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and healthcare professionals are worried about their health and are taking preventive measure to stay healthy.
Patellofemoral pain syndrome is a broad term used to describe pain in the front of the knee and around the patella. Page 8
SO I HAVE DVT? (DEEP VENOUS THROMBOSIS).
DVT untreated can lead to not only PE, but also PTS (Post Thrombotic Syndrome) and Chronic Secondary Pulmonary Hypertension. Page 31
Photo by Tracy Harman Photography.
Page 15
WHAT IS PATELLOFEMORAL PAIN SYNDROME?
Pictured above is Dr. Allen Morgan with his extraordinary team. Dr. Morgan and his highly-skilled professional team provide exceptional patient-centered care to achieve the highest possible success rates for fertility. Read more on pages 5, 6 & 7.
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“Your neuropathy program with all the massage and rehabilitation have helped me tremendously. Not only do I feel terrific every time I leave your office, but I know I’m making real progress from week to week.” - Jeff R.
“I was suffering with neuropathy for several years, with little relief from medication.The Microvas treatments have lessened the burning in my feet that would keep me up all night and my balance has noticeably improved when walking and using stairs.” – Cathy C.
MicroVas is a FDA cleared, non-invasive vascular treatment system that delivers electromagnetic energy to targeted areas of the body. After years of research, this technology was originally developed to treat Navy SEAL divers for hypothermia. It has since been engineered as a groundbreaking innovation with the ability to address the root cause of neuropathy, often a lack of nerve fiber circulation in the injured area.
Peripheral Neuropathy is a nerve disorder known to affect millions of people throughout the U.S. It is a complication found in several different medical conditions including Diabetes, Peripheral Vascular Disease, Post Chemo-Radiation therapies and Metabolic disorders being some of the most common.
MicroVas’ powerful, deeply penetrating waveform causes blood to pump and circulate much more efficiently by significantly raising tissue oxygen levels, resulting in a potent effect on the microcirculation. Studies have demonstrated marked increases in tissue oxygen supply within minutes of initiating treatment. In contrast to other technologies available, Underlying the above disease processes is the problem of impaired this process results in new capillary formation, laying the circulation to peripheral blood vessels, particularly the smaller ones groundwork for new tissue growth and repair while (capillaries) that supply nerve tissues. Without sufficient blood flow to accelerating the healing process. nerve tissues, oxygen and nutrients cannot get into the tissues while the waste products of metabolism cannot get out. When functioning In our experience, MicroVas' therapeutic effects are often normally, nerve tissues receive nutrient rich, highly-oxygenated blood substantial and our unique approach of implementation, carried to them by capillaries, however they are easily clogged by this including extensive manual hands-on therapy and functional debilitating process.The peripheral nervous system eventually becomes conditioning is designed to help you achieve optimal results distressed and damaged due to starvation and toxicity. for long-term relief.
“My primary doctor recommended Microvas therapy at Rehability for my peripheral neuropathy. I was willing to try anything for relief and I’m amazed how much sensation I’ve regained in my feet since beginning treatment. Wish I would have found you sooner!” – Pat P.
"We Personally Invite You To Schedule A Comprehensive Evaluation To Determine If You Are A Microvas Candidate and To Learn More About Our Exclusive Neuropathy Program." - The REHABILITY Team...We Can Help!
“The Rehability team did more hands on work than I have ever seen at any other facility. We saw a big improvement not only in leg strength, but most important in my balance. Thank you for working so hard to help me get back to doing yard work and projects around the house.” – Joe Z. “Expressing thanks for all the help and improvement I received from your wonderful staff. The Microvas treatments and therapy team were great and gave me the confidence that I could walk again. Thank you all.” - Ingrid S.
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Women and Cancer… November Is National Lung Cancer Awareness MonthPart l
What You Need To Know
What You Need To Know What you should know:
Did you know that lung cancer is the leading cause of cancer deaths in both men and women in the U.S.? Approximately 200,000 new cases are diagnosed eachDepartment year and 27 percent The U.S. of of all cancer deaths are from lung cancer.
What causes lung cancer?
Health and Human Services’
Smoking. Smoking is the number one risk factor for lung cancer. Even though non-smokers coordinating aThe week-long can also get lung cancer, the risk is much higher in those who smoke. more you smoke, the higher your risk. The likelihood of getting observance lung cancer decreases after you quit smoking. Tobacco celebrated smoke damages cells in the lungs, causing the cells to grow abnormally. Regular exposure to smoke from someone else’s cigarettes, cigars or pipes (called second-hand smoking) can increase a person’s risk of lung cancer, even if they are non-smokers. Exposure to asbestos. Certain jobs such as shipbuilding, asbestos mining, insulation or empower women toirritate improve automotive brake repair may cause exposure to asbestos. Asbestos fibers can the lungs and cause cancer. When combined with smoking, risk of developing lung cancer is much theirthephysical and mental higher. health. Radon. Radon is an invisible, odorless gas released by soil and some rocks. Exposure to higher levels of radon can cause cancer, especially lung cancer.
THERE ARE A FEW IMPORTANT STEPS WOMEN MUST What areIN the typesROAD of lungTO cancer? TAKE THE HEALTH: There are two different types of lung cancer: small cell and non-small cell. This difference is based on the type of cancer cells. Most lung cancers are non-small cell. Among the non-small cell lung cancers, there are several subtypes: adenocarcinoma, squamous cell and large cell.
What are the symptoms and signs?
Symptoms and signs include coughing, hemoptysis (coughing up blood), shortness of breath, chest pain, fatigue and weight loss. Most often, the symptoms do not manifest until the cancer is advanced. Sometimes lung cancer can be detected as a shadow in the lung on an X-ray done for other reasons.
HowOne is itofdiagnosed? the major diseases affecting women is cancer, which kills more
X-ray or a CT scan.
HPV Vaccination
Another good piece of news is that there are two very effective vaccines smoking. – Gardasil and Cervarix – that will prevent those cases of cervical cancer
stage other features suchThe as EGFR mutation. that and are linked to HPV. vaccine is given to females between the ages
of 9 and 26 years, and to males between 9 and 21. It’s given in three doses, ideally before the person has become sexually active. Please note: vaccinated women still need screening! Side effects include mild redness, tenderness and swelling at the injection site, as well as an increased risk of blood clots, Over the last few decades, immunotherapy agents have been studied in the treatment of butcancers, no long-term effectsSeveral have immunotherapy been reported. many including side lung cancer. drugs are now approved for use. Stay tuned for fights part-two this two-part in thetheJuly/August issue. Our immune system cancerofcells normally, and series thus reduces chance of transforming cellsdiscuss into cancer cells. But this uterus. does not work always, as people with Next issuenormal we will cancer of the normal immune systems also develop cancer. The principle of immune therapy is based on boosting the immune system so that it can efficiently destroy cancer cells. The use of immune checkpoint inhibitors has been a major breakthrough in cancer research. . they can recognize and kill These drugs help to take the “brakes” off the immune system, so that cancer cells more effectively. OPDIVO, KEYTRUDA, and TECENTRIQ are some of the immune checkpoint inhibitors that are used in lung cancer. Even though these drugs don’t have the typical side effects of Patient Testimonials chemotherapy, they still can cause reactions such as inflammatory disorders.
To learn more about treatment of cancer, contact Dr. Sarah J. Easaw at 732-961-0010
“I thank God every day that Dr. Easaw became an oncology doctor and that was lucky enough to have found her.” -and Donna, Toms River. ToI learn more about lung cancer the treatment of
other contact Dr.answer Sarahevery Easaw atmy 732-961-0010 “Dr.cancers, Easaw took the time to one of questions and or guided visit www.oceanhemonc.com. me to make the best decision for my Mom’s care.” - Melissa, Howell.
Oncea your doctormillion suspectswomen that you have lung cancer, you U.S. will beBut sent that for CTnumber scans and in than quarter every year in the some cases, a PET scan. A PET scan can detect cancer more accurately than other tests. The could be reduced through early diagnosis and appropriate treatment. diagnosis is confirmed by taking a biopsy of the suspicious lesions seen on the X-ray or CT Some cancers men has andspread women while unique scans. The scans also helpaffect to see both if the cancer to any other others organs, aare process called to women. They include breast cancer[note that breast cancer is NOT metastasis.
unique women, men get it too] (the most common in the U.S.) as well Are theretodifferent stages?
asStaging canceris of the ovaries, uterus and genitalia. is thehas different for small cervix, cell and non-small cell external lung cancers. Small cellThat lung cancer only two stages: limited stage group we will focus on(confined here. within the lungs) or extensive (spread outside the lungs). Non-small cell lung cancer has four stages: stages I to IV. Stage I is a small tumor that is Cervical Cancer confined to the lung, that has not spread to the lymph glands. Larger tumors and those that are cancer the under thirdstages mostIIcommon cancer among women spread Cervical to the lymph glandsiscome and III. When the cancer has spread to other worldwide. organs, it is stageMore IV. than 85% occur in developing countries, but it is also
amongare thethe toptreatment ten causes of cancer deaths among women in the U.S. Over What options? 95% of cases are on linked to aand sexually called Treatment is based the stage the type transmitted of lung cancer. virus Small cell lungHPV cancer (human is mainly treated with chemotherapy. papilloma virus). In limited stage small cell lung cancer, radiation can be combined with chemotherapy. Risk factors include early and promiscuous sexual activity, smoking, Early stage non-small cell lung cancer is best treated by surgical resection. An experienced prolonged use of birth control pills, STDs, and immunosuppression. In surgeon removes the tumor, surrounding normal lung tissue and the lymph glands around it. its early stages, thistumor, disease cancells becan asymptomatic. in later Even after removing the cancer remain and causeSymptoms recurrent cancer, eitherstages in the include discharge, pain, andorabnormal bleeding (in lung itself orbloody in other vaginal organs. Chemotherapy, radiation both are usedvaginal after surgery to reduce thebetween chance ofregular recurrentmenstrual cancer. cycles, post-coital, and post-menopausal). Advanced stage lung cancer is treated with chemotherapy. The types of chemotherapy drugs Screening Early Detection used are based on the and type of lung cancer, age of the patient, other medical illnesses, etc. There is The good news is thatthe screening earlywith detection can prevent deaths ongoing research to improve outcome inand patients lung cancer. from cervical cancer. Both cervical cancer and pre-cancerous lesions can What’s new in lung cancer?
beTargeted detected by Medicines doing PAP Women should start on routine PAP tests agents: thatsmears. target certain proteins or receptors the cancer cells 21 years of age. Between ages of 21 and 29,targeted they should havethethe areatbeing developed for the treatmentthe of various cancers. These agents attack cancer specifically, sparing other cells. severeand side over effects65, thanthey test cells every two years; between 30 Targeted and 65,agents everycause fiveless years; chemotherapy. may discontinue screening if they have had: A few different targeted agents are found to be beneficial in lung cancer. Tarceva (erlotinib) is a drug that works in certain types of lung cancers carrying a mutation in a receptor called EGFR. A new drug called crizotinib was approved recently for the treatment of lung cancer that carries a gene called ALK fusion oncogene. NoIftwo tumorshysterectomy are alike! Even among lung cancers, are different distinguishing a total is performed forthere benign reasons, there’s no need features. Yourtesting oncologist chooses theiftype of treatment basedor onifa number factors, including for PAP afterwards; done for cancer, cervix isof left behind, the cell type, stage, different biological markers on the cancer cells, and your other medical screening should be continued. problems. The County County Woman Woman Magazine Magazine The
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Welcome to the March/April 2020 Issue of the Monmouth County Woman! Hello Readers and Happy Spring! Although New Jersey experienced quite a mild winter this year, warmer temperatures are always welcome. In fact, winter practically passed us right by this year with not only mild temperatures, but also very little snowfall. The reason for this is something we have all been hearing much about: the polar vortex. This circulating stream of air forms over the Arctic during winter months and this year it has stayed in place. This keeps its cold air locked up north. Lucky for us we have felt very little of that brutal bone-chilling air. I am particularly excited about the coming of spring. For one thing, it means I get to enjoy the fresh outdoors with my pup and soak up some much needed Vitamin D. Did you know that our State is home to 11 National Parks? The list includes Ellis Island, Thomas Edison’s Essex County residence, and even a section of the 2,185- mile long Appalachian Trail which stretches across 14 states. Spring is also synonymous with flowers and after the April showers we can enjoy the blooms at one of the many public gardens across our state. Interestingly enough, many mental health professionals are using plants and gardening to help patients of all ages recover from a variety of ailments. Horticulture therapy can be used to improve the overall quality of life. Specifically, the lessening of stress and even reduction in some pain. March is also all about the Green – St. Patrick’s Day! Did you know that the reason we wear green on this day is because legend has it that St. Patrick’s revelers thought wearing green made one invisible to leprechauns. These fairy creatures would pinch anyone they could see not wearing green. Our area is filled with parades so get out and enjoy the day with family and friends!
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Inside... Medical Professionals
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REHABILITY ................................................................. 2 Ocean Hematology & Oncology ................................... 3 All-Care Physical Therapy Center LLC ......................... 8 Gastroenterologists of Ocean County ........................ 12 Relievus ...................................................................... 13 University Urology Associates of New Jersey ............ 14 Toms River X-Ray, CT & MRI Center .......................... 15 Reliance Medical Group ............................................. 19 Kathy A. Banks, DMD ................................................. 22 Paonessa Colon & Rectal Surgery ............................. 23 Ocean Otolaryngology Associates ............................. 24 Atlantic NeuroSurgical Specialists ............................. 27 Advanced Memory Research Institute ....................... 29 Bella Derma Medi Spa................................................ 30 Vein Center for Women............................................... 31 Personal Enhancement Center................................... 59
Freedom Capital Management ................................... 26
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Theatre & Entertainment
Allen Morgan Fertility & Reproductive Medicine .. 5, 6, 7
Lynne’s Fashion Boutique .......................................... 10
Two River Theater ....................................................... 45 Atlantic City Ballet ...................................................... 47 Cape May Stage ......................................................... 48 Axelrod Performing Arts Center ................................. 49 Gazillion Bubble Show ............................................... 52 Drunk Shakespeare .................................................... 53
Funeral Planning
Radio
Anchor Monuments .................................................... 11
Thunder 106.5 ............................................................ 54
Professional Dentistry
Travel
Comprehensive Dentistry ........................................... 11
Vagabond Travel Agency ............................................ 57
Health & Wellness
Women’s History
The Natural Pharmacy ................................................ 16 Hypnosis for Women .................................................. 36 ....................................................... 55
Mary Phillbrook .......................................................... 58
Pediatric Dentistry TenderSmiles4Kids ....................................................... 9
Fashion & Beauty
Wigs & Hair Replacement JA Alternatives............................................................ 28
Cake Shoppe & Tea Room A Sweet Memory Cake Shoppe & Tea Room............. 33
Fine Art Photography Carmella Caracappa Photography ....................... 34, 35
Acupuncture Koehler Acupuncture .................................................. 38
Women of Monmouth County ........................................................................ 40, 41, 42
Networking for Moms Moms of Business ...................................................... 43
Community ............ 32, 37, 39, 44, 46, 50, 51, 56,
Legal Professionals The Matus Law Group ................................................ 17
Assisted Living The Chelsea at Shrewsbury ....................................... 18
Consignment Shop NU2U Consignment Shop .......................................... 18
Financial Management Garden State Trust Company ............................... 20, 21
Home Health Care
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UM Communities HomeWorks ................................... 25
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Six Ways To Boost Fertility Dr. Allen Morgan Allen Morgan Fertility and Reproductive Medicine
If you don’t become pregnant right away, a fertility specialist can increase your chances without medications or procedures simply by helping you know when is the best time to have intercourse in order to get pregnant.
If you’re just starting your fertility journey, there are some steps to improving fertility you can take that don’t involve medications or procedures. If you are over age 30 and are still unsuccessful after six months, or 12 months for those under age 30, then it is time to seek the advice of a reproductive endocrinologist specializing in infertility (REI). One in eight couples require assistance getting pregnant. About 40% are attributed to male factors. The earlier an issue is detected, the higher the chances of successfully overcoming the obstacle.
3. Maintain a nutritious diet and healthy weight. Maintaining a nutritious diet and healthy weight will boost fertility. Being overweight or even being underweight will impact your chances at successfully becoming pregnant. Don’t just join a gym. Meet with a fertility specialist for weight loss guidance specifically designed for fertility.
4. Quit smoking.
Smoking delays conception, increases the rate of follicular depletion, reduces estrogen, contributes to a higher rate of miscarriage, leads to chromosomal and DNA abnormalities in offspring, and can even cause women to enter into menopause early.
5. Reduce stress and get enough sleep.
Excess stress can cause a woman to not ovulate, or to have hormonal irregularities. We encourage patients to take advantage of the Morgan Fertility online communities, and try acupuncture (also great for IVF), yoga or journaling to release stress levels. Determine what is stressing you out. Take note of how much caffeine you are consuming. Identify how many hours of sleep you get a night. Evaluate how often you exercise, which can impact your sleep at night. And remember to turn (all) the lights out when going to bed.
1. Ask for a prenatal blood panel. A prenatal blood panel is a battery of blood tests usually ordered once you’re pregnant to ensure your thyroid is good, whether you might need booster shots to update your immunity to rubella and varicella (chickenpox), whether you’re a silent carrier for the three most common genetic disorders: cystic fibrosis, fragile X syndrome, and spinal muscular atrophy, and whether any infectious diseases such as HIV or hepatitis are present. It will also check blood count as well as liver and kidney function, and determine which blood type you are. We highly recommend you get this blood test done prior to conception in order to identify potential problems early.
6. Reduce or eliminate alcohol intake.
Most studies suggest alcohol intake should be minimized before and after ovulation when trying to conceive. Eliminating alcohol when trying to get pregnant can’t hurt your chances of successfully becoming pregnant. It can only help.
2. Know when the best time to have intercourse is.
Call 732-363-4777 for more information or visit www.MorganFertility.com.
When trying to conceive on your own, it’s important to have a thorough understanding of your menstrual cycle. Typically speaking ovulation occurs 14 days before each cycle, +/- one or two days. To be more exact, use an ovulation predictor kit that measures the hormone LH and start about two days before you expect to ovulate.
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Making Miracles Happen Dr. Allen Morgan was drawn to the world of obstetrics and gynecology by way of his father. His dad practiced obstetrics and gynecology in the Ocean County area for many years and played a major role in guiding his son in that direction. He adds,
Dr. Allen Morgan
in OB-GYN and one dermatologist. So, I guess you could say women’s health runs in the family!” As a fertility specialist, one must constantly be up to date as new technology advances. Our pregnancy rates are among the highest in the country because of knowing what regimes of medications and procedures work best. “We are also required to maintain a deep level of compassion and patience. I enjoy helping my patients through an emotional, yet joyful journey,” he says.
MCW: Tell us about your educational background.
Dr. Morgan: After completing my bachelor’s degree at Columbia
University, I attended medical school at Far Eastern University in Manila while a Captain in the U.S. Army Reserves. I then did my residency in Obstetrics and Gynecology, both at Long Island Jewish Medical Center, New York, and Jersey City Medical Center. Finally, I completed my Fellowship in Reproductive Endocrinology and Infertility at The University of Kentucky.
MCW: What is the best part about working in this specialty? What do you find the most rewarding?
Dr. Morgan: Working with my team of nurses, embryologist, and
technical staff to help my patients carry a pregnancy they thought would never happen is amazing. We all work together with one goal in mind; that couples’ future baby. The joy and happiness they receive is the best part. I love what I do from start to finish. Of course, it is the final product that is the most awesome part for me, especially when they come visit with their bundle of joy.
MCW: What is the most difficult part?
Dr. Morgan: The most difficult part of being a fertility specialist is
to witness the frustration some couples experience. It seems unfair for these young healthy couples to have to go through something that is supposed to be natural. The truth is, science is not perfect and we can’t help everyone, but we’re getting better all the time.
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MCW: Why do you think fertility testing is more common these days?
Dr. Morgan: Fertility testing is more common today for a number
of reasons. First, the percentage of couples experiencing infertility has increased substantially in recent years. Today, 1 in 8 couples report requiring assistance to start a family. Of those couples, 90 percent report they wish they had started the fertility process sooner. Moreover, many experts believe that number is actually higher since many couples don’t report such issues due to the stigma surrounding infertility. Also, many young women are now choosing to freeze their eggs while they are young and healthy in order to pursue careers and become pregnant at a later time. So, there is a buzz out there about that.
MCW: How has your profession changed over the past 20 years? Dr. Morgan: Pregnancy rates with assistance have improved
dramatically. Many more can achieve their dream today than ever before. In terms of technology, we now have a safer and more effective egg retrieval process, a new and better embryo culture and freezing technique, and a process called ICSI, which revolutionized treatment for male factor infertility. This allows fertilization to take place even in cases of severe male factor infertility.
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Dr. Allen Morgan featured with his professional team
MCW: Who is a good candidate for fertility testing and why?
Dr. Morgan: A fertility specialist should test any woman who is
under 30 and has been trying for one year or more right away. The longer a person waits, the more difficult treatment might become. If a woman is close to, or over, 40 years old and has been trying to become pregnant for more than six months, she should make an appointment immediately. The health of a woman’s eggs deteriorates over time. Additionally, any couple with a background or family history of reproductive system issues should be tested as soon as they decide to have children. Many issues can be greatly minimized the earlier the problem is identified.
miscarriages rates, and it is toxic to eggs. Decrease your drinking, as alcohol can reduce the production of normally formed sperm needed for a successful pregnancy. Watch your weight. Both overweight and underweight men and women can have fertility problems. In women, it can cause ovulation problems. Exercise at least three to five hours a week. Most fertility problems are easy to fix and do not require expensive treatments. The greatest improvement Dr. Morgan has seen in this
MCW: What are some suggestions for couples who are trying to conceive? Dr. Morgan: Understand the female cycle and know when it’s
best to conceive. There’s lots of smart phone APPS for that now. Men and women should stop smoking cigarettes, which is linked to low sperm counts and sluggish motility as well as double
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What is Patellofemoral Pain Syndrome? by Maria Kminski
surrounding your knee. The initial goal is to decrease pain and inflammation through activity modification and through the use of pain-relieving modalities, such as ice. You will be advised to take a break from any activity that is increasing your pain or to reduce the amount of time spent performing that activity. You will also receive specific strengthening and stretching exercises to address muscles in your leg that may be weak or tight. Typically, strengthening exercises of the knee and hip are provided to help support the knee. Your therapist may also apply tape around your kneecap to help maintain the kneecap in position to move properly and reduce knee pain during exercise. In addition, your therapist may prescribe exercises and interventions to address foot abnormalities, such as with flat feet or feet with high arches, or recommend the use of an orthotic. You will receive a specifically designed home exercise program to get you started after the physical therapy examination is completed.
Patellofemoral pain syndrome is a broad term used to describe pain in the front of the knee and around the patella, or kneecap. It is a very common cause of knee pain; it is the source of 25-40% of all knee problems. It is sometimes called “runner’s knee” or “jumper’s knee” because it is common in people who participate in sports, but patellofemoral pain syndrome can occur in non-athletes as well. patellofemoral pain syndrome include runners, bicyclists, basketball players, cheerleaders, and females. The pain and stiffness it causes What are the symptoms of patellofemoral pain syndrome? What causes it?
Patellofemoral pain syndrome can be caused by overuse from athletics, training, or activities that put repeated stress on the knee such as jogging, squatting, and climbing stairs. It can also be caused by a sudden change in activity or a change in footwear. Patellofemoral syndrome may also be caused by the kneecap moving abnormally as you bend and straighten your knee, which causes irritation of soft tissue surrounding the kneecap. Factors that contribute to the kneecap moving abnormally include problems with alignment between the hips and ankles and weak or tight muscles surrounding the knee joint, especially the quadriceps muscle. The quadriceps muscle is located in the front of your thigh and helps to keep the kneecap in place as it moves when you bend and straighten your knee. Tight calf and hamstring muscles as well as a tight IT band may also contribute to the abnormality. The IT band is a thick band of tissue that runs from the outside of your hip to the outside of your knee. The structure of your feet can play a role in patellofemoral pain syndrome as well. Having flat feet can contribute to increased knee pain by creating additional stress on the knee joint when running. Therefore, it is important to wear footwear with adequate arch support while exercising.
The most common symptom of patellofemoral pain syndrome is a dull, aching pain in the front of the knee. The pain often cannot be pinpointed. Other common symptoms include: knee, such as climbing stairs, running, jumping, or squatting. bent, such as one does in a movie theater or when riding on an airplane. surface, or equipment. stairs or when standing up after prolonged sitting.
How can physical therapy help? Your physical therapist will conduct an examination to determine the cause of your knee pain, which includes testing the strength and flexibility of the muscles
How can I prevent patellofemoral pain syndrome from reoccurring? Patellofemoral pain syndrome may be prevented by:
have proper arch support quadriceps and hamstrings into your warm-up routine, and stretching after physical activity
your knees At All-Care Physical Therapy the physical therapists have the knowledge and the skills to help with your patellofemoral pain syndrome. They will develop an individualized treatment plan to alleviate your pain and help you return to your normal daily activities!
Coming Soon: Jackson Specialty Service Center
732-534-7718
24 North Cooks Bridge Road Maria Kaminski, DPT Physical Therapist
Maria graduated with a Bachelor’s Degree in Biology from the College of New Jersey in 2011. She continued her education at Rutgers/UMDNJ Graduate School where she received her Doctorate in Physical Therapy in
Come Experience The All-Care Difference For Yourself!
of Tinton Falls and Jersey Shore Medical Center, where she studied cardiac and pulmonary rehab, orthopedic rehab, and neurologic rehab post-CVA.
Whiting
Care in Toms River. techniques, post-op orthopedic and cardiac surgery, and the geriatric patient population. Maria believes in patient centered practice and that truly listening to your patient is the key to successful outcomes. She has continued her education by taking a course in rehab for post-spinal surgery.
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Pediatric Dentistry
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Six Dangerous Dental Habits Harming Your Child
1. Bad Brushing Habits
While most parents focus on teaching their kids good habits, they completely overlook the bad dental habits children may have developed. The following tips are for parents to learn what they need to watch out for, as well as how to cure bad dental habits your child may have.
Good dental care begins at an early age and allows you to prevent bad dental habits from developing. Some of the first few dental habits you teach your child are brushing and flossing. Unfortunately, if they’re too rough when they brush, it can do great damage to their tooth enamel. And some children avoid brushing altogether by having a tantrum when it’s time to clean their teeth. This leads parents to wonder how to cure bad dental habits like these. The solution lies in making brushing a fun experience and teaching kids that they’re responsible for taking care of their teeth. Have a dance party while brushing, reward kids for their efforts, and carefully explain to kids why good dental care is so important.
2. Ongoing Thumb Sucking
Many parents ask about how to cure bad dental habits, and they’re often referring to thumb sucking. It’s such a common childhood habit that many parents assume their only choice is to wait until their child outgrows it. But if it becomes a regular habit, it can cause teeth to shift forward and misalign their bite. This can lead to later problems with talking, pronunciation, chewing, and cleaning, and may require orthodontic treatment.
3. Biting Their Nails
Young children often use their teeth as tools to trim their overgrown nails. Unfortunately, this can damage their delicate tooth enamel and cause teeth sensitivity by exposing the tooth’s delicate root. If you regularly trim the child’s nails, you can prevent this problem.
4. Taking Baby Bottles to Bed
If your child’s bedtime routine includes going to bed with a bottle full of milk or juice, the sugars in these drinks will remain on their teeth for hours. This can lead to cavities and discolored teeth over time. So how do you cure bad dental habits like this? Simply rinse their mouth first thing in the morning to remove the sugars from the surface of teeth. You can also add water to juice to lower its sugar content.
5. Eating Toothpaste
Kids are taught that brushing their teeth is part of good dental care. But since the toothpaste tastes good to encourage kids to brush, they often end up swallowing it as if it were candy. Many parents think this is harmless and are just happy that their kids are practicing good dental care. However, it’s actually one of the most troubling bad dental habits because excessive intake of fluoride through swallowing can cause fluorosis, which causes brown spots on the child’s teeth.
6. Not Having Regular Dental Check-ups
Mistakenly, many parents think that their children don’t need to visit a dentist until they have a dental problem. However, regular dental check-ups are a cornerstone of good dental care. Besides giving your child professional dental care, check-ups can prevent later dental problems and detect any issues at their earliest stages when they’re easier to treat. Make sure to take your child for dental check-ups twice a year to give them a head start on a healthy smile. By the time a child has a first birthday they should have a “Dental Home.” Dr. Max offers free initial infant examinations, which is sure to make any new parent feel at ease. As a Dental Educator, Dr. Max leads programs for both public and private nursery schools, as well as parenting groups. It has been shown that the healthiest mouths result from superior, early pediatric dental care with regular continuing care throughout a child’s life. TenderSmiles4Kids will get your family on the road for a lifetime of excellent dental health.
For more information, call 732-625-8080 or visit www. TenderSmiles4Kids.com.
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Fashion & Beauty
10
Dear Friends,
After a lot of soul searching, I have come to a very tough decision that I would like to share with you. I have been in business for over 30 years. In reflection, it is truly amazing how quickly they have gone by. For both personal and professional reasons I have come to the conclusion that now is the right time for me to retire. I have enjoyed “dressing” women and made many wonderful friends throughout this journey. That said, we will be holding a huge Retirement Celebration Sale and afterwards closing the store. Maria, our seamstress, will continue to accept tailoring through mid-April, so that she is able to complete her work for you in a timely manner. I would be remiss if I didn’t acknowledge my wonderful staff for all their hard work, loyalty, devotion and friendship. A heartfelt thank you goes out to my knowledgeable reps and suppliers. Also, a great big THANK YOU hug to my loyal customers, without whom I could not have survived for so long! Watch for our sale and be sure to come in and say GOODBYE to me and my staff.
Best Wishes,
Lynne Goldberg
Wall-to-Wall Retirement Sale
Starting Thursday February 27 at 11:00am
EVERYTHING WILL BE SOLD!
Morilee by Madeline Gardner
Joseph Ribkoff
732-530-5443
Spring Hours: Tues. - Fri.10:30am - 5:30 pm
31 Church Street, Little Silver, NJ www.lynnesfashionboutique.com
Lynne Goldberg, Owner of Lynne’s Fashion Boutique, has been in the women’s retail clothing business since 1989, and her boutique has evolved and changed along with the times. Specializing in Mother of the Bride or Groom attire, she also carries a wide selection of casual ready-towear and accessories that will allow you to dress well and feel comfortable-for everyday or any occasion.
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Funeral Planning
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“Buddy” Bears
Anchor Monuments donated teddy bears to The Children’s Art Therapy “Buddy” Program at Riverview Medical Center in Red Bank, NJ in April 2019. Anna Farro, owner of Anchor Monuments, realized the importance of the program when her daughter attended during the loss of her grandparents. It benefited her family through the grieving process and helped her daughter with providing the support she needed to overcome the loss. This program provides the support and tools needed in helping children deal with grief and long-term illnesses of family members and loved ones. The “Buddies” are a part of the program that provide a feeling of comfort and safety for children going through a tough time in their lives. Each child attending the art therapy program will name their bear and it is theirs to keep.
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Dr. Anthony Mancino All phases of Cosmetic and General Dentistry are available including implants.
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Medical Professionals
12
MARCH IS COLON CANCER AWARENESS MONTH Written by: Jai Mirchandani, MD Gastroenterologists of Ocean County
What is a Cancer Screening?
A screening test is a recommended medical test to examine for precancerous lesions prior to the development of cancer. Examples of those kinds of tests include: Mammography to detect breast cancer; Pap Smears to detect cervical cancer and a Prostate Exam, which examines for early prostate cancer. Colonoscopy is a screening test to detect and prevent colorectal cancer. What is the colon and rectum? The colon is a 6 feet long tube, which absorbs excess water and salt into the blood, and converts waster into stool. The rectum is the end of the colon, where waste/stool os stored until it leaves the body during a bowel movement. What is a polyp and why are they important? A polyp is a growth out of the wall of the colon. Polyps are either benign (noncancerous), or pre-malignant (pre-cancerous). Polyps are important because certain polyps can grow large over time into colon cancer. Usually patients have NO SYMPTOMS, if they have a polyp. Polyps are caused by genetic and hereditary factors, as well as dietary and environmental factors.
What is a colonoscopy? A colonoscopy is a test where a flexible tube is inserted into the rectum. Through this tube, a gastroenterologist can visualize the inside of a patient’s colon. Using a colonoscope the gastroenterologist can identify small polyps, and remove them internally. The procedure takes approximately 30 minutes. Patients are given sedation to make them comfortable throughout the entire procedure. The day before the procedure patients must drink a solution to clean their intestines prior to the procedure. If a patient’s colonoscopy is normal, they most likely will not need another procedure for 10 years. What happens to patients who develop Colorectal Cancer? Patients who develop colorectal cancer must undergo further treatments, including possible surgery, chemotherapy and radiation. Ultimately they have a shorter life expectancy. What is the most important thing to know about Colorectal Cancer? The most important thing to know about colorectal cancer is that it is a common form of cancer, and all patients, including men and women are susceptible to developing colon cancer. Most types of colorectal cancer are preventable however, with appropriate screening. Colonoscopy is covered as a screening tool by Medicare and most insurances. Make sure to talk to your doctor to see if you should be screened for colon cancer.
Call to schedule your appointment at gastroenterologists of Ocean County.
How common is Colorectal Cancer, and do I have to worry about it? Colorectal cancer is the 3rd most common cause of Cancer in both men and women. It is estimated by the American Cancer Society that colorectal cancer will be the second most common cause of cancer death in 2016. The lifetime probability of developing colorectal cancer is approximately 1 in 20 for both men and women, making it very common.
OMAR TAMINI, MD JILL COLLIER, MD
What are some potential symptoms of Colorectal Cancer? Symptoms of Colorectal cancer include blood in the stool, anemia (low blood counts), changes in bowel habits, abdominal pain and weight loss. Often, however, patients have no symptoms at all.
EDGAR BIGORNIA, MD KENNETH GLAZIER, MD JAI MIRCHANDANI, MD
What are risk factors for developing Colorectal Cancer? Family history and genetic factors are one of the biggest predisposing factors to the development of colorectal cancer. If you have a close family member who had either colorectal cancer or colon polyps, you are at an increased risk for developing colorectal cancer. Environmental or dietary factors, such as diets high in red meats, alcohol or tobacco use can predispose patients to colorectal cancer. Also patients who are overweight or have advanced diabetes are also at an increased risk for developing colorectal cancer.
TERESA MENADIER, MD
What are protective factors for Colorectal Cancer? Diets high in fruits, vegetables and fiber are protective for colorectal cancer. Also, a diet high in calcium has been seen to be a protective for colon cancer as well. Exercise has been seen to be a protective factor as well to prevent colon cancer. Who should be screened for Colorectal Cancer? Any man or woman over the age of 50 years old should be screened for colorectal cancer. Patients with family members with a history of colorectal cancer, or colon polyps, as well as certain symptoms may need to be screened at an earlier age. How do patients get screened? A patient can get screened by stool tests to check for blood, X-ray or CT scan tests, as well as certain blood tests that can assess if patients are at risk for developing colorectal cancer. The best test for screening for colorectal cancer is a colonoscopy, as this test can visualize pre-cancerous polyps, as well as remove these polyps before they have a chance to grow and become colorectal cancer.
Patient Testimonials
“Dr. Mirchandani and his staff were very professional and caring. They made me comfortable and less apprehensive.” - Joan, age 49, Whiting “I felt comfortable and safe! The warmth I felt from Dr. Mirchandani and his team left me feeling relieved. ‘A piece of cake!’ Excellent!” - Dortha, age 84, Toms River
A Division of Allied Digestive Health
“ The Nursing and Technical staff displayed extraordinary compassion and put me at ease from the moment I arrived. Since I have no memory of the procedure, I commend Dr.Mirchandani and the
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Medical Medical Professionals Professionals CORONAVIRUS 3D Mammography Breast cancer is the second leading cause of death among women. One in 8 women will develop breast cancer in her lifetime. Each year it is estimated that over 252,710 women in the United States will be diagnosed Cyrus Khorrami, M.D. with breast cancer and more than 40,500 women will die the disease. This is why early detection is so To befrom clear, “coronavirus”
is a general term that refers to a group of viruses that have breast cancerThe is 3D mammography (also known as breast similar structures. group isn’t new, but like any virus, has technology has increased early tomosynthesis). Thisit new changed and over branched out mammograms, especially in detection traditional over time. The outbreak we’re Greater accuracy means women with dense breasts. seeing now is merely the latest better breast cancer detection. branch of that family tree. The clinical name for this new Q: What is a 3Dbut mammogram? How is it different from virus is COVID-19, for ease of understanding, we’ll call it regular mammograms? the 2019 coronavirus. called breast tomosynthesis--is one of the most A: 3D mammogram--also
advanced forms of breast cancer detection. It uses a very low level of radiation to Q: Did pictures the 2019 takeHow multiple of the breast. The x-ray tube moves over the breast in an Coronavirus Start? images of each breast from different angles. A computer arc, capturing multiple Most peoplethese knowpictures that thistocoronavirus reconstructs create a 3-dimensional picture of the breast. A regular outbreak started in Wuhan, China, but they Above all, though, the issue is that we mammogram takes a single picture of the breast.
don’t realize how. don’t know if there are other mysteries and The illness started among vendors at a problems with the 2019 coronavirus that Q: What is the advantage of 3D mammogram? fish market in Wuhan. It appears that this are undiscovered. A: One challenges interpreting mammograms is normal dense breast virus usedof tothe circulate in the of animals that tissuesold hiding cancer. Additionally, areasYou of normal dense breast were in thebreast market, most likely snakes. overlapping Q: How Do Tell the tissue can look suspicious. is why breast cancer in women In December, though, it madeThis a change wedetecting Difference Between the with 2019dense rarely seeisinmore viruses: it jumped and breasts difficult. Thespecies 3-dimensional images of breastand tomosynthesis help Coronavirus the Common began affecting humans. decrease the tissue overlap that can obscure cancers. It also helps distinguish normal
Cold or the Flu? overlapping breast tissue from breast cancer. The 2019 coronavirus is a respiratory Q: Why Is the 2019 Coronavirus Studies have shown that 3D mammograms improve theare very virus.significantly That means its symptoms Dangerous? detection of breast cancer, especially in women with denser breastcold tissue. It also similar to the common and the flu. The problem with this new coronavirus The most know which up breast an earlierknow stage, which may bereliable missedway by to traditional ispicks the word “new.”cancer While at researchers illness you may have is through your travel mammography. 3D mammograms much about how other viruses in the find 20-65% more invasive breast cancers history or average that of someone to you. compared to traditional 2D mammograms, with an increaseclose of 41%. coronavirus family behave, we don’t yet
While there are a few 2019 coronavirus know how different the 2019 coronavirus in the United States, Q: be. Is there increased radiationcases performing a 3Dyou’re highly may unlikely to contract it unless you’ve recently We already know some concerning mammogram? been to China, especially around Wuhan. facts about the virus. We know that it’s coronavirus also The tendslevel to cause A: Mammograms patients tosovery low This levels of radiation. of contagious before theexpose symptoms appear shortness of breath, body aches, and chills. radiation exposure from a 3D mammogram is the same as that from a traditional it’s difficult to contain. We know it spreads While these can also be present with a cold mammogram. So a patient from person to person and thatreceives the virusall the benefits without any increased risk. orradiologist the flu, theyfinds do increase chances that With traditional mammograms, when a an areathe that is may be able to live on non-human surfaces you have the 2019 coronavirus. for 24 hours or more.
suspicious, patients need to be called back for additional views. The multiple images created by 3D mammograms have such increased accuracy that there is decreased need for this. On average 3D mammograms reduce callbacks by up to 40% compared to traditional mammograms. This means less radiation exposure, increased convenience for our patients, and more peace of mind.
Q: What can I expect when having a 3D mammogram? A: The process of having a 3D
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Cancer in this breast
your body recovers. Fortunately, most people with detect on coronavirus have recovered smoothly with this standard supportive medical care.
mammogram. Q: Preventive Measures for the 2019 Coronavirus Outbreak
Your chances of contracting the 2019 Ccoronavirus while going about your life are incredibly small. Even among those who contract the virus, the vast majority are recovering smoothly.
mammogram is the same as a conventional 2D exam. The technologist will position you, compress your breast, and take images from different angles. There’s no additional compression required, and it only takes a few extra seconds.
Of course, it never hurts to take preventative measures. In fact, many of the tips to avoid the 2019 coronavirus are the same measures you can take to avoid other illnesses. They’re good habits to have allaround. Using 3D mammogram 1. Keep Your Hands the Clean. technology, Hand wash often! cancer was able to be 2. Avoid touching others when it isn’t Q: You Diagnosise the Q:How Do Do insurance companies clearly seen. necessary. 2019 Coronavirus? cover 3D mammograms? That’s especially true for people you don’t There is overlap between this disease you may In notthe realize A: Medicare, private insurers, coverknow 3D because mammograms. past,they’re not and flu or a badand cold.many Doctors use clinical sick. all privateincluding insurancetravel companies covered symptoms history to help 3D mammograms. However, in August 3. Clean Surfaces Often. with theNew diagnosis. andaCT findingsrequiring nearly all the major health insurers 2018, JerseyX-ray enacted mandate Especially areas that are touched by show disease the lung. Today, the only to cover 3Dinmammograms. multiple people. organization that can test for the 2019 4. Stay Home if You’re Ill. coronavirus is the Centers for Disease The rule of thumb is to stay home until Control and Prevention (CDC). and serving the community for over 30 years. Our 3D you’ve been fever-free for 24 hours. If you think you may have the virus, mammogram is the latest on the market and has the Overall most 5. Pay More Attention to Your call ahead to a medical office so theyItcan advanced technology. is our mission Health. to provide the very prepare the facility and alert the CDC. Common mistakes like sleeping too little, best for patients. We thank Explain yourour symptoms and whether you’ve you for trusting us with your eating an unbalanced and non-nutritious health and the health of your loved visited China recently or have had close diet, having excessive stress, or exercising contact who has. to offering ones.with Wesomeone look forward too little can make your immune system less effective. During this outbreak and Q: How to Treat the 2019 cancer screening. other high-illness times, make your Coronavirus healthy habits a priority. For the 2019 coronavirus, as with many viruses, there is no direct treatment for the For more health tips, check out virus itself. The primary treatment is to Cyrus Khorrami, M.D. other articles on our healthcare blog. relieve symptoms and prevent the illness Medical Director from spreading to those around you while PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. Founder Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.
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DNA Health Testing: For Your Health Plan Written by Eric Sauer, R. Ph. NMD. DHPh Genetic testing is a type of medical test in chromosomes, genes, or proteins. The results of a genetic test condition or help determine a person’s chance of developing or passing on a genetic disorder.
ERIC SAUER, R.PH., NMD, DHPH WWW.ERICSNATURALPHARMACY.COM LAURIE LOMBARDI, CDN WWW.ERICSNATURALPHARMACY Follow us on Facebook The Natural Pharmacy & Organic Skin Bar
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Legal Professionals HELPING PEOPLE PROTECT ASSETS FOR SPECIAL NEEDS CHILDREN AND CONDUCT SMOOTH REAL ESTATE CLOSINGS FOR OVER TWO DECADES.
Estate Planning: Not Just for the Rich or Elderly! By Christine L. Matus, Esq.
When you think of estate planning, you probably imagine an older couple with a large amount of wealth and possessions. It makes sense that they need to get their affairs in order to properly allocate their assets after they have both passed, but what role does estate planning have for you if you’re young? Even if you’re single with no children and few assets, an estate plan is still essential for you to have. Let’s understand why: Power of Attorney
81 East Water Street Suite 2C, Toms River NJ 08753 732.281.0060 www.MatusLaw.com 125 Half Mile Road, 200 Red Bank, New Jersey 07701
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17
If you’re young and healthy, chances are you aren’t thinking about what might happen if you get in a serious accident. However, if you’re injured to such an extent that you are not able to make decisions about your own medical care, someone will have to do so on your behalf. If you don’t have a power of attorney, this could be a tricky situation. Essentially, a power of attorney is someone who can make decisions on your behalf. Part of your estate plan will name your POA and can even specify guidelines for them to follow. You might state you do not want to be kept in a vegetative state, or you might give specific instructions for how to handle your finances. What Happens to Your Children?
Lack of assets is no reason to avoid estate planning, especially if you have children. If both you and your spouse are incapacitated or have died, you will want to have the final say
regarding who raises your children. In certain situations, there might be an estranged family member who decides they want to be involved, and without a plan in place, it could become a legal nightmare.
Naming a Beneficiary
You might not own a home or even your car, but naming a beneficiary is crucial for any adult. Whether you’re married or not, you will need to name a person to be the one who receives your assets and handles your financial matters if you’re unable to. Again, having this set in place ahead of time avoids lengthy legal issues regarding who receives what. If you are married, your spouse might not automatically receive everything if you pass away, despite that being a logical conclusion. You might want to specify a certain division of assets between your spouse and your children as well, and here is where estate planning will be key. No matter your age or financial status, it’s necessary for you to undertake estate planning. If you’re not sure where to begin, contact The Matus Law Group today. We can take an inventory of your assets and help you figure out the best plan for your situation. The Matus Law Group can help make sure all documents are properly changed along the way.
Recipe
Cantaloupe Sherbet 1 small cantaloupe, very rip & cut into bite size chunks 1 quart milk
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By: Cutting Board Creations
Blend catalaoupe and 1 cup of milk in a food processor until smooth. Put 1 cup milk in a 3qt saucepan and sprinkle the gelatin into it. Cook over medium/low heat and stir mixture. Add remaming milk and remaining ingredients. Don’t worry if the mixture looks curdled here. Pour mixture into a 13x9 pan, cover and freeze for 3 hours. Stir periodically. Use a mixer at medium speed, beat until smooth but still partially frozen. Return to freeze until fully frozen, about 3 hours. Then enjoy! www.TheCountyWoman.com
March/April 2020
Assisted Living
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Beautiful new Assisted Living for Monmouth County
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Medical Professionals
19
Take Care Of Yourself
Reliance Medical Group Can Help! As primary care physicians, we have seen a rapid profession of obesity and its associated issues.
Obesity is a serious health issue that affects greater than 30 percent of our population. Overweight and obese individuals have a great incidence of hypertension, type 2 diabetes, cardiovascular disease, gallbladder disease, osteoarthritis, strokes, respiratory disease and even some types of cancers. Prevention is a key to decrease illness and disease. A recent national survey on the use of preventive health services in the United States found that men were 30-60 percent less likely than women to have received these services. Women, who are more likely to access medical care, need to encourage their male friends and family members to obtain a primary care physician and heave preventive exams and health screenings. Maintaining a healthy diet and regular exercise will enable you to live an energized life. Poor eating habits can result in weight gain. However, proper eating habits do not necessarily result in weight loss! When it comes to dieting or weight loss, you may hear…eat less, exercise more and eat well. Well, what do you think is the correct solution? None of the above!
Let’s discuss…
Eating less is all about quantity. Obviously, you will not lose weight if you eat more, (although some people can eat all they want and not gain an ounce!). But then again, others will just look at food and gain a pound! So, there is more to weight than quantity. Weight loss is above all a metabolism problem related to your hormonal and genetic makeup. Exercise is the best way to stabilize your weight, but if you want to lose a pound of fat, you will have to run the equivalent of a marathon! Right now; the trend is all “eating well”. And “well” means more balanced meals, does it not? Actually, it doesn’t. Balance is when things are static, or “characterized by a fixed or stationary condition, showing little or no change.” If I put you on a balanced diet, you will eat well and you will not gain weight, but you won’t love any either! In order to lose weight, we must temporarily create an imbalance in our diet. This is only acceptable if it is safe, and there is a beginning and an end.
So, what should we restrict from our diet?
There are three types of food that affect your weight: foods that make you gain, foods that don’t and foods that can prevent you from losing weight.
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The body has three sources of energy:
(1) Carbohydrates, which are always burned first, (2) Protein and (3) Lipids/fats. Once the body has depleted its carbohydrate reserves, it will simultaneously draw on its protein and fat reserves for energy. If you restrict daily consumption of sugars and fats, your body will be forced to turn to its other resources for energy-fat and muscle; that’s a problem. Muscle is the engine that burns calories. If you lose muscle, you burn fewer calories and store more fat! The solution is to restrict your daily consumption of simple and complex sugars and fats, but consume high biological protein at the same time to prevent muscle loss. This is what our protocol provides.
Our Ideal Weight Loss Protocol is a quick and healthy plan with proven, long-lasting results.
Our protein foods contain high quality, high biological value protein isolates combined with essential amino acids and are complemented with supplements and mineral salts. We provide more than weight loss. Our plan includes cellulite reduction, skin revitalization, improved convalescence, and stabilization of blood sugar levels and other obesity related conditions. Once your weight loss goal is achieved, we provide support for maintenance and help you learn how to eat a balanced diet. You will eat normally and enjoy a little of everything. There can be no lasting balance in your life without pleasure. You will learn how to eat good food combinations, and you will have the key not to regain your weight back. The greatest benefit of maintaining a healthy weight is the decreased incidence of health issues and obesity related disease.
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Financial Management The SECURE Act
By this time many of you may be aware that recently Congress January 1, 2020. SECURE stands for Setting Every Community Up for Retirement Enhancement. How is that for Washington speak? As background, the SECURE Act [H.R. 1994] passed the House last year on a bipartisan basis, by a vote of 417 to 3, but then stalled in the Senate. A few Republican Senators objected to unanimous consent for the bill. In December, Congress enacted tax-and-spend legislation to which the SECURE Act was included. The Act includes a number of liberalizations that should promote retirement savings. For example, the prohibition on contributing to a traditional IRA upon reaching age 70½ has been eliminated. Required minimum distributions from IRAs and qualified retirement plans may now be delayed to age 72, rather than age 70½. To pay for the changes that result in delayed tax collections, the Congress changed the rules rather drastically for inherited IRAs. Under the old rules, one who inherited a traditional or a Roth IRA was allowed to take minimum distributions from the account over his or her lifetime. For example, a 50-year-old could spread the payments out over 34.2 years. If a great-grandchild inherited the account, the payout period could be as long as 80 years! This planning strategy was known as the “stretch IRA,” and it was understandably popular. To assure that the IRA was not invaded prematurely, some people paired the stretch IRA with a trust plan. The SECURE Act largely eliminates the stretch IRA. The general rule now is that the IRA assets must be distributed over the ten years following the account owner’s death. Exceptions are made for these designated beneficiaries:
The exception for the minor child lasts only until he or she reaches the age of majority, because then the ten-year rule kicks in. For the other categories of designated beneficiaries, the delay in distributions ends at death when a ten-year distribution must begin. Eliminating the stretch IRA accelerates the taxes on the retirement savings, shortens the deferral period, and it also makes it more likely that the distributions will occur during the beneficiary’s high earning years instead of being delayed until retirement. If a large IRA will be a significant element of your estate, you should consider meeting with your estate planning advisors early this year. Or, you can contact one of the professionals at Garden State Trust Company.
Sample Questions and Answers
I turned 70½ in 2019, so am I excused from taking a required minimum distribution now? Or next year? Sorry, the change does not affect you. Only those who turn 70½ in 2020 or later get the benefit of waiting to age 72 for required minimum distributions. You will have to take a minimum distribution for the 2019 tax year (if you haven’t already) as well as the 2020 tax year. I inherited an IRA three years ago from a parent and have been taking minimum distributions over my lifetime. Does that have to change now, do I take the rest over ten years? Good news, the new law does not affect you. IRAs inherited from those who died after December 31, 2019, are the ones affected by the new law. My children are adults, but my grandchildren are not. Can they get the benefit of waiting until they reach their majority for the ten-year rule to apply? Sorry, no. The exception only is for minor children of the account owner, not grandchildren, nieces, or nephews. These more remote relatives will need to withdraw everything from the account over ten years.
Lifestyle & Money Management Trust & Estate Planning Investment Services True independence and understanding are at the core of our unique value proposition. Caring for and thoughtfully guiding our clients has created the strong trusting relationships we have nurtured over many decades. That’s why so many people rely upon our independent company for wealth management and trust & estate services:
Our focus is where it should be…
Garden State Trust Company. To learn how we can focus on you and your family, contact Adam Brower or Siobhan Connolly.
On You. On Your Family. On Your Future. | gstrustco.com The County Woman Magazine
www.TheCountyWoman.com
March/April 2020
Financial Management
21 Kurt G. Talke, CTFA
Senior Vice President ktalke@gstrustco.com
With over 25 years of experience in this industry, Kurt continues to build and develop strong relationships with new and long-time clients through professional associations.
Meet the Garden State Team.
T
rue independence and understanding are at the core of our unique value proposition. Caring for and thoughtfully guiding our clients
has created the strong trusting relationships we have nurtured over many decades. That’s why so many people rely upon our independent company for wealth management and trust & estate services. Ira J. Brower
Siobhan M. Connolly, CTFA
President & CEO
Vice President
ibrower@gstrustco.com As Founder, President and CEO of Garden State Trust, Ira has grown the company with the simple premise that caring for and thoughtfully guiding clients develops strong trusting relationships that span generations. In his professional activities, Ira is a Trustee and Chairs the Investment Committee of the 21 Plus Foundation. He is also a member of the Central Ocean Rotary.
Barbara Kannheiser
sconnolly@gstrustco.com Siobhan develops relationships with investment management, trust, and charitable foundation clients. Her focus on Special Needs Trusts often requires navigating dilemmas faced by clients and their families. Siobhan serves on the Board of Directors for SCAN which provides support for the senior population of Monmouth and Ocean Counties.
Executive VP & COO
Sean M. Rice, CTFA
bkannheiser@gstrustco.com
Vice President
Barbara is a principal of Garden State Trust Company with over 25 years administration and operations.
Trust Company. Barbara’s experience and dedication to problem solving promote a culture of quality within the company, as well as responsive service to clients.
srice@gstrustco.com Sean’s role is in expanding our professional network and cultivating new client relationships via professional associations, local community events, and a wide array of relationship building activities.
Adam B. Brower, CTFA Vice President
Sean is a member of the Estate and Financial Planning Council of Southern NJ, and the Moorestown Rotary Lunch Club. He is a non-lawyer member of the Board of Trustees for the Camden County Bar Foundation.
abrower@gstrustco.com
John P. Ritter
solutions for client’s needs while developing strong and lasting relationships. He is a member of the Estate and Financial Planning Council of Central New Jersey and holds a Life Insurance and Property & Casualty Insurance license through the State of New Jersey. He also sits on the board for the SPCA of Ocean County.
www.gstrustco.com The County Woman Magazine
Senior Vice President jritter@gstrustco.com John has worked in the trust and wealth management industry for the past thirty years in the South Jersey marketplace. His extensive knowledge of trust administration, portfolio management and retirement planning has enabled John to provide guidance and maintain relationships with his clients for decades.
Toms River 732-255-5000
Lebanon 908-287-7188
Cherry Hill 856-281-1300
Linwood 888-323-5535
www.TheCountyWoman.com
through the American Bankers Association and is active in many local estate planning associations.
John M. Bonk, CTFA
Senior Vice President & jbonk@gstrustco.com
John’s role is to expand our Investment and Fiduciary Service business. His approach has always been to provide trust, estate, investment and tax services in a coordinated manner to enhance the client experience. through the American Bankers Association and serves as Trustee of various foundations and associations within the community.
Mary Gonzalez mgonzalez@gstrustco.com Mary works directly with clients in meeting their needs and account management. Mary takes pride in working with our clients and helping them reach their goals and addressing their needs.
Emily Brower ebrower@gstrustco.com
Emily will be responsible for ensuring that Garden State continues to adhere to the highest industry standards through diligent oversight of policies and procedures necessary to properly manage and safeguard our client’s accounts.
Kerri Jablonski
Administrative Assistant kjablonski@gstrustco.com Kerri is responsible for client bill pay and other operational tasks. During tax season she works directly with the Company’s COO to meet the tax needs of client accounts.
Elicia Salmons
Administrative Assistant esalmons@gstrustco.com Elicia provides administrative assisting in meeting the needs of our clients. She also manages accounts payable procedures
March/April 2020
22
Medical MedicalProfessionals Professionals
31
If You You HaveBeen BeenTold ToldYou’re You Are Not CandidateFor ForDental DentalImplants? Implants: Have Not A ACandidate
SEE DR. BANKS!
Often, patients are told that they are not candidates for dental implants because they “don’t have enough bone” or their “sinus is too low.” Both conditions are correctable problems in almost all patients, according to Dr. Banks. When the gum ridge whereWhat teeth are is tooreasons thin to place implant, aremissing the main thata dentalHow do I know if I need bone grafting? patients are they What can’tthat have bone grafting can be performed to correct thetold problem. means is Dr. thatBanks: a boneWhen you come in for your consultation, I will dental implants? and review your medical and dental history. We may replacement product, or even the patient’s own bone, can be placed into theexamine deficientyou area, Banks: Most patients who come tocan be placed perform 3D dental cone beam scan. Using a virtual implant stabilized, and allowed to heal.Dr. Following healing, dental implants intoa that me for second opinions regarding dental“ridge augmentation” planning software, I will show you right then where implants area and then restored with porcelain teeth. This procedure is called implant surgery beenjaws. told they can’t would be ideally located in your jaws, and any bone grafting that and can be accomplished in both the top and have bottom have dental implants because they “don’t would need to be done to make that happen. Also I will be able to When teeth are missing, thehave sinus that lies above the of topthese jaw patients will expand show downward enough bone.” Many you the neighboring teeth, sinus cavity, nerves, or any other into the ridge and cause bone don’t loss in the gum ridge. This is a correctable problem as well, have enough bone at the time of that structures that according we need to consider in planning the best treatment to Dr. Banks. “A Sub-Antral Sinus Augmentation – commonly called a ‘Sinus Lift Procedure’ canable be to discuss your options so you can make appointment, but if they are willing to for you. Then I will– be performed, sometimes even at undergo the timeaof implant placement. This procedure increases the amount of minor or major bone grafting the best choice for your treatment goals, lifestyle, and I hate to say bone in the area where we would like to first, placethey a dental implant. Again, a bone replacement product or procedure can become a candidate it, but your pocketbook. Kathy A. Banks, DMD even the patient’s own bone can used.” for be dental implants. Is bone grafting painful?
AWhat common misconception is that the bone is placed into the sinus. In reality, the sinus membrane does “bone grafting” mean? Dr. Banks: Most bone grafting procedures can be performed safely and is actually lifted (hence to name “sinus lift”)toback where it one should be, and the boneingraft material Dr. Banks: In up a nutshell, bone grafting means taketo bone from comfortably the office setting with intravenous sedation or general source,under and tothe graft thatmembrane, bone, or place it, into the an area is sinus contour anesthesia. That way, anesthesia medications as well as local anesthesia is placed sinus restoring gumwhere ridgethere and the together in one a bone deficiency. This may be done for many reasons; for example, (numbing the gums and bone) assure our patients a very comfortable procedure. to reconstruct the jaw when a large portion of bone is removed in the procedure. Minimal to moderate swelling and some discomfort can be Dr. Banks incorporates state-of-the-art diagnostic procedures, such as 3D cone beam CT scanning treatment of pathology (e.g., cancer, cysts or tumors) or in the event of expected for a few days afterwards, and our patients are treated with of the face and jaws, to evaluate her patients for bone grafting procedures. “That way, I can accurately a traumatic injury, or a congenital (birth) condition such as cleft lip and comprehensive medication protocols to manage their post-treatment diagnose place implants and the quality palate. the magnitude of the bone loss in the area where we would like to phase. of the patient’s bone ridge in that area, and pre-plan the surgery to ensure the best possible outcome.” does this relate to dental implant surgery? Aresuch there alternatives to grafting? SheHow also prepares and uses advanced biologic materials into grafting procedures as L-PRF Dr. Banks: Sometimes when a patient has bone loss due to longstanding Dr. Banks: Yes, (Leukocyte-Platelet Rich Fibrin) which are made right in the office at the time of surgery. there are implant options other than traditional implant. periodontal disease, bone grafting done at the time of tooth extraction There are narrow diameter implants that may be used in some situations Andreplace finally,orthere is athe preconceived notionofthat these procedures are painful procedures. “There can restore height and width the bone. Once the bone where the jawbone is thin. In the past these implants were called “mini aregraft multiple anesthesia for the surgical part ofSometimes, the bone grafting she says. “Weintended offer for temporary use. The modern narrow has healed, then options dental implants can be placed. when a process,” implants” and were intravenous general teeth anesthesia and time, sedation, nitrous oxide local anesthesia” so that all her are patients can patient is missing for a long the bone of the jawand undergoes a diameter implants now approved for permanent use. There are also be process treated called comfortably. atrophy. This means that the size and bulk of the jawbone short body implants that may be used in some situations. These implants in thecourse, area where teeth areitmissing is diminished time. Bone be used inand certain “Of I’m making sound easy but theseover procedures are grafting technicallycan demanding takepatient years situations where the bone height is too on the lower ridge, calledexpertise. “guided bone regeneration,” correct short for conventional implants. of practice to gain thealso proper You only want yourwill bone grafting procedures performed by a that problem. In the upper jaw, sometimes the sinus will dip down into If you have been told that you are not a candidate for dental implants, well-trained, ABOMS-certified oral and maxillofacial surgeon.” the area where teeth are missing. This is routinely corrected with another please see Dr. Banks. With extensive training, expertise and experience in grafting technique called a “sinus lift” procedure. Grafting the tooth bone grafting and dental implant treatment, she has the solution for you! extraction’s socket at the same time as the tooth extraction procedure can even prevent bone atrophy.
For more information, call 609-488-2325 or Call visit Dr.www.drbanksoms.com Banks Today!
Kathy A. Banks, DMD Oral & Maxillofacial Surgery
Your Expert in the Face, Mouth and Jaws 249 S. Main Street Barnegat , NJ Specialty Lic #4070
609-488-2325 www.drbanksoms.com The TheCounty CountyWoman WomanMagazine Magazine
www.TheCountyWoman.com www.TheCountyWoman.com
8 AM - 5 PM (Mon. - Fri.) Bone Graf
venous Anesthesia Jaw Pathology and Reconstuctive Jaw Surgery
November/December 2017 March/April 2020
Medical Professionals
23
Colorectal Cancer: Are You Aware? What’s The Big Hype? Nina Paonessa, DO, FACOS, an established colorectal surgeon practicing in Ocean and Monmouth Counties, answers questions about colorectal cancer, one of the leading cancers in both men and women. How common is colorectal cancer and who is at risk? Colorectal cancer is the second most common cancer in the United States among both men and women. It affects 140,000 people annually and causes 50,000 deaths. The average person has a one in 20 chance of developing colorectal cancer in his/her lifetime. This risk is increased if there is a family history of colorectal polyps or cancer, and is even higher still in those patients with a history of breast, uterine or ovarian cancer, and patients with a history of extensive inflammatory bowel disease such as ulcerative colitis or Crohn’s colitis. Additionally, a person’s risk for developing colorectal cancer increases significantly with age.
What causes colorectal cancer? It is generally agreed that nearly all colon and rectal cancer begins in benign polyps, called adenomas. These pre-malignant polyps, or growths, occur in the wall of the colon and/or rectum and may eventually increase in size and become cancer, or medically speaking, carcinoma. This is known as the “adenoma-carcinoma sequence.” Several factors have been mentioned in the literature that may increase a person’s risk for developing colorectal cancer and include age, a diet high in fat and cholesterol, an inactive/ sedentary lifestyle, obesity, smoking and environmental exposures.
How is colorectal cancer treated? Nearly all cases of colorectal cancer require surgery. Radiation and chemotherapy are sometimes required in addition to surgery. If the cancer is diagnosed and treated in the earliest stages, approximately 80-90% of patients are restored to their normal health. The cure rate decreases to 50% or less when the cancer is diagnosed in the later/advanced stages. Less than 5% of all colorectal cancer patients require a colostomy or “bag,” thanks to modern technology. Additionally, modern technology has made possible minimally invasive colorectal surgery using laparoscopic or robotic surgery techniques. Both laparoscopic and robotic colorectal surgery are types of minimally invasive surgery in which small incisions are made to perform major surgery. This allows for shorter hospital stays, decreased incisional pain and earlier return to work and other activities.
Can colorectal cancer be prevented? Colorectal cancer is one of the few cancers that is preventable. Obtaining a screening colonoscopy at regular intervals is the single best way to prevent colorectal cancer. Your colorectal surgeon or specialist is able to review the guidelines for screening colonoscopy based upon your age, medical history and family history. Although not definitively proven, studies published in the literature mention additional factors that may lower your risk of developing colorectal cancer and include eating a high-fiber, low-fat diet, maintaining a healthy weight, and engaging in regular, vigorous exercise.
What are the symptoms of colorectal cancer? Unfortunately, polyps and early cancers do not produce any physical signs or symptoms. Therefore, symptoms usually indicate late or advanced disease. The most common symptoms of colorectal cancer are rectal bleeding and changes in bowel habits such as constipation or diarrhea. These symptoms are common in many other disorders of the gastrointestinal tract, so it is very important to have a thorough examination should you experience them. NOT ALL RECTAL BLEEDING IS DUE TO HEMORRHOIDS. It is very important for patients to remember this and seek evaluation if they are experiencing rectal bleeding. Other symptoms, such as abdominal pain and weight loss, are usually late symptoms and quite possibly indicate advanced/extensive disease.
Colon and Rectal Surgery Board Certified in General Surgery and Proctology
How is colorectal cancer diagnosed? Evaluation of colorectal cancer is first begun with a complete history and physical exam, including a digital rectal exam and possibly testing the stool for blood. A colonoscopy is the most definitive test used to diagnose colorectal cancer. A colonoscopy is performed by a colorectal surgeon or other specialist in order to get a direct visualization of the inside of the colon and rectum. A colonoscopy is a safe, painless, outpatient procedure performed under a light sedation. Based upon the findings on colonoscopy, your colorectal surgeon or other specialist may recommend other testing such as bloodwork, a CT scan of the abdomen and pelvis, pelvic MRI and/ or ultrasound.
physiology
603 Higgins Avenue Brielle, NJ 08730 Phone: (732)
1364 Route 72, Suite 5 Manahawkin, NJ 08050
282-1500
Fax: (732)
292-9600
www.paonessacrs.com The County Woman Magazine
www.TheCountyWoman.com
March/April 2020
Medical Professionals
24
Are You Tired Of Sinus Pain And Pressure? Did you know that sinusitis affects 37 million people each year, making it one of the most common health problems in the U.S.? It is more prevalent than arthritis and hypertension and has a greater impact on quality of life than diabetes or people physically, functionally and emotionally.
How is Balloon Sinuplasty performed? The majority of Balloon Sinuplasty is performed under general anesthesia in an outpatient setting, however, some surgeons are choosing to treat certain patients in their office under local anesthesia. The reported complication rate for Balloon Sinuplasty is low. Is this procedure painful? In select patients, Balloon Sinuplasty may be performed in the office under local anesthesia. Local anesthesia is first applied via cotton applicators inserted in the nose. Injections of local anesthesia follow, but the majority of patients have no discomfort due to already being “numb.” Post-procedure pain medicine is provided but few patients use more than two doses. Patients who suffer from chronic sinusitis and are not responding well to medications may benefit from seeing an Ear, Nose, and Throat (ENT) physician who performs Balloon Sinuplasty to determine if the procedure is right for them.
What are the sinuses? Sinuses are air-filled pockets in the areas surrounding the nose. There are four groups of sinuses on either side of your face. What is Sinusitis? Sinusitis is an inflammation of the sinus lining tissue cause by bacterial, viral or fungal infections. Allergies may also contribute to sinusitis. When there are anatomic obstructions, or when the sinus openings shut, normal mucous drainage is blocked and infection and inflammation develop within the sinus. Over the past year, the approach to treating patients with sinusitis has changed. Now, treatment can include Balloon Sinuplasty. What is Balloon Sinuplasty? Balloon Sinuplasty is a breakthrough procedure that relieves the pain and pressure associated with chronic sinusitis. It is used by surgeons to safely and effectively treats chronic sinusitis patients who are not responding well to medications such as antibiotics, nasal steroids, or over-the-counter (OTC) drugs, and are seeking relief from uncomfortable and painful sinusitis. Similar to how angioplasty uses balloons to open blocked arteries, Balloon Sinuplasty, a system of FDA-cleared, catheter-based Testimonial: instruments, opens blocked sinuses. This procedure is less invasive than traditional sinus surgery. It allows most patients to return to normal activities quickly.
www.OceanENTFacialPlastics.com
Balloon Sinuplasty Stages
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2
3
4
Blessings, Rev. Lorraine Merritt
In 1997, Dr. Peters started as a sole practitioner in Ocean County and laid the foundation for one of the area’s premier 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 Diplomate of the American Board of Otolaryngology, Head and Neck Surgery, A Fellow of the American College of Surgeons, a member of the Academy of Facial Plastic Surgery, the N.J. Academy of Otolaryngology, and the Academy of Otolaryngology, Head and Neck surgery. Bruce W. Peters, DO, FACS
Stephen Kupferberg, MD, FACS
Christina Gillespie, MD
Nurse Practitioner Rajat Sood, APN
54 Bey Lea Rd., Suite 3, Toms River, NJ 1707 Atlantic Avenue, Wall Township, NJ
For more information, call 732-281-0100 or visit www.Ocean ENT FacislPlastics.com.
Happy St. Patrick’s Day May your pockets be heavy and your heart be light, May good luck pursue you each morning and night. -Irish Blessing
Ingredients:
The County Woman Magazine
www.TheCountyWoman.com
March/April 2020
Home Health Care
25
Companion Care Deborah Walsh,
Executive Director, HomeWorks At United Methodist Communities HomeWorks, we often hear stories from frustrated family members about Mom or Dad refusing to accept any help at home even though they clearly need it. Resisting help is very common in the elderly. The fear of losing independence and control, the invasion of privacy, and distress about a stranger in the house are all reasons for this. The concept of home care can seem very intrusive, but not all seniors have the same needs. These can range from complete assistance with personal care and all activities of daily living (ADLs) to simple companionship and help with shopping, meal prep and laundry (IADLs). Many of our clients are now opting for home care earlier by gradually introducing companion care once or twice a week. Waiting until Mom or Dad are at a stage when they need daily or live-in care heightens the fear of losing independence and is not the best time to start home care. The ideal time to introduce a companion may be when a loved one begins to struggle with things like meal prep, cleaning, and laundry. We are finding that seniors are more comfortable with a companion rather than a home health aide and the cost is less. Concern about cost may be their barrier to accepting help at home. Companion care offers emotional support to seniors who don’t necessarily require medical services. The possibilities are really
For more information, call 732-838-1950 or visit www.UMCHomeworks.org.
endless as to what a companion caregiver can offer – here are a few. your loved one to doctor’s appointments and advocating on their behalf seniors to engagements, museums, movies and other social events in social activities such as reading, watching TV together, playing cards, or board games meals and cooking for them or together and errands Companion care can provide a senior with socialization, which is vital to their mental health and reducing feelings of loneliness. When seniors stay in their homes, social isolation may become an issue, especially if friends or neighbors don’t visit regularly. Companion care ensures that seniors have regular interaction with others. As relationships develop seniors come to look forward to their time together and this can help reduce feelings of depression. Social interaction can have significant implications on other areas of a senior’s life, such as: Sharing meals with a companion can encourage seniors to eat regularly and to eat well Socialization has many positive benefits on mental health, which can also affect physical health A senior may be more willing to participate in activities like going for a walk when they have someone to share in those activities Knowing that a companion will be by in the morning can help encourage more regular sleep habits and they may sleep better each night after having taken part in activities, including exercise, with a companion during the day
Jump into companion care and introduce help for your loved one in a gradual, less costly and less threatening way.
In-home care for seniors. Call today for a free in-home assessment. 54 Olin St, Ocean Grove, NJ
Recipe Caponata~Compliments of Chef Steph 3/4 cup olive oil 1 large eggplant (about 2 lbs) cut into bite size pieces 6 medium zucchini (about 2 lbs) cut into bit size pieces 1/2lb mushrooms, thinly sliced 1 1/2 cups onion, chopped 1 cup celery, sliced
1 garlic clove minced 1/2 cup red wine vinegar 1/4 cup capers, drained 2 T sugar 3 large tomatoes, cut into bite size chunks 4 1/2 oz pimento stuffed olives, drain & cut in half
The County Woman Magazine
In a large saucepan over high heat, cook eggplant, zucchini, mushrooms, onions, celery and garlic in the oil for 10 minutes, stirring occasionally. Stir in the vinegar, capers, sugar, salt and pepper to taste. Reduce heat to low, cover and simmer for 10 minutes or until vegetables are fork tender. Stir in tomatoes and olives and bring to a boil over high heat. Spoon mixture into a bowl, cover and refrigerate at least 3 hours or until well chilled. Recipe by: Cutting Board Creations www.TheCountyWoman.com
Serves-12
March/April 2020
26
Financial Independence
Getting Help from a Financial Professional… Are you suddenly on your own or forced to assume about whether you’re on the right track with your responsibilities, such as the care of a child or an aging divorce, the sale of a family business, or a career needing to make sure your assets are being managed
Geeta K. Brana Senior Vice President Financial Advisor
Holmdel, NJ 07733
management and asset management advisory services to women in transition. international capital markets. Her career started in she trained in all aspects of international finance and experience of structuring and trading debt packages for multinational corporations throughout the United
could be invested or protected better than they are now. These are only some of the many circumstances that prompt people to contact someone who can help them address their financial questions and issues. This may be especially true for women, who live longer than men on average and therefore may face an even greater challenge in making their assets last over that longer life span.
compensated for his or her services. Some receive a fee based on an hourly rate (usually for specific advice or a financial plan), or
needs. Just as important, you have someone who can answer questions about things that you may find confusing or anxietyprovoking. When the financial markets go through one of their periodic downturns, having someone you can turn to may help you make sense of it all.
explain how he or she is compensated.
or specific financial products and services, having someone who if you hire people to do things like cut your hair, work on your car, and tend to medical issues, it might just make sense to get some help when dealing with important financial issues.
individuals and institutions.
boutique independent advisory firm with deep roots in
prevent misunderstandings that could backfire later. money, and you have the right to take whatever time you need. get caught in “analysis paralysis.”
finances, the financial world grows more intricate every day as new have a substantial impact on your investment and tax planning ongoing basis and assess how they might affect your portfolio.
environment, she was able to build a successful
receive a commission from a third party for any products you may purchase. Still others may receive some combination of fees and commissions, while still others may simply receive a salary from
picture and make sure the various aspects of your financial life are integrated in a way that makes sense for you. That can be especially important if you own your own business or have complex tax issues. act as a sounding board, giving you a reality check to make sure your assumptions and expectations are realistic. For example, if for your goals and circumstances, either out of fear of making a mistake or from not being aware of how risks can be managed, a financial professional can help you assess whether and how your portfolio might need adjusting to improve your chances of reaching those goals.
lives.
a financial professional. Having someone help you develop an overall strategy for approaching your financial goals can be useful at any time. However, in some cases, a specific life event or perceived need can serve as a catalyst for seeking advice. Such events might include:
though you should also pay attention to any additional suggestions raised during your discussions. Your plans should take into consideration your financial goals, your time horizon for achieving each one, your current financial and emotional ability to tolerate risk, and any recent changes in your circumstances. professional. While some do focus on clients with assets above a certain level, others do not. comprehensive help in a variety of areas, or would you be better relationship, or can your needs be taken care of on a one-time expertise might be a good place to start. specialists — for example, if you own your own business — consider whether you might benefit from having someone who can a gateway to other professionals who can help with specific aspects insurance, and investments. give a financial professional the independent authority to make trading decisions for your portfolio without checking with you an investment policy statement that spells out the specifics of the when making those decisions.
Securities and investment advisory services offered through
postpone making that call. The sooner you get your questions
names, products or services referenced here are independent of
The County Woman Magazine
things — family, friends, career, hobbies — that an organized financial life could help you enjoy.
www.TheCountyWoman.com
March/April 2020
Medical Professionals
How Emergency Surgery – Through the Wrist – Saved One Stroke Patient’s Life Kerri Squires was given an 18 percent chance of survival. Now she says it’s as if the brain aneurysm never happened.
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Atlantic NeuroSurgical Specialists is now a proud partner of Altair Health. Together, we’re revolutionizing spine care in New Jersey. How can Altair Health help you? Contact us!
The last thing Kerri Squires remembers is checking herself in to the Emergency Room and pulling out her insurance card. She had just dropped her two kids off at school a block away and couldn’t handle the intense pain in her head any longer. “It felt like someone was hitting me in the head with a baseball bat every time I took a step,” says Kerri. Two days earlier, she was at an amusement park with her family when she says she “felt something click.” “All of the sudden, my head was pounding and I couldn’t see straight. I was violently sick the entire two-hour ride home,” Kerri notes. “But when we got home, I snapped right into mommy mode, so everyone thought I just had a really bad migraine.”
Prior to her stroke, Kerri Squires had never even heard the word ‘aneurysm,’ let alone about life-saving brain surgery through your wrist. Now, she’s a living example of the potential that a radial approach to endovascular neurosurgery holds for others.
“The sudden, severe headache, blurred vision, nausea, vomiting, and the seizure Kerri had in the ER waiting room – they’re all telltale signs of a ruptured brain aneurysm,” says Dr. Paul Saphier, a board-certified neurosurgeon at Atlantic NeuroSurgical Specialists (ANS) who treated Kerri at Overlook Medical Center. “She’s lucky to have even made it to the hospital.” Scans confirmed an aneurysm ruptured in the right side of Kerri’s brain. She was rushed into emergency surgery. Rather than perform a traditional open craniotomy – which requires opening the skull – or traditional endovascular neurosurgery, whereby neurosurgeons navigate to the brain typically through the main artery in the upper thigh, Dr. Saphier took an even more advanced endovascular approach. He went through the radial artery in Kerri’s wrist to place 11 coils in her brain and stop the bleed. “Radial access is the ultimate in minimally invasive endovascular neurosurgery,” Dr. Saphier explains. “The radial approach carries less risk of bleeding and improves patient comfort compared to the transfemoral approach in the thigh. The outcomes I’ve seen with patients are just amazing.” Dubbed the “miracle child” by her doctors, Kerri walked out of the ICU and went straight to rehab. Two months after the surgery, Kerri says it’s as if the brain aneurysm never happened. While radial access is widespread in the cardiology community for interventions like stenting and catheterization, it’s not commonly used in neurosurgery. Dr. Saphier is on a mission to change that by spearheading a physician-led study to formally examine its advantages and bring what he believes in many cases is the best treatment available to more patients. Atlantic NeuroSurgical Specialists (ANS) is New Jersey’s largest neurosurgical practice and one of the most advanced in the country. ANS is a proud partner of Altair Health. For more information, visit ANSdocs.com.
MARCH MCW BRANDING/EDITORIAL_R2.indd 1
The County Woman Magazine
Guiding Patients. Delivering Outcomes.
Freehold | Morristown | Bridgewater | Jefferson Neptune | Pompton Plains | Summit altairhealth.com ansdocs.com 833.4ALTAIR (833.425.8247)
2/11/20 1:27 PM
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March/April 2020
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January/February 2020
Medical Professionals
29
10 Warning Signs of Memory Loss Is your memory loss disrupting your everyday life? Do you have challenges planning or solving problems? Do you have difficulty performing familiar tasks at home, work, or leisure? Do you ever get confused with the time or place? Do you have trouble understanding visual images?
Memory Center 9 Mule Road Suite E 9 Toms River, NJ 08755
(732) 341-9500
Are you experiencing problems with words in speaking or writing? Are you misplacing things and losing the ability to retrace your steps? Have you noticed a withdrawal from your normal activities? Have there been any changes in mood or personality?
Are you or a loved one experiencing three of more of these signs? Call today to schedule your FREE memory evaluation.
732-341-9500 The County Woman Magazine
Dr. Sanjiv Sharma is a boardcertified geriatrician who specializes in memory loss. His mission is to educate all patients and families on memory loss, Alzheimer’s disease and dementia and bring the latest research to those directly affected by these diseases.
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So I Have DVT? (Deep Venous Thrombosis) Girija Surya, M.D. Cardiovascular Surgery
Hi Friends, A few years ago, while making rounds in the hospital, I was asking for a nurse on the floor. She was a beautiful, young woman in her early 40s, a committed nurse and a mother of 2 young children. I was shocked and saddened to hear that she had died of Pulmonary Embolism (PE) from an undiagnosed Deep Vein Thrombosis (DVT). When you know the person, it hits you harder. Many people are not lucky to receive treatment. Approximately 200,000 deaths occur each year in U.S. of the 600,000 cases of P.E. Statistics show that every year 2 million individuals suffer Venous Thrombotic event. It is important to know that 2 out of 3 deaths can be prevented and Venous Thrombosis (VTE) remains the leading cause of preventable hospital deaths. Public awareness of VTE is improving but continues to still be far from where we should be. A telephone survey of 1000 people revealed that 95 percent of them had never been told about DVT from their physician.
Surgical Treatment of DVT:
In past articles, I have explained about DVT, prevention protocols recommended, and medical treatment with intravenous anticoagulation with heparin, or outpatient subcutaneous injection of low molecular weight heparin and Coumadin. Today we will discuss the techniques that are available to treat DVT. DVT untreated can lead to not only PE, but also PTS (Post Thrombotic Syndrome) and Chronic Secondary Pulmonary Hypertension secondary to chronic untreated PE.
Post Thrombotic Syndrome:
PTS is a debilitating chronic condition following DVT, in fact, in almost 75 percent of patients treated with anticoagulants. This causes edema, pain, skin pigmentation, itching and complications of cellulitis and ulcer. Standard treatment of DVT, after starting initial anticoagulation, is to use graded compression stockings. In addition, Catheter Directed Treatment (CDT), which includes thrombolytics and mechanical thrombectomy, use newly developed devices. At the same time, to correct the underlying venous abnormality, such as narrowing, using balloon angioplasty and possible use of stents, can resolve the edema by correcting the venous and lymphatic pressure in the affected leg.
1 cm further than the catheter tip. Thrombolytic agent is delivered through the catheter, and ultrasound is delivered through a mobile unit to deliver US energy. The ultrasound breaks up the clot and the clot is dissolved with TPA.
Venous Stenting and Angioplasty:
The absolute indications are source: http://www.sirweb.org/images/patients/DVT_clot_illustration.gif still debatable. This procedure is done when there is significant residual stenosis or narrowing of the vein is present after thrombolysis. This is diagnosed with venography or IVUS, which is a venous ultrasound, performed from inside the vein. IVUS can be used to see the correction of the stenosis after placing stent, and angioplasty. This can be followed by a traditional IV heparin and Coumadin.
Complications:
Minor bleeding at puncture site. Major bleeding requiring blood transfusion is possible, and bleeding usually is seen in brain, reteoperitoneum, muscles and urinary tract or gastrointestinal system.
Pulmonary Embolisms:
In some cases, the broken clots can cause acute PE. These emboli are treated by the thrombolysis and anticoagulation. No fatal P.E. has been reported, however about 30 percent patients undergoing CDT can show distal emboli. This raises the question of placement of filters for prophylaxis, but the indications for filter in cases of CDT still evolving. The recommendation from ACCP is however for standard anticoagulation at this time, over CDT, awaiting further results. There is a new trial – results of which are awaited. “ATRACT” – trial, from which more evidence would evolve regarding catheter, directed thrombolysis. The current practice ideally would be aggressive management including CDT in younger patients and being a little more conservative in older age group, selecting treatment tailored to the patient.
v
Love Your Legs Again!! Vein Center for Women
Catheter Directed Thrombolysis:
While the first line of treatment for DVT remains anticoagulation, 13 studies involving iliac and femoral veins showed resolution only in 10 percent of patients. The objective of restoring venous flow is to prevent valve damage, venous hypertension and recovering from DVT, without developing PTS. The following circumstances are when CDT is recommended: Acute iliac and femoral vein DVT, less than 14 days from onset of symptoms, or acute findings on venous ultrasound, in patients with life expectancy of more than 1 year with good functional status, and low risk of bleeding. However, cases with some deviation from above have also been treated with success. In general, a catheter with multi-side holes is positioned in the thrombus, usually for 24 hours, and parked in the area to deliver thrombolytics (TPA)-[the strong agent used to dissolve clots in heart attacks, strokes etc,] through the catheter directly to the thrombus. The vein is evaluated with a venogram in 12 hrs. and then the catheter is removed. Patient is then treated with iv heparin and oral anticoagulants such as Coumadin. With these procedures, there is risk of bleeding with the thrombolytic therapy but only has been seen in 11 percent cases in some trials.
Schedule appointments “24/7” www.VeinCenterForWomen.com Girija Surya, M.D.
Colonial Commons 670 N. Beers St. Bldg. 2, Ste. 4 Holmdel, NJ 07733
Ekosonic Endovascular system:
Ekosonic Endovascular System (EKOS) is the placement of an ultrasonic (US) wire, through the catheter. The tip of the US wire should hit the catheter and is parked at least
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Cake Shoppe & Tea Room
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Committing to ‘Memory’ – Designer Turns Her Baking Hobby Into a Full-Blown Career
AnnMarie Cooney AnnMarie Cooney did not grow up dreaming of becoming a baker. Visions of sugar plums and intricately decorated cakes were not dancing through her head as a young girl. By trade, Cooney was a kitchen designer, but retired early to raise her daughters. “With three girls, my job was to raise good women,” Cooney says. It was a special request from her daughter that would eventually turn her into a highly sought-after cake designer and baker. “It all started because my daughter wanted a cake,” Cooney says with a smile. Cooney’s middle girl, was born with health issues that resulted in special needs. So when she wanted a circus cake for her fifth birthday, Cooney made her the best circus cake around. That was 14 years ago, and her girls quickly caught on to their mom’s special talent. At every birthday, they requested a special cake. “It became, ‘what can we do next’ and ‘how can we top that,’ Cooney says. Then she began making cakes for friends. Cooney’s husband had to build an additional kitchen at her house just to accommodate all of the special cake requests. When Cooney’s youngest daughter entered kindergarten six years ago, Cooney decided she wanted to go back to work. “But, I needed to figure out what I was going to do,” Cooney says. Sadly, Cooney’s grandmother, with whom she was very close, passed away during this time. “I was sitting at home, just very sad, and my cousin called me to meet her at the park with her kids,” Cooney says. However, in the midst of grief, she didn’t feel up to it. “My cousin sad, ‘come on grandma would want us to.’ So I went, Cooney says. On the way to the park, she saw the real estate sign. She checked it out and immediately knew that it would be the perfect location for her bakery, A Sweet Memory Cake Shoppe & Tea Room. “My grandmother left each of her grandchildren a small inheritance and it was just enough for me to open my business,” Cooney explains. Cooney spent about five years at that location before moving to another larger space six months ago just two miles down the road in Waretown. A beautiful picture of her grandmother has watched over her since the day she opened. It’s difficult to simply call Cooney’s creations “cakes.” Some designs are so intricate that they look like art. Cooney and her team created a three-dimensional depiction of Van Gogh’s “Starry Night” that captured the essence of this masterpiece with sweet, swirly curves and lines of vividly hued icing. Then there’s the adorable panda birthday cake that could easily be mistaken for a cuddly toy. The list of unique, edible masterpieces goes on and on, That’s because they average a minimum of 30 specialty cake orders per week, mostly by working with different
catering and special event venues in and around Long Beach Island. However, they also have a long list of loyal customers. “Some of our customers started with a gender reveal and now we’re doing their fifth birthday cake,” Cooney says. Customer Kathy Helm of Waretown got her grandson’s birthday cake from Cooney close to five years ago. “It was perfect, I brought a couple pictures of what I wanted and they just did their thing,” Helm says. And she has been coming here ever since. “I’m in sales, so I bring my clients treats from here all the time,” Helm says. She’s also brought her granddaughter to Sweet Memory’s princess tea parties. “Our clients really do become our friends,” adds Cooney. In addition to the special-order cakes, A Sweet Memory, has a selection of seasonal cakes, mini desserts, cookie sandwiches and other baked goods readily available daily. Other creative creations include their cake pies; cakes topped with pie filling and decorated to look exactly like a pie. “Our baking is very seasonal,” Cooney explains. Winter flavors includes a tasted snowball cupcake, which is a chocolate cake filled with marshmallow and chocolate fudge, frosted with coconut buttercream, rolled in toasted coconut, drizzled with chocolate and topped with marshmallows. Or their gingerbread scone with maple cream. Or the orange, cranberry Christmas scone with orange cream. “My grandmother used to always have her ‘lady friends’, as she called them, over for tea,” Cooney explains, adding that she wanted to honor her grandmother by adding a high tea to her bakery. “We squeezed one table in our previous location and began hosting afternoon teas.” They were all so well-received Cooney has expanded her operation to include a full-time tea room. Decorated with a lovely mix of china and flowers, the tea room serves tea, lunch and snacks from 11 a.m. to 4 p.m. Wednesdays through Sundays. They also offer a high tea, but reservations are required. “Our clients have really created the charm of this place,” says Cooney, who adds almost of her china, platters and place setting have been donated by her customers. High tea ($27.95) is served on tiered platters and begins with an individual pot of tea, chosen from their selection of more than 50 teas. Followed by seasonally inspired salad and homemade soup, four varieties or tea sandwiches, freshly baked scones served with their specialty creams, and completed with a selection of their miniature desserts. “Everything from our meats to spreads, our dressings and chutneys, our soups are all made fresh in-house,” Cooney says. Cooney also places an emphasis on healthy fare. “We source organic whenever possible and offer a large selection or vegetarian friendly dishes,” she says. With the extra space the tea room has added to A Sweet Memory Cake Shoppe and Tea Room, Cooney is able to host special events. “We’ve done cake-decorating classes and other ladies events,” Cooney says. They’ve also hosted princess teas,
American Girl teas, unicorn teas and more. They even carry a line of tea geared towards little ones. “We even have a dress up section that ladies and little ladies love,” Cooney says. A little help from above has turned Cooney’s one-time hobby into a business that brings customers joys bite by bite. The business that Cooney started out of her home has grown into a full-time operation with a staff of eight. “We work hard and we work a lot, but we really do love each other,” Cooney says. She says they have become a great team and she couldn’t do all of this without them. Cooney’s brother-in-law, Paul Cooney, recently joined the team as chef and baker. There’s also Sarah Rod, the head decorator, and Cindi Reider, head fondant who works in fine detail. “Sarah and Cindi are so talented, they really are the best around, they’re artists,” Cooney says. Together, what they create can easily be considered art, but at the end of the day-or party or wedding or afternoon tea- and after the last bite, their masterpiece has been turned into a sweet memory.
Our tea room serves lunch Wednesday to Sunday 11am to 4pm.
609-242-0153 www.asweetmemory.net 521 Route 9 Waretown, NJ asweetmemorycakeshop@gmail.com The County Woman Magazine
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Hypnosis for Women Professional Hypnosis & Coaching Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com
Health & Wellness Release Your Fear of Medical / Dental Visits and Stop Putting Your Health at Risk It’s not unusual to feel a little apprehensive about going to visit the doctor or dentist. Most people just deal with the fear and go anyway – because they want to protect their wellbeing. But for many, just the thought of doing those things is enough to elicit a major stress reaction – or an all-out panic type response. Instead of taking care of themselves, they avoid visits – potentially jeopardizing their health. Or they keep the appointments, but make themselves sick with worry. If you’re someone who avoids seeing medical professionals or is frightened at the prospect, know that you are capable of managing that fear and doing what you need to do. It doesn’t matter how great the fear is – or how long it’s been a problem for you. You can overcome it with the right tools and techniques. The fear can stem from a variety of factors…
There are several simple things you can do on your own to allay the fear, if it’s not huge…
Make Your Mind Work FOR You – Instead of Against You! Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification in complementary medical hypnotism. She earned a B.S. degree in Biomedical Communications from Richard Stockton College of N.J., has an academic background in nursing, and 20+ years’ experience in community health education and coaching. Rhoda adheres to strict ethical standards of the National Guild of Hypnotists.
The County Woman Magazine
If you’re someone whose fear is substantial, hypnosis and coaching can make a significant difference. At a conscious, logical level, you know the importance of seeing the doctor/dentist – or having testing or procedures done. But, at a deeper level, you’re emotionally overreacting and feel unable to control those extreme reactions. Using hypnosis/coaching is a gentle, effective, and quick way to help you feel more calm, comfortable, and relaxed in all sorts of health-related situations. Within several visits, you’ll “program” yourself to relax your mind and body, and address any healthcare issues you need to. Assorted techniques and suggestions are used to help you move forward, and one or several recordings are provided to help alter your response. This approach is ideal for people who are motivated to change, believe that with the right tools and techniques they are capable of changing, and understand they need to be a partner in the process. For a Free Phone Consultation, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.
Make Your Mind Work FOR You – Instead of Against You!
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PROFESSIONAL HYPNOSIS AND COACHING SERVICE
Make Your Mind Work For You – Instead of Against You
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Community Saturday, May 9th with Scenic Beach Walk
10AM to 3PM
37 Windward Beach park
Brick, NJ
Rain
or
Shine
The Fair is Free Admission and Open to the Public $10 Registration is Required for the Beach Walk - Includes T-shirt MENTAL, PHYSICAL AND SPIRITUAL FOR WHOLISTIC HEALTH
Vendors Yoga Sessions Beach Walk Health Screenings and
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Enter To WIn Two Tickets To The Cape May Stage Theater! Name: __________________________________________ Address:_________________________________________ City:_____________________State:______Zip:___________ Email:___________________________________________ *Only one entry per person.
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Acupuncture
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Community
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Answering Needs. Advancing Potential. Serving infants, children, and adults with complex physical and developmental disabilities or delays in Monmouth and Ocean Counties
April
25 26
Sunday, April 26, 2020 New Jersey Marathon
IN LADAC Team
Saturday, April 25, 2020 5K Race and Kids Races
cin.org
M
L A D AC I N 20 20
Marathon Post Race Fundraising Party
TEA
a ts@lad
t even contac , n o ti e. istra m cod For reg the tea e iv e to rec
Patrick’s Pub in Neptune City, NJ
“Every Step Counts”
June
15
18
th The Annual RAT Rock Open Charity Golf Classic
NEW LOCATION
18
th The Annual RAT Rock Open Charity Golf Classic
Jumping Brook Country Club Monday, June 15, 2020 Time:
For More Information
Call Community Relations at 732.493.5900 ext. 263 or email communityrelations@ladacin.org
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Women Of Monmouth County
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Ludys Katz
Patricia L. Morello
Certified Medical Assistant Paonessa Colon & Rectal Surgery
Nurse Practitioner, Reliance Medical Group On a typical day at the office, Nurse Practitioner Ludys Katz provides care to approximately 15 to 25 patients. She performs full physicals, does follow up appointments, and handles sick visits. In addition, she also provides assessments and diagnostic and medical management of chronic diseases including Diabetes and Asthma. Ludys has vast experience working in hospitals, nursing homes, and private practices. Over the last 10 years she has also accumulated experience in diverse fields of nursing like Cardiology and medical gerontology. Ludys is an Adult and Geriatric Nurse Practitioner who is Board Certified by the American Nurses Credentialing Center for Adult Gerontology. Fluent in Spanish and English, she received her degree in Nursing in 2014. She furthered her career by obtaining her Master’s of Science in Nursing Degree at Fairleigh Dickinson University in 2017. She adds, “I believe in building long lasting relationships with my patients and working together to accomplish a common goal.” In addition to caring for her patients, she loves spending time with her family and traveling.
Patricia L. Morello lived in Manhattan with her father and two siblings before moving to New Jersey. She was always outgoing and had a passion for helping others as such she has pursued a career in healthcare. She first began working with patients as a pharmacy technician. At the same time, she attended Brookdale Community College and then went on to Star Career Academy to become a certified medical assistant in 2012. Patricia has a passion for caring for others, especially the elderly. As a certified medical assistant, Patricia has gained experience in the specialties of nephrology, cardiology, and most recently in colon and rectal surgery with Dr. Nina Paonessa at Paonessa Colon and Rectal Surgery. It is here that she has gained experience in office-based surgery and treating acute and chronic diseases of the colon and rectum. She is directly involved in the care of patients. The patients recognize her dedication and commitment to providing excellent patient care and outcomes. Throughout her career, Patricia has demonstrated her dedication and passion for working in healthcare. Her patients recognize her as being kind hearted, caring, friendly and compassionate. In her free time, Patricia enjoys cooking, baking, walking on the beach and drinking coffee. For more information, call 732-2821500 or visit www.paonssacrs.com.
Photo by Donna Andrews Photography
Tracy Garguilo, MS, OTR/L
Siobhan M. Connolly, CTFA
Occupational Therapist Owner of Shore Kids Pediatric Therapies, LLC
Vice President and Trust Officer Garden State Trust Company
Tracy Garguilo earned her Bachelors degree in Physical Education from The University of Delaware in 1995 and then went on to pursue her Masters in Occupational Therapy from Columbia University in 2001. She has been working with children for 17 years in a variety of settings from schools to early intervention to private practice. Five and a half years ago, She opened Shore Kids Pediatric Therapies in Oceanport, NJ. It is a comprehensive multidisciplinary clinic that offers Occupational Therapy, Physical Therapy, Speech Therapy, Academic Testing/Tutoring, Behavioral Services and Counseling. Her vision is to provide children and their families with therapy services all under one roof where they can all collaborate. She prides herself on the individualized attention and relationships that are built between her clients and therapists. Tracy continues to provide occupational therapy in the public schools part time as well as running Shore Kids. She lives in Hazlet with her husband Brian and their two boys, Alex, 13 and Brody, 10. You can reach her at www.shorekidspediatrictherapies.com or 732-460-1500.
Siobhan Connolly moved from New York with her husband and two girls to Howell, NJ in 2008 to be closer to her father who lives in Manasquan. While in New York she taught high school, worked with at risk students teaching career skills and employment preparation and owned a retail business. Siobhan joined Garden State Trust Company, Toms River, NJ, in January of 2009. As Vice President and Trust Officer and senior relationship manager her responsibilities include meeting the needs of trust & estate, investment management and charitable foundation clients. With a Master’s Degree in Education and as a Certified Trust and Financial Advisor Siobhan has found her passion focusing on Special Needs Trusts which often require navigating the dilemmas faced by special needs clients and their families. Siobhan is honored to work with these families and takes pride in helping them provide the best life possible for their loved one. Siobhan currently serves on the Board of Directors for SCAN (Social Community Activities Network) serving the large retiree population of Monmouth and Ocean Counties providing education and resources to enhance their quality of life. Siobhan resides in Howell, NJ with her husband and her daughters. You can reach Siobhan at 732/255-5000 or Email: sconnolly@gstrustco.com. Visit www.gstrustco.com to learn how Siobhan may be able to help you. Photo by Tracy Harman Photography
The County Woman Magazine
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March/April 2020
Women Of Monmouth County Cheryl Kasper, LCSW Rapid Transformational Coach | Psychotherapist Cheryl is the owner of WomenPowerment, where she is a Rapid Transformational Coach. Cheryl created a unique healing process combining Rapid Transformational Therapy (which is a powerful form of hypnotherapy), her years as a psychotherapist, and energy psychology to rapidly allow her clients to unlock subconscious limiting beliefs, blocks, fears, anxiety, & self sabotaging behaviors that hold them back in all areas of their life and business. Once these issues are released, lasting positive changes are rewired in the mind for unlimited success. Cheryl holds sessions in person and also via video conference worldwide. Cheryl is also a Psychotherapist with over 20 years experience. She has a private psychotherapy practice in Toms River. She is a national speaker, Reiki Master, and creator of ”Daily Affirmations to Live Life Powerfully” affirmation cards. Cheryl has several on-line courses about mindset, self love, and rewiring limiting beliefs. Cheryl lives in Toms River. She is married and has 2 sons, one of whom is in the US Marine Corps. She enjoys traveling and spending time with her family. Cheryl can be reached at 732-779-3774 or www. WomenPowermentTribe.com.
Rhoda Kopy, BS, CH
Nationally Certified Consulting Hypnotist & Wellness Coach, Hypnosis for Women
As a hypnosis practitioner and wellness coach with specialty certification in Complementary Medical Hypnotism, Rhoda Kopy helps people break free of limiting habits, fears, and beliefs. She is celebrating her 15th anniversary as a Nationally Certified Consulting Hypnotist. Her private practice, Hypnosis for Women, in Toms River, serves primarily women, teens, and children, throughout the tri-state area. After earning a B.S. in Biomedical Communications, she worked for various organizations providing community health education and counseling services. She later segued into career services and founded A Hire Image, which offered motivational coaching, marketing, and training. As a result of success she achieved using hypnosis to improve her life, she completed an advanced training program and later opened her private practice. Rhoda co-founded Jersey Shore Hypnosis Practitioners, a peer support and networking group, and is a member of professional hypnosis organizations. Born in Bayonne and raised in North Plainfield, she has lived in Toms River for most of her life. She enjoys coordinating Bookie Babes, attempting to draw, watching meteor showers, traveling with her husband, and playing with friends and family. She has a daughter, two grandsons, and an adopted goofy shih-tzu. Rhoda can help you determine if hypnosis and coaching are appropriate for you. Call her at 732-270-0080 and visit www.HypnoForWomen.com. Photo by Tracy Harman Photography
Photo by Donna Andrews Photography
Anna Farro
Cynthia B. Clark
Client Relations Coordinator The Matus Law Group
Cynthia is the first person to greet you at the firm with her warm and friendly personality. Cynthia is full of energy, has excellent inter-personal skills and is always willing to go that extra mile to assist clients and her co-workers. Her experience comprises 15+ years serving in the public sector. She has been in customer service industries, including law enforcement, event planning and coordination as well as disaster case management for Superstorm Sandy. Cynthia enjoys big family gatherings, spending time with her daughters, grandsons and going for motorcycle rides with her fiancé in her free time. For more information, call 732-281-0060 or visit www.TheMatusLawGroup.com.
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Owner, Anchor Monuments
Anna Farro is the proud owner of Anchor Monuments. Anna has been designing monuments in granite and bronze for over 3 years. She started Anchor Monuments because she realized the importance of women in business. Anna received her Master’s Degree in Speech Pathology from Kean University in New Jersey. She has since pursued her career in the public school setting and has been working with children for 23 years. Anna holds a Certificate of Clinical Competency in the field and has received the ACE award from the American Speech-Language and Hearing Association for her excellence in continued education. Anna is a past recipient of The English-Speaking Union scholarship where she studied English Literature abroad at Oxford University in the United Kingdom. Anna loves spending time with her daughter, giving back to community charities and organizations, and has an appreciation for all animals. She has a longstanding interest in travel and the arts. Anna believes in empowering women of all ages to be their best selves. Anna’s passion and dedication to helping others brings light into her second career. She provides a feeling of safety, hope and serenity to families as they go through the process of memorializing their loved ones ending to a long journey. For more information, call 732-440-7548 or visit www.anchormonuments.org.
Photo by Donna Andrews Photography
The County Woman Magazine
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March/April 2020
Women Of Monmouth County
42
Lynne Goldberg
Geeta K. Brana
President, Lynne’s Fashion Boutique
Senior Vice President, Freedom Capital Management
Lynne Goldberg, President of Lynne’s Fashion Boutique, was born and raised in Monmouth County where she attended public schools. Lynne began her career as a teacher. She married and soon became a full time mother of two sons. Lynne was always interested in clothing and design and her love of fashion blossomed. She has always enjoyed shopping with an appreciation for excellent quality. Her professional career in the retail field began in 1989. She selects designer clothing only available in specialty shops, and not found in department stores. Together with her exceptional staff, Lynne provides women with expertise in choosing styles that flatter and enhance their physical assets. Her clients greatly appreciate the personal attention they receive. Currently, Lynne resides in Ocean County and enjoys spending time with her family which includes her three grandchildren and two miniature schnauzers. In her spare time, she enjoys practicing yoga and healthy nutrition. Lynne is a member of the Little Silver Professional and Business Association. Lynne can be reached at 31 Church St. in Little Silver and at www.lynnesfashionboutique.com.
Geeta K. Brana is a Senior Vice President at Freedom Capital Management in Colts Neck, NJ. Geeta provides comprehensive wealth management and advisory services to Women in Transition, assisting women in all phases of their lives – with a special focus on divorce. Geeta has a long history in the financial services sector and she uses her diverse international banking background to help simplify complicated wealth planning issues for her clients. “My goal is to build long-term relationships with my clients based on education and trust,” Ms. Brana said. Geeta started her investment banking career in London (1995) where she was trained in all aspects of international finance and credit analysis. She has extensive experience structuring and trading debt packages for multinational companies throughout the UK, Eastern Europe, Japan and the U.S. In 2002, Geeta began her career in the U.S., turning her extensive knowledge to helping individual investors. In a primarily male-dominated environment, she was able to build a successful wealth management practice in Washington, DC and New York, working with high net worth individuals and institutions. For more information, call 732-546-9315 or visit www.fcmadvisor.com.
Photo by Carmela Caracappa Photography
Photo by Annette Jenkins Photography
Brittany Abt, RDA, CDA
Laurie Lombardi, CDN,
I started as a late teenager working in the dental field as a sterilization and lab tech. Quickly moved up the ladder to the doctor’s chairside assistant after receiving my radiology license. As time has passed, I now have been a health care professional for 10 years, with my specialty licenses, RDA and CDA. I have found my passion working in pediatrics at Tender Smiles for Kids in Freehold, NJ, alongside some of the greatest, most successful, intelligent, caring people of the dental field. I truly enjoy waking up for work every day, and giving every child who checks in an easy, fun, relaxing experience. Outside of work I live a healthy lifestyle, and I am a competitive bodybuilder, as well as rescuing animals! I volunteered at a rescue in Howell, NJ, and it was one of the most fulfilling experiences I have had in my lifetime. Above all I love helping others and being an RDA is one of the greatest jobs there is! I have been blessed with my job at Tender Smiles for Kids! For more information, call 732-625-8080 or visit www.tendersmiles4kids.com.
Laurie Lombardi is a Clinical Nutritionist, and a Two time Emmy Awardwinning Make-up Artist, for her work on, The Late Show with David Letterman. She is also a Certified Para-Medical Skincare Clinician. She most recently developed a Natural Skincare Line, and Natural Dual Lip Stain/Gloss that are infused with Vanilla & Peppermint Essential Oils, for The Natural Pharmacy’s Organic Skin Bar, where you can also enjoy a Medical Facial Treatment with, NO DOWNTIME! A Facial Treatment includes an Organic Mask that is formulated for your skin type and compounded on the premises, “Always Fresh!” The Organic Skin Bar Concept is “feed your skin as you would your body.” Some of Laurie’s natural skincare products include a 20% Vitamin C Cream, DMAE, a skin tightening agent, Organic Face & Eye Serum, and more. All of her products are, Hormone Free, Chemical Free, GMO Free, and Vegan. Learn more about Laurie Lombardi and her skincare line by visiting www.laurielombardi.com today.
TenderSmiles4Kids
The Natural Pharmacy
Photo by Melissa Amorelli Photography
The County Woman Magazine
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March/April 2020
Networking For Moms
43
Moms Of Business is a community of mom entrepreneurs that uplift, motivate and help one another online and in person on their journey to abundance. Not only do we strive to educate and empower each other through our Facebook groups & resourceful website, but we're all about having fun, making new friends and growing our businesses too.
What Inspired you to start your own Business?As a new mom I found my son was experiencing common baby issues like gas, constipation, bad sleep habits and the discomforts of teething. As a Massage Therapist and Certified Infant Massage Instructor, I knew how to soothe and comfort him and wanted to teach other parents how to respond confidently to these issues through easy to duplicate massage techniques. As the owner and founder of Zen Babies Massage, I'm proud to offer these techniques on beautifully illustrated Instructional Videos you can download right to your phone. It's a powerful new way to create a loving, intimate relationship with your baby that lasts a lifetime.
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Take care of yourself, Enjoy your family and friends. Get out, breathe and don't take everything so seriously. Financial advise: If the business you love does not produce a residual income, add one. Residual income adds financial security to your future, I partnered Zen Babies Massage with Shaklee, the #1 Natural Nutrition Company in the US. I was able to build my business beyond its four walls. Introducing my clients to a healthy lifestyle and a business opportunity was a game changer. If you'd like more information... just call and ask. It always my pleasure to share.
March/April 2020
The Testimonials County Woman
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This Is What Our Happy Advertisers Have To Say “The staff at the County Woman is wonderful to work with, and we love being a part of such an informative and interesting publication in our community.”
– Annie Jones, All-Care Physical Therapy Center, LLC
“I have been featured and done advertising in the Atlantic County Woman publication and have always been impressed with how professional my advertisement looks. The publication allows me to hit my target market of women business owners and be seen as the expert in my niche as a Metaphysician and Metiphisical Counselor and Business Coach helping women business owners clear emotional blocks to success. I highly recommend Atlantic County Woman for your publication needs.”
- Lisa Scott, Owner, Lisa R. Scott Consulting, LLC
“We have been writing articles and adverting our business with Monmouth County Woman for the past few years. Their staff is wonderful and eager to help you collaborate your business needs as well as graphic design. We have found many of our clients continue to read our content and we have increased our clientele as a result.”
- Laurie Lombardi, CDN, The Natural Pharmacy
“We have been working with Lauren and the team at Ocean County Woman for more than a year and we could not be more pleased. After a few issues into OCW, we decided to also advertise in the Atlantic County Woman. As an advertiser, the caring and professionalism shown us is exhibited in the quality of their publications.”
- Ira J. Brower, President, Garden State Trust Company
“Advertising in the Ocean County Woman Publication has proven to Koehler Acupuncture be one of my smartest advertising decisions. Within the first two weeks I had received at least six calls of interest. By the end of the first month I had several more calls and seven new patients in my office. The article also worked great for my existing patients who showed it to their friends to encourage them to come in.”
– Keith Koehler, Owner, Koehler Acupuncture
“Your paper has given us a great venue for advertising our practice. My husband and I love the opportunity to customize our ads with subjects that are relevant to our practice and our patients. Atlantic County Woman has given us great exposure within the community. We have gotten many new patients thanks to your publication. We look forward to advertising with you for many more years to come.”
- Dana Carfagno, Practice Administrator, Advanced Care Ob/Gyn Infertility
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“Playwright Tony Meneses is “a distinctive voice worthy of attention.” – The Star-Ledger
WRITTEN BY
TONY MENESES
DIRECTED BY
ANNIE TIPPE
APR 11 – MAY 10
T H E W O R L D
P R E M I E R E
FOR TICKETS 732.345.1400 | TWORIVERTHEATER.ORG | 21 BRIDGE AVENUE, RED BANK, NJ The County Woman Magazine
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March/April 2020
Community
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Stay Healthy, Active & Connected With Scan! What is Social Community Activities Network?
SCAN programs sustain independence, health and happiness among people fifty years of age and older in Monmouth and Ocean Counties by using education and technology to create an environment where the aging population can continue to grow intellectually as well as physically and emotionally, thereby allowing older adults to thrive – not just survive. SCAN is a place where Active Adults meet to be Informed, Empowered and Inspired. Throughout the year, we will continue to introduce new programs and services that complement our mission.
SCAN Proudly Announces Our
SAVE THE DATE!
SAVE THE DATE!
“The Love Boat” Fundraiser
Grease is the Word!
You’re Invited to SCAN’s:
President, Tracey Wolfman, Owner & CEO, We Care Adult Care, Inc., Middletown Vice President, Jim Winn, Owner, Comfort Keepers, Shrewsbury Treasurer, Dana Montanelli, CPA Secretary, Siobhan Connelly, Vice President & Trust Officer, Garden State Trust Company Spotlight on our President, Tracey Wolfman:
Love, exciting and new, come aboard, we’re expecting you.
Our Winter classes are in full swing but it’s not too late to sign up for some of our special events and workshops that will be held throughout March & April. Our Spring/Summer Semester will begin April 20 and run through July 17. Class Listings will be available on or before April 1 at scannj. org or stop by our Monmouth County Campus, located in the basement level of the Monmouth Mall to pick one up. New to SCAN? Try a class of your choice for FREE on us –just call to register. All programs listed below are FREE and open to the public but registration is required. Call SCAN 732-542-1326 to reserve your spot in advance!
Axelrod Performing Arts Center, Deal
This FREE 6-week diabetes-specific workshop covers dealing with hyper/hypoglycemia, stress, depression, healthy eating, medication use and working effectively with health care providers. In a positive group setting, participants will make weekly action plans, share their experiences, and help each other solve problems they encounter in creating and carrying out their self-management program. Participants receive the companion book, Living a Healthy Life with Chronic Conditions. Open to men and women 60+. Registration is required. Limited to 20 students. PLUS: appropriate exercise for maintaining strength and endurance, nutrition and healthy eating strategies, and attend all 6 sessions and receive a $30 gift card.
another run, The Love Boat promises something for everyone! When: Thursday, April 23, 2020, 6:00PM-10:00PM Where: McLoone’s Supper Club, Asbury Park
Saturday, May 30 1:00PM – 1:45PM – private
When:
cocktail party with Grease cast members*
2:00 – Live Performance of Grease Cost: $60 per ticket
RSVP to SCAN: 732-542-1326
Cost: $150 per person
*includes wine and light munchies
RSVP to SCAN: 732-542-1326
Upcoming Locations and Dates for Diabetes Self-Management Plus:
**Diabetes Self-Management is also available at Middletown Senior Center, 900 Leonardville Road, Leonardo, March 5 – April 9 (meets weekly on Thursdays) – Noon – 2:30PM.** March 17 – Lunch & Learn, 1:00PM – 2:00PM.
Asbury Park Senior Center (Asbury Residents Only), 1201 Springwood Ave
Please call the office for details on the topics that will be covered during this event. Presentations will be followed by lunch. RSVP is required.
Long Branch Free Public Library, 328 (meets weekly on Fridays, no class on 4/10)
WORKSHOPS & SPECIAL EVENTS
DIABETES SELFMANAGEMENT PLUS
Join us at SCAN’s 1st Group Theater Outing!
Where:
A nurse by profession, Tracey has spent more than three decades caring and advocating for vulnerable elderly individuals, especially those with Alzheimer’s disease and dementia. 20 years ago she founded We Care Adult Care, a day care program in Middletown that offers a more affordable alternative for seniors compared to costly long-term care. More importantly, it provides a safe, comfortable, and stimulating environment for elderly clients and much-needed respite for their family caregivers. In addition to her roles at SCAN and We Care Adult Care, Tracey is an adjunct professor at Monmouth University, and serves on the Board of Directors of Alzheimer’s New Jersey and the Advisory Board of the Marjorie K. Unterberg School of Nursing and Health Studies. Tracey’s commitment to and knowledge of seniors make her an invaluable resource to both our SCAN Board and the members of SCAN. We look forward to working closely with her over the next year to shape the future of SCAN.
SCAN’S UPCOMING CLASSES AND EVENTS!
What:
EATONTOWN
This FREE 6-week diabetes-specific workshop covers dealing with hyper/hypoglycemia, stress, depression, healthy eating, medication use and working effectively with health care providers. In a positive group setting, participants will make weekly action plans, share their experiences, and help each other solve problems they encounter in creating and carrying out their self-management program. Participants receive the companion book, Living a Healthy Life with Chronic Conditions. Open to men and women 60+. Registration is required. Limited to 20 students.
Fashion Show, Come “Make Your Mark” and celebrate Older Americans Month at SCAN’s Senior Expo. 40 vendors showcasing services and products to promote wellness, healthy lifestyles, travel, technology and more! At 1:30PM in the Atrium outside Macy’s, SCAN’s Annual Fashion Show will take place with fabulous models over the age of 50! Clothing provided by Macy’s.
ADDITIONAL FREEHOLD EVENTS
This workshop will help you to identify and protect yourself from elder abuse which comes in many forms – physical, psychological and financial. Instructor: Gary Garland, Esq.
Visit scannj.org for details.
Freehold
In Celebration of National Minority and Multicultural Health Month, please join us for our 3rd Annual multicultural lunch. We’ll have cultural games & prizes, a buffet lunch and more! RSVP is required. Call SCAN to reserve your spot.
OCEAN COUNTY EVENTS
SCAN’S FREEHOLD CAMPUS
SCAN and Bethel AME Church have teamed up to offer a place for socialization, fun, friends, conversation, lunch & coffee weekly on Tuesdays from 10:30AM – 2:30PM. Our program has been expanded to include special presentations, crafts, movies and exercise. Check out Art with Yatchi, play a game of poker in a friendly setting, or Sit & Get Fit with Marrissa. Call SCAN to learn more.
These programs are FREE and open to the community. Please call the office for details on the topics that will be covered during this event. Presentations will be followed by lunch. RSVP is required.
180 Route 35 Eatontown
(basement level of Monmouth Mall)
Pat Bohse
Executive Director
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FEATURING DAVE DAMIANI AND THE NO VACANCY ORCHESTRA
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Midsummer Night’s Dream Season 37 Tickets On Sale Now The County Woman Magazine
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2020 Season! ADOPT A SAILOR BY CHARLES EVERED
MAY 20-JUNE 26 HE FELL OUT OF A PLANE AND INTO THEIR LIVES
LAST OF THE RED HOT LOVERS BY NEIL SIMON
JULY 1-AUG 7 THINGS ARE HEATING UP IN BARNEY CASHMAN'S LOVE LIFE.. JUST DON'T TELL HIS WIFE!
GUILTY PLEASURES BY KEN LEVINE
AUG 12-SEPT 25 SOMETIMES A "FREE PASS" ISN'T ALL IT'S CRACKED UP TO BE
SHIRLEY VALENTINE BY WILLY RUSSEL
SEPT 30-OCT 30
SPICE UP YOUR 2020 WITH CAPE MAY STAGE
EVERY WOMAN DESERVES HER DAY IN THE SUN
25 DECEMBERS: THE HANUKKAH HAM & OTHER CHRISTMAS TRAGEDIES BY SHAWN FISHER
NOV 18-DEC 27 A WRITING TEAM AND FORMER COUPLE, REVISIT GROWING UP AND CELEBRATING THE MANY HOLIDAYS TOGETHER The County Woman Magazine
CAPE MAY STAGE 405 LAFAYETTE ST. CAPE MAY, NJ 08204 609-770-8311 CAPEMAYSTAGE.ORG
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March/April 2020
Community Table of Repair Contents Shoe
50
Change Your Life in 2020
Medical Professionals
5 63
Elder Law
Carluccio, Leone, Dimon, Doyle & Sacks, LLC ........................... 8 All-Care Physical Therapy Center, LLC ....................................... 2 Shore Vascular & Vein Center ..................................................... 6 Health & Wellness Quality Dermatology .................................................................... 7 Living Healthy Naturally ............................................................... 9 Hypertension and Kidney Group of Ocean County ..................... 9 Hot or Not Yoga ......................................................................... 32 With spring in the air, it is time to freshen up your footwearReproductive Science Center of NJ .......................................... 10 Hypnosis for Women ................................................................. 33 ................................................. 11 and The Friendly Cobbler is the perfect place to do so. ...................................................................... 44 Ocean Otolaryngology Associates, PA...................................... 15 Lice Lifters ................................................................................. 49 Advanced Sleep Center of New Jersey..................................... 17 Yoga Nine Mind/Body Studio .................................................... 50 man orCenter woman knows how hard it is to22find that perfect pair of shoes that both looks and feels amazPersonalEvery Enhancement .................................................. Jersey Shore Pharmacy ............................................................ 53 ing. So when youInt.finally get the ........................... holy grail of footwear, you want to extend its life as long as possible. Whether Hackensack Meridian Healthdo & Medicine 26 Woman Publishing Entrepreneurs Wanted ... Join other Dentistry Professional Kathy Banks,your DMD ................................................................ youA.found dream sandals, sneakers, or shoes,27Domenick, owner of Creations The Friendly Cobbler, can help you! Aesthetic Dental counties that are publishing or have an option to publish in ............................................ 12, 13, 14 Gastroenterologists of Ocean County ................................. 28,shoes, 29 When it comes to extending the life of your preventative care can&doTea wonders. Before you hit the Cake Shoppe Room Be Well Health ........................................................... 31 theWomen’s United States and BE YOUR OWN BOSS! We are looking for A Sweet Memory Cake Shoppe &new Tea rubber Room............................ streets with a new pair of leather-soled shoes, visit Domenick to put in comfortable, inserts. For 16 Atlantic Neurosurgical Specialists ....................................... 34, 35 and men to publish a few bright, energetic, creative women over 15 X-Ray, years, Domenick has......................................... been cleaning and servicing all different kinds of shoes. With friendly, personalized Financial Management Toms River CT & MRI Center 37 our trademarked, copyrighted newspapers IN YOUR COUNTY, 5 Tips for around Sustained Healthof ........................................ 18get service, Domenick will attend to those kicks that have lying atFinancial the bottom your closet. You can Bella Derma Medi Spa............................................................... 38 been Garden State IN YOUR STATE, IN YOUR OWN BUSINESS! Join the fastest Ocean Hematology & Oncology ......................................... 46, 47 your favorite sandals or sneakers patched up just in time for spring! Trust Company .................................................... 19 Paonessa Colon & Rectal Surgery, PCWoman’s ...................................... 48 Bakery growing syndicated in handbags, the Not onlyeducational does Domenick repair shoes,Newspaper he also offers services for Uggs, belts, and anything leather. Bio-Behavioral Health................................................................ 49 Simply Sweet Cupcakes ........................................................... 23 United States. MINIMAL INVESTMENT REQUIRED! References It’s getting warm out quickly, so grab those colorful handbags, wedges, or sneakers and come on over to the Institute for Complementary and Alternative Medicine ............. 52 Pediatric Dentistry provided. Maximum return ...Northfield, Be your own set your Cobbler at 1442 New Road, NJ toboss, turn them intoDental new, Associates stylish fashions for all to see! 24 Dr.Friendly Park Avenue ......................................................................... 55 Ocean Pediatric ........................................... Garden Statehours Medicalis Center .................................................... 75 towards own and make yourtolife mean more! ALL TRAINING Springtime the perfect time express gratitude a a loved one or friend! Come see the beautiful,
Step Into Spring With a Fresh New Pair of Old Shoes
Holistic Substance Abuse Treatment
Licenses May Be Available In Your Area
Acupuncture
Permanent Hair Removal Fine Artleather Photography PROVIDED! If you are interested in by developing with usyou in ....................................................................... 2020 Electrolysis 25a unique bands that were hand-crafted DomenickBrick himselfcan customize them by choosing from Tracy Photography......................................................... 3 variety of styles, studs and charms, and ... you can personalize them by & adding your loved one’s name directly onto Nursing Rehabilitation Center inHarman your STATE, in your COUNTY Legal Professionals Tallwoods Care Center .............................................................. 30 the band. They are absolute must-haves! Kathleen M. Dotoli, Esq. .............................................................. 4 Business & Finance
25% OFF CALL 1.800.993.3822 All Shoe Repairs
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The County Woman Publicatons
609.442.4518
Subscribe Today .......................................................................... 5 Instagram .................................................................................. 20 Testimonials ............................................................................... 21
Copiers Plus .............................................................................. 39 Brick Chamber of Commerce.................................................... 67
Insurance
Arocho Insurance Agency ......................................................... 40
Enlightened Solutions................................................................ 45 Koehler Acupuncture ................................................................. 45
Wigs & Hair Designs
Abstrax Hair Designs ................................................................. 51
Funeral Planning
............................................................... 52
Theatre & Entertainment
Cape May Stage ........................................................................ 54 The Other Josh Cohen .............................................................. 56 Show-Score............................................................................... 57 Atlantic City Ballet ..................................................................... 59 Two River Theater ...................................................................... 73 Women of Ocean County ........................ 60, 61, 62
Radio
The Boss 107.1 ......................................................................... 63
Education
Ocean County College .............................................................. 67
Women’s History
Susan Burton............................................................................. 69
Holistic Life Coach
Jessica L. Conrad, M.A., B.A. .................................................. 71 We66, Clean Community ...................... 58, 64, 65, 68, 70,Uggs 71, 72, 74
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“
INGENIOUS BUBBLE ” WIZARDRY. -THE NEW YORKER
Telecharge.com or 212.239.6200 For groups or birthdays call 866.642.9849
New World Stages 340 W. 50th St.
GazillionBubbleShow.com The County Woman Magazine
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” A LIVE-ACTION DRUNK HISTORY . – Time Out
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Health & Wellness
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Burnout is Harmful to Your Health
B
urnout is a state of emotional, mental, and physical exhaustion that results from chronic, unrelenting pressure, work, overwhelming demands or stress.
People who experience burnout have often dedicated themselves completely to their work and tasks at hand. In fact, they likely push themselves, daily. However, at some point they begin to question that it is no longer possible because the demands of the ongoing work are too large, or greater than can be accomplished within reasonable resources. Burnout oftentimes drives people – through dedicated, tireless, exhaustive measures – to begin to question the demands. It can result in a complete loss of enthusiasm for everything and detachment from people as well as feelings of being ineffective. Signs and symptoms develop gradually and often can be subtle at first. As well, they can relapse and remit, or even smolder; but with time, they can get worse and worse if they are not managed or addressed properly.
What are causes?
Burnout can take place at work, home, school, or even related activities. Here are some common factors identified by experts in the field: complete their tasks and goals with excellence – or “all they have to give it.” Experiencing ongoing pressure, stress, demands with little to no relief. Add to this, it may be accompanied by a lack of appreciation, recognition, fairness, control, sense of community, or ethical behaviors by coworkers, associates, colleagues, administration or family members. And, too, working, studying or giving excessive hours to the cause, or having excessive demands. time” or time for family and friends. Alternatively, having excessive system; being sleep-deprived or having poor health habits. dedication and commitment to tasks. Get a lot done and can take care of a lot of work. May even press the bar a little higher for themselves as they work tirelessly to accomplish all the work.
What are symptoms?
shortness of breath, or nausea. And, too, increased susceptibility to germs due to a weakened immune system that results from stress, sleep deprivation, decreased physical activity, and poor diet.
What are some tips? to make changes, and where possible, enlist help. Utilize vacation days or sick leave to allow time to rest. If self-employed, take the initiative to work fewer hours or consider taking on fewer projects. Parents, consider getting a sitter, an exchange system with another mom, part-time daycare, or family members to get a break. adding more to your “to-do” list. make changes when needed. Talk with a trusted source about the realities signs and symptoms of your burnout before you do. Listen to them. and release endorphins. late so we can catch up with the million trivial things we need to do. However, being sleep-deprived can be a cause of burnout as well as slowing yoga, prayer, meditation, cooking, reading for pleasure, spending time with family or friends, or exercising. less, exercise every day, and spend more time with the family and friends are great goals, but make them a reality. Being specific helps make it more likely to adhere to our goals and less likely to cut corners. disturbance.
experience constant weakness or fatigue. Fatigue is excessive tiredness and your body’s way of telling you to slow down. makes it less likely that you will engage in routine physical activity, consume a nutritious diet, and get good, quality sleep. Together, this can enhance burnout.
Nina Radcliff, M.D.,
coping.
Often called upon by media to speak to medical health topics impacting our lives today, Dr. Nina is passionate about sharing truths for healthy, balanced living as well as wide preventative measures.
debilitating, preventing you from performing optimally – and stealing your joy. Some people report having panic attacks – an abrupt onset of fear or discomfort. isolation.
is a practicing physician and a Board
This article is for general information only and should not be used for the diagnosis or treatment of medical conditions and cannot substitute for the advice from your medical professional. Dr. Nina has used all reasonable care in compiling the current information but it may not apply to you and your symptoms. Always consult a doctor or other health care professional for diagnosis and treatment of medical conditions.
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Travel
56
River Cruising: An Extraordinary Experience57 Travel
R
iver cruising may be the hottest cruising trend around in 201 -- even though river cruises have been operating for decades.
Mind, Body, And Soul
Cruise lines have upped their game with expanded amenities and intriguing itineraries to the places Now big ocean-going question is: serene meditation retreats to high-tech From vessels can’t reach. River cruises are luring experienced medical spas, bathing sanctuaries to boot camps, ocean cruisers off the mega-ships and onto intimate today’s modern wellness travelers have an amazing riverboats with focus on current themes. With so many amount new fees andof options here and abroad. restrictions the airlines have The river cruising destinations, like a 12-day Bordeaux ravel Virtuoso AgentsT can guide you to the perfect style of imposed for baggage, youorwill haveDanube, to56 consider leaving your entire closet River cruise, 7-day offer cruise guests the local at home from now on.without Some airlines are charging carry-on bagsApril’s now, experience the long tour busforrides. From and other airlines let you board first if you have no carry-on bags.Here So what tulips to December’s Christmas Markets, hundreds of are just a few wonderful options: are the essentials to pack? and barges glide along Europe’s historic rivers A few years from now what Here isriverboats a packing primer from Carole Kaiman, Travel Professional that you will rememberof is the total of the best and canals, which span thousands of miles of Continental Examples some might help with the process. experience of your vacation, NOT iver cruising hottest cruising waterways, connecting North Sea to Black Sea. may be the River Cruise Line Themes:
River Cruising: An Extraordinary Experience
R
trend around in 201 --the even though river to pack. things you forgot
A Europe River Cruise is one of thecruises best ways webeen operating Viking River Cruises, through partnership with have for decades. *Remember, your Vagabond* know to explore inland Europe, visiting cities, towns and Virtuoso PBSTravel “Downton Abby” Professional can offers Viking cruise guests lines can’t have upped their game with expanded villages that traditional big shipsCruise usually access. days in England Countryside, and special tour assist 3 you in planning a vacation amenities and intriguing itineraries to the places Now big ocean-going question is: the mostfamous value andhouse. added of the vessels can’t reach. River cruises are luringwith experienced to makeWaterways your experience a ocean cruisers off the mega-ships and ontotouches intimate Avalon “Austrian Highlights” from riverboats with focus on current themes. memorable one. With so many new fees and Vienna to Munich highlighting a Beer theme. restrictions the airlines have The river cruising destinations, like a 12-day Bordeaux Our dedication to our clients before, during and after every vacation imposed for baggage, youorwill haveDanube, to consider leaving your entire closet Tauck offers family river cruises with its Tauck River cruise, 7-day offer cruise guests the local makes a world of difference. at home from now on.without Some airlines are charging carry-on bagsApril’s now, experience the long tour busforrides. From Bridges program, including family cooking and other airlines let you board first if you have no carry-on bags. So what tulips to December’s Christmas Markets, hundreds of are the essentials to pack? lessons. riverboats and barges glide along Europe’s historic rivers A few years from now what Here is a packing primer from Carole Kaiman, Travel Professional that canals, which span thousands of miles of Continental might helpand with the process.
Examples of some of the best areexperience several brand new of your vacation, NOT River cruise lines River Cruise Line Themes: the things you forgot to pack. entering the*Remember, market such as through Emerald Waterways A Europe River Cruise is one of the best ways we Viking River Cruises, partnership with your Vagabond*
There waterways, connecting North Sea to Black Sea.
you will remember is the total
know to explore inland Europe, visiting cities, towns and villages that traditional big ships usually can’t access.
PBSTravel “Downton Abby” Virtuoso Professional can offers Viking cruise guests
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Little Silver, New Jersey 07739
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*Check out www.virtuosolife.com for our Digital Magazine and some amazing travel ideas.
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November/December 2016 March/April 2020
November/December 2016
Women’s History
58
Mary Philbrook I recently had the pleasure of attending a seminar hosted by the Atlantic County Bar Association wherein the topic was women in the legal profession. There was a panel of three New Jersey attorneys and two female judges. Everyone on the panel was dynamic and quite accomplished in their areas of expertise. I have Njwomenshistory.org. close friends (two were on the panel) who are amazing women attorneys who have been “mistaken” for secretaries and court stenographers. All of those positions noted are crucial for day-to-day operations in
the legal profession in the State of New Jersey. As I began to attorney had a background that deserved the spotlight.
Mary Philbrook was born in 1892 in Washington, DC. Mary’s family relocated to New Jersey when Mary was in elementary school. Mary attended schools in Jersey City, New Jersey and ended up dropping out of school to become a stenographer. For those readers who are not familiar, a stenographer is an individual who types on a machine and manually records court hearings, depositions or other types of oral testimony. It is interesting to note that back in the 1880s a person did not need to have a law degree to sit for the bar exam. Mary applied for admission to the New Jersey bar in 1894. Mary was initially rejected by the Bar Association, who cited, “[a] woman is not, by virtue of her citizenship, vested by the Constitution…with any absolute right…to practice as an attorney.” The news of the New Jersey Court’s ruling soon spread and female suffragists from New Jersey strongly advocated for women’s rights to become practicing attorneys in the State of New Jersey. By 1985 the legislature passed a law permitting female attorneys to practice law in New Jersey. Mary Philbrook became the first female sworn into the bar. Mary began her practice in a law firm in Jersey City before opening her own practice. Mary was a driving force in lobbying for the first women’s college in the State of New Jersey, which is now known as Douglass College and is affiliated with
Rutgers University. It is also noted that Mary had a lead role in the formation of Legal Aid services in the State of New Jersey. Mary Philbrook also earned the title as the first female attorney appointed to practice law before the State Supreme Court in 1906, a mere 12 years after her admittance to the state bar. Mary Philbrook took Disasterpodcast.com. inspiration from Alice Paul after the passage of the 19th Amendment and became an activist in support of the passage of the Equal Rights Amendment. Mary was a true equal rights activist. Mary is also known for her crucial activism in the changing of the New Jersey Constitution. At the age of 75 Mary led a group of lobbyists at the Constitutional Convention to change the word “he” in the New Jersey Constitution to “person.” It would not be until 1979 that the New Jersey Supreme Court would rule “that sex discrimination was constitutionally prohibited in the State of New Jersey.” Interestingly enough, Mary may not have been aware that she was not just advocating equality for women but all members of society in her quest to secure equal rights. There are a significant number of intelligent, hard-working women attorneys who make “lawyering” look easy. However, we must not take for granted that in addition to the day-to-day rigor of being a female attorney, there still remains the “second shift” in balancing families, children’s sporting events, school activities, homework, keeping up with social events and, if you get lucky, some self-care. It was quoted best by Eleanor Roosevelt: “No one can make you feel inferior without your consent.” I dedicate this feature to my dearest female attorney friends, who are extremely powerful and inspiring leaders in the legal profession!
Rutgers University
Rita King, LCSW is the Associate Director of Justice Involved Services at Jewish Family Service. In this role, Rita currently supervises a Re-Entry program for incarcerated individuals as well as a community based diversion program for consumers experiencing mental illness and involvement with the criminal justice system. Rita is a “De-escalation for Individuals with Special Needs” training facilitator and has trained approximately 1,200 law enforcement professionals to date. Rita is also a CIT trained mental health professional. Rita has a strong passion for women’s history and in her free time she continues to raise awareness of the importance of women’s history through lectures and community speaking engagements.
What-when-how
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Medical Professionals
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Dr. Nina Paonessa Pictured With Her Professional Team
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