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Somerset County ’ WomensJournal

February/March 2014

A

free Bi-Monthly Resource for the Women of Somerset County, New Jersey

Recognizing American Heart Month

In This Issue:

Purposeful Focus: Getting Fit In 2014 Saying Goodbye To Hot Flashes Understanding Grief with Chronic Illness Improving Your Abdominal Appearance Your Chamber… Your Community


Publishers Page

Somerset County Dear Readers ’ WomensJournal Happy New Year! Welcome to the 2nd edition of the Somerset County Women’s Somerset County Women’s Journal Jackie Roberts Media, LLC 458 Elizabeth Avenue, Suite 298 Somerset, New Jersey 08873 908-300-3905 www.SomersetCountyWJ.com Publisher Alicia C. Cameron AliciaC@SomersetCountyWJ.com Regional Marketing Director Ruthanne Darling Ruthanne@SomersetCountyWJ.com Editor Whiz Marks www.WhizMarks.com

Journal. First, I want to thank everyone who supported the Somerset County Women’s Journal Inaugural edition. The contributors, readers, distributors, administrative staff, community, friends and family; I appreciate you and thank you for your support. The Inaugural Edition was very well received in the community and I look forward to bringing you continued substance that will positively impact your lives. We received email messages and calls with feedback on articles, recommendations for our Women In Profile, and business owner requests to contribute articles in future publications. You are the heartbeat of your community and have proven that you want to stay connected to businesses in Somerset County. I am pleased and honored that you have chosen the women’s journal platform to share your voice. We welcome and encourage your continued feedback. This publication is for YOU! In this edition, we are honoring American Heart Month. According to the American Heart Association, heart disease is the number one killer of women in the United States, claiming more lives than all forms of cancer combined. This is an issue that we cannot ignore. Please look inside for more facts on women and heart disease and preventative measures. Lastly, with record breaking cold temperatures in mind, please check on your neighbors, the elderly, loved ones and stay bundled up. Then, cuddle up by the fireplace with a warm drink and your Somerset County Women’s Journal. Let Us Unite as we Inform, Educate and Empower Our Community!

Warmest Regards, Alicia C. Cameron, Publisher

Printer Print Innovators www.PrintInnovators.com Graphic Design Jelly Graphics www.JellyGraphics.com

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

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Recognizing

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American

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free Bi-M ont

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Heart Mont

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Purpos eful Foc us: Get Saying ting Fit Good In 2014 bye To Under Hot Fla standing shes Grief wit Improv h Chron ing You r Abdom ic Illnes Your Ch inal App s amber… earanc Your Co e mmunity

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February/M arch 2014

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Fashion a Beauty

Table OFContents

Community andEducation

Fitness andLifestyle People INProfile Table OFContents

Health andMedical

Publishers Page

Fashion andBeauty 14

Dr. Daemon Jones

Joanne Price

Women INProfile

This Issues Women In Profile............4-5

Health andMedical The Problem With Gluten......................6 Say Goodbye To Hot Flashes..................7 Truly Saving Lives...................................8 d Go Red!........................................................9 an Your Abdominal Appearance..........10-11 Our Ears Hear-Or Do They?..............12 Psychotherapy For Older Adults........13 Grief With Chronicd Illness.…............14 n Giving The Gifta Of Life.................…15 Your Little Veins Matter Too...............…16 The Facts About Bladder Slings.........17

Fashion Beauty

Fitness Lifestyle

Business andFinancial d Health an Medical Health andMedical Home andGarden d Fashion an Beauty Fashion andBeauty 22

Fitness Lifestyle

dEntertainment DiningR.anCaren Bitar d Fitness an Lifestyle Fitness andLifestyle

Business andFinancial

Community anddEducation dFinancial Health aInnaNeed.................…26 Business nMedical Helping Families Business ndFinancial a So You Want To Write A Book!...........27

Home Garden

People Profile Fashion HomeBeauty Garden Home Garden

About Mammograms.............................18 d an Live Out Loud.........................................19 Answers About The HCG Diet..........20 Why See A Gastroenterologist?.........35

Your Chamber... Your Community!.....21 First Impressions, Last Impressions....22 Hiring The Right Financial Advisor..23 After The Loss Of A Spouse................24 nd a Job Openings- Sales & Distribution....30 Bypassing The Corporate Ladder........32 What Our Advertisers Say....................34

Purposeful Focus.................................…25

Building Futures, Building Hope.........31 IN d an and d Bra Fitting................................................28 an Using A Professional Photographer...29 Experience The Art................................36 OF d nd an a d an With Wine...............................33 Cooking

Table Contents FitnessEntertainment Lifestyle Dining Dining andEntertainment Dining Entertainment

Business andFinancial

Publishers Page Business andFinancial d Community an Education We would love to Community hear andEducation Community andEducation d Womend INProfile Home your feedback! an Garden Home an Garden People INProfile People INProfile People INProfile We hope you love our magazine as much

we do. Please feel free to reach out dEntertainment Diningas n toa us and tell us what you think. Dining andEntertainment Table OFContents Table OFContents what would you like to see Table OFContents more of in the future?

What did you find to be Community ndEducation a the most interesting and informative? Drop us a quick email:

d CommunityPublishers Page an Education Publishers Page Publishers Page

People Profile

AliciaC@SomersetCountyWJ.com IN We are here For You! F

Women3 INProfile

People INProfile Women INProfile Women INProfile


WomeninProfile Dr. Nadine F. Hermann Nadine F. (Kerbrat) Hermann is 38 years old and was raised in North Plainfield after her family relocated from Queens, NY when she was very young. She attended Raritan Valley Community College and eventually studied to become an optician, graduating and becoming licensed by the state in 1999.  Nadine worked as an optician for years in a Somerset Optometry practice before moving on to other practices in South Plainfield, Hillsborough and Hopewell Township. In 2005, she returned to college part time, attending Kean University and graduated with a B.A. in Biology in 2008.  Later in 2008, she began attending the Pennsylvania College of Optometry at Salus University in Elkins Park, PA.  In 2012, she graduated as an optometrist and began her residency at Omni Eye Services, which has several practices throughout the New Jersey and Manhattan areas.  She is now working at Advanced Eyecare & Vision Gallery in Hillsborough, NJ and Hopewell-Lambertville Eye Associates in Hopewell, NJ.  Additionally, due to her well respected practice of Optometry during her residency, she was offered a part time staff  position at Omni Eye Care in their Iselin NJ location. Nadine has been an active member of the Girl Scouts of America, eventually progressing to become an assistant leader in the organization.  She is also a member of the Opticians Association of NJ, NJ Society of Optometric Physicians and the American Optometric Association, all of which work to improving eye care in the state and nationally. Nadine is married and resides in Manville. Her plan is to ultimately open her own optometry practice in Somerset County and potentially teach Optometric Sciences at Raritan Valley Community College.

Venita S. Welcome Venita S. Welcome is the President/Clinical Director of Christian Wellness Center of NJ (CWCNJ) which was established in 2003 as a non-denominational counseling center. The Center provides counseling for people residing in Central New Jersey and surrounding counties. Mrs. Welcome provides counseling services to address the needs of the community and faith-based organizations, for example, chronic illness, individual, couples, family counseling, and spiritual counseling. Depression, grief and loss, anxiety, addictions, chronic illness and intimate partner violence are a few of the topics that are addressed in counseling. Mrs. Welcome established CWCNJ while working for a domestic violence center. She saw women struggle with their faith and survival. She designed CWCNJ to be a safe haven that ensures confidentiality and a non-judgmental environment. She continues to be a visionary and organizer in creating innovative programs/workshops that address today’s issues. Non-traditional support groups are topic-focused and provide support and encouragement while building small group communities. One such support group that is being launched on October 6, 2013 is for people in the Somerset area diagnosed with pulmonary hypertension. Mrs. Welcome recognizes the importance of community and strives to establish relationships with small business owners working towards helping people overcome life challenges. She is constantly watching for ways to include or join up with people and organizations to offer her clientele one-stop services. There are many personal and work-related challenges that Mrs. Welcome experienced and continues to overcome, including being recently diagnosed with pulmonary hypertension and interstitial lung disease. In spite of personal challenges, she continues to strive to help people make healthy choices. She is currently pursuing a doctorate degree in Pastoral Community Counseling. Mrs. Welcome is licensed as a professional counselor by the NJ State Board of Marriage and Family Therapy. She holds certifications as a victim chaplain, relationship counselor and life coach. Mrs. Welcome enjoys jazz concerts, bicycle riding, reading, learning and exploring new things and spending time with her husband.

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Women Profile in

Maria Semple Maria Semple is President of The Prospect Finder LLC, based in Bridgewater NJ. She focuses on helping small businesses and nonprofit organizations find and connect with their best prospects for long-term business relationships. Her areas of expertise are email marketing, social media strategies, and donor research for nonprofits. An accomplished public speaker, Maria shares her expertise through local workshops and national conferences. As an Authorized Local Expert for Constant Contact©, Maria teaches best practices in online marketing and also helps organizations through direct consultations. Her clients enjoy using their Constant Contact accounts to stay in touch with their clients and prospects and leveraging those communications across their own social media platforms. Maria is honored to have recently been appointed to Constant Contact’s Advisory Council, one of only seven people across North America. She also has a particular affinity for LinkedIn because users can build quality relationships and the database can easily be mined to consistently find new prospects. Through her 90-minute “LinkedIn Make-Overs”, Maria helps you revamp your profile to project a polished, professional image. Nonprofits know they can also count on Maria to find and research high-net-worth donor prospects to help them grow their organizations. Working hand in hand with staff and Board, Maria helps these nonprofits build capacity so they can, in turn, help more people. She has even written an e-manual entitled “Panning for Gold: Find Your Best Donor Prospects NOW!”, available through her website. Maria’s current volunteer commitments include: Board Member, Financial Planning Association of New Jersey, Advisory Board Member, Fairleigh Dickinson University’s Center for Excellence in Leadership, Governance and Philanthropy, Women’s Leadership Council of United Way of Northern New Jersey. Her work with United Way has been particularly gratifying because of its focus on helping women in Somerset County work towards financial self-sufficiency. As an active member of its Leadership Giving Circle, she bands together with other like-minded women in our community to leverage her donation in a meaningful way.

Linda E. Dousis Linda Dousis has a rich and varied business background with scientific instrumentation companies and electronic component distributors. She joined a company called Rheometrics, Inc. while still in its start-up phase. Seven years later, the company was the world’s leading manufacturer of rheological instruments with sales of $10 million and 115 employees worldwide. During this time, Linda served as Vice-President of Finance, Administration, Human Resources, Manufacturing, Production Control, Customer Service, and Sales & Marketing. Following Rheometrics, Linda joined Nametre Company, a 25 year old manufacturer of viscometers, as a consultant. Linda became President of Nametre and grew the company from annual sales of only $300K to over $4.5 million. Years later, after the sale of Nametre, Linda formed Administrative Services & Consulting, LLC (AS&C) and now uses her 30+ years of experience in growing companies to help other small businesses deal with their growing pains. After forming AS&C, Linda joined the Small Business Development Center at Raritan Valley Community College as a Counselor and taught QuickBooks in Continuing Education. She subsequently became a Consultant for the State Small Business Development Center, where she teaches in the Second Stage Business program. Linda is very involved with the Somerset County Business Partnership, where she formed the Small Office Home Office self help and education special interest group. She serves as Chairman of the Ambassador and Member Value and Engagement Committees. Additionally she is a member of the Board of Directors, serving on the Finance Committee and now serves as Treasurer. Today, Linda services over 230 clients, many of which she signed on as a result of her involvement with The Somerset County Business Partnership.

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www.SomersetCountyWJ.com


Health andMedical

Tell me about Probiotics and GI Disorders By Maria Georgsson, M.D.

Dr. Maria Georgsson is a gastroenterologist at Hunterdon Gastroenterology Associates in Flemington, NJ. She completed her medical school and internal medicine residencies at Columbia University College of & Active Cultures seal which indicates that rhamnosus, GG Lactibacillus acidophilus, immune system. The information uncove Physicians and Surgeons in NYC, and did her gastroenterology fellowship at SUNY Stony Brook, NY. She when initially produced they contained at Lactobacillus bulgaricus and other bacterial by scientists and healthcare providers to d has been in practice since 1996. in Hunterdon her husband andtothree daughters. appear support the use of probiotics fo either aloneCounty or when with used in combileast 100 million cultures per gram of She viablelivesstrains

variety of gastrointestinal disorders. T bacteria. In addition, not all probiotics are nation with other bacterial strains. The case a gluten bakery (above). saidatthe truth free remains that the long-te alike and given the many thousands of bacteGlutenbenefi free ts biscotti (below).atSee... it’s time of probiotics the present ria that are available it should not be surpris- Other medical studies have evaluated the role unknown. It remains thegluten consensus ing that there is considerable debate and un- of probiotics in irritable bowel syndrome and possible to eat yummy and be free! opin certainty about which strains of bacteria are the results suggest that patients with diar- among healthcare providers that a heal children) of who have been foods rhea-predominant and gas /bloat symptoms diet high in fiber and low in fat as well most beneficialthose to patients. A useful websiteOther diagnosed.   Interestingly, there that frequently that you may wish to visit should you want appear to benefit the most. It is important to plenty of exercise is the best medicine for ismore alsoinformation a high incidence of gluten contain gluten-  note that there is little consistent data on the majority of the population. At the pres is www.Aboutyogurt.com best dose pastas, of probiotics that should be used time the long term benefits of using probi intolerance in first degree relatives marinades. A role for probiotics has long been recog- and the most advantageous time to use them. ics are unknown as are the long term ris ofnized patients diagnosed with celiac coating mixes, by the alternative or “complementary” In addition, many of the studies were only In addition the benefits of using probiot disease. wakers, medicine proponents, but only recently havecommunion conducted for a short period of time and with are not long lasting and will likely dis croutons, broth, probiotics been viewed by more members of limited patient enrollment so that definitive pear within 2 to 4 weeks after you stop us How is a gluten allergy/ celiac the medical community as having beneficialbreading, answers basting, were not obtained. Further research them. It is important to remember that if y disease diagnosed? properties. More specifically, some membersimitation seafood or have any serious medical problems or lon into the use of probiotics is on-going. The is initially made of thediagnosis medical community now see the use ofbacon, processed standing medical problems that you spe with a blood These tests have itsmeats, probiotics in atest.  favorable light especially sauces, Probably the best studied diseases that have with your health care provider before tak suppressioninofrecent the of diseaseimproved and areproduc-stuffings, Pagegrowth 2 years August/September 2013 shown patient benefit from the use of pro- probiotics. ing bacteria, as well as its favorable now extremely good at detectingimpactcommercial biotics are cereals the inflammatory bowel diseases on improving theOnce barriera function celiac disease.  patient of is the gut, -- ulcerative colitis and Crohn’s Disease -altering the immune system to reduce inflam-Foods whichthat can are cause diarrhea, abdominal pain, found to have a positive blood test, mation, and even altering pain perception. intestinal blockage and rectal bleeding. an endoscopy is recommended for allowed:   Dr. Maria Georgsson is a gastroenterolog There quinoa, is consistent direct visualization and biopsy rice, data that probiotics, in at Hunterdon Gastroenterology Associates What data exists? Certain medicalofstudiestapioca, of developing intestinal cancers, conjunction with the other medications used havesmall shownbowel.  the potential ts of probiot-beans, millet, nut flours, potato, the Thisbenefi is a simple Flemington, NJ. She completed her medi to treat these diseases, have helped to reduce especially  lymphoma.  This is not ics in a variety of intestinal disorders school and internal medicine residencies sorghum, soy, buckwheat, teff test that takes approximately 10 suchcorn, the incidence of some of the debilitating the case with gluten intolerance. as antibiotic-associated This is the Columbia University College of Physicia minutes and providesdiarrhea. the definitive setting where probiotics are most commonly symptoms.

The Problem With Gluten

By Maria Georgsson, M.D.

R

This purpose of this article is to provide some Recently, gluten raised has been much about answers to questions by patients probiotics and agastrointestinal disorders. maligned as cause of  a variety Probiotics are benefi cial bacteria, grown eiof unpleasant gastrointestinal ther in a laboratory or in cultured milk prodsymptoms.  Gluten free diets ucts that have shown certain intestinal health have become very popular, touted benefits such as reducing unpleasant sympto improve general health and toms (gas, bloating, diarrhea and abdominal well-being.  What is the basis of cramping) as well as boosting the immune these beliefs?  Is a gluten free diet system.

something you have considered? It

Inmay orderbefor patient understand the poof a help to tounderstand some tential benefits of probiotics it helps to have fundamental facts about whether a basic understanding of the bacterial makea gluten free diet is right for you. up of the colon. The colon is the last part first answer basic healthy ofLet’s the intestine and insome an average questions. individual contains not billions, but rather trillions of bacteria. More specifically, sciWhathave is gluten? entists identified more than 1000 difGluten is aofprotein in barley, ferent species bacteriafound that may be found wheat, and The related grains.  within therye colon. bacterial makeup of each person’s colon – and the careful balance Some of the more common foods ofcontaining each type ofgluten bacteria that is breads, present - is include different: some bacteria the colon are cakes, cereals, pasta within and some necessary for health and help to break down alcohols.  Gluten is also found in food and drugs as well as maintain a healthy non-food items as lip balm,Other balance within the such digestive system. medicines, play dough. bacteria are not so “friendly” and contribute to the unpleasant symptoms described above is a gluten allergy? – What gas, bloating, etc. - while others may actuIngesting gluten when you are ally increase the risk of disease. A variety of allergic it the causes inflammation factors can to alter balance of these bacteria or irritation to the smalland intestine, within the colon. Antibiotics certain infections can kill beneficial bacteria and allow the body’s primary absorptive the overgrowth disease-causing organ.   Thisofwill decrease bacteria.

the body’s ability to absorb Where can I get Probiotics? As indicated important canin cause probiotics maynutrients offer someand hope promotmalnutrition. The Probiotics symptoms ing beneficial bacteria. areofavaila gluten or celiac disease, able in two allergy, primary forms: dairy products, most as well as in an over-thevaryoften andyogurt, may include diarrhea, counter capsule form. As yogurt is a dairy abdominal pain, irritability, product, peoplegas/ ingesting yogurt for the prodepression, bloat, anemia, biotic benefi t should not be lactose weight loss, fatigue, weakness,intolerskin ant, as this may counteract the benefits of the rashes,   bone or joint pains,  or probiotics. In those people, capsule form of no symptoms at all.  When gluten probiotics is preferable. is removed from the diet the

Despite fact thatbegins there are small the intestine to only heal two andprimary forms ofimprove. probiotics Bear the array of availsymptoms in mind able containing probiotics can be thatproducts most patients with symptoms confusing. For example, most yogurts do of abdominal pain, gas/ bloat not specify the amount of probiotics that andcontain diarrhea doonly not ahave they while few celiac yogurts may disease.  The incidence of celiac Live have the National Yogurt Association’s

disease in the general population is approximately 1 in every 150 people, though about only 10% have been diagnosed.  .  There is also a hereditary component to celiac disease.  There is a high incidence of celiac disease in first degree relatives (parents, siblings,

Health&Medicine

Tell me about Probiotics and GI Disorders

What is gluten intolerance?

diagnosis.

and Surgeons in NYC, and did her gastro

Where can fellowship I get more used at the present time. It is noteworthyGluten intolerance is not a true terology at SUNY Stony Brook, Is there role probiotics in the GGhealthy Lactibacillus acidophilus, immune system. The information uncovered & Active Culturesaseal whichfor indicates that rhamnosus, information? She has been in practice since 1996. She li that the protective effects did not vary signifwhen initially produced they contained at Lactobacillus bulgaricus and other bacterial by scientists and healthcare providers to date allergy. people with gluten If you want to be tested for celiac Probiotics have been advertised Hunterdon County with her husband appear to support the use of probiotics for a an usedininis combi100 million cultures per gram of viable strains either alone or when There much information and icantly between the different strains of probi- leastindividual? intolerance varied disease it is important that you nationimproving with other bacterial In addition,develop not good all probiotics are and as promoting health thestrains.daughters.variety of gastrointestinal disorders. That otics- Sacharomyces boulardi, lactobacillus bacteria. misinformation ontruth theremains internet.  said the that the long-term alike and given the many thousands of bactesymptoms they ingest NOT be on a Bygluten freeM.D. diet at Maria Georgsson, Other medical studies have evaluated the role benefits of probiotics at the present time are ria that are availablewhen it should not be surprisare and respected unknown. It websites remains the consensus opinion probiotics in irritable Here bowel syndrome ing that there isThese considerable debate and un- of gluten.  symptoms include the time of testing.  reason This purpose ofThe this article is to provide some certainty about which strains of bacteria are the among you healthcare providers that a healthy results suggest thatthat patientscan with diarprovide with more answers to questions raised by patients about gas/ diet high in fi ber and low in fat as well as rhea-predominant and gas /bloat symptoms most benefi cial to patients. A useful website bloat, diarrhea, fatigue, being that when people with celiac probiotics and gastrointestinal disorders. that you may wish to visit should you want appear to benefit the most. plentyceliac of exercisedisease is the best medicine It is important to on information andfor the are benefi cial bacteria, grown ei- irritability, constipation and note that there is little consistent data on the majority of the population. At the present more information is www.Aboutyogurt.com disease go onProbiotics a gluten free diet all ther in a laboratory or in cultured milk prodgluten: dose of probiotics that should be used time the long term benefits of using probiotA role for probiotics has long You been recogpain.  can best seethe ucts that have shown certain intestinal health abdominal of the bloodwork becomes normal and most advantageous time to use them. ics are unknown as are the long term risks. benefits such as reducing unpleasant symp- nized by the alternative or “complementary” In addition, many of the studies werewww.csaceliacs.org only In addition the benefits of using probiotics that there is a broad overlap after a few months and all of the medicine proponents, but only recently have toms (gas, bloating, diarrhea and abdominal conducted for a short period of time and with are not long lasting and will likely disapwww.celiac.org cramping) as well as boosting the immune probiotics been viewed by more members of limited patient enrollment so that definitive pear within 2 to 4 weeks after you stop using in the symptoms ofbenefi gluten damage to thesystem. small intestine the medical community as having cial answers were not obtained. Further research them. It is important to remember that if you properties. More specifi cally, some members any serious medical problems or longinto the use of probiotics is on-going. and gluten intolerance.  • INTERNAL resolves.  It GASTROENTEROLOGY isIn hard convince order for to a patient to understand the po- allergy Other good have resources include: • HEPATOLOGY MEDICINE of the medical community now see the use of standing medical problems that you speak tential benefits of probiotics it helps to have However,  probiotics in a favorable light especially its there are important with your health care provider before taking Probably the best studied diseases that have someone who feels better off of Gluten Intolerance Group a basic understanding of the bacterial make- 206, 1100 WESCOTT DRIVE • SUITE SUITE 207 of disease- produc- shown patient benefit from suppression of the growth 135 WEST AVENUE probiotics. the use of pro- END up of theeating colon. Theit.  colon is the last part distinctions.  Gluten allergy is ing bacteria, as well as its favorable impact gluten to resume If you ammatory bowel diseases of North America  Phone 08876 FLEMINGTON, NEW 08822the barrier function of the gut, biotics are the inflSOMERVILLE, NEW JERSEY of the intestine and in an averageJERSEY, healthy on improving -- ulcerative colitis and Crohn’s Disease -lifetime diagnosis, whereas individual eliminating contains not billions, but rather a are contemplating altering the immune system to reduce infl am- which can cause diarrhea, (206) 246-6652 abdominal pain, trillions of bacteria. More specifically, sci- mation, and even altering pain perception. intestinal and blockage and rectal bleeding. gluten in yourentists diet I more than 1000 dif- gluten intolerance can wax havethen identified There is consistent data that probiotics, in Dr. Maria Georgsson is a gastroenterologist ferent species of bacteria that may be found What data exists? Certain medical studies at Hunterdon Gastroenterology Associates in National Center for Nutrition conjunction with the other medications used wane, and can improve over time.  recommend you the withinhave the colon. Theblood bacterial makeup of have shown the potential benefits of probiotto treat these diseases, have helped to reduce Flemington, NJ. She completed her medical ics in a variety of intestinal disorders such each person’s colon – and the careful balance Untreated school and internal Americanmedicine residencies at celiac disease can lead of someand the incidence of theDietetics, debilitating work to test for celiac disease prior of each type of bacteria that is present - is as antibiotic-associated diarrhea. This is the Columbia University College of Physicians symptoms. setting where probiotics are mostof commonly different:diet. some bacteria within the colon are to Dietetic Association  and Surgeons in Phone  NYC, and did her gastroenmalabsorption important to Kenneth changing your J. DiGregorio, M.D. Y.time. Bae,It M.D. Gilbert S. Cardoso, D.O. at the present is noteworthy terology fellowship at SUNY Stony Brook, NY. necessary for health and help to break down used Samuel Is the there arisk role for probiotics in the healthy1655 (800) 366nutrients and can increase She has been in practice since 1996. She lives that the protective effects did not vary signiffood and drugs as well as maintain a healthy Diplomate American Board of Internal Medicine Diplomate American Osteopathic Diplomate American Board of Gastroenterology individual? Probiotics have been advertised in Hunterdon County with her husband and 3 balance within the digestive system. Other icantly between the different strains of probiWhat is the treatment for celiac Diplomate American Board of Gastroenterology Diplomate Board of Internal Medicine as promoting good health and improving the daughters. bacteria are not so “friendly” and contribute otics- Sacharomyces boulardi, lactobacillus Diplomate American Board of Gastroenterology to the unpleasant symptoms described above disease? Andrea Goldstein, M.D. – gas, bloating, etc. - while others may actuJason Matthews, M.D. increase the risk of disease.for A variety of Currently theallyonly treatment Diplomate American Board of Internal Medicine Cherag Daruwala, M.D. factors can alter the of these bacteria Diplomate American Board of balance Internal Medicine Diplomate American Board of Gastroenterology Diplomate American Board of Internal Medicine celiac disease is strict of within the colon.avoidance Antibiotics and certain inDiplomate American Board of Gastroenterology Diplomate American Board of Gastroenterology fections can kill beneficial bacteria and allow gluten.  Fortunately, increased the overgrowthwith of disease-causing bacteria. Reinhard G. Schwartz, M.D. publicity of celiac there Where candisease I get Probiotics? As indicated GASTROENTEROLOGY • HEPATOLOGY • INTERNAL MEDICINE Maria Georgsson, M.D. Diplomate American Board of Internal Medicine probiotics may offer some hope in promot1100 WESCOTT DRIVE • SUITE 206, SUITE 207 135 WEST END AVENUE areDiplomate many more gluten free foods American Board of Gastroenterology ing benefi cial bacteria. Probiotics are availDiplomate American Board of 08876 Gastroenterology FLEMINGTON, NEW JERSEY, 08822 SOMERVILLE, NEW JERSEY able in two primary forms: dairy products, available in supermarkets and most often yogurt, as well as in an over-the908-483-4000 908-483-4000 As yogurtto is a dairy restaurants.   counter It iscapsule veryform. helpful product, people ingesting yogurt for the proWWW.HUNTERDONGASTRO.COM see a dietitianbiotic with in intolerbenefiexpertise t should not be lactose Kenneth J. DiGregorio, M.D. Samuel Y. Bae, M.D. Gilbert S. Cardoso, D.O. ant, as this may counteract the benefits of the gluten free diets.  Here some Diplomate American Board of Internal Medicine Diplomate American Osteopathic Diplomate American Board of Gastroenterology probiotics. In thoseare people, capsule form of Diplomate American Board of Gastroenterology Diplomate Board of Internal Medicine helpful hints: probiotics is preferable. Diplomate American Board of Gastroenterology Andrea Goldstein, M.D.

908-483-4000

908-483-4000

WWW.HUNTERDONGASTRO.COM

Despite the fact that there are only two primary forms of probiotics the array of avail-

Foods to avoid: able products containing probiotics can be confusing. For example, most yogurts do Grains to avoid- barley,  rye, of wheat,  not specify the amount probiotics that theykamut,  contain whileeinkorn only a few yogurts may spelt,  triticale,  have the National Yogurt Association’s Live

www.SomersetCountyWJ.com

6

Jason Matthews, M.D.

Diplomate American Board of Internal Medicine Diplomate American Board of Gastroenterology

Maria Georgsson, M.D.

Diplomate American Board of Gastroenterology

Diplomate American Board of Internal Medicine Diplomate American Board of Gastroenterology

Cherag Daruwala, M.D.

Diplomate American Board of Internal Medicine Diplomate American Board of Gastroenterology

Reinhard G. Schwartz, M.D.

Diplomate American Board of Internal Medicine Diplomate American Board of Gastroenterology


Health andMedical By Dr. Daemon Jones Dr. Dae is a licensed naturopathic physician, author and international speaker specializing in the treatment of diabetes, balancing hormones, metabolism and weight loss. Dr. Dae uses a combination of safe and effective conventional and natural therapies to help you achieve your health goals. She earned her naturopathic medical degree from the University of Bridgeport’s college of Naturopathic Medicine in 2002.  Dr. Dae conducts virtual appointments to support you in your hometown. Dr. Dae’s book Daelicious! Recipes for Vibrant Living can be purchased at Amazon.com or at her website, www.HealthyDaes.org

Say Goodbye To Hot Flashes

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Have you ever had this experience? You are at work and then, out of nowhere, you experience a sudden burst of heat in your chest or face that radiates to your whole body. Your face gets flushed and red. Sweat beads form on your temples and trickle down your face or you sweat under your arms. Perhaps your heart starts beating faster. Some people call it a personal summer, but you are having a hot flash or a hot flush. Or maybe this? Perhaps you are sleeping and you wake up because you are feeling too hot or cold only to notice that your pajamas are soaked and your sheets are wet from your sweat. In severe cases you have to change your sheets before you can go back to bed. The night sweat episode you just had has now upset you, as well as interrupted your sleep, causing you to feel more tired the next day. What do hot flashes and night sweats have in common? They are two very common symptoms of menopause or perimenopause that occur due to hormonal imbalances during the menopausal transition. In fact, there are many symptoms that women experience that they might not realize are part of the menopause transition: •

Fatigue or loss of energy

Irregular periods

Sleeplessness or insomnia

Unexplained weight gain

Forgetfulness or “fuzzy thinking”

Mood changes or irritability

Hair thinning or hair loss

Loss of sexual appetite or low libido

Vaginal dryness

Food cravings

Digestive problems

Anxiety or a feeling of being overwhelmed

patient satisfaction with reduction of symptoms! Once I have evaluated and corrected all other hormonal imbalances, I work with bioidentical hormones as part of the treatment to reduce women’s symptoms and improving overall health. Bio-identical hormones safely and effectively regulate and normalize female hormones thus eliminating symptoms.

During the perimenopause and menopausal process, women may experience more than half of the symptoms listed above. If you are saying “yes” to more than five of these symptoms, you are likely having a hormonal imbalance and could be going into menopause. Is there hope to relieve your symptoms? Absolutely! Many of my patients experience relief using my proven protocols. The key to success is using the right combination of dietary and lifestyles changes along with a prescription plan to balance hormones. Dietary and lifestyle changes Eating a high fiber, nutrient dense whole food diet can reduce menopausal symptoms and improve overall health. Managing stress, sleep and exercise also has an amazing effect on alleviating menopausal symptoms as well. Using these behavioral strategies, along with understanding any underlying hormonal imbalance, can transform your life and your health by getting rid of your menopausal symptoms forever.

What are bio-identical hormones and how do they work? Bio-identical hormones have the exact same chemical structure as the human body. The body cannot tell the difference between bio-identical hormones and the ones your ovaries produce. The estrogen hormones are made from plant substances, usually soy and yams, and converted into the exact form of estrogens our body produces. Bio-identical micronized progesterone is used in combination with estrogens to prevent the increased risk of endometrial cancer in women that still have their uterus. If a woman has had a hysterectomy, then a more personalize bio-identical treatment will have to be tailored for her.

Bio-identical estrogens can be prescribed in pill, a patch, cream, gel, lotion or vaginal preparation form. Progesterones are in capsules or gel form only. Bioidentical hormones have been shown to reduce menopausal symptoms without side effects. Is hormone replacement therapy (HRT) safe? The 2002 Women’s Health Initiative (WHI) found that taking synthetic hormones increased the risk of breast cancer, heart disease, stroke, and blood clots. In contrast, research studies have shown that bio-identical hormone replacement (BHRT) is not only safer than HRT, it is more effective at reducing these symptoms for women as well. Additionally, bioidentical hormones have been shown to be cardioprotective, increase bone density, and prevent some forms of cancer in women. If you are ready to say good bye to menopausal symptoms, call for a free consultation. I successfully help patients all over the country get their energy and health back through balancing their hormones. I want to help you, too. To learn about more options for your health, visit my website www.healthydaes.org.

Balancing your hormones is the key When we think of menopause and hormones, the most obvious thought is to look at your female sex hormones. Those are an important part of the puzzle, but we also have to look at testosterone, insulin, cortisol, DHEA and thyroid levels because they have major impacts on female hormone levels. Looking at the total hormonal picture has brought the most patient success and

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Lorraine Catalano is the

because she was feelingd out of breath Health an Medical and was due for an overall checkup and blood work. As a smoker, not only Imaging Director was her cholesterol high but so was her By Director atLorraine Caring Catalano, Heart Imaging Caring Heart & Brain Imaging is honored to be the first in the state of NJ to bring the AMYVID PET Scan blood pressure. to& its residents, provides this breakthrough in diagnostic capabilities even before that you can make BrainandImaging. decisions based upon diagnostic accuracy. This fantastic imaging tool can diagnose and differentiate the 30 Medical Professionals forms of dementiasaid, at even earlier ages. Another important benefit to undergoing a PET brain scan at CHCI Lorraine The County Woman disis the reduction of radiation exposure. Our scanner does not use CT in obtaining recently brain images. This is a 30 M edical P rofessionals huge factor for patients whoPET may have had substantial radiation in the past. Caring Heart and Brain Imaging "The Cardiac early detection and treatment can help slow down the what progress ofthe Alzheimer’s cussed scandisease. did for her and Perfusion Scan why it saved her SPECT life. because she wasshe feeling feels out of breath Lorraine that we Lives perform Truly Saving Catalano is the and was due for an overall checkup CARDIAC PERFUSION and blood work. As a smoker, not only Imaging Director at CHCI assesses well thepressure cardiac Lorraine said,Lorraine “The Cardiac PEThow EC:she High for me because wasblood feeling out of breath SPECT PET was her cholesterol high but so was her at Caring CW: What made you decide to have wasdue usually over 80, so Heart for my Perfusion ScanCatalano that we perform for an120 overall checkup is the and was blood pressure. & Brain Imaging. arteries are distributing blood flow to blood work. pressure be even at CHCI assesses how Director well the and blood CARDIAC PERFUSION CARDIAC PERFUSION As atosmoker, nothigher only Imaging Lorraine said, was a red flag. My Family Practice The County Woman recently discardiac arteries are distributing the Perfusion Scan? was her cholesterol high but soCardiac was herPET at Caring Heart "Thescheduled the myocardium, or heart muscle. We physician, Dr. Deluca blood flow to the myocardium, cussed what the scan did for her and blood pressure. & Brain Imaging. Perfusion Scan the scan for me but I was rushed or heart muscle. We are the only why she feels it saved her life.blood pressure for me was Lorraine said, that we perform EC: High Thein County Woman disare only facility Monmouth and to the ER at 5amrecently with chest pains facilitythe in Monmouth and Ocean "The Cardiac PET atbefore CHCIitassesses how well the cardiac wasscan performed. I felt cussed what the did for her andlike I CW: What made you decide to have counties offering this type of Perfusion Scan arteries are distributing blood flow to usually was unable to breathe and actually Ocean counties offering this type of scan.” the Perfusion Scan?120 over 80, so for my blood whythe shemyocardium, feels it saved her life. that we perform or heart muscle. We did not even want to breathe. It EC: High blood pressure for meeven was are the only facility in Monmouth and CHCI how well thedetects cardiac Sheassesses adds, “This scan pressure to be higher was a red seemed the only wastodoing scan.” CW: What made yourelief decide have usually 120 over 80, so for my blood Ocean counties offering this type of teriespreclinical are distributing blood flow to disease, i.e., coronary the Perfusion my Lamaze breathing. I had five Scan? pressure to be even higher was a red scan.” e myocardium, or heart We arteryShe disease thatmuscle. is not“This yet kids; so I was quite preclinifamiliar with it. flag. My Family Practice physician, Dr. adds, scan detects flag. My Family Practice physician, Dr. She adds, “This scan detects precliniEC: High blood pressure for me was e theobstructive only facility and in Monmouth and OLD TECHNOLOGY may not be causing Deluca scheduled the scan for me but I cal disease, coronary artery disease usually 120What overi.e., 80, so for my blood CW: were some of your cean cal counties offering this also type of the symptoms. Patients love Deluca scheduled the scan for me but I disease, i.e., coronary artery disease was rushed to the ER at 5am with chest again rescheduled the PET Perfusion that istonot may not symptoms? be yet evenobstructive higher wasand a red an.” fact that our scan is completed pressure pains before it was performed. I felt like Scan. beMy causing symptoms. alsoDr. Family Practice Patients physician, Sure enough, mywith left circumflex B She that adds, “This scan detects precliniCHCI TECHNOLOGY within 45isminutes rather than theflag. EC: OLDtorushed TECHNOLOGY was to the ER at 5am chest not yet obstructive and may not My symptoms sounded like I was unable breathe and actually love the fact that our scan is completed Deluca scheduled the scan for me but I was 90% blocked and two stents were J l disease, i.e.,3 coronary artery disease typical to 5 hours.” The scan also reflux however there was some not even want to breathe. It seemed inserted by way of a heart catheterizawithin 45 minutes rather than the typi- did was rushed to the ER at 5am with chest at is be not yet obstructive and may not CW: What do you recommend Unfortunately, this Cardiac again rescheduled PETmy Perfusion evaluates progression of disease Unfortunately, this Cardiac pains before itsort was Breakthrough performed. I away feltatlikeIt causing symptoms. also indication of performed. irregular heart the only relief wasthe doing Lamaze cal 3 Patients to 5ithours.” The scan also evalution. pains before was I felt like causing symptoms. Patients also that people do to avoid this is slipping in patients with known coronary Scan. Sure enough, mykids; left circumflex symptoms. The breathing. I had five so I was quite Breakthrough is slipping away at the ates progression of hospital disease inkept patients J I was unable to breathe and actually ve thelove fact that our scan is completed of misdiagnosis happening to breathe the Shore: & artery disease and quantifies the was 90% blocked and two stents were Jersey Shore: Caring Heart Heart & Brain I was unable to and actually the fact that our scan is completed CW:Jersey What do youCaring recommend that me for three days performing familiar with it. with known coronary artery disease and f did not even want to breathe. It seemed ithin presence 45 minutes rather thanofthe typithem?by way of a heart catheterizaBrain Imaging hasthis made this latest and extent obstruction inserted Imaging hastomade latest cardiac numerous EKG’s, a chest X-ray people do avoid this sort of misquantifies the presence and extent of obonly relief was doing my Lamaze l 3 towithin hours.”that The45 scan also evalu- arethe cardiac technology available toof the e CW:did What not were some of yourwant technology to5 insure correct decisions tion. available to residents even to breathe. It seemed (my second in a that week), an typiEcho minutes rather than the struction to insure correct decisions diagnosis happening to them? EC: What I went through – three U I had fivestress kids; so I was quite es progression of disease in patients residents of who the Jersey Shore, who made about necessary procedures breathing. Jersey Shore, could only benefit andmade a nuclear test. Even or symptoms? are about necessary procedures d days in the hospital with numerous What doonly you recommend that familiar with there it. was some indication CW: EC: What I testing wentfrom through three ith known coronary artery disease and The could only benefit this–travsame or medication and lifestyle this same if they the relief doing my Lamaze though cal 3 to 5 hours.” scan medication andalso lifestyleevaluadjustments. EC: My symptoms sounded likewas from p time consuming tests that did days in the hospital with numerous time people do to avoid this sort ofindicamisuantifies the presence and extent of obtesting if they NY, PA adjustments. Above all, patients eled to NY, PA ortraveled northerntoJersey. ofWhat irregular heart, the tests Above all,were patients trustof that the were results reflux however there was somewas CW: some your f not even show any results consuming tests that did not evenquite show ruction to insure thatresults correctare decisions or northern Jersey. Unfortunately, diagnosis happening to them? trust that the accurate, Unfortunately, educating patients and clear and I in was patients sent with breathing. I had five kids; so I was are accurate, specific andhome conclusive tion of irregular heart symptoms. The ates progression of disease w symptoms? frustrating. This nonintrusive, low any results was frustrating. This none made aboutand necessary procedures or to educating patients and specific conclusive enough doctors is taking time, anddoctors not enough medication for reflux. I returned enough to address their concerns and to hospital kept me for three days performEC: What I went through – three r radiation, 45 minute scan cannot intrusive, radiation, 45 minute edication andtheir lifestyle adjustments. is takingarelow time, and enough My symptoms likeand address concerns and provide EC: Dr.artery Deluca still complaining and days patients aware thatnot they can askscan their h familiar with it. provide answers todisease asounded family practice ing numerous EKG’s, a chest X-ray with known coronary in the hospital with numerous time be compared. Chest pain is chest cannot beare compared.that Chest paincan is chest bove answers all, patients thatpractice the results patients they reflux there was some indica- can consuming to atrust family hehowever changed the reflux family practiceaware doctor or cardiologist to f physician. This means thatmedication. patients (my second in athat week), an a tests did notEcho evenand show pain – dangerous to ignore. pain – dangerous to ignore. ask their family practice doctor e accurate, specific and conclusive tion of irregular heart symptoms. The physician. This means that patients I returned again because my blood write a script for the test that will accu- d continue seeingextent their family practice test. Even though there quantifies the presence and ofand ob-anynuclear resultsstress was frustrating. This nonor cardiologist to write a script noughcan to address their concerns kept me forstill three daysscan performcontinue seeing theirand family hospital pressure was high even on and specifically determine if your C doctor who can order the was some indication of irregular heart, CW: How was your recovery and CW: How was your recovery and intrusive, low radiation, 45 minute scan rately CW: What were some of your for the test that will accurately ovidestruction answers to a family practice ing numerous EKG’s, a chest X-ray medication and I was still having practice doctor who can order the then treat his patients because he will the tests were clear and I was sent home heart muscle is receiving adequate whatbeconcerns doChest you currently tohisinsure that correct decisions cannot compared. pain is chest what concerns do you currently blood w and specifically determine your hysician. that patients can (myhave second in a week), Echo and a several episodes aan day ofguaranteeing severe scanThis andmeans then treat patients extensive information with medication for reflux. I returned flow if that blood is ifevenly have regarding pain – symptoms? dangerous to your ignore.heart? haveand regarding your flow heart? heart muscle is receiving adequate ntinue seeing their family practice nuclear stress test. Even though there chest pains. Dr. Deluca was because he will have extensive follow-up that is appropriate and right to Dr. Deluca still complaining and distributed. The test to ask for is called a are made about necessary procedures or heEC:changed EC:flow Hardly any from the is blood and if recovery that blood flow octorinformation who can order the scan andfollow- was on convinced it scan was the heart and some indication of also irregular heart, Hardly any recovery from How was your recovery andIthe Cardiac target. This delivers a much CW: guaranteeing the reflux medication. PET Perfusion study catheterization but a couple days rest evenly distributed. The test toofask oncewere again themeans PETless what en treat his patients because and he the lower tests clear and Iand wasthat sent home catheterization but a my couple days dose of rescheduled energy returned again because blood presup that is appropriate andwill right with Rubidium. concerns do you currently medication lifestyle adjustments. EC: My symptoms sounded like and no heavy lifting for a short time. Perfusion Scan. Sure enough, my for is called a: ave extensive information to radiation. medication for reflux. I returned sure was and still high evenheart? on medication of rest noyour heavy lifting for on target. This scanguaranteeing also delivers withexposure have regarding Thankfully, I now feel great and am left circumflex was 90% blocked and I wastime. still having several Iepisodes llow-up that is appropriate and right Caring Heart & Brain Imaging is to Dr. Deluca still complaining and a short Thankfully, now aAbove much lower dose of energy all, patients trust that the results reflux however there was some indicaElizabeth Canning received Cardiac PET Perfusion study relieved to have found the right soluEC: Hardly any recovery from the and twothestents insertedI by afeel daygreat of severe pains. Dr.toDeluca honored to be the first in the state of NJ n target. alsoless delivers a muchto he changed refluxwere medication. andchest am relieved have andThis thatscan means exposure Rubidium. catheterization but asolution. couple daysand of rest z simply Scan way again ofa Perfusion a heart catheterization. was convinced it was the heart once tion. to bring thewith AMYVID PET Scan to its wer dose of accurate, energy and that means less returned found the right because my blood presradiation. are specific and conclusive tion of irregular heart symptoms. The and no heavy lifting for a short time. residents, and provides this breakthrough posure to radiation. sure was still high even on medication Thankfully, I now feel great and am Elizabeth Canning received a diagnostic capabilities even before and I was still having several episodes enough to address concerns and kept me forinMedicare three daysadds,performElizabethScan Canning received relievedhospital to have found the right soluPerfusion simply because sheatheir does. Lorraine “We want day of severe chest pains. Dr. Deluca Caring Heart & Brain Imaging tion. was feeling out of simply breath and waswas convinced zprovide a Perfusion Scan to deliver this imaging resource to you so it was the heart and once answers ing numerous EKG’s, chest X-ray due for an overall checkup andto a family practice that youacan make decisions based upon 2414 Highway 35, Manasquan, NJ 08736 blood work. As a smoker, not only diagnostic accuracy. This fantastic imaging physician. that patients can (my second in a week), an Echo andthe a was her cholesterol This high but means so tool can diagnose and differentiate was her blood pressure. forms of dementia at even earlier ages. Phone: 732.292.1008 continue seeing their family practice nuclear stress test. Even Another though important benefitthere to underThe County Woman recently E-Mail: going a PET brain scan at CHCI is the 2414 Highway 35, and Manasquan, NJwas 08736 discussed whatwho the scancan did fororder her doctor the scan some indication of irregular heart, reduction of radiation exposure. Our service@caringheartcoronaryimaging.com and why she feels it saved her life. scanner does not use CT in obtaining then treat his patients because he will the tests were clear andimages. I was 732.292.1008 Phone: brain This is a sent huge factorhome for CW: What made you decide to www.CHCI.biz. patients who may have had substantial have the extensive Perfusion Scan? information guaranteeing E-Mail: have with medication forradiation reflux. I Caring returned in the past. Heart and Brain Imaging. Early detection and service@caringheartcoronaryimaging.com www.SomersetCountyWJ.com 8 to Dr. Deluca follow-up that is appropriate and right treatment can help slow down the progress still complaining and www.TheCountyWoman.com The County Woman Magazine

Caring Heart & Brain Imaging Is Truly S Caring Heart & Brain Imaging Is Truly Saving Lives

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Caring Heart & Brain Imaging

of Alzheimer’s disease. If it’s not important


Somerset County ’ WomensJournal

american heart month ...recognizes and supports

Heart disease is the No. 1 killer of women in the United States, claiming more lives than all forms of cancer combined.

Be Heart Healthy

Exercise at least 20 minutes everyday; walk, swim, bike, yoga Eat less sugar and little meat, more veggies and fruits Drink fewer sugary beverages and lots of water for more information visit www.goredforwomen.org or www.heart.org

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Health andMedical By Maurice Nahabedian, MD, FACS, Professor of Plastic Surgery Georgetown University Hospital Maurice Nahabedian, MD, FACS is currently a Professor of Plastic Surgery, Vice Chairman for Clinical Affairs, and Chief of the Division of Microvascular Reconstruction in the Department of Plastic Surgery at Georgetown University Hospital. His primary clinical and research interests are focused on breast as well as abdominal wall reconstruction. He has published over 130 manuscripts, editorials, and discussions as well as 42 book chapters on a variety of topics that include breast reconstruction and abdominal wall reconstruction. Dr. Nahabedian has been the principal editor of 3 textbooks and co-edited 2 textbooks

Improving Your Abdominal Appearance:

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The desire to improve abdominal appearance is ubiquitous. For some people, it’s about improving contour and having that chiseled appearance to look better than normal. For others, it’s about reducing the quantity of skin and / or fat just to get to a point where they once again look normal. For some, achieving these goals may be easy, whereas for others, it may be very difficult. One of the consequences of getting older is that our metabolism slows down and we tend to accumulate fat in areas that we would like to keep thin, namely the hips and abdomen. With the increasing emphasis and importance of maintaining good health, nutrition and exercise, many people are able to achieve these goals without surgery. However for some, losing that excess skin and fat may prove to be more of a challenge because there may be diet and exercise resistant fat. For those individuals, surgical options such as abdominoplasty or liposuction may be considered, but only when they are good candidates. I want to emphasize the term “good candidates” because there are many factors that must be appreciated when considering surgical approaches to abdominal contouring that include patient expectations, general health, body weight, and quantity of skin and fat. Some patients will be good candidates for liposuction, some will be a good candidate for abdominoplasty, and some may not be a candidate for either. This monograph will review the current indications and surgical options for improving abdominal contour as well as to offer some assistance for individuals considering which option may be most appropriate for them. Abdominoplasty (Tummy Tuck) According to statistics compiled by the American Society of Plastic Surgeons (ASPS), over

106,000 abdominoplasties were performed in 2012 with the vast majority being women (reference: www.plasticsurgery.org). This represents a 70% increase since 2000. The main reason why women choose abdominoplasty is because they want to improve abdominal appearance by simultaneously removing skin and fat. Many will report one or more factors that have led them to this decision that include but are not limited to pregnancy, advancing age, weight fluctuations, heredity, and prior abdominal operations. In order to be considered a good candidate for a tummy tuck, one should be in good physical and mental health, maintain a stable weight, and avoid all tobacco products. It is always emphasized that proceeding with a tummy tuck should not be perceived as a substitute for dieting, exercise, and weight loss. In women, that are overweight, my advice is to attempt conservative measure such as dieting and exercise first in order to stabilize their weight. In women that are able to do this successfully, results have been more predictable and reproducible and women have been generally happier with the results. I also advise women that are considering future pregnancies to postpone having a tummy tuck until having children is complete.

During the initial consultation, your board certified plastic surgeon will determine if you are a good candidate based on the factors reviewed. Some women will be candidates for a mini-abdominoplasty that requires less skin and fat removal;

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whereas, other will require a full-abdominoplasty to optimally contour the skin. Your plastic surgeon will review this during the consultation and determine which would be most appropriate. Some women may have a localized area of fat excess and be a better candidate for the less invasive procedures such as liposuction rather than a tummy-tuck. Liposuction will be reviewed later in the monograph. Your surgeon should also review the risks and benefits of having a tummy tuck, take photographs, and discuss cost. As with any operation, there are certain adverse events can occur with an abdominoplasty. These include but are not limited to bleeding, infection, scar, fluid collection, delayed healing and contour irregularities. Fortunately, these are uncommon and the vast majority of women are very pleased with the outcome. The cost of an abdominoplasty will vary based on where you live and surgeon experience. Keep in mind that this is a cosmetic operation and rarely covered as an insurance benefit. In general, you should plan on 30 to 45 minutes for the consultation. The procedure itself is generally straightforward and usually takes about 2 hours. General anesthesia is usually recommended but it can sometimes be performed under twilight anesthesia in conjunction with a local anesthetic. The incision usually extends from hip to hip and is located just above the pubic bone so it’s is nicely concealed within the bikini line. Sometimes a second incision around the belly button is necessary in situations where extensive abdominal contouring is needed (full-abdominoplasty). In some women that have had children, the muscles supporting the abdomen may slightly

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separate resulting in a condition known as rectus diastasis. This condition can be repaired during an abdominoplasty by suturing the supportive structures and muscles back together along the midline to eliminate that central midline bulging. Once the excess skin and fat are removed, the incision is closed in layers using dissolvable sutures. A drainage tube is usually placed above the muscle layer to remove any fluid that may accumulate. This is usually removed a few days after surgery. An abdominal binder may also be recommended for support and to reduce the amount of swelling. Abdominoplasty is usually performed as an outpatient procedure but on rare occasions, overnight hospitalizations may be recommended for safety reasons. Following the tummy tuck, your abdomen will be firmer and the excess skin and fat will be gone. Initially, there may be some mild swelling but this diminishes after a few weeks. Your plastic surgeon will prescribe pain medication and antibiotics (when needed) as indicated. Be prepared to walk in a slightly flexed position at the waistline until the incisions heal and the skin elasticity returns (usually a few days). I typically instruct patients that it’s ok to shower and get the incisions wet after 3 days. I also advise patients that it’s ok to drive when they are off their pain medication and they have full range of motion (usually 7 – 10 days). Most patients are able to resume normal activities after about 1 month. Abdominal Liposuction Liposuction has been one of the most common cosmetic procedures performed in the USA. According to ASPS statistics, over 200,000 liposuctions procedures were performed in 2012 (reference: www.plasticsurgery.org) .


Health andMedical focused on reconstructive and aesthetic breast surgery and is in the process of completing a 6th textbook on abdominal wall reconstruction. He is the Section Editor for Breast Surgery with the Journal of Plastic and Reconstructive Surgery (PRS), serves on the editorial board for 3 other journals, and has reviewed manuscripts for 23 different journals. Dr. Nahabedian currently serves on the clinical symposia committee and the instructional course committee for the American Society of Plastic Surgery, is the PRS representative to the Joint Business Operations Committee, and is a frequent oral board examiner for the American Board of Plastic Surgery. In 2012, Dr Nahabedian chaired three national symposia that included the 4th Annual Abdominal Wall Reconstruction Conference, the Santa Fe Breast and Body Contouring Symposia, and the Challenging Complications in Plastic Surgery Conference. Dr. Nahabedian has also been a visiting professor 55 times over the past 8 years at various universities and hospitals around the country.

Exercise, Liposuction or Abdominoplasty

Abdominal liposuction is ideal for women with a localized area or areas of excess fat. It is an excellent way to improve abdominal contour and proportion in a much less invasive manner. Although liposuction has been shown to be safe and effective for fat removal, it should not be perceived as a substitute for weight loss, good eating habits, and regular exercise or as a treatment for obesity. Individuals considering liposuction should consult a board certified plastic surgeon to determine if you are a good candidate. Ideal candidates for abdominal liposuction are in good physical and mental health and are within 30% of their ideal body weight. Good candidates for abdominal liposuction will typically have firm, elastic skin with good muscle tone. As is the case with all patients seeking cosmetic surgery, avoidance of tobacco products is strongly recommended to reduce the risk of complications. During your consultation, the plastic surgeon will typically assess your expectations and what you hope to achieve, obtain a comprehensive history, perform a physical examination, review the treatments options, discuss complications, and take photographs. As technology has made a big splash in our everyday lives, so have the options for liposuction. Traditional liposuction is still the most common and involves the insertion of a blunt tip cannula into the area of localized fat in order to suction out the fat. This is achieved using a negative pressure apparatus to generate the suction

force. Newer technologies will use ultrasound or radiofrequency waves to dissolve or breakup the localized fat followed by the suction phase. Still newer technologies will utilize external devices that will cool or freeze the localized fat resulting in fat dissolution. Your plastic surgeon should review these options and determine which is preferable for you. Whenever considering liposuction, you should be aware of the potential complications. Fortunately, liposuction is considered a relatively simple procedure and the vast majority of patient do very well and are very happy with the outcome; however, there are situations when things may not go as expected. Adverse events are related to various factors that include but are not limited to the length of the procedure, the amount of fat removed, and whether or not additional procedures are performed. Some of these adverse events include irregular contour, waviness of the skin, fluid collections, infection, and the need for a “touchup� or additional procedures. More serious adverse events include blood clots (deep venous thrombosis) with dislodgment of these clots to the heart and lungs (pulmonary embolus). Most liposuction procedures are performed as an outpatient; however, in some situations, an overnight stay in a hospital like setting is recommended. Some of the reasons for an overnight hospitalization include removal of more than 5 liters of fat or it the operation requires more than 5 hours. Fluid and electrolyte imbalances may occur in these situations. Performing simultaneous operations such as breast surgery and abdominal contouring procedures may also increase the chances of a complication.

The steps of the traditional liposuction operation are relatively straightforward. Liposuction is sometimes performed under general anesthesia (completely asleep) or twilight anesthesia (light sleep) with the addition of a local anesthetic agent. Your plastic surgeon may recommend one or the other. Small incisions will be made at specific locations on your abdomen followed by the instillation of a tumescent fluid into the fat compartment. This fluid is comprised of saline, lidocaine, and epinephrine and is used to constrict the blood vessels in the area, to minimize intraoperative and postoperative bleeding, and to expand the fat compartment. About 20 minutes later, a thin hollow tube or cannula is inserted and attached to a suction device to remove the fat. This is performed using back-and– forth movements either manually or with a power-assisted device. The suctioning is continued until the desired contour is achieved. The small incisions may be closed or left open and bandages are applied. Recovery following liposuction of the abdomen is usually easier than abdominoplasty. Patients should refrain for strenuous activities or exercise for about 1 month. Compression garments

Maurice Nahabedian, MD, FACS Professor: Plastic and Reconstructive Surgery Georgetown University Washington DC

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are essential. I explain to all patients considering liposuction that removal of the fat completes about 60% of the task and that adequate postoperative compression completes the rest. For this reason, compression garments are recommended and should be worn continuously for several weeks. Failure to do so will result in prolonged swelling and a less desirable outcome. Showering is permitted 3 days following liposuction. Pain medication and antibiotics are prescribed as indicated. Most patients are able to resume normal activities after 4-6 weeks.

In summary, both abdominoplasty and liposuction are safe and effective methods to achieve improvement in abdominal appearance. That said, dieting and exercise are highly recommended both before and after these procedures. When considering these options, it is recommended to consult with a board certified plastic surgeon to determine which may be the most appropriate.

202-444-2000 DrNahabedian@aol.com www.MauriceNahabedian.com 3800 Reservoir Road, NW Washington, DC 20007

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Health andMedical By Dr. Norma Rivera Mraz Dr. Norma Rivera Mraz earned both her Bachelor of Arts (1985) and Master of Arts (1987) degrees from the University of Florida. She earned her Doctor of Audiology degree (2004) from the Arizona School of Health Sciences. After 10 years practicing audiology in Florida, she moved to Atlanta, GA in 1997, where she focused her efforts in the treatment of individuals who are afflicted with tinnitus and hyperacusis (abnormal sensitivity to sound). Dr. Rivera Mraz currently owns and operates Mraz Audiology Consulting, Inc., which specializes in hearing conservation, hearing loss, tinnitus, and hyperacusis. The patient population served is newborn to adults. Mraz Audiology Consulting, Inc. focuses on providing the highest quality of care and professionalism to address each patient’s individualized hearing healthcare needs. Dr. Rivera Mraz speaks fluent English, Spanish, and Sign Language.

Our Ears Hear-Or Do They?

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We live in a world that is rich with sounds, from soft like a whisper to loud like a jet turbine engine. Sound can have so much meaning and evoke emotion—the sound of a gentle kiss on the cheek or a siren screeching as it passes by. Hearing is one of our 5 traditional senses and is where sound is perceived. Humans are capable of hearing from 20Hz (very low bass) to 20,000Hz (very high pitch). Everyday conversation generally falls in the frequency range of 250Hz to 8000Hz. Equally important is how we hear Since childhood, we have been taught that we hear with our ears, but that is only partially correct. The ears are merely the end organs that take external sound vibrations, and through an intricate and sophisticated process, convert them to mechanical information in the middle ear, which then travels through the inner ear where tiny hair cells are stimulated that send impulses the hearing nerve to the auditory cortex in the brain—the hearing center. In other words, if sound doesn’t reach the auditory cortex of the brain – no sound is heard. Here are some facts we know: Statistics show that approximately 40 million adults in the United States report some degree of hearing loss. Hearing loss due to aging (presbycusis), affects approximately 35% of individuals over 60 years of age. Unfortunately, what used to be considered an older person’s problem is quickly becoming a serious issue with today’s youth. What can be done to protect your hearing? Research shows that exposure to excessive noise levels are the leading cause for permanent damage to the ear resulting in hearing loss and tinnitus, which is a ringing in the ears. The average conversation is around 65 decibels (dB) which

is how sound intensity (loudness) is measured. A concert or leaf blower is 115dB, whereas a firearm is 135dB. Sound levels exceeding 100dB for more than 30 minutes continuously is dangerous to our ears. There are 3 highly effective options for hearing conservation. First, turn the volume down. It is a simple solution if you can control the sound source. The rule of thumb is if you are 3 feet away and have to raise your voice in order for the other person to hear you, than it is too loud. Second, walk away. The more distance between you and the offensive sound, the better. And third, wear proper ear protection.

great time, no one is suggesting otherwise, but everyone should also be empowered with information that helps them make informed decisions so they can choose how they wish to (safely) participate in these types of activities. Let’s also consider a child attending an event who is innocently following the guidance of the adult. If the person behind them starts blowing some obnoxious instrument like a plastic horn or vuvuzela, or screams out loud at levels that are toxic to the hearing system, than this child never stood a chance nor were they protected from what could eventually result in permanent hearing loss and/or tinnitus.

There are different types of ear protection that are designed for specific environments. Ear muffs or plugs are great for mowing the lawn because they dampen excessive noise levels. However, if you are attending a concert, sporting event, movie theatre, or any desired noisy event than you will want to wear a different form of ear protection that is conducive to that particular environment, such as musician plugs. Musician plugs offers a flat attenuation of the sound while maintaining the integrity of the sound – basically, speech and music sounds clear without being muffled. These types of ear plugs are available in non-custom form found at major music stores and you don’t have to be a musician to wear them. They can also be custom made to fit your ear comfortably and aesthetically by your local audiologist.

It is interesting to note that in preparation for a December Monday Night Football game, head coach Sean Payton contacted Brett Favre to ask him how he combatted the loud noise levels inside the Seahawks stadium that was purposefully designed to acoustically enhance the sound levels (exceeding 120dB) making it difficult for the team to hear themselves inside the huddle and while they played. Favre told him to order custom noise reduction

But I love my music LOUD! In our society, the definition of “fun” is often equated with “volume.” Simply put, the louder it is, the better. So let’s consider a sporting event … fans in the stands are encouraged to “get LOUDER,” “break the sound barrier,” “scream and shout”… all good as along as everyone understands the consequences. Everyone should be entitled to go out and have a

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ear plugs – as a result, 20 pair were ordered for the team! While it is true that for most, it will take repetitive exposures of excessive noise levels over a period of time before permanent damage to the hearing system is done, there are many for whom it takes only one assault to change their world and turn it upside down. Be wise and choose to properly protect your ears from dangerous noise levels. There are no second chances. Hearing the world and people around you in its natural splendor for many years to come is not only priceless, but a gift easily worth giving and protecting. Happy Holidays!


Health andMedical

“...older adults seek psychotherapy because they have problems that

produce behavioral or emotional distress. Talking to a trained professional can help by encouraging the expression of feelings and in doing so, can bring about relief from stress and resolution of problems.”

Elder

By Jan Robbins, L.C.S.W., Licensed Clinical Social Worker and Geriatric Psychotherapist

Psychotherapy For Older THEAdults ELDERLY: AT

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Most of the time, we are able to cope fairly well with the day-today stress of life as well as the unforeseen rough patches. But there may be times in our lives when we need extra support in getting through a difficult time. Because we are living longer, older adults can be faced with acute and chronic health problems that can create unique stress and make coping with other life challenges particularly difficult. Because of these real needs, psychosocial support through psychotherapy is among vital services provided to there residents at Independence Manor.

geriatric psychotherapist, I am Sometimes psychotherapy By Halyna Conticchio involves teaching a resident fortunate to be a part of the Falls are acommunication, serious problem thathow affectto oneeffective Manor’s interdisciplinary team, of all personslearning over the age of 65. Most pace oneself, relaxation communicating and coordinating third falls in the elderly are predictable, preventable, or acquiring techniques for with all levels of staff including andskills not due solely to the aging process. In spite August/September 2013 improving one’sattribute perspective the geriatric psychiatrist. What of this data manyaelderly their falls to life. More specifically, theon inevitable process of aging and these fear of lossets a geriatric psychotherapist ing independence contribute to under reporting services are helpful in resolving a apart from other psychotherapists of falls. wide range of challenges that can is the acquired knowledge about: include: acute and chronic illnesses and The best chance of prevention is an understanding of all thewith contributing factors, includtheir psychological impact; • loss vidingCoping Hospice Services in a facility where aroundBy Anne Boyle an Mary Ruela ing the normal aging changes that management of pain; compliance the-clock care by the staff already exists.predispose The facility • such Dealing with feelings and a visual, nervous musculostaff knows the residents wellsystem, and many times are Hospice services provide support and care for per- falls, with medical treatment plans; cardiovascular, auditory and one’s cognitive like family to those care for.from sons in the last phase of an illness. These services skeletal, stress of they moving options toalso for their impairments, gait changes and medication use. are not just forfor the and personbarriers who is ill, but home family and caregivers. The focus of care is on liv- You could say it is a patient’s right to access a Medirehabilitation; adverse reactions care benefit they are entitled to, but more importantly ing and the quality of life. The care and services are • Researchers have started to compare proRelationship problems to medications; and behavioral is having the collaboration of the facility staff, who provided by a team of professionals which include files that characterize the falls elderly know the patients and are experts in in the geriatric care, and emotional andmedical director, that the patient’s physician, signs the Hospice • occur Role in changes home, services community, and healthwith the professional of the Hospice Team nurses, social workers, certified home health aides, symptoms. care For example, falls in the specialize in palliative care and who are home experts • settings. Communication difficulties volunteers and chaplain, The staff are highly skilled who usually take place in the bedroom, bathroom, in pain and symptom management. in regards to symptoms management, comfort care We are just beginning to Psychotherapy helps people with and the stairs, or most frequently • room, Changes in sleep appetite and emotional and spiritual support. Statistics show living Assisted Living and Nursing facilities are required descending. These mishaps most comunderstand the significant impact that thepersons problems life. Services As true inbetter while receivingofHospice have to• haveDecision a contract with a Hospicedifficulties Agency for quality making monly occur during activities that arefor routine quality, increased comfort and live longer. end of life care. Hospice staff is available consulthat behavioral and psychological any stage in life, older adults seek for• individuals. A recent study compared falls and as a resource to facility staff. The addition Mood changes including Medicare recognized the value of Hospice Service tation health can have on a person’s psychotherapy because they have in oftheHospice elderlyCertified at home andHealth in theAides community. Home to provide and developed the Medicare Hospice Benefit and depression and/or anxiety physical health. It has been problems that produce behavioral One group in the study found that older permost insurance providers followed closely after. The personal care in addition to what the facility provides as a person’s illness progresses improves and sons who fell in and around their own homes demonstrated that both acute and services or emotional distress. Talking to covered by Medicare, Medicaid and private • Exploring spiritual or comfort provides support communication were moreemotional likely caused byand frailty or unsteadyby insurances include all the professional staff, regular prolonged stress, can suppress the a trained professional can help meaning of life areas the Falls Hospice Hospice staff communicates on a thatstaff. occurred away from home were nurse and social work visits, nurse on-call 24 hours a gait. regular basis with staff and families, developing indiimmune system making people by encouraging the expression due to environmental causes and day, 7 days a week, all medications related to the ill- primarily • Understanding and coping vidual plans of care to meet the goals of the patient. ness, equipment anddoing personalso, care,can chaplain concluded more susceptible to illness and of medical feelings and in thathealth, both frailfunctional and vigorous elderly with and services as well as bereavement services for families persons are atvolunteers, risk when they from The Hospice who visitare the away resident, prodisease. Historically speaking, bring about relief from stress aging issues and caregivers. vide companionship, assist with meals and can be a familiar surroundings. the psychosocial needs of older and resolution of problems. vigil so a person is not isolated or alone. Hunterdon Hospice provides all the Hospice Services presence Wheninthese issues are Many times, volunteer is a big source of support adults were typically overlooked. primarily Psychotherapy beneficial in when Some quickthefacts: in the person’sishome. Most people, of changes geriatric toaddressed, families theythe anticipate what are occurwant to stay in their familiar surroundDepression among this population asked, understanding andown adjusting to • More thanas 90% of tools hip fractures occur as a ring for them. The collaboration of bring the facility staff psychotherapy can help ings. For some, their home is an Assisted Living or result of falls with most of the fractures ocused to be considered a normal changes that are both a part of with the Hospice staff and services working toNursing Home facility with the comfort of being with along about specific effects that can help part of growing older. However aging as well as aforpart those that know and care them of on alife. daily basis. Some might question what is the value added by protoday,we now know that this The process involves initially is not the case: depression and conducting an evaluation of a other psychological difficulties among older adults are considered resident’s problems~ strengths and theirHospice goals; and creating a is conditions that can and should treatment plan of care. Family be treated like any other health sessions may be a partpart of this condition. And a growing an integral plan, particularly where there body of research supports the is a need for understanding the effectiveness of psychotherapy of the services resident’s problems, or where among people of this age group relationship issues occur. As a in reducing stress and the Medicare provider, I practice at provided at accompanying psychological the Manor for the convenience problems. of both the resident and family, Independence At Independence Manor, regard providing my service in the for the psychosocial needs privacy of the residence’s home. of residents is considered as Residents Manor. report that they prefer important as their physical and to talk to a professional rather social needs. As the Manor’s than burdening their family or clinical social worker and friends with their problems.

Health&Elder Care

acurring clientinlive a more satisfying life. persons over 70 years of age. include theand is •The The most risk of important falling increases with age greater for women than for men. following:

• Two-thirds of those who experience a fall • willImprove adjustment to health fall again within six months. 3 conditions symptoms • A decrease in boneand density contributesPage to falls and resultant injuries. Increase the regu1arly rate of recovery •• Failure to exercise results in poor from andecreased illness or surgery muscle tone, strength, and loss of bone mass and flexibility. theofeffectiveness •• At Enhance least one-third all falls in the of elderly medical treatments involve environmental hazards in the home.

HOSPICE SERVICES A PARTNER IN THE LONG TERM CARE SETTING

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gether with the patient and family ensure comfort and • Many Prevent future health risk factors are preventable. A lack dignity during this very personal and sensitive time.

deterioration or illness of knowledge about risk factors and how to Hospice is an integral part oftoo the services provided at prevent them contributes many falls. Listed • Improve overall health, Independence are five key Manor. risk factors of falls among older wellbeing and satisfaction adults and some preventive for each Since Independence Manor hasmeasures become home for life. factor are briefly listed below;allows the resident many,with having Hospice involved to live the last days of their lives in their home. The

Independence Manor havethe formed a lasting 1. Osteoporosis is aStaff condition wherein bones I have discovered that wisdom relationship withporous, each resident and understands the become more less resistant to stress, thatthey older adults acquire over ais then care need and want. The Hospice Staff and more prone to fractures. Some prevenlifetime them able to comemake the facilityamong and help the for the tion tips; Eatintosufficient calcium incare calciumdying resident with their co-participants expertise. The two together most thoughtful rich foods, such as milk, yogurt, cheese, fish truly makes for a peaceful experience for the resident and shellfish, broccoli, A soybeans, in psychotherapy. lifetimetofu of and aland family. monds, sufficient vitamin to enhance the caring,Gethard work, and D experience The support of continues after death older through Beabsorption calcium andthesome adults equips older adults with reavement Services by Hospice professional staff may needmany a supplement. Regularly do weight for families, caregivers andoften the staffunaware at the facility. strengths they are exercises. Together, Hospice and facility staffs are partners in

they possess. Psychotherapy

caring when needed most. 2. of Physical Activity results at Lack the Manor is the means of in poor muscle tone, decreased and Hospice loss of Ann Boyle is the Director strength, of Hunterdon assisting an adultMedicare discover bone mass and older flexibility. prevention Services. Hunterdon Hospice is aSame certified, these strengths as(atwell as develop Joint Commission accredited, non-profit organization tips: Engage regularly least every other day and a member of the Hospice Organization for about 15 to minutes).. Undertake activities in new ones beNational used to weather the manner, New Jersey Hospice and Palliative Care Oraand such reaching and bending a safe difficult time. Iasconsider it toa the ganization which been providing care comproperly, slowlyhasrising from a chair, learning munity since to 1979. Mary RuelaofRNthis is Director of privilege befall, a part the proper way to and learning how to reNursing at Independence Manor at at Hunterdon, journey with residents the an Ascover after a fall. sisted Living Residence in Flemington, New Jersey.

Manor.

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Health andMedical By Joanne Price Joanne Price became ill in 1997, was diagnosed with Still’s Disease in 2007 and became disabled from work in 2008. Her search for help revealed a need in our area, so Joanne started The Autoimmune Support Group in 2009.  Debilitated but never defeated, Joanne worked toward her bachelor’s degree one class at a time.  In 2009, she graduated Summa Cum Laude from Kean University and was inducted into the Phi Kappa Phi National Honor’s Society.  In 2013 she launched a website.  Because Joanne’s husband is a disabled veteran, she has the unique perspective of both patient and caregiver, which is related through her weekly blog, “Living With Chronic Illness.” Presently in partial remission, Joanne aspires to grow the group to reach all those in need.

Understanding Grief With Chronic Illness

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Certain chronic illnesses overwhelmingly attack women. There are over 80 autoimmune diseases including Multiple Sclerosis, Rheumatoid Arthritis, and Lupus. The National Institute of Health states there are 40 million people suffering with an autoimmune disease and 80-90% are women.  Five million people are diagnosed with Fibromyalgia, ninety percent of whom are women.  According to the CDC, one million people are debilitated by Chronic Fatigue Immune Dysfunction Syndrome (CFIDS/ CFS), four out of five of which are women. All of the above illnesses share many physical symptoms, and like death and terminal illness, also share the grieving process. Did you know that chronic illnesses can initiate the grieving process? These patients are so ill that they often lose their ability to work, enjoy hobbies, or even to care for themselves. What are the 5 Stages of Grief ? 1. Denial - A patient may initially refuse to accept the diagnosis.  The truth may be too painful for them.  This stage is the mind’s temporary fix from the emotional pain. 2. Anger -  Anger is a coping mechanism to deflect pain.  It is far less scary to be angry than to sit with the pain of reality.  No one is spared, even inanimate objects!

quite often too sick to drive a car or perform necessary daily tasks. They often have difficulty with memory and concentration.  They may feel that no one understands or even believes they are sick.

feels no one will believe just how sick they really are or understand what they are going through. You may need to address the depression of your loved one if you notice changes in sleep patterns, loss of appetite or isolation. What can you do?  You can make sure that they get an evaluation from their doctor.  Together, the doctor and your loved one will determine if there is a need for professional therapy.  

5. Acceptance - Acceptance is a gift. Peace is finally reached. The patient may set new attainable goals. Just as there is no cookie-cutter way to grieve the loss of a loved one, there is no wrong way to grieve the health and life once dreamed of.  Stages can be entered in any order and for any amount of time.

Participation in a support group is a great way to supplement traditional therapy. A support group is a meeting where people in similar circumstances come together to discuss their problems, share ideas and learn coping skills.  The Autoimmune Support

To make the grieving process even more challenging, acceptance can easily be overturned by new symptoms, a secondary diagnosis or an exacerbation of the illness. Information regarding exacerbations leads to the assumption that there will be periods of complete remission. The reality is much different.  “Flare-ups” can last years.  Some patients are chronically sick with no end in sight.

Many patients are too sick or too depressed and often do not have the physical strength or wherewithal to investigate therapy or support groups. Won’t you take this important step for your friend, loved one or for yourself ? Testimonial “I have been attending The Autoimmune Support Group for four years.  Joanne is a compassionate and dedicated Leader.  This group is the one place I feel I can openly express myself and get the support from other group members.  For me, it’s my “safe haven.” -D.P. Bridgewater, NJ

Autoimmune Group

Support for those coping with Chronic Illness

Living with a chronic illness can sometimes feel like more than you can handle. However, people living with chronic illness can and do go on to live full and happy lives. The key is surrounding yourself with people who understand and will support your effort to reach the final phase of grieving. The acceptance phase often brings with it new hobbies, new goals, and new friends. There is happiness after diagnosis.

3. Bargaining - As reality begins to set in, the patient may experience helplessness.  Bargaining with God is a way of trying to regain control of the situation.   To help your loved one, please ask questions such as “How are 4. Depression - Sadness is you really doing?” and let them expected, but these illnesses know you really care.  Don’t just are by their very nature, accept the standard, “I’m fine,” isolating.  These patients are answer.  Your loved one probably

www.SomersetCountyWJ.com

Group is a valuable resource for patients diagnosed with autoimmune diseases, CFIDS/CFS or Fibromyalgia.

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Joanne N. Price Facilitator

Bi-monthly meetings held at Somerset Medical center Somerville, New Jersey 908-358-7167 autoimmunegroup@hotmail.com www.autoimmunegroup.com


he Gift of Life

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Health andMedical

will have an introductory phone Blair was an intended parent What is the Blair was a like I felt thatmost more quality care, What is Icall the most with the potential carrier. who is familiar with both IVF challenging part? is fam professional support, andand respect If the potential carrier who is ready working with a gestational challenging part? Some challenges include neededcarrier, in the industry. The and I haveSome to move forward they willand go toworkin surrogate, been challenges findingwas a qualified include the pre-screening process. surrogate, At The gestational carrier forRelations two Surrogacy Experience wasa founded By Tina Dettlaff, Director of Client achieving a successful pregnancy finding a qualified carrier, Surrogacy Experience we want to wonderful families. 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hand view of this process. When Suite www.SomersetCountyWJ.com you see your intended parents January/February 2014

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Health andMedical By Nadiv Shapira MD, FACS, FACPh Dr. Shapira opened First State Vein and Laser Center in January 2011. One year later he left his 20-year old practice as a Cardio-thoracic surgeon at Christiana Care Health System in Wilmington, Delaware to devote his entire career to the practice of Phlebology. He offers in-depth evaluations and a wide range of minimally and non-invasive interventions. In January 2013, together with his wife Lynn and a devoted and highly skilled team, he was one of the first in the area to add the “Medispa” concept to his practice.

Your Little Veins Matter Too!

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I often reflect back on my experience at First State Vein and Laser Center, thinking about what matters most to my patients. Obviously, patients that have “big” unsightly, bulging, winding painful veins are concerned about them. But I realize that it’s the “small” things that really matter to the majority of the patients. “Small” things like reducing downtime, lessening discomfort and the possibility of scarring - matter. To most, it is also the small veins that frequently matter. Even after ablation (closure) of an incompetent great saphenous vein, the source of their initial complaint, I am often asked what can be done about the remaining bulging vein, or about the small stubborn blue-purple spider veins. Obviously, we are concerned about life threatening D.V.T. (deep vein thrombosis) or leg ulcers. But for most patients, it is irrelevant; they don’t have them. Most are bothered by non-critical vein problems. As ‘vein doctors’ we should address the entire spectrum of vein problems, should not ignore patient’s strong wishes and treat what matters to them - the big and the small veins. What is Venous Insufficiency? Uni-directional valves are essential to insure the flow of blood from superficial to deep veins and from the legs to the heart. These valves are present in ALL veins, the tiniest and the largest

Underlying Venous Insufficiency Can Be Treated By: Foam Sclerotherapy - the injection of a sclerosant mixed with CO2 to close reticular veins.

alike. When these valves leak or become incompetent, the blood flows backwards, pools within the veins and weakens their walls. This condition, called venous insufficiency, may occur in veins of all sizes. In large ‘trunks’ like the great saphenous vein, this will result in what is commonly known as varicose veins, while in smaller (2-3 mm) veins under the skin (reticular veins) it will produce spider veins.

Phlebectomy - a delicate surgical removal of small or large bulging veins. Ultrasound guided sclerotherapy - a closure by sclerosant of deep incompetent perforating veins, under ultrasound guidance.

Spider Veins - Often Part of a Bigger Problem As mentioned above, leaky valves in reticular veins result in spider veins. These can be isolated phenomena. But spider veins can also be a manifestation of a deeper, larger vein’s insufficiency that over the years has gradually affected more superficial veins and eventually, reaches the reticular veins. A patient who comes in for the treatment of spider veins, should be first assessed to determine whether these are an isolated issue, or part of a broader and deeper, problem.

Endo venous laser ablation - laser closure of large incompetent veins. At First State Vein and Laser Center we offer all these modalities, alone or in combination, in order to reach the most desirable longlasting results.  Our success is measured by the ability to understand, diagnose and explain to our patients what their particular underlying venous problems are and how we plan to solve them. We are committed to address the entire spectrum of their problems, the small, as well as the big issues.

Isolated Spider Veins Can Be Treated By: Sclerotherapy – closure of the veins by injection of a chemical solution called sclerosant, ideal for spider veins 0.8 - 1.2mm in width.

Testimonial I vacillated for years with the

Ohmic Thermolysis - works by a heat generated by radiofrequency device called “Vein Gogh”, best for spider veins smaller than 0.8mm in width.

Spider and Varicose Vein Experts

L.H.E. Therapy – combined Light and Heat Energy Technology – effective for very tiny veins.

before

after

In-depth Knowledge of Venous Disease

When spider veins are a manifestation of an underlying large veins venous insufficiency, which can happen even without the presence of large varicose veins, the underlying problem should be addressed first.

www.SomersetCountyWJ.com

idea of having a procedure done, to eliminate my spider and varicose veins. I had been to a few dermatologists but, just never felt comfortable enough to move forward.  Then my sister-in-law told me about First State Vein and Laser MediSpa.  She had been to Dr. Shapira and her great results and told me to call.  I did just that; and from my very first appointment, I knew Dr. Shapira could help me. He took the time to determine the cause of my issues and then to explain exactly what needed to be done. He assured me he could help my legs look and feel better and he did! I cannot say enough good things about Dr. Shapira and his staff; they are incredibly knowledgeable and friendly. This was the first summer in years that I was actually comfortable wearing shorts and dresses.

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Vein GoghTM and LHE®, the Newest Proven Technologies for Spider Veins Targeting the Source, to Minimize Reoccurrence Excepting All Insurances

302.294-0700 • 1300 N Franklin St, Wilmington, DE • FirstStateVein.com


Health andMedical

Babak Vakili, M.D., is the director of the Center for Urogynecology and Pelvic Surgery. Dr. Vakili is a fellow of the American College of Obstetrics and Gynecology. He completed a fellowship in Female Pelvic Medicine and Reconstructive Surgery at the Louisiana State University Health Science Center in New Orleans, LA.

Emily K. Saks, M.D., MSCE, is a urogynecologist with the Christiana Care Center for Urogynecology and Pelvic Surgery. Dr. Saks completed a residency in Obstetrics and Gynecology at Pennsylvania Hospital in Philadelphia and has completed a fellowship in Female Pelvic Medicine and Reconstructive Surgery at the Hospital of the University of Pennsylvania.

A

A lot of women needlessly endure stress urinary incontinence (SUI), a condition in which they experience an involuntary loss of urine when they laugh, sneeze or exercise. In fact, SUI is the most common form of incontinence in women, impacting 28 percent of women age 30-39 and about half of women over 50, according to a recent University of Washington survey. There are many treatment options for this condition, both surgical and non-surgical. One of the surgical options is a sling operation. This is an effective procedure involving the placement of support material through small incisions in the vagina. There are many types of slings, most of which have been used successfully for more than 15 years. However, concerns have been raised recently about complications associated with synthetic slings. In 2011, the U.S. Food and Drug Administration issued an alert on the use of some types of slings for incontinence surgery. Consequently, we often see patients in our office who are frightened at the prospect of getting any type of sling to resolve their issues with leaking. However, there are a number of slings that are highly effective and have very low risk. Learn the facts When considering any kind of surgery, you shouldn’t be shy about asking all the questions you would like answered. To get the information you need to

Howard B. Goldstein, D.O., MPH, is a fellow of the American College of Obstetrics and Gynecology. He completed a fellowship in Female Pelvic Medicine and Reconstructive Surgery at Cooper University Hospital in Camden, NJ. He currently serves as the Director of Research and Education for the Division of Urogynecology.

make an educated decision about slings, talk to a urogynecologist, a specialist who is trained in both female urology and gynecology. Urogynecologists are focused on finding solutions for women who suffer from leaking and other problems involving the bladder, uterus and rectum.

Learn The Facts About Bladder Slings

days to a few weeks. After they recover, about 85 percent of women will be able to jog, sneeze or laugh at good joke without leaking. So is a sling right for you?

A urogynecologist who is experienced in both surgical and nonsurgical treatments for SUI will answer your questions and provide you with the information you need so that you can make an informed decision.

Bladder problems shouldn’t keep you from the things you enjoy most in life.

A vaginal sling is a sort of hammock. It provides support for the urethra, the tube that carries urine from the bladder. That support keeps the urethra from opening and spilling urine when you do jumping jacks, have a coughing fit or do other activities that result in leaking. The mesh is made from polypropylene, a form of plastic. It has been used safely for more than 30 years in many surgical procedures, such as hernia repairs and vascular surgery. Know your options According to the FDA, the use of slings to treat SUI is less invasive than repairs that don’t involve slings, which require a larger incision in the abdominal wall. Because there is less cutting of tissues, patients can expect less pain and a quicker recovery.

Let us help you get back to what really matters.

Sling procedures involve tiny cuts about the size of an eraser head. So there is very little scarring. The outpatient procedure for the slings takes about 20 minutes and is performed under anesthesia. Within 36 hours, most women are back on their feet, feeling as if they have not had surgery. The time for a full recovery varies with the individual, from a couple of

302-623-4055

Life. Healing. Caring. 13WHS85

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christianacare.org/urogynecology www.SomersetCountyWJ.com


What You

Health andMedical

Should Know

About Mammograms

information provided by Care First –Blue Cross BlueShield www.carefirst.com

Many women are afraid of mammograms but having one is definitely worthwhile. In fact, it can even save a woman’s life. If the test is normal, you will feel better knowing that you are OK. If however; there is a problem, it is better to know early. Regular mammograms can detect breast cancer BEFORE it spreads. Treatment works best when the cancer is found early. Make an appointment to see your Doctor for a mammogram if you fall under any of these categories that pose a higher risk: •

Your Mother OR sister has/had breast cancer

You have Jewish ancestors from Eastern Europe (A certain gene is carried among this group)

You had your first menstrual period before age 12

You NEVER had children OR you had your first child after age 30

You had radiation treatments to your chest area

You have a lump, nipple, discharge, breast pain or dimpling of skin on the breast

Breast cancer is NOT a death sentence when detected early. Detection at later stages may be managed with all the new technologies and treatment available. It is never too late to be evaluated and undergo treatment. There is life after the diagnosis. FACE YOUR FEAR and TAKE CHARGE!!

Starting at age 40 women should have a mammogram every 1 – 2 years. If you feel a lump, see or have questions about anything unusual in your breast contact your health care provider.

When should I have a mammogram?

How do I get ready for my mammogram? • Make the appointment for 1 week after your period, when the breasts are less sensitive. • Wear a shirt with shorts, pants or skirt. This makes easier to undress from the waist up.

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• Do not wear deodorant, perfume, lotion or powder under arms or on your breasts on the day of your appointment. These products make shadows on the mammogram.

For resources and additional information: Contact your Doctor American Cancer Society 1-800-ACS-2345 www.cancer.org The National Cancer Institute

www.SomersetCountyWJ.com

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Health andMedical

Tell Your Story of Survivorship! By Trudy K. Perry Trudy K. Perry is a co-founder of Taking Flight and is a long-time activist for women having worked with Wider Opportunities for Women and Dr. Dorothy Height and the National Council of Negro Women. Trudy is most interested in Taking Flight collecting breast castings and stories of women globally to highlight the common experiences of women throughout the world.

Live Out Loud. Take Control.

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Every woman has a story to tell. Some women keep journals to help get hold of whatever’s happening in life at the moment or maybe to hold a memory so that years later those feelings can be summoned again. Women fighting breast cancer have profound stories on the experience of battling the disease and the feelings that come with the work of accepting their changing bodies. The Pink Project recently began to help breast cancer survivors who are interested in celebrating themselves and sharing their life experiences. With tender care Creative Director Donna BeaverYoung makes a plaster-of-paris casting of each participant’s breasts and helps her turn a stark white casting into a masterpiece that captures her essence. Even more poignant, each woman writes a one- page essay of her experience. These stories give

voice to overwhelming fears, living though pain, coming to terms with physical changes, and redefining beauty and self. Women write about receiving love and support from medical personnel, new friends and strangers. This is heavy duty stuff and not for the faint hearted. Participants have shared that creating the casting and telling their stories has been empowering and rewarding. Participating in the work is therapeutic and cathartic as each woman loudly asserts her authority over her body. The work helps sister survivors see possibilities of life in the struggle as it encourages healthy women to get mammograms and do self breast checks.

Taking Flight hopes the exhibit heightens awareness of the disease and encourages women to get mammograms. Through The Pink Project, Taking Flight works to help survivors voice their experiences and builds empathy for the lives of women. So far Taking Flight’s exhibit of it’s’ project Telling Intimate True Stories, featuring all women, has been in restaurants in Washington, DC and Richmond. The organization hopes to exhibit The Pink Project in hospitals where women receive treatment for breast cancer.

Elizabeth

Taking Flight, the non-profit that operates the Pink Project, plans to exhibit the work to the public giving people a window into the lives of breast cancer survivors.

I felt a lump, but I didn’t feel bad. I didn’t lose weight.  There were no obvious symptoms.  Once it was confirmed that the lump was indeed breast cancer it was a surprise to everyone except me.  The only symptoms I ever had were caused by the medicines that I took like the four courses of chemotherapy that made me anemic and very ill.  The six-week radiation treatment irritated my skin, and the five-year course of followup has thrown me into full and unexpected menopause. It turned my life around... I put a picture of a tree where the cancer was in my breast casting.  I imagined something beautiful growing in the space where the doctors took out the tumor. … I never completed reconstruction of my left breast because I couldn’t stand the

thought of one more day in surgery. Instead I went out for a long walk with my family.  I’ve been walking ever since. According to the Susan G. Komen Foundation breast cancer is the most common cancer found among every racial and ethnic group in the U.S. In 2013, it is estimated that among U.S. women there will be 232,340 new cases of invasive breast cancer and 39,620 breast cancer deaths. Breast cancer rates in the U.S. vary by race and ethnicity. White women have the highest breast cancer incidence rate of any racial or ethnic group. African American and Hispanic/ Latina women are more likely than white women to be diagnosed with later stage breast cancer. The two most common risk factors for breast cancer are being female and getting older. Taking Flight works with all women and has a goal to work internationally capturing broad diversities in race, socio- economic status, ethnicity, religion, sexual preferences and health status.  Taking Flight operates The Pink Project to bring attention to breast health and help women assaulted by breast cancer. Please contact Taking Flight to be a part of The Pink Project, opening in October 2014, by contacting Creative Director, Donna Beaver-Young at dbeaveryoung@gmail.com or 703.822.1295. Please visit www.takingflightnow.org or Telling Intimate True Stories on Facebook.

Taking Flight www.takingflightnow.org

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www.SomersetCountyWJ.com


Health andMedical

Health

&W Wellness ellness

Start The New Year As A Newer, Leaner You.

The Answers About The Most Effective, Popular Diet: HCG Diet

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Business andFinancial By Diana Sieberg Diana Sieberg, IOM, Vice-President, Member Services for the Somerset County Business Partnership. Beginning my not-for- profit career with the Somerset County Chamber of Commerce in 1996, I have maintained my position handling Member Services through the 2001 merger that resulted in the formation of the Business Partnership. Continuing my education, I have since graduated from the United States Chamber of Commerce “Institution for Organizational Management with a Certificate in Nonprofit Organization Management.” Owning an appliance business with my husband offers me a unique perspective into the needs of small business owners and the ability to customize Partnership benefits to enhance prosperity. My first-hand understanding of members and potential members’ challenges helps me to provide the necessary services for our members to succeed.

Your Chamber... Your Community!

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The Somerset County Business Partnership serves as central New Jersey’s regional Chamber of Commerce. The organization boasts a 90+ year history as a Chamber of Commerce servicing Somerset County and serves as the only accredited Chamber in New Jersey. Members and investors represent public, private and community organizations. They work in partnership and are dedicated to maintaining and promoting economic prosperity and quality of life in the County. The Business Partnership provides an essential means for doing business, and as such, is the premier regional business organization in New Jersey. The Partnership is positioned to lead the business community to a future that is prosperous and sustainable. The Partnership seeks to achieve key outcomes, which are public leadership, advocacy, economic and community development, and value/engagement, providing leadership, opportunity, and results for the Somerset County business community. The Partnership includes Committees, Task Forces, and Special Interest Groups designed to provide opportunities to network, exchange ideas, gain new business strategies, and to influence the Partnership agenda. As such, a wide range of membership needs are met. Special Interest Groups include: CEO Roundtable for owners and managing partners to learn from and advise each other through the sharing of experiences and best practices; Emerging Leaders for business people who are rising within their professions or community organizations; Financial Services Special Interest Group of member

financial professionals who provide educational opportunities for members on issues affecting personal and professional financial lives; Human Resources Special Interest Group providing members a resource to obtain information from people who specialize in the Human Resource arena; Leads Groups offer the opportunity to share leads and referrals with other members; SOHO (Small Office/Home Office) provides support and information exchange to foster company growth and strategic alliances among small businesses; Technology Special Interest Group educates members on technological advancements and how they may impact profitability; Women in Business is directed at the specific needs of women and their businesses. Members benefit through a tradition of recognizing and nurturing growing businesses at annual events and programs. The Partnership committee structure includes Awards, Communications, Events, Golf Outing, Legislative Affairs, Networking, Sustainable Somerset, and Tourism.

Donna LoStocco Affinity Federal Credit Union

The Partnership is Somerset County’s voice of business to drive legislative agenda. Members can be assured of a successful track record advocating and obtaining infrastructure investments in the County; effective economic development services; and a “smart growth” agenda to guide community development and promote environmental sustainability. In addition, the Partnership also represents the official tourism Destination Marketing Organization for Somerset County, and has proven leadership in bringing communities together to share services.

21

Theresa Richardson WithumSmith+Brown

Shirley Perlinsky S&G Cleaning Services

See what these women have to say about their Somerset County Business Partnership membership http://www.scbp.org/member-benefits/testimonials/ The Somerset County Business Partnership is your chamber of commerce and much more. Contact us today to learn how a Somerset County Business Partnership membership can benefit your business at www.scbp.org.

908-218-4300 www.scbp.org

www.SomersetCountyWJ.com


Business andFinancial By R. Caren Bitar R. Caren Bitar earned B.A. and M.A. degrees in English before going on to teach undergraduate creative writing. She then worked in offices for years as a writer and editor. Ms. Bitar decided to take her talents to the Web. WhizMarks.com was founded in the Summer of 2010. Numerous individuals and businesses around the world now benefit from her expertise. She currently serves as Copy Editor for Fairfax Woman Magazine and its sister publications in Northern Virginia and Southern Maryland.

First Impressions, Last Impressions…

D

Do you remember the old adage, “first impressions, last impressions?” Psychologists have studied the fact that upon meeting a person for the first time, the brain forms a mental image. The primary formation of that image has power over thoughts. The question is: can we take our first not-so-good impressions back? Here are a few reasons making a first impression on paper can make or break a connection. Cover Letters and Resumes: The ever so familiar task of writing a resume—with visually appealing formatting—can create an immediate response from an employer. Improving your resume can create a good first impression that might get your foot in the door for a well-earned interview. Nicely prepared resumes and cover letters can make you seem competent, prepared for the challenges of a job, well spoken, and computer savvy. You may consider sending job application materials to a professional editor. You’ll feel more confident getting that basic cover letter polished by an editor before putting it out there. Online Dating Profiles: More than ever before, singles are using the internet to meet new potential dating partners. The problem is that first impressions do not only involve photographs but personal write-ups. It’s surprising to see how many men and women either

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the same same time, time, they they also also quences.Contributions Contributionscan can the quences. control the assets and can be made in one lump sum employs a disciplined process that We utilize some of the finest and the assets and can beutilize made in ofone lump sum control Rebalance your employs a disciplined process that We some the finest and The newer variety of 529 529 is your Rebalance your Now bills, eveninstitutional though of your future isinstitutional through anmoney obretain the power power to control control orin in monthly installments. Get Started The newer variety d most reputable sophisticated inves-is most retain the to or monthly installments. portfolio. n reputable institutional money sophisticated institutional investhe savings plan. It’s simiportfolio. withdrawals from the acacAndassets assets contributed toaaa withdrawals portfolio jective analysis of your These portfotheinvestment savings plan. It’shas simi- managers inthe thecontributed country. tors have followed fordecades decades the And to Tocontrol controlrisk, risk,from weincorporate incorporate managers in country. These tors have followed for To we lar to an investment acplan. In addition, there are no The programs 529 plan is a great way typically will pay gifts to the beneficiary, so count. By accelerating accelerating use 529 plan are not considered dropped ininvestment value? lio and strategy. “financial gather your: antheir In addition, there are no use managers are carefully selected inlar managing investments. aSimply formal portfolio rebalancing programs typically will pay gifts 529 plan isnot aThis great way plan. totothe beneficiary, soac- The count. By 529 plan are considered guarantees regarding thetax per-exclumanagers are carefully selected in managing their investments. a formal portfolio rebalancing count, but the funds for grandparents to shelter future college tuition at any anyone — even non-relaof the annual gift owner’s part of the account Presented by Glenn r. toussaint, CFP®, ChFC®, aaMs guarantees regarding thetax per-exclu• And, Most are checkup” is one way to ensure count, but the funds and continually monitored by program that uses state-of-the art itemploys employs adiverse diverse range for grandparents toClu, shelter future college tuition at any anyone —importantly, even non-relaof the annual gift owner’s part of the account formance of theuses underlying in- art and continually monitored by program that state-of-the And, it a range accumulate tax deferred. formance of the underlying in- — inheritance money from esof the sponsoring state’s eltives — can contribute up to sion, a grandparent as estate, therefore avoiding you not getting that your therefore portfolio is avoiding properly SEI Financial Management, accumulate tax sufficient deferred. Since 1983, Glenn Toussaint has beeninheritance the President of Toussaint Financial Associates. Ingrandparent addition to the vestments in Section 529 plans. technology to maintain asset • Last twelve months’ of of asset classes, investment styles, money from esof the sponsoring state’s el- tives — can contribute up to sion, a — as estate, SEI Financial Management, vestments in Section 529 plans. technology to maintain the asset of asset classes, investment styles, Withdrawals from statetate taxes and contribute igiblecolleges collegesand anduniversiuniversi- $12,000 $12,000 per year (in 2007) 2007) well as anyone, anyone, for that estate taxes upon the The tax implications of athe Section managing the firm’s operations, his professional responsibilities focus onthe a variety ofimplications areas including one of the world’s leading Withdrawals from stateadvice and guidance on managed and your strategy class exposures within boundarand nationally prominent investfinancial statements; tate taxes and contribute igible per year (in well as for that estate taxes upon The taxexposures of athe Section one of the world’s leading class within boundarand nationally prominent investsponsored 529 plans are 529 savings plan should be dissubstantial amounts to a ties (and some will pay an per beneficiary without inmatter — could elect to use owner’s death. investment management, financial and estate planning, qualified retirement plans, insurance and employee investment management firms. sponsored 529 plans are substantial ies ofyour your— asset allocation policy. plan should be tax disment managerslosses towithout meet your spereducing and enstill suitable. 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These savings generfive-step asset management employs a process that utilize of the finest and The newer variety of 529 Unlike the case with pretheir own Section 529 plans, Rebalance your Seek out the best. bills, even though your your future is through an obinvestment destiny; retain the power to control or in monthly installments. as $60,000 per beneficiary to some of the largest and most These savings plans generGet Started Now Glenn R.institutional Toussaint,of CFP®, CLU, TheGlenn newer variety 529 is Unlike the case with pretheir own Section 529 plans, process designed to respond to most reputable institutional money sophisticated invesretain the power togoals control or in monthly as per beneficiary portfolio. been voted one of installments.  “America’s Best Financial Planners” by Consumers Research Council America 2004- investoassessment some of the largest and most In $60,000 today’s complex world, R.institutional Toussaint, CFP®, CLU, most Recent market volatility makes ofpeople your and ally allow of any in- which may of provide advantages process designed to respond to reputable institutional money sophisticated investhe savings plan. 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What I Do limits, annual taxdies report. a prudent investment strategy to 2 gle contribution of as much or her estate for tax purwill help you manage your management consulting services change the beneficiary as election and during the fiveWhat should you do now? personal goals and investment mutually exclusive equity styles. asset classes, style allocations qualified college secondary schools in the annual tax report. five-step asset management no income phaseout to help you make right gle contribution ofshe as is much orit calendar her estate for tax puryear period, partthe of the consulting services securities holdings, but also anwithstrategy. help you protect and increase your plans you may have. asset classes, style allocations and However, it’s notcase an easy tasklimits, finding), counseling and goal These savings plans generlong asthat heper or withinyear fee in several ways, including: cost? five-step asset management Ano personalized asset This approach mitigates the income phaseout More importantly, here Unlike the with pre- management United States. The risk calendar period, partweofare the help you protect and increase your as $60,000 beneficiary poses. to some of the largest and most These savings plans generlong as he or she is within Now? A personalized asset This approach mitigates the Please take the time to contact strategy, as well as alleviate multiple specialist money managMore importantly, we are here Unlike the case with preUnited States. The risk with contribution could revert back to process designed to respond to no residency requirements as $60,000 per beneficiary poses. choices to get back on toassessment some of the largest and most to evaluate and to select a qualified setting, while others are more wealth. Recent market volatility makes ofpeople your goals and multiple specialist money managally allow of any in- • involatility the immediate family ofthe thecontribution could revert back to inherent in any single process designed respond to no residency requirements toDo provide youdisclose with theto highest paid tuition plans, contrithese plans is that investmanagement process Straight hourly fees or 2. you fully clients wealth. 2007 (or a couple could prestigious companies in the the donor’s estate. ally allow people of any inthe immediate family of Report the results. volatility inherent in any single to provide you with the highest ers are combined to meet your paid tuition plans, contrius for a complimentary consome of your concerns. plans is that investmanagement process your individual needs while also and one you can use to torisk in investment 2007 (orresults. aindependent couple could companies in the financial advisor or planner. analytical inyour nature. Some use Report donor’s estate. the ersthese are combined tocontribute, meet your this a— challenging time foralso tolerance, tax status come level to contribute, style. beneficiary. A 529 529thelevel original a licensed your individual needs while ofpersonalized personalized service any — and one you can use retainers butions can be used for all prestigious By comparing different thetrack. compensation that they ments may lose money, orAs nation. for successful investing. contribute $120,000 in As our client, you will receive come level to investment style. beneficiary. A original level of service atatany investment objectives. As the investment markets butions can be used for all By comparing different ments may lose money, or responding to the dynamics of sultation to ensure a lifetime pay for more than just tuAmong the many professionals software to generate financial nation. for successful investing. contribute $120,000 in As our client, you will receive Through us, you now have priviinvestment objectives. Inpercentage addition, allocating a sim-Through and there are no age limits plan is also extremely responding to the dynamics of tu-and Contact Glenn Toussaint for statime, whether it’sToussaint reviewing the investors. The ongoing potential liabilities, and a wellone financial advisor, Ias cannothen generate? How? pay for more thancredit just qualified higher-education plans, you can determine may not perform Your portfolio would bediversidiversi2007), as long us, you now have privi• A ofextremely assets advised of the most comprehensive In addition, allocating aother and there are no age limits plan is also sim- time, Contact Glenn for stawhether it’s reviewing the who describe themselves as plans that cover many different qualified higher-education plans, you can determine may not perform wellone the capital markets. have dropped significantly ition? Glenn Toussaint is located at To Your portfolio would be of benefits for you and your 2007), as long as no other of the most comprehensive support and assistance with Contact Glenn Toussaint for leged access to the disciplined process portion of assets to international for the student. The acNext Steps ple when it comes to tax retus of your account or consulting the capital markets. ition? review your financial informacrunch, fears over a recession, cost/benefit analysis of thecollege fees expenses (tuition, fees, for which might be available to cover enough or invested by the planner fied by utilizing multiple specialist Determine your risk support and assistance with 3. Do you help to select specific chieving financial success contributions are made for and easy-to-understand reporting leged access to the disciplined process portion of assets to international for the student. The acple when it comes to tax retus of your account or consulting “Financial Advisors,” you aspects of personal planning, expenses (tuition, fees, fied for which might beAmerica’s available to cover collegeand enough Yourportfolio portfolio strategy begins these and other aspects of by utilizing multiple specialist Determine your risk form their 2007 highs,begins you chieving financial success contributions are made for easy-to-understand reporting Fieldcrest Ave., 5th Flr., Edison family. stock and bond investments can these employed many of largest support and assistance with with usbyby on any matter of concern count owner can maintain porting — the sponsoring Your strategy and other aspects of tion, discuss your current goals, books, equipment and sup- managers your situation. You may costs as anticipated. and weak economic data may and expenses you areamaintain paying. investment or insurance combined in unique packages available. It includes a is a complex and confusing stock and bond investments can that beneficiary for five employed many of America’s largest will find a vast range of including budgeting, insurance, with us on any matter of concern count owner can porting — the sponsoring planning your financial future. • Commissions paid on products profile and investment Consider the 529 savings books, equipment and supyour situation. You may costs as anticipated. with a personalized investment managers combined in a unique available. Ittake includes afive isroom a complex and confusing that beneficiary most likely have watched your 732-417-2419 or If e-mail him at your financial future. further reduce your portfolio’s profile and investment Consider theinvestment 529 companies, and nationally promito you. control of the account until packages state, not you, isfor responsiwith aleft personalized these and other aspects of 4 reduce products fortoto clients? so, how If you want to back conplies, and board), and find that 529 programs “style neutral” approach. Foruntil and provide you with: Glenn Toussaint is located at have you uneasy about your qualifications, business practices, and retirement. Others consolidated account statement of planning further your portfolio’s challenge tothen even the mostsavings expeyears. If the account owner sold the planner companies, and nationally promito you. control of the account state, not you, is responsi4 through plan, an increasingly popuplies, room and board), and find that 529 programs analysis, and graduates “style neutral” approach. For Glenn Toussaint is located at - analysis, objectives. consolidated account statement of challenge to even the most expeIfrisk the account owner portfolio value drop along with overall and improve is: www.toussa plan, an increasingly popunent investment managers. funds areU.S. withdrawn — years. and then graduates In most cases, 529 savings blefor for all income tax record many choices do youAssocioffer? Toussaint Financial planning your financial future. objectives. and compensation methods. This specialize in interpreting example, the stock portion the funds usually can be example, make saving for college easBack To The Basics trol of your investments, conactivity, quarterly account-level per- Toussaint overall risk and improve rienced investors, requiring asigsiggoals and investments. A “financial checkup” can help dies, the 529 plan balance nent investment managers. funds are withdrawn — In most cases, 529 savings ble all income tax record Financial Associlar way to save for higher• A combination of the above the U.S. stock portion through he portfolio constructhe funds usually can be make saving for college th easEvery investor has different activity, quarterly account-level pern through rienced investors, requiring a dies, the 529 plan balance Contact Glenn Toussaint for support potential return. International ates, 105 Fieldcrest Ave., 5 the markets. But, at the same lar way to save for higherhe portfolio construcand, if desired, can even plans place investment dolkeeping. At the end of the th article will help you select the financial markets and creating Every investor has different your blends foureven used atamount all accredited postier than before. formance reporting andpart adetailed detailed Contact Glenn Toussaint for support a return. International 4. Do you follow a specific 105 Fieldcrest Ave.,upon 5 tact me forAt a complimentary nificant time, knowl• Recommendations that ispotential not considered ofof his you regain control ofcan your and, ifportfolio desired, plans place investment dol-formance keeping. the the ates, Talk to usabout about improving education expenses, which ofof your portfolio blends four tion process inwhich which multiple used at all accredited postier than before. needs and objectives. Itisiscritical critical reporting and aend Flr., Edison, NJ 08837 and , tion nificant amount ofof time, knowlis not considered part of Whatever the compensation, ithis aspects of planning your financial futu investing involves certain risks, Talk to us improving upon education expenses, which advisor or planner who’s right for disciplined investments time, a more worrisome drop process in multiple change the beneficiary as lars in a mix of funds based year when the withdrawal is Registered Representative an needs and objectives. It Flr., Edison, NJ 08837 and mutually exclusive equity styles. investment planning program secondary schools in the annual tax report. aspects of planning your financialoffutu investing involves certain risks, edge andmore resources. That isand why If you are experiencing any financial review. This checkup or her estate for tax purwill help you manage your change the beneficiary as lars in ayour mix ofinvestment funds based year when the withdrawal is may be reached at 732-417What should you do now? personal goals and your investment portfolio. mutually exclusive equity styles. have than tripled over asset classes, style allocations to discuss own financial sitsecondary schools in the annual tax report. should be clearly disclosed at the , asset edge and resources. That is why Toussaint Financial Associates, 105 or her estate for tax pursuch as currency fluctuations, you. programs. may be reached at 732-417your investment portfolio. have more than tripled over classes, style allocations and to discuss your own financial sit- poses. long as he or shethe isthe within “© 2007 Emerald Publicaon the age of beneficimade for college, college, you will 2419 may have occurred – risk a demand drop in This or visory process? approach mitigates Services Offered Through More importantly, weare areyou here Toussaint Financial Associates, 105 FiF such asimportantly, currency fluctuations, United States. The with or2007 e-mail him at: gtousmany affluent investors of these “Red Flags”, then could simply reconfirm that long as he or she is within “© Emerald Publicaon the age of the beneficimade for will This approach mitigates the the past two decades — Please take the time to contact strategy, as well as alleviate uation with a skilled investment multiple specialist money managMore we here start of the relationship. Also, you United States. The risk with 2419 or e-mail him at: gtouss multiple many affluent investors demand 08837 and can be reached at 732-41 economic instability, and political poses. the past two decades —volatility uation a skilled investment specialist money managthe immediate family ofallocathe toeconomic tions” ary, with account receive Form 1099 from the5. inherent any single Qualifications Anwith ethical advisor/planner saint@htk.com. His website is: your confidence asthat an invesprovide you with the highest 08837 andforward be reached atis: 732-417 instability, and political Registered Investment these plans is investIf (HTK). Ilook want acan “second opinion” afor different investment approach, the immediate family of the tions” ary, with account allocareceive Form 1099 from the volatility inherent inin any single this could bebefore an indication you should “stay the course” saint@htk.com. His website have a right towith know any source We to serving your with annual costs of more professional you begin to provide you the highest ers are combined to meet your us a complimentary consome of your concerns. these plans is that investo ers saint@htk.com. His website www developments. Additional risks aLook different investment approach, We look forward to serving your cial.com. www.toussaintfinan with annual costs of the more professional before you begin for amay planner with aportfolio is onebeneficiary. who: are to their meet your investment style. A 529 529 original tions becoming morelevel state, and there is only onewww.toussaintfinan ofpersonalized personalized service atany anyone saint@htk.com. Hiscial.com. website is:is: www developments. Additional risks tor, acombined drop caused by both By comparing different ments lose money, orfor on(732)-225-0777. a course of confidential action that you Toussaint Fin one that elevates of revenue that your relationship investment style. beneficiary. A original tions becoming more state, and there is only needs in a highly maninvesting. level of service at than $30,000 per year that your investment strategy with your current strategy. investment objectives. By comparing different ments may lose money, or sultation to ensure a lifetime Registered Representative of and Sec may be associated with Emerging - investment one that elevates their portfolio Sources: college degree, several years ofwell 1)isis also always honest toa time needs in a highly confidential maninvesting. than $30,000 per year for objectives. In addition, allocating plan extremely simconservative as the for figure to enter on it: the time, whether it’s reviewing the staRegistered Representative of and Secu may be associated with Emerging recommend is that a problem Sources: plans, you can determine may not perform severity of the declines and a beyond one-dimensional strateH generates. When the professional In addition, allocating a plan is also extremely simconservative as the time for figure to enter on it: the We will help you determine time, whether it’s reviewing the staner and helping you succeed in this the average private fourplans, you determine not perform well doesn’t accurately reflect your However, itofcan may help idenServices Offered Through Hornor, Tow Markets securities, beyond one-dimensional strateGlenn Toussaint isincluding located at Toussaint Financial Associates, ofmay benefits for you and your experience in financial services, clients, especially about We will help you determine nerServices and helping youThrough succeedHornor, in 105 this Tow thewhile average private four-portion of assets to international for you? Next Steps ple when it comes to tax recollege draws closer. But reamount income to report tus of your account or consulting Offered Markets securities, including for which might be available to cover college enough has no qualms about disclosing 1 risk Determine your gies leveraging the expertise lack of guidance and direction portion of assets to international 1. The College Board, 2006 ple when it comes totakes tax re-re-tus illiquidity whether you need investments college draws closer. But amount of income to report ofFieldcrest your account or consulting world investment opportunity. Named after year college. for world might be available toyour cover enough Registered Investment Advisor. Memb and volatility. and awhile professional designation. Of risks and costs; 2) 1 risk current personal situation. tify ifthe changes are necessary Determine gies leveraging the college expertise Ave., 5th Flr., Edison, NJ 08837 and can be Advisor. reached at 1. The College Board, 2006 family. whether you need investments stock and bond investments canhavewhich ofofinvestment opportunity. Named after year college. with us on any matter of concern porting — the sponsoring Registered Investment Memb illiquidity and volatility. cently, more states on student’s tax return. compensation, it’s a good sign that 2. As with other investments, your situation. You may costs as anticipated. It’s a good idea to ask trusted of highly skilled professional stock and bond investments can regarding how best to get back Registered Representative of that produce income, growth with us on any matter of concern A8CDporting — the sponsoring cently, states have your onbetter the student’s tax return. profile and investment s profile the section of the tax tax code codefurther more than a dozen designations the timemore to listen closely to HTK does not offer tax orand legal advic 2. As with other investments, situation. You may costs as anticipated. of the highly skilled professional to reflector your current Registered Representative of that produce income, growth 732-417-2419 e-mail him at: family gtoussaint@htk.com. 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Flr., Edison, NJ Financial Associates, 105 Ave., 55(732)-225-0777. such asasevaluate currency fluctuations, increase your wealth by delivering FINRA/SIPC (CFP) The CFP designation these “Red Flags”, then could simply reconfirm that “© 2007 Emerald Publicathe age of the beneficimade for college, you will and market their plans, so — of every state. uation with a skilled investment increase your wealth by delivering FINRA/SIPC (732)-225-0777. are satisfied, butoffer also on specific should know thatinvestment the key to 08837 and can be reached at 732-417-2419 or e-mail him at: gtouseconomic instability, and political hiring one. Most do not charge professionals do not promote every state. uation with a skilled Set your asset tions” ary, with account allocareceive Form 1099 from the number of ina growing HTK does not tax or legal trated in certain industries and can be reachedInvestment at 732-417-2419 or e-mail himFINRA/SIPC at: gtousinstability, political (HTK). Registered Advisor. 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Toussaint diversify your investment portVoted One of “America’s Best Financial Planners” by **Registered of and Securities and Investment Advisory Services Offered Through Ho is available only to CPAs who variation in a portfolio’s returns. • Has it been a while since match on the money incollege savings accounts. personal portfolio will evolve return. Voted One “America’s Best Planners”  GlennR. Toussaint diversify your investment portVoted One of**Registered “America’s Best Financial Planners” by - variation rate of tuition increase. Of Representative of and Securities and Investment Advisory ServicesEdison, OfferedNJThrough Horn in a portfolio’s returns. match on the money incollege savings accounts. personal portfolio will evolve you may find comfortable Registered Investment Advisor, Member FINRA/SIPC,105 Fieldcrest Avenue, 08837,Horno (732 Glenn R. Toussaint rate of tuition increase. Of folioGlenn Consumers**Registered Research Council of America, 2004-2007* Representative of and Securities and Investment Advisory Services Offered Through CFP ®,Toussaint , CLU, asset classes, pass special requirements across multiple This is why determining the most by Consumers Research Council of America, 2004-2007* vested. In 48 states, earnwith you. It is not a get-richyou reviewed your stratvestment Advisor, Member FINRA/SIPC,105 Fieldcrest Avenue, Edison, NJ 08837, (732-225-0777). To R. Consumers Research Council of America, 2004-2007* CFP ® CLU, Independent of Hornor, Townsend & Kent, Inc. folio across multiple asset classes, - This course, each state plan has is why determining the most by Consumers Research Council of America, 2004-2007* vested. In 48 states, earnwith you. It is not a get-richvestment Advisor, Member FINRA/SIPC,105 Fieldcrest Avenue, Edison, NJ 08837, (732-225-0777). Tou inrelated today’s environment; toeach financial planning. 3 course, state plan has Hornor, Townsend & Kent, Inc. Funds contributed to a 529 within multiple investment styles appropriate asset allocation policy CFP®, CLU, ®, , AAMS ChFC ings are exempt from taxes. quick strategy or a “hot-tip” egy? 3 Townsend & Kent, Inc. The best way correcttothis sit- Hornor, Funds contributed a 529 within multiple investment styles p appropriate assetdesigned allocation policy adifferent different mix ofrules and CFP®, CLU, ®,multiple , to AAMS ChFC ings are exempt from taxes. A7CD-1217-09 quick strategy or a and “hot-tip” Contact me for a free consultation: 732-417-2419 • for poorly –rules orconaBe mix of and plan are considered to be and by using money you is paramount to your • Compatibility Ethics And there are even new Contact me for a free consultation: 732-417-2419 investment product. 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Email: gtoussaint@htk.com E-Mail: gtoussaint@htk.com gtoussaint@htk.com t investment sumer-friendly who have valuesreward thatreturns; are that 19 E-Mail: consider after-tax grams popping up 19 Website: www.toussaintfinancial.com Website: www.toussaintfinancial.com r Diversify grams popping up that across asset compatible with your goals Website: The County Woman Magazine 00www.toussaintfinancial.com Website: www.toussaintfinancial.com • allow Be County generating significant Diversify across asset people who purchase The Woman Magazine 00 e classes allow people who purchase and within styles. costs and and expenses without certain products and serv- *Top classes within styles. www.SomersetCountyWJ.com *TopFinancial Financial Planners selected through the application of a point system. assessed include a review of a financial Plannersareare selected through the application of avalue point value Criteria system. 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Business usiness & &F Finance inance B

Business & Finance

Business

Financial

nagement Strategies

ontrol Of Your Investments In Turbulent Times

Hiring The Right Financial Advisor

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TOUSSAINT TOUSSA TOUSSAINT TOUSSA FINANCIAL ASSOC FINANCIAL AS FINANCIAL ASSOC FINANCIAL ASS

TOUSSAINT TOUSSAINT TOUSSAINT TOUSSAINT FINANCIAL ASSOCIATES FINANCIAL ASSOCIATES FINANCIAL ASSOCIATES FINANCIAL ASSOCIATES

County Woman

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Business andFinancial Presented By Frederick J. Dawson, ChFC, CLU Fred Dawson, ChFC (Chartered Financial Consultant), CLU (Chartered Life Underwriter) has over 30 years of comprehensive wealth management experience. He is Executive Vice President of Bassett, Dawson & Foy, Inc. and a founding principal partner of the firm. Successful women are prominent among Fred’s diverse domestic and international client base of professionals, retirees, professional musicians and business owners. In 2008 Fred was cited by Delaware Today Magazine as one of Delaware’s Top Financial Advisors. Criteria are not necessarily based on client satisfaction or advisor performance. Fred received a State of Delaware Senate Tribute in 1999 for his “long and distinguished record of service to his community, his country, his state and his region.”

7 Things A Woman Should Do After The Loss Of A Spouse

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The loss of a spouse can be a devastating, life-changing event. Sadly, for many women, becoming a widow is a first step toward economic hardship. That’s why it’s critical for you to organize your finances after your spouse’s death and take ongoing steps to secure your financial future and that of your family. Locate important documents and financial records These include your spouse’s will and other estate planning documents (e.g., trust), insurance policies, bank and brokerage statements, stock and bond certificates, deeds, Social Security number, birth and marriage certificates, and certified copies of the death certificate. Set up a communications tracking and filing system Set up a system to record incoming and outgoing calls and mail. For phone calls, keep a notebook handy where you can write down the caller’s name, date, and subject of the call. For mail, keep track of what you receive and whether a response is required by a certain date. Finally, create a filing system for important documents and correspondence with separate folders for different topics. Seek professional advice to settle the estate and file tax returns Getting expert help from an attorney, accountant, and/or financial and tax professional. An attorney can tell you what

procedures to follow. A tax professional can help you file certain federal and state tax returns that may be due. A financial professional can help you by conducting a comprehensive review of your financial situation and identifying any retirement and survivor’s benefits that may be available to you. Apply for benefits You’ll need to contact several institutions for information on how you can file for benefits, namely, life insurance company, Social Security Administration and your spouse’s employers. If your husband was a Federal, state or local employee or in the military, you may be eligible for government-sponsored survivor’s benefits.

Evaluate short-term expenses You may have immediate expenses to take care of, such as funeral costs or outstanding debts your husband may have incurred. You can use credit cards for certain expenses or you can try to negotiate with creditors to allow you to postpone payment for 30 days or more, if necessary. Make sure you have one or more credit cards in your name, and when you can, order a free copy of your credit report and review it for accuracy.

Avoid hasty decisions Go at your own pace, not someone else’s. For example, don’t commit to move from your current home until you can make a decision based on reason instead of emotion. Don’t spend money impulsively. Don’t cave in to pressure to sell or give away your spouse’s possessions. Find out where you stand financially before you make any large purchases, sell property, or loan money to others. Update account names You may need to contact financial institutions to change account names and/or update contact information.

Frederick J. Dawson, ChFC, CLU Wealth Manager, Raymond James Financial Services, Inc. Executive Vice President, Bassett, Dawson & Foy, Inc. www.bdfwealth.com • fdawson@bdfwealth www.SomersetCountyWJ.com

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Some Content Prepared by Broadridge Investor Communication Solutions, Inc. Copyright 2013. * Bassett, Dawson & Foy, Inc. is an Independent Registered Investment Advisory Firm with the State of DE. * Securities Offered Through Raymond James Financial Services, Inc. Member FINRA/SIPC * Any opinions are those of Fred Dawson and not necessarily those of RJFS or Raymond James.


Fitness andLifestyle By Joe Amoroso Joe Amoroso has been a trainer since the age of 17 and became a master trainer 5 years later. While working in Greenwich, CT, and NYC’s elite private clubs, he became well known as a celebrity favorite for his “Miracle Work” and touch up work for photo shoots. Joe is PRO-Athlete experienced and has the uncanny ability to do athletic performance rehabilitation in conjunction with high performance training. Because of his background and experience, he has the medical knowledge to help clientele with a wide variety of medical setbacks. During his career, Trainer Joe has never turned down a case because it was high risk, a badge he wears proudly. Trainer Joe has a wealth of knowledge comparable to none and holds free lectures weekly. He has abandoned his NYC roots and now is proud to be a part of the Warren, NJ, community.

Purposeful Focus

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We all have had our trials and tribulations throughout our lives. It is how we react to these obstacles that give birth to our new desires. For example, if you do not feel well, it would only be natural for you to desire health. While desire motivates you to a new achievement, longevity and focus is what determines if you get there or not. This is evident everywhere we look, no matter what the goal is or what you wish to achieve. Any new goal will require a life style change and a commitment to it. That being said, there are always definite ways to maximize your efforts. In a world of instant gratification, it has become almost instinctual that we wish to see the fruits of our labors instantly. When we do not, we usually become discouraged and give up immediately. This is especially predominant with health and fitness goals. Many of us have hoped, prayed and tried everything imaginable to have that ideal body, only to fail. One major reason for this failure is the fact that there is, nor ever will be, a one size fits all, or even one size fits many as far as the human body is concerned. There are thousands of variables inside a sea of unlimited possible

life experiences, all of which will have drastic effects on your fitness efforts. In order to push yourself in the right direction, you need to know alot about your body. Your strengths, your weaknesses, things you can do and things you shouldn’t do. An honest assessment is needed, and very few are qualified to do such a thing. If you had a collapsed roof, you would hire a well qualified, reputable and accredited roofer to fix it. Your roofer would come to your home evaluate the situation, perform the job and the result would be a leak-proof roof for your efforts. This is exactly why when, improving any given body, it would be best to hire a professional, because of their vast fitness knowledge, uncanny understanding of the human body and a never yielding commitment to the client. One way to ensure you’re getting a well qualified, reputable and accredited trainer is to consider the assistance of a Master Personal Trainer.

faster than a normal personal trainer. This can make your 3 months of workouts as effective as an entire year of old fashioned training. A master personal trainer takes the latest kinesthetic, medical and exercise physiological information and applies this to your specific body. This means you will see dramatic results in 30 days and a complete body overhaul in 90. It is very motivating to see results so fast; also master trainers can rehab any injury in conjunction with these goals. What can be

Typically, a master personal trainer can get you results that are 5 times

more motivating than looking and feeling your best in a few short months? Most Master Personal Trainers will offer you a free trial session so you can experience the difference between them and an ordinary trainer. Words cannot do justice of how life changing this service is for people. At the very least, you have a fitness guru for an hour to give you free advice and guidance. You have nothing to lose, so contact your local Master Trainer today.

TRAINER JOE’S 101 Mount Bethel Road Warren, NJ 07059

908 339 7466

trainatjoes.com

Believe you can

and youre ’ halfway there

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www.SomersetCountyWJ.com


Community andEducation By Gail Henderson Gail Henderson is the founder of nonprofit organization Family Outreach of New Jersey (FORNJ). She is a native of New Jersey and resides in Somerset with her husband Douglas. She is a devoted wife, mother of 3 and Grandmother of 12. Gail has a heartfelt desire is to bring healing and restoration for families in financial and emotional need. Gail’s love for her fellow man draws her to utilize any free time volunteering at Bergin Regional Medical Hospital. Although Gail is retired, all her available resources are focused on providing a healing and helpful atmosphere through conferences, workshops, and gospel concerts to bring about change for families in need.

Helping Families In Need

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“Our mission is to strengthen the family as a whole institution, to provide for the best physical, emotional and spiritual needs of every individual that we reach, so generations to come will be influenced to change for the betterment of their lives,” says Gail Henderson, founder and president of Family Outreach of New Jersey (FORNJ). FORNJ is a non-profit whose mission, simply put, is community. This faith-based organization was established in 2000 as Healing Hands Family Outreach Ministry and has since grown, broadening their reach to people from all walks of life throughout the state of New Jersey.

goal in mind, to help families in need. After the 1st Annual Youth Explosion Talent Show in October 2012, the board members of FORNJ approached a mother of two wheel-chair bound sons living with cerebral palsy to see if she needed any assistance. In 2013, after interviewing the single mother, it was obvious that she struggled with consistent and competent assistance in order to fulfill the day-to-day needs for the physical care of her sons. After the FORNJ board discussed those needs, the organization was able to help her access the numerous resources she did not know were available to her. This is what FORNJ is all about.

During the calendar year, FORNJ puts on several events with a single

The organization raises funds that enable them to put together

www.SomersetCountyWJ.com

workshops for women, talent shows for children, concerts and conferences all which provide a platform to strengthen the family dynamic. FORNJ is already planning the 3rd Annual Youth Explosion for August 30, 2014 with the first round of auditions beginning in January. On October 11th the 4th Women’s Pillow Talk Conference, Shattered but not Broken, will be held at the Hyatt Regency in New Brunswick with the focus being on the abuse women face daily, with key note speakers who will share their personal journeys in an intimate setting. FORNJ is building a reputation for a spirit of excellence, integrity and compassion towards people in our New Jersey communities. The

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organization is truly committed to helping families in need and is always open to tax-deductible donations. If you would like to help or if you know of or are a family in need, please contact Gail Henderson at 732-668-5648. We all fall on unfortunate circumstances and we can overcome them by joining forces to support one another. If you would like to participate in the 3rd Annual Youth Explosion Talent Show, meant to provide a positive outlet for children to gain confidence in their abilities while being supported by family, friends and the community, and are between the ages of 13 and 25, please contact Ray at 848-250-6265 or Gail at 732-668-5648.


Community andEducation By Dorri C. Scott, MSW Founding Publisher; Loudoun Woman Magazine and Arlington Woman Magazine Bestselling Author. College Professor. Coach Dorri C. Scott is the CEO/Publisher of two Northern Virginia County magazines - Loudoun Woman magazine and Arlington Woman magazine. The CEO of a publishing / multi-media firm and an author of several books, Dorri is also an Executive Coach to small business owners and helps clients with an interest in writing and publishing. Her “So You Want to Write A Book” workshops are popular and required for anyone interested in self publishing. Dorri is a graduate of Harvard Business School, holds a Masters Degree in Clinical Social Work and an undergraduate degree in political science. Although a native of New Jersey and a true Jersey girl at heart, Dorri currently resides in Northern Virginia. She loves life and is active in numerous civic and professional community service organizations.

So You Want To Write A Book!

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Stop Wondering and Start Writing! Do you have writing goals, a book in your head? Are you frustrated with your writing projects and ready to give up on your dream to see it in print? Perhaps you are uncertain about how, where and what to do to get it printed, published and make a profit? Or maybe you just want to write a book because you have discovered a hidden talent, new passion or purpose for living. In less than one hour you will learn to WRITE it NOW! You will also gain knowledge with techniques and tools to •

Blog more with the bare essentials

Know the difference between on demand publishing, self publishing and when to hire an agent or a coach

Become an “expert” columnist using every day experiences to help others (and you)

Explore ways to publish for profits

Overcome fears, eliminate writing blocks and learn to smile after receiving the dreaded rejection letter – AGAIN!

Writing is art, skill and business. It requires discipline and time. Master and learn ways to be rewarded in a lucrative field.

Write | Blog | Brand You! THIS IS YOUR WRITE YEAR! Join the Weekenders Writing Mastermind Group with VA Woman Publisher Dorri C. Scott Seats and private coaching available. Starting January 2014 Email us at: info@loudounwomanmag.com

Nonfiction. Fiction. Articles. Inspirational. Conception to Completion • 301-526-8440

Educate. Empower. Inspire. Inform.

Januar y/Febr uar y 2014 | LOU D OU N WOMAN MAG AZIN E

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Fashion andBeauty

Everything you ) ! k ever wanted to know s a o t d i a r f a e r e w t about a bra fitting (bu

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By Debbie Esslinger, Owner, Bare Essentials

Around 80% of women are in the wrong bra size. Literally millions of women are not looking or feeling as good as they deserve. In fact, when did you last get fitted? Have you ever been properly fitted? Selecting a good bra is brought to you by BARE ESSENTIALS. Our bra boutique wants to prove how easy it is to choose a bra that loves your body. We’ll help you every step of the way. What Does a Good Fit Give you? • More Comfort •

Better Shape

Less Chance Of Sagging Breast Tissue

Better Posture

More Confidence – And Feeling Good Inside Makes You Look Even Better Outside.

If you’ve never had a bra fitting, or it’s just been a while, don’t put if off any longer. You’ll find friendly and helpful trained fitters to take the worry and apprehension out of finding the right bra.

www.SomersetCountyWJ.com

You should get fitted every six months. Our bodies change all the time, so it’s really important to keep checking your bra size. Once your correct size has been determined, our experts will assist you in picking the right style for your body type. The size range of our bras helps our fitters to accommodate most women. But, remember, you may not take the same size bra in every style. Each bra is cut differently, just like jeans or skirts. You may take a certain size in one brand, but something else in another. There is no “one size accommodates all” in bra fitting. Which style suits you? When we are choosing a bra that’ll make you look great, we need to consider what we’re working with. Different styles suit different bust shapes. Whether you are small, average or full busted, there is a bra that will accommodate your form. Keep an eye on your hooks. If a bra fits properly, you should be able to comfortably fasten it on the loosest hook. Then, as the bra adjusts to your body or begins to age, you can gradually work your way in. If you have to go straight to the tightest hook, that bra is not right for you. The bra should be low and tight on the back, with no riding up. If it rides up, the band is too big.

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Fashion andBeauty By Sean Walker Sean Walker is the president and founder of Incpics Studios, is a native of Newark, New Jersey. He remembers receiving his first point and shoot camera from his mom at the early age of 10. It was a passion he immensely enjoyed and he has now made that passion a reality. Sean has furthered his journey by joining the Professional Photography Association. He has gained a wealth of knowledge and insight into the craft of photography from amazing master photographers that have shared their knowledge and experience from within the association. His dedication and passion to his craft and to the people he surrounds himself with continue to inspire him. Sean is building a world-class organization of professionals to serve the public, providing them with all their photographic and video graphic needs. Sean Walker, a professional photographer.

Using A Professional Photographer

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Almost everyone has a personal camera on hand. Cell phones now have a 4-8 megapixel camera built in. So my question is this: are the cameras we carry able to capture those moments that we are not willing to leave to chance? You know, those images we will treasure the rest of our lives, which will be passed down to our children and then their children? The digital revolution has brought us amazing options. The hobbyist, professional and amateur all benefit from a sea of ever growing choices.  However, these options do not always translate to images worthy of being printed and hung for many years to come.  It takes a tremendous amount of skill, talent and effort to create a truly unique portrait worthy of displaying in your home or office.  Custom photography is all about choice and experience, and finding someone who will photograph those special moments while devoting the personalized attention necessary and without the feeling of a crowded, “take a number” portrait studio. There are just a few complex components that go into capturing that special moment in time.  Foremost, a properly trained professional photographer with a passion for his trade will have access to proper lighting equipment, a planned out

composition and feel for the image, many backdrop options, hi-tech computers and programs with professional editing features to ensure you always look your best. In order to provide a high level of service, a photographer must be able to spend an appropriate amount of time and skill making a portrait session amazing. Some requirements are the right mix of camera, lens, lights, and an understanding of what the final product will be. The product might be a metal print, canvas, mural or other medium of your choosing.

concerns and provide the photographer with an understanding of the goals you envision for your project. Lastly, as there are many freelancers out there, I believe there is added value and security with choosing a photographer that works either for a studio or has their own. This not only brings the added reassurance that you have a safe public environment to meet with your photographer, but it also means that they are growing their business and clientele. The ultimate goal of this article is to better explain the professional services that our business provides, which is to offer the best product we can. Your overall experience is the most important outcome to us as professionals. We want clients to enjoy the entire process from start to finish so that they can be a testimony to the reasons for using a professional photographer.

A good starting point when choosing a photographer is whether or not they belong to a reputable professional organization that promotes continuing education, training, and up to date certifications. Although this is no guarantee of a great experience, it is a good starting point to find out how serious someone is about their passion and profession. Ask as many questions as possible, as this will reassure you of your

exceptional experience. Our vision is to provide breathtaking images and videography. We offer a complete, up-to-date, creative studio that can take any project to fruition. You will find all graphic design needs, art direction, framing, printing, presentation, promotional and so much more, all under one roof and one name, INCPICS.

We are constantly learning new wave techniques, improving on our equipment, and coming up with innovative ideas to better serve you. We aim to form long-term relationships with each client and family. We invite you to visit our spacious facility at 1677 Springfield Avenue, Maplewood, New Jersey, and see why people leave feeling good and with smiles on their faces. We ensure a relaxed and comfortable studio atmosphere for our clients. Our standards are set very high, so that each individual session is truly an

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www.SomersetCountyWJ.com


LOOKING FOR PART-TIME INCOME ?

Somerset County ’ WomensJournal ...We have job openings in sales and distribution

Publication distribution openings in Somerset County

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Community andEducation By David Walker, Esq., M.S.W., Executive Director, Somerset Home for Temporarily Displaced Children David Walker became executive director of Somerset Home in May 2013. Before joining the agency, he served for 10 years as CEO of Morristown Neighborhood House Association, where he oversaw programs such as gang prevention, youth counseling, pre-schools and community outreach. He was also General Counsel for The Miracle Makers Inc., in Bedford Stuyvesant, Brooklyn, New York, and directed programs for children and families living with HIV/AIDS at Hope House of The Palm Beaches in Florida.

Building Futures, Building Hope

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When there’s nowhere else to turn, Somerset Home gives homeless teens a home and a hopeful future. James doesn’t remember his mother. She died of a drug overdose when he was six. Relatives took him in, but when the little boy became a burden, he was sent to a series of foster homes. When he turned 18 and “aged out” of the child welfare system, he had nowhere to go, no support system and no skills or resources to live on his own. But unlike thousands of other traumatized teens in New Jersey, James was accepted in My Place, a residential transitional-living program run by Somerset Home for Temporarily Displaced Children. Counseling, part-time work and independent-living skills workshops have helped him heal and take the first steps toward independence. James is just one of the thousands of abused, neglected and homeless teens who have found a safe haven and support services in one of Somerset Home’s seven programs for teens and young adults. Opened in 1973, the Bridgewater, N.J., nonprofit has helped thousands of teens from around the state put the past behind them and begin to build a brighter future. A lot has changed in four decades. Somerset Home started with one house for 12 youth. Today it has multiple buildings for 41 teenagers and young adults. Its services have evolved as needs changed: an in-house school, HIV/ AIDS education, financial literacy workshops, a scholarship fund and permanent supportive-housing for young adults with nowhere to go…all designed to help residents heal emotionally and learn to live independently.

From the start, the agency has worked with local community groups and the N.J. Department of Children and Families to help teens deal with their difficult family situations, continue their education and learn the skills they need to move forward with their lives. Individual, group and family counseling provided by Somerset Home’s behavioral health department is a key component meeting the needs of clients and their families. One area in which the need is growing is street outreach. Funded by a federal grant, Somerset Home’s Street Smart outreach program began in 1998 and works with youth living on the street to find them safe housing and direct them to services for health care, counseling, education and jobs. Outreach workers also meet with school guidance counselors, police officers and other social service agencies to explain their services and ensure those who come in contact with teens living on the street or in other unsafe situations know Somerset Home’s outreach services are available.

or shelter in order to survive. Others fall victim to people they meet on the streets. These victims are ‘sold’ at truck stops, casinos, on internet sites and street corners. “We talk with them, offer blankets and toiletries, and over time build their trust and help get them to safety,” says Outreach Worker Tayeesha Ruff. Not everyone is ready to accept Somerset Home’s services, but for those who are, the result can be life-changing. As one client explained, “I had nowhere to go and no one to call. [The outreach workers] helped me when I needed it most and I will never forget them for what they did.” “For 40 years, Somerset Home has been giving homeless youth a home and a hopeful future,” says Executive Director David Walker. “And with the continued support of a caring community, we will be here for another 40 years to offer a safe haven to teens who have nowhere else to turn.”

In the past, outreach workers focused on Somerset County, but a grant from the N.J. Department of Children and Families have allowed them to expand into Essex, Bergen, Hudson, Middlesex, Morris and Union counties. The grant is part of the state’s effort to combat the growing problem of human trafficking. According to the National Center for Missing and Exploited Children, one in eight runaways were in danger of becoming sex trafficking victims sold into slavery by pimps, organized crime members, or their parents.

Street Outreach Worker Tayeesha Ruff talks with a teenage girl about options for finding a safe place to live. Somerset Home provides seven programs for adolescents and their families: Brahma House crisis intervention center; Passages, My Place and Whitney House transitional-living programs; Pathways independent-living skills program; Street Smart street outreach program; and Bridge House supportive-housing for homeless young adults. For more information about outreach and other Somerset Home services, visit www.somersethome.org.

When there’s nowhere else to turn, we give homeless youth a home and a hopeful future.

Learn how you can help change lives: □ □ □ □ □

Donate Volunteer Be an e-Helper Hold a fundraiser Collect needed items

Somerset Home for Temporarily Displaced Children 49 Brahma Avenue, Bridgewater, N.J. 08807 908.526.6605 ٠ somersethome.org

Many homeless and runaway youth trade sex for money, food,

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College Graduates Unemployed! Now What?

Business andFinancial

You just joined the ranks of 4.5 Million recent college graduates that now realize they don’t have a job in their chosen area of professional study, and if you do have a job, you are most likely receiving 30% of the pay you thought you would be earning. We have the answer. Do you want to make $100,000 plus this next year in your county - in your state? By Heather Schaffer And Luke Kennedy

By Heather Schaffer And Luke Kennedy

Bypassing The Corporate Ladder

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I was lucky enough to grow up in a well educated, affluent family that had the ability to afford me every opportunity parents could want for their child. I went to a prestigious private school, participated in sports, and extracurricular activates. I had great friends and managed to stick to the principles my parents had brought me up to believe in such as hard work, honesty, Integrity, and self sufficiency, effectively keeping me out of harm’s way and trouble. When it was time to go to college, I was glad to go. I had been accepted to a prestigious school In Boston that I was excited about, and felt that it was time to stand on my own two feet and start carving my own way in the world. College accomplished for me what any realistic expectations could hope for: the ability to think analytically and express myself appropriately. However, the reason I chose my school, and the reason most people I know went to college, was not for these rather humble aspirations. I was career focused and wanted college to be my ticket into an amusement park of opportunity. What I found was my analytical mind saying, “You’ve got a $120,000 education. What now, hot shot?� Although I had a good experience at college, I wasn’t an academic at heart and knew that spending another $100,000 for post grad was not for me unless absolutely necessary. Of course it was time to get a job, but where? I started contacting all the advertising companies I had been studying over the past four years and managed to land a handful of interviews. It became quite clear that nobody was hiring, and that the whole industry was slow enough to grant inter­views as a way of distracting themselves from the fact that they didn’t have enough work to do either. The offers I did get would have given “education investment� a return in about 6 years as long as I didn’t need to pay rent or eat. We all have to start somewhere, but I

refused to believe that my value to the pro­fessional world was within $5.00 of mini­mum wage.

the “real world� training I needed to run my own newspa­per.

on the bottom. In fact, I’ve virtually created my own ladder.

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Dining andEntertainment

By Adam Kline Adam started his restaurant career at age 15 in establishments in Southern New Jersey. After moving to North Carolina in 1988, he gained the knowledge and experience to become a manager at some of Greensboro’s finest restaurants.

Cooking With Wine: A Healthier Choice

I

In this day and age, while everyone is either counting every calorie or just giving in to obesity, we all could use a way to make the foods we were raised to love a little bit healthier. Just making a few changes in the ingredients you choose can cut up to half the fat and calories out of your everyday diet without surrendering flavor. In most cases you will find that the dish will maintain its taste, while allowing peace of mind and a healthier diet. To begin, start with a simple switch from white to wheat bread. I resisted this at first but then came to realize how bread can actually taste good, rather than just being something to hold my sandwich together. Little things like this help more than you might realize. I realized that I could continue this non-diet by adding wine to many of my cooking recipes. Wine is a great fat substitute When you take some of the fat out of dishes, you usually need to add another ingredient to replace the lost moisture. Instead of sautéing veggies in heaps of butter or oil, you can sauté them in a smaller amount of oil plus some wine for flavor and moisture. Rather than making a marinade with cup of oil, decrease the oil to ¼ cup and add ¼ cup wine. I just made a garlic thyme butter sauce for some fresh cod and the recipe called for a ½ cup of butter. I simply used a ¼ cup of butter and added a ¼ cup sauvignon blanc. The results was even more flavorful than the original and made my Dietitian wife much happier. Only alcohol and water evaporated when cooking, so you’re left with the essence of the wine itself – namely polyphenols and anti-oxidants. Wine adds moisture and flavor to fish Deep-fried fish dipped in tartar

sauce, while being tasty, defeats the nutritional purpose of eating fish. A way to add flavor and moisture to fish without adding fat is to cook it with wine. Add wine to the pan while the fish is simmering or drizzle the fish with a tablespoon or two of wine and bake it while wrapped in a foil packages. Wine is great in marinades Wine is basically an acidic ingredient (which helps tenderize the outside of the meat), and it has a lot of flavor. A wine-based marinade helps keep meat, poultry, and seafood moist while it cooks as well. Wine can help cook and simmer foods. Add wine to dishes you’re cooking in a skillet on the stove, in a slow cooker, or in the oven. Simmered along with the food, it adds flavor and moisture to whatever dish you’re making. What type of wine should be used to cook which type of food?

Traditional Formula for Pairing Wine with Cooking Young, Full-Bodied or Earthy Red Wine Red meat, soups with root Vegetables, beef stock Young, Full-Bodied, Robust Red Wine Red Sauces

might do well in a bold-flavored dish. Don’t be afraid to do your own thing but, generally, lightcolored meats such as chicken and fish are paired with light-colored meats such as chicken and fish are paired with light-colored wines (white), while dark-colored meats such as beef are paired with darkcolored wines (red). The basic job of red wine is to marinate, bringing out the food’s innate flavors. Reds are skilled at bringing out the colors and essence of the food, and they add dryness, making dishes taste less sugary. Similar to food/wine pairings, red wine should be added to dishes containing red meat, or dishes with a lot of vegetables, such as stews. While red wine enhances flavor, white wines alter it. This doesn’t mean that white wine will decrease the horrible taste of an already bad dish, but it will add an acidic feature, making the dish more tart. It won’t drastically change the dish, but it will enhance its natural sharpness. White wines are best used for cram sauces, or with chicken and fish. Feel free to experiment while cooking with wine. Get creative, and try to invent new flavor combinations. And, after you’ve created something spectacular, don’t forget to write down how you did it!

Keep in mind that wine needs to simmer with the food you’re cooking to enhance its flavor. Don’t add it at the end of cooking or you’ll risk serving a dish with a strong, overpowering flavor. The longer you cook the wine (over low to medium heat), the more subtle the flavors. There is fairly conclusive evidence that wine consumption can lead to many health benefits. There have been no studies about cooking with wine, but we can make some logical assumptions. Only alcohol and water evaporate when cooking, so you’re left with the essence of the wine itself – namely polyphenols and anti-oxidants. The best thing though is that cooking with wine is a great way to add a unique flavor to your cooking. Health benefits aside, food tastes great with it – and if nothing else, it’s healthy for the soul!

Dry White Wine Fish, shellfish, poultry, pork, veal, light or cream sauces Crisp, Dry White Wine Seafood, soups Sweet White Wine Sweet desserts Sherry Poultry, vegetables, soups Generally, it’s thought that a light-flavored wine goes best with delicately flavored foods. It would follow that a bold-tasting, wine

33

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Women account for 85% of all consumer purchases. • Women carry 76 million credit cards, 8 million more than men. • In 2001, U.S. women’s purchasing power constituted the number 3 market in the world; the collective buying power exceeded the entire economy of Japan. • By 2010, women are expected to control $1 trillion, or 60% of the country’s wealth, according to research conducted by Business Week and Gallup. (Sources: The Business and Professional Women’s Foundation, Trendsight, Business Women’s)

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What Would You See A Gastroenterologist For??? Acid Reflux Barrett’s Esophagus Cirrhosis Colon Cancer Colon Polyps Crohn’s Disease and Ulcerative Colitis Diverticulosis and Diverticulitis Gall Bladder Disease Gastritis – Duodenitis Gastrointestinal Motility disorders Helicobacter pylori (H. pylori) Hemorrhoidal Disease Hepatitis A, B, and C Indigestion Irritable Bowel Syndrome Liver Disease Pancreatitis Pancreatic Carcinoma Peptic Ulcer Disease

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Somerset County Women's Journal February March 2014  

An educational publication for the women of Somerset County, New Jersey

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