Ocean County Woman - 2017 January / February by The County Woman

Ce le br a ti ng O

ur 8th Year!

An Educational Resource for Women and Their Families

FREE ~ Please Take One SOCIAL SECURITY: A WOMAN’S PERSPECTIVE

Regardless of whether you’re a man or a woman, Social Security will not provide all of the income you’ll need to live comfortably during retirement. Page 18

TWO GREAT PLACES, ONE GREAT NAME!

Since day one, AristaCare put an emphasis on customer service and it is nice to see the vision is becoming little by little an industry standard by Major HealthCare Organizations. Page 20

HEPATITIS C AND THE BABY BOOMER

More than 75% of patients infected with Hepatitis C were born between 1945 and 1965 and are part of the Baby Boomer generation. Page 28

Atlantic NeuroSurgical Specialists’ Pinakin R. Jethwa, MD, treated Maureen Myers for a life-threatening brain aneurysm. Read more about the innovative technique he used on pages 32 & 33.

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Jan./Feb. 2017

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Medical Professionals

Rotator Cuff Injuries Are Not Just For Athletes Shoulder pain is the third most common musculoskeletal complaint, behind neck and back pain, seen in medical practices each year. The cause of shoulder pain can range from uncomplicated sprains to massive rotator cuff tears. During a 6-year span, there were over five million physician visits for shoulder pain attributed to rotator cuff problems. Research has indicated that the incidence of rotator cuff damage increases with age due to degeneration of the tendon. This suggests that as the current population ages, rotator cuff repair will also increase. Although the majority of these conditions are responsive to conservative treatment, some may require surgery. Let’s go over some anatomy: The rotator cuff is a group of muscles and tendons that work together to stabilize the shoulder. The four muscles of the shoulder are the supraspinatus, infraspinatus, teres minor and subscapularis. The supraspinatus muscle is responsible for abduction (moving away from the body), the infraspinatus and teres minor provide external rotation (rotating away from the body), and the subscapularis provides internal rotation (rotating in towards the body). These muscles and tendons connect the humerus (upper arm) with your shoulder blade, or scapula. They also help hold the head of your upper arm bone firmly in your shoulder socket. This combination allows your shoulder to have the greatest range of motion (ROM) in the body.

Rotator Cuff Injuries A rotator cuff injury includes any type of irritation or damage to your rotator cuff muscles or tendons. These injuries can range from impingement syndrome to partialand full-thickness rotator cuff tears. Impingement syndrome is a chronic process that presents itself as shoulder pain. If left untreated, it can progress to permanent changes and eventual tearing of the rotator cuff. External impingement is the most common form of impingement syndrome and is caused by compression of the rotator cuff tendons as they pass through the coracoacromial arch. As this type of compression happens repetitively, it can cause inflammation of the bursa lining the joint and can narrow the space further. Other factors can contribute to the narrowing of this space as well, such as bone spurs and arthritic changes. These changes and the progressive degeneration of the tendons can eventually lead to partial- or full-thickness rotator cuff tears. Common causes and risk factors of rotator cuff injuries may include: • Trauma: Falling on the shoulder or outstretched arm, especially in the elderly, when attempting to break a fall.

• Normal wear and tear: After age 40, normal wear and tear on your rotator cuff can cause breakdown of collagen in the cuff’s tendon and muscles, which makes them more prone to degeneration and injury. You can also develop calcium deposits within the cuff or arthritic bone spurs that can pinch or irritate the rotator cuff. • Lifting heavy objects • Repetitive overhead activities (e.g., throwing a baseball, basketball, freestyle swimming, tennis) • Occupational overuse (painting, carpentry, grocery clerking) • Abnormally shaped acromion, which can make impingement of the rotator cuff tendons more likely. • Poor Posture: Slouching causes your neck and shoulders to take a forward position, which causes the space in which the rotator cuff muscles are located to narrow further and can impinge on the tendons. Signs and symptoms may include: • Pain and tenderness in your shoulder, especially when reaching overhead, reaching behind your back, reaching across your body, lifting/pulling, or sleeping on the affected side. • Shoulder weakness, especially in abduction or flexion. Many people frequently describe having significant difficulties combing their hair, holding a hair dryer, and removing clothing. Immediate onset of weakness, especially associated with sudden trauma, can indicate an acute tear. • Loss of range of motion. • Inclination to keep your shoulder inactive. A visit to your doctor is your next step. They’re likely to ask you several questions: • Where is your pain located? • Does your job or hobby aggravate your shoulder pain? • When did the pain first occur? • How severe is your pain? • What specific movements aggravate or alleviate your pain? • Do you have any weakness or numbness in your arm? In the days before your doctor’s appointment, you can decrease your discomfort by trying some of the following: • Rest your shoulder. Avoid movements that aggravate your shoulder and give you more pain. • Apply cold packs. This can help reduce pain and inflammation. • Take over-the-counter pain medications, with the approval of your doctor. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen (Advil, Motrin, others) and naproxen (Aleve), may help reduce pain.

Tests and Diagnosis After the doctor examines you, and if your injury appears to be severe or if they cannot determine the cause of your pain through physical examination, they will most likely order one or more diagnostic tests. These may include: • X-rays • Magnetic resonance imaging (MRI) scan • Ultrasound scan Treatment Options The main goal of any therapeutic intervention for shoulder pain is the return to pain-free function. A number of different factors can help determine the course of action that is taken when trying to reach this goal, such as age, preinjury functional level and general health. • Steroid Injections: Your doctor may use a corticosteroid injection to relieve inflammation and pain. • Physical Therapy: This is the most conservative of all of the options. After modifying your activity and controlling pain, physical therapy can begin. In the first active phase of therapy, gentle ROM exercises are started to prevent adhesions or scar tissue from forming, followed by a strengthening program of the rotator cuff and scapular stabilizer muscles. Various modalities can be used concurrently to aid in decreasing pain and inflammation, such as ultrasound and electric stimulation. • Surgery: If a large tear is present in your rotator cuff, you may need surgery to repair it. The surgery may be performed as an open repair with a 2½- to 4-inch incision or as an arthroscopic repair, which is less invasive. • Arthroplasty: Severe, chronic rotator cuff tears may contribute to severe arthritis. Your doctor may want to perform a total shoulder replacement or arthroplasty.

Frank Ranuro PTA, Toms River Facility Manager

Frank is a 1998 graduate of Union County College Physical Therapy Assistant program. His professional focus has been in outpatient orthopedic care since being licensed. His professional areas of interest include pre and post-operative orthopedic care as well as the treatment of vestibular and balance disorders. Frank’s treatment approach includes joint mobilizations, soft tissue work and hands-on manipulation as well as promoting a relaxed yet motivated environment for his patient’s recovery.

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January/February 2017

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January/February 2017

Monmouth County Woman Since 2008

Manager’s Note

An Educational resource for Women and Their Families Since 2008 Ce leb ra

Welcome to the January/February Issue Of The Ocean County Woman!

r ea ting Our 8th Y

Publisher.............................................................. Chris Lam chris@thecountywoman.com • 856-885-8066 Production Manager ...................................Lauren Shover staff@thecountywoman.com • 856-885-8066 Marketing Production Executive ..........Jessica Sochocky staff@thecountywoman.com • 856-885-8066 Regional Sales Director................. Kristina Wheeler Pruitt kristina@thecountywoman.com 609-412-1914 Distribution Manager.......................................Mike Dziuba mike@thecountywoman.com • 856-885-8066 Graphic Designers.................................................................. Golden Design LLC • CCO Designs, LLC CEO.................................................................. Lynn K. Wolf 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 TheThe County Woman’s Newspaper is published bi-monthly andand is available free free of charge at display County Woman’s Newspaper is published bi-monthly is available of charge at stands in approved andprivate public and establishments and authorized only, or only, display stands inprivate approved public establishments and distributors authorized distributors by paid or bymail paidsubscription. mail subscription. Trademark andand U.S.U.S. Copyright Laws protect TheThe County Woman’s Newspaper. No No partpart of this Trademark Copyright Laws protect County Woman’s Newspaper. of paper may be reproduced without the written permission of the publisher. 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 The County Woman’s Newspaper is not responsible for any editorial comment (other than own), typographical errors from advertisements submitted as camera ready or any reproductions of its own), typographical from advertisements submitted as camera ready or any reproducadvertisements submitted aserrors camera ready. tions of advertisements submitted as ready. If an advertisement does not meet ourcamera standards of acceptance, we may revise or cancel it at any If an advertisement meetacknowledged our standards and/or of acceptance, wepublished. may reviseThe or cancel it at time, whether or not it hasdoes beennot already previously advertiser any time, whether or notforitall hasstatements been already acknowledged and/orcopy previously assumes sole responsibility contained in submitted and willpublished. protect andThe advertiser sole responsibility for all statements in submitted andallwill indemnify theassumes Woman’s Newspaper, its owners, publishers,contained and employees, against copy any and liability lossprotect or expense arising out the of claims for libel, unfair trade names,publishers, patents, copyrights and propriety and indemnify Woman’s Newspaper, its owners, and employees, against rights, of the right ofarising privacyout or other violations resulting publication any and and all all violations liability loss or expense of claims for libel, unfair from trade the names, patents,of this newspaper or its copyrights andadvertising propriety copy. rights, and all violations of the right of privacy or other violations resulting The publisher be under noofliability for failure, any reason,copy. to insert an advertisement. from shall the publication this newspaper or for its advertising The publisher shall not be be liable by reason of error, omissionforand/or failuretotoinsert insertananyadvertisepart of an The publisher shall under no liability for failure, any reason, advertisement. The publisher will be notliable be liable for delay or failure in performance in publication and/or ment. The publisher shall not by reason of error, omission and/or failure to insert any distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will part of an advertisement. The publisher will not be liable for delay or failure in performance exercise reasonable judgment in these instances and will make adjustments for the advertiser where and in publication and/or distribution if all or any portion of an issue is delayed or suspended for when appropriate. TheNewspaper publisher assumes will exercise reasonable judgment in thesematerial instances and will make any The reason. Woman’s no responsibility for unsolicited or reproductions adjustments for the advertiser where and when appropriate. made by advertisers. Woman’swill Newspaper assumes no 15th responsibility for unsolicited ThisThe newspaper be published by the of every other month. material or reproductions made bybyadvertisers. Representations CW Media Group, LLC, COPYRIGHT 2008.

With each New Year that comes our way, we learn even more that the choices we make today will determine the path that lies ahead. Now is the time for fresh opportunities for success and the potential for much joy and happiness. It is due to the Ocean County Woman’s contributing writers, readers, distributors and staff that we are able to continue bringing you six issues a year full of educational articles, written by professionals who are leading experts in their fields. We are grateful for this opportunity and thank you for the support we receive from you in the form of emails, Facebook posts, tweets and phone calls. It is our privilege and honor to continue to supply the most informative articles, events coverage and special deals to the residents of Ocean County!

We wish you a prosperous, happy and successful 2017! Best, Lauren Shover & The Staff at the Ocean County Woman Publication

Featured on the Cover Atlantic Neurosurgical Specialists (ANS) Maureen Myers went back to work in the Food Services Department at Manasquan High School just four weeks after surgery for a life-threatening aneurysm. Read her story on pages 32 & 33.

Find us on the web! IND US ON THE WEB! www.TFhe CountyWoman.com WWW HEC WOMAN .COM And .T follow usOUNTY on Facebook and Twitter And follow us on Facebook and Twitter @TheCountyWoman

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INTRODUCTORY OFFERS

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January/February 2017

^ Medical Professionals

All-Care Physical Therapy Center, LLC...............................2 Garden State Bariatrics.......................................................7 Shore Vascular & Vein Center............................................ 8 Acuity Specialty Hospital of New Jersey.............................9 Quality Dermatology..........................................................13 Advocare Stafford Orthopedics.........................................16 Bella Derma Medi Spa.......................................................17 Ocean Otolaryngology Associates, PA..............................19 Mona Lisa Touch North Dover...........................................26 Gastroenterologists of Ocean County...............................28 University Urology Associates of New Jersey.............30, 31 Ocean Plastic Surgery PA and Laser Center.....................34 Toms River X-Ray, CT & MRI Center.................................39 Paonessa Colon and Rectal Surgery, PC....................40, 41 Kathy A. Banks, DMD........................................................42 Ocean Hematology & Oncology........................................43 Reproductive Science Center of New Jersey...................44 Dr. Park Avenue...........................................................47, 63 Barnabas Health Medical Group: Ocean Gynecological and Obstetrical Associates ......49 Institute for Complementary and Alternative Medicine.....52 Barnabas Health Medical Group: Dr. Sumy H. Chang......53 Caring Heart & Brain Imaging............................................56 Memory Enhancement Center..........................................58 Garden State Medical Center............................................71

^ Fine Art Photography

Tracy Harman Photography................................................3

^ Health & Wellness

The Body Wrap Shoppe & Spa...........................................5 Lice Lifters.........................................................................15 Ideal Innovations, LLC.......................................................25 Yoga Nine Mind/Body Studio......................................36, 45 Hypnosis for Women.........................................................38 Holistic Health Spa............................................................55

Contents

Jersey Shore Pharmacy....................................................59 ^ Meet the County Woman Team..................6

^ Pediatric Dentistry

5 ^ Facility Advisor Connie Roberson, OASIS..................................................41

^ Business & Finance

^ Travel

Copiers Plus......................................................................46 Greater Toms River Chamber of Commerce.....................69

^ Car Insurance

The Mosquito Authority.....................................................48

^ Precious Metal Buyers

Karing With Kindness........................................................50

^ Exterior Improvement

The Woods at Blue Heron Pines.................................... 51

Ocean Pediatric Dental Associates...................................10 TravelSmiths......................................................................11 All-State Car Insurance, Dolly Wasielewski.......................12 Precious Metal Buyers......................................................12 Built Rite Windows............................................................14

^ Law

Kathleen M. Dotoli, Esq.....................................................15 The Matus Law Group.......................................................22 Straffi & Straffi, Attorneys at Law......................................35

^ Outdoor Living ^ In-Home Care

^ Apartment Community ^ Men’s Clothing

Lou Marchiano For Men....................................................51

^ Assisted Living

Spring Oak of Forked River...............................................54

^ Financial Management

^ Massage School

^ Sub-Acute Center

^ Adult Community

Wells Fargo Advisor, Tony Karpowich...............................18

New Jersey School of Massage........................................55

AristaCare..........................................................................20

^ Reverse Mortgage Lending

Fountainhead.....................................................................57 ^ Women of Ocean County.............................60

^ MediCare Insurance

Ocean County College......................................................61

Barbara Sica, Homebridge Financial.................................21 The Buckley Insurance Group...........................................23

^ Professional Dentistry

Aesthetic Dental Creations................................................24

^ Wigs & Hair Replacement

Abstrax Hair Designs.........................................................27

^ Elder Law

Carluccio, Leone, Dimon, Doyle & Sacks, LLC.................29

^ Featured On the Cover

Atlantic Neurosurgical Specialists............................ 32, 33

^ Psychiatry

Charles Meusburger, MD...................................................37

^ Education

^ Funeral Planning

DeGraff Funeral Home.......................................................61

^ Business & Personal Storage

Airship Storage..................................................................63

^ Theatre & Entertainment

Cagney..............................................................................64 Not That Jewish................................................................65

^ Acupuncture

Koehler Acupuncture.........................................................66 ^ Community.........................................62, 67, 68, 70

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

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Meet The County Woman Team

Meet The Talented Staff Of The County Woman Publications In addition to our talented and successful contributing writers, read how the County Woman staff member’s personalities, passions and dedication create the superb issues that women and their families in Atlantic, Ocean, and Monmouth Counties read six times a year! Lauren Shover, Production Manager I Publications in 2013 after completing my Bachelor’s

Kristina Pruitt, Regional Sales Director M 10 years ago, working with Lynn Wolf closely

I joined the staff of the County Woman

Degree in Public Relations and Advertising from Rowan University and a Master’s Degree in Public Relations from Southern New Hampshire University. Working with the many talented contributing writers, editors and designers is the best part of my job. I have learned so much through reading their educational articles and I’m grateful to work with other friendly, accomplished and knowledgeable individuals and business owners. In my spare time, I enjoy spending time with my family, friends and boyfriend, Greg. Together, we have four energetic children, and by children I mean a 10-year-old Chocolate Lab, Bear and three cats, Bruiser, Bailey and Midnight. In April, my family was blessed with my adorable nephew, Hunter Chapman, who has bought tremendous joy into our lives. I look forward to expanding my career at the County Woman Publications. It is exciting seeing what the future has in store for the publications and myself!

Jessica Sochocky,

My history with The County Woman began

to learn all of the facets of this very exciting industry. I’ve always enjoyed meeting with local business owners and medical professionals to learn about what they do. Helping businesses establish themselves as experts in their field while providing solid information for the women and families of each county we serve is a mission I am proud of. To hear a client tell us they’ve seen exponential growth from the articles we circulate, and a reader thanking us for helpful information they’ve read in our magazine, makes my job incredibly rewarding! I’ve lived in Atlantic County for 25 years. Throughout my time working with The County Woman, I also worked with Jaguar, Land Rover and BMW, while continuing my weekly performances as a pianist/singer in The Society Club at the Borgata for the past eight years. I take the most pride in being a Mom to my son and daughter, two of the greatest gifts in my life.

In addition, we would like to thank all of the following talented individuals that also contribute to making the County Woman Publications a huge success.

Marketing Production Executive

I with my Bachelor’s Degree in Business Marketing I graduated from Widener University in 2015

and am the newest staff member at the County Woman Publications. When I started working for the County Woman Publications, I knew immediately this is where I wanted to have a career. It has allowed me to further my interest in graphic design while being creative in a fast paced business environment. I enjoy designing ads and pages alongside our very talented and experienced graphic designers and learning more about each of the amazing businesses that we feature in these publications. When I am not in the office, I enjoy going exploring with my friends and boyfriend, Mike, either climbing waterfalls or taking long drives to broaden our horizon. It is exciting finding new and different places in and around New Jersey. In addition, I enjoy curling up and watching movies with my two cats, Bella and Little. As a current resident in Atlantic County, I am excited and proud to see all of the businesses grow with each issue throughout the county. I look forward to continue in helping our clients provide valuable information to our readers in each issue.

The County Woman Magazine www.TheCountyWoman.com

Chris Lam, Publisher Mike Dziuba, Billing Manager Graphic Designers Stephanie Wolfgang Laura Golden Claire Burke Patty Shannon, Editor Gena Ansell-Lande, Writer PJ Santos, Web Designer Photographers Annette Jenkins Tracy Harman Donna Andrews Jeanne Teller, Distribution Manager

January/February 2017

Medical Professionals

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

Michael l. Bilof, MD, FACS, FASMSBS

Basil M. Yurcisin ll, MD, FACS

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

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

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

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Medical Professionals

Medical Professi Groundbreaking New Technology for Laser Tattoo Removal Groundbreaking New Technology f Shore Vascular & Vein Center / Aesthetic Laser Center announces en en , light

™

the newest, most complete solution available anywhere for laser tattoo removal.

enlighten

™

treatment of al with other lasers. You can also anticipate more complete results. However, since ones, with a sin the exact number of treatments will not initially be known, we offer complete number of trea tattoo removal packages. That gives you a set price in the beginning and eliminates Number of the uncertainty of not knowing the exact number of treatments that will ultimately be needed. Our staff can give you more information about pricing after we People often a be removed com examine your tattoo.

is the most advanced laser system available for safe and effective tattoo removal. It is the world’s first laser system to combine both That is because picosecond and nanosecond About Us are needed to r technology with dual wavelength Our medical director, Dr. Jeffrey Gosin, is a Board Certified Vascular Surgeon. of various sizes lasers. This allows individualized He has years of experience in performing cosmetic vascular laser procedures using are more difficu treatment of all colors of ink and the highly acclaimed Excel V™ laser. Over those years, he has been asked by many know in the ve skin types for the fastest, most Shore Vascular & Vein Center / Aesthetic Laser Center patients if he could also remove their tattoos with his laser. While the Excel V™ how completel complete laser tattoo removal ™ announces en light en , the newest, most complete laser is best-in-class for vascular applications, it is not designed for removing laser has been s ever available. tattoo removal solution laser limitations. tattoo removal. tattoos. available Other prior anywhere lasers also hadfor significant Therefore, he previously the number of would not provide this service. The “Pico” Difference ™ en light en is the most advanced laser system available ™ When the new enlighten laser finally became available, that completelya good idea of Lasers remove tattoos by delivering for safe andthings. effective tattooresearched removal.theIttechnology, is the world’s firstconferences, and examined. changed Dr. Gosin attended high energy over a very short period laser system to combine both picosecond and nanosecond Partial Tat personally consulted with laser experts from around the country who were involved of time to break up ink. Inks of different types, colors and depth can provide lasers. This allows in the verywith earlydual use ofwavelength this remarkable new device. It became clear that this Due to chang significant challenges to remove. It has been shown that shorter duration pulses aretechnology treatment allstandard colors of ink and skin typesWe forare very pleased other factors, s technology would set theof new in laser tattoo removal. more effective in completely removing tattoos than longer duration pulses. Our individualized changed. We c the fastest, most complete laser tattoo removal ever available. to be the first center in the entire Delaware Valley to be able to offer this cuttingnew enlighten™ laser can deliver energy at picosecond intervals. A picosecond is leaving other p technology. one trillionth of a second. This is one thousand times shorter than prior lasers Theedge “Pico” Difference Cost for tattoo removal. Picosecond, sometimes referred to as “pico,” lasers have been Lasers remove tattoos by delivering high energy over a very short period of time If you are Cost will vary shown to remove tattoos more completely and with fewer treatments, than with to break up ink. Inks of different types, colors and depth can provide significant experiencing including the s lasers used in the past. challenges to remove. It has been shown that shorter duration pulses are more treatments nee “tattoo regret” effective in completely removing tattoos than longer duration pulses. Our new Flexibility requiring far fe and would like to enlighten™ laser can deliver energy at picosecond intervals. A picosecond is Picosecond lasers are the newest, most advanced tattoo removal technology anticipate mor have your tattoo one trillionth of a second. This is one thousand times shorter than prior lasers available. Our enlighten™ laser combines this “pico” technology with the will not initiall removed or flexibility of both 1064nm and 532nm dual wavelength lasers. Never before has for tattoo removal. Picosecond, sometimes referred to as “pico,” lasers have been you a set price changed, call us this combination of power and versatility been available. This now allows for the shown to remove tattoos more completely and with fewer treatments, than with exact number o for a consultation. treatment of all color tattoos and skin types, even the traditionally very difficult lasers used in the past. more informat ones, with a single device. This provides effective results in approximately half the Flexibility About Us Picosecond lasers are the newest, most advanced tattoo removal technology number of treatments of prior lasers. Our medical

Number of Treatments Required and Results

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

For Our more information, call available. enlighten™ laser combines this 609-927-8346 “pico” technology with the flexibility of both 1064nm and 532nm dual wavelength lasers. Never before has or visit www.EndTattooRegret.com. this combination of power and versatility been available. This now allows for the

He has years of the highly accla patien Excel V for rem “University Quality Care at the Jersey Shore” Theref Wh compl confer countr device laser ta Delaw

If to ha consu

Partial Tattoo Removal

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

Cost

Cost will vary depending on a number of factors including the size of the tattoo and the number of treatments needed. Keep in mind that with enlighten™, you should anticipate requiring far fewer treatments than required

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

442 Bethel Road Somers Point, NJ 08244

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

www.TheCountyWoman.com January/February 2017

Medical Professionals

A Simple Choice For Complex Patients Acuity Specialty Hospital of New Jersey is a Long Term Acute Care hospital located inside AtlantiCare Regional Medical Center in Atlantic City. Our recently renovated hospital-within-a-hospital provides 30 private rooms equipped with state of the art monitoring to the medically complex and critically ill. Patients are seen by physician specialists daily and typically discharged to acute and sub-acute rehabilitation centers, skilled facilities or their homes. Our achievements speak for themselves:

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

Our team specializes in the following needs of our patients:

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

1925 Atlantic Ave. - 5th floor. Atlantic City, New Jersey 08401 P: 609-441-2122 Referral: 609-441-8123 www.atlanticcity.acuityhealthcare.net

The County Woman Magazine www.TheCountyWoman.com

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

218A Sunset Road Willingboro, New Jersey 08046 P: 609-835-3650 Referral: 609-835-3655 www.lourdes.acuityhealthcare.net January/February 2017

Pediatric Dentistry

Dentistry for Special Needs Children By Dr. Elisa Velazquez, Ocean Pediatric Dental Associates Children with special needs, including children with Autism Spectrum Disorder, are part of our dental family. Special needs kids have special dental needs and we are here to help. Specialized in Children’s Dental Health

FREE ORIENTATION PROGRAMS

Pediatric dentists are the pediatricians of dentistry. A pediatric dentist graduates dental school AND then completes 2 years of additional training ONLY WORKING WITH CHILDREN – INCLUDING SPECIAL NEEDS. We are specifically trained to treat children’s developing teeth and behaviors. We know the unique problems that children face, such as cavities and gum problems. The 2 years of pediatric education includes advanced training in behavior management, child psychology, growth and development, hospital dentistry, interceptive orthodontics, sedation, special needs patients, and techniques to alleviate anxiety and build trust with children and their parents. This extensive training provides pediatric dentists the knowledge and skills to provide a positive dental experience and to educate children on the importance of maintaining good oral health for a lifetime!

Our pediatric dental offices are child friendly, complete with TVs, toys and games in the waiting room, to help your child feel more at home. To help some children get acclimated to dental care, we offer a FREE MONTHLY PROGRAM for children on the spectrum. Our DOPAC program, Dental Orientation Program for Autistic Children, has been successful for many children. Repeated visits and exposure can be an effective learning program for some children to help them with daily oral hygiene and to acclimate them to an office setting. We also encourage families to read our SOCIAL STORY on our website and watch our YOUTUBE videos with their children to get them familiar with us. This DOPAC program is free but requires registration.

PREVENTION & ALL TREATMENT OPTIONS

Pediatric dentists and our trained staff focus on prevention of dental problems to ensure a lifetime of good dental health. We start dental visits at age 1 until teen years! OUR TEAM can offer you advice and teach your child about developing healthy dental habits. When dental problems arise, we have all options to help your child have their dentistry completed in a safe manner. We offer nitrous oxide, oral sedation, IV sedation and hospital dentistry when needed. These are safe options for most special needs patients.

Training with Special Care

Our doctors and staff are trained to work with special patients. Kids on the spectrum may have unique needs and we take our time to understand the child and listen to the family to tailor our approach to match that child. Ocean Pediatric Dental Associates are trained to work with all infants & children. Dr. Velazquez is the staff dentist for Children’s Specialized Hospital and is an associate professor at Rutgers Dental School in the pediatric and special care department.

WHY CHOOSE A PEDIATRIC DENTIST? • 2 YEARS ADVANCED TRAINING

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

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

Manahawkin 102 East Bay Avenue Manahawkin, NJ 08050 609-597-9195

www.OceanPediatricDental.com

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Travel

Why You Should Use A Travel Consultant

s travelers continue to research online, many travel agencies are shutting their doors. Our family-operated agency continues to grow each year because we put our clients first. For us, travel is more than finding the best value -- it’s creating a journey exceeding your expectations and ensuring an experience you’ll remember forever! We thank you for your continued trust and look forward to serving you on your next ultimate journey. If you’re thinking of using a travel consultant, look no longer! • We make it a point to have personal relationships with the resorts where we send our clients – so you can be sure you’re always in good hands. • We are your local Honeymoon and Destination Wedding Specialists – top rated on Wedding Wire and The Knot! • We inquire about your every need, desire, and expectation so every detail is perfectly suited for you. • We are a Signature Travel Network agency and can offer exclusive amenities to enhance your travel experience. • Along with our professional advise, you can rely on us to assist if something does not go as planned. • Our consultants have traveled the globe and use these experiences to tailor your journey. • Our Consultants will help you find the resort, destination, and atmosphere that will fit your needs.

TravelSmiths’ Consultants are highly recommended by suppliers and clients alike -- with over 30 years in the Travel Industry, we have received many accolades. Call today to schedule an appointment with one of our fantastic Travel Consultants.

www.TravelSmiths.com 732-899-8400 1100 Ocean Road (Rt 88) Point Pleasant, NJ 08742

SALLY JANE SMITH, PRESIDENT/CEO, CTA

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One entry per person. All winners will be emailed tickets. Multiple entries will be disqualified. Entrants may enter for tickets to multiple shows. Entries will be accepted through February 28, 2017. Some shows will be drawn sooner based upon run date. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be provided. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Car Insurance

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January/February 2017

Medical Professionals

Psoriasis Psoriasis is a noncontagious skin condition that produces plaques of thickened, scaling skin. The dry flakes of skin scales result from the excessively rapid proliferation of skin cells. The proliferation of skin cells is triggered by inflammatory chemicals produced by specialized white blood cells called lymphocytes.

Erythrodermic psoriasis presents as generalized erythema, pain, and itching. It typically encompasses nearly the entire body surface area. It may be accompanied by fever, chills, hypothermia and dehydration secondary to the large body surface area involvement.

There are different types of psoriasis. Some affect only skin while others affect other vital organs of the body like eyes, oral cavity, nails and joints.

Scalp psoriasis affects approximately 50% of patients. It presents as erythematous raised plaques with silvery white scales on the scalp.

Psoriasis vulgaris is the most common type of psoriasis and involves the scalp, extensor surfaces, genitals, umbilicus, trunk and ears. Plaque psoriasis is characterized by raised, inflamed lesions covered with a silvery white scale. Guttate psoriasis presents as small salmon-pink papules, 1-10 mm in diameter, predominately on the trunk. It frequently appears suddenly, 2-3 weeks after an upper respiratory infection (URI) with group A beta-hemolytic streptococci. This form of psoriasis might cause heart complications if not promptly identified and treated. Pustular psoriasis presents as pustules appearing on the palms and soles or diffusely over the body.

Inverse psoriasis occurs on the flexural surfaces, armpit, groin, under the breast, and in the skin folds. It is characterized by smooth, inflamed lesions without scaling due to the moist nature of the area where this type of psoriasis is located. Oral psoriasis may present with whitish lesions on the oral mucosa. Geographic tongue is considered by many to be an oral form of psoriasis. Eruptive psoriasis involves the upper trunk and upper extremities. Most often, it is seen in younger patients.

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Complications of psoriasis may include the following: • Secondary infections • Possible increased risk of lymphoma • Possible increased risk of cardiovascular and ischemic heart disease • Psoriatic arthritis • Mitral valve prolapse

Medical Dermatology: Comprehensive Skin (Pediatric & Adult) Cancer Screenings Available • Abnormal Moles Call Today! • Pre-cancer growths • Skin Cancer • Pimples • Scars • Painful viral & fungal infections • Itchy flaky scalp/face • Eczema • Cracked lips & dry skin • Itching, sunburns & blisters • Diaper rash & allergic reactions • Rosacea • Skin tags • Benign growths ...and many others.

Even after plaques have cleared, there may be a longstanding or permanent discoloration. Arthritis, if not controlled, may be mutilating and crippling. It is suggested that psoriatic patients have a higher incidence of cancer, especially lymphoma, but how much of this increased risk can be ascribed to the psoriasis and how much to the medications used for psoriasis is less certain. Psoriatic patients have a higher incidence of depression and anxiety.

Renata Flaks, DNP 707 Main Street • Toms River, NJ Phone: 732-244-2666 www.qualityderm.com Accepts Most Insurance Plans • Accepting New Patients Open Mon. - Fri. Same Day Emergency Appointments Available

Nail psoriasis may cause pits on the nails, which often become thickened and yellowish in color. Nails may separate from the nail bed. Psoriatic nails may be indistinguishable from fungal nails so your dermatologist can perform certain tests to determine the diagnosis.

Sometimes your dermatologist might need to do a biopsy to confirm psoriasis. Treatment regimens depend on the severity of the condition. It could be topical, oral, injection or a combination of a few. However, in spite of a range of options, effective treatment of psoriasis can be challenging. The disease is unpredictable, going through cycles of improvement and worsening, seemingly at random. Effects of psoriasis treatments also can be unpredictable; what works well for one person might be ineffective for someone else. Your skin also can become resistant to various treatments over time, and the most potent psoriasis treatments can have serious side effects. Talk to your dermatologist about your psoriasis and treatments available.

RENATA FLAKS, DNP

FOR MORE INFORMATION CALL 732-244-2666 OR VISIT WWW.QUALITYDERM.COM

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Exterior Improvement

Built Rite Windows is the window installation and replacement window specialist in Central NJ, Ocean County and Monmouth County. Their experienced staff will help you determine the window type and style that best fits your home. They sell and install the highest quality products at the most reasonable prices, with full service included. All products meet Energy Star Requirements. A second-generation family owned business; Built Rite Windows is owned and operated by Lucia and Ron Dambrosio. Lucia, who is involved in local charities, and Ron, a Vietnam Vet, has served the Jersey Shore area for over 37 years. Luciaâ&#x20AC;&#x2122;s son, John, is responsible for sales and her son, Vincent, is responsible for installations. You can also find Ron installing windows, that is, when he is not on the golf course.

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

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Law

Workers’ Compensation Needs Improvement, Says Washington The Workers’ Compensation system nationwide is exhibiting cracks. Cracks that result in diminished benefits to injured workers, state by state, and Washington is paying attention. Last month I had the honor of presenting the findings of a recent U.S. Department of Labor report to my colleagues at the Ocean County Bar Association. Initially I thought the topic would be rather dry and I’d report on statistics and recommendations. I was incorrect. THIS IS WHAT I FOUND OUT. To your detriment, insurance companies have really done a good job convincing many states to cut the amount of medical treatment and wage replacement they must pay for when a worker suffers an on-the-job injury. Sometimes workers’ rights are chipped away subtly. On other occasions, broad sweeping reforms take place with a hatchet.

And when workers’ comp denies coverage, suspends treatment or limits access to doctors, someone else pays for those needs. Social Security Disability, Medicare/Medicaid or private health carriers often foot the bill when the comp carrier fails to deliver. Families and the community also play a role in filling in the gaps, often leading to a downward spiral into short-term crisis and long-term poverty. Does this outrage you? It should. Insurance companies have all the resources in the world to fight your claim. They have the means to intimidate and discourage workers from filing claims and exercise their ability to do so regularly. But you can fight back. If you’ve been injured at work, know your rights and file a claim petition. Contact me today for more information.

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

“This is where my heart is and where I was meant to live, practice law, and help others.” Health & Wellness

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The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Medical Professionals

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Judy Kerlin, APN Board Certified ANCC

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The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Financial Management

Social Security: A Woman’s Perspective Regardless of whether you’re a man or a woman, Social Security will not – and was never designed to – provide all of the income you’ll need to live comfortably during retirement. At best, your income from Social Security will supplement your other sources. If you are factoring Social Security into your retirement plan, you should learn all you can about how to enhance your benefits, and how much income you may need from other sources, to be financially comfortable during your retirement years. For women, however, there are some unique factors to consider in the equation. With longer life expectancies than men, women tend to live more years in retirement and have a greater chance of exhausting other sources of income. Because Social Security generally has annual cost-of-living adjustments, you have an inflationprotected benefit for as long as you live. For women, those increases are vital since women generally live longer than men. In addition, Social Security provides dependent benefits to spouses, divorced spouses, elderly widows and widows with young children. While Social Security is neutral with respect to gender (individuals with identical earnings histories are treated with the same in terms of benefits), the following 2015 numbers1 released by the Social Security Administration Office of Research and Statistics highlight how demographic characteristics of women compare with the entire population. • Women reaching age 65 need to prepare for approximately 21.6 more years of living expenses. Men live an average of 19.3 more years. • Women make up 56% of all Social Security beneficiaries age 62 and older and approximately 66% of beneficiaries age 85 and older. • The average annual Social Security income received by women 65 years and older was $12,857 compared to $16,590 for men. • For unmarried women age 65 and older (including widows), Social Security comprised 49% of their total income. In contrast, only 35% of unmarried elderly men’s income and 30% of elderly couples’ income came from Social Security.

•

Of all elderly unmarried women receiving Social Security benefits, 49% relied on Social Security for 90% or more of their income. • Only 22% of unmarried women aged 65 or older were receiving their own private pensions, compared with 27.7% of unmarried men. • Of the women who were employed fulltime, 56.4% participated in an employersponsored public and private sector plan compared to 53% of men. While participation in employer-sponsored retirement plans is increasing for women in today’s workforce, women generally received lower pension benefits than men due to their relatively lower earnings. Probably none of this comes as a surprise, considering women earning less and spending more time out of the work force than men. On average, women spend 12 years out of the work force caring for others.2 Women also are more likely to work at small companies that lack employer-sponsored benefit programs and hold part-time rather than full-time positions. Looking at the whole picture, you can see how these factors might tend to significantly affect women’s Social Security benefits and any retirement plan or pension plan benefits they may have accrued. So how do women offset this gap? Get a retirement plan in place so Social Security benefits can be an income supplement and not a mainstay. To help you determine a retirement strategy that is appropriate for your personal financial situation, talk with your Financial Advisor. Social Security Administration Office of Research and Statistics: Social Security Is Important to Women, http:// www.ssa.gov/pressoffice/factsheets/women.htm 2 Dartmouth-Hitchcock Medical Center, 2009. Women and Retirement Security: http://www.dartmouthhitchcock.org/dhmc-internet-upload/file_collection/WHRCSummer09.pdf 1

This article was written by Wells Fargo Advisors Financial Network and provided courtesy of Tony Karpowich, Senior Financial Advisor / Registered Principal in Toms River at 848-200-1170. Investments in securities and insurance products are: NOT FDIC-INSURED/NOT BANK-GUARANTEED/MAY LOSE VALUE Investment products and services are offered through Wells Fargo Advisors Financial Network, LLC (WFAFN), Member SIPC. Gold Star Wealth Management is a separate entity from WFAFN. © 2015 Wells Fargo Financial Network, LLC. All rights reserved.

For more information, call 848-200-1170 or visit www.goldstarwealthmanagement.com.

Are you searching for a Financial Advisor? Are you unhappy with your current advisor? Are your accounts receiving the service they deserve? Are you struggling to manage your portfolio on your own? Has your portfolio lived up to your expectations? Experience the Wells Fargo Advisors difference. If you are looking for a Financial Advisor who stands apart from the crowd, come and see what makes us different. We offer comprehensive investment advice, a broad range of investment choices, and dedicated personal service.

Gold Star Wealth Management Tony Karpowich, Senior Financial Advisor Chartered Retirement Planning Counselor 680 Hooper Ave., Bldg. A, Ste. 104, Toms River, NJ 08753 Direct: 848-200-1170 • tony.karpowich@wfafinet.com goldstarwealthmanagement.com Investment and Insurance Products:

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Investment products and services are offered through Wells Fargo Advisors Financial Network, LLC (WFAFN), Member SIPC, a registered broker-dealer and a separate non-bank affiliate of Wells Fargo & Company. © 2013 Wells Fargo Advisors Financial Network, LLC. All rights reserved. 0716-04022 [74034-v5] A1587 (2992702_496580) Gold Star Wealth Management is a separate entity from WFAFN.

The County Woman Magazine www.TheCountyWoman.com

Tony Karpowich

January/February 2017

Medical Professionals

Ocean Otolaryngology Combats Chronic Sinusitis With New Device Submitted by Dr. Bruce Peters Suffers of chronic sinusitis are turning to Ocean Otolaryngology for new methods for long-term relief. The Ocean County-based practice now offers the Propel® implant, a new medical device that is clinically proven to improve outcomes for sinus surgery. “The Propel® implant is a game changer for our patients who suffer from chronic sinusitis in combination with nasal polyps,” said Dr. Bruce W. Peters, a board-certified otolaryngologist, head and neck surgeon at Ocean Otolaryngology. “The device reduces the regrowth of polyps post-surgery and the need for oral steroids.” Chronic sinusitis affects one in seven adults, according to a 2010 National Health Interview Survey. The condition, which is characterized by chronic congestion, postnasal drainage, pressure, coughing and headaches, is commonly underdiagnosed as allergies. According to the Asthma and Allergy Foundation of America, 49% of sinusitis sufferers have never seen an ear, nose and throat specialist about their condition. Those diagnosed with the condition initially turn to antibiotics, inhaled nasal topical steroids, antihistamines and decongestants. Reports by the Millennium Research Group indicate that 500,000 sufferers who don’t respond to medical treatment undergo endoscopic surgery to remedy their condition. Donna W., a patient at Ocean Otolaryngology, opted for the Propel® implant after suffering from chronic sinusitis. “I had so many sinus infections, and since receiving the implant in July, they’ve cleared up,” said Donna. “I had a very good experience at Ocean Otolaryngology and would encourage anyone considering the Propel® implant to receive it there.”

Bruce W. Peters, DO, FACS

The Propel® implant can be inserted in conjunction with endoscopic surgery using a disposable introducer. After insertion, the spring-loaded device expands to maintain its position in the operative site and exudes steroids that are locally absorbed by the sinus tissue. The procedure includes the removal of inflamed tissue, requires no external incisions, and can be done under local anesthesia if not done in conjunction with endoscopic surgery. “The surgery is relatively quick and pain-free,” said Dr. Peters. “The Propel® implant often allows patients to avoid the need for oral steroids and their associated side effects. The device dissolves over four to six weeks while continually delivering medication to the local tissues to help prevent polyp recurrence.” All three doctors at Ocean Otolaryngology, including Dr. Peters and his associates Dr. Christina M. Gillespie and Dr. Stephen B. Kupferberg, can assist patients seeking to combat chronic sinusitis with this new device. “We encourage those who believe they may be suffering from chronic sinusitis to visit our offices to discuss whether endoscopic surgery and the Propel® implant could help alleviate their symptoms,” said Dr. Peters.

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

Stephen Kupferberg, MD, FACS

Christina Gillespie, MD

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

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

Happy Valentine’s Day

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Sub-Acute Center

Welcoming back The "Care" in Healthcare

The beginning of a national trend: making “YOU” count again in HealthCare

Ever hear someone recommend a doctor with this phrase? “He is an amazing doctor, but his bedside manner is terrible.” This is slowly becoming unacceptable in the healthcare industry. Why should customer service be an afterthought in the Healthcare industry? When checking into a hotel or being greeted at a hair salon, good customer service is must. No one wants to stay at a hotel where they are not treated like royalty and no one wants to get “pampered” where they feel like a bother to the employees. In fact if you have a negative experience, chances are you will never stay at that hotel or go to that salon again. Furthermore, without a doubt you will blast social media with how awful your experience was so everyone else will know where not to go. Why should customer service within a healthcare organization be any different? For years patients accepted subpar customer service for amazing clinical results, but not anymore. Doctors’ offices, hospitals, and other healthcare facilities are now beginning to realize that they are now not only responsible for providing excellent clinical care, but ensuring patients are having a positive experience as well. A handful of select elite Healthcare Organizations have been rolling out a brand new concept in top level administration. They are now appointing CXO’s, Chief Experience officers, who report straight to the CEO. This position is to oversee overall patient experience. This position is important not just for patients and their families, but for staff as well. It creates a culture and transparency within the building. It creates an environment where nurses know that in addition to providing the best possible nursing care, they are also expected to provide empathy, physical, and emotional support to both patients and families. Visible support from the administration is key to successful experience campaigns. With Social Media influence we see that word of mouth is the best form of marketing, it always has been, so you would think that making sure patients are happy would be a given. Many healthcare organizations are so focused on providing excellence in quality healthcare, that they do not realize that positive health related outcomes may not always translate into an overall positive experience. Patients do not want to be labeled and treated as their diagnosis, they are humans, who have different wants and needs. These patients are most likely going through a very difficult time and need emotional support and something as simple as a smile when they are feeling down will make all the difference. In fact, people are more likely to choose a doctor, hospital, or healthcare organization based on personal experience. Patients want to know that they will be greeted by a friendly staff and that doctors and staff will be available to them when needed. Since day one, AristaCare put an emphasis on customer service, and it is nice to see this vision is becoming little by little an industry standard by major HealthCare Organizations. Our first Director of Quality Experience was our Executive Director, Robert Greenberger. Due to his kind and caring nature, this position happened by default. He checked on patients daily and upon hearing the littlest thing that they were not happy with, he jumped on it. From bringing someone Greek yogurt daily to buying someone a mirror so they could confidently go down to the therapy knowing they looked nice. These items may seem small, but they made the patients feel special. They felt that we cared for them as people not as medical charts. Patients knew that Robert, the brother of the CEO, was available by cell phone and he didn’t just pretend to care, he truly did care. This customer service experience became known throughout the facility. Staff knew that Robert would be rounding and if there were issues, he would know. Before you knew it everyone was reporting needs and wants of patients simply because they wanted to beat the big boss to it! It is a beautiful concept that happened naturally and started from the most genuine place… someone caring! Today, all AristaCare buildings are staffed with a Director of Quality Experience who report directly to the administrator. This position created transparency within AristaCare facilities and is constantly helping to improve systems, imperfections, and at the end of the day we are providing better healthcare because of it. How rewarding it is to see that the concept of CXO or DQE that was rolled out in 2008 in a small town in Ocean County is now beginning to pick up traction with the most prestigious names in health care.

We welcome you to join us at our upcoming events. To be placed on our mailing list please contact our receptionist at 732.849.4300.

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Reverse Mortgage Lending

** You Youmust *must Youcontinue must continue continue to to pay pay required required property property taxes, homeowners taxes, homeowners insurance, and maintain insurance, theaccording home andaccording maintain to Federal the home Housing according to Federal Housing to pay required property taxes, homeowners insurance, and maintain the home to Federal Housing Administration Administration Requirements Requirements Administration Requirements

Call Call me me today today and let’s see see a Reverse if Mortgage a Reverse Mortgage is Mortgage right is right for you! Call me today andand let’s seelet’s if a ifReverse is right for for you!you! Barbara Barbara Barbara Sica Sica Sica Director Director of Reverse ofLending Reverse Lending Director of Reverse Lending Mortgage Mortgage Loan Originator Loan Originator Mortgage Loan Originator NMLS # 404007 # 404007 NMLSNMLS # 404007 Office: 732-738-7100 732-738-7100 Ext.466 Ext.466 Office:Office: 732-738-7100 Ext.466 Cell: 732-569-4830 Cell: 732-569-4830 Cell: 732-569-4830 bsica@homebridge.com bsica@homebridge.com bsica@homebridge.com www.HomeBridge.com/BarbaraSica www.HomeBridge.com/BarbaraSica www.HomeBridge.com/BarbaraSica HomeBridge HomeBridge Financial Financial Services, Services, Inc. Inc. Corporate Corporate NMLS(www.nmlsconsumeraccess.org). NMLS ID #6521ID (www.nmlsconsumeraccess.org). #6521 (www.nmlsconsumeraccess.org). 9th 194 Floor, Wood Iselin, NJ Ave 08830. South, New Jersey 9th Floor, Residential Iselin, Mortgage NJ 08830. Lender New License Jersey 9200151. Residential Mortgage Lender License 9200151. HomeBridge Financial Services, Inc. Corporate NMLS ID #6521 194 Wood194 AveWood South,Ave 9thSouth, Floor, Iselin, NJ 08830. New Jersey Residential Mortgage Lender License 9200151. Licensed Licensed Mortgage Mortgage Banker(B500691) (B500691) New - New York State YorkDepartment State Department ofServices. FinancialLicensed Services. of Financial Licensed Services. by Pennsylvania Licensed Department by Pennsylvania of20394. Banking 20394.Department of Banking 20394. Licensed Mortgage BankerBanker (B500691) - New York- State Department of Financial by Pennsylvania Department of Banking

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January/February 2017

Law

THE MATUS LAW GROUP TAKES A TEAM APPROACH TO HELPING YOU

Christine L. Matus, Esq.,

When it comes to matters of estate planning and special needs planning services for children and adults, The Matus Law Group has years of experience and expertise behind them. For over 20 years this law firm has advised New Jersey residents in asset protection, conservatorship, powers of attorney, and wills. Owner Christine Matus is a trusted attorney who can help you and your family plan for life, protect and care for loved ones with special needs, and preserve inheritances for future generations. “By helping you carefully plan for the future, our goal is to serve with the highest integrity and quality of work,” she says. Christine places a tremendous emphasis on client satisfaction. She adds, “Our clients turn to us in their time of need. Whether that is needing advice for handling personal issues for their family or child, discussing their special needs, or finding answers to questions that keep them up at night, our firm helps them achieve their goals.” She has always gained enormous satisfaction from helping others who are

experiencing serious difficulties. This is the part of her profession she finds to be emotionally rewarding. However, with the law not everything is “black and white.” “There are no simple answers to ‘quick questions.’ Many times, when a client poses a question we have to say, ‘it depends’ because not all cases are alike. We make sure to tailor solutions for the individual client, their family, and special needs child along with their concerns and goals,” she adds. Interestingly enough, she has discovered that one of the most common complaints in a recent survey of client satisfaction in the industry is lack of communication. “The world has evolved such that information is everywhere through television, radio, the Internet, and social media. This creates an unreasonable expectation that information and replies should be instant and immediate,” she says. The Matus Law Group is very conscientious about providing continuous information to the client with reasonable expectations.

AN INTRODUC TION TO THE TEAM COLLEN CLARK, Esq. In her role as an Associate Attorney, Colleen provides comprehensive legal advice to families about protecting the benefits and assets of a special needs individual, as well as addressing their educational concerns. She adds, “I am able to provide our clients with the peace of mind that some of their most important concerns are taken care of. My primary role is to assist families with a special needs member.” This may include guardianships, conservatorships, special needs trusts, and accommodation planning (IEP or 504 planning). She also assists families in securing their assets for the future and ensuring their long-term health care decisions are effectuated. She enjoys the firm’s client-centered approach. “We take the time to understand our clients’ unique situations and prepare a plan to meet their individual goals,” she says.

JENNIFER MARTINEZ As a Real Estate Paralegal and Office Manager, Jennifer handles a broad scope of work consisting of contracts, human resources, and assisting attorneys with their transactions. She adds, “I help review the contracts, inspection reports, title searches, and even assist with preparing correspondence and document preparation. I also relay information to our clients, Realtors, and other offices.” In her role as Office Manager, her responsibilities include overseeing the staff and making sure the firm is operating smoothly. She assists with training new hires on the programs and daily operating procedures. “What I enjoy the most is being part of such a great team. Our staff is comprised of caring and compassionate individuals who complement not only each other, but also the firm as a whole. I am lucky to have such a wonderful boss and amazing co-workers, and am proud to be a part of the Matus Law team.”

BERNADETTE ARCEO As an Estate Planning Paralegal, Bernadette provides supervising attorneys assistance and support through the performance of a wide variety of tasks related to estate planning and probate. She adds, “My role includes everything from scheduling of appointments to assuring the delivery of executed estate planning documents to clients.” Client communication is an integral part of her position. Once the attorney has met with and secured the client, Bernadette often becomes the primary contact for them. “Every day is a learning experience. There is always something new to learn, whether it be from our clients, the documents I am working on, or the research work,” she adds. If you have a loved one with disabilities or special needs and require legal assistance, The Matus Law Group will support you every step of the way. With their extensive knowledge and experience with special needs planning, they will assist you with access to critical public benefits, education, and most of all, support. Their dedicated team will ensure that your loved ones are cared for according to your wishes now and in the future.

For more information, call 732-281-0060 or visit www.MatusLaw.com. Helping people protect assets for Special Needs Children and conduct smooth real estate closings for almost two decades. Basic Estate Planning FOR PARENTS WITH SPECIAL NEEDS CHILDREN

732.281.0060

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

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

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

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

www.MatusLaw.com5

The County Woman Magazine www.TheCountyWoman.com

Christine L. Matus, Esq. with her family

January/February 2017

Medicare IInsurance nsurance MediCare

NJMEDICAREPLANS.COM OUR FREE SERVICE HAS HELPED THOUSANDS OF NJ SENIORS SAVE MONEY ✔ Unbiased personalized quotes from the major carriers in NJ. ✔ New clients save an average of $250 to $1000 per year without changing doctors. ✔ New to Medicare? Ask about our Turning 65 checklist. ✔ Help with Medigap, Medicare Advantage and Part D (Rx plans). ✔ Medigap plans can be changed anytime, do not wait! ✔ We handle all of the paperwork and we do make house calls. ✔ We are a local, family owned agency and we become your advocates. ✔ Let us walk you through the “Medicare Maze” and give you peace of mind. Call Now

(732)746-3320

The Buckley Insurance Group 2060 Route 88 • Brick, NJ 98724

www.buckleynj.com

Community Sweepstakes Giveaway

South Africa Volunteers Wanted

Abused and Neglected Children in Foster Care Sweepstakes Giveaway!

Need a Safari Voice in for CourtYoufrom Can Become That Voice. Inc & South African Airways Learn about of Ocean County Win an CASA Air-inclusive 6-Night Africa Two African Travel, and Join the CASA Training This Six Night Package Includes: to Become a • Roundtrip airfare from USA to South Africa Court Appointed • Three night stay at Belmond Mount Nelson Hotel, Cape Town • Three night safari stay at Savannah Game Lodge, Kruger National Park Special Advocate

Plus, your choice of one sightaseeing tour in the Cape Area!

Visit: www.casaofoceancounty.org

For details please call CASA at 732-797-0590 or To enter for the email Kara@casaofoceancounty.org

sweepstakes or for more information visit www.travelsmiths.com

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

September/October 2016 January/February 2017

Professional Dentistry

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January/February 2017

Health &Wellness

Have A Healthy New Year With The Help Of Ideal Innovations Weight Loss Center! If you want to be healthier, increase your energy, improve your nutritional intake and reclaim a healthy glow, you need to decide to take charge of yourself!

It’s not just a diet, it’s a lifestyle change

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When it comes to losing weight, changing your life isn’t as difficult as you may think. New research has indicated that even a small weight loss can result in enormous gains and potentially life-changing changes. You can reduce your risk of heart attack, cancer, stroke, dementia, and more, just by losing 10 pounds! Understanding Your Cravings Hormones that our body produces can influence how, when and why we eat certain foods. Eating sugar, fat, and/or salt triggers the release of dopamine, a “feel-good” brain chemical that can also make you want to eat when you’re not really hungry. Another hormone, serotonin, tends to decrease during specific times of the month. Both PMS (premenstrual syndrome) and PMDD (pre-menstrual dysphoric disorder) are characteristic of a significant drop of serotonin. Both respond favorably to carbohydrates. This clearly magnifies food cravings. A Program Designed For You! The wellness and weight loss program that my office offers is a medically designed protocol that results in fat loss while sparing muscle. Our method helps to control carbohydrate cravings and stabilize blood sugar by controlling the amount of carbohydrates that your body consumes. It is also an excellent support for cellulite reduction! We will teach you about the three types of food that affect your weight— those that cause weight gain, those that do not, and those that can prevent you from losing weight. You will also add our protein-based foods, which consist of high biological value proteins, to build complete meals. Weight loss is monitored on a weekly basis with one on one private counseling.

Call today to schedule a FREE-NO OBLIGATION consultation.

Ideal Innovations, LLC Susan Navilio

Ideal Protein 1322 Route 72 West, suite 204 Manahawkin, NJ 08050 phone: (609) 350-2524 fax: (609) 978-5550 www.idealinnovationsweightloss.com

INDEPENDENT AUTHORIZED CLINIC

Black History Month

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Medical Professionals

New Laser Therapy For Women Who Suffer During Menopause And After Childbirth Do you suffer from vaginal discomforts? Vaginal discomforts such as dryness, burning, and urinary incontinence can occur during pre-menopause or after childbirth. The main cause is often atrophic vaginitis: a disease that can adversely affect your life and your relationship with your partner. Around 17% of women aged 18-50 experience problems with vaginal dryness during sex, even before menopause takes place.1 What is vaginal atrophy? Vaginal atrophy, also known as atrophic vaginitis, is an uncomfortable condition that many women suffer from in silence. For those who find current treatment options for this condition to be ineffective, the FDA recently approved a new procedure, MonaLisa Touch®, to combat this problem, only it’s not for the faint of heart. Vaginal atrophy is often caused by hormone changes associated with menopause, but may also occur in women who experience decreased estrogen production due to cancer or breastfeeding. It is characterized by thinning, drying, and inflammation of the vaginal walls, which causes intercourse to be painful and may also contribute to problems with urination. How can MonaLisa Touch® help? MonaLisa Touch® is a functional vaginal rejuvenation treatment based on a special fractional CO2 laser, specifically created for the vaginal mucosa. MonaLisa Touch® prevents and resolves estrogen drops in the vaginal tissue (typically occurring during menopause or after childbirth) by reactivating the production of new collagen and reestablishing the conditions that the vaginal mucosa once had. MonaLisa Touch® is now the most effective non-surgical and non-pharmacological solution

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

for preventing and treating vaginal atrophy and its after-effects, which many women suffer from during menopause and after childbirth. What does the procedure entail? The CO2 laser gently acts on the vaginal walls through a special scanner, creating indistinguishable micro-lesions that are required for triggering a neocollagenesis process (production of new collagen) and reorganizing and reequilibrating the components of the vaginal mucosa. The laser’s action therefore safely and painlessly reactivates and reestablishes the proper function of the relative urogenital structures while also improving the symptoms associated with urinary dysfunction (mild incontinence due to stress). A tissue regeneration process lasting numerous weeks is triggered, but stimulation occurs immediately and significant improvements can be seen even after the first treatment. What are the expected results from MonaLisa Touch® treatments? The mucosal tissue thus becomes more nourished and hydrated and the epithelium becomes thicker, more toned (vaginal tightening) and elastic. It also reestablishes the correct vaginal pH, which helps maintain its natural

Enter to Win

Enter to Win a $100 Gift Certificate to Koehler Acupuncture

Name: ____________________________________________________ Address: __________________________________________________ City: ______________________State: ______ Zip Code: ___________

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723

732.262.0637

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

One entry per person for Koehler Acupuncture. Valid for new patients/clients only. Value not to exceed $100. Entries will be accepted through February 28, 2017. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

www.koehleracupuncture.com

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Wigs

Hair Replacement

Start The New Year With A Fresh New Look As the New Year begins and the winter months approach, we at Abstrax Hair Designs, do not want you to forget how important it is to keep your locks fresh and bold. The cold months can be quite harsh on your hair, as it has become more porous making it more susceptible to damage. During this time, your hair is the most important accessory and that is why at Abstrax we offer a variety of quick services that will have your hair flowing for the entire season. Let our experienced stylists cater to your distinct hair type, facial shape and life style! During your visit, we will teach you how to obtain the salon finish look everyday and recommend products for your daily, at home maintenance. The hair industry is a visual art form. Please feel free to bring pictures, magazine clippings, and any other examples to aid your stylist in grasping your vision. Other helpful hints include a description of your lifestyle, job requirements, and the amount of time you allot for daily care. At Abstrax Hair Designs, our professional staff has over 15 years of experience in hair extensions. Hair extensions are perfect for adding more length, fullness, volume, body, highlights, lowlights, fixing a bad hair cut, growing out bangs, or just driving your boyfriend crazy! Lighter or brighter extensions is also a perfect way to kick it up a notch. Look like the celebrities with great natural hair extensions. We use the “Great Lengths” bonding method. We’ll start with the consultation to determine what look you would like to achieve with the extensions. Additionally, we offer cleansing scalp treatments to cleanse the scalp prior to receiving other cosmetic treatments. Our professionals utilize the Heads First Capilia services, such as a microscopic scalp analysis to determine the necessary follow-up treatments required. The purpose of the cleansing scalp treatment is to allow the following treatments to penetrate the scalp for a fuller effect, which is more beneficial for the clients scalp. Remember to ask, ask, ask as many questions you can! It will be helpful for you and your stylist. At all times, our staff promises professional services and a natural style that fits all of your individual needs.

Human Hair Eyebrows Now Available Due to years of plucking and waxing, along with age, genetics, and disease can leave many women with thin, damaged, and shapeless eyebrows. Whatever the case may be, eyebrow replacement is a non-invasive solution to obtain lasting, thick, eyebrows with a completely natural look. A variety of variables can be the cause of thinning eyebrows. Genetics, medical procedures such as Chemotherapy, over plucking or over waxing your eyebrows for years, and aging are all reasons you can be experiencing hair loss of the eyebrows. The experienced professionals at Abstrax Hair Designers, can determine the issue if you are a prime candidate for a non-surgical eyebrow replacement. Non-surgical eyebrow replacement is a relatively quick and painless process. It is done using extreme precision and artistry to ensure a natural outcome. At Abstrax Hair Designs we mirror your hair’s natural growth pattern the best we can to obtain the most natural looking results. This procedure does not take very long with results nothing short of remarkable, with the appearance of thicker, more defined eyebrows. Stop penciling in your thinning areas, contact us for a more natural looking and permanent solution.

For more information, call Abstrax Hair Designs at 732-255-1733 or visit www.abstraxhairdesign.com. 2494 Moore Rd. Ste. #1 Toms River, NJ 08753 (In the Stone Hedge Prof. Bldg.)

732.255.1733 www.abstraxhairdesign.com

We at Abstrax Hair Designs would love to give you an individualized, amazing look. Call 732-255-1733 to schedule an appointment today. You will not be disappointed. Your time is precious,we will not waste it! Laura Cole, AHLC Secretary, Master Certified, Tricology Specialist

Appointments are required. Call today for your FREE consultation!

Cleansing Scalp Treatments Available!

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Medical Professionals

Hepatitis C and the Baby Boomer

Written by Jill Collier, M.D. Medical Director, Endoscopy Center of Toms River

More than 75% of patients infected with Hepatitis C were born between 1945 and 1965 and are part of the Baby Boomer generation. This has prompted the Centers for Disease Control and Prevention to recommend routine testing for Hepatitis C virus for all Baby Boomers. Hepatitis C is one of the leading causes of cirrhosis, primary liver cancer, and the need for liver transplantation. Unfortunately it often progresses to severe organ damage before any symptoms are present, making it a silent killer. What is Hepatitis C and how do I get it?

Hepatitis C is a viral infection that is transmitted by blood. The virus reproduces in the cells of the liver, leading to chronic liver inflammation. Over the course of decades and without many symptoms, this process leads to a scarred and damaged liver. Risk factors for transmission include drug use,

tattoos, and blood transfusions prior to widespread blood screening practices of the 1990s. Patients with HIV are at an increased risk, as well as those in the healthcare profession, especially after needle sticks from an infected patient. Still others have become infected without an identifiable source.

How do I know if I have the infection?

A simple blood test called a Hepatitis C antibody test can detect if you have been exposed to the virus. If this is positive, then further tests are needed to see if active virus is circulating in your blood. Once your infection is confirmed by blood testing, imaging of the liver with an ultrasound and additional blood testing to further understand the extent of the infection will be required.

How is Hepatitis C treated?

In the past the treatment of Hepatitis C often required up to a year of therapy with a drug called interferon combined with oral medications. Unfortunately this treatment was not very successful and the drugs themselves caused a lot of side effects. Currently there have been major advances in the successful treatment of Hepatitis C. The treatment for some types of Hepatitis C can now be as simple as one pill a day for eight weeks, with a cure rate over 90%. The treatment of Hepatitis C is rapidly evolving, with many new drugs and regimens being developed.

How can I take charge of my risk of Hepatitis C? 吀栀攀䔀渀搀漀猀挀漀瀀礀䌀攀渀琀攀爀漀昀伀挀攀愀渀䌀漀甀渀琀礀 ∠ 吀栀攀䔀渀搀漀猀挀漀瀀礀䌀攀渀琀攀爀漀昀吀漀洀猀刀椀瘀攀爀

The most important component to managing Hepatitis C is to know whether or not you’re infected. The first place to ask about this is with your primary care provider, who can easily order the needed lab testing. Once a positive test is found, the next step is to speak with a gastroenterologist and to set a course for a successful treatment. If you are one of the 75 million Baby Boomers in the U.S. today, speak with your healthcare professional to get the testing you need to stay healthy and one step ahead of this insidious infection.

PATIENT TESTIMONIALS “Staff here always receptive, pleasant and caring, including Dr. Collier, as always! Everyone was very attentive and efficient. It was my first time using Dulcolax and Miralax prep. It was easy to take and worked VERY well!” — Jane, 64, Brick “The medical staff was excellent. Dr. Collier has a great bedside manner and explained things very clearly. All staff double-checked and confirmed all of my information before the procedure. Very professional.” — Jeff, 49, Forked River 䴀攀搀椀挀愀爀攀愀渀搀䨀漀椀渀琀䌀漀洀洀椀猀猀椀漀渀挀攀爀琀椀昀椀攀搀

䠀漀猀瀀椀琀愀氀倀爀椀瘀椀氀攀最攀猀愀琀䌀漀洀洀甀渀椀琀礀 ☀ 伀挀攀愀渀䴀攀搀椀挀愀氀䌀攀渀琀攀爀猀

“It was and is a real blessing to be handled by such a competent staff. Love Dr. Colliershe is awesome. — Adrienne, 74, Jackson “I was treated very well by all. In comparison to other facilities (by word of mouth with coworkers), my experience was easier than others. Thanks to Dr. Collier and staff. — Dorothy, 63, Bayville

Visit www.GastroOfOcean.com

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

CLDDS - OCW full pg Jan/Feb.qxp_Layout 1 12/16/16 4:42 PM Page 1

Elder Law

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

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

Why a Power of Attorney?

ife is full of surprises. We have learned to expect the unexpected. But just because life is unpredictable does not mean we canâ&#x20AC;&#x2122;t take steps to prepare for our future and what lies ahead. One important way to prepare for the future and protect ourselves against the unexpected is to have a Power of Attorney in place. A Power of Attorney, or POA, is a document that enables you to appoint someone else to act on your behalf for financial or other legal matters should you become unable to do so. The individual given power is the known as the Agent or Attorney-in-Fact and you are known as the Principal. The POA can be effective immediately or upon mental incapacity. You can limit the authority of your Agent to control some of your legal or financial matters or it can have a broader POA in which your Agent has the authority to control all your legal matters and financial assets. In either case, whether the POA is limited or more broad, creating such a document assigns at least some authority to another individual. Therefore, you need to take care to select a capable and trustworthy individual to serve as your agent.

occurs that leaves them unable to make decisions for themselves. Unfortunately, this is not always true. If a person is not named as an agent or granted legal access to financial or other pertinent information, family members' hands may be tied. It is, therefore, very important to know that a POA must be executed prior to you becoming incapacitated. Once a person becomes incapacitated, he or she no longer has the ability to execute legal documents, and guardianship must be sought to grant an individual authority to make legal and financial decisions for that person. Just about everyone can benefit from establishing a POA. Do yourself and your family members a favor. Take a few minutes, protect yourself from the unexpected and get a POA.

Many people are under the mistaken impression that their family members will be able to step in if an event

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

Call Annemarie Schreiber at 732-797-1600 If you are unable to make it into the office, we are willing to visit you in your home, hospital, assisted living facility, or nursing home.

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

Estate Planning, Probate, and Administration Wills and Trusts Powers of Attorney Advanced Medical Directives Guardianships/ Conservatorships Medicaid/Medicare Planning Elder Abuse Cases Disability Planning Healthcare Decisions Nursing Home Issues Social Security Asset Preservation and Protection Counseling and Document Preparation Estate and Gift Taxes â&#x20AC;Śand More.

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

ATTORNEYS AT LAW Bankruptcy Education Law

Business, Corporate & Commercial Law Elder Law, Estates, Wills and Probate

Criminal Law & Municipal Court Matters

Employment Law

Personal Injury, Auto Accidents and Wrongful Death

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Litigation

Real Estate - Residential and Commercial

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Divorce and Family Law Mediation and Arbitration Property Tax Appeals

January/February 2017

Medical Professionals

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

SPECIALIZING IN: • Adrenal Cancer • Benign Prostatic • Hyperplasia (BPH; enlarged prostate) • Bladder Cancer • Bladder Control Problems • Erectile Dysfunction (impotence) • Female Sexual Dysfunction • Hematuria • Interstitial Cystitis • Kidney Cancer • Kidney Stones • Male Infertility

• • • • •

Pediatric Urology Peyronie’s Disease Prostate Cancer Prostatitis Sexually Transmitted Diseases • Testicular Cancer • Testosterone Deficiency • Upper Tract Tumors • Urethral/Penile Cancer • Urinary Incontinence • Urinary Tract Infection • Varicocele Also performing: • Vasectomy • Robotic & Laparoscopic Surgery

HAMILTON 1374 Whitehorse Hamilton Sq. Rd. Hamilton, NJ 08690

For the fourth consecutive year, the doctors of University Urology Associates of New Jersey have been recognized by fellow medical pracitioners to be among the best urologists in the Garden State. __________________________________________________ University Urology Associates of New Jersey is proud to welcome Imani J. Rosario, MD to the group. Dr. Imani Rosario earned her medical degree from the Georgetown University School of Medicine and her postgraduate training in urology at Rutgers New Jersey Medical School. Prior to joining UUANJ, she was an Assistant Professor of Surgery in the Division of Urology at Rutgers NJ Medical School, where she was responsible for training and teaching medical students, general surgeons and urologists in training.

HOWELL 2364 Route 9 South Howell, NJ 07731

TOMS RIVER 20 Hospital Drive Toms River, NJ 08755

For Appointments (609) 581-5900 (732) 928-5300 UUANJ.COM

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Medical Professionals

UROLOGY GROUP OF CHOICE

Incontinence Care Clinic @ UUANJ offers patients a full range of treatment options for urinary incontinence. It would be difficult to watch an hour of primetime television today without seeing an advertisement for overactive bladder medication or adult diapers. Current statistics suggest that more than 37 million adults in the United States – one in six – suffers from overactive bladder, urinary frequency, or urgency. Unfortunately, many people dismiss such urinary symptoms to be a part of “getting older” and do not seek medical intervention. The fact is, overactive bladder and urinary retention (the inability to completely empty the bladder) are not a normal part of the aging process, can cause embarrassment, and can diminish the quality of daily living dramatically. Only one in eight Americans who have experienced loss of bladder control have been diagnosed. At UUANJ we are here to help.

Men’sHealth @ UUANJ is a program we offer that specializes in treating Men’s Urological Health needs. Men and women view healthcare very differently. Women tend to be more preventative and men tend to be more reactive. In other words, women see the doctor to make sure they’re OK; men see the doctor when bones are sticking out of their skin. Many men tend to “grin and bear” many symptoms resulting in a poor quality of life or even bigger problems in the future. We have developed a program based on the latest scientific data to treat the most common urological conditions affecting men including: • Benign Prostatic Hyperplasia (BPH; enlarged prostate) • Erecticle Dysfunction (impotence) • Peyronie’s Disease (penile curvature) • Prostate Cancer • Prostatitis • Testicular Cancer • Testosterone Deficiency

Our mission is to be a solution-based practice, maximizing the value of the service we deliver our patients with commitment to excellence, integrity, innovation and treatment.

For more information, call 732-928-5300 or visit www.UUANJ.com.

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Featured On The Cover

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Featured On The Cover

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Medical Professionals

Eliminate your tattoo the PicoWay®. PicoWay® is a revolutionary tattoo removal laser which delivers laser light in an ultra-short picosecond to shatter your tattoo ink and eliminate your tattoo.

BEFORE

AFTER

Tattoo Removal PICOWAY® TO WOW! We are the first to offer this groundbreaking treatment in New Jersey and one of a few practices in New Jersey to even offer pico-technology.

How is a PicoWay® tattoo treatment different ? Tattoo lasers deliver light energy to fragment your tattoo ink. How that light is delivered makes all the difference; either with a nanosecond laser (a billionth of a second) or in a picosecond (a trillionth of a second) with the PicoWay® laser. The PicoWay® laser is 100 times faster, which blasts apart an ink molecule just by the impact. A nanosecond laser is slower and it generates heat predominantly to eliminate a tattoo. The difference between the two lasers is astounding. With PicoWay® you will need fewer treatments, have more complete elimination of your tattoo, less discomfort and better safety. Tattoo removal requires a series of treatments at 6-to-8-week intervals. The time between treatments is needed as the tattoo is naturally eliminated by the body.

Are PicoWay® treatments more expensive? Pico treatments are more affordable than you think while generally taking fewer sessions to remove a tattoo. A typical 4-inch-by-4-inch tattoo that took over two years to remove is being removed in a year or less with PicoWay®!

PicoWay®: We believe this is the best tattoo removal laser treatment available. Actual treatments may take more or fewer treatment sessions. The number of treatments depends on many factors, such as the type of ink, the amount of ink, the number of colors and the size of the tattoo.

Call Today For Your PicoWay® Consult! 732-255-7155 • www.OPSNJ.net Artistry • Beauty • Rejuvenation Non Invasive

Botox Dysport Juvederm Juvederm Voluma Radiesse Restylane Silk Boletero Vanquish Body Contouring

Body

Laser Center

Fractional Skin Rejuvenation PicoResolve CO2 Erbium Hair Removal Face Spider Vein Treatment Facelift Red Spot Removal Cheek Lift PicoBrown Spot Removal Neck Lift Picolaser Tattoo Removal Eyelid Surgery Skin Renewal Treatments Fat Transfer~ Lipoaugmentation Photofacials Refresher Laser Peels Rhinoplasty Chin Augmentation Rosacea Treatment Scar Treatment Otoplasty Liposuction Tummy Tuck Body Lift Arm Lift Labiaplasty

Breast

Augmentation Lift Reduction Reconstruction Revision Augmentation Revision Reconstruction

Aesthetician Services

Microdermabrasion Facials Chemical Peels Acne Treatment Waxing & Tweezing

OFFICE LOCATIONS TOMS RIVER / MANAHAWKIN

Vectra 3 D Imaging Face Breast Body

The County Woman Magazine www.TheCountyWoman.com

January/February Specials PicoWay® Tattoo Removal 10 % discount. ••••••••••••••••• Filler discount: $75 off Juvederm, Restylane Silk, Voluma Disclaimer Offer subject to change without notice. Void where prohibited by law. Can not be combined with any prior promotions. Must be 18 years of age or older. Treatments are not transferrable or divisible. Picoway promotion is only for tattoo removal treatments in the promotional period and excludes Picoway brown spot and PicoResolve treatments. All treatments must be redeemed in one year or forfeited. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment or be reimbursed for payment for any other service, examination or treatment that is performed as result of and within 72 hours of responding to the advertisement for free, discounted fee, or reduced fee. Promotion ends February 28, 2017.

January/February 2017

Law

Ask Daniel Straffi, Jr. Esq.

What are some common bankruptcy myths?

Answer:

ankruptcy is not something anyone wishes to think about. This is especially so for people who are accustomed to paying their bills regularly and on-time by any means necessary. Unfortunately, this is not always an option in today’s economic climate. As folks figure out ways to survive, many times they think of bankruptcy as an absolute last resort – an end, figuratively and literally – as opposed to the fresh start it is intended to be. This is likely due to a lack of knowledge of bankruptcy laws and only a familiarity with the many myths associated with filing bankruptcy that stop people from being proactive in protecting themselves and moving forward. Let’s start debunking some of those myths in this article:

Myth #1: I will lose my house!

Bankruptcy laws are crafted in order to provide a person every opportunity to try and save their home. In some instances, bankruptcy can also be a tool for stopping a foreclosure and allowing a person to catch up on their mortgage arrears. Strategically, the question becomes more whether a home is worth saving in light of its value in today’s market. It is important to consult with a bankruptcy attorney in order to evaluate these options and protect that which is most important.

Myth #2: I will never get credit again!

Many of my clients are surprised by the amount of credit opportunities they will be inundated with after filing for bankruptcy. This is likely due to the fact that credit card companies know that a person can only file for bankruptcy once every eight years (not that anyone wishes to have to file again), and therefore wish to begin the cycle of using cards again. I always recommend to

clients to start slow by applying for a secured card. Using credit helps to improve your credit; however, it is best to proceed with caution.

Myth #3: I will never be able to purchase a home or vehicle again! This is simply not true. Will it take time to rebuild your credit to the point of acquiring a new mortgage or refinancing? Absolutely. Usually it takes a minimum of two years of rebuilding one’s credit before a mortgage lender will consider you for same. Car lenders are far more lenient, but the important thing to note is that the sooner one files a bankruptcy, the sooner the slate is cleaned. I think it is extremely important for people to move forward with their lives in as expeditious a manner as possible rather than continuing to spin their wheels and getting nowhere.

Myth #4: I will have trouble finding a new apartment!

Although it is true that many apartment buildings and landlords pull credit reports in evaluating potential tenants, this simple caveat also rings true: at the end of the day, cash rules. The money that my clients are able to save in not having to pay minimum fees to credit card companies and the like can be socked away toward putting together a security deposit, first month’s rent, last month’s rent, and maybe something in between. In today’s rental market, landlords are hard pressed to turn away folks who have the ability to put that kind of money down on a new apartment or rental home, especially if they are gainfully employed. I hope this article proved helpful in dispelling some of the myths regularly associated with bankruptcy. Obviously, everybody’s situation is different and fact-sensitive, so it is important that one receives professional advice regarding his or her specific situation. Regardless, the worst thing one can do is to not do anything!

For more information or to schedule an appointment, Contact : Daniel Straffi Jr. at 670 Commons Way Toms River, NJ,

CALL: 732-341-3800 or Daniel Straffi, Jr., Esq. VISIT: www.straffilaw.com Protect Yourself Against Foreclosures, Judgments, & Harassing Creditors

We are a debt relief agency that helps people file for relief under the bankruptcy code.

Scan here!

Permanent Hair Removal

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We know how it feels; we are not just Permanent Hair Removal Experts; we are clients too. “ It’s a butterfly effect …”

2/28/17.

The County Woman Magazine www.TheCountyWoman.com

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

522 Brick Blvd. Brick, NJ 08723

732-948-9547 www.bhairfree.com January/February 2017

Travel Travel

Yoga Nine Retreat to Morocco

March March 11-18, 10-17, 2017 Join us in the breathtaking UNESCO World Heritage Site city of Essaouira, a relaxed fishing town on the coast of Morocco. (For television enthusiasts, the recent series Game of Thrones was filmed here.) Of late there have been many amazing press pieces on this lovely part of Morocco. We have been going to Morocco for the past four years and to Essaouria for the last three. It is the perfect location for a yoga retreat in Morocco as it offers a more relaxed medina and some of the best shopping in the country!

www.yogaadventuresworldwide.com/morocco

OPEN CLASSES 7 DAYS A WEEK • Yoga • Meditation • Therapeutic Massage • Holistic Services • Targeted Yoga Therapy

SHIP BOTTOM LBI 2512 Long Beach Blvd., Ship Bottom

Gift Certificates Available for Classes or Massages

• Rope Wall • Foundational and Advanced Teacher Training • Continuing Education Courses

www.yoganine.com 609.404.0999

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

VENTNOR 5301 Atlantic Avenue, Ventnor January/February 2017 November/December 2016

Psychiatry

Post Traumatic Stress Disorder:

The Mind-Body Stress Disorder of Trauma

he symptoms are traumatic and life-shaking; they are intrusive and frightening. Sleep is elusive because it leads to dreams that are more like nightmares. Flashbacks are irrepressible. A feeling of helplessness, hopelessness, loss of interest, guilt, shame, self-medication and fear of being among people or going places are all part of the myriad of emotional, physical and cognitive symptoms of Post Traumatic Stress Disorder (PTSD). PTSD is pernicious, insidious, and prevalent. Seventy percent (70%) of adults

have experienced some type of traumatic event at least once in their lives; about 224 million people. About 20% of these people will develop some degree of PTSD, which is appreciably 45 million people. One out of nine women will develop PTSD, which means women are twice as likely as men to develop PTSD.

PTSD was considered “battle fatigue” or “shell shocked,” particularly for combat veterans. However, anyone at any

age can experience trauma and subsequent PTSD. Sexual and physical assaults, any life-threatening or bodily harmful event, bullying, including cyber bullying, as well as any perceived failure can induce this persistent reaction. When the trauma is severe enough to the psyche, the lack of adequate defense to prevent that extent of damage is now being produced as a “defense deluxe.” This is created to compensate and as an attempt to “protect” from further and future traumas. Hence, “Guard Duty status”—or as our Nobel Laureate, Bob Dylan, mused—“All Along the Watchtower.” This may come in the form of repetitive nightmares, daytime flashbacks of the event(s), increased startle reactions, many physical symptoms from autonomic dysregulation: i.e., “fight/flight” states on low, repetitive simmer, instead of how its designed to be utilized—in acute, brief bursts. There are principally three ways to be traumatized. First, you are the victim of a traumatic event; second, you are the perpetrator of a traumatic event; and third, and most common, you are the witness to someone else’s traumatic event that vicariously traumatizes you—by visual, audio or both sensory incomings.

Those who suffer from PTSD may wonder why they have to relive what’s over, especially because it was terrible enough when it happened in the first place. This act

of reliving the pain over and over is a critical aspect of PTSD. The unconscious mind wants the person to be safe and avoid any subsequent trauma, to that end, it fuels the vigilance by serving up frightening reminders to keep the mind sensitive to cues and providing expensive, false security at best. While there is much to learn about PTSD, there is also a greater understanding about its magnitude of disruption. The fact that PTSD has been moved from the section on anxiety disorders in the DSM-IV to the “trauma and stressor” disorder group in the DSM-V is evidentiary of the significance of this understanding. The autonomic physical symptoms of PTSD, such as increased heart rate, difficulty breathing, any and all GI issues, cold sweats, muscle and head aches, dizziness, vision changes, etc., can readily be coupled with psychiatric sequelae. These include such things as phobias (disproportional fears to anything or anyone, situations, etc.), major depressive disorder, suicide, substance abuse, panic (extreme fear without an identified, overt source), hypervigilance sometimes leading to paranoia of delusional intensity—hence, the “D” or Disorder comes alive and lingers on to torment, with an underlying desire to save.

system is configured to deal with trauma in the first place. An example of what this means is that the genetic environment of an individual may play a key role in how one responds to trauma as a cause-and-effect interaction, and not just the trauma by itself that causes an individual to have certain responses. In addition, it has been cited that older studies lack key elements as determinants to PTSD response. These include such factors as age when the trauma was experienced, the extent and the period of time associated with the trauma, and the correlation between the traumas experienced early in one’s life to its effect on adulthood.

TREATMENT AND PREVENTION

There are many studies and findings relative to Post Traumatic Stress Disorder that are well beyond the scope of this article. Scientific insight continues to evolve and change what we know and what we do as a result of these new discoveries and awareness. But what we do know is that the human condition is not without its possibilities and probabilities of exposure to trauma. There is no proven way to prevent its happening, especially for those who have high-risk jobs such as protecting the public, or live in high crime areas, or bear witness to or are in terrible accidents. Fortification against trauma may include such things as stress management and special training for those in high-risk jobs, community safe groups, or spiritual resources. Psychotherapy is “universally recommended” for PTSD. It is recommended to be “preferred over medication” as the first intervention. The American Psychiatric Association (APA), Institute of Medicine (IOM), International Society for Traumatic Stress Studies, among other recognized agencies in the health and medical research communities, are in agreement that specific “trauma-focused psychotherapy” is the best evidenced-based approach to PTSD. The primary reason for choosing pharmacotherapy is the presence of comorbid disorders such as depression, anxiety and psychosis. The most effective medications for PTSD are selective serotonin reuptake inhibitors (SSRIs) such as paroxetine and sertraline. Prazosin, which is used for sleep-related disorders, is the only medication with a grade of “recommended” for treating posttraumatic stress nightmares in the American Academy of Sleep Medicine’s guidelines (Psychiatric Annals, Vol. 46, number 9, September 2016). However, according to some recent studies in Psychiatric Annals, there is evidence that the drug doxazosin has greater advantages than prazosin because it has a longer half-life and only requires daily dosing as opposed to multiple dosing of prazosin. Doxazosin is better absorbed and will not wear off during sleep, leading to nightmares. Because of the advantages of Doxazosin, it may be better tolerated and more efficacious for patients with PTSD.

Experienced and well trained mental health professionals can help.

Don’t Suffer Alone……..

Call 609.484.0770 or visit www.SouthJerseyPsychiatry.com.

The angst of PTSD symptoms leads to even further mental and physical exhaustion. The unconscious mind is a very powerful place, with

some creating a “Disorder” inadvertently in order to be and stay safe; quite the paradox.

There are neurobiological reasons and alterations in PTSD as well. It has been demonstrated in earlier studies that certain genes, through “epigenetic mechanisms” (Psychiatric Annals, Vol. 46, number 9, September 2016) associated with the hypothalamic-pituitary-adrenal axis areas of the brain, seem to play some part in regulating the risk for PTSD after exposure to trauma. Newer studies are in place to help determine the differences in PTSD responses caused by the effect of the trauma on the nervous system as compared to how the neurobiology of the

“Here to Listen & Here to Help”

Charles Meusburger, MD

For a thorough, confidential, psychiatric evaluation and • Specializing in Adult & Adolescent Psychiatry an individualized treatment plan tailored to fit your specific • 60 Minute Sessions needs with appropriate treatment(s), please call our office at • Variety of Effective Talking Therapies 609.484.0770 to set up, by appointment, this comprehensive • Medication- Evaluation & Management and compassionate confidential assessment. • All Services Rendered by Same Provider Don’t suffer in silence any longer. We can help! • Independent Medical Evaluations • Addiction Psychiatry www.SouthJerseyPsychiatry.com Providence Professional Park • Board Certified 3069 English Creek Ave, Ste. 225

Call for an Appointment

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609.484.0770

EHT, NJ 08234

January/February 2017

Health

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

Wellness

How Well Do You Treat Your Body,- Mind, and Spirit?

Hypnosis for Women Professional Hypnosis & Coaching

Take this Quiz . . . 1. I nourish my body with wholesome, unprocessed foods.

11. I engage in enjoyable, meaningful and satisfying pursuits.

2. I handle my feelings and emotions appropriately – instead of stuffing them down with junk food, cigarettes, alcohol or drugs.

12. I have a sense of direction and balance in my life.

3. I engage in aerobic activity (cardio) for at least 30 minutes each day, and strength-training several times each week. 4. I take steps to get a good night’s sleep and wake up refreshed. 5. I associate with people who support and encourage me. 6. I avoid or limit time with toxic people, as much as possible. 8. I engage in positive self-talk, and I put my energy into thoughts that strengthen me.

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

can use some improvement. Know that you can choose to change – that old patterns can be interrupted and newer, better ones established. But, first, you have to recognize and believe that it’s important for you to treat yourself well – and make time to do that. Women, especially, get so focused on meeting the needs of others that they neglect themselves. Some even wear that as a badge of honor . . . “My husband, kids (etc., etc.) are more important. I’m at the bottom of the list.” Baloney! It’s time to claim your importance, recognize your value, and treat yourself well. Make 2017 the year that you take care of you.

Repeat after me . . .

7. I initiate and nurture relationships.

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

How did you do? If you’re like most people, you

“I’m a child of the universe, and I deserve to treat myself with dignity and respect.” “I’m a child of the universe, and I deserve to be treated with dignity and respect.”

If you would like personalized assistance to help 9. I say what I need and want to say, you move forward, call me at 732-270-0080. Integrating hypnotic techniques and coaching including – NO. paves the way for successful outcomes and 10. I make time for myself each day – to boosts your sense of well-being. simply BE.

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

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Weight Control Smoking Cessation Stress Management Studying/Testing

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Focus/Concentration Sleep Improvement Lifestyle Changes Interviewing/Auditions

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Make Your Mind Work For You – Instead of Against You

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

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January/February 2017

Medical Professionals

New Breakthrough Test For Alzheimer’s Disease As their parents are getting older, my friends approach me with their concerns. Some of these parents are becoming more forgetful. Some are changing their personalities, becoming angrier, stubborn or confused. My friends ask whether this is a normal part of aging, or if this is dementia. They are terrified that their parents are suffering the beginnings of Alzheimer s disease. Until recently, there have been few tests able to detect Alzheimer’s disease. New cutting edge technology has given us a test that shows incredible promise. Q: What is Alzheimer’s disease? A: Alzheimer’s is a type of dementia that causes dysfunction in thinking, behavior, and memory. It is estimated that 5.4 million American have Alzheimer’s disease. Of that, 5.2 million are age 65 or older. Symptoms usually start mild with slight confusion and difficulty remembering newly learned information. However, symptoms progress over time and can become debilitating, including such symptoms as deepening confusion, personality changes, disorientation and profound memory loss. Q: What causes Alzheimer’s disease? A: We have over 100 billion nerve cells in our brain. These nerve cells connect to each other using nerve fibers and they pass information along. In Alzheimer’s disease, proteins (called beta amyloid) can form and interfere with the way the brain nerve cells function and communicate with one another. The nerve fibers can twist and tangle, further disrupting normal brain function. It is not uncommon for an elderly person without Alzheimer’s to have a few of these beta amyloid proteins and tangles. Those with Alzheimer’s disease have many of these lesions. Q: If I suspect someone I love has Alzheimer’s disease, how do we diagnose it? A: There is no one test that can diagnose Alzheimer’s disease. Usually a physician will conduct a physical exam as well as neurological and mental status testing. Usually an MRI of the brain will be performed to exclude a tumor, bleeding, or stroke as a cause of a patient’s mental decline. There is a new test that is gaining lots of attention. A new radioactive compound called Amyvid (also known as Florbetapir F-18) has been created that binds directly with beta amyloid plaques (the protein that causes Alzheimer’s disease). Using a PET/CT machine, one can detect whether beta amyloid is present in the brain. This has been called “amyloid imaging”.

Q: Are there any clinic trials for someone to be enrolled? A: : The Centers for Medicare and Medicaid Services (CMS) is currently conducting a huge trial to determine whether “amyloid imaging” using Amyvid can improve clinical Study is positive for Normal Brain detection and patient Alzheimer’s disease outcomes. This trial is called the IDEAS study. Local neurologists and dementia specialists who participate in this monumental program can refer their patients to a facility that can perform this test. The hope of this study is to have a early diagnosis of Alzheimer’s in patients and to start treatment as early as possible. Q: How do I know if someone is eligible for this study? Does the test cost anything? A: A patient is examined by a neurologist or dementia specialist who is a part of this study. If there is uncertainty as to whether the mental decline is caused by Alzheimer’s disease or a different type of dementia, the Amyvid test can be performed. Since this test is covered by all Medicare plans, a patient must be a Medicare beneficiary who is 65 years or older. However, the patient is responsible for the co-payment. For those under 65 years old, at this time private insurance does not cover this study.

If you or someone you love is interested in being tested and possibly being enrolled in this program, please call our office at 732-244-0777 and our staff can assist you. As always, contact our office where our staff will be more than happy to assist you.

About The Author...

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

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

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

Tel: 732-244-0777 • Fax: 732-244-1428

www.TomsRiverXray.com5

The County Woman Magazine www.TheCountyWoman.com

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

EXPERIENCE & EXPERTISE you can count on. January/February 2017

Medical Professionals

Fecal Incontinence: Dealing with an Embarrassing Condition What is fecal incontinence? Fecal incontinence, or bowel incontinence, is the inability to control bowel movements, causing the involuntary passage of stool. Symptoms of this often embarrassing disorder range from occasionally leaking small amounts of stool and passing gas, to completely losing control of bowel movements. Classified as a pelvic floor disorder (PFD), fecal incontinence occurs when muscles in the pelvic area cannot support the organs in the pelvis. These organs include the bladder, uterus (women), prostate (men), and rectum. What causes fecal incontinence and PFD? The brain controls the muscles of the pelvic floor through the nerves. Medical conditions or injuries that impact the health of nerves (such as diabetes, Parkinson’s disease, stroke, back surgery, spinal stenosis, or childbirth) can result in weakness or injury of the pelvic floor muscle, resulting in fecal incontinence and PFD. Those with PFD are unable to control the muscles in the pelvic floor to have a bowel movement. People with PFD contract these muscles rather than relax them, and because of this, they either can’t have a bowel movement or they have an incomplete one. PFD also includes urinary incontinence and pelvic organ prolapse. In fact, many people suffering with fecal incontinence also experience urinary incontinence. Urinary incontinence is a loss of bladder control due to bladder muscles that are too weak or too strong. Symptoms range from mild leaking to uncontrollable wetting, and become more common with age. Pelvic organ prolapse is a condition in which the uterus, bladder and bowel may “drop” onto the vagina and cause a bulge through the vaginal canal. Also common is a disorder in which the rectum becomes “stretched out” and slips out of the anus. This is called rectal prolapse. It is estimated that nearly one-third of all U.S. women are affected by one of these types of pelvic floor disorders in their lifetime.

or perform any number of medical tests available, including blood work, X-rays and ultrasounds, to uncover the cause of fecal incontinence. Who is at risk for developing fecal incontinence? Although men and women are at risk of developing fecal incontinence and PFD, pelvic floor disorders occur more frequently in women than men. Nearly one in 10 women older than the age of 40 has fecal incontinence, possibly as a complication of childbirth. Other risk factors include being over the age of 55, overweight, postmenopausal, having a past pelvic surgery, nerve damage or a connective tissue disorder. How is fecal incontinence treated? Fecal incontinence can be treated in a number of non-invasive ways. Treatment usually combines self-care, medicines, physical therapy and home exercise. Treatment depends on the cause of the problem you have and what best fits your lifestyle. Dietary changes often reduce the occurrence of fecal incontinence. As stool consistency is affected by what you eat and drink, your doctor may recommend diet modification and adjusting nutritional supplements taken. If nerve or muscle damage is the cause of the fecal incontinence, the physician may recommend exercises and similar therapies to improve function and strength. These exercises include bowel training and biofeedback. Biofeedback is a technique taught by specially trained physiotherapists that can increase anal muscle strength, allowing patients to learn to relax or contract pelvic floor muscles. Medication sometimes helps patients with fecal incontinence. When appropriate, these may be prescribed by your physician.

How is fecal incontinence diagnosed? Physicians will begin the exam by asking about symptoms, taking a careful history and performing a visual inspection of the anus and perineum. A physical examination will determine the patient’s ability to control the pelvic floor muscles. The physician will check for nerve damage, muscle spasms or muscle weakness. Additionally, the physician may request

Colon and Rectal Surgery

Board-certified in general surgery and proctology and a fellow of the American College of Osteopathic Surgeons, Dr. Paonessa specializes in colon and rectal surgery. She believes in patient-centered care and preserving each patient’s independence, well being and dignity.

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

The County Woman Magazine www.TheCountyWoman.com

1172 Beacon Avenue, Suite B Manahawkin, NJ 08050

Phone: (732) 282-1500 Fax: (732) 282-1501

Office Hours: M-F 9AM to 5PM

www.paonessacrs.com January/February 2017

Medical Professionals

Is surgery required to treat fecal incontinence? Those who continue to experience fecal incontinence that continues even with medical treatment may benefit from surgery to correct the problem. Several options exist, depending upon the underlying cause of the incontinence. In most cases, surgery options are minimally invasive, offering less pain, less scarring and shorter recovery time. Dr. Paonessa is a fellowship-trained colorectal surgeon who is trained and has a special interest in treating patients with PFD and fecal incontinence. She always approaches the problem with conservative measures prior to exploring surgical options, if and when necessary.

If you are experiencing any of the symptoms or conditions discussed, please contact Paonessa Colon and Rectal Surgery to make an appointment with Dr. Paonessa. Dr. Paonessa is experienced in all aspects of pelvic floor dysfunction including treatment of fecal incontinence.

“My experience with Dr. Paonessa was exceptional. She made me feel so comfortable and at ease. I’ve never met a doctor like her. For many years, I thought I had hemorrhoids and was completely uncomfortable. After being diagnosed with a prolapsed rectum, I met with Dr. Paonessa. She immediately put me at ease and explained everything. Dr. Paonessa performed prolapsed rectum surgery and now I feel wonderful. I feel like I came out as a better person.” — Natalie H.

To schedule an appointment, please call 732-282-1500 or visit www.paonessacrs.com. Facility Advisor

Finding the Right P lace Just Got Easier

Connie Roberson

Speak With Connie Roberson Today!

There are so many options today for senior care and living, that navigating through them can be confusing, but you don’t have to do it alone! Oasis Senior Advisor, Connie Roberson, makes finding your Mom or Dad’s next oasis a breeze.

Lakewood, NJ 732-675-3140 - Phone 732-438-8487 - Fax

As a Certified Senior Advisor serving Ocean, Monmouth and Mercer counties, Connie Roberson is specialized in personally educating and informing seniors and their family members on the distinctions and options pertaining to Assisted Living, Memory Care and Independent Living communities. Connie will work with seniors and their family members to identify lifestyle preferences and health care needs, as well as location and financial considerations. She will personally assist you throughout the entire process…and her service is Free!

CRoberson@YourOasisAdvisor.com Lakewood.OasisSeniorAdvisors.com

Our mission is to positively impact families during a difficult time in their lives.We do this by providing a FREE, personal, and compassionate service to help families find the perfect next step for their loved ones.

“I have been given an opportunity to embark on a more rewarding career, one where I can focus on my passion for helping others through senior care. I warmly embrace being an Oasis Senior Living Advisor because it provides the perfect outlet for me to lend

my services to families in need of locating a senior living community for a loved one, which in itself can be challenging and overwhelming. For myself, being part of a family who’s been touched by brain related illness, the issue of Memory Care is near and dear to my heart. I strongly support the fight to eradicate Alzheimer’s disease and Dementia. In the same way I care for my family, I am dedicated to offering my knowledge and expertise on senior living communities and providing “hands on” service to help families as their loved ones transition to a new season in their lives. I look forward to working with you and your family as you go through this transition decision process.” Our personalized approach can’t be beat - and it’s FREE! We’ll never send you a generic list of options that hasn’t been qualified and we will not share your information with communities without your consent. Oasis Senior Advisors works with you to find the “right place” - your next oasis. This free service is made possible through the financial contributions of local senior housing communities, many of whom reimburse us for our services.

OUR SERVICES ARE ABSOLUTELY FREE TO CLIENTS AND THEIR FAMILIES!

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Medical Professionals

Ask Dr. Banks: 10 Frequently Asked Questions

1. 2.

If I lost my teeth due to gum disease or decay, does that mean that I can’t have implants? Almost all implants placed in patients who have lost their teeth to periodontal disease or decay have been successful.

If I am only missing one tooth, isn’t it easier to just get a dental bridge? While the dental bridge option may seem like an easier solution to replacing a missing tooth, it usually is not the best option… The primary cause of failure of a bridge is dental caries, followed by endodontic therapy. To make a dental bridge, one or more of the neighboring teeth surrounding the missing tooth site are shaved down with a high-speed drill. This prepares the neighboring teeth for the fitting of a fabricated three-unit bridge that is cemented in place. However, bone loss soon occurs in the area of the missing tooth or teeth, and plaque build-up is common below the margins of the bridge. Since a significant amount of the tooth structure of the neighboring teeth has been removed, these teeth are susceptible to decay and therefore root canal infections. Because the bridge design doesn’t allow you to floss properly between the teeth, the neighboring teeth are also prone to develop periodontal disease. A dental implant can be used to replace just the missing tooth, without requiring any preparation of the neighboring teeth, and can even last longer than a natural tooth. A dental implant is not susceptible to tooth decay or root canal infections. The dental implant option closely mimics the design and function of your natural tooth and is the most secure option with a solid foundation of bone that keeps it stable, withstanding the forces of biting and chewing. An implant feels and functions like a natural tooth and it is proven to outlast all other tooth replacement options.

I am missing a few teeth; why don’t I just get a partial denture made? A partial denture sits over the gums with a framework that hooks onto some of the remaining teeth to provide minor stability. The partial denture lacks a secure connection to the jaw, and without tooth roots to stimulate the bone underneath, the jaw bone in that area will begin to shrink. The changing shape of the jaw bone results in a partial denture that is loose, and that moves and shifts during function. Over time this movement and shifting will usually loosen and weaken the remaining teeth and irritate the surrounding gums, causing pain and discomfort, and sometimes additional tooth loss. A better solution is to replace the missing teeth with dental implants. The dental implants can usually have individual crowns, which allows you the ability to brush and floss. The implants provide stability and stimulate the surrounding bone to prevent significant bone loss. The improved distribution of biting forces prevents unnecessary overloading of the remaining natural teeth, and generally will have a higher long-term success rate when compared to partial denture treatment. The most important feature of this option is that you have a stable treatment that most closely resembles the design of your own natural teeth.

Part 2

My dentures are hard to wear; will implants help me? Implants can replace removable bridges or dentures, or they can be used to stabilize and secure the denture, making it much more comfortable. There are exciting new techniques that make it possible for a patient to transition from a full denture to a permanent restoration in a short period of time, commonly referred to as “Teeth in a Day” or “All on Four” and “Diem 2.” There is not enough time to fully explain this process, so you will have to look for my future article to learn more.

I was told I don’t have enough bone for dental implants. Can you help me? Yes. Bone loss is not uncommon for people who have lost teeth, or who have suffered from periodontal disease or traumatic injuries. Oral and maxillofacial surgeons are trained and experienced in a multitude of techniques which may be used to reconstruct defects of the jaw bone and ridges in order to place implants. These techniques include bone grafting such as guided bone regeneration, sinus lift grafting, titanium mesh grafting, distraction osteogenesis, and so on. Often the patient will need a sophisticated diagnostic and treatment planning work-up which may require 3D cone beam CT scanning and virtual CAD-CAM technology. Once the foundation of bone is reconstructed, then dental treatment may proceed.

Whether you are a young, middle-aged or older adult, whether you need to replace one tooth, several teeth or all your teeth, there is a dental implant solution for you.

For more information, call 609-488-2325.

Healthy Smile, Healthy Life 249 S. Main Street Barnegat , NJ Specialty Lic #4070

609-488-2325 www.drbanksoms.com

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Office Hours: 8 AM - 5 PM (Mon. - Fri.) Bone Grafting • Dental Implants General and Intravenous Anesthesia Jaw Pathology and Reconstuctive Jaw Surgery

January/February 2017

Medical Professionals What You Should Know About

CHEMOTHERAPY

You or your loved one How is chemo given? is diagnosed with cancer. Chemotherapy can You are referred to an be given into the veins oncologist. You walk into (intravenous) or as an the office with fear, among injection; less often it is other emotions, dreading given in a pill form. Rarely that the doctor may chemotherapy is given suggest “chemo.” You have directly into an artery or an heard a million things organ such as the liver or about “chemo,” most of into the abdominal cavity them very unpleasant. (intraperitoneal). You picture yourself Chemotherapy is completely bald, throwing administered by specially up every day, not able to trained nurses, under get out of bed and very the care of experienced Dear Dr Easaw: miserable. As soon as the Thank you for all your patience and guidance during oncologists. Most often oncologist walks into chemo is given through a the past 21 months. We, especially our Mom, were the room, you tell him/ device called a mediport very fortunate that we found you! her: “Doc, I don’t want — John and Michelle, Toms River, NJ (port-a-cath) which is chemo.” inserted into one of the large There is a lot of Dear Dr Easaw: veins in the neck. apprehension among I can’t begin to ever thank you for your kindness patients and their families Does chemo hurt? and generosity towards me. Your sympathy has been about chemotherapy. But unmatched and you truly care about your patients. Apart from the twinge it can be life-saving in a — Mark, Jackson, NJ of pain from inserting lot of diseases. In fact, the needle into the vein, most patients tolerate there is no pain associated with the administration of chemotherapy well with minimal side-effects and are able chemotherapy. to lead normal lives. What are the side effects? Although the term ‘chemotherapy’ refers to the use of chemicals (drugs) to treat any illness, it is most widely Chemotherapy drugs can affect other fast growing used to describe the drugs used in the treatment of cancer. cells in the body. This can lead to the common side Cancer fighting drugs are more commonly known as effects such as low blood counts, hair loss, mouth sores, “chemo.” diarrhea, etc. The low blood count can affect all the three blood cells, resulting in anemia, increased risk The use of chemotherapy in the treatment of cancer of infections due to low white count and increased has been evolving rapidly over the last several decades. risk of bleeding due to low platelets. It can also cause The discovery of cancer fighting drugs was accidental, nausea and vomiting, low appetite and in some cases during World War II. Scientists noticed that a chemical constipation. Some chemotherapy drugs can cause used in the war, called Nitrogen Mustard, eliminated the tingling and numbness in the hands and feet known as lymphoid cells from the bone marrow of those who were peripheral neuropathy. exposed to it. This observation later lead to experiments in animals and later in human beings with cancer, thus The side effects are most often reversible and patients resulting in the very first chemotherapy drug, used to get back to normal a few weeks after the chemotherapy treat Lymphoma (cancer of the lymph glands). Since then is completed. Hair also starts growing back within a few researchers are trying to improve and modify this form of months. treatment, to get better results with fewer side effects. How can I manage the side effects? How does chemo work? The supportive care in cancer treatment has advanced tremendously in the last two decades. There Cancer cells grow very rapidly compared to normal are several drugs available to prevent and treat the cells. Chemotherapy drugs kill the fast-growing cancer cells. Different cancer cells have different growth rates and nausea and vomiting associated with cancer. Zofran (Ondansetron), Aloxi(Granisetron) and Emend other features. Not all cancers are treated the same way. (fosaprepitant) are some of the newer drugs used to treat There are hundreds of chemotherapy drugs available at nausea and vomiting. With the advent of these drugs, present and a lot more to come in the future. Most often, the vomiting associated with chemotherapy is markedly combinations of different chemotherapy drugs are used reduced. to treat a specific cancer. For example, a combination of Injections such as Neupogen, Leukine and four or five drugs (R-CHOP) is used to treat Lymphoma. Neulasta are used to improve your white cell counts A different combination is used in the treatment of lung when chemotherapy lowers it. Aranesp or Procrit is cancer, breast cancer, colon cancer and leukemias. The sometimes used in cases of severe anemia associated with dose of chemotherapy a person gets is calculated based on chemotherapy. their height and weight.

If you have any questions about chemotherapy or any other cancer-related questions, Please contact Dr. Sarah J. Easaw: 732-961-0010 • www.oceanhemonc.com

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Ocean Hematology & Oncology Center for Cancer & Blood Disorders

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

732.961.0010

www.OceanHemOnc.com Easily Accessible Location!

1255 Route 70, 31S Near Exit 88 on GSP

Lakewood, NJ 08701 Accepts Most Insurances. Affiliated with Kimball Medical Center and Community Hospital Access to Clinical Trials.

Sarah J. Easaw MD, FACP

Diplomate of the American Board of Hematology, Oncology & Internal Medicine

January/February 2017

44 What is endometriosis?

Medical Professionals

Endometriosis And Infertility

Endometriosis is a condition where tissue normally located in the uterus is abnormally found elsewhere in the abdomen. It affects women primarily from the late teenage years to the time of menopause. Classically, endometriosis is responsible for much of the chronic pelvic pain symptoms in women of reproductive age, and a common cause of infertility. Although the exact cause is unknown, evidence supports a genetic predisposition to developing endometriosis.

What are the symptoms?

Women with endometriosis often experience painful periods and pelvic pain varying from a mild annoyance to severe debilitating pain. It is estimated that endometriosis may be present in up to a third of reproductive age women with pelvic pain, and up to forty percent of women presenting with infertility.

How is endometriosis diagnosed?

A detailed medical history, physical exam, and pelvic ultrasound are common components in the workup of a patient with suspected endometriosis. Medical history may be consistent with painful menstrual periods, including pain with intercourse and pain when having a bowel movement or voiding. Ovarian cysts can be found on ultrasound that may or may not be symptomatic. A definitive diagnosis is based on surgical exploration of the abdomen, with visual evidence of endometriosis.

What causes endometriosis?

Although the exact cause of endometriosis is unknown, this benign disease is thought to arise from a combination of menstrual fluid that backflows from the uterus into the

fallopian tubes and enters the abdomen. Another likely factor is cellular changes that create endometriosis implants in the abdomen, or that an altered immune system response allows these endometriosis cells to successfully survive and grow outside of the uterine cavity.

How does endometriosis affect my chances of fertility?

Women with endometriosis have a strong association with infertility. It is estimated that between 20 and 40% of infertile women have endometriosis, and that the extent of infertility is directly associated with the severity of disease.

What are my treatment options?

Treatment of endometriosis depends on the clinical symptoms, which include pelvic pain and/or infertility. Medical treatment includes the use of anti-inflammatory medications or oral contraceptives in those women with mild symptoms not desiring pregnancy. Medications that decrease the production of estrogen in the body are also being utilized to treat this disease. Although medical therapies address the symptoms, they do not provide a measurable benefit regarding fertility. Therefore, on a case-by-case basis, surgical treatment may be beneficial in restoring ovarian and fallopian tube anatomy, and to remove endometriosis implants. Fertility treatments may often be required to achieve pregnancy. Endometriosis can affect many facets of a womanâ&#x20AC;&#x2122;s health. It is important that patients be educated about the implications of this condition, and that proper evaluation and care is implemented by their provider. At the Reproductive Science Center of NJ, we are available to answer your fertility questions, perform a

complete fertility evaluation, and present you with individualized options for conception, all in a comfortable and caring setting. Our patients are made to feel like guests in our home. We are a full-service fertility center experienced in all the latest technologies and look forward to helping you achieve success. Reproductive Science Center of NJ has three locations: Toms River, Eatontown, and Lawrenceville. Our center offers convenient hours along with Free Phone Consultations and Free Second Opinions.

For more information call our Toms River office number at 732-240-3000.

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January/February 2017

Health & Wellness

Now the Practice of Yoga Begins…Are You Ready? Written by Laurie Greene, PhD, ERYT, Owner Atha Yoganushasanam (yoga sutras 1.1) “Now the practice of yoga begins”

The first sentence of the bible of classical yoga is this. Atha, which often opens important Sanskrit texts, means “now” and has the connotation of auspicious beginnings…like saying “behold!”: it acts at once as an imperative— “wake up,” we are beginning—and as a “blessing” for those who are ready to begin. It insinuates that we are finally ready to get real, and “to discover the essence of our existence in the core of our own heart and at the center of our being” (Freeman). It signals our ability to be in the present moment (“now!”). Anushasanam refers to a systematic, scientific teaching; a teaching which is only offered to a qualified student—one who is ready to fully commit. Yoga is a very varied practice. There are many different styles, diverse practices, and distinct lineages, but there is also an underlying web of similarity that joins these different approaches. An Indian folktale tells of a man who is digging a well. He begins by digging down five feet and when there is no water, he is discouraged by his hard work, and he climbs out of the hole, moves a few yards away and begins digging again, only to be met by disappointment again and again. This goes on and on, and he never finds water, but labors endlessly. Most traditions of yoga inspire us to engage in deep self-exploration. They ask us to stick with it, work hard, and dig deeper and deeper. What we tend to do in our lives is leave a practice (any practice) just as it becomes challenging. We jump from regimen to regimen, diet to diet, relationship to relationship, career to career. In yoga we are asked to stick to it, so that through the body and breath we can investigate deep and subtle feelings, responses, and reflexes in relation to the conditioned mind. We do this by slowing everything down and observing it closely with fresh eyes. We try to look past the rapid evaluations of our conditioned minds. Atha is therefore about being present, here, in the moment.

“Every little gesture of the hand, every Mudra has a deep meaning – the entire philosophy of life is contained in these gestures. They convey a whole history of God’s self-manifestation in the universe.” – Paramahamsa Omkarananda Saraswati Mudras play a very important role in Taoist alchemy, Buddhist meditation, yoga, and Indian classical dance and theater. The word mudra stems from the Sanskrit root mud, which means “bliss.” This hints at the power of these beautiful gestures to evoke deep feeling in the observer and joy in the practitioner. The word mudra also denotes “seal” in yoga and is employed to explain the process of sealing and strengthening the body’s vital energies. In classical Indian dance, mudras are used to express the vast array of human emotion and experience; to communicate deep feelings and tell intricate stories. In the yoga tradition mudras are used for spiritual concentration, healing, removing obstacles, and other subtle energetic practices. Please come and join us at Yoga Nine for a deeper exploration of the “now.” We will always offer challenging, guided practice to every student as we dig deeper into experience. Come dig deeper…the time is now!

Yoga 101: 5 Week Course for new beginners January 15 - February 19 Sundays: 11:30 includes instructional course, free rubber mat and 5 weeks access to all classes at both locations

The diverse styles of yoga accomplish this focus and concentration in different ways. Some study texts and philosophy (jnana), some engage in chanting and other forms of devotion to a higher cause (bhakti), some engage in good works (karma), and still others look to the movement of energies in the body to create deep experience (hatha). The body in hatha yoga is seen as an arena for metaphysical experience. It is manipulated through body postures, bandhas (locks), and mudras (body & hand gestures), which enhance the channeling of energy and therefore experience. These practices are ancient and are found in many Eastern artistic traditions. Indian classical theater and dance make use of postures and mudras to feel and express emotion and create transformation in the performers and the audience. Mudras in particular help to focus the gross body energy through delicate and precise movements of the hands. We are familiar with “anjali,” the mudra of prayer, which focuses our bodies on our vital energy and the essential energy of others, but there are many mudras with many intentions.

OPEN CLASSES 7 DAYS A WEEK • Yoga • Meditation • Therapeutic Massage • Holistic Services • Targeted Yoga Therapy

SHIP BOTTOM LBI 2512 Long Beach Blvd., Ship Bottom

Gift Certificates Available for Classes or Massages

• Rope Wall • Foundational and Advanced Teacher Training • Continuing Education Courses

www.yoganine.com 609.404.0999

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VENTNOR 5301 Atlantic Avenue, Ventnor January/February 2017

Business

&Finance

Copiers Plus Is Keeping It In The Family When Bob and Debra Matthews started their business, Copiers Plus, they knew that customer service would be a priority. In fact, their company slogan: “Service is our Specialty,” also became words to live by for their staff. Serving as a traditional and specialty digital office equipment company, they represent over 30 years in the field selling and servicing equipment. Bob adds, “We continue to grow as a result of our loyal customers who refer our company to others. Our customers and our employees are the most important people in our business. We are dependent on them.” CW: Tell us about the main services you provide. Bob: We have a walk-in retail business for copying, blueprint copying, fax and e-mail service along with document scanning. We also offer commercial printing for letterheads, business cards, forms, invitations and graphic design. Finally, we offer large format color printing for banners, posters, indoor and outdoor signs, vehicle graphics and vinyl wraps. CW: What is the single most important aspect of your business that sets it apart from others like it? Bob: We provide very fast turnaround for most projects by our courteous and knowledgeable staff. We take a “can do” attitude to every single request. It really comes down to good old fashion customer service.

CW: How did you become involved in printing services? Bob: About 15 years ago we relocated into a larger facility on Fire Rd. in Egg Harbor Township. Being as we were located on a major highway and surrounded by commercial and retail businesses, we decided to create a new division focused on retail and commercial printing. Already in the digital copier equipment business, it seemed like a natural diversification. I felt that we would be able to leverage our expertise in the equipment business to be successful in the commercial printing business. CW: How does it feel to have your children follow in your footsteps? Was it a natural progression for them? Bob: It’s extremely rewarding. I think many parents would love to have their children follow in their footsteps especially if they own a business. It presents excellent opportunities and challenges for everyone involved. I feel very fortunate to have both of our sons working in the business. CW: Tell us about the vehicle wrapping services you offer. Bob: We have provided vehicle wrapping and lettering for over four years with over 100 projects completed. They are mostly advertising graphics along with partial wraps and a few full color changes. This is an extremely labor intensive and technical procedure. We provide a complete solution from concept and design, through production and installation. We also provide vinyl lettering and magnetic signs. If you are in need of any office equipment or commercial printing for your business, call Copiers Plus, 609-645-7587 or visit their website at www.copiersplus.com and like them on Facebook.

Incredible Custom Work & Vehicle Wraps Vehicle wraps are a very memorable way to spread your business’s message. Vehicle wraps for sales, service and delivery vehicles are a powerful branding and marketing tool. Brightly colored, attractive vehicle wraps make your company vehicles stand out from all the other cars on the road. Passing drivers won’t pay much attention to a plain white van on the road, but they will notice a well-designed vehicle wrap. Colorful vehicle wraps are so engaging that peoples’ eyes naturally gravitate towards them. The people who will see your vehicle wrap the most are the people in your area. Local marketing produces outstanding results because people like to deal with nearby businesses.

TWO CONVENIENT LOCATIONS! 935 West Ave. 3112 Fire Road, Unit C Ocean City, NJ Egg Harbor Twp., NJ 609-398-7676 609-645-7587 Hours: M-F 9am-5pm Hours: M-F 8am-5:30pm

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January/February 2017

Medical Professionals

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

Here’s what our happy clients have to say!

How much downtime will I have? Immediately after your procedure, you will walk out and be able to perform mild activities. Unlike the need for prolonged recovery and possible overnight stay when liposuction is performed with heavy anesthesia, downtime is minimized. SmartLipo significantly reduces tissue trauma and post-procedural pain while completely eliminating post-anesthesia recovery. Most patients are able to return to normal desk-type work in one to two days and some patients are able to return to work the same day, depending on the area treated. Why doesn’t the SmartLipo procedure need heavy anesthesia? SmartLipo only requires local numbing. This ensures patient safety and improved recovery. In traditional liposuction procedures, heavy anesthesia allows the surgeon to use larger instruments with more aggressive and quicker movements, which result in faster overall procedure times. Faster procedure times means more procedures can be performed, but because they are using heavy anesthesia, larger instruments and more aggressive movements, their patients are exposed to greater risks and have longer and more painful recoveries. SmartLipo is done using smaller instruments; patients have more uniformity in their result, less bruising due to the characteristics of the laser, and generally just a better cosmetic result. How many SmartLipo sessions will I need? Only one session per area is needed to achieve full results. $50 for a Will SmartLipo results be permanent? customized As adults, we do not create new fat cells; when we gain weight, our fat facial cells fill up. When SmartLipo is done, the fat cell is destroyed and no longer has the ability to hold fat. The body will readjust to not having those fat cells and will place fat in cells in other parts of the body. For this reason, we advise that clients do not use this procedure as a diet. After SmartLipo it is very important that clients eat well and exercise to avoid weight gain in other parts of the body.

“I had been considering SmartLipo for the last 2 years. After meeting Dr.Fondacaro..I was sold! He was so polite and friendly. He took his time and explained everything. I am always worried about complications and risk factors with everything when it comes to my health but I felt 100% content with this doctor. Anna is great too! She is always available to answer any questions and promptly replies to all missed calls. I had my flanks done and will be going back for my lower abdomen next month. I’m very happy and have great results so far but it has only been 10 days! I would highly recommend this doctor.” “I went for laser lipo in Brick. Anna was my contact person. The experience, start to finish, was fantastic! The doctor is the best-- witty, experienced, helpful and compassionate. Anna is a kind and gentle person. So far, I am thrilled with my results. It wasn’t painful, per se, but felt very strange. They provided meds and local for the procedure. Worth every penny so far.”

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74 Brick Blvd., Bldg. 3, Suite 207 • Brick, NJ 08723

For more information, call 732-262-5476 or visit www.drparkave.com

Holistic Health Giveaway

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Holistic Health Spa 74 Brick Blvd., Bldg. 4, Suite 118 Brick, NJ 08723

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January/February 2017

Outdoor Living

The Mosquito Authority…Your Life Minus Mosquitoes!! Submitted by Bryan and Chris Madigan

What to expect

We are the Madigans…The proud owners of The Mosquito Authority (TMA) of the Jersey Shore. As school administrators in Toms River for the past 20 years, education and working with children has always been our passion. As owners of TMA, our passion for education and working with children continues to thrive! Our service focuses on educating members in our community about the potential harmful diseases that mosquitoes can transmit and precautions that homeowners can take to prevent mosquito exposure and ideally protect their family and loved ones.

When our trained and state-certified Applicator arrives to your home or business, he or she will apply larvicide/adulticide to your yard. This eliminates all mosquitoes and their habitat within 30 minutes. You can enjoy your mosquito-free yard as soon as it dries! Typically, within 30 minutes! The Applicator will leave your home with a TMA door hanger and yard sign on your mosquito-free yard.

What does it cost?

Our “Repel Plus” service is proudly partnered with Bayer® and is the approved mosquito protocol of the Centers for Disease Control and Prevention (CDC). We currently completed our third year servicing home-owners, day care centers, parks, and businesses throughout Ocean County. Our company is backed by over 10 years of professional mosquito/tick control throughout the country. Our service will give you the opportunity to enjoy a MOSQUITO-FREE yard from Spring to Fall! You can enjoy barbeques and family gatherings without being driven inside to avoid those persistent biting pests! Because the mosquito is the deadliest animal on the planet, you will be protecting your loved ones from the harmful diseases that mosquitoes transmit. And we’re including your furry family members as well!! A mosquito bite to a dog/cat can potentially result in heartworm.

Recurring Service (every 21 days) is only $79! With our recurring service, if anyone gets a mosquito bite within those 21 days, we will come out and respray... free of charge!

Having a backyard party or event?

You don’t have to stress about bugs biting your guests! Try our One-Time Event spray for just $99!!

If you belong to a community group, club or team and would like for us to give an Educational Presentation about mosquito life, habitat, prevention and service… give us a call! 732-797-1617 The Mosquito Authority • 530 Fischer Blvd. • Toms River, NJ 08753 Recipe

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January/February 2017

Medical Professionals

The Nurse Midwife: Offering a Comprehensive Approach to Care When people hear the term “midwife,” they often envision someone who helps women give birth at home. In reality though, the vast majority – 95 percent – of births attended by midwives occur in the hospital. Plus, nurse midwives do much more than deliver babies: they care for women throughout the lifespan, from a teenager’s first gynecologic exam through pregnancy and menopause. Karen Carola, CNM, director of midwifery at Ocean Gynecological and Obstetrical Associates, part of Barnabas Health Medical Group, has more than 30 years of experience as a certified nurse midwife. Here, she explains the unique benefits of this growing specialty.

Q: What is a midwife? A: A midwife is a trained medical professional who addresses women’s physical, emotional, social and spiritual needs related to childbirth and their reproductive health. A certified nurse midwife (CNM) is educated in both nursing and midwifery, certified by the American Midwifery Certification Board, and

licensed to practice in New Jersey. Most CNMs have bachelor’s and master’s degrees in nursing.

Q: Does a woman need both an ob/gyn and a midwife? A: Obstetrician/gynecologists and midwives each perform important functions, and ideally a woman should have both. A CNM must have a physician available, but the doctor need not be present if everything is normal. Our practice has five ob/gyns (physicians) and five midwives, and we all work as a team. Patients can see a midwife, a physician, or a mixture – whatever they prefer. The physicians’ primary focus is on the physical wellbeing of mother and baby. They are always available to monitor high-risk pregnancies, handle any complication or medical emergency that may arise, or perform a cesarean-section if that becomes necessary. The midwives take a holistic approach, addressing a wide range of patient concerns – from fears about giving birth to guidance in breastfeeding. We help empower women and support them to have the

Ocean Gynecological and Obstetrical Associates has two convenient office locations: For more than 50 years, women in Ocean County have trusted Ocean Gynecological and Obstetrical Associates (OGOA) to provide comprehensive obstetric and gynecological care. In 2012, OGOA took the bold step of expanding to include a team of experienced, boardcertified nurse-midwives to join its seasoned group of board-certified physicians. Today, OGOA is one of the only practices in the region that offers daily appointments with a midwife for in-office gynecological or prenatal care and around-the-clock midwifery coverage for pregnant women in the hospital. OGOA has one of the lowest C-section rates for obstetrical practices in the region. Toms River Office 413 Lakehurst Road, Unit 102 Toms River, NJ 08755 732.349.0485

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

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

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 throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. For more information, visit www.BarnabasHealthMedicalGroup.org. kind of birth experience they want, where they want it. At our practice, another advantage is that you can always talk to a midwife on call, 24/7.

Q: Can women still receive an epidural (pain medication during childbirth) with a midwife? A: Yes. We discuss all the options for pain relief, so each woman can make the decisions that are right for her as an individual.

Q: What else should women know about midwifery? A: Again, I’d like to emphasize that we’re here for women at every stage of life – not just when they’re having babies. We’re a source of strong support, understanding, problemsolving and encouragement for women and their families. And we have the medical knowledge to provide outstanding health care.

Q: Are midwives becoming more popular? If so, why? A: Yes, the percentage of midwifeattended births has risen nearly every year since 1989. I attribute a lot of it to Facebook. Younger women talk to their peers and post their experiences on social media, so word is getting out more and more about midwives.

Q: Are women who use midwives less likely to have a C-section? A: Yes. In one study, for instance, the C-section rate for a midwifeattended birth was 17 percent, versus 32 percent for a physicianattended birth at the same hospital. There are several reasons. First, we encourage women to keep moving during labor, which helps the baby rotate and descend. We also allow labor to progress by just waiting and not trying to rush things along. In addition, we try to uncover any issues that might be slowing things down, and address them. For instance, a woman’s fears can actually keep labor from progressing.

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Karen Carola, CNM, Karen Carola, CNM, has more than 30 years of experience in women’s health care. The director of midwifery at Ocean Gynecological & Obstetrical Associates, she previously worked at Columbia Presbyterian Medical Center in New York City for almost a decade. Karen received her bachelor of science degree in nursing from William Patterson University in Wayne, N.J., and her master of science in nursing with a specialty in nurse midwifery from Columbia University. A mother and grandmother, she also teaches prenatal yoga.

January/February 2017

In-Home Care

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January/February 2017

Apartment Community

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November/December 2016 January/February 2017

Medical Professionals

WHAT IS BIO-ENERGY TESTING®?

How Healthy Are You?

Research has shown that decreased energy production is not just a result of aging, but is in fact the cause of aging.

The onset of deterioration and disease associated with aging is extremely slow and insidious. Long before patients first experience symptoms (dis-ease), the processes involved in disease have long been attacking our cells, tissues and organs, robbing them of their rightful health and vitality. Standard tests are unable to measure these often-subtle changes and serve only to “enlighten” the doctor of an existing problem after it is already present. The Bio-Energy Testing (BET) is unique in that it measures your energy production, which is a crucial process in maintaining health and survival. It is a decrease in energy production and oxygen utilization that begins the cascade of disease and onset of illness and aging. In essence, all of the signs, symptoms and diseases associated with aging stem from a decrease in energy production. Not only does BET provide you with the earliest indicators of aging and illness, it also provides clinical information about your unique biochemistry and physiology that a physician can utilize to maximize your energy production, thereby helping you be optimally healthy and free of disease and dis-ease your entire life. BET has proven invaluable for athletes, obese individuals, cardiac patients and diabetics as well as those interested in knowing how healthy they really are. The BET evaluates several organ systems and is thus able to determine various parameters of health such as your resting heart and respiratory rate, your adrenal, heart, lung and breathing factors, your fitness factor, body composition and your optimal caloric intake for weight loss and longevity. These parameters, along with the most important determinant—your ENERGY QUOTIENT, helps to determine your biological age (vs. your chronological age). In addition, if you are interested in optimizing your physical training, BET will tell you what your optimal heart rate is and the type of exercise needed to reach optimal function without over-training and causing damage to your cells, muscles and organs through the production of lactic acid and free radicals. In essence, we want to provide our cells—in particular, the mitochondria of our cells—with optimal oxygen intake and utilization. Your E.Q. is a global measurement that reflects the sum total of all the factors involved in energy production, including your current lifestyle, lung function, heart strength, circulation, fat metabolism, carbohydrate metabolism, toxicity, nutrient status, hormonal balance, liver and kidney function, fitness and cellular bio-energetics. As such, it is the ultimate answer to the question, “Just exactly how healthy am I?” An E.Q. greater than or equal to 100 is the goal. Levels greater than 100 indicate that you are optimally healthy and readily generating a substantial amount of energy with the greatest possible efficiency not only for your age but for any age! In the same light, E.Q. levels below 100 indicate the degree that aging and lifestyle factors are robbing you of perfect health. Low E.Q.’s are associated with decreased energy and stamina and an altered ability to perform and function optimally across the board. For the New Year, let’s all make a resolution to not only Live Long but Live Well! Be Well and God Bless,

Mark

CALL FOR INFORMATION & TO SCHEDULE AN APPOINTMENT

(609) 978-9002

Bio-Energy Testing® involves the use of cardiorespiratory measurement devices to evaluate your individual energy dynamics. Bio-Energy Testing® measures the efficiency of your body’s use of oxygen and its production of carbon dioxide. The results obtained are used to create an individualized health maintenance program designed to increase your energy levels, prevent disease, and keep you functioning optimally for the rest of your life. Bio-Energy Testing® is only available at select medical facilities.

WHO CAN BENEFIT FROM BIO-ENERGY TESTING®? • • • • • • • •

Anyone who suffers from chronic fatigue or wants to increase their energy level Anyone who needs help with weight control Anyone with heart disease, arthritis, or high cholesterol Anyone who suffers from hypertension or diabetes Anyone interested in preventing the diseases of aging Anyone who wants to slow down the aging process Anyone who wants to maximize workout efficiency Anyone who wants to feel and function like a much younger person

BIO-ENERGY TESTING® TELLS YOU… • • • • • • • • • • • •

How well your body is producing energy How well your body metabolizes fat Your metabolic rate Your adrenal gland function Your heart function Your lung function Your body fat percentage Your level of fitness Your optimal caloric intake Your optimal carbohydrate intake Your optimal exercise parameters Your biological age

Institute For Complementary & Alternative Medicine 24 Nautilus Drive, Suite 3, Manahawkin, NJ 609-978-9002 504 Hamburg Tpk., Suite 202, Wayne, NJ 973-790-6363 By Appointment Only: 639 Stokes Road, Suite 202, Medford, NJ 609-654-5900 www.ICAMBartissMD.com

Mark James Bartiss, MD is a medical writer, lecturer, and author, and is recognized as a top ten specialist in the field of Bio-Identical Hormone Replacement Therapy (BHRT). He has helped numerous individuals take their lives back and reclaim their health.

REMEMBER... When it comes to your health, you do have options and a choice.

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Medical Professionals

Make Breast Health Part of Your New Year’s Resolution New Year. New Habits. New You. While dropping weight, quitting smoking and getting organized are popular New Year’s resolutions, add this one to your list: breast health. Fellowship trained Sumy H. Chang, MD, FACS, a board-certified breast cancer surgeon, reminds women to make breast health awareness a year-round commitment. A member of Barnabas Health Medical Group, in partnership with Community Medical Center, Dr. Chang provides Ocean County women with access to the latest in prevention, detection and treatment for breast-related issues – including breast cancer. She is also the Director of the High Risk Breast Program at the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch. “Taking preventive measures will help women reduce risk for breast cancer,” says Dr. Chang. “Maintaining a healthy diet, limiting alcohol intake to just one drink a day, undergoing regular breast screenings, along with self-exams, are the best ways to take control of your breast health.”

Q: When should mammograms

start and why?

Dr. Chang: I recommend that women at “average” risk - those who have no family history of breast cancer - begin regular mammogram screenings at age 40. Mammograms are still the best screening tools available to detect breast cancer. And detecting breast cancer at an early stage may spare more women from undergoing chemotherapy. We still diagnose a fair amount of breast cancer in the 40-45 year old age group. In this age range, the breast cancer is usually a more aggressive form. While there’s no way to predict who will get breast cancer, detecting it early will lead to less toxic treatment.

Q: Why is breast cancer

survivorship on the rise? Dr. Chang: Regular screening and treatment are leading to higher survival rates. The American Cancer Society reports that breast cancer death rates declined by 36 percent from 1989 to 2012 due to improvements in early

Sumy H. Chang, MD, FACS Fellowship Trained Breast Surgical Oncologist Dr. Chang is affiliated with Community Medical Center in Toms River and the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch and Monmouth Medical Center, Southern Campus in Lakewood. To schedule an appointment with Dr. Chang, contact: 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

Jacqueline M. Wilentz Breast Center 600 River Avenue Lakewood, NJ 08701 732.923.7702

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 throughout RWJBarnabas Health, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. For more information, visit www.BarnabasHealthMedicalGroup.org. detection and treatment, avoiding approximately 249,000 breast cancer deaths. This statistic should encourage women to get screened beginning at age 40!

Q: Is a self-breast exam worth the effort? Dr. Chang: Many women are confused about this topic. And it’s no wonder as there is varying information. The bottom line is women should conduct regular self-exams. Women know their bodies better than anyone and what’s “normal” and what’s not normal for them. My advice is to persist if you know something is wrong and be your own biggest advocate. Most of the time, the patient’s history and physical exam make the diagnosis for the doctor. In breast cancer patients, it can alert the doctors to perform additional tests and lead to a diagnosis of cancer. Many women get a breast exam at their annual gynecological exam. But, during that one-year span a lot can happen. So, this year, make a self-breast exam a new “habit.”

Q: What’s new with aesthetics? Dr. Chang: If you are diagnosed with breast cancer, you should understand that treatment has evolved significantly over the years. The first thing on most patients’ minds is survival, and often the last thing is aesthetics. However, as a breast cancer surgeon, I know patients will care about the aesthetics of their breasts once their treatment is done. So, I provide a long-term perspective as well and make sure they will be happy in the future with their body image. I’m proud to say that most of my patients are very happy with their aesthetic

The County Woman Magazine www.TheCountyWoman.com

outcome. Based on the type of their breast cancer surgery, women have reconstruction options as well as clothing options, such as customized mastectomy bras and camisoles, and breast forms.

Q: How would you describe your role with patients? Dr. Chang: Many times, I’m the first person to inform a woman that she has breast cancer. I guide them through the next 6 months – 1 year. I understand that going through this journey can be very traumatic and I gently ease my patients into the transition of treatment. Most of my patients become very close to me and my staff; we become their family. As a surgeon, I feel it is a privilege that the patients place their trust in us to operate on them and I see myself as their advocate in the operating room while they are sedated. I serve in the same role during breast cancer treatment, which involves a multidisciplinary approach with radiologists, pathologists, plastic surgeons, radiation oncologists, medical oncologists and genetic counselors. I also help to identify my patients’ psychological, social and economic needs – whether they have family, health insurance or financial concerns that may interrupt or delay their treatment. One great resource that I rely on is the Cancer Support Community – a free program that provides programs and services, which help people affected by cancer transition back to everyday life. My goal is to minimize the psychological and physical impact of breast cancer treatment on my patients in the long term.

January/February 2017

Assisted Living

ASSISTED LIVING BRIDGES MEMORY SUPPORT PROGRAM Happy 2017!

Spring Oak provides several levels of specialized services to meet each individual’s needs. These programs are specifically tailored and combined to promote the highest level of independence and health. This approach to care focuses on enhancing quality of life through the provision of individualized services in areas of nutrition, health care and recreational activity.

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

www.springoakforkedriver.com

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Health & Wellness

Massage School

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Medical Professionals

When Does Forgetting Become An Issue? Is it memory loss or am I just being forgetful? Did I just lose my keys or will I never remember where I put them? Is it OK that I can’t remember how to do basic chores because I’m “getting older”? The first answer brings good news because you are asking these important questions, not someone on your behalf, and, even more important:

there are answers!

When your memory has significantly declined, is poor compared to performance typical for your age but DOES NOT interfere with independent, day-to-day functions, you can be described as having Mild Cognitive Impairment or MCI. Dementia is an advanced deterioration of MCI and means that you no longer are able to independently perform day-today functions. Alzheimer’s Disease or AD is the most common form of dementia, and we know that a proteinbased plaque exists in the brains of these patients at abnormally high levels. We also know that this plaque begins to accumulate and clump together within the brain as early as a decade or more before you may experience any memory loss, impairment or dementia. On a positive note, we are living longer and could prepare to enjoy this new stage of living proactively and productively. Exercise, proper diet and remaining busy,

active and engaged are proven factors that minimize developing symptoms of dementia. But the research, proper diagnosis and treatment options leave much to be desired and are far from where we need these areas developed at this era of science, technology and awareness.

But as we said earlier, there are answers: The Memory Enhancement Center of New Jersey in Eatontown and Caring Heart & Brain Imaging in Manasquan. Dr. Joel Ross is the founder of the Memory Enhancement Center and is an expert in the detection and evaluation of dementia. Dr. Ross is currently directing some of the most advanced research studies sponsored by the leaders in pharmaceutical research for dementia and Alzheimer’s disease. Caring Heart & Brain Imaging is the first imaging facility on the Jersey Shore to offer expert PET imaging of the brain to diagnose dementia and differentiate between

2412 Highway 35, Manasquan, NJ 08736 732-292-1008

Alzheimer’s disease and other forms of dementia. Caring Heart & Brain Imaging has an impeccable and extensive track record because our interpreting radiologist is an expert in interpreting PET Lorraine Catalano, scans with extensive training CNMT and in interpreting brains affected Imaging Director by dementia. We are the only facility in New Jersey that has performed over 200 AMYVID PET scans to identify the protein plaque associated with Alzheimer’s disease. Caring Heart & Brain Imaging is the only dedicated PET scanner in New Jersey and that means less radiation exposure because there is no CT scan involved. Call for an appointment to meet with Dr. Ross and you will have an intensive consultation, expert scan and a future of knowledge and answers, all provided with absolutely no charge or out-of-pocket costs. Caring Heart & Brain Imaging can even provide transportation if you need a ride!

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

Cardiac Breakthrough Slipping Away At The Jersey Shore… The Jersey Shore has suffered some great losses in the recent past due to Super Storm Sandy and the Nor’easter…and now, another great loss seems inevitable. Caring Heart & Brain Imaging has made the latest cardiac technology available to residents of the Jersey Shore, who could only benefit from this same testing of they traveled to New York City, Philadelphia or Northern Jersey. Unfortunately, educating patients and doctors is taking time, and not enough patients are aware that they can ask their family doctor or cardiologist to write a script for the test that will accurately and specifically determine if your heart muscle is receiving adequate blood flow and if that blood flow is evenly distributed. The test to ask for is called a Cardiac PET Perfusion study for Rubidium. The Cardiac PET Perfusion study is the newest version of a cardiac stress test. For those people who have had the old test, the most compelling reasons for having the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging are:

•

Speedier Scan Times – approximately 45 minutes as opposed to 2-1/2 to 4 hours for the old SPECT scan.

•

Patient Exposure to Radiation is cut in half - the Attrius scanner reduces patient exposure to radiation, and Rubidium, the agent used in the scan, has a short half-life, so the amount of radiation exposure is substantially less than a chest x-ray.

•

Improved Images – PET provides clearer, more precise 2D images better suited for detection of disease.

•

Avoidance of Unnecessary Procedures – Test images are so accurate, procedures such as stent implantation and even coronary bypass surgery might be avoided.

•

We will provide transportation, if necessary. If you have some, or all of the risk factors mentioned below, you should see your family practice doctor and ask if you would benefit from the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging.

The County Woman Magazine www.TheCountyWoman.com

Don’t let this opportunity to receive the best and most accurate technology for cardiac care slip away from you. Tell your doctor you want only the best. We are happy to answer any questions you or your doctor may have. We can be reached at 732-292-1008.

At Caring Heart & Brain Imaging,

you are in our caring hands! January/February 2017

Adult Community

2017 - The Year For Affordability And Independence

new year, time to make a new plan. You are ready to retire or already retired and ready to make a move from years of doing everything for everyone and ready to enjoy your own time now. Leave the things accumulated from those who’ve left to start their own families behind; just bring your pleasing memories with you and enjoy your new home at Fountainhead 55+ in Jackson, NJ. Do you really need two stories to clean and maintain? Must you have a ladder as part of your tool shed? Should you risk even three steps up a ladder and jeopardize your exercise routine? Will your expenses outrun your budget? There is a better way and we will always make the time to help you know that it is right for you. We have managed and owned only land leased communities. We know our customers, we appreciate our clients and we are here to help you make the right move. Our family has been selling homes in land leased communities for nearly 40 years. Let us show you how you can live comfortably within your finances by choosing our community for your new home. Live within your budget, have enough time to do what you want to do, be close to your family and friends. I-195 Exit 22 is our exit; if you take the Garden State Parkway, it is exit 98. It doesn’t get any better than that. Land leasing is not mysterious or a new concept in home ownership. It is another choice. With fewer nationally recognized corporations in the residential land leasing business, we land leasing companies have a smaller voice; we are not often seen on TV. That means we have to work harder to get the attention of people like you—those people thinking about moving and weighing the opportunities. In our family business, our DNA, we want to do the right things, and that is one reason why we offer a limited number of new homes with convenience, style and function pre-determined. The builders we respect and patronize offer quality. Quality is what we want for us and that is what we want for you. How or where your home was built is less important than how we do our part to make your house your home. All homes must meet minimum standards; we sell homes that exceed the minimum. Yes, our homes are built off site and travel here to Jackson, NJ, just for you—you can’t get that kind of sturdy durability everywhere. Because our homes are built inside a building, using

new materials that are also kept out of the weather, there is less chance for structural failure, and there is a cost saving to the home buyer. We offer personalization of each home to each person, a reflection of your lifestyle. Fabulous kitchens, “smart” homes connected to your smart phone, lots of closets and elbow room between you and your neighbor. Living in a land lease community is not very different than living in any community. There are written guidelines, similar to the ordinances that each town has (but fewer), or the by-laws of other, higher-density home ownership. They are all really just “good neighbor policies.” If you are a good neighbor, there should be no hesitation. We pay attention to our community members and we honor our guidelines. Fountainhead is not a typical land lease community. We are not a high-density, heavily populated place to live. But we are in a location that offers all that you would have if you lived in a heavily populated area. Within a mile there are nine banks, ten pharmacies, three Wawa’s, three supermarkets, two or three dozen restaurants, 4 hair salons, and a huge new Meridian Health Village. You want the service, it’s close by. It doesn’t get better than that. Every aspect of every home constructed has been planned and witnessed by one of us on site. Our residential design was created by the well-respected FW Associates, PE with heavy input from our founder, Jim Viviano. Our entire staff participates in continuing professional education every year. We want to be the best we can be. All of our founders, Jim Viviano and family, are committed to you. This is our American Dream. There is no better solution to single-family home ownership than a new home at Fountainhead 55+, a land lease community.

The County Woman Magazine www.TheCountyWoman.com

Fountainhead

1 Rose Drive • Jackson, NJ 08527 For directions call 732-928-3100 or visit our website njfountainheadhomes.com.

You L We uv’ Em , Luv’ Em

Resident Testimonials:

“Very happy!! A dream come true Love my new home, quiet yet friendly. Thank you to Nancy and all Fountainhead family for all their help and kindness, they treat you like family.” - Karen C.

“Love, love, love living here. When I drive into the community I feel like I have arrived in my own little “MAYBERRY”. It’s friendly, quiet and peaceful. It’s the best decision I ever made to retire here. Oh, and my husband loves it too!!” - Linda D.

January/February 2017

58 14

Medical Professionals M P edical

roffessionals

43 35

The Only Center In NJ That Specializes In MCI, The Only Center in NJ thatRelated specializes in MCI, Alzheimer’s Disease And Conditions! Alzheimer’s disease and Related Conditions!

Common questions we ask our patients The Memory Enhancement Center of Dr. Ross received his medical degree from the at the Memory Enhancement Centers America provides unmatched excellence in State University of New York Downstate Medical Dr. Ross received his medical degree an from the The Memory Enhancement Center of of America: Common questions patients we ask Center in Brooklyn. He then completed internship the accurate diagnosis and proper treatment State University of NewMedicine York Downstate Medical and residency in Internal at Nassau County America provides unmatched excellence in of•you atrepeat the Memory Enhancement Do you questions about the events of the day? of individuals age 45 and older who have Center Center in Brooklyn. then completed internMedical in EastHeMeadow, New York,anwhere the accurate diagnosis and proper treatment Centers America: • Do youof avoid driving to unfamiliar locations? he was Chief Resident, and a fellowship in the ship and residency in Internal Medicine at Nassau concerns about their Individuals of individuals age 45 andmemory. older who have • Do you questions about thepost-its events or of calendars the day? • Do yourepeat rely more on reminders, Department of Geriatrics andEast Adult Development at County Medical Center in Meadow, New York, concerns memory. Individuals come • Domore come about to the their Center from the Tri-State area before? youthan avoid driving to unfamiliar locations? Mount Sinai Medical Center in New York, New York. where he was Chief Resident, and a fellowship in to the center from the Tri-State area.Why? • Doyou yourely havemore trouble conversations Dr.theRoss is a Diplomate of the National Board of Why? They receive in our state of the facility a • Do on recalling reminders, post its orthe next Department of Geriatrics and Adult DevelopThey receive in our state of the facility a Medical Examiners andment of theatAmerican BoardMedical of Internal Medicine day or several moredays thanlater? before? Mount Sinai Center in Newwith York, comprehensive confidential consultation calendars added qualification in Geriatric Medicine. comprehensive andand confidential consultation • Doyou youhave seemtrouble confused while doing familiar things in New York. Dr. Ross is a Diplomate of the National • Do recalling conversations Dr. Ross’ Achievements atcost no cost to them or their insurance. at no to them or their insurance. Board of• Alzheimer’s Medical Examiners and of the American Board of Internal Medicine outside theornext daythe or home? several days later? Caregiver Humanitarian of the Year (2011) with added qualification in Geriatric Medicine. it just simple forgetfulnessoror something • Do Is itIsjust simple forgetfulness • Doyou youseem have confused trouble paying the bills? • Academy of Physicians in Clinical Research Board of Trustees while doing familiar Dr. Ross' Achievements something more? (2011-2012) • Do you getoutside confusedthe about the day, date or month of more? things in or home?

Dr.Dr. Ross hashas thethebest approaches year? • Dothe you have trouble paying the bills? Ross bestand andnewest newest approaches to highly and accurately diagnose the cause of • Do you getconfused lost or confused driving to highly and accurately diagnose the cause of • Do you get about while the day, dateor walking memory loss in all that come to the Center. It is a familiar place? memory loss in all that come to the Center. It is or in month of the year? hoped soon the center might offer a program to • Do you have pauses in your speech? hoped soon the Center might offer a program to • Do you get lost or confused while driving prevent or delay MCI/AD. We are the only center • Do you have problems prevent or delay MCI/AD. We are the only center or walking in a familiarfinding place? even common words in NJ that specializes in MCI, Alzheimer’s Disease using familiar names? in NJ that specializes in MCI, Alzheimer’s Disease • Dooryou have pauses in your speech? and related conditions. • Do you sometimes forget what you wanted to say in and related conditions. • Do you have problems finding even common All dementia starts with what is called Mild the middle of afamiliar conversation? All dementia starts with what is called Mild words or using names? Cognitive Impairment or MCI. Most doctors • Do you walk into a room and forget what you came Cognitive Impairment or MCI. Most doctors • Do you sometimes forget what you wanted have heard the term MCI but don’t know how to to do or get? have heard the term MCI but don’t know how to to in saythere in the middle of a conversation? properly apply it to the appropriate patient with If you answered positively to two or more of these properly apply it to the appropriate patient with • Do you walk into a room and forget what memory loss. It is quite simple: questions then call the Memory Enhancement Center memory loss. It is quite simple: you came in their to do or get? The world renowned physician/neurologist, of America today for a free consultation. You have world renowned physician/neurologist, If you answered positively to two or more Dr. RonThe Peterson, MD who literally wrote the nothing to lose except more of your memory if you Dr. Ron Peterson, MD, who literally wrote the book of these questions then call The Memory book called Mild Cognitive Impairment has the wait a minute longer. called Mild Cognitive Impairment has the following Enhancement Center of America today for a free following criteria that need to be in place to After memory tests at your what criteriaMCI: that need to be in place to diagnose MCI: consultation. You have nothing to loseoffice, except more diagnose else is done to help explain the cause? 1. Memory concerncorroborated corroborated preferably preferably by of your memory if you wait a minute longer. 1. Memory concern bya a Dr. Ross provides a detailed consultation to you close friend/family member. close friend/family member. After memory tests at your what and current physicians so theyoffice, can also help you 2. Objective memory impairment for the age and 2. Objective memory impairment for the age and else isyour done to help explain the cause? decide upon the next course of action. This may be a education of the subject (we administer these simple education of the subject (we administer these prescription of an FDA approvedconsultation drug for dementia/ Dr. Ross provides a detailed to teststests of memory at the at center to determine if this simple of memory the center to deteryou and your current physicians so they can also Alzheimer’s Disease. In some cases, a suggestion to criteria is satisfied). mine is this criteria is satisfied. help you decide upon the next course of action. reduce or eliminate possible medication(s) that can 3. Largely intact general cognitive function (meaning 3. Largely intact general cognitive function (meanbe a prescription of an loss FDA be may contributing to your memory as approved well as offer meet andand talktalk withwith you that ing to tomost mostpeople peoplewho who meet you This drug for dementia/Alzheimer’s Disease. In some you an opportunity to participate in a pharmaceutical there would anythingnoticeable). noticeable). there would notnot bebeanything cases, a suggestion to reduce or eliminate possible sponsored clinical research trial. An abnormal level 4. Generally preservedactivities activitiesof of daily daily living 4. Generally preserved living(this medication(s) that can be contributing to your of B12 in your blood may also be a factor along with means youyou can can still drive, prepare meals, (thissimply simply means still drive, prepare memory loss as well as offer you an opportunity thyroid conditions and many more possible causes.to shop, change appointments by phone, renew meals, shop, change appointments by phone, participate in a pharmaceutical sponsored clinical medications by phone with the pharmacy or renew medications by phone with the pharmaresearch trial. An abnormal level of B12 in your prescription benefits plan plan manager, and care for all cy or prescription benefits manager, and blood may alsoOF beALZHEIMER’S a factor alongDISEASE with thyroid SYMPTOMS daily basicdaily needs). careyour for all your basic needs. conditions and many more possible causes. Repeat questions 5. Not demented(this (thismeans meansno no dementia dementia which 5. Not demented which Misplace possessions essentially refers yourloss lossof of such such abilities essentially refers totoyour abilitiesnoted SYMPTOMS OF ALZHEIMER’S DISEASE Are at a loss for words n Repeat questions in number 4). 4). noted in number Forget recent events, conversations and n Misplace possessions If you have MCI,ititisiscritical critical you you have have aathorough If you have MCI, thorevaluation. There is noisbetter place place qualified to have n Are names at a loss of for friends words or relatives ough evaluation. There no better qualified Confused sense of direction and the proper testingtesting than atthan the Memory Enhancement n Forget recent events, conversations and names of time friends and to have the proper at the Memory become lost in familiar places Enhancement Ross and his staff. or relatives Center withCenter Dr. Rosswith and Dr. his staff. Havesense difficulty performing of direction and time andchores become or lostusing in evaluationrequires requiresoften often less less than TheThe evaluation than90 90minutes n Confused appliances and tools familiar places minutes our office. Our staff courteous, is most courtein ourinoffice. Our staff is most caring and difficulty finances n HaveHave difficulty performinghandling chores or using appliances and tools ous,compassionate caring and compassionate needs of all to the needs of to all the individuals seeking Show changes in mood and/or personality n Have difficulty handling finances individuals seeking answers to why their memory answers to why their memory is failing. n Show changes in mood and/or personality is failing. www.TheCountyWoman.com The County Woman Magazine www.TheCountyWoman.com The County Woman Magazine The County Woman Magazine www.TheCountyWoman.com

The County Woman Magazine

www.TheCountyWoman.com

• • • •

Alzheimer's • Certified Caregiver Physician Humanitarian Investigator of the Year (2011) Academy of Physicians in Clinical ResearchinBoard • Second followship trained Geriatrician NJ of Trustees (2011-2012) Certified Physician Investigator Dr. Ornstein has aingreat Second followship trained Geriatrician NJ deal of experience caring for patients with cognitive impairment including Dr. Ornstein has a great deal of experience caring mild, moderate and severe Alzheimer’s disease. This for patients with cognitive impairment including includes the areas of primary care and as a principal mild, moderate and severe Alzheimer’scare disease. investigator providing compassionate to those This includes the areas of primary care and as a most in need of his services. principal investigator providing compassionate He has been an investigator on many importantcare to thosetesting most in his efficacy services.of the latest studies theneed safetyofand He has been an diseases investigator onasmany compounds battling such Mild important Cognitive Impairment and Alzheimer’s studiesDisease/Dementia. testing the safety and efficacy of the latest “I have been a practicing internist for over thirty years havecognitive an compounds battling diseases such and as mild intimate and knowledge of theDisease/Dementia. overwhelming health issues confronting the impairment Alzheimer’s of today. For the past five years, it has beenyears my medical “Iseniors have been a practicing internist for over thirty and havemission an in lifeknowledge and definitely my overwhelming distinct pleasure to offer hope and reassurance by intimate of the health issues confronting the seniors way of clinical research to those unfortunate individuals diagnosed with of today. For the past five years it has been my medical mission in life and Alzheimer’s disease.” definitely my distinct pleasure to offer hope and reassurance by way of clinical research to those unfortunate individuals diagnosed with Alzheimer’s disease.”

Memory Issues?

Taking action today may lead to tomorrow's answers. To learn more please contact:

Memory Enhancment Center 732-379-7768 732-263-0101 Dr. Ross will personally respond to your phone call. 4 Industrial Way West, 2nd Floor Eatontown, NJ 07724

www.memorycenternj.com May/June 2016 November/December 2016 January/February 2017 July/August 2016

Health &Wellness

Cough And Cold Season Is Here - Are You Ready?

Jay Greco, RPh

Believe it or not, cough and cold season is upon us. Our nights are becoming very cold and children have been back in school for about four months now. This is the season everyone dreads. It seems we see people with the sniffles everywhere— at work, at the mall and even at home. Now is the time to take some steps that will reduce your risk of catching a cold and stock up on things that will help with the symptoms when the inevitable happens.

YOU CAN REDUCE YOUR RISK OF CATCHING A COLD OR FLU. HERE ARE SOME HELPFUL HINTS: WASH YOUR HANDS FREQUENTLY-This will help stop the spread of germs. Everything you touch potentially has cold germs on it—door knobs, handrails, pens, pin pads, etc. Also, keep hand sanitizer easily accessible—keep it in your car and your desk at work. REDUCE STRESS-Whenever a big day is coming up, or a deadline you have been rushing to meet, you are more likely to become sick. Relax, your health is more important. Also, try to get at least eight hours of sleep per night. EAT WELL-Certain foods combat colds. Try to include as much of the following as possible in your diet: broccoli, cauliflower, garlic, onions, citrus fruits, and whole grains. Some evidence also exists supporting using vitamin C and Echinacea to boost your immune system. DRINK PLENTY OF WATER-Drinking plenty of water helps flush germs out of your body. Water also helps keep your mucous membranes moist, allowing them to trap the virus and dispose of it.

BREATHE FRESH AIR-Try to breathe as much fresh air as possible. Recycled, contaminated air can make you sick! Get outside as much as possible. Cold air will not give you a cold! For the most part, everyone catches some degree of a cold at least once a year. Once you feel the symptoms coming on, then what? For starters continue the above tips. Also, cover your mouth and nose when you sneeze or cough (no one else wants your germs). And most importantly-CONTINUE TO WASH YOUR HANDS FREQUENTLY. There are many cough and cold medications on the market that can help with your cold or cough symptoms. Decongestants in a pill form or a nasal spray can help with a stuffy nose. Antihistamines can help with itchy, watery eyes. Cough suppressants help control a nagging cough. Cough drops or throat lozenges help with a sore throat. Tylenol or Motrin can help any body aches or fever. Before taking any medications, please consult with your pharmacist or doctor to be sure the medication you are buying doesn’t aggravate any existing medical conditions or interact with any current medication you are taking. THIS IS VERY IMPORTANT. Many over the counter cough and cold medications can cause adverse effects. Don’t be afraid to ask us, that is what we are here for. Once you have determined which medications are safe, keep some at home so that you are prepared when that cold comes along. Jersey Shore Pharmacy is an independently owned and operated full service pharmacy. Our pharmacists and technicians are here to answer your questions. Stop by and see what a pharmacy experience should be!

20% OFF

Valid for Over-the-Counter Items ONLY. Cannot be combined with any other offers. Expires 2/28/2017.

“Your Special Order Is Our Pleasure To Fill!” For more information, call 609-660-1111 or visit www.jerseyshorepharmacybarnegat.com.

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Women Of OceanCounty

Sumy H. Chang, MD, FACS, RWJBarnabas Health Medical Group Fellowship-trained breast surgeon Dr. Sumy H. Chang, a board-certified general surgeon dedicated to breast health, provides women in Monmouth and Ocean counties with access to the latest prevention, detection and treatment options for breast-related issues. Dr. Chang’s decision to focus on breast health came early in her career, when she treated a young woman with metastatic breast cancer that could have been treated earlier had she felt comfortable with her providers. She vowed then to become an advocate for women’s health. Today, Dr. Chang encourages all women to see a doctor at the very first sign of any change or abnormality. As a member of Barnabas Health Medical Group, part of RWJBarnabas Health, Dr. Chang is supported by leading technology and resources that enable women to seek the best in breast health – including a high risk breast cancer program and genetic testing; dedicated breast imagers; highly skilled medical and radiation oncologists, radiologists, pathologists and plastic surgeons; and a host of psychosocial support services available to address the emotional impact of breast diseases.

To schedule an appointment with Dr. Chang, please contact Community Medical Center, 732-557-2153.

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

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

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

You can contact Nina Paonessa at 732-282-1500 or by visiting www.paonessacrs.com. Photo by Donna Andrews Photography

Nikki Troisi, Director of Community Relations and Physician Liason, AristaCare Nikki Troisi has been working as the Director of Community Relations and Physician Liaison for AristaCare since August of 2008. Nikki has always had a passion for seniors; at the young age of 16, she had already begun working with the geriatric population. Little did she know that her first job as a dining room server at an assisted living facility was the beginning of her career. Nikki graduated cum laude from Quinnipiac University with her BA in Gerontology. She combines her knowledge and education with her passion and personality in creating her position at AristaCare as the Community Liaison. In this position she facilitates education and socialization, which is so important for the health and empowerment of seniors. Through these educational and social programs, she has helped many seniors connect with their peers as well as professionals who can be of service to them. AristaCare is a sub-acute rehab facility located in both Manchester and Whiting. AristaCare prides itself on being a leader in the healthcare industry and is committed to giving the highest level of treatment, compassion, and service to our patients.

For more information please visit www.Aristacare.com, or call 732.983.8760. Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Education

Developing New Career Field Looking For Trained Graduates Looking for an exciting career? Set yourself apart from the competition! Ocean County College is offering a new Associate in Science (A.S.) degree in Hospitality, Recreation, and Tourism Management (HRTM). Since 2015, Ocean County College has offered selected courses in HRTM and is now awarding a new associate degree, which provides instruction in hotel, travel, recreation, tourism, food and beverage, convention and meeting planning, facilities management and related service industries. According to Jennifer Evans, HRTM Program Chair at Ocean County College, this is a developing industry and the need for educated, skilled employees is in demand and is expected to continue to grow. “Ocean County College is centrally located within the beach counties of Ocean, Monmouth, and Atlantic counties, and is the gateway to New Jersey tourism, offering tremendous job opportunities for our students,” explained Evans. According to Evans, anyone considering an HRTM degree should be a “people person,” crave variety and excitement in their work day, and have a passion for food, travel, and special events. “With an associate degree from Ocean County College, students can begin working right after graduation or can transfer to a bachelor’s degree program in Hospitality, Recreation, and Tourism Management at a four-year school,” she said. Ocean County College’s new associate degree provides a business planning foundation that examines

Funeral Planning

industry trends, consumer behavior, guest services, and other factors that influence HRTM development and promotion. Students will acquire skills in cost control and accounting; customer service management; employee hiring, training and management; event design and planning; legal and risk management; marketing; and operations procedures. Students will also learn to both provide superior service treating customers as guests and to develop marketing and sales techniques to use within their specific field.

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

Looking for an Exciting Career? Travel

• Airlines • Cruise Ship • Chartered Transportation

Lodging

• Hotels • Resorts • Motels • Casino Hotels

Potential careers are plentiful whether students plan to work locally in Ocean County, statewide throughout New Jersey, nationally, or even internationally. For example, spotlight jobs include event planner, destination marketing, hotel manager, and attraction/ theme park manager. Careers in travel might involve working on cruise ships, airlines or chartered transportation. If fun and recreation are at the top of your list, you may find a managerial position at theme or water parks, arcades, aquariums, casinos, clubs, museums and zoos. Other prospective careers may involve restaurants and managed services such as dining halls, hospitals, wineries, breweries or catering. Careers in lodging feature hotels, motels and resorts. And special event careers include weddings, conventions, meeting planning, expos, trade shows, sporting events and colleges. Plus facilities management features golf clubs and gyms.

Events

• Associations • Colleges • Meeting Planner • Expos & Trade Shows • Sporting Events

Restaurants & Managed Service

• Restaurants • Dining Halls • Hospitals Wineries • Breweries

Recreation

• Arcades • Aquariums • Amusement Parks • Casinos • Clubs • City Recreations • Fairs • Festivals • Museums • Water Parks • Zoos

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

www.ocean.edu

For more information on Ocean County College’s Associate in Science degree in Hospitality, Recreation, and Tourism Management, contact Jennifer Evans, HRTM Program Chair at Ocean County College, at 732-255-0400, ext. 2821, or jevans@ocean.edu.

DeGraff Lakehurst Funeral Home – Family Owned and Operated The DeGraff family purchased the funeral home in 1979. We are family owned and operated. We serve all faiths, offering personal care with reasonable pricing. We have traditional funeral services and cremation options with a wide variety of memorial services packages tailored to meet the needs of each individual family. WE WOULD LIKE TO ANSWER SOME FREQUENTLY ASKED QUESTIONS.

Q: If we prepay our funeral, is that price guaranteed? A: Prices usually increase, but many times the interest earned will offset price increases. Many charges, such as cemetery or crematory expenses, obituaries, clergy, or death certificates, are outside the funeral home’s control. They are separate businesses.

Q: Can we stop someone from attending a viewing? A: If there is a public obituary indicating the services at a funeral home, the answer is no. You have informed and

invited the public. If there is no obituary and the services are private, then yes, it is only who you invite. However, if it is immediate family that has equal control, the funeral director will usually set up a private time so they too can say goodbye.

“Thank you from the bottom of our hearts for everything you have done for us during this tragic time. We will be forever grateful.” If you would like additional information on the services we offer or prearrang ement options, please do not hesitate to contact our dedicated staff at 732-657-7868 or you may visit our website at www.degrafffuneralhome.com.

The County Woman Magazine www.TheCountyWoman.com

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

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

Manager, NJ Lic. No. 3921

January/February 2017

Community

January is National Blood Donor Month January is National Blood Donor Month and one of the most difficult times of the year to maintain a sufficient blood supply. Severe winter weather and seasonal illnesses often contribute to a seasonal decline in blood and platelet donations.

“Since her diagnosis, Chloe has required hospitalization, surgery, chemotherapy, and many, many blood transfusions,” said Camille Dewing, a family friend. “Chloe and her family have not had an easy journey, but blood donations given by generous donors have helped to save her life and encouraged her to keep fighting.” Transfusions of red cells and platelets can help save a patient’s life, or dramatically improve their quality of life from day to day. Leukemia and other cancers can cause anemia and internal bleeding, chemo and radiation can lower blood counts, and cancer-related surgeries can result in blood loss. “Patients like Chloe don’t get a holiday from needing blood, and the need for donors is constant,” said Dewing. “Chances are there’s a child or a family waiting for the gift you can give.”

Blood donations can make a difference to those who receive them, including two-year-old Chloe Rose of New Jersey. When Chloe Rose was diagnosed this past summer with stage three neuroblastoma, a childhood cancer affecting nearly 700 children annually, she went from being a typical happy, playful toddler to a very sick child almost overnight.

How to Donate Blood Simply download the American Red Cross Blood Donor App,

visit redcrossblood.org or call

1-800-RED CROSS (1-800-733-2767)

to make an appointment or for more information. All blood types are needed to ensure a reliable supply for patients. A blood donor card or driver’s license or two other forms of identification are required at check-in. Individuals who are 17 years of age (16 with parental consent in some states), weigh at least 110 pounds and are in generally good health may be eligible to donate blood. High school students and other donors 18 years of age and younger also have to meet certain height and weight requirements.

Show Your Pet Some Love This Valentine’s Day Download the Free Red Cross Pet First Aid App

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January/February 2017

Business & Personal Storage

Medical Professionals

BUY 1 LASER HAIR REMOVAL PACKAGE GET A SMALL AREA FREE Small $375 • Medium $475 • Large $600 LASER HAIR REMOVAL PACKAGES OF 6 Small Area $375 Areolas, Cheeks, Chin, Ears, Feet, Hands, Lip, Navel Line, Nose, Sideburns

Medium Area $475 Bikini line, Back of neck, Face, Front of neck, Lower arms, Upper arms, Lower back, Under arms

Large Area $600 Abdomen, Face and Neck, Lower legs, Upper legs, Inner thigh and Bikini line, Upper back, Bare bikini

74 Brick Blvd., Bldg. 3, Suite 207 • Brick, NJ 08723

For more information, call 732-262-5476 or visit www.drparkave.com

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January/February 2017

Theatre & Entertainment

“

“ROBERT CREIGHTON IS BORN FOR THE ROLE.

“ SHOWSTOPPING! Pure hallelujah moments.

“

Musical Hollywood’s The

About

Photo: Carol Rosegg

Tough Guy in Tap Shoes

Riki Kane Larimer Presents

CAGNEY

Robert Creighton Robert Creighton & Christopher McGovern Choreographed by Joshua Bergasse Directed by Bill Castellino Starring

Music & Lyrics by

Book by

Peter Colley

Telecharge.com 212-239-6200 - Westside Theatre 407 W 43rd St. NYC - CagneyTheMusical.com

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January/February 2017

Theatre & Entertainment

GO SEE THIS SHOW.

“

”

—Rosie O’Donnell

Tradition is a funny thing...

A New Comedy Written by & Starring

Monica Piper Directed by Photo by Michael Lamont

Mark Waldrop “

The Pied Piper of Comedy!”

—The Examiner

TELECHARGE.COM • 212.239.6200 • NEW WORLD STAGES 340 W. 50th St.

NotThatJewish.com

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Acupuncture

Understanding The Value Of Acupuncture What is acupuncture? Acupuncture is a treatment involving the insertion of fine needles into the skin to relieve symptoms (such as pain), strengthen the body’s immune system and balance the body to facilitate healthy body function. How does it work? Acupuncture works by stimulating the body’s qi (pronounced chee). Qi is the body’s life energy. It flows throughout the body in a series of channels. Each channel is connected with a specific organ and has specific physiological functions, as well as emotional and spiritual components. When the qi flow is disrupted, the body can experience dysfunction, ill health and/or pain. When the qi is flowing freely through the channels, all body functions, such as Sleep, Digestion, Energy, Immunity, Concentration, and Mobility, are enhanced. Does it hurt? The insertion of the needle is generally painless. Many patients do not even realize when the needle has been inserted. This is because acupuncture needles are solid and hair-fine, unlike a medical hypodermic needle, which is thick and hollow. Once all of the needles are in place, the patient usually becomes very relaxed. The lights are dimmed and gentle music is played. Many patients fall asleep during the treatment. How many treatments does it take to feel relief? Some patients feel some relief after the first treatment. Typically, patients feel some consistent relief after three to five treatments. It is usually recommended to receive two to three treatments for two to three weeks, followed by an evaluation to determine the need and/or frequency of further treatment. Complete relief varies from case to case. In general, acute symptoms resolve quicker than chronic or complex conditions. How long is a treatment? During a treatment needles are retained for twenty to forty minutes, depending on the patient and the condition being addressed. Is it safe? Yes. All needles are pre-sterilized and packaged for single use. During treatment, the acupuncturist opens the needle packages and inserts the needles, using proper clean needle technique. When the treatment is over, the needles are removed and placed in a biohazard container, just like at a hospital or doctor’s office. Does insurance cover acupuncture? Most insurance companies have plans that cover acupuncture, though coverage varies from plan to plan. The best way to find out if you have coverage is to come in for a consultation, and let the acupuncturist verify your benefits with your insurance company.

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

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

Acupuncture is among the oldest healing practices in the world. It aims to restore and maintain health through the stimulation of specific points on the body. It is considered part of complementary and alternative medicine (CAM).

Visit www.KoehlerAcupuncture.com 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

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Community

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Community

CASA Celebrates A Decade Of Providing Child Advocacy For Children In The Foster Care System Written By: Vicki Weiss, Executive Director What is CASA of Ocean County? CASA of Ocean County is a non-profit organization that exists to recruit, train and supervise every day-concerned citizen to serve as a child’s voice in court. A CASA Volunteer is a compassionate caring adult that remains in the child’s life until the child has a safe and permanent home. 10 Year Anniversary for CASA of Ocean County Help CASA celebrate its vision to provide a CASA Volunteer to every child in foster care that needs one by volunteering as a Court Appointed Special Advocate. There are over 750 victims of abuse and neglect living in out of home placement in Ocean County. By no fault of their own, innocent children from our community have experienced physical/ and or sexual abuse, neglect, witnessed domestic violence, live in extreme poverty and have parents that are struggling with addiction or mental health issues. Children, from ages ranging from birth to 21, are appointed to the CASA office so we may provide them with a CASA Volunteer of their own. The CASA Volunteer ensures the child’s emotional and physical needs are being met while they live in foster care. What do you need to do to become a CASA Volunteer? Besides patience and a giving heart for children, the CASA Volunteer needs time to donate to be

the one person that the children can count and rely on. CASA provides a 30-hour training class for the volunteers to teach them how to become child’s rights advocates in a very complicated court system. A CASA will undergo a background check, visit the child once a month, prepare court reports and attend hearings, and participate in on going training activities. As a Judicial Volunteers they assist the court by visiting foster homes, day care providers, schools, medical providers, and will inform the Judge in a court report. The volunteer will make recommendations to the court so the Children in Court Judge can make the best decisions for the best interest of the children. What does advocacy include? Every child’s situation is different but here are examples of how a CASA can change a life of a child: • Serve as a voice in the courtroom to keep children from being moved from foster home to foster home. • Request the child’s right to have parent, sibling, and family visitations. • Visit schools and ensure the foster child is receiving a quality education. • Assist with clothing and basic need issues. • Recommend annual health visits and therapy. • Monitor a parent’s court order for rehabilitation and help the child from lingering in foster care.

Visit Our Website For CASA Go Bragh Details!

•

Advocate for the adoption, reunification and Kinship Guardianship so a child will have the safe and forever home that they deserve. How can you receive more information? The CASA office hosts monthly Informational Sessions and in person interviews to provide volunteers with answers to all their questions. More information can be found on CASA website and volunteer applications are available to download at www.casaofoceancounty.org . The next training class is in the spring of 2017, and CASA is actively seeking volunteers to become advocates and serve on the Fundraising Committee Members

Want an excuse to dress down for the day? Now you have one! Donate $5.00 to CASA for Donate $5 CASA County for Children Children ofto Ocean and of Ocean County and can you can wear jeans toyou work on wear jeans to work on any Friday any Friday during the during the month of April 2017. month of April 2016.

For more information, contact:

Vicki Weiss email Vicki@casaofoceancounty.org April is Child Abuse Awareness Month Your company, law firm, day care, school, and/or small business can join this fundraiser to help raise awareness and fundraise to ensure every foster child in Ocean County has a CASA Volunteer of their own. For more information, visit us at www.CasaofOceanCounty.org

www.casaofoceancounty.org • 732-797-0590

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Business &Finance

Happy 2017- Join The Toms River Chamber Today! I am truly grateful for the treasures that all of our local business owners share with the greater Toms River area - for their staffs and teams and for their families. As we enter this new year, I am also thankful for their successes in 2016 - for the tiny, and not-so-tiny wins that they realized last year. I want to spotlight a few for you so that we can celebrate together!

Jeremy Grunin, Chairman

In 2016, the Lakewood BlueClaws came within one game of the Championship! Carluccio, Leone, Dimon, Doyle, and Sacks added a 15th attorney - with their 16th starting in January 2017! And Northern Ocean Habitat for Humanity partnered with WJRZ and the Ocean County Mall for an educational fundraiser which helped them to raise $70k towards building a home which will be built on a donated lot in Toms River.

Absolutely amazing stuff!

As a Chamber, we accomplished a lot together last year, and at the pace our business community is going, I expect more big things this year!

Noelle Carino, CEO

Happy 2017, and donâ&#x20AC;&#x2122;t forget...#WeAreTR!

Noelle W. Carino

Welcome New Members Allstate SB Financial LLC Pure Chiropractic Stoutâ&#x20AC;&#x2122;s Transportation JBJ Soul Kitchen Start Fresh Cleaning Saba Home Health Care Inc.

CEO

To take advantage of these opportunities, please contact the chamber office at 732-349-0220, or send us an email at info@tomsriverchamber.com.

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Community

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

MANCHESTER BRANCH - Saturday, Feb. 11 at 2 pm

SING, SHOUT, STOMP YOUR FEET

Enjoy a fun afternoon of music with George “Circling Eagle” Tooks, award winning composer, writer, producer and actor. Celebrate his 60 years of performing across the USA and Canada.

BRICK BRANCH - Saturday, Feb. 11 at 2:30 pm

Key Arts Productions: Soul Sounds

Join us for a unique live performance with visual multimedia that will keep your hands clapping and feet tapping! Spanning the evolution of black music, music legends Bessie Smith, Billie Holiday, and Duke Ellington will be seen in rare archival film footage. Sponsored by the Friends of the Brick Library.

LONG BEACH ISLAND BRANCH Wednesday, Feb.15 at 2 pm

Freedom Summer 1964

Enjoy learning about the Freedom Summer campaign in Mississippi which transformed the civil rights movement and American politics. Christopher Fisher, Associate Professor of History at The College of New Jersey, will present a movie and discuss the youthful activism in that period. Funded by the Horizons Speakers Bureau of the New Jersey Council for the Humanities, a state partner of the National Endowment for the Humanities. SIGN UP FOR YOUR OCL LIBRARY CARD ONLINE OR AT ANY BRANCH TODAY!

UPPER SHORES BRANCH - Wednesday, Feb. 15 at 4 pm

York: A Chautauqua

Actor and Educator Marvin Jefferson portrays Captain William Clark’s lifelong slave companion whose unique features and great strength were viewed with astonishment and awe by Native Americans. This first-person historical characterization is sure to enlighten and enrich the audience. BARNEGAT BRANCH - Saturday, Feb. 18 at 2 pm

American Historical Theatre presents

Matthew Henson: “A Negro Explorer at the North Pole”

Come and learn about the amazing life of Matthew Henson. Acknowledged to be the first man to reach the North Pole, and yet overlooked throughout his career as an explorer. Henson faced and overcame many of the limitations and struggles for African Americans at the time. His fascinating life encourages one to believe in oneself to reach any goal.

TOMS RIVER BRANCH - Saturday, Feb. 25 at 12 pm

Black History Month Celebration with the Toms River Area NAACP

Take part in a wonderful celebration of Black History Month with a performance by Marvin Jefferson in “Paul Robeson, a Chautauqua”. Enjoy a food tasting prepared by members of Toms River Area NAACP. Sponsored by the Toms River Area NAACP and the Friends of the Toms River Library.

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

January/February 2017

Helping People Protect Assets for Special Needs Children And Conduct Smooth Real Estate Closings For Almost Two Decades

Christina L. Matus, Esq. and Colleen L. Clark, Esq. For 20 years, The Matus Law Group has advised New Jersey residents in all matters of Estate Planning and Special Needs Planning services for children and adults. Christine Matus is an experienced, trusted attorney who can help you and your family plan for life, protect and care for loved ones with special needs, cope effectively with disability and death, and preserve inheritances for future generations. By helping you carefully plan for the future, our goal is to serve with the highest integrity and quality of work.

81 East Water St., 2C, Toms River, NJ 08753

The Matus Law Group Phone: (732) 281–0060 81 East Water St., 2C, Toms River, NJ 08753 Phone: (732) 281–0060

Our practice areas include: • Adults with Special Needs • Asset Protection • Children with Special Needs • Conservatorship • Estate Planning • Guardianship • Powers of Attorney • Probate • Real Estate Closings • Trusts • Wills

The County Woman Magazine www.TheCountyWoman.com

January/February 2017