons this is so is that a Trust which you set up and control (as

Trustee), and you are the beneficiary of (during your lifetime) is considered to be you for tax purposes. Kinda makes sense, doesn’t it? If you want to argue that assets should not be taxed at your death, you have to really give them away! If you want to use a Trust, it has to be irrevocable, you cannot control it, and you cannot (in most instances) be a beneficiary at all! A living Trust is also treated as you for income tax purposes and thus saves no income taxes during lifetime. Myth # 2:

A Revocable Living Trust is Cheaper to Administer than an Estate. This may be true for residents of some states (e.g. Florida), but the generalization is wrong more often than it is right. In New Jersey, Pennsylvania, and many other states, the much-feared “PROBATE of a Will” usually takes less than an hour and does not require a lawyer. (Am I really telling you this??) The real work in the administration of an estate is the collection of the decedent’s assets, the payment of debts and death taxes, and the distribution of the remaining assets according to the Will. The administration of a Living Trust is almost exactly the same, because the Trust assets must be collected, the debts and death taxes must be paid, and the remaining Trust assets must be distributed. The only advantage of a living Trust is that if the decedent was not the Trustee, the time and expense of searching for assets might be avoided. That advantage must be weighed against the time and expense of transferring assets to the Trust during your lifetime, as well as the inconvenience and

loss of control if you are not the Trustee during your lifetime! Because the steps necessary to settle a Trust are similar to the steps necessary to settle an Estate, the legal fees should be about the same, especially in New Jersey. Myth # 3:

A Living Trust can be Distributed Faster than an Estate. This is also wrong. There is no law preventing an Executor from distributing all or any part of the estate at any time, as long as the Executor is willing to assume the risk of loss if there are additional debts or taxes, or if the distribution is incorrect. The Trustee of a living Trust is also liable for debts and taxes, and may delay distributing assets for the same reasons. As a practical matter, most Executors are reluctant to distribute assets until the death taxes have been settled, which can take from nine months to two years, and there is no reason for the Trustee of a living Trust to distribute assets any more quickly. Myth # 4:

Even if it might do no good, a living Trust will do no harm. Not necessarily. In their desire to avoid the alleged evils of “probate,” many people jump out of the frying pan and into the fire, running directly into the arms of swindlers who are eager to sell “packages” of living Trusts for exorbitant fees. And those Trust documents may be poorly written, with the result that large fees have been paid for documents that actually result in unnecessary taxes, legal fees, or court costs. And the probate system is not without its advantages, because it requires notices

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. Call 609-398-3447.

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to beneficiaries and a clear remedy if the estate is not distributed according to the will. In their desire to avoid probate litigation, many people create Trusts that give fewer rights to their beneficiaries and so, if the Trustee turns out to be dishonest or hostile, the beneficiaries of a living Trust may find themselves hampered by the Trust document in their attempts to recover their inheritances. Most importantly, if clients (incorrectly) believe that the Trust will protect their assets or save taxes, they will be less likely to ask questions and discover the problem before it is too late. When would a Revocable Living Trust be appropriate? In my practice, I utilize Revocable Living Trusts to: 1) Create Privacy: When people would prefer that others not be given the opportunity to see what their Wills say (because Wills are public records, recorded when probated, and Revocable Living Trusts are private family documents and not recorded); and 2) Avoid Ancillary Probate: When clients own real estate in states where probate is difficult, especially Florida (so that we avoid the need to probate the Will in NJ and then again in another state, which is required to transfer real estate only). Because State laws vary widely, it is important to work with a lawyer licensed in New Jersey, and because most lawyers are not familiar with the workings of trusts or tax law, a lawyer who specializes in estate planning.

Call 856-673-0048 for more information.

Call to Schedule an Appointment

Ocean City: 609.398.3447 Cherry Hill: 856.673.0048

September/October 2014

Medical Professionals

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

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

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

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

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

When should a couple seek an infertility evaluation?

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

What can go wrong and how can it be corrected?

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

South Jersey Fertility Center

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400 Lippincott Drive Suite 130 Marlton, NJ 08053 856.596.2233

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

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

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

September/October 2014

Medical Professionals

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

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

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

Dentures And Traditional Implants Most Common Dr. Banks is a graduate of Rutgers The most common restoration is a full upper or lower denture, University College or both. But because full dentures are sometimes difficult to of Arts and Sciences, wear, many people choose to have two or more dental implants placed in each jaw. Special attachments (comCamden with a B.A. monly called “locators”) are placed on the implants and inside the dentures, allowing the dentures to snap onto in biology, and Temple the implants. These “snap” assemblies help keep the dentures in place during speaking and chewing, giving the University School of patient more confidence. Dentistry, Philadelphia. For some patients, it is necessary to connect the dental implants together for increased strength and to prevent Kathy A. Banks, DMD She completed a one year excessive force on the individual implants. Traditionally, the implants are placed in the jaws in parallel fashion, Advanced Education and connected by a custom fabricated bar. The denture is made with a slot to fit over the bar, and will have clips in General Dentistry Residency Program at the that fasten to the bar. This type of a restoration is called a “bar-overdenture” restoration. University of Medicine and Dentistry of New Jersey Traditionally, patients desiring “fixed” teeth attached to implants that are not removable had a number of in Camden and Stratford, NJ, and then completed dental implants arranged in parallel fashion in the areas where the teeth used to be. The multiple implants would a four year Post- Graduate Residency Program in then be restored, with each implant replacing one missing tooth. This is a nice way to replace teeth but can be Oral and Maxillofacial Surgery at the University of extremely cost prohibitive. Medicine and Dentistry of New Jersey in Newark. Now it is becoming common to utilize fewer dental implants arranged in parallel fashion, but with pontic She is a Diplomate of the American Board of Oral crowns interspersed between the multiple fixed implant crowns. This concept mimics the traditional fixed dental and Maxillofacial Surgeons and the American Board bridge and allows the patient to be restored with fewer dental implants. of Dental Anesthesiology. In the past, dental implants would be inserted into the jaws, but would not be restored until after a six-month She is a member of the dental staff at Jersey Shore period to allow for osseointegration. Recent advances in the design and manufacture of dental implants affords University Medical Center in Neptune, New Jersey excellent initial stability at the time of implant placement, allowing the implants to be “loaded” or restored and is involved with teaching the postgraduate immediately. GPR residents in the clinic and in her private The “All-On-Four” Brings New, More Comfortable Options office setting. She has been instrumental in the The “All-on-four” protocol is the newest concept in implant dentistry, and development of several New Jersey State Board of allows a patient to have fixed (non-removable) teeth inserted immediately on four Dentistry approved continuing education courses implants. offered by J.S.U.M.C Department of Dentistry For patients who are already wearing full dentures, the” all-on-four” protocol Continuing Education To Department for& dentists, Practice Limited Oral allows the patient to transition from wearing a removable full denture to having hygienists and dental assistants. Maxillofacial surgery their existing denture modified and connected to implants at 249 S. Main Street, Unit 4 the time the dental implants are placed in the jaws. Then, after a Barnegat, NJ 08005 healing period of approximately six months, the patient will have a final restoration made and inserted. Tel: 609-488-2325 Patients who are going to have all of their teeth extracted are Kathy A. Banks, DMD kbanks@drbanksoms.com Practice Limited To Oral & Maxillofacial Surgery candidates for the “all-on four” treatment too. Their dentist 249 S. Main Street, Unit 4 makes a full denture before the teeth are extracted. Then, in one Kathy A. Banks, DMDBarnegat, NJ 08005 Fellow of The American Association Practice Limited To Oral & Maxillofacial Surgery visit with the oral and maxillofacial surgeon, all the teeth are of Oral & Maxillofacial Surgeons Tel: 609-488-2325 249 S. Main Street, Unit 4 Diplomate of The American Board Fax: 609-488-2342 Barnegat, NJ 08005 extracted and the dental implants are placed. Then the denture is of Oral & Maxillofacial Surgery Tel: 609-488-2325 Specialty Permit #4070 modified and attached to the implants. After a healing period of about six months, a new resFax: 609-488-2342 toration is made and inserted. This way the patient is never without teeth.

KATHY A. BANKS, DMD

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

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

KATHY A. BANKS, DMD

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

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

www.TheCountyWoman.com

Practice Limited To Oral & Maxillofacial surgery

249 S. Main Street, Unit 4 September/October 2014

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July/August2014 2013 September/October

Law

To Save Or Not To Save? Your House Is The Question Home is where the heart is. Unfortunately, for many people today, it is also where a great deal of stress and uncertainty reside.

he word “home” carries with it many unwritten and personal connotations. It is a word that I never take for granted when meeting with clients in trying to lay out objective options for resolving the financial problems associated with saving or, in some cases, walking away from one’s home. The following are a few of the questions and issues I address with my clients:

When does a “home” become just a “house”?

This is not an easily answered question. Some of my clients’ homes have been passed down from generations; others built from scratch. Most are raising children within its walls; others have memories of being raised themselves there. There is value in saving a home that cannot be quantified. However, it is important that these factors are measured in balance with objective, quantifiable facts. Can I afford these payments anymore? Even if I can, does it make sense in light of the home’s value in today’s market? Part of my job is to address these questions directly and provide enough information so that a client can make an informed decision about their family’s future.

Is a loan modification an option?

Yes...and no. I have heard enough horror stories from clients about the rigors and disappointments associated with applying for a loan modification that my best advice is to p roceed with caution, especially if a homeowner is presently current with their mortgage payments. Most, if not all, mortgage companies will not consider a homeowner a candidate for a loan modification unless they are at least three months behind in their payments. Therefore, someone who is presently current must make the decision as to whether it makes sense to unilaterally decide to stop making payments. This is treacherous territory, as no mortgage company guarantees approval Community

before you stop making payments. The success stories from a loan modification are few and far between. With no guarantee of approval, one could quickly find themselves behind on their mortgage and at the mercy of the company holding same. Of course, for people who are already behind, there is no harm in trying; however, it is easy to get caught up in the vicious and never-ending cycle of rejection and/or never getting a response. It is important for people to be proactive, strategically, in not putting all of their eggs into the proverbial loan-mod basket.

Can bankruptcy save my home?

732.341.3800

Free Consultations

Choc’ N’ Roll Friday, October 10 7pm - 11pm Doolan’s Shore Club 700 New Jersey Route 71 Spring Lake Heights, NJ 07762

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Protect Yourself Against Foreclosure,

A Chapter 13 bankruptcy is a means by which a qualiJudgments & Harassing Creditors fied debtor can stop the clock on a pending foreclosure and repay We are a debt relief agency that helps people their mortgage arrearages interest-free over a period of, usually, three file for relief under the bankruptcy code to five years. There are many factors that go into whether a Chapter Chapter 7 & 13 13 reorganization plan is feasible for a person. Income and assets, Individual, Business and Creditor respectively, play a huge role in whether or not such a plan would Representation be approved by the bankruptcy court. Every case is fact-specific, Payment Plans Available however, it is important to know that such Bankruptcy • Criminal Defense Daniel Straffi, Jr. an option exists. It is imperative that this was admitted to potential investment into the home be conpractice in the States sidered along with its present market value. of New Jersey and Many times it is at this juncture that folks Pennsylvania, as well as the District must consider whether it makes more finanCourt of New Jersey cial sense to move on from a home through in 2001. A graduate some alternative means, whether by short of Boston College in Daniel Straffi Jr., Esq. 1998 and Rutgerssale, deed in lieu of foreclosure, or in some Camden School of www.straffiandstraffi.com cases, a Chapter 7 bankruptcy, which is Law in 2001, he 670 Commons Way known as a liquidation. began his legal career Toms River, NJ Every case is different, in 2001 serving as a Conveniently Located Directly Off Of the Parkway judicial law clerk for and professional advice the Presiding Judge of on qualifying and makFamily Law in Mering the right decision cer County, the Hon. moving forward is a Lee Forrester, P.J.F.P. After completing his necessity. clerkship, Mr. Straffi was an associate at the law firm Cooper Levenson for two years where he concentrated his practice on the area of negligence Contact Straffi & defense. In 2004, he joined his father's law practice. He has focused his Presented by: Straffi today for a practice on representing individuals and businesses in the areas of bankDaniel Straffi, Jr. ruptcy, divorce and criminal defense. He is further an active member of free consultation. Straffi & Straffi, the NJ and Ocean County Bar Associations. 732-341-3800. Attorneys At Law

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September/October 2014

Law

Want The Best Advice On Divorce? Ask A Divorce Lawyer the parties and their children; and considering how different arguments influence difference courts. Indeed, we also share story after story of outcomes and situations in divorces throughout the courthouse. We often know where the divorce trials are, and who is involved. We follow up on outcomes even for cases in which we have no involvement. It is simply a matter of maintaining a current, working knowledge of the tenor of decisions and the impact of changing social mores on issues like alimony, child custody and parenting arrangements.

Written by: Jay Turnbach, Esq.

very case is dealt with by the courts on an individual basis, with small differences in facts among cases, often resulting in large differences in outcomes. Your economic position is important to the outcome, your health may be important to the outcome, the amount of debt you may be in will influence the outcome, your employability and education may play a role. Beyond these potentially immutable issues, your divorce can be influenced by the quality of the representation you have and even your own willingness to accept advice. In addition, differences among individual judges can often be very pronounced. One thing is certain. There is nowhere in any library, in any book, or on any Facebook page or internet website where you can go to find out the definitive answer to how your divorce will turn out. Even getting a law degree will tell you nothing about what actually happens in divorce court. Indeed, the only competent source of information about such outcomes is an experienced divorce attorney. While everyone has an anecdotal story about their divorce, their cousin’s best friend’s sister’s divorce, or the divorce of some co-worker they heard about through the office gossip mill, the only people witnessing divorces day in and day out to whom you can turn to are experienced divorce lawyers.

Divorce Attorneys Have The Advantage of Daily Experience Divorce attorneys spend their time in the family courts learning the differences amongst the judges; taking note of various outcomes based upon facts such as income, occupation, education, number of children, special needs of children, ages of both

Jay Turnbach, Esq., LLc

Things To Consider When Choosing Your Attorney There is, as a result of this dynamic, no substitute for that specific experience. So much so, that I would caution everyone to find an attorney who regularly appears in the county in which your case will be heard. Differences between counties are so pronounced, that no single attorney, despite the permission granted by a law license to practice in every county, will have intimate knowledge of outcomes across the State of New Jersey.

A Divorce Attorney Has Priceless Knowledge The average divorcing person enters the court house three or four times during a divorce, and actually witnesses the divorces of other people for a very small fraction of that time. Meanwhile, divorce attorneys are in court regularly -- maybe not every day of the week, but certainly three or four days for those with busy practices. The point here is ignoring the availability and assistance of a divorce professional is both irrational and potentially very costly. Divorce retainers and, ultimately, attorney’s fees, can be meaningful expenses in anyone’s budget, but the knowledge gained is not available anywhere else at any price. I can say without question, that such knowledge can save a lot of angst, reduce a lot of conflict, and perhaps eliminate some of the heartache attendant to divorce.

732.286.4860 Free Telephone ConsulTaTion

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

www.NJFamilyLawyer.net

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

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

732-286-4860.

229 Washington Street Toms River, NJ 08753

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

September/October 2014

Medical Professionals

Learning The Basics About Inflammatory Bowel Disease Inflammatory Bowel Disease Over two million individuals are affected by Crohn’s Disease or Ulcerative Colitis. These two diseases are commonly known as Inflammatory Bowel Disease (IBD). IBD can attack both the small and large intestines. The large intestine is composed of the colon and rectum and the small intestine is made up of the jejunum and the ileum. Any area of the intestine can be affected with IBD and the distribution of the disease can vary from patient to patient.

Crohn’s Disease Crohn’s Disease is commonly found in patients ages 16-40 but can affect those in other age groups as well. This disease is known to be approximately 20% genetically transferred from siblings, parents, and even your own child, who have been diagnosed with some form of IBD. Crohn’s Disease has numerous symptoms, such as abdominal pain, cramping, anal pain, joint pain (arthritis), unexpected weight loss, and/or diarrhea. Fever will usually accompany these symptoms. The cause of Crohn’s Disease is still unknown. Several theories have centered on the immunological system, which is the body’s defense system, or possible bacterial causes. Although there is currently no cure, medication can be administered to treat early onsets and/or temporarily relieve the pain and symptoms associated

with the illness. The most commonly dispensed medications are corticosteroids, anti-inflammatory agents, and immunosuppressants. In some cases surgery may be needed if the condition becomes severe or complicated. Not all cases require surgery so it is best to schedule a consultation with a colorectal surgeon, who will work in conjunction with your gastroenterologist to determine the best treatment for each individual case.

Ulcerative Colitis Another form of IBD is Ulcerative Colitis (UC). This causes inflammation of the lining of the large intestine (colon and/or rectum). The onset for developing Ulcerative Colitis occurs during two stages of life: between the ages of 15 and 30 and between the ages of 70 and 80. Like Crohn’s Disease, the cause of Ulcerative Colitis is unknown. The symptoms of Ulcerative Colitis are similar to Crohn’s Disease and include abdominal pain, diarrhea, weight loss, fever, and/or rectal bleeding. Some patients may even experience incontinence from the diarrhea. Medications can be administered to control the active disease and keep the patient from requiring hospitalization. The most commonly dispensed medications are antibiotics and anti-inflammatory agents. If those

medications fail, your physician may prescribe prednisone (steroids), immunomodulators and amino salicylates. Immunomodulators can be used to maintain the disease for a longer period of time. Occasionally patients can experience flare-ups. In order to control the disease, a doctor may increase a patient’s medication or may even add new medications. If the flare-up is not controlled, the patient may need to be hospitalized in order to rest the bowel and have steroids administered intravenously. Surgery may be required for patients suffering from chronic forms of the disease or from life threatening symptoms such as massive bleeding, perforation or infection. Before becoming a candidate for surgery you must have tried medication therapy and experienced no improvement. Patients that suffer for years with Ulcerative Colitis have an increased risk of developing large bowel (colon) cancer. Definitive surgery for Ulcerative Colitis is curative for treating this form of IBD. It is very important to discuss surgical options with your colorectal surgeon because timing of surgery and the procedure chosen are very specific to each patient.

Paonessa Colon and Rectal Surgery, P.C. Nina J. Paonessa, DO, FACOS

Colon and Rectal Surgery Board Certified in General Surgery and Proctology

2101 Route 34 South, Suite H • Wall, NJ 07719

732-282-1500 • Office Hours: M-F 9AM to 5PM ¢ ¢ ¢ ¢ ¢

laparoscopic surgery abdominal/pelvic surgery fecal incontinence endoanal/rectal ultrasound anorectal manometry/physiology

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¢ ¢ ¢ ¢

colonoscopy anorectal surgery pelvic floor disorders office proctology

Crohn’s and Ulcerative Colitis are serious diseases that require a patient to be closely monitored and to schedule preventative testing to limit his/her risk of cancer. Make sure that if you are experiencing any or all of the symptoms discussed above, that you schedule an appointment with your physician and a colorectal surgeon promptly.

Client Testimonials ... “After I had a colonoscopy and found out I had colon cancer, my primary physician recommended I see Dr. Paonessa. Not only is she an excellent surgeon, but she’s such a compassionate person as well. I would recommend Dr. Paonessa to anyone and everyone.” -Joan

•

Dr. Paonessa is an outstanding diagnostician and surgeon. Her excellent skills and passion for her work make her a champion. Dr. Paonessa was so attentive to my mother’s medical needs that she made her feel like she was her only patient. Concerns and questions before and after surgery were addressed personally by Dr. Paonessa who provided superior patient care and follow up.Dr. Paonessa is not only an expert in her field but she communicates with patients along the way and is very reassuring. Dr. Paonessa is the best. Alison A

•

Dr. Paonessa is a fellowship-trained colorectal surgeon who has over ten years of experience in treating patients with IBD. She is experienced in the ongoing Nina Paonessa, DO, FACOS, maintenance care and surgical care of patients with IBD. Additionally she frequently performs laparoscopic (minimally invasive surgery) for those patients who require surgery for IBD and who are candidates for this type of surgery. Call Dr. Paonessa’s office today for a consultation if you are experiencing any of the above symptoms or have IBD and require management.

Call 732-282-1500 www.TheCountyWoman.com

September/October 2014

Law

The Ultimate Love Note: A Letter of Intent Article Written by: Christine L. Matus, Esq.

s summer comes to a close, many families plan the last hurrah by going on vacation. We have a family vacation with our two girls coming up soon. But for the first time, my husband and I had a chance to take a short getaway without the kids. Now for those who have young kids, the thought probably sounds light years away- I know exactly that feeling. But there will be a time when you will be able to do just that. In preparing for the trip, I made a list of my girls’ activity schedule and other important information: the day and time of their piano lessons, what time they usually eat dinner, phone numbers of their doctors and where the medications are located. You get the idea.

What Is A Letter Of Intent?

The other thing I did was pull out our Letter of Intent. What is that? Well, this is an important item for families, especially those with special needs children like mine. Think of it as a love note for your child to their caregiver explaining what they need to know about your child. This letter not only states things like medications required, names of doctors, and activities the children enjoy but also the dreams you have for them. This letter is a living document. You will be updating it as your child grows older or reaches a milestone. It is not easy, but it’s worth it. It is a very emotional document because you are balancing her current needs against what you would want for her in the future if you are not around. I feel that it's the ultimate sign of love for your child and family. For the past few years, I have gone through New Jersey's Developmental and Intellectual Disability System. Based upon my experiences, I have made sure to list contacts at certain departments and divisions. I’ve tried to think through all the details, should something happen to her father and me prematurely. My letter is thoughtful and specific as what we want for our daughter. I have even directed the Trustee to sometimes be frivolous with the funds we have placed in her Special Needs Trust. Our goal is to assure that she leads a fun and fulfilling life. The Letter of Intent also helps our family members understand our position on the very important issues that affect her.

It's written in a conversational tone, no legalese necessary. As an attorney, often we review these Letters for our clients to make sure everything is covered. We keep a copy of them for our clients and remind them annually to let us know if there are any changes. After writing the Letter, you will feel like a weight is lifted because you have expressed your concerns and wishes for your child to those who will care for her. What better way to say "I love you."

Christine L Matus, Esq. 250 Washington St., Toms River, NJ 08753 732-281-0060 fax: 732-908-8026

"Helping people protect assets for special needs children and conduct smooth real estate closings for two decades"

There is no specific format for your Letter of Intent. We have ours broken into categories, knowing that at her young age, these things will likely change:

• Contact these people for emergencies • Education • Employment • Behavior Management • Religious/Spiritual Life

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Do you have someone in your life with a Disability? are they financially protecteD? • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies • Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts

Visit us at www.matusandconnell.com (732) 281-0060

• Her Current Situation and family life • Wishes for Future Residence • Medical Care • Social Life • Guardian and Trustee

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September/October 2014

Medical Professionals

Diagnosed With Breast Cancer: What’s Next?

he biopsy shows that you have breast cancer. In addition to the shock and emotional turmoil, a thousand questions go through your mind. “The surgeon said that he took everything out, so why do I need chemotherapy?” “What are my chances?” “Am I going to die from cancer?” “My friend only needed to take a pill, why am I not getting that?” No Two Tumors Are Alike

Not everyone diagnosed with breast cancer is treated the same because no two tumors are alike. Even after the lump in the breast is removed surgically, there is a risk of cancer growing back in the same breast or spreading to other organs, a process called metastasis. The risk of metastasis is based on a number of factors. Age, menopause, the stage of the cancer and characteristics of the tumor cells (grade, hormone receptors called ER and PR, and Her-2) all determine the risk of relapse or metastasis.

Age

determine the kind of treatment you may need. Women who have very early stage breast cancer may not need any treatment and should be observed periodically. Most women with ER and PR positive tumors are treated with Tamoxifen (before menopause), or Arimidex (Anastrazole) or Femara (Letrozole) (after menopause). In addition, your medical oncologist may advise you to get chemotherapy based on the other factors mentioned above. The most commonly used chemotherapy drugs are Adriamycin, Cytoxan, Paclitaxel (Taxol), Docetaxel (Taxotere), and 5 Flurouracil (5 FU). The type of chemotherapy and duration used are also based on the risk of metastasis. Chemotherapy is given for approximately 4 to 6 months, starting about 3 to 4 weeks after surgery. Chemotherapy is often administered as an intravenous infusion. To minimize damage to the veins and to ensure proper administration, a device called a port-a-cath can be inserted below the collarbone. This is temporary and can be removed after treatment is completed.

Side Effects

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

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

Stage

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

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

Compassionate Cancer Care, Close to Home

Tumor Characteristics

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

Who Needs Chemotherapy?

Even if the visible tumor is removed surgically, you may have cancer cells floating around in your system that can deposit in different parts of the body. This can happen a few months to several years later, producing metastasis. Research has shown that this risk can be reduced by giving chemotherapy for a few months. In addition, hormonal therapy and Herceptin are used in appropriate patients. After surgery, your surgeon will refer you to a Medical Oncologist who will then

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

Patient Testimonials

Sarah J. Easaw MD, FACP

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

To Learn More, Visit www.oceanhemonc.com

The County Woman Magazine

W We offer a full range of Hematology & Oncology services. W We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner. W Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions. W Our staff is highly qualified, experienced and compassionate. Diplomate of the American Board of Hematology, Oncology & Internal Medicine

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

Lakewood, NJ 08701

732.961.0010

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

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September/October 2014

Medical Professionals

Meet The Doctors Of Premier Pain Centers Michael O’Hara, DO, Board Certified Dr. O’Hara has devoted his career to the specialized field of Interventional Pain Management. As an expert and consultant in his field, Dr. O’Hara continues his training in order to stay in the forefront of new technology. He has lectured extensively on various pain management topics to physician groups and hospitals, as well as community outreach programs. Dr. O’Hara has a compassionate philosophy, and treats each patient as an individual. Dr. O’Hara received his medical degree from the University of Medicine and Dentistry of New Jersey, and is board certified in both Pain Management and Anesthesiology. He completed an Anesthesiology residency from the Hospital of the University of Pennsylvania in 1994. Dr. O’Hara has been awarded the ABA Special Certification in Pain Management. Peter S. Staats, MD, MBA, Board Certified Dr. Staats’ philosophy in treating patients is in an atmosphere of warmth, professionalism and integrity. He and his practice specialize in obtaining dramatic results in pain management without the need for major surgery. Dr. Staats also serves as an Adjunct Associate Professor at Johns Hopkins University School of Medicine as well as the founder of the Division of Pain Medicine at JHU. He has been consistently recognized as one of the country’s foremost pain management doctors. This includes being named one of America’s Top Doctors by U.S. News and World Report and one of New Jersey’s Top Doctors from New Jersey Monthly. Dr. Staats was also the recipient of the Outstanding Pain Physician award, a national recognition as selected by his peers in the interventional pain medicine community. Kulbir S. Walia, MD, Board Certified Dr. Walia is double board certified in Anesthesiology and Pain Management by the American Board of Anesthesiology. After medical school, Dr. Walia completed his residency at the University of Medicine and Dentistry of New Jersey where he served as an Administrative Chief Resident. He then trained in a Pain Medicine fellowship at the Johns Hopkins Hospital in Baltimore, Maryland. Dr. Walia specializes in the diagnosis and care of patients who suffer from chronic neck and back pain. He joined Premier Pain in 2007, and has expertise in Complex Regional Pain Syndrome (CRPS) as well as cancer pain management. Dr. Walia is well known for his warm and friendly approach with patients, along with his vast knowledge of conditions that can lead to chronic pain. He treats his patients using a combination of conservative therapies and minimally-invasive interventional measures. He is a member of the American Society of Regional Anesthesia and Pain Medicine, as well as the American Academy of Pain Management. Sean Li, MD, Board Certified Sean Li, MD joined Premier Pain in 2011. He is a board certified Anesthesiologist and Interventional Pain Management Physician. Dr. Li specializes in the diagnosis and treatment of patients who suffer from chronic neck and back pain, neuropathic pain (such as complex regional pain syndrome), and cancer pain utilizing both medical and interventional modalities. He is a strong proponent of the multidisciplinary pain treatment model and has particular interests in neuromodulation and minimally invasive pain interventions. He has been recognized with the Patients’ Choice Award by Vitals.com, and was one of the first physicians in the United States to utilize an MRI-safe spinal stimulator in 2013.

Carmen Quiñones, MD, Board Certified Carmen M. Quiñones, MD is a Board Certified Interventional Pain Management Physician who has been practicing in New Jersey since 2006. She is also a Fellow of the American Academy of Physical Medicine and Rehabilitation. She completed her medical training with a residency in Physical Medicine and Rehabilitation at Montefiore Medical Center in New York City and an Interventional Spine and Pain Fellowship at Emory University in Atlanta. Dr. Quiñones is focused on studying the science of spine and musculoskeletal disorders. She specializes in interventional pain management modalities, including lumbar epidural steroid injections, facet joint nerve blocks, and radiofrequency ablation. She is dedicated to enhancing her patients’ quality of life by improving physical function and relieving painful conditions. She is also bilingual in Spanish and English. John Mak, MD, Board Certified Dr. John Mak obtained his medical degree from SUNY at Buffalo School of Medicine and completed his Internal Medicine Internship at St. Luke’s-Roosevelt Hospital Center-Columbia University College of Physicians and Surgeons. His areas of clinical expertise include treatment of neck and back pain of musculoskeletal and spinal in origin, neuropathic pain and cancer pain. In order to keep abreast of the latest treatment modalities in pain management, Dr. Mak maintains active memberships in the American Society of Anesthesiologists, the American Society of Interventional Pain Physicians, and the Medical Society of New Jersey. Dr. Mak comes highly recommended by his peers and associates for his technical skills in interventional procedures, as well as his outstanding work ethic, clinical judgment and gentle nature with patients. Scott Metzger, M.D., Board Certified Scott Metzger, M.D., is a Board Certified Pain Management Specialist. A lifelong resident of central New Jersey, Dr. Metzger established his Monmouth County-based pain management practice in 2000. Today, the practice has locations in Monmouth, Middlesex, and Ocean Counties. Dr. Metzger believes in giving his patients the most compassionate care possible. His practice concentrates on pioneering innovation in the science of pain medicine. New Jersey Monthly Magazine has recognized him as one of New Jersey’s Top Doctors for the last seven years. He currently resides in Marlboro with his wife and family, where he is an active leader in the community.

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

Cutting Edge, Compassionate Care

160 Avenue At The Common, Suite 1 Shrewsbury, NJ 07702 (732) 380-0200 Fax: 732-380-0124

55 Schanck Road, Suite 8A Freehold, NJ 07728 (732) 431-9544 Fax: 732-431-9313

150 Chambers Bridge Road Suite 201 Brick, NJ 08723 (732) 458-0322

1301 Route 72 West, Suite 250 - SOMC Health Village Manahawkin, NJ 08050 (609) 256-4055

14 Woodward Drive, Suite A2 Old Bridge, NJ 0885 (732) 431-9544

Deer Chase Professional Park 150 Route 37 West, Suite A2 Toms River, NJ 08755 (732) 431-9544

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561 Cranbury Road, Suite I East Brunswick, NJ 08816 (732) 254-0883

www.premierpain.com September/October 2014

Medical Professionals

Ocean Gynecological and Obstetrical Associates Offers a Combination for Success: Comfort, Convenience and Collaboration For more than 50 years, women in Ocean and Monmouth counties have trusted Ocean Gynecological and Obstetrical Associates (OGOA) with their care – and for good reason. The practice has a longstanding tradition of offering a personalized, one-on-one approach to help women take control of their health and support expectant mothers in creating a birthing experience that’s right for them. OGOA offers the complete spectrum of services required by women at all stages of life, including well-woman gynecological care, contraception counseling and prenatal care through labor and delivery and post-partum advice, infertility management and testing, menopause and hormonal therapy and beyond.

In addition to offering a comprehensive range of in-office services and procedures such as mammography, cryotherapy, endometrial biopsy and colposcopy, OGOA is equipped to treat more complex issues utilizing the latest surgical techniques. By offering patients access to minimally invasive surgical options, including advanced laparoscopy, robotic surgery and operative hysteroscopy, the practice provides women with the ability to recover more quickly and with a reduced risk of complications. OGOA’s collaborative approach to care combines the expertise and compassion of the practice’s seven board-certified physicians and five certified nurse-midwives. Women can choose their care provider

Kenneth M. Cahill, DO Frank Cocco, MD Steven A. Culbert, MD Robert Fabricant, MD Eric G. Lehnes, MD A. Michael Molina, MD Adam N. Repole, MD Mary P. Breitwieser, CNM Karen Carola, CNM, Director of Midwifery Katie Connelly, CNM Andrea Lindstrom, CNM Lori Sherman, CNM, MPH, APN

Ocean Gynecological and Obstetrical Associates has two convenient office locations: 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

based on their individual preferences, and expectant mothers can choose among the practice’s options for maternity care – including a physician-only option; a midwife-only option, with physician backup if necessary; or a collaborative model featuring care by both a midwife and physician.

We have a long “history of service to the community, and it’s important for my colleagues and me to develop relationships with our patients...

” — Dr. Adam Repole

“An advantage of offering midwifery care is that it gives women more empowerment and allows them to choose the degree of medical intervention they receive, barring any complications,” said Adam Repole, MD, who has been caring for OGOA patients for more than 20 years. “The true advantage for our patients is that they reap all the benefits of midwife care while having the reassurance of knowing there is a physician available if they need or want a higher level of care. Our patients get the best of both worlds.” The unique approach to care works – OGOA boasts one of the lowest rates of cesarean births in the state and one of the highest rates of vaginal-birth after cesarean (VBAC) in the nation. With deep ties to Ocean County and the surrounding community for the past 50-plus years, the practice’s

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physicians and midwives are dedicated to providing the best care available, consistently. In fact, most of OGOA’s physicians and midwives have been with the practice for 20 or more years. “We have a long history of service to the community, and it’s important for my colleagues and me to develop relationships with our patients,” said Dr. Repole, adding that many of the practice’s patients include multigenerational families. “We emphasize fostering longstanding doctor-patient relationships because it helps us to care for patients better and makes patients feel more comfortable seeking care.” That level of care now includes access to Community Medical Center’s ‘First Moments’ Maternity Unit, which has expanded patients’ access to state-of-the-art care and comfort. The Unit features more than 115 obstetricians, pediatricians and midwives on staff, as well as neonatologists who are onsite around-the-clock, 24-hour inhouse anesthesiology and midwife coverage, private labor-deliveryrecovery rooms for low-risk deliveries and a fully equipped operating suite for cesarean births or complicated, high-risk deliveries. The maternity services offer a newborn nursery and dedicated Level 2 special care unit for infants requiring special attention. “At OGOA, we recognize that each expectant mother has her own individual expectations and preferences when it comes to maternity care,” said Karen Carola, Director of Midwifery Services at OGOA. “We provide one-on-one nurturing care to support laboring mothers’ individual choices for labor and delivery, making the experience as personal as possible.”

September/October 2014

Medical Professionals

Advanced Detection Of Breast Cancer Using Digital Mammography

ammograms are all about early cancer detection. The earlier you catch the cancer, the earlier the Cyrus Khorrami, M.D. patient can be treated and the more likely there will be a successful outcome. Providing our patients with the latest technology is the best thing we can do for them. Over the last several years, the trend in radiology has been to move away from traditional films and towards digital, computerized films. The last modality to make the switch has been mammography. Until recently, traditional films were considered the best resolution for detecting cancer. Now the latest advances have given us digital mammography machines that are superior to anything available in the market before.

Here are a few commonly asked questions about digital mammography:

What is the difference between analog and digital mammograms? What is the difference in image quality?

Analog mammograms are the traditional study that takes an x-ray of the breasts on a film. Digital mammograms have the x-rays strike a computer censor instead of exposing a film. The computerized detector interprets the signal and creates a picture of the breast. The computer runs a series of highly technical postprocessing algorithms to further sharpen the image. This results in creating a picture with superior image quality. This is particularly true for young women and women with dense breasts.

Analog Mammography

Patient Testimonials

Digital Mammography

Is there a difference in radiation exposure?

Generally, yes. The detector design captures the entire breast on one image, eliminating the need for multiple films. Due to the outstanding image quality, there is a reduced need for repeat films. These factors lead to an overall reduction in radiation exposure.

Is there a difference in comfort?

~ Jean, Toms River

Anecdotally, I have been told the digital mammogram unit is much more comfortable than the analog units. Digital imaging is faster with immediate imaging processing. This greatly reduces the overall examination time. Not having to leave the room to manually process films allows our technologists to spend more time with our patients to answer any questions.

Digital Mammograms Are A Benefit To Patients Our whole reason behind implementing digital mammography was to provide the technology that would encourage more women to get their annual mammograms. If we can improve compliance, this would be a positive benefit for patients as well as for us. Having digital mammography is definitely a benefit to our patients. By combining advanced technologies with qualified, experienced staff, a beautiful facility and an excellent group of radiologists, we’ve managed to offer women a better overall experience.

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“I was informed by the staff regarding my procedure and what it entailed. This really relieved any anxieties I may have had!” “I get all of my studies done here. I always enjoy seeing a friendly face at Toms River Xray, and they give me the feeling that my care and comfort is important to them.” ~ Marie, Brick Town

“The staff are professional and they work as a team. They go above and beyond the call of duty.” ~ Michael, Manchester

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

732-244-0777

EXPERIENCE & EXPERTISE

you can count on.

About The Author ... Dr. Cyrus Khorrami is an Ocean County native who attended kindergarten through twelfth grade here 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 River to work with his family at Toms River X-ray, CT, and MRI Center.

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September/October 2014

Elder Life Management

The “CARE” Act By Judith S. Parnes, L.C.S.W., C.M.C., Gerontologist And Elder Care Consultant is Executive Director Of Elder Life Management, Inc., Ocean, NJ.

wo years ago, in an effort to reduce hospital readmissions, Medicare initiated the Affordable Care Act. The aim was to drastically decrease hospital readmissions by penalizing hospitals that had high occurrences of patients being readmitted within a month of being discharged. To date, New Jersey hospitals have performed poorly in this program, and 59 out of 64 hospitals will be receiving penalties. While efforts continue to reduce the rates of hospital readmissions, many caregivers find that they need to provide more complex care that was once only provided by medical professionals. In fact, almost half of the 42 million family caregivers in America are performing nursing tasks for their loved ones. By way of example, recently Mrs. K, whose mother-in-law is 90 years old, contacted Elder Life Management. Mrs. K. had stitched together a patchwork system of friends, family, and part-time day-care services to help assist her frail mother-in-law, Rose. Rose broke her hip last fall, and has since become incontinent. She needs a walker to get around, takes seven pills daily, and is having increasing memory problems. Mrs. K., a 60-year-old nursery school teacher, dashes home from work each day, mentally juggling a list of appointments for her motherin-law in addition to her personal and family responsibilities. Mrs. K. is hardly alone, due to the following circumstances: • Insufficient funding for home-based services. • Mounting pressures for hospitals to shorten length of stay • Patients being kept in the Emergency Department under Observation Status to reduce admissions. Many “women-in-the-middle” find themselves caring for aging parents and shouldering either the routine daily care needs, or the more complex nursing tasks once performed by professionals in hospitals and nursing homes. Some caregivers are treating pressure sores for bed-bound family members, cleaning surgical wounds, and operating sophisticated medical equipment, including oxygen concentrators and feeding tube pumps, to name a few. Often, caregivers feel stressed, depressed, overwhelmed, and afraid they are going to make a mistake. Many sons and daughters also have to deal with the sensitive

issues resulting from a parent being incontinent and bed-bound. A client reports, “They are your parents, so giving them a bath and making sure their skin is clean is an important part of daily care; however the truth is it’s awkward for everyone.” Balancing dignity and care responsibilities is sometimes very challenging. Families are frequently very creative in assuring their loved one’s care needs are being met. Caring for an individual with memory deficits creates the additional worry about medications that need to be administered properly and at different times during the day. Most caregivers receive little or no training before a loved one is discharged from the hospital, yet they are somehow expected to perform these tasks. Without the proper education and information for our family caregivers, there is a greater chance of a mishap and possible re-admittance into the hospital. The CARE Act, Caregiver Advise, Record and Enable Act, was recently introduced in NJ and supported by AARP. It would allow a patient to legally recognize the critical role of caregivers after hospitalization and provide them with resources, information, and training to ensure that the patient’s discharge plan is carried out successfully. This benefits not only caregivers and their loved ones but hospitals as well because it would help drastically reduce the number of readmitted patients and thus help lower hospital Medicare penalties. Help from a Certified Geriatric Care Manager is available right now for those who want to assure proper care for their loved ones. These professionals can: • Develop your care plan. • Suggest ways to improve or assure quality. • Oversee aids and other professionals who are part of the care plan. • Provide emotional support to the caregiver. • Identify funding sources where appropriate. • Identify alternative living arrangements where appropriate. • Advocate with the hospital and other facilities. Only by being an educated consumer can you and your loved one live your best Elder Life. Call Elder Life Management, 732-493-8080.

Elder Life Management provides quality elder care planning, management and Medicaid application services to older adults and their families. Please visit www.elderlifemanagement.org or call (732) 493-8080 for more information. 931 West Park Avenue, Ocean, New Jersey, 07712.

Testimonials Say It All . . .

I was so pleasantly surprised at how quickly I received my father’s Medicaid approval. I know this is your job but I am so grateful for your help. I don’t believe this would have happened without you and Elder Life Management. James B., Toms River, NJ Once Again, It is amazing to me that anyone can expect an elderly person to actually make sense of this all. I am a lawyer and my wife is an accountant and if we didn’t have Elder Life Management helping, there is no way we could have navigated this maze. Robert D, Aberdeen, NJ Just wanted to say thank you again for all your help, guidance, expertise, patience and understanding. Elder Life Management saved my life and sanity. I could never have done it without you. Barbara G., Red Bank, NJ

3 3

The County Woman Magazine

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September/October 2014

Business Spotlight

~ Interview with Judith S. Parnes ~

Elder Life Management, Inc.

Making a Difference in the Lives of the Elderly

Gerontologist And Elder Care Consultant

Before establishing Elder Life Management, Judith S. Parnes, LCSW, worked as the Director of Protective Services for the Elderly in Monmouth County. It was there that she realized there was a need for comprehensive information and solutions for issues faced by the aged. When an elder suffers a severe medical or cognitive incapacity, the family is suddenly faced with issues they can’t handle by themselves, and finding outside help can be a challenge. The following are typical of the comments Judith hears from her clients: • “Mother has become more forgetful and confused. She doesn’t take her medication. I work all day and have my own children to care for. Where do I start?” • “I live out-of-state. I’ve been calling my father regularly since mother died. Lately, he seems different. The doctor says there’s nothing wrong, it’s just old age. I’m worried and don’t know what I can do.” Recognizing that few guidelines exist for families confronting the transitions that occur as a family member ages, Judith established Elder Life Management in order to provide the guidance and the expertise older adults and their families need to prevent crisis. MCW recently spoke to Judith and discussed some of these issues.

931 W. Park Avenue

What are the most frequent problems you see?

Judith S. Parnes, L.C.S.W., C.M.C.

Ocean, NJ 732-493-8080 www.elderlifemanagement.org

Little if any planning has been done. Families may be unprepared to cope financially and emotionally. There is also a lack of information on the kind of help needed and the available options. Another big problem is that of disagreement among family members. The system of services available to the elderly, both government and private, grows more complicated every day.

What attracted you to working with the elderly?

I’ve always been sensitive to the needs of older people. My parents were Holocaust survivors and I never knew my grandparents. I always felt that I could be helpful to a population that is vulnerable. After being hired at Jersey Shore Medical Center as a Medical Social Worker, I realized that my calling was to help older adults and their families in a different way. I received my Masters in Social Work, and plan to complete my doctoral studies in Medical Humanities at some point in the future.

What does a Professional Care Manager do?

Geriatric care management is a relatively new profession. In fact, I was actually the 25th person in the country to become certified as a professional care manager. Care management services include assessment, the coordination of the older person’s care, and arrangement of necessary services.

Why is geriatric care management a growing specialty?

The elderly comprise the fastest growing segment of this country’s population. Improved medical care and increased technology are keeping people alive longer. Additionally, the last year of life requires a great deal of coordination and advocacy.

What sets Elder Life Management apart from other businesses in your area?

Judith S. Parnes, L.C.S.W., C.M.C., Gerontologist And Elder Care Consultant, Executive Director Of Elder Life Management, Inc., Ocean, NJ.

Elder Life Management, Inc. let us be part of your elder life.

The County Woman Magazine

We have the longest success record for elder care services in the state, having helped thousands of central NJ residents since starting the practice in 1987. Our method has always been to provide an individualized approach to finding short term solutions and long term plans. Each of our clients has a different history and we listen to each of their stories and respond personally. Our first step in assisting the older adult and their family is a comprehensive consultation. It is there that we review their specific concerns and formulate an immediate plan of action. We utilize a family system approach and are trained to address family dynamics. Most often the financial aspects become paramount. For some families, all that is needed is education and direction. For others, we offer a full range of services, including applications for Medicaid and government entitlements, care management and coordination, psychotherapy and home health care.

How do you assist older adults whose children live out of state?

Long-distance caregiving has become a reality for many adult children who have moved away from their childhood home or whose parents have moved away for retirement. We have observed that adult children with frail parents are frequently living with a packed suitcase at their door, waiting to have to run with the next hospitalization. We call that phenomenon, “suitcase care.” Obviously, this is not an effective longterm solution. What is needed is local geriatric care managers who will help assess, monitor and report to the extended family what is occurring. Care managers will provide the recommendations as to where to receive the best local care, identify alternative care providers, and facilitate accessing entitlements. Ongoing advocacy and timely communication with health care providers while coordinating services are essential for long-distance caregivers. There are more elderly folks needing quality care than ever before and families need to understand

their options. Health care reform has added to the complexity of this task. Hiring a professional health care “navigator” is the best way to assess all the options, figure out which ones will be of use, and gain an understanding of how to pay for them. www.TheCountyWoman.com

September/October 2014

Medical Professionals

Foot And Ankle Sprains, Strains, And Fractures Submitted By: Dr. Manooj Prasad, Garden State Foot & Ankle Group

Home Care-Remember “RICE”

ealthcare providers treat millions of Americans every year with musculoskeletal injuries. The ankle is the most commonly sprained joint in the body.

Rest, Ice, Compression, and Elevation, then call your podiatrist.

How to Reduce Your Risks of Ankle Injuries?

• Regular exercises help condition and build muscle strength • Stretching and warming up before exercising • Always wear properly-fitted shoes, and athletic shoes should be replaced every 300-400 miles. • Avoid running or walking on uneven surfaces • Well-balanced diet to nourish your muscles and bones

Definitions: • Sprains: Soft tissue injury caused by trauma, i.e., a fall, twist, or blow to the body, most often occurring when an injury overstretches or even ruptures the supporting ligaments. This may cause the joint to become unstable. • Ligaments: Tissue that stabilizes and supports the body’s joints. Connects bone to bone. • Strains: Twist or pull and/or tear of a muscle or tendon usually with overuse and repetitive motions, i.e., with intense training. • Tendon: Cords of tissue. Connects muscle to bone. • Fracture: Actually a break in the bone, can be a splinter or complete break often caused by accidents, sports injuries, or bone weakness.

When to Visit a Podiatrist?

Symptoms: With sprains, while intensity varies, there may be pain, swelling, bruising, and difficulty walking. May feel a pop or tear in the joint. With strains, symptoms include pain, muscle spasm, weakness, swelling, difficulty walking and/or cramping. Fractures may be unrecognizable due to similarities in symptoms of both sprains and strains. Pain and the ability to walk are NOT good indicators to determine if an ankle is broken, and bone breaks should always be examined by a healthcare provider to ensure proper healing.

Offering Expert Care For Lower Extremity Disorders

Podiatrists specialize in care and treatment of the lower extremities, and will determine the extent of the injury and develop a plan of care. Not only do fractures require medical attention, but severe sprains or strains may also require immobilization or even surgery to ensure proper healing. It may also be necessary to be prescribed medication to reduce the inflammation which will assist with pain. It is imperative that patients with diabetes, vascular disease, alcoholism, and immune deficiencies receive prompt treatment from a foot and ankle surgeon. Patients with these conditions are vulnerable to nerve damage, and often don’t feel pain associated with ankle injuries. Pediatric patients, especially with sports injuries, also need close monitoring so bones fuse together correctly and the foot’s growth plate is not affected.

Dr. Manooj Prasad is a podiatrist and highly skilled foot and ankle surgeon who uses the latest therapies and surgical approaches for his patient’s needs.

For all your foot and ankle concerns, please call: (732) 557-9900.

Call us today 732.557.9900

Comprehensive Services Include:

20 Hospital Drive, Suite 9 Toms River, NJ 08755

The County Woman Magazine

• Diabetic Foot Care • Diabetic Shoes/Custom Orthotics • Non-Healing Wound/Ulcer Care • Bunion and Hammertoe Corrections • Non-Invasive to Minimally-Invasive Treatment for Heel Pain • Corn, Calluses, Fungus, and Wart Treatment • Foot and Ankle Trauma • Fracture Care

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Patient Testimonial . . .

“I have suffered from chronic pain due to nerve damage in my leg for over a decade. I found an excellent pain management team, but I began to experience excruciating pain in my foot and feared the nerve damage was spreading. I was referred to Dr. Prasad. Little did I know, thanks to Dr. Prasad, I was on my way to a complete cure... The morning I met Dr. Prasad, he came in, sat down and gave me his complete attention. He did not rush through his examination, which was extensive and thorough and provided me with an accurate assessment of my problem. Utilizing merely two stitches on either side of my ankle, Dr. Prasad performed an endoscopic procedure. There was no swelling and very little bruising and/or discoloration. In fact, Doc told me I would walk out of the surgery center after the operation, and I did. And I did so with the normal discomfort of an operation, but let me stress: I no longer had the excruciating pain on the bottom of my foot. Dr. Prasad made the correct call, accurately performed a minimally invasive surgery, and stopped the pain. My foot is 100% pain-free! He is Outstanding.” ~ M.E. Genievich, Small Business Owner

September/October 2014

Medical Professionals

Think Twice Before Ignoring That Pain In Your Shoulder AAsNew Cure For An Old Problem! time goes on, everyone experiences aches and pains. The difficulty lies in figuring out

what pain we can endure and ignore from those that are more serious. At the top of the list is shoulder pain. Usually shoulder pain hurts with overhead activity. The pain radiates down the arm between the shoulder and the elbow, and it interferes with sleep. Unlike other parts of the body that experience wear and tear and develop arthritis, shoulder pain most commonly involves the rotator cuff tendon, not an arthritic condition. The rotator cuff tendon’s main function is to assist in raising the arm above shoulder height. It can be injured traumatically by a fall, by repetitive overuse in throwing or participating in racquet sports, and frequently can be torn without any injury or overuse. Unfortunately, the rotator cuff tendons can degenerate and tear with age. Most importantly, once they are torn they do not heal. Once torn, the tear will increase with activity and eventually become unfixable.

Q. What About Conservative Treatment?

With early detection, medication, physical therapy, and sometimes a steroid injection (frequently referred to as a cortisone injection), the pain can be stopped and a full tear prevented. When a full tear of the tendon is caught early, it can be repaired with an arthroscopic shoulder surgery. However, if left untreated for a long period of time, a rotator cuff tear will become irreparable. Over the years, a chronic rotator cuff tear will cause arthritis of the shoulder joint referred to as rotator cuff arthropathy.

Q. How Is It Diagnosed?

If there is weakness on exam or pain that does not respond to medication or therapy, an MRI is usually obtained. This radiologic exam will show rotator cuff tendons and the size of a tear. MRIs also can give clues to the chronicity of the tear. This will aid in the surgeon’s decision if the tear is repairable. Some massive, chronic tears are irreparable. Rotator cuff arthropathy is a painful condition, and in its worst form patients cannot lift the injured arm. This phenomenon is described as a pseudoparalysis of the shoulder. When this stage of a rotator cuff tendon tear is reached, the patient has developed a massive, chronic and irreparable tear. Until recently, the only treatment was to ease the pain with medication or an occasional steroid injection. In the past several years, a new procedure called reverse total shoulder arthroplasty has evolved to treat this dreadful condition. A conventional shoulder replacement cannot be performed when the rotator cuff is not functional because that surgery relies on the function of a healthy rotator cuff tendon to be successful.

Q. Why Is It Called A Reverse Shoulder?

Reverse total shoulder arthroplasty gets its name because the ball is placed on the socket side of the joint and the cup is placed on the ball side of the joint. Reversing the placement of the components gives this prosthesis a bio-mechanical advantage which allows the patient to regain overhead use of the limb as well as alleviating pain. In the last couple of years, second and third generation prosthesis have been developed, and the surgical technique has been refined. This combination has lead to increased patient function, longer lasting replacements, and lower rate of complications from surgery. The recovery of the procedure entails an arm sling for approximately four weeks and several months of out-patient physical therapy. Furthermore, the surgery usually only requires a onenight hospital stay. So the next time you experience shoulder pain, especially if it hurts at night or with overhead activities, think twice before just living with it. Rotator cuff problems are more easily treated if recognized early. However, if you have a massive irreparable rotator cuff tear or have had a rotator cuff repair surgery which failed to heal (failure of rotator cuff surgery can be as high as 10%), there now is a reliable solution to your problem, which did not exist several years ago.

The moral of this story is ... “Don’t sit on that ache in your shoulder! Get it evaluated before it’s too late!”

Seaview Orthopaedic & Medical Associates

Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

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

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

■ SATELLITE OFFICE

IN LAKEWOOD

Seaview Orthopaedic & Medical Associates has provided the highest quality of care in Monmouth and Ocean Counties for over 30 years.

Dr. Spagnuola, who is a Board Certified orthopaedic surgeon, Fellowship trained in Sports Medicine for shoulder and knee injuries, is a New Jersey native. He graduated with honors from Villanova University in 1992 and then continued his education at UMDNJ-New Jersey Medical School. He graduated medical school in 1996 and was inducted into the Alpha Omega Alpha National Medical Honor Society. Following medical school, he trained for five years in orthopaedics at Monmouth Medical Center, including six months of pediatric orthopaedic training at Children’s Hospital of Pennsylvania. Dr. Spagnuola completed his training with a year of sub-specialty training in sports medicine and shoulder injuries at Thomas Jefferson University in Philadelphia.

www.seaviewortho.com • 732-660-6200

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Assisted Living

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

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

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

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

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

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

What can they take with them?

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

How much might their life change?

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

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

Call for an Appointment Today

609.242.2661 601 N. Main St. (Route 9)

The County Woman Magazine

www.TheCountyWoman.com

Lanoka Harbor, NJ September/October 2014

Home Health Care

The Home Health Care Assessment:

Getting Started On The Right Foot

he success of any in home care treatment plan will depend heavily on the effectiveness of the initial assessment. In my nearly three decades providing elder care service, I have seen that there is a great deal of room for improvement in this area. Often the home health care assessment is administered haphazardly, creating a situation wherein the service provider, caregiver and the patient are not on the same page.

The Purpose of the Home Health Care Assessment The in home elder care assessment has two primary purposes; to establish a level of trust between all parties involved and begin putting together a customized treatment plan based on the specific needs of the patient and family.

The Trust Factor There are few elements more critical than trust when it comes to in home senior care. The family (and most importantly) the patient must be able to trust the caregiver to competently and compassionately provide the treatment they have promised. We have all heard the horror stories of nursing home abuse; but unfortunately, home health care workers are not immune from this phenomenon. Sure, you can (and should if you can afford it) install security cameras in the home to ensure the safety and care of your senior loved one. But you should not have to be in constant fear that something may go wrong when you are not around to check up on things.

Addressing the Individual Needs One of the things that set home health care apart from other forms of elder care is the ability to create the right plan for each individual patient. We understand that everyone has a unique situation with differing physical, mental, emotional and even spiritual needs as well as a unique family dynamic. For example, some patients already have a family caregiver and just need a break for a few hours every week. Others have advanced medical conditions and limited family assistance, which in many cases means 24/7 care will be needed. It is our job at the home health care assessment to consult with the patient and family to identify the patientâ&#x20AC;&#x2122;s needs and begin crafting a holistic treatment plan that addresses those needs.

Finances and Family Support Two common road blocks to an effective home health care assessment are financial considerations and the support (or lack thereof ) of the family structure. Often, too much consideration is given to the cost of the treatment and not enough to reaching an objective resolution of what can and should be done. Of course, the treatment plan needs to be affordable for the patient (and family) or it will not be sustainable for the long term. However, there are resources some are not aware of that can help offset the About Peter Mangiola RN MSN costs of in home care. Peter Mangiola is a senior care advocate with several For example, many elder care patients qualify for the expanded Medicaid coverage decades of experience in the industry. Peter helps under the Affordable Care Act. Others may have access to benefits through the Veteranâ&#x20AC;&#x2122;s senior citizens by leveraging his vast knowledge of Administration (VA). There may also be some assistance available through Medicare in the healthcare industry and his expertise in identisome cases. I work with families to point them to the resources necessary to allow us to fying effective, affordable healthcare solutions. Peter provide the level of quality care their senior loved one(s) deserve. has been a consultant, educator and regular speaker Speaking of families, the commitment of family members to the treatment plan is for many groups and organizations over the another essential in its long term success. It is estimated that 60% of all services provided years covering a wide variety of topics will be dependent on the support of the family unit. In other words, without a strong such as Geriatric Care Management, family infrastructure that is emotionally (and if necessary financially) invested in the care Dementia, Alzheimerâ&#x20AC;&#x2122;s and Senior Care of the client, the service provider will need to rely on alternate sources of support, which Health Service & Advocacy. can become quite costly and ineffective. At the end of the day, the overall success of an in home elder care treatment plan will For more information, Contact: depend on effective pre-planning (beginning with the home health care assessment) and Peter Mangiola a strong commitment from everyone involved. Circumstances do change with senior Phone: (732) 678-0096 patients, and an in home care provider should be flexible and willing to alter the plan email: pm0607@verizon.net along the way as needed. The goal should always be to provide the optimal level of care necessary so your aging loved ones can enjoy the best possible quality of life during their golden years.

Peter Mangiola offers years of experience as an RN and Senior Care Advocate.

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Medical Professionals

Survey Says... Whiting Health Care’s nursing team works to exceed regulatory requirements -- and resident expectations

re you considering placing a loved one in a New Jersey nursing home? Naturally, you want the very best for Mom or Dad, but how do you know for sure that they are getting excellent care? There are many indicators of quality, but one of the most reliable is the State Department of Health’s annual survey of nursing homes. By law, every nursing home in New Jersey is visited once a year by a survey team from the State. The inspection team typically spends the better part of two work weeks observing all facets of the center’s operations. It’s an exhaustive process, as surveyors must assess the nursing home’s compliance with more than 1,500 specific state and federal standards. Staff-to-patient ratios, food safety, infection control, medication management and even building maintenance are carefully scrutinized. Centers that meet survey standards are approved for renewed licensing; those with deficiencies must correct their problems in a timely manner or face penalties, which may include loss of Medicare/Medicaid funding.

Focusing On Highest Levels Of Clinical Excellence

At Whiting Health Care Center, as in most New Jersey care centers, staff members are acutely aware of the need to excel in the annual state survey. But the staff at Whiting has a unique perspective in preparing for their annual inspection. That’s because Whiting’s Director of Nursing Services, Chona Yap-Ranzanici, BSN, RN, CRRN, spent more than eight years working as a healthcare facility evaluator for the New Jersey Department of Health. As a member of a state survey team, Yap-Ranzanici visited hundreds of New Jersey nursing homes, determining their compliance with state and Federal regulations. Since May of this year, when she joined the nursing staff at Whiting, Yap-Ranzanici has been focused on helping the center achieve the highest levels of clinical excellence. According to Jennifer Causer, Executive Director at Whiting, Yap-Ranzanici has brought a new awareness of systems and best practices that has been well-received by the nursing staff, residents and families. “The world of health care has changed dramatically, just in the last decade,” notes Causer. “Nursing homes today are really more like ‘mini hospitals.’ Here at Whiting, for example, we are delivering more medical care than ever. Our goal is to avoid the stress and trauma of transporting residents to hospitals for tests or treatments that can be done right here.” Yap-Ranzanici’s experience as a New Jersey survey team inspector makes her a valuable mentor to the Whiting Health Care team, says Causer. “Chona has identified systems that she wants to implement and programs she wants to build that will add significantly to patient comfort,” Causer notes. “Her insight and experience are invaluable. She can look at any space or any situation and immediately identify issues or systems that can be improved. She’s an incredible asset to Whiting.” Yap-Ranzanici’s colleagues at Whiting, Nora Vargas, MSN, RN and Anita Yu, BSN, RN, echo Causer’s enthusiasm. Vargas and Yu, who share the responsibilities of Assistant Directors of Nursing, are intently focused on providing quality care to residents. Staff education is Yu’s special focus, while Vargas is deeply committed to infection prevention. Both areas are vitally important for the success of a nursing home, says Causer. “An outbreak of infection among elderly residents is one of

(left to right) Chona Yap-Ranzanici, Director of Nursing, Jennifer L. Causer, Executive Director, Anita Yu, Assistant Director of Nursing the most serious events any nursing home can experience,” she notes. “Nora’s role is to make our center as comfortable and home-like as possible, while ensuring that every effort is made to keep our residents healthy and thriving. That can be challenging! But Nora is dedicated to enforcing high standards, and I think everyone here respects that.”

Communication And Education

Yu’s special focus is communication and education. “One thing we’ve learned over the years is the critical importance of caregivers all being ‘on the same page,’” says Causer. “That means that doctors and nurses must all speak the same clinical language, and communicate as precisely as possible. When the clinical team communicates effectively, patients get the best care. Anita is working to ensure that our nurses maintain the most efficient and thorough dialogue with our doctors.” “What I appreciate so much about our clinical team is their deep seriousness and dedication,” says Causer. “The world of health care has changed so much in the last few decades, especially the world of skilled nursing and elder care. I think many of these changes have been for the better, but they do require us all to be vigilant about best practices. I’m thrilled to have a team of nurses here at Whiting who are so committed to excellence, and who share a passion for patient care. It’s a privilege to work with these incredible women.” Call Whiting Health Care Center at

732-849-4400 or visit them online at www.reverawhiting.com.

Whiting Healthcare Center 3000 Hilltop Road, Whiting, NJ 08759

732-849-4400

Visit www.reverawhiting.com

The County Woman Magazine

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Whiting Healthcare Center is part of Revera Health Systems, which has an outstanding network of skilled nursing facilities across New Jersey, including Bey Lea Village in Toms River, Hamilton Plaza in Passaic, Laurelton Village in Brick, Linwood in Linwood, Meadow View in Williamstown, Neptune in Neptune, Oak Ridge in Wayne, and Willow Creek in Somerset. September/October 2014

Meet The Whiting Team

Whiting Healthcare Center Is ‘Patient-Centered’ Whiting Health Care Center is a 200 -bed skilled care center located in Whiting, NJ. Our mission is to provide the finest quality health care, rehabilitative and support services to our patients and their families. We are pleased to announce that the center has achieved the Tier Two Recognition level as part of the American Health Care Association’s Quality Initiative Recognition Program for achieving the following two quality Initiative goals: Increasing staff stability and increasing customer satisfaction. Our care approach is patient-centered and involves an integrated program of therapies that address the total well-being of our patients. The goal is to design a course of treatment and therapy that best meets the needs of the patient.

Jennifer L. Causer

Chona Yap-Ranzanici

Anita Yu

Executive Director

Director of Nursing

Jennifer L. Causer is the Executive Director of Whiting Healthcare by Revera. After earning her Bachelor of Arts degree in Recreation Therapy from Kean University almost 2 decades ago, she began her career in New York as a Certified Recreation Therapy Specialist. Causer accepted her first professional position working with young children in a residential treatment center focusing on behavioral health and improving children’s social and emotional wellbeing. Four years later, after moving back to New Jersey, Causer discovered her passion for working with the elderly population. Using the therapeutic techniques in which she was schooled, Causer began to change the way her skilled nursing facility looked at quality of life and recreation. Since her initial position as Recreation Director in a skilled nursing facility, she went on to work with the elderly in assisted living and independent living settings as well, finally transitioning into an Assistant Administrator position in a skilled nursing center. It was in this position that Causer finally felt “at home” and empowered to make a more global and impactful difference in the lives of our frail elderly.

Chona YapRanzanici, BSN, RN, CRRN, earned a Bachelor of Science degree in Nursing in 1980 from San Pedro College in Davao City, Philippines. She went to Oman in 1982 and worked for 2 years as a Registered Nurse in the Orthopedic Department. She arrived in the United States in January of 1985, and settled in New Jersey, where she gained employment with the John F. Kennedy Healthcare System, working with the Hartwyck facility for 10 years as an MDS Coordinator. She also served as a Regional Manager for Quality Assurance for 7 years with Cambridge Healthcare Consulting. Chona then joined the New Jersey Department of Health and Senior Services in 1997 as a State Surveyor. She passed the State and Federal qualification examination in 1999, and spent over 8 years inspecting skilled nursing facilities throughout the state. Chona is proficient in State and Federal Regulations governing the Long Term Care Industry. Ms. Yap-Ranzanici joined Revera Nursing & Rehab early in 2014 as the Director of Nursing for Whiting Health Care Center in Whiting, NJ. Chona is actively involved in all aspects of nursing administration and works to continually promote patient care and the quality of life for her residents. She can be often be found conversing with or tending to the needs of her residents. Her main priority is the care of her “resident family.” She maintains a very high standard of quality care and instills this in her employees. Ms. Yap-Ranzanici has been a member of the Association of Rehabilitation Nursing since 1997.

Assistant Director of Nursing Anita earned her Bachelor of Science in Nursing degree from Cebu Central College (Chong Hua Hospital College of Nursing in Cebu City, Philippines) over 34 years ago. She worked in the same hospital for 3 ½ years as an RN staff nurse in a Med/ Surgical unit. Looking for new experiences, Anita headed to the Middle East country of Sultanate in Oman, gaining employment at Al Nahda Hospital as an RN staff nurse. Ms. Yu came to the United States for professional advancement in 1989. She took and passed the NCLEX Board Exam and began employment with Green Acres Manor, where she spent over 25 years, serving in a variety of roles. Anita started out as a staff nurse and was promoted 3 years later to a Charge Nurse in the Dementia Unit, where she worked for 8 years. Through several more promotions, Anita advanced to become the Assistant Director of Nursing. Anita recently joined Revera Nursing & Rehab as the Assistant Director of Nursing/Staff Development for our Whiting Health Care Center. Ms. Yu has taught nursing assistant classes and served as an LPN program Clinical Instructor.

Whiting Healthcare Center, 3000 Hilltop Road, Whiting, NJ 08759 • 732-849-4400 • www.reverawhiting.com

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Medical Professionals

Most Parents Would Do Anything To Help Their Children…

Lorraine Catalano, CNMT and Imaging Director If you are experiencing memory loss, and/or have a family history of Alzheimer’s disease, the Amyvid PET Scan could help you do just that… help your children. Alzheimer’s disease affects the entire family. Help protect your children by getting an early

diagnosis. Early detection and treatment can help slow down the progression of Alzheimer’s disease. Having the Amyvid PET Scan can give you and your family correct information about the cause of your cognitive impairment. Until this scan was available, the only definitive way of knowing if a person had Alzheimer’s disease was by an autopsy. Many doctors have been treating patients with medications used to treat Alzheimer’s, without the benefit of knowing definitively if that patient really has Alzheimer’s. Using these medications may not be beneficial to patients, and, in some cases, could be detrimental to their health. This scan will give the information needed for doctors to make appropriate treatment decisions.

Amyvid, a radioactive diagnostic agent for Positron Emission Tomography (PET) imaging of the brain is used to estimate beta-amyloid neuritic plaque density in adult patients with cognitive impairment who are being evaluated for Alzheimer’s disease and other causes of cognitive decline. • A negative Amyvid scan reduces the result reduces thelikelihood likelihood that a patient’s cognitive impairment is due to Alzheimer’s disease at the time of image acquisition. • A positive Amyvid scan result indicates moderate to frequent amyloid neuritic plaques; neuropathological examination has shown this amount of amyloid neuritic plaque is present in patients with Alzheimer’s disease. Amyvid is an adjunct to other diagnostic evaluations.

Caring Heart & Brain appropriate pharmaceutical the appropriate pharmaceutiImaging is aring the firstHeart imaging& treatments and therapies to cal the treatments and therapies center in New Jersey to slow progression of these Brain Imaging to slow If theweprogression of perform the Amyvid PET diseases. can slow down is the first imaging center in thethese progression Scan. This fantastic imaging diseases.ofIfAlzheimer’s we can to perform the toolNew can Jersey diagnose and disease, we can give patients of slow down the progression Amyvid PET Scan and and families the time to plan differentiate the forms of we Alzheimer’s disease, we can have completed moreages. Amyvid ahead. It also allows the person dementia at even earlier give patients and families WePET can address cognitive Scans than most medical with Alzheimer’s to participate the time to plan ahead. It changes andthroughout impairment centers the Unit- in health care, financial and also allows the person with because we know ed States. This what meansis that our legal decisions, as well as giving Alzheimer’s participate them precioustoquality time in attributing to the diagnoses. reading expert has interpreted Diagnosing and staging is vital with theircare, loved ones. and legal health financial many,toif prescribe not more,the Amyvid for as doctors decisions, as well as giving PET scans than most nuclear them precious quality time radiologists. with their loved ones. This fantastic imaging tool can diagnose and differentiate 2414 Manasquan, NJ 08736 the formsHighway of dementia35, at even earlier ages. We can address Phone: cognitive changes and impairE-Mail: ment because we know what service@caringheartcoronaryimaging.com is attributing to the diagnoses. Diagnosing and staging is vital for doctors to prescribe

Caring Heart & Brain Imaging 732.292.1008

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

Cardiac Breakthrough Slipping Away at the Jersey Shore… Jersey Shore suffered some great losses in that they The Cardiac Perfusion study is the newest so accurate,and ask if yousuch would benefit from the Cardiac PET • Uncontrolled stress and procedures old PET test, the most compelling TheThe Jersey Shore hashassuffered patients are aware version of a reasons cardiac stress test. For Perfusion study at Caring Heart & Brain the recent dueintothe Super Storm Sandy andtheir the family practice anger. and performed for having thethose people whoas stent implantation some greatpast losses recent can ask have had the old test, the most compelling reasons for Imaging. Nor’easter…and another great doctor loss seems inevieven coronary bypass surgery • Family history of heart past due to Supernow, Storm Sandy or cardiologist to write Cardiac PET Perfusion study having the Cardiac PET Perfusion study performed at be •avoided. Smoking. table. Caring Heart & Brain Imaging has made the latest disease might and the Nor’easter…and a script for the test that will performed at Caring Heart & Caring Heart & Brain appropriate pharmaceutical Caring Heart & Brain Imaging are: • High LDL, or “bad” cholesterol and low HDL, or • Post-menopausal • We will provide Brain Imaging are: now, greatavailable loss seems accurately and specifically cardiacanother technology to residents of the Jersey treatments and therapies to Imaging is the first imaging “good”if cholesterol. transportation, necessary. • Race (African Americans, inevitable. Caring determine if ofyour Shore, who benefit from thisprogression same testing if heart•muscle Speedier Scan Times – approximately 45 minutes as center in Newcould Jerseyonly toHeart slow the these American Indians, and & Brain Imaging has made is receiving adequate blood • Speedier Scan Times – • Uncontrolled hypertension (high blood pressure). perform the Amyvid PET If we can down they traveled to New York City,diseases. Philadelphia or slow Northern opposed to 2-1/2 to 4 hours for the old SPECT scan, Mexican Americans are more you have •some, or all of the approximately 45 minutes the latest cardiac flow and andofdoctors ifAlzheimer’s that blood flow is Exposure Scan. This fantastic technology imaging progression Physical inactivity. • Patient to Radiation is cut in as half –Ifthe Jersey. Unfortunately, educatingthepatients is tool can diagnose and of the disease,evenly we candistributed. give patients The test likely to have heart opposed to 2-1/2 to 4 hours risk factors mentioned below, available to residents • Obesity (more than 20% over one’s ideal bodydisease weight). Attrius scanner reduces patient exposure to radiataking time,the and not ofenough patients are aware that they to plan differentiate forms than Caucasians) you should see your family Jersey Shore, who could only and families to askthe fortime is called a Cardiac for the old SPECT scan, • Uncontrolled diabetes. tion, and Rubidium, the agent used in the scan, has a can ask their family practice orItcardiologist to also allows the dementia at even earlier ages. doctor practice doctor and ask if stress and anger. benefit from this same testingahead.PET Perfusion person study with • Patient Exposure to • Uncontrolled short half-life, so the amount of radiation exposure is We can addressfor cognitive withaccurately Alzheimer’sand to participate write theNew test York that will specifilet this opportunity you would benefit the of heartDon’t ifchanges theya script traveled to Rubidium. Radiation is cut in • Familyfrom history disease and impairment in health care, financial and substantially less than a chest x-ray. cally determine if your heart muscle is receiving adequate to receive the best and most Cardiac PET Perfusion study half the Attrius scanner City, Philadelphia or Northern The Cardiac PET Perfusion because we know what is legal decisions, as well as giving • Post-menopausal • CFR Calculation – CHCI is exposure the only facility inperformed NEW blood flow and if that blood flow is evenly distributed. at Caring Heart & accurate technology for cardiac Jersey. Unfortunately, study is the newest version reduces patient to them precious quality time attributing to the diagnoses. • Race (African Americans, American Indians, and JERSEY to calculate CFR: Coronary Flow Reserve. CFR with their ones.stress test. For Diagnosing and for staging is vital The test to patients ask isand called a Cardiac Perfusion care slip away from you. Tell Brain Imaging. radiation, and Rubidium, educating doctors ofPET aloved cardiac Mexican Americans are more likely to have heart answers howintothe treat an individual’s fortaking doctors to prescribe the enough your doctor you want only the the agentofused scan, is and not those people who have had the the questions study withtime, Rubidium. disease than Caucasians) Coronary Artery with accuracy. best. • Smoking. has aDisease short half-life, so This means that unnecessary, invasive procedures could be avoided Don’t let this opportunity to are receive theto best and most We happy answer any • High LDL, or “bad” the amount of radiation Caring Heart & Brain Imaging and replacedexposure with the appropriate management yourfrom doctor is substantially less cholesterolaccurate and low HDL, orfor questions technology cardiac careyou sliporaway you. Just call treatment. than a chest x-ray. may have. We can be reached “good” cholesterol. Tell your doctor you want only the best. 2414 Highway 35, Manasquan, NJ 08736 Uncontrolled hypertension at 732-292-1008, or visit our Improved Images – PET – Test •images • Avoidance• of Unnecessary Procedures We are happy to answer any questions you or your Phone: 732.292.1008 website at www.CHCI.biz (high blood pressure). provides clearer, more precise are so accurate, procedures such as stent implantation or visit doctor may have. We can be reached at 732-292-1008, At Caring Heart & Brain • Physical inactivity. 2D images better suited for E-Mail: and even coronary bypass surgery might be avoided. or visit our website at www.CHCI.biz our website at • Obesity (more than 20% over Imaging, you are in our caring detection of disease. • We will provide transportation, if necessary. service@caringheartcoronaryimaging.com At Caring Heart & Brain Imaging, you are hands! one’s ideal body weight). • Avoidance www.CHCI.biz If you have some, or all ofoftheUnnecessary risk factors mentioned in our caring hands! www.CHCI.biz. Procedures Test images aredoctor • Uncontrolled diabetes. below, you should see your– family practice

To Help Their Children…

732 292-1008

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Medical Professionals

High Risk Breast Cancer Q&A With Dr. Sumy H. Chang Fellowship-trained Sumy H. Chang, M.D., F.A.C.S., a board-certified general surgeon dedicated to breast health, recently joined Barnabas Health Medical Group (BHMG), in partnership with Community Medical Center, to provide Ocean County women with access to the latest prevention, detection and treatment options for breast-related issues. Dr. Chang is committed to helping women with various breast issues, including those who are high risk for breast cancer. According to Dr. Chang, “Just because you’re high risk, doesn’t mean that you will definitely get breast cancer. However, you must be vigilant!” Dr. Chang sheds light on some of the most commonly asked questions and concerns about risk factors, screening and more. What are the key high risk factors for breast cancer? The three key high risk factors are: n

strong family history – having a first-degree relative (mother, sister or

daughter) with breast cancer nearly doubles a woman’s risk and having two first-degree relatives increases risk three-fold; n radiation exposure to the breast, chest wall and neck when between the ages of 10 and 30 years; and n testing positive for BRCA1 or BRCA2 gene mutation. What steps should a woman take if she’s high risk? While regular breast screening is important for all women, it’s especially important for women at higher risk. The bottom line is women at higher risk should get an MRI and a mammogram every year and may need to be screened earlier and more frequently. What is a BRCA gene? Everyone is born with the BRCA gene. However, those who inherit a mutated BRCA1 or BRCA2 gene from a parent (either mother or father) are at increased risk of breast cancer. Each child of a parent who carries a mutation in one of these

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

The County Woman Magazine

About Barnabas Health Medical Group 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. genes has a 50 percent chance of inheriting the mutation. BRCA1 and BRCA2 is the most common cause of hereditary breast cancer. If your mother or sister had breast cancer, I recommend that you should start screening mammograms 10 years before the person was diagnosed. So, if your mom was diagnosed with breast cancer at age 40, you should start screening at 30. If your mother or sister has a positive BRCA gene mutation, I recommend starting mammograms at age 25. What BRCA screening tests are available? There are blood or saliva tests that use DNA analysis to identify BCRA mutations. After the test, you’ll learn whether you inherited a BRCA gene mutation and receive an estimate of your personal risk of breast cancer and ovarian cancer. Community Medical Center has a genetic counselor who provides counseling sessions. At these sessions, she reviews family history, risk factors and discusses options, results and other screening tests that the patient or their family members may be at high risk for. What’s my risk if I test positive for the BCRA1 or BCRA2 gene? According to the National Cancer Institute, 55 to 65 percent of women who inherit a harmful BRCA1 mutation and about 45 percent of women who inherit a harmful

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BRCA2 mutation will develop breast cancer by age 70. Women with BRCA mutations also have an increased risk for developing other cancers, especially ovarian cancer. If I test positive for the BCRA1 or BCRA2 gene, what do I do? If your BRCA gene tests positive, you should have yearly screening mammograms and breast MRIs, along with a breast exam every 6 months performed by a provider. Depending on the screening results, your physician will determine the right course of action. In addition, I also recommend the patient sees a gynecologist to monitor their ovaries due to their risk of ovarian cancer. Between the two cancers, the bigger challenge is to detect early stage ovarian cancer. You may also opt to have surgery to remove the breast tissue to reduce the risk of breast cancer or the ovaries to reduce the risk of ovarian cancer. Do men get breast cancer, too? Yes, men get breast cancer, too, but at a much lower rate. The American Cancer Society says that breast cancer is about 100 times less common among men than among women and for men, the lifetime risk of getting breast cancer is about 1 in 1,000. When men get breast cancer, we test them for BRCA gene mutation, which they may pass on to their sons and daughters.

September/October 2014

Medical Professionals

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

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

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The County Woman Magazine

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September/October 2014

Wigs & Hair Replacement Itchiness

or hair eczema loss

Seasonal or medical hairloss

47 Oily or dry scalp

YOUR SCALP IS TALKING TO YOU SCALP IS TALKING TO YOU. Dry, brittle or dull hair

ry or oily dandruff

Androgenetic hair loss

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Psoriasis or eczema

Seasonal or medical hairloss Dry or oily dandruff

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Tyour he health of your hair to theby taking ar what scalp hasis linked to say health of your scalp: you can’t have healthy hair if SCALP ISfree TALKING YOU. scalp analysis offer. vantage your scalpof isn’tour healthy. The scalp is actually the TO

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YOUR SCALP IS TALKING TO YOU.

skin part from where your hair follicles grow. When ADVANCED CARE FOR YOUR SCALP an ailment is present, the solution should be in the You can’t have healthy hair without a healthy scalp! realm of dermatologyst and trichology, rather than Dry or oily While conventional hair products cater to the Now thru March 31 which 2012 –ingive your of speech hair styling products, turn, are scalp aimedfreedom at Androgenetic dandruff hair the Capilia Scalp Health range, based WE HAVE REALshaft, SOLUTIONS with a complimentary scalp analysis.trichology You will be WE SOLUTIONS loss of Trichology, is itself specifically the health ofHAVE the hairREAL shaft. Therefore, is astonished to on thehair science discover your scalp is of key to capillaryand health. the sciencethat at the crossroads dermatology designed theItchiness common Hear what your scalp hastotoaddress say by taking problems of st heon health of Limit your hair isperlinked toat Capilia the health of your This offer ends June 1 , 2014. of (1) coupon client. Valid London only. the scalp. Ask us about our hair care products! cosmetology that aims tohealthy bring back the hair cycle heyou health of your hair is iflinked to the scalp: can’t have hair your scalp isn’t free scalp analysis offer. advantage of our to its normal health of yourstate. scalp: can’t have healthy hairwhere if healthy. The scalpyou is actually the Skin part from your hair follicles grow. When an ailment present, the soluyour scalp isn’t healthy. The scalp actually the This is why, at Abstrax HairisisDesigns, our Appointments are required. Please call for your FREE consultation! 123, street avenue boul., city town 333.333.3333 capilia.com tion should be in the realmyour of dermatology and trichology, rather skin part from where hair follicles Now thru March 31st 2012 – give your scalp freedom of speech specialists are trained in trichology. Wegrow. start When ADVANCED CARE FOR YOUR SCALP than hair styling products, which in turn, are aimed at the health with a complimentary scalp analysis. You will be astonished to an ailment is present, the solution should be in the from the root of the problem. After an analysis of Youiscan’t have healthy hair without a healthy scalp! of the hair shaft. Therefore, trichology is the science at the crossdiscover that your scalp key to capillary health. We are a Member of: realm of dermatology and trichology, rather than your scalp, we will recommend a program specifiThis offer ends on June 1 , 2014. Limit of (1) coupon per client. Valid at Capilia London only. roads of thru dermatology and cosmetology thatyour aims to bringfreedom back st While conventional hair products cater to the Now March 31 2012 – give scalp of speech hair styling which turn, are aimed at the hair cycle products, cally designed to restore the in balance of your scalp, hair shaft, the Capilia Scalp Health range, based WE HAVE REAL SOLUTIONS with a complimentary scalp analysis. You will be astonished to 732-255-1733 the health of the hair shaft. Therefore, trichology is to its normal state. oncity thetown science of Trichology, is itself specifically combining home care treatments with in-depth 123, street avenue boul., 333.333.3333 capilia.com discover that your scalpDesigns, is of key to specialists capillaryare health. Heads First Capilia Center This is why, at Abstrax Hair our trained the science at the crossroads dermatology and designed to address the common salon treatments. Ailments of the hair and scalp are Hear what your scalp has to say by taking problems of st in trichology. We start from the root of the problem. After an This offer ends on June 1 , 2014. Limit of (1) coupon per client. Valid at Capilia London only. the scalp. Ask us about our hair care products! 2494 Moore Rd.Ste #1 cosmetology to bringcan back hair cycle common andthat theiraims symptoms bethe unpleasant for free scalp analysis offer. advantage of our analysis of your scalp, we will recommend a program specifically to its normal state. Toms River, NJ 08753 those who suffer them: itching, redness, dandesigned to restore thefrom balance of your scalp, combining home (In the Stone Hedge Professional Building) druff, bad from oilysalon scalp, andDesigns, in certain care in-depth treatments. Ailments of the capilia.com Thisodor iswith why, at Abstrax Hair ourcases, Appointments are required. Please call for your FREE consultation! 123,treatments street avenue boul., city town 333.333.3333 hair scalpare are and common and their symptoms be unpleasNow thru March 31st 2012 – give your scalp freedom of speech hairand thinning hairin loss. specialists trained trichology. Wecan start with a complimentary scalp analysis. You will be astonished to ant for those who suffer from them: itching, redness, dandruff, from the is root of the to problem. After an delay analysis of stabilize discover that your scalp is key to capillaryWe health. “DURING MY bad odor It frompossible oily scalp, and in certainand/or cases, hair thinning and areare now seekingof: We a Member your scalp, we will recommend a program specifiThis offer ends on June 1 , 2014. Limit of (1) coupon per client. Valid at Capilia London only. hairloss. thinning. You can also determine or manhair CHEMO new hair stylists: cally designed restore balance of your scalp, It isscalp possible to to stabilize thinning. You can age ailments. Toand/or dothe so,delay it ishair crucial to begin TREATMENTS, 732-255-1733 full or part time. combining home carescalp with in-depth also determine oras manage ailments. To do so, it is crucial 123, street avenue boul., city town 333.333.3333 capilia.com targeted care soon astreatments the problem manifests. Heads First Capilia Center CAPILIA to begintreatments. targeted care as soon as the manifests. Askare a To apply, please call salon Ailments ofproblem the and scalp Ask a Capilia expert for advice onhair how to provide 2494 Moore Rd.Ste #1 Capilia expert for advice on how to provide your scalp with the OFFERED common their symptoms can be unpleasant for Abstrax at 732-255-1733 your scalpand with care it really needs orthe visitcare our it really needs or visit our Toms River, NJ 08753 ME MUCH those who suffer from them: itching, redness, danwebsite http://toms-river-nj.capilia.com/ or for more info. website at at http://toms-river-nj.capilia.com/ or (In the Stone Hedge Professional Building) MORE THAN druff, bad odor from oily scalp, and in certain cases, www.abstraxhair.com. www.abstraxhair.com. hair thinning and hair loss. A WIG.”

Tyour scalp has to say by taking ar what antage of our free scalp analysis offer.

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It is possible to stabilize and/or delay hair thinning. You can also determine or manage scalp ailments. To do so, it is crucial to begin “Like” County Woman targeted care as The soon as the problem manifests. Facebook Enter Askon a Capilia expert forand advice on howto to Win provide your scalp withCertificate the care it reallytowards needs or visit our a $25 Gift any website at http://toms-river-nj.capilia.com/ or service at Abstrax Hair Designs. www.abstraxhair.com. Not valid towards products. New customers only.

“DURING MY CHEMO TREATMENTS, CAPILIA OFFERED ME MUCH MORE THAN A WIG.”

We are now seeking new hair stylists: full or part time. To apply, please call Abstrax at 732-255-1733 for more info.

Good through 10/31/14.

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Ultimate Day Spa

Happy Birthday to Us!! Simply Skin is 20 years young! We are very happy to have introduced everyone to spa services over the years. In our 3,000 square feet, we have a lovely spa boutique, 7 treatment rooms, 4 pedicure baths and 3 manicure stations. Simply Skin has 24 amazing women who work together to bring you the best in spa services along with excellent customer service. You see, we all love what we do and it shows!

Escape with us at Simply Skin, where YOU will enjoy endless moments of renewal for yourself. Our spas’ core inspiration is, life is precious and so are you! With every touch, our spa team will genuinely care for You, our valued guest. We will synergize a superior collection of the highest performing, innovative skin, body and nail products, optimally linking inner beauty and well-being. We celebrate every person’s spirit as “You.” Look good, feel great, you deserve it and we believe it! Celebrate with us, any day, every day, and especially on those treasured life events. Here at Simply Skin you can escape to a place where body and spirit share inner space and beauty. We call it a day spa experience. Call us today to make your appointment. Client Testimonial . . . “Absolutely loved my manicure and spa pedicure!!! This is by far my favorite spa. I always go here for my massages and facials, too! Staff are always friendly and professional. I love the atmosphere and the prices are reasonable. I would recommend anyone to go here! “ Tara

Business

& Finance

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

Business & Finance

www.simplysdayspa.com

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

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

Students and Teachers: Our Services Will Make Your Life Easier

he Wordstation, Ltd. celebrates its 25th year in business at the Jersey Shore with the grand opening of its new office at 391 Brick Blvd. in Brick. Co-located with Copy Fax + in Drum Point Plaza.

The Wordstation provides specialized, custom business support services for attorneys, insurance agencies, small businesses in general and all who require precision and accuracy in their business communications. We pride ourselves on our friendly service and strive to deliver what you need in a timely, professional manner.

Word Processing

Project-based word processing and data entry services for all businesses, plus manuscript services for aspiring writers and education professionals who must “publish or perish,” but may not have the time to type and format to their publisher’s guidelines. We are experts in APA, MLA, Gregg and other major style manuals.

Patty Shannon, Owner Client Testimonial:

Patty, I want to thank you for the impeccable job you did on my manuscript. I have another story that I would like you to do in the same format…Thank you again for my beautiful manuscript. ~ J.S.

Proofreader On Site

The often-neglected art of proofreading is practiced daily at The Wordstation. We provide contract services to advertising agencies, publishers and independent writers and journalists, ensuring the perfect end product for all those who write and disseminate their writing to the world.

On-Demand, Small-Batch Transcription

Transcription services for those businesses that need transcription from time to time but can’t justify the equipment and staff costs to do it in-house. We transcribe for many Central Jersey insurance agencies and are staffed to handle a lot more.

Copy Shop On Site

We are co-located with Copy Fax +, Brick’s most convenient copy and fax facility. Do it yourself at our self-service copier, fax and computer terminals, or let us do it for you. B&W and color copies, single or double-sided, up to 11″ x 17″.

Notary Service

There is always a notary on site during office hours – Monday through Friday, 9 to 5.

The County Woman Magazine Filler

The Wordstation Copy Fax + Patty and Brian Shannon

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

www.TheCountyWoman.com

STUDENTS! $1 off per page for typing services! TEACHERS! Copies: 10% off!

The Wordstation Copy Fax +

September/October 2014

Business Spotlight

~ Interview with JoAnn Juralewicz ~

Simply Skin A Day Spa Experience

Simply Skin – Where Body Meets Soul. JoAnn Juralewicz Celebrates 20 Years As Owner As the owner of Simply Skin, JoAnn Juralewicz understands the transformative power of what a “spa day” can do for the soul. She attributes the success of her spa to her “amazing” and talented spa technicians and customer service experts. JoAnn is also a licensed esthetician and remains “hands-on” in the facial rooms and loves to be involved in her business at every level. She likes to say, “We are in the business of stress relief.”

Why has Simply Skin been so successful?

313 West Water Street,

One word: longevity. I am blessed with a dedicated group of spa technicians and customer service experts. Everyone here loves what they do and it shows in their work. Over the years, through thick and thin, our staff has remained loyal to their customers and the company. I continue to keep myself involved and hands on (in the facial rooms) and out. And that has helped me keep my finger on the pulse of what is happening in the industry. Attending seminars and webinars has also helped us all stay current.

Toms River, NJ 08753

What are some of the most exciting things happening in the spa industry?

Phone: 732-505-9448

There is a new attitude about spas in that they are no longer considered a luxury, but part of our personal care. Your skin is the largest organ of your body. It needs to be cared for and protected from the elements. Thankfully, people are taking their health more seriously these days. Our clients are serious about their skin care and they want results. I am also an independent distributor for Nerium International. This simple night, day and body cream is changing the way people feel about their skin. I keep it simple for my clients by ordering their products on my website, www.joannjuralewicz.nerium.com

JoAnn Juralewicz Owner

www.simplysdayspa.com

What is the best part about working in this industry? Touching people and making an impact on their lives in such a way that they feel and look better. Most importantly, I enjoy helping them to take better care of themselves.

What is the most challenging part for you? Competing with chain and franchise “spa” establishments is our biggest challenge. They do things very differently than we do and their offerings of specials and discounts take clients away from us for a short time. Usually they see the difference and return.

What is the most popular service that you offer? Our Simply Personal Facial which allows us to custom blend your skin care and completely massage the upper body, giving you total relaxation and fresh, clean skin. At Simply Skin their motto is, “life is precious and so are you!” With every touch, their spa team will genuinely care for You, the valued guest. Simply Skin invites you to escape to a place where body and spirit share inner space and beauty.

JoAnn Juralewicz

A DAY SPA EXPERIENCE

The County Woman Magazine

Local business women featured on the cover are all in the service industry. The ladies display signs referring to their profession at the photo shoot by Tracy Harman Photography.

www.TheCountyWoman.com

September/October 2014

Health

& Wellness

Bringing Your Body Back In Balance With HCG At Ocean Health & Weight Loss, our focus is on bringing your body into balance by resetting your metabolism. We do this through a program called HCG. Is This A Program For Every Body Type? You do not have to be extremely obese for this program to be effective. In fact, it works for every body type, and for men as well as women. Each individual is seen by our medical staff and instructed on how to do the injections and how to plan their meals. Those patients who are dedicated to following the program have enjoyed much success in reaching and maintaining their ideal weight. Written by: Jill Houston, Clinical Director Ocean Health & Weight Loss

Why Is The Program Effective? According to Dr. A.T.W. Simeons, the HCG program is so effective because it takes the fat from your body and uses it as fuel while you eat fewer calories. Therefore you arenâ&#x20AC;&#x2122;t as likely feel hungry, moody, tired, or unable to focus. Your body loses the inches while retaining the muscle.

Can The HCG Program Help With Medical Problems? There are many medical problems that can be helped by weight loss, including high cholesterol, back problems, knee problems, depression, sleep apnea, risk of certain cancers, high blood pressure, and diabetes. This program, started by Dr. A.T.W. Simeons, has been proven effective by doctors all over the world.Â Under the supervision of medical professionals, you will reach your weight loss goals, and you will be reprogrammed with a new way to eat. The program requires consistency and honesty, and it takes time to adjust to a new way of doing things. That is why we are here . . . to aid you in your journey

to a new you.

Call Ocean Health and Weight Loss at 732-608-9681.

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Before After Christina, Pine Beach, NJ, loses 100 Pounds and still going strong!!!

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oCeAn heALth & Weight Loss

Community Medical Center: 448 Lakehurst Rd. Toms River, NJ 08755

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Business Spotlight

~ Interview with Jill Houston ~

Ocean Health & Weight Loss by Community Medical Center Jill Houston, Clinical Director 448 Lakehurst Road Toms River, NJ 08755 Phone: 732-608-9681 www.OceanHealth4You.com

Lose the Weight & Gain Your Life Back As the Clinical Director of Ocean Health & Weight Loss, Inc. Jill Houston has the honor of doing what she loves. “My passion is to direct people in their weight loss goals, show them how to become as healthy as they can be and in some cases, save their life.” Jill has always been one to care for others. Sadly, she lost her best friend to obesity so she knows first hand the dangers associated with being dangerously overweight. Jill was on a mission to find a weight loss program that could help a variety of people including those who suffer from high cholesterol, diabetes and obesity. She came across HCG, which was introduced to her by a doctor. She adds, “I studied this program for two years and lost 45 lbs. in 40 days myself. I knew then that this was the solution.” According to Dr. A.T.W. Simeons, the critical part of an HCG program that makes it so effective is that it takes the fat from your body and uses it as fuel while you eat lower calories. Therefore, you aren’t likely to feel hungry or tired. Your body loses the inches while retaining the muscle. Jill believes that the daily stresses of family, combined with the fast paced lifestyle we live our lives today seem to keep people from taking care of themselves. “Most women will help others before helping themselves and before they know it, they are living a very unhealthy lifestyle. This program is amazing but it takes commitment and honesty,” she says. As an added bonus HCG also helps women get through menopause with less symptoms. In her practice, Jill sees a myriad of different cases. “Whether you are someone looking to lose 10 lbs. or if your weight poses a serious health risk and you want to get your health back in order, we have the tools and motivation to get you where you need or desire to be.” After completing the program your body will be in a new state and most importantly, it will be reprogrammed with a new way to eat. Jill stands beside each of her client’s on their journey and is encouraged by their progress. When Jill is not helping clients achieve their weight loss goals, she serves as the vice president of Ocean Cares Foundation. This organization raises money to support Ocean Mental Health Services, which offers assistance to anyone suffering trauma, including veterans and others in need.

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Local business women 3 Medically Supervised featured on the cover 3 Lose 34 lbs in 40 Days are all in the service 3 A Natural Hormone 3 Medically Supervised The Fat 3 Clear Thought Process 3 Lose 34 lbs in 40 Days Burning industry. The ladies Jill Houston 3 Increased Energy Diet 3 A Natural Hormone 3 Better Sleep enjoy a day of 3 Clear Thought Process 3 Better Health 3 Increased Energy 732-608-9681 fun during the 3 Better Sleep 3 Better Health photo shoot by 732-608-9681 www.OceanHealth4You.com Tracy Harman www.OceanHealth4You.com Photography. Community Medical Center: 448 Lakehurst Rd. Toms River, NJ 08755

off. Stops your body from storing excess fat. ght quickly and Lose 1/2 to 1 eep the weight Pound Per Day . with hCG-

oCeAn heALth & Weight Loss th & Weight Loss

448 Lakehurst Rd. Toms River, NJ 08755

The County Woman Magazine

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September/October 2014

Health

& Wellness

Breast Cancer And The Benefits Of Exercise According to Tina, "It changed me completely.”

Written by: Julianne Dods, VP , Meridian Fitness & Wellness

Stress. It comes in many forms, and when it gets the best of you, it can have major effects on your health. Take it from a smoking, sedentary, workaholic with poor eating habits: stress can nearly kill you.

Tina’s Survival Story . . .

Tina Morrison was going about her stress-filled life when she was diagnosed with Stage 3 Breast Cancer in 2000. After successfully beating the disease through surgery, chemotherapy, and radiation, it was apparent that this was only half the battle. Post-remission, Tina went back to working long hours and became the “1 in 4 people” that experience clinical depression after being diagnosed with cancer. Life became a dull cycle: take medication to stave off cancer, take medication to combat depression, go to work; repeat. About five years ago, Tina, whose ex-husband died suddenly at age 65, had a realization, “I could have died!” Tina decided it was time for a change and tried the gym.

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When Tina began working with Meridian Fitness & Wellness personal trainers, she discovered not only how to improve her physical strength but how to improve her eating habits. In addition to a healthy diet and increased activity, Tina quit smoking and gained a better outlook on life. She is now free from medication to prevent recurrence of cancer, and only continues her depression medication to maintain her internal chemistry. "I feel 100% better," says Tina. The battleground that was Tina's body is now a temple of health. Today, she works one-on-one with Personal Trainer, Laura Roman, 2x’s a week and takes at least three of Laura’s Small Group Training Classes each week. “I attempt to continually challenge Tina, and I convinced her to take on her first 5K race. She actually won a medal for 3rd place in her age group. She completed another 5K the following month finishing 1st in her age group,” says Laura. "The gym is the best thing that ever happened to me,” says Tina. Giving your body acute bouts of manageable stress - which is the goal of a workout - improves your health and your ability to fight off stress from any other source. "I'm 65, and no one would guess it." Tina memorializes each year after her diagnosis with a new tattoo of a flower on her back. "I'm going to live to be over 100," so there will be a veritable garden to represent Tina's success in turning her life around. Such experiences leave their mark, and Tina is an inspiration to the people around her. As a Breast Cancer survivor, she has been able to help and encourage families battling cancer. She knows the importance of diet and exercise in life and in recovery. And most importantly, she is an infectious bubble of positivity. “Tina’s battle with cancer and her survival showed her that she is capable of accomplishing anything she sets her mind to. She is an inspiration to everyone she meets in the gym, and especially to me. She is a very special person who fearlessly takes on any challenge that I present her with. I am honored to work with such a strong woman,” says Laura. Tina's radical change in lifestyle is testimony to just how important it is to treat yourself, mind and body, the right way. According to Tina, "It's all in your mind; if you think about all of the positive things you can do, you're more likely to act on them, and you are more likely to see a positive outcome. Treat your body well and it will treat you well."

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At Meridian Fitness & Wellness, we are committed to creating a healthy and fun atmosphere the whole family can enjoy.

Julianne Dods, Vice President, Meridian Fitness & Wellness

www.MeridianFitnessandWellness.com

Making Fitness Your Family’s Focus

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Stay Connected with Meridian Fitness & Wellness!

September/October 2014

Business Spotlight

~ Changing People’s Lives ~

get real results Maria Cito, Group Fitness Director Originally from Staten Island, NY, Maria Cito moved to Jackson fifteen years ago to raise her family. About seven years ago, the mother of three went back to work and became a Certified Personal Trainer and Nutrition Specialist through AAAI and the International Sports Medicine Association. Driven by her own success and desire to help others achieve active lifestyles, Maria also resumed teaching Group Fitness classes and is currently certified in LES MILLS™ programing including BODYPUMP™ and BODYCOMBAT™ and also teaches several freestyle classes each week. “It is so rewarding when someone leaves class happy and proud of themselves. You can see it on their face. They made it through a tough workout and actually look forward to coming back!” Maria has enjoyed helping people transform into healthier versions of themselves and is excited to continue changing lives at Meridian Fitness & Wellness in Jackson. “I love motivating people and helping them feel comfortable. I want them to find the fun in fitness. If they find the fun they will have the motivation to hit their goals and live a healthy life.” “At Meridian Fitness & Wellness, we realize that a sense of community and access to nutritional support is critical to overall success when trying to achieve measurable health and weight loss goals. I look forward to assisting members as they learn to adopt healthy habits and helping them to feel comfortable in the gym environment,” says Cito. In her free time, Maria enjoys challenging herself with fun runs such as color runs and mud runs. Her favorite moments, however, involve her kids whether they’re hanging out on the beach or renting movies. For additional information regarding Meridian Fitness & Wellness Jackson or to speak with Maria directly, please call (732) 928-1126 or visit www.MeridianFitnessandWellness.com.

Photos by Tracy Harman Photography

Jennifer Krebs, Certified Personal Trainer

Personal trainer Jennifer Krebs knows that changing your body can change your life, because she accomplished the transformation herself. Jennifer was alarmed to find she was putting on weight after an emergency medical procedure. In a quest for a healthier life, she joined a gym and began an exercise program. In the process she developed a passion for health and fitness. She began to study for the NASM Personal Training certification and AEA aquatic certification. Now she shares her personal insights with her clients at Meridian Fitness & Wellness through one-on-one sessions, small group classes and group fitness classes. Her latest passion is Schwinn cycling, a certification she earned this past February. Everyone can achieve fitness “says Jenn. “All you need is a plan and the willingness to commit to it. That’s where I come in. Just take the first step, believe in yourself, and give yourself the opportunity to succeed “ Last year Jennifer began a new journey, training for a triathlon. It has taken her to a new level of fit and she feels healthier than ever before. I could not have done it with out the support of my family, friends and clients. Jennifer resides in Manahawkin with her husband, Darren, and their two daughters. For additional information regarding Meridian Fitness & Wellness Manahawkin or to speak with Jennifer directly, please call (609) 978-2244 or visit www.MeridianFitnessandWellness.com.

MANHAWKIN • HAZLET • JACKSON Coming soon to Brick 609.FITNESS • www.meridianfitnessandwellness.com

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September/October 2014

Health

& Wellness

Are You Stuck, Stuck, Stuck In A Negative Habit?

ne dictionary definition of “habit,” is “an acquired behavior pattern regularly followed until it has become almost involuntary.” It’s an action you engage in subconsciously. Sounds innocuous enough; after all, you engage in all sorts of harmless or even helpful habits each day – like taking a shower, brushing your teeth, setting the alarm, and buckling your seatbelt. But what habits are diminishing the quality of your life, possibly shortening your life?

Do you (or someone you care about) engage in any of the following negative habits – or others? • I smoke. • I worry too much and stress myself out. • I eat more food than my body needs, and I eat too much junk. • I sit around too much and don’t exercise enough. • I procrastinate a lot. • I have crazy sleep patterns. • I grind my teeth, or chew my nails, or tug at my hair. Habits form through a process of repetition and reinforcement. Usually you repeat an action because you’ve learned it results in a reward of some sort; maybe it just feels comforting. The behaviors you repeat become imprinted in the neural pathways of your brain – they become the path of least resistance. Perhaps you find pleasure in the quick gratification, and the habit continues, even though you may be aware of the dangers it poses. Habits are carried out on automatic pilot: Sit in front of the TV – eat junk. Get in the car – light up a cigarette. Try to sleep – stress and grind your teeth. You get the idea.

Because habits are dictated by the subconscious, it’s almost fruitless to rely on intellect – the conscious – to eradicate the behavior. If you smoke, you’re aware this behavior can lead to ill health and death. The same may apply to excessive overeating or junk food eating. No matter how much you tell yourself you shouldn’t smoke (or overeat, stress out, chew your nails, grit your teeth, etc.), you continue the behavior. Understanding the dangers generally isn’t enough to make you change. There’s a difference between “knowing” and “doing.” What habit(s) are you engaging in that are potentially harmful or disturbing to you? Certified consulting hypnotists can help you access the aspect of the mind that retains these habits, and use a variety of approaches to neutralize them – by coaching you into a state of receptivity, by making suggestions, and employing techniques like mental rehearsal and reframing. In addition to releasing your habit, you get a feeling of “I’m in charge now!” For so long your habit was controlling you, and now you’re taking back control. Imagine your life without your habit - it seems as though everything improves. You feel more in charge, more confident and optimistic. You already know that willpower alone doesn’t work over the long haul. If you’re ready for something far more effective and empowering, call me! 732-270-0080.

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

Rhoda Kopy

National Grandparent’s Day

Sunday, September 7th, 2014

National Grandparents Day has more than one origin story, but most people believe Marian Lucille Herndon McQuade, a housewife in West Virginia, to have been the main driver for the day of observance. Throughout the 1970s, McQuade worked hard to educate the people about the important contributions senior citizens made and the contributions that they would be willing to make if asked. She also urged people to adopt a grandparent, not for one day a year and not for material giving, but for a lifetime of experience. The holiday was finally signed into law by President Jimmy Carter in 1978. A presidential proclamation on September 6, 1979, made this day official – it designated Sunday, September 9, 1979 as being the first National Grandparents Day. Each year thereafter, the holiday would be celebrated on the first Sunday in September after Labor Day.

How do people celebrate?

About four million greeting cards are sent within the United States each year on National Grandparents Day. Many school students take part in story-telling activities that relate to their grandparents, as well as art or poster competitions where children often use a story about their grandparents in their artwork. This day is also an opportunity for people to appreciate and express their love to their grandparents through kind actions such as making a phone call or inviting their grandparents for dinner. Source: http://www.timeanddate.com/holidays/us/national-grandparents-day

The County Woman Magazine

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September/October 2014

Business Spotlight

~ Interview with Rhoda Kopy ~

Hypnosis for Women Professional Hypnosis & Coaching

Change Your Mind, Change Your Life, With the Power of Hypnosis Rhoda Kopy is a woman who has always been fascinated with the workings of the mind, the mindbody connection, and factors that influence behavior. Before becoming a hypnosis counselor, she studied nursing and earned a degree in biomedical communications. Her positions have always involved helping people make smarter choices and providing strategies to help them reach their goals. It was approximately 11 years ago when Rhoda attended a women’s conference that would have a lasting impact on the trajectory of her career. After an enlightening conversation with a business owner who

Rhoda Kopy,

had quit smoking with the help of hypnosis she was intrigued – and very curious. This innocuous conver-

Owner

sation would ultimately become a springboard for her new career.

1541 Rt. 37 East, Suite E Toms River, NJ 08753 Phone: 732-270-0080 www.hypnoforwomen.com

She adds, “At the time, I was dealing with an unhealthy pattern of nighttime eating and figured that if hypnosis could help someone quit smoking, it might be able to help me release that nasty eating habit. I was amazed at the changes after just a few sessions.” She began investigating hypnosis for personal growth and eventually sought training at a state-licensed school. Most of Rhoda’s clients now are folks dealing with ordinary life issues who have courageously decided to address what it is that’s been holding them back. Some of these issues include weight control, smoking cessation, stress management, and sleep problems. She has also noticed an increase in clients coming for pain management when traditional methods aren’t working well. Her certification in complementary medical hypnotism enables her to help clients better manage the stress and symptoms of health conditions, with physician approval. “This approach is not appropriate for everyone, so I screen people as carefully as possible over the phone to make certain this is a good fit. Hypnosis counseling taps into the power of the subconscious mind and helps people establish smarter patterns,” she says. Because many of her clients’ problems lie within the subconscious mind, it is most effectively dealt with at that level, which is what she does using hypnosis. Entering a light hypnotic state is something we’ve each done spontaneously thousands of times – for example, when we daydream, or get immersed in a book. Hypnosis practitioners are trained to coach clients into that state, and then use a variety of techniques and suggestions to assist them in making desired changes. For Rhoda, it is her clientele who continue to motivate and inspire her. “They are courageous people who are ready for change. To know that I’ve had a hand in helping people feel more empowered feels amazing! It’s never too late to change – and hypnosis can help.”

Rhoda Kopy

The County Woman Magazine

Local business women featured on the cover are all in the service industry. The ladies are having fun holding signs during the photo shoot by Tracy Harman Photography.

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September/October 2014

CASA

Volunteer Training Is Underway At CASA Submitted by: CASA of Ocean County, Inc.

and protecting their fundamental right to be treated with the dignity and respect every child deserves. You will not only bring positive change to the lives of these vulnerable children, but also their children and generations to come. And in doing so, you will enrich your life as well.

Abused and neglected children need more than the system can provide • A six-year-old girl rescued from an abusive father only to be bounced around to eight foster homes and six different schools over the course of two years. • Four children separated from one another and placed in different locations after their mother was jailed. • A young boy prescribed 12 different psychotropic medicines by healthcare professionals who have no access to his medical records or ability to follow-up on his care. • A teenage girl kicked out of her house, and forced to sleep on a cot in the hallway of a group home until she turned 18—when all her possessions were handed to her in a garbage bag as she was officially “aged out” of the system. These are not isolated stories. They are everyday realities of children in the foster care and child welfare system. A system full of devoted and deeply caring people that is simply too overburdened and under resourced to protect the rights and needs of vulnerable children. The solution is a CASA volunteer—a specially trained advocate, appointed by a judge, who fights for the rights of children during the most vulnerable time of their young lives. A trusted adult empowered to ensure that each child is well cared for—able to find a safe, loving, permanent home. But nearly 90 percent of the children in our community who need a CASA volunteer do not have one. Over 600 children in Ocean County don’t have the hope a CASA volunteer can offer.

We won’t rest until every child has a CASA volunteer. Stand up for these children. Stay connected as we fight to ensure every child has a safe, permanent, loving home. Volunteer Your Time to Change a Child’s Life! Nobody longs for a safe and loving family more than a child in foster care. As a CASA volunteer, you are empowered by the courts to help make this dream a reality. You will be the one consistent adult in these children’s lives, vigilantly fighting for

The County Woman Magazine

What Do CASA Volunteers Do?

CASA volunteers listen first. Then they act. Volunteers get to know the child by talking with everyone in that child’s life; parents and relatives, foster parents, teachers, medical professionals, attorneys, social workers and others. They use the information they gather to inform judges and others of what the child needs and what will be the best permanent home for them.

Who Can Be a Volunteer?

You do not have to be a lawyer or social worker to be a volunteer. We welcome people from all walks of life. We are simply looking for people who care about children and have common sense. As a volunteer, you will be thoroughly trained and well supported by professional staff to help you through each case. You must pass a background check, participate in a 30-hour pre-service training course and agree to stay with a case until it is closed (a year and a half on average).

Interested in helping children but not ready to commit to becoming an advocate? Then consider sponsoring a child and

providing them with a CASA of their own. Please call our office today to become a volunteer or sponsor a child. Please call the Executive Director, Vicki Weiss, at 732-797-0590 or visit our website at www.casaofoceancounty.org

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

www.casaofoceancounty.org www.TheCountyWoman.com

Like us at Ocean County CASA

September/October 2014

Business Spotlight

~ Interview with Vicki Weiss ~

CASA of Ocean County Vicki Weiss Executive Director 1108 Hooper Ave. Bldg. 1 Suite C Toms River, NJ 08753 Phone: 732-797-0590 • Fax: 732-797-0594 www.casaofoceancounty.org

A Voice For The Innocent It was just three years ago that Vicki Weiss answered a job announcement that would ultimately change her life. That job turned into the role of Executive Director of CASA of Ocean County, (Court Appointed Special Advocates). As a former victim of child abuse she knows firsthand what these children go through. Vicki serves as a “voice” in the courtroom for the County’s most fragile population. Since 2006 CASA, acting as an independent, non-profit protects and serves those abused and neglected foster children. They recruit and train concerned citizens to serve as volunteers. Abused, abandoned, and neglected children are taken from their homes and placed into foster care every day. CASA volunteers are ordinary men and women of all ages, from all walks of life, and of various ethnic, vocational, and educational backgrounds. She adds, “As a volunteer, you will form a special one-on-one relationship with your assigned child. CASA volunteers interact with the child, family members, social workers, healthcare providers, teachers and other relevant individuals to become a knowledgeable advocate for the child’s needs.” They provide all of the training you will require to become a powerful voice for the child’s best interest. CASA is a unique, volunteer driven organization that needs volunteers from the community to step up and help join their cause and say, “I am for the child.”

How does CASA work? By meeting with the child’s family members, doctors, teachers, and foster parents, the CASA volunteer ensures that the judge in the family court system is aware of all the facts to make the best determination for the child’s future. CASA works with children, who have been victims of physical, emotional and sexual abuse and those suffering extreme poverty.

What are the qualifications of a volunteer? They must be 21 years of ago or older and have the ability to communicate orally and in writing to the Court. They must also pass both background and State Central Record Bureau checks and provide three favorable references from sources other than relatives.

What is the most rewarding part about your job? The most rewarding part of my job is when a child is adopted into a forever home or reunified with a healthy parent.

What is the most challenging aspect of it? Trying to raise the funds to provide the advocacy work needed to the foster children. There are nearly 700 children in Ocean County alone in foster care. Due to limited resources to train and supervise volunteers, the challenge remains to raise community awareness of the issues impacting these children and to gain supporters that will financially back our cause.

What type of training is involved for a potential volunteer? We require thirty hours of a child’s rights advocacy training class provided by our office, as well as to attend on-going technical training while they volunteer on a child’s case. Sadly, a child is abused every hour in New Jersey, and in Ocean County, more than 700 children have been removed from their homes due to abuse and neglect. There are simply not enough trained volunteers to help make sure that the emotional and medical needs of these children are met. If you are interested in becoming a CASA advocate, please contact the office at: 732-797-0590 or email Vicki at vicki@casaofoceancounty.org

Vicki Weiss

The County Woman Magazine

Local business women featured on the cover are all in the service industry. The ladies are having fun holding signs during the photo shoot by Tracy Harman Photography.

www.TheCountyWoman.com

September/October 2014

Health & Wellness Health & Wellness

58 40

BACK TO SCHOOL TIME ALREADY? A Healthier Approach To The New Year Health Problems That Spread At School

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A Healthier Approach To The New Year

Healthier Approach To The New Year

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ForMeasurable. example, if If a goal is For more information on customized hormones, ships prescription hormones, call our professional Arrival Next Day! Call 609-660-1111 change.the Maybe that meansof keeping as when and how often. Post it where you’llturned stayyou motivated. call our professional compounding pharmacy. not a specific goal.is Being "change life"workinto a positive experience. compounding pharmacy. your goal to loseable weight, can orders, within 300 miles of the Jersey Shore see it. canhelp evaluIt willyou also to create visible cuesbe sure toMeasurable. under 30 minutes is. Write measurable, Jersey Shore Pharmacy ships prescription If a goal For is more information on customized check your body massprogress index and (BMI) ate your know when Pharmacy, byaUPS. We also offer orders, within 300 miles of the Jersey Shore that remind you that you want to make a measurable, you can evalu- For more information on customized hormones, what you plan to do asyou’ve well succeeded. For example, if hormones, call our professional or see if you can get the zipper up ate your progress and know when Pharmacy, by UPS. Arrival Next Day! Call 609-660-1111 medication program. change. Maybe how often. Post it where you’ll call our professional compoundingdisposal pharmacy. you’ve succeeded. For example, if your goal is to lose weight, youthat can means keeping workcompounding pharmacy. Arrival Next Day! Call 609-660-1111 on a smaller pair of pants. your goal is to lose weight, you can it.1 check your body mass index (BMI) We also offer a We also 609.927.8900 609.660.1111 check your body mass index (BMI) offer a 609.927.8900 609.660.1111 Jersey Shore Pharmacy shipsRPh prescription Sources Jay Greco, Jersey Shore Pharmacy asurable. If a goal is or see if you can get the zipper up or see if you can get the zipper up medication disposal program. medication disposal program. 1. American Psychological Association: "Making lifestyle changes that last." Available http://www.apa.org/helpcenter/lifestyleJSRX Holdings LLC on at: a smaller pair of pants. on a smaller pair of pants. orders, within 300 miles of the Jersey Shore surable,Rx you can evaluchanges.aspx. Accessed Development LLCApril 18, 2012. Holdings LLC, RxRPhDevelopment LLC , Hormone Replacement Veterniary Jay Greco, Jersey Shore Pharmacy Topical Pain Free Jay RxJSRX Pick-Up ress and2. American know when Greco, RPh Jersey Shore Pharmacy Pharmacy, by UPS. CouncilSources for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ T herapy (HRT)* Creams 1. American Psychological last." Available at: http://www.apa.org/helpcenter/lifestyleand Delivery JSRX Holdings LLC, Rx Development LLC , display.aspx?itemid=2637. April Association: 18, 2012. "Making lifestyle changes thatMedicine Prescriptions delivered to 580 North St,Accessed 580 North Main St., Barnegat, ded. For example,Main if changes.aspx. Accessed April 18, 2012. JSRX Holdings LLC, Rx Development , 08005 Arrival Next Day! Call 609-660-1111 580 North Main St.,LLC Barnegat, 08005 3. Hungtington Medical Foundation: "Making lifestyle changes that the stick." Available at: http://www.huntingtonmedical.com/aboutBarnegat, 08005 2. American Council for Exercise: "Reaching Your Goals SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ o lose weight, you can display.aspx?itemid=2637. Accessed April 18,Accessed your home or office! Phone: 609-660-11 2012. hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. April 18, 2012. www.jerseyshorepharmacybarnegat.net Phone: 609580 North Mainwww.jerseyshorepharmacybarnegat.net St., Barnegat, 08005 ody mass index (BMI)3. Hungtington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/aboutWe also offer a 609.927.8900 hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. www.jerseyshorepharmacybarnegat.net Phone: 609-660-1111 can Competitive get the zipper up Jersey Shore Pharmacy ships Pricing! medication disposal program. prescription orders by UPS pair of Call pants.For Quote!

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Sources 1. American Psychological Association: "Making lifestyle changes that last." Available at: http://www.apa.org/helpcenter/lifestylechanges.aspx. Accessed April 18, 2012.

2. American Council for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ display.aspx?itemid=2637. Accessed April 18, 2012. 3. Hungtington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/abouthmf/hmf-newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012.

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

609.660.1111 ological Association: "Making lifestyle changes that last." Available at: http://www.apa.org/helpcenter/lifestyle-

The County Woman Magazine

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September/October 2014

Medical Professionals

Overwhelmed By “Back To School” Stress??!! “Beet” it with Gymnema and R&R! Did you know New Jersey is ranked as #3 in the country in stress levels? Driving in traffic, busy

Article written by: Jane McNeil, Foundational Nutritionist, CN, CH is a Certified Nutritionist and Certified Herbalist who has worked with doctors, holistic practitioners, and their patients for 15 years, correcting nutritional deficiencies and enhancing their well-being. She is a graduate of American Health Science University, the National Institute of Nutritional Education, and the American Herbal Institute. Dr. Vincent Giardina, D.C., President, NJ Community Spine and Pain

schedules and the number of people living in the state are all factors contributing to this ranking. In August and September, there’s the added stress of getting kids prepared to go back to school, a stress that affects children and parents as well as teachers, both physically and emotionally. Summer seems to be cut short for moms as they anxiously prepare the entire family for the new school year long before it actually starts. For single parents, the stress can be twice as intense, as they try to get their kids off to a happy, healthy start to the school year.

What is stress?

According to Hans Selye & W. Cannon, stress is a state of threatened “homeostasis,” which refers to balance in the body. A stressor is any agent or condition which threatens homeostasis. Forty-three percent of all adults suffer adverse effects due to stress; 75-90% of primary care visits are related to the adverse impact of psychological stress.

There are at least 3 types of stressors:

1. Environmental -intense heat/cold, noise, toxic exposure, disrupted light cycles. 2. Mental - fear/anxiety/worry, depression. 3. Physical - pain, starvation, infection, poor sleep, excess exercise, hypoglycemia, inflammation.

Adrenal Stress:

A Silent Epidemic Pervading Today’s Society Adrenal glands are considered the “stress glands.” The healthier the stress glands, the less stress you will notice in your life because the adrenals are able to handle it. Adrenal Failure Phases 1. Alarm Phase 2. Resistance Phase 3. Exhaustion Phase One of the common conditions affecting the adrenal glands is hypoglycemia - adverse affects from SUGAR! The adrenals cannot heal while constantly being attacked by sugar. Patients don’t realize that sugar comes in many forms. Examples include breads (e.g., sandwich for lunch), pasta, rice, sugar in coffee drinks, energy drinks, ice cream and the hidden sugars in today’s packaged/processed foods.

People sometimes use sugar unconsciously as a comfort food and this will actually have a negative rebound affect on the adrenals, thereby increasing stress. The reason most people struggle to kick the sugar habit is because it feels like cocaine withdrawal. You can experience the shakes, anxiety, irritability, anger and the appearance of added stress levels. Good news! This is a short term affect. The following are 3 fast ways to address sugar withdrawal cravings:

Beets . . . Beets play a large role in balancing blood sugar. Beets

Gymnema (Gymnema Sylvestre)

Diet and Lifestyle

contain pectin, which helps modulate the release of insulin from the pancreas, thus modulating the blood sugar levels. Some research has shown that beets help regulate blood sugar in diabetics, helping it to rise and fall more gently. Preferably, you want to get fresh organic beets, NOT canned (canned beets contain sugar).

Maintaining a healthy balance of proteins, fruits and vegetables in your diet and getting at least 8 hours of sleep always has a positive affect on your stress level. Call NJ Community Spine and Pain Integrated Wellness Center TODAY to jump start your school year feeling stress free with a comprehensive nutritional assessment and individualized stress management plan. Call 732-503-4079 for more information.

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864 Route 37 West, Toms River NJ 08755 • 732-503-4079

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Gymnema Sylvestre

Many patients feel very relaxed within minutes of taking Gymnema, a natural herb. When applied to the mouth (by chewing a leaf or tablet or dropping a liquid extract on your tongue), gymnema has the remarkable property of anesthetizing the sweet taste buds. In India, gymnema has been used for over 2,000 years for blood sugar balance. (Its common name, “Gurmar,” means “destroyer of sugar.”) In short, gymnema will help with your sugar cravings and balance your blood sugar! Gymnema is sold in different forms. All herbs need to be verified as to their quality and the quantity of active ingredients within a supplement for efficacy, best done by a certified nutritionist/herbalist. Suggested dose: Gymnema sylvestre leaf 6.4 g, gymnemic acids 100mg.

OurServices Services Include Our Include

MedicalDoctor, Doctor, Chiropractor, Chiropractor, Acupuncture, Acupuncture, Physical Medical PhysicalTherapy, Therapy, Nutritional Fitness Classes Classes,Kinesio KinesioTaping Taping Nutritional Counseling, Counseling Fitness

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Our Nutrition Patients Are Talking!

“Jane has been very beneficial and I have had positive results! I feel more energetic and less stressed with the nutritional lifestyle changes she has recommended.” ~ Ann C.

“ Since I started my nutritional plan two months ago, I lost inches and water weight, and I have a lot more energy than I did before. People are commenting on how good I look, and I just feel better overall!” ~ Sharon M.

“I learned so much from Jane in my first consultation and I was shocked what she was able to figure out without knowing me. I didn’t realize that so many of my symptoms were from stress and that the foods I was eating were stressing my body. Changing what and how much I eat was initially difficult for me but it wasn’t long before I started sleeping better and having more energy!” ~ Crystal S.

September/October 2014

Adult Community

So Many Houses For Sale, So Many Adult Community Choices

t is a great and sometimes undervalued privilege to have a choice. It is one of the great things about our country- we have many choices, an endless supply of them.

As we grow into the latter stages of life and choose to move where simplification of responsibility will give us the opportunity to spend more of our free time participating in the things we enjoy most, it is time to consider all the choices. Finding The Right Match For You And Your Budget Adult communities can be over-the-top offering amenities we hope to enjoy or plan to enjoy- even currently enjoy. The key is to find the one that matches your wishes and does not break the bank. Breaking out of the same old and exploring all the options are two of the skills we’ve honed along life’s trail. Look into land leased communities; you will find as wide of a selection of amenities as any other 55+ choice locations without the land cost and with much less ongoing ownership expense. Homes may vary in age from proposed-to-be-built, to new and there is always “vintage” too. If you are a conservative buyer and/or not a big risk taker, land leasing may be the right choice for you. A hybrid home ownership option that allows you freedom to be the homeowner you have always been with less costly responsibilities. Fountainhead, a 55+ community in Jackson, New Jersey is one that offers a selection of homeowner services that you choose as you need to. Most homeowners choose a home from a model or a blueprint and customize the interior/exterior colors and design features. Then they move onto designing and maintaining their lot. Maximum privacy due to large lots, mature trees and wide streets evoke a neighborhood that feels familiar and where nice people reside. Land Leases Are Another Option Land leases are very secure, and designated by municipal land use zoning. Leases are auto renewable, and the homeowner’s lease is protected by law. Security, mutual understanding and cooperation, communication; these are some of the elements that make a very good long-lasting lease relationship. At Fountainhead, while there are nearly one hundred more new homes to build, 75% of the households have resided in their homes for 10 years or more. This has allowed for a very good market to satisfy

any budget. The common denominator is the lease fee- nearly all the same monthly cost. The lease is easy to read and simple to follow. New or Newer Homes Are Great Choices The newest homes, some in the established neighborhood, are built to last as long or longer than any other new home. You could choose a high quality home with plywood sub-floor, high peaked roof, composite flooring, or you could choose a more budget friendly version that is also energy efficient- bearing the US EPA Energy Star symbol of commitment, with carpet and linoleum and select some other architectural element to please you. Our experienced home consultants are always available to show and demonstrate the benefits of buying a factory-built home. Some of the more popular interior options would include upgraded kitchen appliances, composite countertops or circle windows. But beyond these upgrades, there is also the option to go with ceramic tile floors, arched doorways and a front door that says “you”. The possibilities are endless when envisioning your new manufactured home, so why not see what is offered? Also in addition to any interior option a perspective buyer can imagine, each manufactured home is standard from the factory to survive hurricane style winds and the nature of their factory built construction ensures all materials to stay at their strongest, for the longest. Once you choose to stay in the middle of NJ, approximately the middle of I-195 between the Shore and Trenton, you must decide to visit Fountainhead 55+. Jackson is home to about 60,000 people with all the services we all need just down the block from Fountainhead. Jackson has award-winning recreation facilities for all ages, preserved land, and a great location. If you must continue to travel outside of Ocean County you won’t find a better township with any easier access to the main commuter routes. We have it all. For directions to the sales center at 1 Rose Drive, Jackson, NJ 08527 call 732-928-3100 or visit www.njfountainheadhomes.com.

Nancy Viviano Fountainhead Properties

The Best Home Choice For 55+ Population Location ~ Great Homes ~ Long Term Affordability

Pets: You Luv ‘Em, We Luv ‘Em Too!

• New Homes • Pre-Owned Homes • Rental Homes

The County Woman Magazine

Fountainhead Properties 1 Rose Drive (Just Off County Line Rd.) Jackson, NJ 08527 Call 732-928-3100 and schedule a free consultation. Please visit our website for directions and to download or request a free brochure.

www.NJFountainheadHomes.com Like us on Facebook at Facebook.com/FountainheadNJ www.TheCountyWoman.com

September/October 2014

Retractable

Awnings

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Sentry Screens

The Sentry is one of Sunesta's exceptional screen products which gives you the ability to control your living space. No matter if you are covering your windows, doors, patio or lanai, The Sentry can be your the purchase of any solution. Each Sentry screen is custom built up to 18' wide with a 12' drop. The Sentry motorized retractable awning, screen, screen or shelter. combines ease of use with class in one quality retractable screen. Offer expires 6/15/14 The Sentry screens serve as more than just a retractable screen; you can choose a custom fabric to meet the needs of your unique home and environment. • Bug screens for insect protection • Solar mesh for sun protection • Opaque fabrics for privacy • Room brightness control • Clear vinyl windows for rain and cold protection without losing your view And with its exclusive fabric retention system, you can rely on your Sentry retractable screen to operate in any weather conditions.

Solar Screens

The Sunroll Retractable Screen is one of our quality solar screens that will provide you with total vertical sun control of your covered outdoor space. Available in motorized or manual options, the Sunroll is an affordable and versatile option for individuals interested in purchasing one of our retractable solar screens. It can be customized to fit your unique space with widths up to 24' and heights up to 12'.

The Versatility of these Solar Screens is Apparent in the Array of Potential Variations

• Traditional model • With drop bar and cables can be wall or floor mounted • With drop bar and rails with distance bracket mounting to allow airflow between Authorized Partner fabric and mounting surface Retractable Since 1981 • Smartcase variation offers total fabric protection Awnings • Smartcase with arms allows you to angle the solar screens fabric

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David Voris, owner and operator of Giglio Awnings, is a life long resident of LBI. He is a lifetime member of the Beach Haven Volunteer Fire Company (Station 15). He is also a member, Lieutenant and Training Officer of Barnegat Light Volunteer Fire Company (Station 13). “We are truly excited,” explains David, “because our partnership with Sunesta is solid, and they continue to develop several new products that can truly bring shade, comfort, to the outdoors. We are looking forward to the future and serving all our loyal customers for a long, long time.” About the company… Giglio Awning has been serving Long Beach Island and its surrounding areas since 1976. The showroom is located in historic Harvey Cedars, and is open year round. The company’s mission is to serve their new and existing customers with exemplary Retractable Retractable service and quality products. As a dealer of Sunesta brand products since 1981, Giglio Awning has been fortunate to be nominated Dealer of theShelters Year in the United States for the last four years! Sunesta prides itself on quality, quick lead times and a family business Rain & Sun Shelters David Voris atmosphere. This is a perfect complement to Giglio’s dedicated and skilled staff of 20, who are much like a family themselves.

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

M P HORMONE IMBALANCES: DON’T SUFFER ALONE. OneWOMEN Of Medicine’ s Best Kept Secrets edical

rofessionals

When It Comes To World Healthcare, America Ranks 37th And Back Pain Is No Exception ... ping with your symptoms isn’t controlling your symptoms! n’t Back let...Pain destroys lives and dignity by placing excessive

mental, emotional and physical stresses not only on ones self but HOT FLASHES • NIGHT SWEATS • INSOMNIA • ANXIETY families, friends and loved ones. Chronic pain leads to DEPRESSION • JOINT PAIN • HEADACHES desperation and poor choices, which results in bad outcomes. • LOSS OF SEXUAL DESIRE VAGINAL DRYNESS • BRAIN FOG • WEIGHT This scenario couldn’t apply to a medical condition more thanGAIN... it does Disabling Disc Disease (3D) and related spinal pathology. come the ‘new norm’! Although several conventional therapies exist for “treating” back pain, very few experience a cure and many end up worse than Take contol Surgery andand solve your symptoms at their before medical intervention. pain medication frequently require repeat procedures or a life sentence of chronic source for natural, lasting relief through pain medications - with their associated consequences. Bio-Identical Hormone Replacement Therapy (BHRT).

Why Do Therapies For Back Pain Fail?

A Medical Miracle Intravenous Colchicine (IVC) is the most powerful and effective anti-inflammatory medication known to man. When following the recommended protocols in terms of dosing and technique of administration, there is no other form of therapy or over the counter medication or supplement with a greater safety profile. I have personally administered thousands of IVC treatments over the past ten years and have experienced more side effects from dietary food substances than I have heard from anyone using IVC. The FDA however will have you believe differently and your current medical providers will negate its validity for reasons of ignorance rather than basing their opinion on true underlying knowledge of the drug and its use for Disabling Disc Disease. The only reason for IVC’s “secrecy” is its threat to the more financial rewarding therapeutic options rather than to its lack of efficacy and safety.

Why Settle For Some Relief when There Is A Cure?

Bed rest, physical therapy, distraction procedures, chiropractic adjustments, pain Look at what your future can and should be not at what it could have been. Needless pain medications and surgery have limitations. Therapies fail because the underlying pathology destroys lives by taking away our abilities to cope physically, mentally and emotionally. Drug causing pain and disability is left unaddressed. It is only logical that if current therapies for dependency ruins relationships and self pride. This entire scenario could be avoided and back pain were “successful” newer ideas would not be coming to the forefront. The reversed through the use of Intravenous Colchicine. Mark Bartiss MD, a local experienced treatment for a fracture has always been the same- immobilization with resultant healing. and well respected Alternative Medicine Provider, has been performing a simple, non-invasive, The reason new and different therapies are not being utilized to treat fractures is because in office procedure for back and neck pain/disc disease for over a decade. After having the current therapy works and is non invasive. or most people, the first thought that comes to mind regarding hormone performed thousands of treatments and obtaining excellent results in terms of relief of pain Over 90% of people who suffer from an acute attack of “lumbago”, which is general and a greater than 75% CURE RATE with minimal to no side effects, Dr. Bartiss possesses the lower backimbalance pain, will recoveriswith or no treatment at all. Therefore, the of this a any women in menopause. A purpose decline in a experience, woman’s hormone levels knowledge and expertise to be referred to as a specialist in the use of Intravenous article is to inform those of you with chronic ongoing pain of a safe and effective Colchicine for Spinal Disc Disease. (estrogen, progesterone therapeutic option to CURE your back pain.and testosterone) is generally seen at a stage in life known as menopause. The decline is usually rapid and dramatic, andDr.isBartiss invites you to join accompanied byhim at the Institute for Complementary and What Is This Underlying Cause Of Pain That Needs To Be Addressed Alternative Medicine to determine if you are a candidate for this 50 plus-year-old such asResolution hot flashes, disorders and a loss Tosymptoms Achieve Symptom And mood Cure? swings, weight gain, sleep proven medical modality. The procedure takes only minutes to perform; it is nearly painless and is extremely safe Inof a word . . INFLAMMATION. sex. drive, to name a few. and cost effective. Although IV Colchicine is often used as first line medical therapy for When a dentist drills a hole in a tooth that is abscessed, he relieves the pressure and anyone suffering from acute or chronic debilitating disc disease, you may opt to continue Unbeknownst toto most of us,does however, menthe too go through a period or phase the pain is gone. This is analogous what a surgeon when he removes with the treatment you are currently receiving from your health care provider as IVC also pressure from a herniated disc with an incision. But, if the dentist doesn’t complete these therapies. Tens of thousands of patients have already tried and similar to a woman in menopause known as andropause.complements Andropause, sometimes his therapy by removing the source of the inflammation-, which in the case of an succeeded with this form of therapy including medical doctors, dentists, nurses and abscess would be pain recurs. or This is exactly what happens several referred toanasinfection, the “man-o-pause” “midlife crisis,” isinexperienced by nearly male chiropractors all of whoevery are primary referrals sources to Dr. Bartiss. months after the incision is healed and scarring occurs with back surgery. When the at some point lifetime asishormone levelstreated decline, although the onset on is much For more information the effective and safe use of Intravenous inflammation recurs so in doestheir the pain. Again, this because the surgery the Colchicine call ICAM at 609-978-9002. immediate symptom rather than underlyingand cause. therefore not as readily noted as are those sympmore gradual than inthewomen

]

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

individuals take their lives back and reclaim their health.

and a choice.

Institute for Complementary and Alternative Medicine

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

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

www.ICAMBartissMD.com www.ICAMBartissMD.com

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September/October 2014

Acupuncture

Can Acupuncture Help With Seasonal Allergies? the year. Pollens are the most common cause of seasonal allergies. Spring is traditionally the worst season for allergies because of new growth on trees and weeds. Fall is also a rough time for allergies due to other blooming plants and leaf mold.

How Does Acupuncture Help To Relieve Allergies? Submitted by: Keith Koehler, MAOM, CA Koehler Acupuncture Acupuncture, and Chinese Herbal Formulas

cupuncture has been used successfully to treat seasonal allergies for decades in the states and for centuries in China. Acupuncture treatment focuses on opening the nasal passages, boosting the immune system and strengthening the organs and energetic pathways of the body to prevent allergic reactions from recurring.

What Are Seasonal Allergies? A seasonal allergy is an allergic reaction to something that is typically only present for part of

Acupuncture can help with acute symptoms of allergies, such as stuffy or runny nose, dry, itchy eyes, post nasal drip, itchy throat and cough. Needles are used to stimulate the body’s Qi (life energy). By moving the body’s qi, congestion in the sinuses and nose can be moved, and inflammation and dryness in the eyes can be cleared. Often some relief of these symptoms can be achieved during the first treatment. Acupuncture treatment is not only focused on acute symptoms, but also the underlying causes of the allergies. In Chinese medical theory, the body is protected by Wei Qi (defensive qi). This protective energy flows at the surface of the body, providing resistance to things like cold and flu and allergies. People who have weak Wei Qi are more susceptible to get sick or have allergy symptoms. By needling some points

appealing advantages to taking herbal formulas is that there are no unwanted side effects. People do not have to worry about drowsiness at work or while driving, or immune system suppression or over reliance on medication.

How Often Do I Need To Get Treated?

on the body that help support the wei qi, we can help to prevent symptoms in the future.

Can Chinese Herbs Help To Relieve Allergies?

Chinese herbs can also be used to help with allergies. All of the Chinese medical theory about allergies can be applied in the same way to Chinese herbs. Formulas are made to treat acute symptoms and boost the immune system to prevent future symptoms. For convenient usage, Herbal formulas come in tablet form. One of the most

Initially, treatment about twice a week would be suggested. Once significant relief has been achieved, usually 2-3 weeks, treatment could be less frequent. As treatment continues and the immune system becomes stronger, symptoms should become less severe. It is possible through some continued treatment after the allergic season that symptoms the following year would be less severe or cleared completely. The younger a person is when they start treatment, the more likely they are to be rid completely of the issue.

Can Acupuncture And Chinese Herbs Be Helpful With Other Allergies?

Yes, In Chinese medical theory, all allergies can be addressed by treating the acute symptoms and supporting the affected energy systems in the body. This is true for any environmental allergies, pet allergies, and even food allergies.

Commonly Treated Seasonal Allergy Symptoms: • Sneezing • Runny or stuffy nose • Dry or irritated eyes • Post nasal drip • Cough • Chest congestion • Wheezing Commonly Treated Conditions: • Allergic Rhinitis • Allergic Conjunctivitis • Sinusitis • Otitis Media • Respiratory Infection • Asthma • Food Allergies

Koehler Acupuncture can help relieve those seasonal allergies. Call and and schedule your appointment today. 732-262-0637

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

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

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

www.koehleracupuncture.com

Koehler Acupuncture • 732-262-0637 • www.KoehlerAcupuncture.com

The County Woman Magazine

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September/October 2014

Meet The Instructors

‘Re-you-venate’ With The Talented Instructors At Yoga Nine Laurie Greene, Director

Elaine Sherma

Eileen Jacob

PhD, E-RYT, YBR

Certified Yoga Teacher

Certified Yoga Teacher Eileen resides in Beach Haven

Ann Facemyer

Ann completed Yoga Nine’s 200 hour teacher-training and became a Registered Yoga Teacher in 2013 with Laurie Greene. She currently teaches Yoga Flow and Yin Yoga classes at Yoga Nine’s Long Beach Island studio. No matter a person’s age or health, Ann truly believes that yoga is accessible and beneficial to everyone. She gets a real satisfaction when her students leave the class with a smile and a more calm feeling. Ann received her associate’s degree in Accounting from Ocean County College. She works as an Administrative Assistant/Bookkeeper for the Little Egg Harbor School District. Ann resides in Tuckerton with her husband where they have operated their family business - Rand’s Boats in Little Egg Harbor Township since 1983. They are the proud parents of two sons and their family has grown to include a wonderful daughter in law and two adorable grandchildren. In her spare time, Ann enjoys spending time with her family and traveling.

Betsy Platanella

Diane Hulse-Hiller

Certified Yoga Teacher

Betsy recently retired after 30 years as a licensed physical therapist assistant. She is a certified massage therapist. Betsy completed her 200-hour yoga teacher certification from The Kripalu Center for yoga and health in MA and a 500-hour certification from The Himalayan Institute. Betsy currently resides in Linwood, NJ with her fiancé David. She has a wonderful daughter Bethany who also teaches yoga. Outside of work, Betsy loves biking, kayaking, gardening, traveling, cooking, and practicing yoga. While teaching yoga, she enjoys helping people drop inside and find their own inner teacher.

Diane tried yoga for the first time as a teenager and has been practicing ever since. She has a B.S. in Biology and Yoga Alliance RYT 200. Diane holds certifications in Older Adults and Arthritis Foundation and is a certified Life and Wellness Coach. She brings creativity and compassion to her teaching. She is excited to share her passion with her students and guide them in any way she can, offering her students the freedom to listen to their own practice. If Diane is not teaching, you will most likely find her near or in the water. Not born a Jersey Girl, she loves living near the ocean; surfing, sailing and SUP with her husband and dog, Hurley. She has two awesome sons and a 91-year-old Mom!

A PhD in anthropology, Laurie has practiced yoga since age 15, having grown up in a “yoga family”. Laurie combines her training in a variety of classical “hatha” traditions, bringing insights and techniques from all these to her eclectic teaching and practice. Her continuing exploration of classical and newer interpretations of Astanga Vinyasa have led her to study and collaborate with many amazing teachers; and to all of them she is forever grateful. The studio has become a place where many of these and new teachers gather and continue to inspire. Laurie’s passion lies in blending many styles into a practice that is instructive, creative and fun and training teachers who continue to practice critically and honestly. Laurie is also an associate professor of anthropology at the Richard Stockton College of New Jersey, and the proud parent of three “grown” children.

Certified Yoga Teacher

Kate Stiver Certified Yoga Teacher Kate is a retired physical

education teacher from Atlantic City School, where she worked and coached high school and youth for 34 years. She is married to Roy, and has two daughters, Julie and Annie. Kate completed her 200-hour certification at Yoga Nine with Laurie Green and has been teaching there since 2007. She focuses on and finds great satisfaction in helping others find more ease of movement, strength, and balance through breath work and asana. The benefits to body and mind are endless and Kate’s practice continues to evolve over time.

Joell Lanfrank Certified Yoga Teacher Joell graduated from the University of Delaware, where she studied Journalism and Women’s Studies. Before becoming a yoga teacher, she was a glassblower for 15 years. She received her 200 hour Yoga Teacher Training with The Center for Health and Healing, Toms River and her 500 hour Yoga Teacher Training with Raghunath Capo and Sondra Loring at Sadhana Yoga, Hudson, NY.

Open Classes 7 Days A Week Check our website for: WORKSHOPS - TRAINING - COMMUNITY

on Long Beach Island, NJ. She began exploring yoga in 2006 while vacationing on the island of Kauai. She realized that a personal yoga practice would inspire her to maintain a healthy and balanced lifestyle as well as complement her profession as a personal fitness trainer. Eileen began teaching yoga in 2010 and enjoys passing her knowledge to her students. She loves teaching beginners and people dealing with physical limitations. As a yoga instructor, Eileen likes to focus her sessions on proper alignment, maintaining ones breath and body awareness in a safe and enjoyable environment. When a session is complete, she enjoys seeing her students smile. Outside of work, Eileen enjoys spending time with her wonderful husband Richard. She loves eating the delicious food that her husband makes and entertaining. They have a mutual love for the outdoors. They love to spend time at the beach and traveling.

Steve Whitford Certified Yoga Teacher

Steve resides in Port Republic,

NJ, along the Nactoe Creek, with his partner, cats and amazon parrot. He has a Bachelor of Science in Environmental Planning and has completed training as a volunteer Master Naturalist. Steve also is a certified interpretive guide and certified master gardener. He currently works as an Environmental Consultant as well as a gardening consultant. Outside of work, Steve enjoys kayaking, hiking and biking, and has a passion for plants and gardening. He loves to work with plants and wildlife and enjoys being outdoors.

2512 Long Beach Blvd, Ship Bottom, NJ 08008, (609) 494-9299 • 45 South New York Road, Smithville, NJ, (609) 404-0999

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September/October 2014

Meet The Instructors

Offering Decades Of Education, Instruction & Passion For Yoga Louise Kmosko,

Naida Burgess

Robyn Tiger

Certified Yoga Teacher

Naida currently resides in Galloway NJ. She has a Master’s of Education, B.S. in Nutrition and Food Science, and 500-hour certification in Yoga Teacher Training. She has been teaching Yoga for 12 years and loves to share her sense of humor to encourage others to laugh out loud. She teaches Restorative Yoga and hopes to relax, restore, rejuvenate and stretch both body and mind. Naida enjoys spending time with her husband, two daughters, two sons and her adopted cat. She enjoys being with her friends, traveling, cooking, gardening, and reading a good book. Naida loves practicing mindfulness and being outdoors, whether it’s at the beach, woods, mountains or her back yard.

Robyn was born in Galloway,

Born in New England, Louise is

a long time resident of Long Beach Island, NJ. A degree in education led her to a teaching career in public schools in Ocean County, teaching both gifted students and students with learning disabilities. Yoga has brought balance to her life and healing to an ankle injury seven years ago. She completed her 250-hour teaching training certification with Laurie Greene and is Yoga Alliance Registered. Louise’s joy in teaching is to share the connection between breath and movement, body and mind, individual and universal energy. Knowing that every student comes to class at a different point along their yoga and life journey, class is a wonderful place to connect with different energies that carry us forward. Louise enjoys visiting her family coast to coast, kayaking, taming her wild yard, and taking yoga classes. She and her husband live on Long Beach Island, where they raised their three sons.

Andrea Sacchetti Certified Yoga Teacher

Andrea is a 200-hour certified

yoga teacher from the Kripalu Center for Yoga & Health in Stockbridge, MA and a 500-hour certified yoga teacher from Yoga Nine. Andrea has completed many workshops with master instructors from all over the world. She enjoys teaching yoga because it gives her a chance to help and guide people through their life transitions. She enjoys her students whom she can share her love of yoga with and the whole mind-body connection experience. Outside of work, Andrea enjoys boating, fishing, waterskiing and snow skiing. She resides in Smithville, NJ with her two daughters, Selena and Hayley, and their cat Ryder.

Tara Shanker Certified Yoga Teacher

Tara resides in Atlantic County, NJ. She received her Bachelor’s degree in psychology and journalism/media studies from Rutgers University. She then continued her schooling at Monmouth University and received a Master’s in mental health counseling, specializing in play therapy. After graduating, Tara completed the 250 hour yoga teacher training at Yoga Nine in Smithville, NJ. In her free time, Tara enjoys practicing yoga or doing something creative. During the summer you can find her relaxing on the beach or playing tennis. Her profession allows her do what she loves, helping people. Teaching yoga has given her an extra tool to use in therapy, and another way to help people physically and mentally.

The County Woman Magazine

John Mason Certified Yoga Teacher John , Registered Yoga Teacher (RYT)-200, is public school teacher and graduate of both Rutgers University and Stockton College. He received his Yoga Teacher Training through Laurie Greene at Yoga Nine in 2012-2013 and is looking to further his Yoga education by pursuing an RYT-500 hour certification with classes starting in Fall ‘14. John incorporates a variety of traditions including Ashtanga, Tripsichore, and Iyengar to teach Hatha Yoga with an emphasis on movement, breath, and alignment. He currently lives in Northfield, NJ with his fiancé and best friend, Eirini.

Michelle Pierson Certified Yoga Teacher

Michelle is a college graduate in fashion merchandising with a minor in business from Indiana University of Pennsylvania. Michelle completed her 200-hour teacher training with Laurie Greene at Yoga Nine and has been teaching yoga for four years. Her favorite type of yoga to teach is vinyasa and she enjoys how transformative and strengthening it is. Her greatest teachers are grandmothers and grandfathers, who regularly practice yoga. Michelle resides in Manahawkin, NJ, with her husband Dave ES and two daughters, Mya and Ashley. Outside of work, SMichelle S E K her A timeEwith enjoys going to the beach, gardening, and spending L W C family. A N E S P Y O ge DA sa s n a 7 ga tio M

“ Re -you-venate”

NJ. She is a trained physician (MD) from Thomas Jefferson University Hospital and The Medical College of PA and has practiced Diagnostic Radiology for fifteen years. Robyn completed 500 certifications of Yoga Training Therapy with Integrative Yoga Therapy at Kripalu. She has completed Yoga For Cancer training, Yoga for Breast Cancer Recovery, Functional Yoga Therapy training, Karma Kids Yoga for Kids and Teens training, and Yoga Teacher Training with Laurie Greene at Yoga Nine in Smithville. Robyn feels privileged to share the gift of yoga with others, guiding them on their path to optimal health: physically, emotionally and spiritually. Robyn enjoys spending time with her husband Eric, two children, Benjamin and Elana, and their adorable dog Zoe. Outside of work, she loves spending her time smiling and laughing with her family, traveling, hiking, scuba diving and practicing yoga.

Christina Butterfield, Certified Yoga Teacher Christina completed her 250-hour teaching training with Laurie Greene and received her Certified Yoga Teacher certificate in 2013. Christina is fascinated by human anatomy and loves using alignment and Tantric pranayama techniques to access a deeper understanding of the subtle body. She graduated from The Richard Stockton College of New Jersey in 2009 with her B.A. in Communications, a minor in Political Science and a concentration in Pre-Law. Christina also played three years of Division III volleyball and worked as a student athletic trainer at Stockton. She currently works as a specialty publications assistant in the college’s External Affairs department. Outside of teaching and work, Christina enjoys traveling, snorkeling and exploring. She loves spending time with friends, laughing, music, rock climbing, craft beers, all things edible, road trips and long conversations. Christina resides in Galloway with her Roomba, Rex. Her happy place is a Snorkel Shack/Yoga Studio in St. John.

MIND/BODY STUDIO

a dit eutic vices • e p er Photography. Michelle Pierson & Joelle Lanfrank PhotosMBy Tracy S • hera Harman g T listic nin • www.YOGA NINE.COM Ho Chi Trai chedule s • ai r he lass T OM www.TheCountyWoman.com • eac te for c .C 99

2014

Photos by Donna Andrews Photography.Yo

September/October 2014

Health

& Wellness 2014 Upcoming Events WORKSHOPS - TRAINING - COMMUNITY

“ Re -you-venate” ES S K AS EE L W C A N PE YS e O ag DA s s n 7 ga tio Ma

September 26-28 David Sirgany an Iyengar Intensive

October 17-19 Andrey Lappa Universal Yoga Workshop

Yo dita utic ces • pe r vi Me • hera ic Se g T list nin dule • i o i a H h r • ai C er T ss sche la h T • eac ite for c T • e webs

November 7-9 Andrew Eppler

MIND/BODY STUDIO

Ashtanga Yoga & The Yogi Magician

609.404.0999 SMITHVILLE

609.494.9299 SHIP BOTTOM LBI

Yoga 101: 55Week Yoga 101: WeekCourse Coursefor forReal Realbeginners! Beginners Smithville Studio Session 1: September 9 or 11 through October 9, 2014 o di Session 2: October 19 or 23 through November 20 u St e Session 3: January 22 or 25 through February 22 ill v h Session 4: March 1 or 5 through April 2 it m S Session 5: April 12 or 16 through May 14

2014 Teacher Training 200 and 500 Levels Begin September 2014 Registration Now Open Call for information or go to www.yoganine.com

Shop In Our Fair Trade Store for Gifts That Give Twice

Organic Cosmetics, Green Products & Therapeutic Massage Unique Jewelry, Bags & Gifts From Around the World

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Gift Certificates Available for Classes or Massages

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September/October 2014

Whiting Business Association

Upcoming WBA Event  2 nd Annual Classic Auto Show

Fighting

re you one of the 44 million Americans suffering from Osteoporosis or Osteopenia?

 Whiting On Saturday, October 4th (rain date October 5th), we will be holding our Business Second Classic Auto Show that will benefit the good work of the Association Whiting Food Pantry. The show this year will be held at Whiting Town is committed toThrough Osteoporosis Center at 108 LaceyPhysical Road. There will be Therapy some great cars, music, 50/50 and raffles, serving the needs Therapy waswill the also be calcium consumed in foods These exercises, in conjunction by preventing food andsuch fun forReplacement everyone. WBNJ hosting bone live destroying at the most common intervention. as dairy products, oatmeal, tofu, with manual therapy techniques osteoclasts from digesting bone. event! Please save the date. soy seaweed, dark green vegetables, Currently, Selective Estrogen to elongate musclecommunity. tissue and The final class of of the Classes: Receptor Modulators (such as fish and some types of nuts. For reduce compression forces on the pharmacological treatment is a

40’sintolerant & Earlier • 1950’s • 1960’s • 1970’s • 1980’s • 1990’s 2000-2014 Nolvadex, Evista, Fareston) are those who are lactose bone, can drastically reduce the bone forming•medication known more commonly Awards: recommended (meaning they are unable to incidence of fractures. A physical as Forteo. This is generally for the prevention and treatment therapist can determine if a simple breakdown calcium into a bone prescribed for those osteoporotic Best in Show • Best in Class • Best Custom Paint in Show of osteoporosis in postexercise program can alleviate your building product) lactase drops patients at high risk for fracture. Best Interior in Show • Best Original in Show • Best Modified in Show Through research, the medical menopausal women. may be utilized. symptoms. Currently the FDA only community has discovered Antiresorptive medications or 3. Pharmacology: 2. Nutrition: recommends the utilization of th methods not only to combat Biophosphates (such as Fosamax, One of the biggest developments Nutrition and lifestyle play a key class of drug for 2 years due to Osteoporosis, but also prevent it. Boniva, Actonel, Reclast, Fortical over the past 20 years in the role in bone loss. Individuals potential side effects. In order toWhiting treat this condition, who are not receiving adequate and Miacalcin) are now commonly Branch • Donna Gould, Branch Manager,treatment and prevention let’s discuss the facts. nutrition (low calcium or Vitamin of Osteoporosis has been in Specialized Treatment utilized in the treatment of Founding Member of the Whiting Business Association • Osteoporosis is a condition pharmacology. Initially, Hormone osteoporosis. Biophosphates work At All-Care Physical Therapy, we D) or an excessive intake of that causes bones to become thin • Visit myinvestorsbank.com specialize in the treatment and 732.350.9500 Meet the WBA: Our Mission is to energize and growprevention our Members’ businesses and porous, decreasing bone of Osteoporosis and while nurturing and giving back to the residents and service organizations of strength and leading to increased the community for their support and patronage. We Osteopenia. We are one of the believe that when busirisk of breaking a bone. only facilities in Ocean supCounty nesses support the residents and volunteer organizations, then residents • During their lifetime 50% of port local businesses. The results will make for a stronger and healthier that have been certifiedcomin the munity, and a more enjoyable and better place to live. For more information,It is all women and 25% of all men treatment of Osteoporosis. please visit www.whitingbiz.com or stop by to any ofessential these local over the age of 50 will have an that a businesses! physical therapist osteoporosis related fracture. is aware of the risks of treating Phoebe • Fractures from osteoporosis Shagan, Osteoporosis and understand are more common than heart the most optimal therapeutic RN, CCM attack, stroke and breast cancer interventions to not only preven • Insurance to Protect You (Health, Medication combined. the progression, but combat the Phone: (732) 784-7017 & Travel Insurances and Identity Theft Protection) • Women and men alike begin disease itself. to lose bone in their mid-30s. As they approach menopause, women • Knowledgeable, experienced, fully Our family-owned outpatient facilitiesWin Brick,BToms River,yWhiting, informed , friendly and compassionate ritten y: Michael orke, MPt lose bone at a greater rate, from Barnegat, and Manchester, NJ are directed by a practicing physical 2-3% per year due to hormonal Michael Yorke graduated with honors from • Independent Broker who works with therapist, Michael Yorke. Our primaryGettysburg goal is to provide optimal pain-free changes. College in 1997, majoring in Exercise "A" rated plans to meet your needs physical therapy for all patients. Pain Science is a physiological response to damage with a focus in Athletic Training. Risk Factors: Age, sex, tobacco/ or injury. The old adage “No Pain- NoHeGain” could not be more incorrect continued his education at Hahnemann alcohol use, vertebral compression in the field of rehabilitative medicine.University We stressearning handsa Master’s on manual degreetherapy in Physical fracture, fragility fracture, family Therapy in 1999. as well as consistent therapist/patient interaction. history of hip fracture, medical www.rhsinsurance.com Michael has continued to expand his conditions or use of medications Here’s how we differ from other physical therapy facilities: knowledge through continuing education hours with focus in that inhibit absorption of nutrients ( Now Offering In-Home & Occupational Therapy or contribute to bone loss. Orthopedics asPhysical well as Geriatric Medicine. He has completed courses in the treatment of osteoporosis and postural changes. In 2005, Michael ( Free Transportation Help Is Out There: opened All-Care Physical Center with a focus on personal, one( Innovative, pain-free approach to Therapy physical therapy Over the past 20 years, treatment on-one, hands-on care. Michael has been For all of your Estate Planning, ( Our large, cozy facilities offer the utmost in a member of the American and prevention of osteoporosis Physical Therapy Association since 1997. Michael’s experience has led have come a long way. Solutions patient comforthim and satisfaction Estate Administration to develop an innovative, pain-free approach to physical therapy. can be broken down into 3

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Lynnette E. Brennan Attorney at Law

categories. 1. Physical Therapy: By far the most conservative treatment for Osteoporosis is exercise through Physical Therapy. With the correct exercise program, the human body has the ability not only to prevent the loss of bone density, but also increase bone strength via the S.A.I.D. Principle (Specific Adaptation

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protein, sodium and caffeine 108 Lacey Road, are considered at increased risk. Ste. 2 Interventions such as calcium Whiting, NJ or vitamin supplements have Beaver Dam Road been1622-A recommended for many ʓʐʚʗʗʐʕʣʮʮʥʣʴʧ individuals,Point as research has Pleasant, NJ Jim Yorke indicated that 1200-1500mgs of Executive Director, All Care Physical Therapy Center Come Experience The All-Care calcium a day along with 7-80 President, Whiting Business Association IU of Vitamin D reduced the Difference For Yourself! fracture rate in post-menopausal www.TheCountyWoman.com The County Woman Magazine September/October 2014 ʹˊˋ˖ˋːˉ ͙ ʶˑˏ˕ ʴˋ˘ˇ˔ ͙ ʤ˔ˋ˅ˍ

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Women Of Ocean County

Mayuri Patel, MD

Cardiologist at AtlantiCare

It’s no coincidence that AtlantiCare cardiologist Mayuri Patel, MD, is known for her “heartwarming” approach to patient care. “The heart is a vital organ and a symbol of love. I am a caring person, and taking care of my patients with love is vital to me, as I believe that love is universal,” says Dr. Patel, who specializes in general cardiology and a subspecialty of cardiology known as interventional cardiology. Dr. Patel focuses on the treatment of heart diseases, coronary artery disease, arrhythmias, valvular heart disease, heart failure and other cardiac conditions. As an interventional cardiologist, Dr. Patel performs specialized procedures such as cardiac catheterizations to detect blockages in the arteries that carry blood to the heart and treats blockages with balloon angioplasty, stents and atherectomy. Dr. Patel earned a medical degree from Gujarat University in Ahmedabad, India. After completing a residency in obstetrics and gynecology at B.J. Medical College, India, she completed a residency in internal medicine at Trinitas Hospital, Elizabeth, New Jersey. She also did a fellowship in cardiology and interventional cardiology, and earned board certification in interventional cardiology, adult echocardiography, cardiovascular disease, internal medicine, and nuclear cardiology. To schedule a consultation with Dr. Patel, call 1-888-569-1000.

Diane Southern, RN

Administrator of the Endoscopy Center’s of Ocean County and Toms River

Diane, a resident of Toms River for the past 22 years, was born and raised in Mahwah, where she graduated from high school. Following high school, she attended Muhlenberg Hospital School of Nursing, in Plainfield, where she served as President of the Student Body. In 1972, she earned her Registered Nurse license and has been working in that profession ever since. Her career experience over the past 42 years has been varied, from working in ICU-CCU, ER, Obstetrics, Special Care Nursery, Ambulatory Care, and Endoscopy. In 1996, the Endoscopy Center of Ocean County, (owned and operated by the Gastroenterologists of Ocean County) was opened and Diane was hired as the nursing supervisor. In order to meet the increased demand for quality outpatient endoscopy services, the Gastroenterologists opened a second center in 2009 (the Endoscopy Center of Toms River) at which time Diane’s was appointed Administrator of both facilities. She is responsible for day to day running the facilities, staffing and maintaining quality of care. She has been instrumental in preparing for, successfully achieving and maintaining Joint Commission Accreditation for both centers. Diane is a former American Cancer Society Reach to Recovery volunteer. Along with her late husband, Bill volunteered with CanSurmount, a support group for cancer patients. In her spare time she enjoys gardening, traveling, the beach and her Yellow Lab, Oliver. The true joy of her existence is her family, especially her two sons and two grandsons. Contact Diane @ 732-349-3898 or dbsouthern@comcast.net.

Photo by Tracy Harman Photography

Laura Cole

Abstrax Hair Designs and Hair Replacement

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

Photo by Tracy Harman Photography

Susan Castiglia, Holistic RN

Susan Castiglia is an RN with 35 years of traditional and holistic nursing experience. Among other professional credentials, Susan is a graduate of the renowned Institute for Integrative Nutrition’s Health Coach Training Program. Susan founded her own Nutrition and Wellness Company, Holistic Care Services, that provides innovative, personalized wellness programs for individuals, families and companies. She draws on her Holistic Nursing background in nutrition, wellness coaching, fitness and preventive health to embrace a unique vision and healing approach. Her programs entail easy to use motivational tools and strategies for ongoing accountability, leading to transformation of body, mind and spirit. Susan Castiglia was raised in Clifton, NJ, resided in Pennington, NJ and relocated to Brick, NJ in 2008. She loves being in nature especially the beach and the desert southwest. Susan stays active by hiking, cycling, Stand Up Paddle boarding (SUP), beach-runs, horseback riding and cross-country skiing. She adores her nieces and nephews and lives with her four fabulous felines. To contact Susan Castiglia, please call 609-209-0107 or visit www.SusanCastiglia.com.

Photo by Tracy Harman Photography

The County Woman Magazine

Holistic Care Services

www.TheCountyWoman.com

Photo by Tracy Harman Photography

September/October 2014

Women Of Ocean County Heidi Runne

Administrator at Spring Oak of Toms River

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

Kathy A. Banks, DMD

Practice Limited To Oral & Maxillofacial Surgery

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

Photo by Tracy Harman Photography

Krystin Prasad, RN, BSN, MSN, FNP-BC

Lindsay Walicky

Krystin is proud to be born and raised in Toms River, NJ where she continues to live with her husband and 4 children. While she adores her family, Krystin was raised with a strong work ethic and loves her profession in behavioral and mental health. She feels thankful for her years of experience in nursing, which has afforded her the opportunity as a Nurse Practitioner to start her own psychiatry practice helping children, adolescents and adults. Her professional schooling includes a “BSN” from Kean University, and a Master’s Degree from Monmouth University. She is a board-certified Family Nurse Practitioner specializing in psychiatry, which allows her to treat children through elderly patients. Her professional experience includes years as a psychiatric nurse at an inpatient hospital facility, and then her career took a different direction into critical care for many years thereafter. As a Family Nurse Practitioner, she had many opportunities in various specialties, however, had chosen a position at a local mental health clinic where she felt most at home in the behavioral health specialty. This experience has blossomed into a psychiatric private practice, where Krystin, not only feels a sense of responsibility to her patients, but realized the difficulty and limitations in the community in obtaining psychiatric treatment and medications. She loves working with both children and adults, and feels rewarded by seeing her patients make a transformation into wellness by being “another piece to the puzzle of life”. At home, Krystin enjoys spending time with her wonderful family which includes her dog, cooking, playing tennis, and visiting with family and friends. You can contact Krystin Prasad at her office at (848) 210-7151. All calls are confidential.

Lindsay Walicky grew up at the Jersey Shore and spent most of her life in Brick, NJ. She graduated from UMASS Amherst in 2007 with a Bachelor’s of Science in Kinesiology. She then went onto graduate school at the University of Medicine and Dentistry of NJ and graduated in 2010 with a Doctorate of Physical Therapy. Lindsay has worked with various populations including patients with orthopedic, neurological and or cardiopulmonary deficits. The experience she gained from a rehabilitation hospital prior to All-Care helped her to excel clinically. When she began at All-Care, Lindsay piloted the LSVT program, an innovative treatment for Parkinson’s disease that is now practiced at each facility. Lindsay strives to provide optimal patient care beginning with a thorough initial evaluation and following with an individualized treatment program. In each therapy session, Lindsay assists patients as they work towards their specific objectives and to achieve their optimal level of function. She enjoys incorporating patient activities that are specific, enjoyable, and of an appropriate difficulty level to assist with therapy improvements. Lindsay is always eager to learn new therapy approaches and techniques to keep up with growing evidence in the field. In her spare time, Lindsay enjoys outdoor activities such as boating and snowboarding. She also likes to help friends and family by educating them on health and wellness. To make an appointment with All Care Physical Therapy, call 1-855-3ALLCARE.

Specializing in Psychiatry

All Care Physical Therapy - Manchester Location

Photo by Tracy Harman Photography

The County Woman Magazine

www.TheCountyWoman.com

Photo by Tracy Harman Photography

September/October 2014

Theatre

and

Entertainment

A NEW PLAY BASED ON THE TRUE STORY FEATURED ON

THIS AMERICAN LIFE

Original Story by

DAVID HOLTHOUSE

Directed by

MARKUS POTTER

TELECHARGE.COM or 212-239-6200

NEW WORLD STAGES 340 W 50 TH ST (btwn 8th & 9th Aves.)

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Business

& Finance

Copiers Plus Makes Streamlining Business Simple

rom its beginning in 1986, Copiers Plus has been at the forefront of technology aimed at streamlining local businesses. We have come a long way from the days when we had to explain fax machine technology; today most people are comfortable scanning, printing and copying from a multi-functional device and emailing documents from their desks.

Copiers Plus Expands Their Printing Serv

print from their smart phones, are designed to produce mainly outdoor work such and send and receive faxes. as vinyl banners and signs. Our printing services division has developed quickly With this equipment we will be expanding our services and offers a wide ranging list Changing With The Times into motor vehicle and boat of commercial and personal lettering, along with full and printing services including: As times have changed, we are changing with them, still partial vehicle wraps. • business cards seeking the best ways to help businesses save time and save What really works out • real estate postcards money. One product we currently offer is an all-in-one solution great is that we use many • direct mail to document management that has led to increased productivity of the products we sell in • letterheads and a streamlined workflow. the equipment division to • booklets and binding Autostore System Benefits Many Phases Of Business “NSi Autostore will streamline your workflow, save you valuable time and boost Written By: the work created in • invitations and Accounting departments enjoy similar benefits using the produce Autostore workflow. Robert P. Matthews productivity by allowing you to create Word and PDF documents in your current our copy centers. This enables announcements Scanning checks and invoices has never been easier with this system. By assigning an President, Copiers Plus Inc. us to become experts on • promotional items folder structure on the fly from the display screen of the Lanier copier,” said Copiers indexing code to the documents, they canbanners be classified and sent directly to whoever the capabilities of all of the • format and Plus Senior Account Manager Dan Cellucci. needs to review them and stored in posters the system for later review. products we represent and NSi Autostore is a total workflow solution because it eliminates the process of Since we all just work more from our phones and tablets, it’s remain crucialextremely to be able to cone had finished competitive • blueprint scanning a document, saving it to the desktop, renaming it, and putting it in a folder our anywhere new with isn’t our pricing. • reprographic nect to therenovating office from you are. Thatservices is why scanning the only way to on your network, according to Cellucci. In fact, businesses lose one out of every 20 storedocuments in Ocean Cityinto when • graphic design services capture NSi Autostore. encounter in terms of weather, format copiers and prin documents, costing approximately $20 in labor filing and scanning each documentWritten By: Robert P. Matthews Sr. So cian may Hurricane Sandy shredding Look for futurefolder, Whether you arehit. collecting files• document from an email, smartphone, tablet, network white and full color mu“ or any unforeseen processed, according to NSi data. President Copiers here Plus we Inc.are a year later to traffic Custom work is ourevent that may FTPreintroduce site, desktop computer, web client, XML data stream, and yes, even fax maannouncements as we C our newest I find this part ofproblem. ucts, printers, scanners,h delayspecialty. the resolution to their “You can scan and save documents into your existing directory and into specific chines, NSiservices Autostore captures and digitizes be allthe themost important information need ourtheyou service printing location. business tosized and all software necm Asthea medium office products expand folders. If you don’t have the folder already, you can create a new one,” Cellucci said. in oneCopiers uniform process. Plus is now offering rewarding. We get to be very offerings. n “The scan captures the entire document and allows it to be searchable in your system.” business processes. dealer, Copiers Plus has the advantage But thenservices what atdoour you do after you capture the document? NSi Autostore allows printing newest creative with the various to offer custom service agreements, billAdditional Services... at 935 deliver West Ave. requests Things youlocation to instantly your data whereweitget. needs to like go, either through an automated With a 30-day free trial from Copiers Plus, the NSi Autostore is a ing and financing programsuptailored Ocean City, N.J. scanning and touching In addition, system or by the user. These files can be archived on your system for search and we low-risk, high reward solution for South Jersey professionals, especialto fitoriginal any businesses’ individual Withemailed, this latestdelivered addition, to artwork, creating life-needs. are an Authorized retrieval, network folders, uploaded to an FTP folder, faxed, and ly for law and accounting practices. we are bringing much neededDecisions are made locally,events, speeding up size cut-outs for special DocStar Dealer, proor sent to multiple locations at once. services to the businesses, the entire along with custom greeting process - from the acquisition viding a variety of Law offices use the NSi Autostore as a time-saver by scanning documents from a residents, and tourists ofTo Make cards, photo collages, almost Trust Copiers Plus The Process Seamless of equipment, to billing timely and particular case, and indexing and saving those documents into a client’s folder, orgaelectronic document As an independent office equipment Ocean City. anything you can imagine. Copiers Plus will configure your workflow using AutoStore Process Designer, accurately. nized in subfolders by discovery, research and correspondence. storage and retrieval We have a very comfortable Out latest capabilities dealer, we aremaking constantly battling compethis a seamless process that will save your company time, eliminate errors and We have implemented all the same “Dan Cellucci, our account manager from Copiers Plus, was instrumental in retail store where customers solutions. include a 64” wide eco-solvent tition from all fronts. From largemore nationhelp you become efficient. tools and programs that the large compaidentifying our pain points on scanning document into our client folders, and the can come in and use our PC’s plotter, a 64” laminator and Copiers Plus now al manufacturersWith and chainNSi stores, to the document organization, AutoStore, use to analyze overallproducts copy and print offers our products to sendthe and receive e-mails, nies contour time and cost involved in performing this daily task,” said Fran McNellis of Hankin, cutter. These

Business

& Finan

5 7cadYh]h]jY 9X[Y r >igh H\ W In today’s hyper-competitive business climate, it is important for companies to distinguish themselves in order to survive and prosper.

person working out ofand theirretrieval garage, we delivery is one less worry about. usagething so thattowe can make educated Sandman, Palladino & Weintrob Law Office. “After reviewing our current scanning and services to all of are always looking for as ways to differentiAs great these products are, they are only as as recommendations forgood new equipment or southern and central workflow process, Dan presented the NSI Autostore Workflow solution.” It has been a ate our company to bring value that to ouris providing the service. And that’s the organization redeploy assets so they are better utilized New Jersey, with great tool, enabling the law firm to store important documents directly into its client clients. where Copiers Plus excels. in our customers’ environments. folders from its Lanier MFD devices. “The NSI Workflow allows us to create new offices located in Egg As copiers (now MFP’s), laser printclient folders and sub-folders, and scan as OCR PDF, Word and Word Perfect in one “Service is our specialty.” Copiers Plus recently celebrated 23 Harbor Township, ers, and fax machines have become years in business. Our goal is to continue Palmyra, and our lateasy step at the Lanier MFD,” adds McNellis. “NSi Autostore has made our scanning Schedule your appointment to learn more. somewhat of a commodity, the service growing our company by educating our est affiliation with process faster and more efficient, saving us time and money.” and support required to maintain uptime customers and maintaining the loyalty New Jersey Copy Lookefficiency for future and generate maximum is nowannouncements weexpand have experienced for many years. We Products in Old as we continue to Robert P. Matthews, considered a professional service. With are very proud to say that we still have offerings. Bridge. Owner the MFP becoming an integral our part of many of the same clients that started many business’s operations, it is imporwith Convenient us from the beginning.Locations! Three tant for us to understand this and posiJust The Right Size... tion ourselves for success in the future. 935 West Ave Fire Road, Unit 21 East Broad Street At3112 Copiers Plus, we are justC,the right What Sets Us Apart ... Harbor 08234 print-Palmyra, N.J. 08065 Ocean City, N.J. 08226size toEgg handle all Twp., of yourNJcopying, At Copiers Plus, we believe that local ing, and overall document 609-398-7676 609-645-7587management1-800-834-3598 knowledge and the ability to be nimble needs. sets us apart from the Wal-Mart strategy in 1986 byinfo@copiersplus.com Robert and www.copiersplus.com Visit usFounded at www.copiersplus.com used by mega-dealers and manufacturer Debra Matthews, direct branches. Copiers Plus Inc. www.TheCountyWoman.com The County Woman Magazine September/October 2014

C Community ommunity

4th annual

DON’ MISS T SPEC OUR GUES IAL TS!

NOVEMBER 1-2

Lincroft, NJ • Collins Arena at Brookdale CC

It’s All About Women At The New Jersey Women’s Expo

Gather your gal pals and treat yourselves to the best local shopping, fashion, entertainment, food, travel, cosmetics and much more at the 4th New Jersey Women’s Expo at Brookdale Community College on Nov. 1st & 2nd. Showcasing the area’s very best products, services, seminars and attractions created especially for women!

ckindhology o R n i r Ca ve Psyc

of Master

Maure

The Me

en Han

dium N

SHOW HIGHLIGHTS:

• See Maureen Hancock – World Renowned Spirit Medium • Balance your life with tips from Happiness Expert – Carin Rockind • Shop-til-You Drop with Unique Vendors • Fashion Shows presented by Premium Outlets • GIVE-AWAYS… MINI-MAKEOVERS…SAMPLES….TASTINGS…..

& Much More

$2.00 OFF

Positi

cock

ext Doo

Maste auro Ca r Deco rator: stano Carlo’s Baker y

Each Adult Admission With This Ad Interested in exhibiting? Give us a call.

WWW.NJWOMENSEXPO.COM - FOR MORE INFO: 732.449.4004

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Community

Whether You Swing a Club or Swing a Racket… …don’t miss out on a great opportunity to play on an amazing course at an AMAZING PRICE! Join the Jersey Coast Chapter on October 9, 2014 at Eagle Oaks Golf & Country Club in Farmingdale for a day of fun and support to be enjoyed by both golfers and tennis players. Whether you play or commit to a sponsorship, you allow the Jersey Coast Chapter to continue its mission to prevent and alleviate human suffering in the face of emergencies by mobilizing the power of volunteers and the generosity of donors. So, whether you swing a club or swing a racket we hope to you see in October!

$350 Individual Player • $1,500 Foursome (Includes Tee Sign) $150 Tennis Player

For Sponsorship Opportunities and Information contact Patty Douglas Patty.Douglas@redcross.org (732) 493-9100 Ext. 1249

A Special “Thank You” to our Title Sponsor Leadership

Regional CEO Nancy Orlando, South Jersey Region & Jersey Coast Chapter

Executive Board of Directors Allyson C. Gilbert, CPA Chapter Chair Gary Olivero, CHFC, CLU Executive Vice Chair Gerry Norkus, Vice Chair, Development Kathleen Abatemarco, Secretary

The County Woman Magazine

Board of Directors Eileen Martin Cohen Craig Ford John E. Gagliano Andrew C. Harris, CPCU Joe Leone Introna Myron Kaller John W. Kelly Edward F. Liston Jr., Esq. Graham McGonigal Patricia McMahon Jose Fabrizzio Orozco Manuel Ortega Michael Perdoni Linda Savino Colonel Alan R. Smith USMC John W. Weiss, Esq.

www.TheCountyWoman.com

September/October 2014

Community

EVERYONE HAS A REASON TO END ALZHEIMER’S.

SATURDAY, SEPTEMBER 27, 2014

SOUTHERN REGIONAL WALK POINT PLEASANT BEACH, NJ (corner of Arnold and Baltimore Avenues) Registration begins at 9 a.m. Walk begins at 10 a.m.

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Community

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

Check Our Our New eBook Collection

In order to meet an increasing number of customer eBook requests, the Ocean County Library has added a new eBook collection through the 3M Cloud Library. The 3M Cloud Library consists of current popular materials, for adults, young adults and childrenâ&#x20AC;&#x2122;s fiction. After downloading the appropriate app for their tablet, smartphone or other device, customers can then use the free service by entering their Ocean County Library card barcode number.

Gospelfest 2014 Toms River Branch Saturday, Sep. 27, 12:00-4:00 pm Registration required, begins Sept. 13. Ocean County Library celebrates Gospel Music Month. Come and enjoy a day of gospel music featuring local and statewide choirs, soloists, and praise & worship teams. Included will be Arts Ministries such as dance, mime, spoken word and dramatic presentations. This program is free and open to the public. To register, call 732-349-6200. This program is sponsored by the Friends of the Toms River Library.

eBooks from the 3M Cloud Library can be kept for twenty-one days and up to five can be borrowed at a time. Once the lending period is over, eBooks can no longer be accessed. Items circulated through this service cannot be renewed. Devices that can use the 3M Cloud Library include the Apple iPad & iPhone, the Barnes & Noble Nook, Amazonâ&#x20AC;&#x2122;s Kindle, and Google Android devices. To use this and our other eBook resources, visit www.theoceancountylibrary.org/downloads.

Do you want the latest information about Ocean County Library programs? The best way is to follow us on social media. You can fan us on Facebook (www.facebook.com/oceancountylibrary) or on Twitter (@oceancountylib).

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Community

This fall, participants of The Leukemia & Lymphoma Society’s 2014 Light The Night® Walk will rally their forces for the annual campaign in their Jersey Shore location! The event will take place on October 18th, starting at 5:00 pm at the Pier Village in Long Branch, New Jersey. We anticipate the opportunity to create a sense of community involvement in Long Branch! Each year, in communities all across the United States and Canada, teams of families, friends, co-workers, and local and national corporations come together to raise funds for The Leukemia & Lymphoma Society’s (LLS’s) Light The Night® Walk events and bring help and hope to those battling blood cancers. Millions of consumers also help by donating at retail outlets. Light The Night Walk events are powerful, inspiration-filled evenings. During this leisurely walk, participants carry illuminated lanterns—white for survivors, red for supporters, and gold in memory of loved ones lost to cancer—and thousands of walkers form a community of caring, bringing light to the dark world of cancer. Last year, more than $57 million was raised through Light The Night Walks in approximately 185 communities in North America. To form a team or to learn more, please call Stephanie Sims at 908-956-6634 or visit www.lightthenight.org/nj.

About The Leukemia & Lymphoma Society The Leukemia & Lymphoma Society ® (LLS) is the world’s largest voluntary health agency dedicated to blood cancers. The LLS mission: Cure leukemia, lymphoma, Hodgkin’s disease and myeloma, and improve the quality of life of patients and their families. LLS funds lifesaving blood cancer research around the world and provides free information and support services. Founded in 1949 and headquartered in White Plains, New York, LLS has chapters throughout the United States and Canada. To learn more, visit www.LLS.org or contact the Information Resource Center at (800) 955-4572, Monday through Friday, 9 a.m. to 6 p.m. ET. www.lls.org.

Leukemia & Lymphoma Society NJ Chapter: Light The Night line: 908-956-6642

Address: 14 Commerce Drive, Cranford, NJ 07016

Community

Big Brothers Big Sisters of Ocean County’s

7th ANNUAL CASINO NIGHT Save the date and join us!

Friday, September 19, 2014 6-7 pm Cocktail Reception 7-11pm Gaming Woodlake Country Club, 25 New Hampshire Avenue, Lakewood, NJ

$100 admission price includes: $100 in “playing chips”, Buffet Dinner, Dessert, Beverages & Cash Bar All winnings are in the form of coupon chances for great prize drawings!

Excellent sponsorships are available and donation of gifts for the evening’s fun gift auction are being requested. You may download and print the sponsorship/gift letter and form at www.bbbsoc.org. For more information, please call (732) 505-3400 or email ssedivec@bbbsoc.org.

The County Woman Magazine

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September/October 2014

Travel

SHAKE UP YOUR HOLIDAYS Travel ravel

77 55 63

Taking It With You: A Packing Primer

he air might still be balmy and the evenings warm and light, but the fall and winter holidays will be here before you know it, making this the perfect time to think about booking your holiday travel. The majority of the You’ve yourthe lines are shorter, holidays occur in the “low season” in booked Europe when long awaited vacation the weather is often quite pleasant andwith the prices more affordable – especially your Travel if you book in advance. Not to mentionProfessional all the festivalsand andyou’re activities - it truly is a ready to pack your magical time to discover Europe! Here are a few travel ideas to consider for your holiday suitcase. planning abroad. Now the big question is:

What do you take you? Italy with & Thanksgiving

If you’re cruising in the Caribbean Pasta

With so many new fees and • Add a few more tee shirts and another pair of shorts More andrestrictions more we the areairlines seeinghave families escape the hustle and • Lightweight sweater, rain poncho, and zippered plastic bags bustle a traditional U.S.entire Thanksgiving for the flavors of Italy. imposed for baggage, you will have to of consider leaving your closet for wet suits. at home from now on. Some airlines are charging for carry-on bags now, Though the holiday is not recognized in Italy, you may find some • Whatever you forget you can purchase on board or at the and other airlines let you boardrestaurants first if you have no carry-on bags. So what dinner, but be prepared to serving a traditional turkey ports or resorts. are the essentials to pack? receive the restaurant’s original delicious Italian A fewmenu. years from now what Here is a packing primer from Carole Kaiman, Travel Professional that you will remember is the total might help with the process. experience of your vacation, NOT Let the colorful lights, aromas of hot chestnuts andforgot grilledtosausages and the chill of winter cast a the things you pack. For a week in the Caribbean: *Remember, your Vagabond* magical spell over you. There are so many markets in Germany to choose from that we suggest visiting • 2 swimsuits Professional can couple larger and also one in aVirtuoso smallerTravel village town to experience the different settings. (put 1 in your carry-on so just you acan go right to ones the beach) assist you in planning a vacation • 2 cover-ups with the most value and added (1 with sleeves for evenings dining on the beach & 1 Pareo) touches to make your experience a Some of ourmemorable favorite cities one. to visit when ringing in the New Year are • Yoga pants and 2 tank tops Our dedication clients before, during andtoafter Paris, Dublin and Barcelona.toInour Paris, if you really want be every at thevacation cen• 2 shorts and 2 tees makes a world of difference. • 3 sundresses ter of the party, head to Champs-Elysées for the front-row action. But don’t • SHOES: Flip flops, flat sandals, wedges, sneakers expect to see any fireworks. Instead, the Parisians organize an incredible light Enjoy Your Travel Experience. • Pashmina show that features the Eiffel Tower. In Dublin, grab a pint of Guinness and • Sunglasses Your Vagabond Travel Virtuoso enjoy all the special events, parades, fireworks andAdvisor concerts. In Barcelona, • Packable sun hat and foldable beach bag For over 25 years, take part in the tradition of La Nochevieja, when families and friends get • Costume jewelry, (leave the real jewels home) Carole Kaiman together to share a late meal before celebrating the arrival of the New Year. and an evening purse Vagabond Travel According to tradition, wearing red underwear and eating twelve grapes at Must Haves: the clockout in the countdown to midnight brings good luck! • Insect Repellent, Sun Protection (with at least 30 SPF)every chime of*Check • Facial and body moisturizer www.virtuosolife.com Now that you have a few travel ideas, let’s shake things up this year by • Make up Bag: waterproof mascara, eyeliner, for our Digital gathering your family and friendsMagazine to celebrate the holidays in European style! hair conditioner and shampoo and some amazing travel ideas.

# Germany’s Christmas Markets

# New Year’s Eve Fireworks

Call Travel Professional, Carole at Vagabond Travel for a personal appointment.

Carole Kaiman, Travel Specialist Vagabond Travel Virtuoso Agency 542 Prospect Ave. Little Silver New Jersey 07739

*Check out www.virtuosolife.com for our Digital Magazineand some amazing travel ideas.

The County Woman Magazine The County Woman Magazine

Over 25 Years

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

website: www.vagabondtvl.com www.TheCountyWoman.com www.TheCountyWoman.com

May/June 2014 2014 September/October

Theatre

&Entertainment

“Move over Blue Man & Stomp, iLUMINATE

is in the house!”

Times Square Chronicles

“Spectacular! Magical! Dazzling!”

The New York Times

NOW LIVE in the heart of BROADWAY! Telecharge.com 212-239-6200 iLuminate.com New World Stages, 340 W 50th St.

The County Woman Magazine

www.TheCountyWoman.com

September/October 2014

Theatre

&Entertainment

LIMITED ENGAGEMENT BEGINS OCTOBER 7

WRITTEN BY

WILLIAM LUCE

DIRECTED BY

STEVE COSSON

GOLDEN GLOBE速 NOMINEE

JOELY RICHARDSON brings to life the iconic & celebrated poet

Emily Dickinson

Joely Richardson (Nip/Tuck, The Tudors)

Telecharge.com or 212-239-6200 WESTSIDE THEATRE 407 West 43rd Street (btwn 9th & 10th Aves.)

BelleOfAmherstPlay.com

The County Woman Magazine

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September/October 2014

Community

How time flys - Ronald McDonald House events are winding down quickly! On Friday, October 24, 2014 the Ronald McDonald House (RMH) of Long Branch and New Brunswick will host their 5th Annual Wine Tasting from 6:30 p.m. to 9:30 p.m. at the Robert B. Meyner Reception Center at the PNC Bank Arts Center, Holmdel. Indulge and discover a variety of fine wines from all over the world, cheeses and chocolates while browsing a collective array of items in the silent and live auctions. This yearâ&#x20AC;&#x2122;s Grand Prize Raffle is a trip for two to the Harvest Inn in Napa Valley, California with round trip airline tickets on Southwest Airlines. Tickets are $80 per person. For more information on the Wine Tasting or the Ronald McDonald House, log on to our website www.rmh-cnj.org, or contact Lynne Siedentop at 732-222-8755 ext 30. Golf 2014

Garden Tea Party 2014

www.youtube.com/RMHCNJ www.flickr.com/RMHCNJ

www.pinterest.com/RMHCNJ

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Want to see more event photos? Check our our Flickr page: www.flickr.com/RMHCNJ

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Walk with Ronald 2014

September/October 2014

Business

& Finance

Toms River - Ocean County Chamber of Commerce News Welcome New Members

A Letter from the President:

Maureen Stankowitz, President

Dina M. Vicari, Esq. Chairwoman

With the close of summer 2014, the Chamber is looking forward to getting back to business! There are many exciting things happening at the Chamber. Internally, we have strengthened our member base through more robust Business After Hours events, more compelling educational offerings and increased communication via social media. Additionally, we are enhancing membership through a more member friendly website redesign. Our numerous committees are meeting regularly to brainstorm and implement new ideas that will help the Chamber play an even bigger part in the business community. Externally, we have taken leadership roles in economic development, cultivated relationships at the Joint Base and passed along member promotions to the community through a newly created Value Card.

Pilates By The Bay Patty Baiano 2524 Hiering Road, Toms River, NJ 08753 732-300-4917 732-270-2186 www.pilatesbythebaynj.com Health, Beauty & Wellness Financial Alternatives Sean F. Monahan 1433 Hooper Avenue, Suite 314A, Toms River, NJ 08753 609-693-3800 609-971-3949 Financial Services

It is a great time to be a part of the Toms River – Ocean County Chamber of Commerce. We are strong and growing! Contact the office today to inquire about membership: 732-349-0220.

Toms River

TOMS RIVER-OCEAN COUNTY CHAMBER OF COMMERCE

OceanWEDNESDAY, CountySEPTEMBER 17, 2014

Chamber of Commerce

National Council on Aging EAGLE RIDGE GOLF CLUB, 2 AUGUSTA BLVD, LAKEWOOD, NJ Marty Cinquemane 1255 Route 70 West, Lakewood, NJ 08701 732-367-7111 Special Recognition Award: 732-367-8720 ~ Business Beautification of the Year ~ Non-Profit Partner of the Year ~ Business Partner of the Year www.ncoa.org by AUGUST 28, 2014 We accept the Chamber’s invitation to take advantage ofSponsorships-Submit the many business opportunities it offers, and contributes Organizations/Charities/ Non Profits to the building of an even better and beautiful Ocean County.

Your Invitation to Join Membership Application

Enclosed are:

( ) COCKTAIL RECEPTION SPONSOR - $2,500.00

*10 Reception Tickets *your name on signage as Cocktail Reception host at Event Constellation, An *special recognition at dinner *premium location full page color ad in virtual ad journalExelon Company Annual Dues Investment: $___________________ ne Timerecognition Membership Fee:*recognition $50.00 Total:_ *listed on ad_Ojournal page in__________________ all media and newsletters Wayne Barnett

Company Name:________________________________________________________ Date:_ __________________ ( ) FLASH DRIVE SPONSOR - $2,000.00

*4 Reception Tickets *your name on signage as Flash Drive sponsor at Event Contact Name(s): ______________________________________________________________________________ *name on event flash drive *Full page color ad in virtual journal

Address: _____________________________________________________________________________________ *listed on ad journal recognition page ( ) HORS D’OEUVRE SPONSOR - $1,500.00 City: __________________________________________________State:_________________ Zip Code: _______

300 Exelon Way, Kennett Square, PA 19348 215-817-2584 443-213-6910 www.constellation.com Utility

*6 Reception Tickets *your name on signage as Dinner Sponsor at Event Phone: ___________________________________________ _______________________________________ *listed as Dinner sponsor inFax: virtual ad journal *Full page color ad in virtual ad journal University Title

Insurance Agency Deb Henderson *6 Reception Tickets *your name on signage as Dinner Sponsor at Event 665 Mill Creek Road, Billing Contact Name: _______________________________________________________________________ *listed as Dinner sponsor in virtual ad journal *Full page color ad in virtual ad journal Manahawkin, NJ 08050 609-597-6611 Billing Address (if different from physical address):________________________________________________ ( ) MAJOR SPONSOR - $1,000 609-597-4763 *4 Reception Tickets *your name on signage as Major Sponsor at Event City: __________________________________________State:_______________________Zip Code: _______ *listed on ad journal recognition page *Full page black & white in virtual ad journal www.njuniversitytitle.com Real Estate

( ) DESSERT SPONSOR - $1,500.00 Email Address: ________________________________ ___________Web Address: _________________________

Phone: _______________________________________Fax:_________________________________________ ( ) AWARDS SPONSOR - $500.00

New Members Always Welcome

*your_________________________________ name on signage as Awards Sponsor at Event *half black & white ad in virtual ad journal Type of Business/Classification: Number ofpage Employees: ___________ *listed as Awards sponsor in ad journal

Website Category: __________________________________________________________________________ ( ) SUPPORTING SPONSOR - $250.00 Visit us at *your name on signage as Supporting Sponsor at Event *quarter page black & white ad in virtualwww.oc-chamber.com journal Signature: _______________________________________________Sponsor:___________________________ *listed as supporter in ad journal

DISCLAIMER: BY PROVIDING YOUR EMAIL ADDRESS YOU ARE AUTHORIZING THE CHAMBER TO CONTACT YOU VIA EMAIL REGARDING CHAMBER BUSINESS. THE CHAMBER DOES NOT SELL OUR EMAIL LISTS. ( ) RECEPTION TICKETS ~ $125.00 per person

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# of Tickets: ________________

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for additional information and events (732) 349-0220.

September/October 2014

Community

Lakehurst Revitalization Association (LRA) will host its 3rd annual Fall Festival October 18th 2014 from 11 a.m. to 3 p.m. At Lake Horicon, located at the corners of Union Avenue and Church Street in Lakehurst.

LRA president Denise O’Hara states, “The Fall Festival is an affordable, fun-filled day for families where most events are free and families participate in giving by providing non-perishable food items for those in need. For us as a group, it has evolved into a giveback to the community as a thank you for the support we receive at our Farmer’s & Specialty Market. Our market, in its 3rd year, continues to grow and become more successful because of their support.” The Fall Festival will feature some of the local vendors who sold goods at the LRA’s summer Farmers and Specialty market, e.g. Isagenix, Krowicki Farms, Tastefully Simple, Trapper’s Honey and beeswax products, as well as other local artists and crafters offering handmade novelties. The festival will have numerous activities for children and families such as: hay ride around the lake bringing children to visit a nearby pumpkin patch where they can choose a pumpkin and later decorate it, face painting, sand art, hair feathers, glitter tattoos, and leaf printing. There will also be storytelling, theater skits, dance and music recitals, cheer, and karate demonstrations as well as more games on the beach with a bouncy house. Contests will include: Guess the Great Pumpkin Weight, apple dunking, Guess how many Candy Corns, Hoola Hoop, Stomp the Balloon, etc.

The 2014 LRA board is presently comprised as: Denise O’Hara (president), Carol Narducci (Vicepresident), Christine Sinkewitz (treasurer), and Debby Pease (secretary). LRA is made up of a friendly group of local volunteer residents and was developed as a non for profit group which seeks to promote wholesome and healthy activities that benefit the citizens of Lakehurst. All proceeds received from LRA activities, e.g. Summer Farmers and Specialty Market, Fall Festival, etc are being used toward our first project of building a concession stand and permanent bathrooms at Lake Horicon; this project has already begun and is being financed solely by donation, fundraisers, events, and the volunteer workforce. If you would like to help by volunteering, have any suggestions or questions, or for further information, please feel free to contact: Debby Pease, Fall Festival Chair, or Denise O’Hara, LRA president, via telephone: 732-674-2957 or via email: lra08733@ gmail.com, or via our Facebook page: https://www.Facebook/LRAOC. We look forward to seeing you at our event and thank you in advance for your community support and patronage. (article and photos by Kat Schaffer, LRA PR committee)

Organizers ask that residents and patrons bring a donation for the local food pantry, a non-perishable food item such as canned products, juice boxes, granola bars, fruit snacks, small cereal boxes or mini water bottles for the Lakehurst School Snack Pack Program.

The County Woman Magazine

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September/October 2014

Fine Art Photography

The County Woman Magazine

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September/October 2014

Gastroenterologists of Ocean County Allan Cohen, MD • Omar Tamimi, MD • Jill Collier, MD Edgar Bigornia, MD • Kenneth Glazier, MD • Jai Mirchandani, MD

Meet The Doctors Of Gastroenterologists Of Ocean County: (Sitting L–R) Omar Tamimi, MD , Jill Collier, MD, and Allan Cohen, MD. (Back Row L–R) Jai Mirchandani, MD, Edgar Bigornia, MD and Kenneth Glazier, MD. Photo by Tracy Harman Photography

We aim to provide the highest quality of compassionate medical care and perform endoscopies in a convenient, friendly, non-threatening office setting. We feature two Joint Commission certified and Medicare approved endoscopy centers. We serve patients from many different backgrounds which is mirrored in the diversity of our physicians. • Colonoscopy & Colon Polyp Removal • Colon Cancer Detection & Screening • Rectal Bleeding Evaluation • Ulcer Pain Evaluation & Treatment

• Swallowing Disorders • Endoscopic Treatment of Hemorrhoids • Capsule Endoscopy • Bravo pH Monitoring

Hospital Privileges at Community Medical Center and now at Ocean Medical Center Medicare, HMOs and Most Insurances Accepted 473 & 477 Lakehurst Road Toms River, NJ 08755 732-349-4422

7 Sherwood Drive Lakewood, NJ 08701 732-367-3338

The County Woman Magazine

355 Route 9 Bayville, NJ 08721* 732-349-4422

* Limited hours by appointment.

939 Lacey Road Forked River, NJ 08731 609-971-5949

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1617 Route 88 West Brick, NJ 08724 732-458-0012

Now seeing patients in our new Brick office location!

September/October 2014