Ocean
Woman COUNTY
An Educational Resource for Women and Their Families FREE ~ Please Take One A Major Reason Why Commercial Property Tax Appeals Are Denied
Commercial owners and tenants of New Jersey properties should pay close attention to Chapter 91 requests issued by Page 29 municipal assessors.
Diabetic Foot Care: Innovative Treatment and Prevention
NON-INVASIVE, NEUROLOGICAL TESTING TO HELP DIAGNOSE ALZHEIMER’S DISEASE AND DEMENTIA
Patients with diabetic ulcers need to be treated aggressively with the latest technology to get the ulcers to heal.
Pages 42 & 43
At Caring Heart Coronary Imaging, there is reduced radiation exposure to Page 61 the patient.
Photo By Tracy Harman Photography
Dr. Stephen Small and his staff love helping people restore and improve their well being with cosmetic and reconstructive surgery. Read more on pages 18 & 19.
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July/August 2014
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Medical Professionals
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How Physical Therapy Can Help “Heel” Your Foot Pain: A Brief Overview Of A Plantar Fasciitis By: Lauren Ramondini, DPT, for All-Care Physical Therapy Center’s Barnegat Location
What is plantar fasciitis?
Plantar Fasciitis is a degeneration of a thick band of tissue called the plantar fascia. This band www.MoveForwardPT.com of connective tissue is on the plantar surface (bottom) of the foot. It connects the heel bone to the bones of the toes also known as the metatarsophalangeal joints. It also helps to form the arch on the inside of the foot. The plantar fascia plays an important role in walking and running and serves as a shock absorber for the foot. When the plantar fascia becomes irritated it can become weak, swollen and inflamed causing pain on the bottom of the foot and in the heel. It is the most common cause of heel pain.
What are the signs and symptoms?
The most common signs and symptoms of Plantar Fasciitis are pain on the bottom of the foot and in the
area near the heel. Typically the pain is at its worst in the morning after getting up out of bed and taking your first few steps. Many also complain of pain when trying to walk after they have been sitting for long periods of time. The pain may decrease as the day goes on but can also increase after periods of prolonged walking or standing. Pain during the night and complaints of numbness or tingling in the foot are not common symptoms of Plantar Fasciitis and may be related to a different foot problem.
What causes plantar fasciitis?
When we start to walk, our heel makes initial contact with the ground. After the heel makes contact, the tibia (the larger bone in the lower leg) turns inward and the foot flattens to make full contact with the floor. This flattening of the foot stretches the plantar fascia and flattens the arch. This ultimately helps to absorb shock and provide stability when walking on uneven surfaces. Repeated strain to the plantar fascia can cause tiny tears in the tissue which leads to pain and swelling. Some people are more prone to suffering from Plantar Fasciitis than others. Here are some of the risk factors: • Excessive pronation (arch collapsing) when walking. • Decreased range of motion in the ankle & tightness in the Achilles Tendon (heel). • Being overweight. • Having a high arch or flat foot.
• Standing, walking or running for long periods of time on hard surfaces. • Wearing ill-fitting or worn shoes. • History of heel spurs
How is Plantar Fasciitis Diagnosed?
The diagnosis is made by physical examination and subjective history. The doctor will typically watch you stand and walk, and examine the positioning of your foot. He or she will also ask about your symptom history and if you are involved in any activities that require prolonged standing or walking. An x-ray may be taken to rule out any problems with the bones of your foot.
What is the Treatment?
Early recognition of Plantar Fasciitis tends to provide the shortest course of treatment and the greatest possibility of eliminating symptoms. There is no single cure for Plantar Fasciitis but there are many conservative ways that can make your foot feel better: • Rest and decreasing any activities that cause pain in your foot. • Reduce pain and swelling by using ice & anti-inflammatories. • Proper foot wear: making sure your shoes have adequate arch support and enough cushioning in the heel. • Orthotics: pre-fabricated or custom made (this can be discussed with your doctor or your Physical Therapist). • Weight loss. • Physical Therapy.
Can Physical Therapy help?
Physical Therapists are trained to evaluate and treat Plantar Fasciitis. They use manual techniques and exercises to help increase flexibility and range of motion in the plantar fascia, calf muscles, and the ankle joint. In addition, ice and ultrasound can be used to help decrease inflammation and pain. A home exercise program is also given so a patient can supplement the treatment in the clinic independently at home.
1-(855)-3ALLCARE
Come Experience The All-Care Difference For Yourself! Whiting • Toms River • Brick Manchester • Barnegat
Hand Therapy Specialist
Free Transportation For Patients In Need www.AllCarePTC.com
At All-Care Physical Therapy the Physical Therapists have the knowledge and experience for treating Plantar Fasciitis. They will develop treatment programs based on a patient’s individual symptoms and goals to help eliminate pain and get the patient back on his or her feet.
To make an appointment at the Barnegat facility, please call 609-660-1900.
Lauren Ramondini, DPT, Barnegat Physical Therapist
Barnegat Location
The County Woman Magazine
Lauren earned her Doctorate of Physical Therapy from the joint program of UMDNJ/ Rutgers-Camden in May 2011. While at UMDNJ her research group was chosen to present at APTA’s Annual Conference Poster Day on Therapeutic Exercise Recommendations for Post-Partum Pelvic Girdle Pain. Prior to graduate school she attended the University of Delaware where she received her undergraduate degree in Exercise Physiology. Lauren has clinical experience in acute & sub-acute care, outpatient orthopedics and sports medicine. Her areas of interest include outpatient orthopedics and sports medicine, especially in the adolescent population. Lauren values patient-centered care and the use of evidence based practice in the clinical care setting. She believes that each patient’s treatment program should be unique and specific to their needs. She has been an active member of the APTA since March of 2011. www.TheCountyWoman.com
July/August 2014
Featured Articles Heading
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^Medical Professionals
^Home Health Care
^Carpet & Flooring
All Care Physical Therapy Center, LLC................................... 2 Shore Vascular & Vein Center............................................ 6, 80 Bella Derma Medi Spa............................................................. 7 AtlantiCare Regional Medical Center - The Heart Institute..... 9 Stephen L. Newman MD MBA.............................................. 11 Toms River X-Ray CT & MRI Center...................................... 13 Atlantic NeuroSurgical Specialists........................................ 16 South Jersey Fertility............................................................. 17 Ocean Plastic Surgery P.A. and Laser Center.................. 18,19 Gastroenterology of Ocean County....................................... 20 AtlantiCare Regional Medical Center Bariatric . ................... 21 University Urology Associates of New Jersey....................... 25 Institute for Complementary and Alternative Medicine . ...... 28 Premier Pain Centers............................................................ 31 Barnabas Health Medical Group Ob/Gyn............................. 33 Acuity Hospital...................................................................... 35 Nina J. Paonessa, DO, FACOS............................................. 37 Ocean Hematology & Oncology............................................ 38 NJ Community Spine and Pain............................................. 39 Banks, Kathy A., DMD..................................................... 40, 41 Garden State Foot & Ankle Group................................... 42, 43 Whiting Health Care by Revera............................................. 44 Total Hearing Care................................................................. 45 The Children’s Hospital of Philadelphia................................. 47 Seaview Orthopaedics.............................................. 48, 49, 54 Barnabas Health Medical Group: Dr. Chang......................... 55 Jersey Shore Pharmacy........................................................ 60 Caring Heart & Brain Coronary Imaging................................ 61 ^Precious Metal Buyer Precious Metal Buyers............................................................ 3 ^Professional Dentistry Aesthetic Dental Creations...................................................... 5
Senior Helpers......................................................................... 8 ^Education The Peppermint Tree............................................................. 10 Ocean County College.......................................................... 36 ^Contemporary & Rattan Furniture Heritage House Interiors....................................................... 12 ^Elder Law Rice Elder Law................................................................ 14, 15 ^Law Straffi & Straffi Attorneys at Law..................................... 22, 23 Jay Turnbach, Esq., LLC....................................................... 24 Matus and Connell ............................................................... 29 ^IT Services RS Technical Services........................................................... 26 ^Financial Management Mark S. Rushwald................................................................. 27 ^Full Landscaping Services Under The Sun Landscaping................................................. 27 ^Health & Wellness Ocean Health & Weight Loss................................................. 30 Hypnosis for Women............................................................. 32 Holistic Care Services........................................................... 47 Yoga Nine Mind/Body Studio................................................ 56 ^Wigs & Hair Replacement Abstrax Hair Designs............................................................. 34 ^Copy, Fax & Notary Services The Wordstation Copy Fax +................................................. 36 ^Assisted Living Spring Oak of Toms River...................................................... 46 ^Home Improvement Progressive Dimensions Countertops................................... 50 ^Business & Personal Storage Airship Storage...................................................................... 50
Best Carpet & Flooring.......................................................... 51 ^Retractable Awnings Giglio Awning........................................................................ 52 ^Elder Life Management Elder Life Management, Inc. ................................................ 53 ^Ultimate Day Spa Simply Skin............................................................................ 57 ^Consignment Shop Treasures From Heaven......................................................... 58 ^Acupuncture Koehler Acupuncture............................................................. 59 ^Fashion & Beauty Barbara’s Boutique................................................................ 62 Leisure and Lace................................................................... 63 Wedding Belles...................................................................... 72 ^Adult Community Fountainhead......................................................................... 64 ^Women’s Golf Membership Bella Vista Country Club....................................................... 65 ^Business & Finance Copiers Plus.................................................................... 66, 67 Toms River Chamber of Commerce...................................... 76 ^Woman of Ocean County......................................... 70, 71 ^Theatre and Entertainment Sistas..................................................................................... 74 50 Shades! The Musical........................................................ 74 Gazillion Bubble Show.......................................................... 75 Iluminate................................................................................ 75 ^Fine Art Photography Tracy Harman Photography............................................ 78, 79 ^Community ............................................. 57, 68, 69, 73, 77
Precious Metal Buyers
Visit us at www.TheCountyWoman.com
v Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper And On Facebook! v
The Art of Precious Metals… Avoid Being Scammed! Written By: The County Woman Staff In the last issue, the owner of Precious Metal Buyers, Dov Oppenheim, gave our readers some important insight before you sell your precious metals. In this article, he dispels some of the myths and stigmas that are commonly attached to the business of selling gold. Tip #4 Avoid Being Scammed. It is critical to always get a complete sales receipt. If you sell your item, be sure the buyer provides you with a complete receipt with detailed information Dov Oppenheim, Owner
in case a dispute arises after the sale. This information must include the following: name and address of the buyer, date of transaction, names of the precious metals purchased, the lineman of the precious metals purchased and their weights, the prices paid for the metals at the standard measure of weight and finally, the name, address and signature of the seller of the precious metals. Tip #5 Weigh Your Gold At Home First. Dov recommends that you weigh your gold at home first or text the sellers scale by putting a penny on their scale. The penny should weigh three grams or two pennyweights/dwt. You should also know the fineness/purity (i.e. 10-14 k) and the value of your gold. Never let your items out of your sight and be sure and watch very carefully as the buyer tests your gold. He has heard of jewelers that actually replaced an item with lower purity ones. Some customers have told Dov that the items that they were selling were identified as 10-14k. In these sale occasions, it is actually the jewelers that cheated their customers years ago by selling them a pair of jewelry as 14-18k that were actually only 10-14k. Lastly, Dov shared with us the stigma and negative reputation the industry has acquired. Unfortunately, many fraudulent businesses take advantage of consumer misknowledge and under pay up to 80 percent of what the consumer truly deserves. As the owner of Precious Metal Buyers, LLC, Dov Oppenheim buys, meets and trades gold and other precious metals. His business is about giving people what they deserve for their valuables through a complete transparent transaction. He is fully licensed and bonded with the state of New Jersey and is subject to monitoring the Manchester Police Department. Stay tuned for more important Must Call To Schedule Your tips in the next issue.
Call 732-597-2225 to schedule your appointment with Dov Oppenheim.
The County County Woman Woman Magazine Magazine The
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Personal Private Appointment
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July/August July/August2014 2014
Publisher’s Note
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Ocean
An Educational Resource for Women and Their Families Since 2008
Woman COUNTY
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Publisher.........................................................Lynn K. Wolf lynn@acwoman.com • 609-929-4189 Associate Publisher..................................... Kristina Pruitt kristina@thecountywoman.com • 609-412-1914 Regional Marketing Director............................... Jon Pruitt jon@thecountywoman.com • 609-412-3603 Professional Page/Graphic Designer............ Darlene A. Davis DesignsByDar@comcast.net Art & Production Associate........................ Meghan Morse staff@thecountywoman.com • 856-885-8066 Writer and Production Associate................ Lauren Shover staff@thecountywoman.com • 856-885-8066 Feature Cover Writer . .......................... Gena Ansell-Lande Graphic Designer, Real Grafix Design................... Cathy Tveici Website Designer.............................................. P.J. Santos www.digitalartstation.com Distribution Manager......................................Mike Dziuba
For advertising inquiries, please call:
1-866-398-0898 All correspondence should be addressed to:
The County Woman P.O. Box 619 Turnersville, NJ 08012 The County Woman’s Newspaper is published bi-monthly and is available free of charge at display stands in approved private and public establishments and authorized distributors only, or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify the Woman’s Newspaper, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for libel, unfair trade names, patents, copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication of this newspaper or its advertising copy. The publisher shall be under no liability for failure, for any reason, to insert an advertisement. The publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. The publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The Woman’s Newspaper assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published by the 15th of every other month. Representations by The Ocean County Woman, LLCTM COPYRIGHT 2008.
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The County Woman Magazine
Welcome to the July/August 2014 Issue Of Ocean County Woman Summer, that wonderful reprieve from winter’s desolation, is the time of year for vacations by the Jersey shore. Whether you enjoy an action-packed vacation - camping, biking, playing ball, swimming – or prefer to lounge on the beach with a good book, the shore provides a great setting for all your summer fun. When you head for the beach with your summer reading, don’t forget to include the Ocean County Woman magazine, where many top professionals share their expertise in the areas of health, finance, law, fashion, beauty and much more. Readers have told me how valuable they have found the articles in Ocean County Woman. Many say they have shared information through tweets and emails, and have even sent specific articles to friends and relatives in other states who might benefit from the publication. So the impact of the knowledge shared by our contributing writers truly goes beyond the borders of Ocean County! If any articles have enhanced your life in some way, I would love to hear your story. But more importantly, please email, Facebook or call the professionals who wrote them, and let them know that they’ve had a positive impact. Summer can be a one of the most beautiful seasons of the year. There’s a vibrancy in the air that winter seems to lack; the sky appears more blue and the future feels more promising. Artist and educator Corita Kent once said, “Life is a succession of moments. To live each one is to succeed.” We hope your summer is a series of magical moments shared with your family and friends. Thank you for We are the Media Partner with your continued support of the Ocean County Woman publication. NJAWBO Monmouth, Ocean, “Life is good and gentle in the summertime!” Middlesex Region. We are members of Toms Warmest regards, River-Ocean County Lynn K. Wolf, Publisher and the Staff of the Ocean County Woman Chamber Of Commerce.
EVENTS IN OCEAN COUNTY
• Toms River Chamber of Commerce (p. 76) September 17 - 50th Annual Awards Reception • Ocean County Library Programs (p. 73) • Ronald McDonald House (p. 69) July 14 - Golf Tournament; October 24 – 5th Annual Wine Tasting • NJAWBO Events (p. 57) • Alzheimer’s Association (p.77) September 27 – Southern Regional Walk • Yoga Nine (p.56) Workshops: September 26-28 David Sirgany: October 17-19 Audrey Lappa
Featured On The Front Cover: Ocean Plastic Surgery, P.A., Dr. Stephen Small and staff ( L-R) are: Jennifer Rogers, Genny Oliver, and Micki Cosentino. Learn more about Dr. Stephen Small on page 19 and read about his offer of Juvederm Voluma XC on page 18. Cover photo by Tracy Harman Photography.
Tracy can be contacted for appointments at 732-797-0377. There is still time to schedule your beach and portrait photography and she takes impressive commercial head shots. See pages 78 & 79.
Change Your Life in 2014 Licenses Available In Your Area Woman Publishing Entrepreneurs Wanted ... Join over 371 other counties that are publishing or have an option to publish in the United States and BE YOUR OWN BOSS! We are looking for a few bright, energetic, creative women and men to publish our trademarked, copyrighted newspapers IN YOUR COUNTY, IN YOUR STATE, IN YOUR OWN BUSINESS! Join the fastest growing educational Woman’s Newspaper syndicated in the United States. MINIMAL INVESTMENT REQUIRED! Maximum return ... Be your own boss, set your own hours and make your life mean more! ALL TRAINING PROVIDED! If you are interested in developing with us in 2014 in your STATE, in your COUNTY ...
CALL 1-800-993-3822 Join the #1 Woman’s Educational Newspaper in the U.S.
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July/August 2014
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P Professional rofessional D Dentistry entistry
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Actual Patient
Actual Patient
The TheCounty CountyWoman WomanMagazine Magazine
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July/August May/June2014 2014
Medical Professionals
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Varicose Veins? Painful Swollen Legs? Help Is Available! underlying cause, known as V venous reflux disease, are the most
An Interview With Dr. Jeffrey S. Gosin...
aricose veins and their
common circulatory problems that affect individuals of all ages. These conditions are twice as common as coronary heart disease. They occur when vein valves in the legs become damage, causing abnormal blood flow in the affected veins. Consequently, blood is allowed to pool in the lower legs. This causes a variety of physical symptoms such as leg pain, leg swelling, heaviness and fatigue, and skin itching. It can also cause the appearance of unsightly varicose and spider veins. People who have occupations that require standing, such as casino employees, food servers, school teachers, and many other similar jobs are especially prone to these problems. In addition, people who have a family history of varicose veins, who are overweight, or who have been pregnant are at risk. It is also possible to have varicose veins without any of these risk factors. Venous reflux disease and varicose veins become more common with age. Existing varicose veins can also become more prominent or symptomatic, as individuals get older. In more severe cases, people with long standing varicose veins and chronic leg swelling can develop permanent loss of integrity and discoloration of the skin, leg wounds, and blood clots.
The good news is that modern vein care allows for treatment of many of these problems in a far less invasive way than in the past.
Hospitalization and painful vein stripping surgery are usually not necessary. Jeffrey Gosin, M.D., a Board Certified Vascular Surgeon with Shore Vascular & Vein Center states, “In our practice, we have been caring for individuals with vascular problems, such as varicose veins, for our entire careers. In recent years there have been fantastic advancements in the treatment of vascular disease. In many cases we can offer these state-of-the-art treatments to our patients. As a result, we are able to treat most of the vein problems that people experience with minimally invasive, outpatient procedures. Many of these are performed right in the office. These procedures have the advantage of being very safe and effective. Patients usually experience minimal discomfort, are able to walk immediately following the procedures, and have fast recovery.” One of the advancements in vein care is the *Venefit® Procedure (formerly known as Closure). This procedure treats varicose veins at their underlying source, by eliminating venous reflux. Dr. Gosin states, “The Venefit Procedure has greatly improved the way that we treat patients with varicose veins and venous reflux disease. It is performed in a comfortable office setting. General anesthesia is not necessary. The whole procedure is guided by ultrasound. Therefore, incisions and sutures are not needed. That means less pain and faster recovery for our patients. The procedure takes about 20 minutes to perform and is over 95% successful in eliminating venous reflux, which is the cause of most varicose veins. We have now performed thousands of these procedures and results have been excellent.” “One of the significant advantages to seeing a vascular surgeon for vein care is that we treat the full spectrum of vascular diseases, from routine to very complicated ones”
Get Great Legs for Summer! Jeffrey Gosin, M.D. F.A.C.S. 442 Bethel Road Somers Point, NJ 08244
Eliminate your veins, don’t hide them!
(609) 927-VEIN (8346) www.GetGreatLegs.com
The County Woman Magazine
www.TheCountyWoman.com
The good news is that modern vein care allows for treatment of many of these problems in a far less invasive way than in the past. says Dr. Gosin. “We have experience with conventional open surgery, and are certainly prepared to do that when necessary. However, more and more we are able to treat our patients with minimally invasive procedures. This is especially true for varicose veins and venous reflux.” If you are suffering from the symptoms or appearance of varicose veins, or if you think you have leg symptoms that you think might be related to your circulation, the Board Certified Vascular Specialists of Shore Vascular & Vein Center are available to help. Most health insurance is accepted.
Please feel free to call for a consultation or for additional information.
(609) 927-VEIN (8346) or visit us on the web www.GetGreatLegs.com Jeffrey S. Gosin, M.D. FACS Dr. Jeffrey Gosin is a graduate of University of Pennsylvania and Jefferson Medical College. He completed his General Surgery Residency and an accredited fellowship in Vascular Surgery at Robert Wood Johnson University Jeffrey S. Hospital. He is Board Certified in Gosin, Surgery and Vascular Surgery. Dr. Gosin M.D. FACS is a fellow of The American College of Surgeons and a member of The Society for Vascular Surgery, The Society for Clinical Vascular Surgery, and numerous other national surgical and vascular societies.
July/August 2014
Medical Professionals
The County Woman Magazine
www.TheCountyWoman.com
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July/August 2014
Home Health Care
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There’s No Place Like Home To Care For An Elderly Veteran
I
f you have been watching the news lately, it may seem like the Veteran’s Administration is failing to do its duty to our injured servicemen and women.
While it is true that there are issues, a surprising number of veterans are not getting the benefits they deserve simply because they don’t know what these benefits are or how to apply for them. Today, we are going to highlight a set of benefits that can make it much easier to provide home care to an elderly veteran.
getting dressed, toileting -- again, requiring a physician’s statement to verify.) It offers a minimum income level of $21,096/year for a single veteran or $25,020/year for a married veteran (with possible extra income for dependent children.) If you’re the spouse of a former wartime veteran and over 65, you are also eligible for an Improved Pension based on your health, though the benefit amounts may be smaller.
Countable Income Not every dollar that comes into a veteran’s bank account counts against the Improved Pension monies. In fact, only a specific set of money is counted (although it’s a broad set.)
The VA’s Improved Pension Program The Improved Pension Program is available to all wartime veterans over the age of 65 in three different tiers. Qualification is based on the veteran’s ability to navigate daily life and limited by the veteran’s income. Each tier provides a specific amount of money each year, given out monthly with zero strings attached; whatever amount you qualify for, you receive and can put toward whatever you wish.
If your income comes from: • earnings (from work). • retirement or survivors’ programs. • interest. • unemployment compensation. • dividends, or • operation of a business …it is counted against your Improved Pension limits. This means that some significant sources of income including loans, grants, capital gains, gifts, and others do not count and do not need to be reported to the VA.
if the veteran suffers from dementia and requires extra paperwork) to process an Improved Pension claim. It is critical that you keep every letter you send, record every phone call you have, and take notes on any conversations you have in person with VA representatives. Paperwork gets lost or called into question very regularly, and your best defense is to have everything documented. That said, every wartime veteran over 65 gets approved for some level of Improved Pension once they get the paperwork straight, and you get retroactive pay from the day your application was first accepted. That makes most lenders willing to approve a ‘bridge loan’ to help pay for your needs. Apply for the loan after you have verified that the VA has received your application (so you know the date you will get retroactively paid from) and you should have no problem being approved.
hometownpress
For more information, Contact: Senior Helpers c/o Peter Mangiola, 67 Lacey Rd Suite 6 Manchester, NJ 08759 Phone: (732) 657-3600 pm0607@verizon.net www.seniorhelpersnj.com
601 W. Market Street • Suite 100 • Perkasie, PA 18944 • 215-257-1500 • FAX 215-257-0800
The Tiers, Benefits, and Income Limits
PROOF SHEET
Each tier’s benefit is reduced by $1 for each $1 in About Peter Mangiola RN MSN income the veteran makes, so essentially this creates a Peter Mangiola is co-owner of Senior Helpers of ‘minimum income’ for wartime veterans: Burlington and Ocean Counties. Peter helps senior • Improved Pension: This ‘generic’ tier is available to citizens by leveraging his vast knowledge of the healthDrawbacks of the Improved Pension Program all wartime veterans over the age of 65. It offers a mini4/7/14 care industry and his expertise in __________________________________ DATE: There are not many times when a veteran would ______________________________ want mumATTENTION: income level of $11,830/year for a single veteran identifying effective, affordable to skip applying for Improved Pension, but there are a or $15,493/year for a married veteran (with possible healthcareext solutions. Debbie, Graphic Artist, 110Peter has few. A veteran cannot receive Medicaid and Improved extra FAX incomeNUMBER: for dependent children.) ________________________________ FROM: ______________________________ been a consultant, educator Pension benefits at the same time; nor can they receive • Housebound Pension: This tier is available to all and regular speaker for many Disability compensation and Improved Pension benefits email: wartime veterans over the age of 65Mangiola@seniorhelpers.com that cannot leave ADDRESS: ___________________________________________________________________________ groups and organizations their home (requiring a physician’s statement to verify.) It simultaneously. If your aging veteran loved one is receivover the years covering offers a minimum income level of $14,487/year for a sin- ing more money from either of those programs (in addia wide variety of toption to countable income as discussedOn previously) Thisveteran Advertisement Will Appear Thethan Newsletter For: gle veteran or $18,120/year for a married (again ics such as Dementia, he or she would get from the Improved Pension program, with possible extra income for dependent children.) they should not apply. Alzheimer’s and Senior • Aid and______________________________________________________________________________ Attendance Pension: This tier is available Care Health Service & for all wartime veterans over the age of 65 that require The Application Process is Long, But Fair Advocacy. assistance with their Activities of Daily Living (washing, It can take the VA up to 9 months (or even longer
Peter Mangila
Manchester Spring 14
FIRST PROOF
Get the help you need now. Senior Helpers specializes in helping seniors maintain a positive and healthy lifestyle. n n n n
Caring Companionship Bathing & Dressing Walking Assistance Meal Preparation & Cleanup
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Light Housekeeping n Geratric Care Management Transferring n Up to 24-hour Care ...And Much More! Medication Reminders Alzheimer’s & Dementia Care
Call to Schedule Your Free Consultation! 67 Lacey Road • Suite 6 • Manchester • 732-657-3600 www.seniorhelpersnj.com
The County Woman Magazine
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July/August 2014
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Medical Professionals
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AtlantiCare Offers Treatment Options to Patients with Aortic Stenosis Our Valve Clinic
At our Valve Clinic, a team of AtlantiCare heart specialists will evaluate a patient with aortic stenosis to determine whether his or her heart is better served by traditional surgical aortic valve replacement or by TAVR (transcatheter aortic valve replacement). TAVR is an excellent option for high-risk patients who are not candidates for open-heart surgery. Working together, an interventional cardiologist and cardiac surgeon insert a new aortic valve within the diseased valve—while the heart is actively beating. The less invasive procedure can be
performed one of three ways: transfemoral (through an incision in the leg), transapical (through an incision between the ribs) or transaortic (through an incision in the upper chest). Patients typically feel better immediately and recover faster.
FAQS about TAVR
What is aortic stenosis? It is a cardiac condition that causes abnormal narrowing of the aortic valve, which impedes blood flow to the heart and can lead to heart failure. Its symptoms include fainting, chest pain, fatigue, shortness of breath and lung congestion.
What happens if I do not receive aortic valve replacement? Articles* indicate that among symptomatic patients with medically treated moderate to severe aortic stenosis, mortality from the onset of symptoms is approximately 25% at 1 year and 50% at 2 years. What is TAVR? It is a minimally invasive procedure that delivers a replacement valve via catheter while the heart is still beating. Who is a candidate for TAVR? Patients with severe, symptomatic aortic stenosis who are not eligible for open-
heart surgery or are at very high risk, either due to age, history of heart disease, frailty or other health issues. What are the benefits of TAVR? The benefits include improvement in symptoms, fewer days in the ICU, shorter hospital stays, faster return to normal activities, lower risk of cardiac and respiratory complications, and less blood loss than conventional surgery. Is TAVR right for me? Call 1-888-569-1000 to learn more. *Source: http://emedicine.medscape. com/article/150638-overview
HEARTCHECK RISK EVALUATION
Visit www.atlanticare.org/heartcheck to see if you are at risk for cardiac disease.
The County Woman Magazine
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July/August 2014
Business Spotlight
10
~ Interview with Valerie Frost-Lewis ~
Peppermint Tree Child Development Center Valerie Frost-Lewis, MS Ed. 1571 Partridge Street Toms River . NJ 08753 (732) 929-2500 www.pepperminttree.com
Learning is “Hands-On Fun” at The Peppermint Tree in Toms River Children learn best when they are involved in hands-on learning, and at The Peppermint Tree Child Development Center there is plenty of opportunity for that. Owner/Director Valerie Frost-Lewis says, “Just think of the memories and deep learning instilled throughout our annual chick hatching - which occurs right in the classroom. The farmer brings the eggs and an incubator and we tend them until the exciting hatching begins! The baby chicks that emerge are a source of wonder and inquiry for our young learners.” On a typical day, the kids have plenty of time for good old-fashioned play as well. “Play is the work of children. And, all learning at Peppermint Tree is playful - which instills the joy of learning at a young age,” she adds. Students have a choice of guided learning centers with the teacher, as well as childdirected learning centers where students work with learning activities like block building, play dough, painting, or reading. There is also time for outdoor play on their park-like playground, which includes swings, slides, climbing equipment, a sand box, a bicycle-go-round, and a fabulous set of outdoor building blocks. The Peppermint Tree employs “The Creative Curriculum.” This is a proven research-based curriculum that encourages hands-on learning in all areas of child development. She adds, “It is the same curriculum that the Toms River School System has selected for Preschool so we know we are preparing our students for success in our district’s public schools.” This is a comprehensive program aligned to essential learning standards, using exploration and discovery as the primary way of learning. “We are also the home base of Mr. Scott the Music Man. His energetic music program encourages the children to stay active and to learn about and enjoy all kinds of music,” she adds. Valerie explains, “Our program is developmentally appropriate. This means that children are offered the opportunity to learn and play at their own developmental level. Academically gifted children are never bored, as our curriculum is infused with hands-on activities where critical thinking skills such as predicting and analyzing are required. Children who need a little extra help get the support needed, as our experienced teachers differentiate the instruction and spend time one-on-one to assure each child is taught at their appropriate level.” An important part of what sets The Peppermint Tree apart from other schools is the “home-like” atmosphere and the dedication of their staff. Unlike other preschools or daycares where there is high staff turn over, these teachers have been here for (on average) 20 years each! The nurturing and stable environment is precisely what these young children need at such a critical time in their growth. One of the programs Valerie is most proud of is the “Strengthening Families Initiative” at The Peppermint Tree. These are programs that strengthen not just the children, but also the whole family. Events like parent workshops, family friendly events and an open meeting with the director for parents every month are what contribute to the success of the program. These events are free of charge, and they help to foster and strengthen the community of families at the school. The fun does not end when the school year is over. During the summer they offer a full summer camp experience, featuring two in-ground swimming pools, visitors, trips and daily themes. They provide a myriad of choices, such as arts & crafts, nature, ball games scavenger hunts, obstacle courses, and more… to assure each child has a great day, every day.
The Peppermint Tree has been recognized for its outstanding school and camp programs three times over the past six months:
Valerie Frost-Lewis, MS Ed.
Recipient of The Rose Annussek Award, given by the New Jersey Department of Education MAP to Inclusive Childcare Team, The Asbury Park Press recently featured Peppermint Tree in a story about quality education in New Jersey (http://archive.app.com/article/20140217/NJNEWS15/302170107), and Peppermint Tree was also voted “Parent’s Pick Pre-school of the Year” by HulaFrog, an online resource for Ocean County families.
About Peppermint Tree
Peppermint Tree Child Development Center is licensed by the State of New Jersey for 70 children, ages 2.5-13 years. Classes include Early Learners Pre-school, Pre-school, Pre-K, Full Day Kindergarten, Before and After School Enrichment for Elementary School children, as well as Summer Camp (with on-site swimming pools). Schedules offered: full day, half day or quarter day; two through five days per week. http://www.pepperminttree.com
About Peppermint Tree Owner/Director Valerie Frost-Lewis
Valerie holds a Master of Science degree in Education with a Specialization in Early Childhood Education. She is active in the early education community, serving on the board of the Ocean County affiliate of the National Association for the Education of Young Children (NAEYC) and speaking frequently on various topics in early childhood education. Valerie has led numerous professional development early education workshops at the national, state and county levels. As a Professional Development Specialist, she also mentors early childhood educators.
The County Woman Magazine
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July/August 2014
Medical Professionals
11
Sleep Apnea: The What, Who, Why And How? Part 2: The How Over the last thirty-seven years of my practice in sleep disorders medicine, I have witnessed many changes in the prevalence, awareness and treatment of sleep apnea. It has evolved from a fascinating, rare disease to one that is as almost as common as asthma. As such, here are some of the recent advances in therapy: • Oral advancement therapy devices: These devices known as the mandibular (jaw) positioning apparatuses treat sleep apnea by advancing the jaw forward. The dental sleep medicine specialist takes a dental impression to custom fabricate the device for the correct fit. Over the course of two to three subsequent visits, the device is gradually adjusted to advance the jaw progressively forward. Previously reserved for those of patients with mild sleep apnea, the design, comfort, and effectiveness of these devices (TAP3, Somnodent, and Klearway) has improved to such a degree that they are a first option. • Provent nasal EPAP valves: These clever devices are high-tech valves that are placed over the nostrils and restrict airflow upon breathing out. This effect increases pressure in the nose, and throat, and accomplishes the same effect as CPAP, without a mask or equipment. The devices are eminently portable, but it may take some time to become comfortable with them, and they are not yet covered by insurance. The longterm use of these devices could be expensive at $3 per night. • Surgery: Surgery remains as a last, yet very effective option for patients with sleep apnea. If the affected individual is overweight bariatric surgery may be indicated. Indeed, sleeve gastroplasty, has come to the forefront in the litany of procedures available to the bariatric surgeon given its effectiveness, simplicity and lack of significant long-term complications. For those who are not candidates for bariatric surgery and who have pursued multiple different devices, upper airway surgery as well as the Inspire upper airway pacemaker devices are options. Mandibular-maxillary advancement surgery, although complex, is well tolerated and eminently effective in the hands of a very experienced surgeon. This surgery expands the upper airway on a permanent basis removing the obstruction
that causes apnea. Over the course of the last four decades, I have seen only fifteen people go through the surgery; fourteen achieved a total resolution of their sleep apnea. The Inspire device monitors the activity of the tongue as well as the muscles of the rib cage. If the device, a pacemaker for the upper airway, detects that the rib cage has activated well before the tongue, the pacemaker senses this discordance and sends a mild electrical impulse to the tongue, preventing an apnea. • CPAP: This device is the dominant therapeutic technique over the last three decades. It has obtained such wide approval because it is highly effective. However, only 60% of patients tolerate CPAP. I find that a comfortable, light mask that does not leak whether it is over the nose and mouth, over the nose or in the nose is crucial to CPAP therapy. The Circadiance Sleepweaver ( a cloth mask), Respironics Nuance, Wisp, and Amara, the Resmed Airfit N-1-,P-10,F-10, Swift, and Quattro Air serve this purpose.
If you have any questions, feel free to call today. 732-920-8022.
Stephen L. Newman MD MBA Diplomat American Board of Sleep Medicine
◌ Fatigue evaluation ◌ Sleep Apnea ◌ Ambulatory, at home, sleep studies ◌ Overnight in laboratory diagnostics ◌ Driving evaluation ◌ Cognitive Behavioral Therapy of Insomnia ◌ CPAP/BIPAP therapy ◌ Provent therapy ◌ Snoring evaluation and treatment ◌ Narcolepsy evaluation
Dr. Stephen L. Newman, a graduate of Albert Einstein College of Medicine, is the first Board Certified Sleep Specialist in Ocean County. He also established the first Sleep Disorder Laboratory in Southern and Central New Jersey. A resident of Ocean County since 1986, he is married to Merrell Newman and has two children. The pride and joy of his life is his granddaughter, Madeleine.
35 Beaverson Blvd, Suite 7C Brick, NJ 08723 Phone: 732.920.8022 drslnewman@drnewman.org
www.DrNewman.org
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July/August 2014
Contemporary &Rattan Furniture
12
The Old Fashioned Way To New Savings!
C
onsider the security of your purchase when buying. In recent years JCPenny, Marshalls, T.J. Maxx, Target, Neiman Marcus and others retailers have had security breaches during which hackers had stolen personal information from hundreds of millions of customers. These are horrendous numbers. And it takes years to try to overcome the thief of your identity. These headlines make us feel vulnerable and almost helpless. Furniture/Today magazine in recent research found that 44% of consumers buying furniture pay with credit cards. This is the most common way that hackers steal personal identity though the retailer’s stolen or compromised record keeping. In Europe the credit card companies are required to convert to Chip and Pin cards, which are said to be tougher to compromise than ordinary credit cards, but tend to be more costly. The American public should be clamoring to change this technology here in America.
Heritage House Interiors has the answer to keeping secure when buying. Being an old fashioned kind of furniture store for 40 years, we encourage the use of cash or check when buying your furniture. And we make it very worthwhile by giving you a whopping 25% discount off of any item in our store or even custom orders when you pay with cash or check. It is a WIN/ WIN situation. It lessens the costs and paperwork for Heritage House Interiors and you get your furniture, lamps, art and accessories at rock bottom prices. However, those of you who want to take advantage of your Frequent Flyer Points, we welcome you to use your Vise or Mastercard and still get 20% off your purchases.
Take the old fashioned way to new savings and help the planet too….use cash or check. As you may know already The Energy Independence and Security Act of 2007 removed the 100-watt incandescent bulbs from the marketplace in 2012 and the 75-watt in 2013. In 2014 the 60 and Clairidge Sectional 40-watt incandescent bulbs will not be produced any longer. For the past several years Swivel the CFL bulbs (twisted floresant) and the halogen bulbs are on the Rocker store shelves providing more light for less cost and energy consumption. Now we are seeing the LED lighting that is revolutionizing the way we use light at a fraction of Devon Sofa the energy use even to the CFL. Using a combination of these new Stone Harbor pub table bulbs will buy America time to update our power Outdoor Swivel Glider and stools grid which is not adequate for our present use. It is a miracle that we don’t have more brownouts or blackouts across the nation. But Americans are resistant to these new lighting changes and are hoarding incandescent bulbs. This is foolish because at some time in the near future we will have to use the new lighting. Some people use the excuse that the lighting is not the same or the cost of the new bulbs is prohibitive. We had to adjust to the incandescent bulb when it was new. The higher initial cost of the CFL and LED lighting becomes a non-factor when you realize that the bulbs last for years. You will more than pay for them with the energy savings. It makes sense for your pocketbook and makes sense for America. So, see the light and stop hoarding! Now that you have decided to save 25% on your furniture purchases Catalina and to cut your electric bills with your new Modular LED lights, come to Heritage House Interiors with your saved dollars to get that chaise you Beautiful Bedroom Sets Available wanted for the patio or that extension table and chairs for the growing family or the “Oh so comfortable” theater recliners to go with your 60” Flat Screen. Take a break from the sweltering sun or sudden thunderstorm!. Ride over to Heritage House Interiors for an adventurous cool break and see what’s new. Key Largo Heritage House is here to help Hampton Bar you with all your needs. Stool Just call (609) 698-7621.
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OPEN 10-5 • THURS. • FRI. • SAT. • SUN. • MON. • TUES. • CLOSED WED. 408 N. MAIN ST. (RT. 9) • BARNEGAT, NJ - 609-698-7621
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The County Woman Magazine
Customer Testimonial
Written By: Wendy Miller
“Henry, thank you so much for your help and expertise regarding the table. I could not believe I got it the same day I visited you. Needless to say I love it and can’t wait to have company over to enjoy a meal. Thanks again for all your help and kindness.” ~ R. Bauer
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July/August 2014
Medical Professionals
13
Detecting Thyroid Nodules Kathy is a friend of mine who had a dilemma. During a routine physical exam, her doctor discovered a lump on her throat and was concerned that she had a thyroid nodule. Although this might be nothing serious, she was Cyrus Khorrami, M.D. worried that it could be cancer. At the same time, she had no symptoms and felt fine. She could not feel the nodule herself. In fact, she was not even sure what the thyroid gland does. She immediately called me with many questions.
What is the thyroid gland? The thyroid gland is a butterfly-shaped gland located at the bottom of your throat, just above your collarbones. It produces hormones, which regulate your metabolism called T3 and T4. It also produces a hormone called calcitonin, which controls the amount of calcium in your blood and in your bones.
How common are nodules on your thyroid? Approximately 50 percent of the population has at least one thyroid nodule. Fortunately, over 90 percent of these are benign (not cancerous). Those that are cancer are very slow growing. The reason most people do not know they have a thyroid nodules are because most of these nodules do not cause symptoms. Rarely, larger nodules can cause jaw pain, difficulty swallowing, or difficulty breathing. Occasionally, a nodule can produce large amounts of thyroid hormone increasing your metabolism. This is called hyperthyroidism and can cause symptoms such as anxiety, irritability, heart palpitations, and difficulty sleeping.
How are thyroid nodules diagnosed? How can you tell if they are cancerous? Nodules larger than 1 cm can be detected by physical exam. The most common way thyroid nodules are diagnosed is by ul-
Thyroid nodule which contains tiny calcifications and blood flow was proven to be cancer. trasound. Ultrasound uses high frequency sound waves (much like sonar in submarines) to show the thyroid gland and to detect disease. Ultrasound is a great tool for diagnosis because it is relatively inexpensive, the tests are performed quickly, and it does not use radiation. In addition to detecting nodules, ultrasound can help determine the character of the nodule. Nodules, which cause suspicion of cancer, are made up of solid tissue (as opposed to being entirely filled with fluid), are larger than 1 cm, have internal blood flow, and have microcalcifications. Ultrasounds are ideal to characterize thyroid nodules and predict, which is more likely cancer and which are more likely benign. The definitive way to detect cancer is a biopsy. A biopsy is removing a small piece of tissue and examining under a microscope. Most biopsies are performed using an ultrasound for guidance. If a nodule is determined to be cancerous or the nodule is causing symptoms such a hyperthyroidism, it is removed by a skilled surgeon.
If a thyroid nodule is not determined to be cancerous, what then? Most thyroid nodules are followed by ultrasound once a year to be sure they remain stable. If a nodule increases in size, develops microcalcifications, or has increased bloodflow, there is a fear that nodule is becoming cancerous. At that time, a repeat biopsy may be performed. Kathy had an ultrasound that showed a 1.5 cm solid nodule. The good news is a thyroid biopsy showed her nodule was not cancer. Kathy followed up with her doctors, had her annual thyroid ultrasound and she feels very confident she is in good hands.
Thyroid nodule detected on physical exam was shown to be a benign cyst on ultrasound.
Patient Testimonial
I have been going to your facility for many years and have always been well treated and satisfied. Keep up the good work! ~ Sylvia, Lakewood
As always, contact our office where our staff will be more than happy to assist you.
732-244-0777
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you can count on.
About The Author ... Dr. Cyrus Khorrami is an Ocean County native who attended kindergarten through twelfth grade here in Toms River. He is a graduate of Temple University Medical School and completed his radiology residency at Cooper University Hospital. Dr. Khorrami completed a Cross Sectional Imaging Fellowship at Johns Hopkins Medical Center. He has returned to Toms River to work with his family at Toms River X-ray, CT, and MRI Center.
The County Woman Magazine
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July/August 2014
Elder Law
14
• Estate/Trust Administration • Guardianships • Will Contest • Special Needs Trust
• Medicare, Medicaid, Long-Term Care & Disability Planning
Elder and Disability Law
Nancy M. Rice,
Esquire, CELA
200 Asbury Avenue • Ocean City, NJ 08226 • 609.398.3447
Certified as an Elder Law Attorney by the National Elder Law Foundation
1236 Brace Road, Suite F • Cherry Hill, NJ 08034 • 856.673.0048
www.RiceElderLaw.com
Should I Give My Home To My Children? I am often asked whether it is a good idea for elderly parents to transfer their home to their children. I always ask:
“Why do you want to do this?” The most common reason is to protect the house in the event one or both of the parents need nursing home care. First, I want to emphasize that there is no easy answer to this question without knowing the full asset and income picture, as well as the health status of the parents. If I get all that information, the answer can be easy (for me!). I summarize below some of the factors, which go into the decision whether it is a good idea to transfer the home and, if so, what is the best way to go about it.
Five-Year Look Back for Medicaid Under New Jersey Medicaid rules, if a parent transfers assets to a child/ren or even to a trust within five (5) years of applying for Medicaid, the transfer will cause a penalty, which does not begin until the Medicaid application is made!! The length of the penalty period depends upon the value of the house. Thus, any transfer of the residence must be made well in advance of the parents’ need for nursing home care (which, of course, cannot be accurately predicted). My main concern about transferring a house to children to accomplish Medicaid eligibility is that there are many exceptions in the Medicaid rules relating to the residence. First, if both parents are living, the house is exempt as long as one of them is living in the residence. Second, transfers without penalty may be made to a
“caregiver child” or a disabled child. Thus, I do not reflexively recommend transfer of a house from a married couple to children, especially if one of the parents is likely to need a nursing home level of care within the next few years.
Capital Gains Tax A second issue with transferring the house is the loss of a potentially significant capital gains tax advantage. The capital gains tax rate is 15% federal and 5-8% percent for New Jersey (capital gain is treated as ordinary income. This tax is paid on the difference between what you paid for something and what you receive when you sell it. If the parents have owned the house for a long period of time, this tax can be substantial. However, if the parents sell the house during their lifetime(s), they have an exemption from this tax in the amount of $250,000 for each parent, assuming they owned and lived in the house as their principal residence for at least two out of the five years before the sale and that certain other requirements are met. This exemption can be lost if the parents give the house to a child/ren, as the house is not the principal residence of the child/ren. If the house is not sold during lifetime, but following the death of the surviving parent, the child/ren will pay a capital gains tax because the house was gifted to them, and not inherited. If a residence (capital asset) is inherited, the “cost basis” for the child/ren becomes the value of the house at the date of death (instead of what the parents actually paid for the house). This is called “stepup in basis.” Usually, this means a zero tax if the house is sold within a year or so after the parent’s death.
Loss Of Control And Children’s Creditors A third issue with transferring the house to children is the loss of ownership of the house and the risk from chil-
Nancy Rice has been practicing Estate Planning and Elder Law in New Jersey and Pennsylvania since 1986. She was Certified as an Elder Law Attorney in 1997, and has maintained offices in Camden and Cape May counties, specifically in Cherry Hill and Ocean City. Call 609-398-3447.
The County Woman Magazine
dren’s creditors. If the parents transfer the house outright to the children, then the children own the house. The children do not have to allow the parents to live in the house and can actually sell the house and take the proceeds. If any of the children get into financial difficulty, their creditors may be able to force the sale of the house. If any of the children get divorced, their spouse may have a claim to part of the house. Finally, and of great importance to most of my clients, if the parents are receiving property tax deductions for being senior citizens or veterans, then these benefits will be lost. Now that I have scared you half to death, I want you to know that there are ways to avoid most of these problems. I use Life Estate Deeds, Trusts, Powers of Appointment and all kinds of other mysterious gadgets, depending upon the situation. Sometimes, my best advice is to not transfer the house but to do other things. It all depends on the total picture.
Nancy Rice can answer your questions and concerns, Call 609-398-3447. My dog Mitzi is an essential part of my law practice! She’s been a part of our family since my daughter picked her out in November 2003. Mitzi comes to work with me everyday- she’s twelve years old and a stray. We’ve determined over the years that she is a cross between a pitbull and a beagle. She has such a calming presence on clients that many want her to be in the conference room with us- although if anyone is allergic or afraid of dogs, she stays in my office. When clients call our office to make appointments, many even ask if Mitzi will be in!
Call to Schedule an Appointment
Ocean City: 609.398.3447 Cherry Hill: 856.673.0048
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July/August 2014
Business Spotlight
15
~ Interview with Nancy M. Rice ~
Rice Elder Law Elder and Disability Law Nancy M. Rice, Esquire, CELA Certified as an Elder Law Attorney by the National Elder Law Foundation 200 Asbury Avenue, Ocean City, NJ 08226 609.398.3447 1236 Brace Road, Suite F, Cherry Hill, NJ 08034 856.673.0048 www.RiceElderLaw.com
Nancy M. Rice, Esquire, CELA
Elder and Disability Law
The County Woman Magazine
Nancy Rice Is An Attorney You Can Trust
Nancy Rice has carved a niche out for herself in the Elder Law arena. She began her law career like many new attorneys working in a very large law firm. It was there that she first learned about Wills and Trusts. However in 1986 when she began her career, “Elder Law” did not even exist as an area of specialty. She joined the newly formed National Academy of Elder Law Attorneys and taught herself the rules regarding Medicare and Medicaid eligibility. When she finally left the large law firm in 1991 after her son was born, she was able to maintain her specialty in Wills, Trusts and Elder Law because so few attorneys were familiar with this new field of law.. One of the aspects of Elder Law that Nancy finds challenging is that the law changes often. Because there are new regulations cropping up all the time it can be hard to stay current. She adds, “. Elder Law involves both federal and state law and regulations, including county interpretations. Further, many of our clients are highly stressed due to illness, disability, or death of a loved one. My goal is to provide a soothing, understanding atmosphere in our office.” Nancy understands the key component of a good attorney: listening and understanding the client’s needs and expectations. This enables her to provide the proper legal representation. Linda De Lanzo, of Ocean City, is a former client of Nancy’s and has never forgotten the experience she had with her. “It has been 20 years since I have had a lawyer write a will. Knowing I was going into the hospital for an operation led me to Nancy Rice. Her knowledge about Elder Law is unlimited. Her skills for reading between the lines are endless. Last, but certainly not least, her humor and kindness made the process easy and painless.” Another excellent reason to use Nancy Rice is you get the added bonus of meeting her beloved pup, Mitzi. As Nancy says, Mitzi is “an essential part of my law practice.” She’s been a part of the family since her daughter picked her out over ten years ago. She adds, “Mitzi comes to work with me everyday- she’s twelve years old and a rescue.. We’ve determined over the years that she is a cross between a pit-bull and a beagle.” Interestingly enough, it is Mitzi’s calming presence that has helped to win her clients over. Some even request her to be in the conference room with them. The practice of Disability Law involves application of federal and state rules regarding SSI, SSD, Medicare, and Medicaid for people under the age of 65 who are unable to work. Her office does not handle Social Security Disability medical claims. Instead, she works with clients with respect to financial eligibility for these programs. “Sometimes, we prepare Special Needs Trusts if a disabled person inherits money or wins a lawsuit and the funds would make him or her ineligible for either SSI or Medicaid. We also prepare Supplemental Benefits Trusts for parents of disabled children as an alternative to disinheriting them,” she adds. In fact, many people believe that they cannot leave any money to their disabled children; but in fact, Nancy can help create documents for the parents so that they are able to take care of their disabled child after death. There are some issues that consistently come up in her practice. They are the following: “Should I put my kids on my deed?” “How can I protect my assets if I need to go into a nursing home?” and “How can I minimize estate taxes upon my death?” If you happen to be struggling with any of these issues then a visit with Nancy Rice is just what you need. Nancy’s practice recently expanded and has added three new associate attorneys. Interestingly enough, all three of them: Andrew Mackerer, Esq., Pamela Quattrone, Esq. and Dan Del Collo, Esq. decided, for one reason or another, that they were not satisfied with other areas of the law. She adds, “All three asked to meet with me in early 2012 to discuss possible career changes. I liked each of them and hired them all.” The new attorneys offer a unique strength that has helped develop and enrich her team. When she is not advocating for her clients, Nancy enjoys crabbing on the back bays of Ocean City on her 13-foot boat. “It’s all very calming—fishing, crabbing and bird watching. I enjoy time with my daughter, son, friends and my dog, Mitzi, of course! When I’m out on the bay, I think about nothing other than where the crabs might be hiding,” she adds.
www.TheCountyWoman.com
July/August 2014
16
Medical Professionals
Top Neurosurgeons are Speaking Out Against Laser Spine Surgery and Explaining Why. The term “laser spine surgery” has become very popular on the Internet and in magazine ads. But while the laser has created substantial medical improvements in the field of medicine, this is not in the case for spine surgery. Atlantic NeuroSurgical Specialists (ANS) advises all patients to use caution when it comes to “advanced” laser spine surgery procedures. Americans love technology. We are all attracted to shiny, new gadgets or the latest tech fad. This certainly holds true when looking at the recent marketing success of laser spine surgery. The idea of using a laser when performing surgery certainly sounds high tech. On the other hand, lasers are often used to burn through thick metal. Considering that, does one really want that type of cutting-edge device near their spinal cord? The neurosurgical community at large does not believe laser spine surgery provides any clinical benefit over traditional, minimally invasive spine surgery (MISS). On the contrary, most believe laser spine surgery poses unnecessary risks to the spinal cord, and have seen patients damaged by this approach. As a result, many fellowship-trained spine specialists do not perform laser spine surgery, nor use lasers during spine surgery, nor recommend that technology. To appreciate why the vast majority of the neurosurgical spine community has not adopted laser spine surgery, it’s important to first understand that the only real difference between laser spine surgery and MISS is how the damaged disc tissue is removed. Why does this difference matter? As counterintuitive as it sounds, laser spine surgery is actually less precise than scalpel-based procedures. During a procedure, a surgeon will often have to look around corners to see what is causing the problem. A laser is a straight beam of light that cannot bend or remove tissue from around a corner. The importance of a surgeon’s ability to delicately navigate angles cannot be underestimated. But there is more. While lasers destroy and cut tissue, they do so with heat that also causes water molecules to boil, which in turn can produce gas. This mixture of heat and gas can damage healthy nerves. A razor-sharp scalpel in the hands of a skilled surgeon maintains the same precision without the risk of inadvertent thermal injury. And lastly there is the issue of depth of penetration. Think of holding a knife up to a balloon and pressing softly. You can feel the give and take of the pressure you are applying against the balloon and thereby have a good idea of when that balloon will pop. Using a scalpel, surgeons can use this same tactile feedback to access the tissue and thereby achieve the exact depth of penetration. On the contrary, a laser will cut further down, depending on how long the beam sits at one part of the incision. Therefore, structures including nerves and healthy tissue can be inadvertently injured. Atlantic NeuroSurgical Specialists is the largest private neurosurgical practice in NJ. ANS neurosurgeons are affiliated with leading hospitals and health care systems and perform the most minimally invasive spine surgery cases throughout the state. If you’re suffering from back pain, visit www.ansdocs.com or call 732.455.8225.
OCW June Quick Fix #614.indd 1
The County Woman Magazine
Don’t Pin your Hopes to a Quick Fix With back pain on the rise, the number of physicians performing back surgeries and procedures has also increased, making Failed Back Syndrome (FBS) all too common. Don’t put yourself at risk. Know what to look for when choosing a spine specialist. Only trust a qualified neurosurgeon to diagnose and treat your delicate spine. At Atlantic Neurosurgical Specialists (ANS), all of our neurosurgeons are board-certified. Most notably, 5 of ANS’s neurosurgeons are fellowship-trained in spine and hold national recognition in their specialty. In turn, ANS remains the largest and most reputable neurosurgical practice in New Jersey. Don’t let insurance come before your health. ANS sees all patients. For more information visit www.ansdocs.com or call 732.455.8225.
310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800 89 Sparta Avenue Sparta, NJ 07871 973.729.0266
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3700 Route 33 Neptune, NJ 07753 732.455.8225 11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941
464 Hudson Terrace Suite 203 Englewood Cliffs, NJ 07632 973.285.7800 2345 Lamington Road Suite 107 Bedminster, NJ 07921 973.285.7800
5/23/14 8:49 AM
July/August 2014
Medical Professionals
17
Can A Woman Have A Baby Even After Her Tubes Have Been Tied Or Burned? Presented by: South Jersey Fertility Center
T
ubal ligation is the most commonly used method
of contraception for women over age 30. It is also known as “permanent sterilization.” This procedure is known in lay terms as “tying your tubes.” A woman chooses to undergo this procedure when she is certain that she wants no more pregnancies, yet wants to avoid the need for contraception methods, which must be used continuously or at least vigilantly. The “reversible” methods of contraception are: the rhythm method, withdrawal, condoms, diaphragm, pills, patches, vaginal Nuvaring, intrauterine device (IUD), subdermal implants, or depoprovera shots. In women, the procedure involves obstructing the mid-portion of the fallopian tube, which is the duct through which the egg must travel to reach the uterus. Once the tube is obstructed, the sperm cannot reach the egg to fertilize it. Various methods have been used to ligate, “tie-off,” tubes. These include elastic bands, small metal clips, suture, and electrocautery. Any of these methods have the potential for surgical reversal. Unfortunately, many people who have undergone such a sterilization procedure later regret it. One published survey found that half of all women who had their tubal ligation performed prior to the age of 30 later wished that they could have more children again. Ten percent of men desire reversal of their vasectomy. Life’s situations change. Sometimes after divorce or the death of a spouse, a person decides to remarry. It is common to want to share a genetic child with the new partner, especially when the new partner has no children of
his or her own. In other situations it’s not a new marriage that causes the regret. Rather, the same husband and wife may decide they would like to have more children either due to a tragic loss of a child or because their financial situation has improved. Fortunately there is hope for most of these couples. The two most popular solutions to this dilemma are sterilization reversal surgery and in-vitro fertilization (IVF). Each of these two options has its advantages and disadvantages. It’s up to the individual couple to decide which option best fits their lifestyle once they understand the medical pros and cons.
Tubal Ligation Reversal surgery is highly successful if a sufficient length of tube remains on both ends of the ligation. Often the operative report from the tubal ligation procedure is useful in identifying candidates who do not have a good chance for successful reversal. Even with a reassuring operative report approximately 5 percent of cases for tubal reversal surgery cannot be performed due to unexpected findings in the pelvis at the time of the intended reversal surgery. These findings include scarring of the fimbriated end of the tubes or absence of the fimbria. The fimbria are the tiny finger-like structures that sweep the egg into the tube from the ovary. Traditionally, this surgery has been performed through a 4 inch “bikini-cut” incision requiring overnight hospital stay and avoidance of work for 4 weeks. Now, for the past 3 years our Dr. Peter Van Deerlin has been doing all the tubal reversal surgeries by the minimally invasive laparoscopic technique with just 4 small “key hole”
incisions, each a quarter-inch. Patients go home the same day and return to work in a week or less. Dr. Van Deerlin has been doing tubal reversal regularly since 1997 and completed a course on Advanced Laparoscopic Surgical Skills for Tubal Anastomosis at the MOET Institute. Very fine suture material is used to reconnect the tubes. Typically 4 or more sutures are used depending on the diameter of the tube. Usually the chance for a successful pregnancy within one year of the surgery is 50 percent for women under the age of 40. Women between the ages of 40 and 44 have a pregnancy rate that is half of that. An advantage of tubal reversal over IVF is that if you successfully conceive a pregnancy you can usually go on to have even more pregnancies if you desire. Of course this could also be a disadvantage if you only want to have one more child and don’t want to have to worry about using contraception again. Another disadvantage is that there is a 10 percent incidence of tubal pregnancy following surgical reversal. If your medical insurance doesn’t cover the tubal reversal procedure (and most don’t) the total cost to you is $6850 including anesthesia.
SJFC Celebrating 25 Years of Creating Families in the South Jersey Area!
South Jersey Fertility Center
Division of Regional Women’s Health Group, LLC Full Service Infertility Center With:
· All Of The Doctors Are Board Certified In Reproductive Endocrinology And Infertility · Top Doctor Awards For 7 Years In A Row · Laparoscopic Tubal Reversals · Money Back Guarantee Available For Ivf And Donor Egg · Full Service Fertility Center · Robotic Surgery Available
Robert A. Skaf, MD FACOG Peter G. Van Deerlin, MD FACOG Stephen W. Sawin, MD FACOG Gary S. Packin, DO FACOOG, Dist. Oumar Kuzbari, MD, FACOG Barbara Alice, APN-C, MSN Tracy Krause, APN-C,MSN
400 Lippincott Drive Suite 130 Marlton, NJ 08053 856.596.2233
SOUTH JERSEY FERTILITY CENTER is now offering a discount for IVF to ACTIVE MILITARY AND VETERANS Call 856.596.2233 ext. 1227 for more information.
Pictured...
Top Row (left to right): Dr. Gary Packin, Dr. Stephen Sawin, Dr. Peter Van Deerlin, Dr. Oumar Kuzbari Bottom Row (left to right): Barbara Alice, APN-C, MSN, Dr. Robert Skaf, Tracy Krause, APN-C, MSN
Visit us on our Website www.sjfert.com Harbor Pavilions AtlantiCare Life Center 570 Egg Harbor Rd • Suite B4 500 English Creek Ave. • #225 Sewell, NJ 08080 Egg Harbor Twp. , NJ 08234 856.218.8863 609.813.2192
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Burlington Prof Campus 1900 Mt. Holly Rd #4A Burlington, NJ 08016 609-386-4701
www.TheCountyWoman.com
The In-Vitro Fertilization procedure
(IVF) by-passes the fallopian tubes altogether. Eggs are retrieved from the woman’s body and fertilized with her partner’s sperm in the petri dish. The resulting fertilized eggs are then placed into the uterus (womb) through the vagina. The clinical pregnancy rate at our center for women under the age of 35 is 54 percent. If a couple is willing to undergo 2 or 3 cycles of IVF, then they have about the same chance of conceiving as with tubal reversal. Many women produce so many eggs that they can freeze extra embryos for future tries. The rate of clinical pregnancy from frozen embryos in women under age 35 is 42 percent. A disadvantage of IVF is that there is a risk of twins (up to 33 percent) and triplets (1 percent) depending on how many embryos are elected to transfer back to the uterus. Some health insurance plans cover the IVF procedure. The cost at our center for each IVF procedure is $7,790. The fertility medications (if not covered by the prescription plan) can cost $3000 or more. Advances in medical science have indeed made it possible to have another child following a sterilization procedure.
Call South Jersey Fertility Center to schedule your appointment. www.sjfert.com July/August 2014
Medical Professionals
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Shape Your Beauty And Look Younger Submitted by: Dr. Stephen E. Small, Board Certified Plastic Surgeon
PROMOTIONS MAY 6 - AUGUST 31st, 2014
Say good-bye to your tired, sunken cheek, which can make you look older than you feel.
FREE Treatment: Never Had Botox?
Schedule A Consultation for $150 (excluding tax)
As we age volume loss is a major reason we lose that youthful profile. Now a rounded youthful profile is possible with a non-invasive approach with Juvederm Voluma XC. Juvederm Voluma XC is a new FDA approved filler to restore that youthful volume to the cheek that has been lost with aging. The results are instant and create a rounded lift to the cheeks that lasts for up to 2 years! The treatment is a straightforward office procedure, which usually takes about 30 minutes to perform. Voluma XC already contains a local anesthetic making the procedure more comfortable to have done.
Receive your treatment free (Up to two areas, While Supply Lasts)
Juvederm Voluma Special $750 PER VIAL
Disclaimer: Void Where Prohibited by Law. Must be 18 years of age or older. Non- transferrable. Botox promotion is only for patients who have never had Botox. Any subsequent Botox treatments will be charged. The areas to be treated will be determined where clinically indicated by Dr. Small. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, and/or treatment that is performed as a result of and within 72 hours of responding to the advertisement for free, discounted fee, and/or reduced fee service, examination or treatment. Offer subject to change without notice. Photos and logos courtesy of Allergan Inc.
OCEAN PLASTIC SURGERY P.A. AND LASER CENTER Toms River, NJ • Manahawkin, NJ • Office: 732-255-7155
If you have wrinkles we can treat that too... Erase those vertical lines or 11’s between your eyes with Botox. Botox will keep you looking awake, alert and rested for months. A great treatment to minimize wrinkles and lines caused by facial Before After 7 days expression.
Untouched photographs. Individual results may vary.
Maintain your great looks by joining Brilliant Distinctions. This is an awards program that you can register for by going online at www.BrilliantDistinctions.com. You will receive special offers, exclusive invitations and membership to the Brilliant Distinctions Points Program which will give points towards Allergan products such as Latisse, Botox and Juvederm. We offer the Brilliant Distinctions program. Call Dr. Small at Ocean Plastic Surgery for more details. Come visit us and explore the possibilities of a new you with our state-of-art Vectra XT imaging. You can see your Breast-Face-Body result in 3 D at your consult! This is an awesome way to see what a Breast Augmentation, Rhinoplasty or Liposuction result would look like.
Dr. Small’s goal is to help his patients achieve a beautifully natural appearance. He understands that undergoing plastic surgery is very personal, and strives to provide an exceptional experience by attending to your unique needs and expectations. You will be cared for in a comfortable, compassionate setting with a staff that is ready to serve you. Call to schedule your appointment, 732-255-7155.
The County Woman Magazine
(excluding tax)
Artistry • Beauty • Rejuvenation Non Invasive
Breast
Face
Body
Botox Juvederm Radiesse Boletero
Liposuction Tummy Tuck Body Lift
Laser Center
Augmentation Lift Reduction Reconstruction Revision Augmentation Revision Reconstruction
Facelift Cheek Lift Neck Lift Eyelid Surgery Fat Transfer~ Lipoaugmentation Rhinoplasty Chin Augmentation Otoplasty
Matrix Fractional C02 Resurfacing Hair Removal Spider Vein Tattoo Removal Vectra 3 D Photofacials Erbium Laser Imaging Refresher Peels Breast Pulsed Dye Laser Face Scar Treatment Body
1301 Route 72 West Suite 260 Manahawkin, NJ
780 Route 37 West Suite 240 Toms River, NJ
www.oceanplasticsurgerynj.com • 732-255-7155
www.TheCountyWoman.com
July/August 2014
Business Spotlight
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~ Interview with Dr. Stephen Small ~ Dr. Small Redefines What It Means To Be Beautiful
Ocean Plastic Surgery P.A.
A staff writer at Ocean County Women had a moment to sit down with board certified plastic surgeon, Dr. Stephen Small, to discuss his career and inspirations which led him to establishing his Ocean Plastic Surgery practice in Ocean County, New Jersey.
And Laser Center
What is your educational background?
I am a Board Certified Plastic Surgeon going into my ninth year of private practice in Ocean County. My plastic surgery residency was through Ohio University at South Pointe Hospital, Cleveland Clinic Health System. In Cleveland, I had the opportunity to train with some of the best cosmetic and reconstructive surgeons in the country at the Clinic, Metropolitan, Case Western, Lutheran and South Pointe Hospitals. Prior to my plastic surgery residency, I had completed a burn and reconstructive fellowship at New York Medical College, Westchester Medical Center. This was an intensive one-year fellowship in burn, hand, craniomaxillofacial and micro-reconstructive surgery at a level one trauma center. Preceding all of my plastic surgery training was the completion of a five-year general surgery residency at the University of Medicine and Dentistry of New Jersey in Stratford. My undergraduate study was in physiology at Penn State University where I was recognized as a University Scholar earning my B.S. degree. I went on to the Philadelphia College of Osteopathic Medicine to earn my medical degree and pursue my dream of becoming a plastic surgeon.
Dr. Stephen Small • Toms River, NJ • Manahawkin, NJ 732-255-7155 www.OPSNJ.net
What led you into the field of plastic surgery?
As a 9-year-old boy I was involved in a major accident, which resulted in second and third degree burns to my right arm, shoulder, chest and face. I am thankful to be alive and because of excellent care I recovered fully. While I still have scars from that injury, I could see my progression with before and after photos of my recovery and was astounded. I thought if I could help just one person, the way that I was helped, that was what I would do with my life. The person who helped me was a plastic surgeon, Dr. Dabb.
What is the best part about your profession?
The best part about my profession is helping people. I have the opportunity to help restore or improve someone’s life and well being with cosmetic and reconstructive surgery. Recently, as I was turning to leave the office, my patient, who had a melanoma treated said, “ Thank you, thank you for saving my life. ” In that moment, I reflected on what brought me here and what I know in my heart; I love helping people. It’s truly a privilege and an amazing profession.
What is the most challenging part of your profession? Artistry • Beauty • Rejuvenation Dr. Small: It might sound cliché but it is keeping up with all the changes that have been
Non Invasive
Body
made and are being made to our healthcare system. Face
What advancements in the field do you think are most critical? Facelift CheekThe Liftbiggest advances that I have seen in the past several years are innovations, which have made Neck Liftprocedures less invasive with less downtime. Everyone’s life is so busy that few have the time for an extensive recovery or extended time from commitments at home or work. In my Eyelid Surgery Laser Center practice, we offer many treatments, which have minimal to no downtime to accommodate any Transfer~ Breast Matrix Fractional Fat lifestyle. Lipoaugmentation Augmentation C02 Resurfacing What is the most popular treatment among women? Rhinoplasty Lift Hair Removal The most popular minimally invasive procedures are Botox and soft tissue fillers to Chin Augmentation Reduction Spider Vein treated unwanted facial lines and folds. The most common cosmetic procedures are breast Otoplasty Reconstruction Tattoo Removal augmentation, liposuction, face and eyelid lifts. Vectra 3 D Revision Augmentation Dr. Stephen SmalL Photofacials What is the average age of your clientele? Revision Reconstruction Erbium Laser Imaging We see patients of all ages from a few months old to those in their nineties. The average Refresher Peels Breast age of our cosmetic patient is typically between the ages of forty and fifty. Our cosmetic surgery Pulsed Dye Laser Face patient age goes from 18 years to 80 plus years of age. When it comes to cosmetic surgery age Scar Treatment Body is not so much a factor but rather addressing each person’s unique needs and desires while
Botox Juvederm Radiesse Boletero
Liposuction Tummy Tuck Body Lift
ensuring what is recommended is safe and effective.
780 Route 37 West 1301 RouteHow 72 West do you like to spend your free time? 240 daughter. I truly love to spend as Suite 260 I have a beautiful wife, a 6-year-old son andSuite a 4-year-old Toms River, NJ I’m an avid runner and enjoy runManahawkin, NJtime with them as I can. When I’m not with the family much ning in marathons. Currently, I am preparing for the New York Marathon this November.
www.oceanplasticsurgerynj.com • 732-255-7155
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Medical Professionals
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What Is A Colonoscopy And Why Should I Have One? 20 minute test. Unlike sedation used in the past, the newer agent, Propofol does not make you nauseated, it will keep you more deeply asleep than other sedatives and it wears off very quickly.
to their physician about the need to have an exam as soon as possible. Otherwise for patients without any symptoms the current guidelines recommend colonoscopy in all adults starting at age 50. This includes both men and women. If you have certain risk factors like a family history of colon cancer or history of other malignancies like breast, uterine or ovarian cancer, your doctor may recommend it be performed at an earlier time.
Why Should I have a colonoscopy? Written by: Jill Collier, M.D. Chairperson, Department of Gastroenterology, Community Medical Center
Y
ou may have heard your friends talking about having a colonoscopy or perhaps your doctor has already advised you to schedule an exam. Often patients are frightened by the exam because they may not understand what is involved or they may have heard stories from an acquaintance about some harsh preparations or discomfort during a colonoscopy. It is important to know the truth about colonoscopy and to schedule this important exam.
What is a colonoscopy?
The colon is a six foot tube between the small intestine and anus that absorbs excess water and salt into the blood and converts liquid waste into solid stool. This is the part of your body that is susceptible to colon cancer. Colonoscopy is a direct examination of the colon or large intestine with a flexible camera. During the procedure the doctor will view an image of the colon projected on a television screen. A cleansing of the bowel is required before the exam to empty the colon of stool. In our office we typically use a small volume preparation which only requires you to drink 20 ounces of laxatives the day prior to the test. Other doctors may ask you to drink a gallon solution of laxatives or even to take pills or enemas. You will receive sedation with intravenous medications often administered by an anesthesiologist for the examination. These medications will make you sleep comfortably through the 15 to
Colonoscopy is recommended as a tool your physician can use to reduce your risk of colon cancer. Colon cancer is the third leading cancer in the United States. Colon cancer most often starts in small growths within the colon called polyps. A polyp is like a bump or wart-like structure on the internal surface of the colon, which in many cases causes no symptoms. When your doctor looks into your colon with a colonoscopy they can identify and remove these growths before they have an opportunity to grow into cancer.
What are the risks of the exam?
Colonoscopy is generally a very safe procedure, but as in any medical test there are certain risks. The risks include adverse reaction to the anesthesia, like allergic reaction or suppression of the breathing. These can be
What are the symptoms of colon cancer?
The symptoms of colon cancer may include rectal bleeding, change in bowel habits, anemia and abdominal pain, but most commonly patients have little if any symptoms. It is therefore very important to have a colonoscopy early, because it is much better to prevent the disease with colonoscopy and polyp removal than to have to undergo colon cancer treatment.
voluntarily chosen to be accredited by the Joint Commission (formerly known as the Joint Commission on Accreditation of Healthcare Organization or JCAHO), which requires stringent adherence to a higher set of patient safety standards. Hopefully this information about colonoscopy has helped you to realize that colonoscopy is a safe, comfortable and important tool your doctors can use to help prevent colon cancer.
Call Gastroenterologists of Ocean County with your concerns.
Patient
Testimonials
“My experience was wonderful. My anticipation before the procedure was questionable even though everyone said it was nothing, but being the first time going through a colonoscopy, one never knows what to expect. All I can say is that you guys were all great. Thanks for the best experience.” ~ Nicolette, Wayne , NJ “I’m really at a loss trying to find the right words to express the warm, friendly, professional experience I received before, during and after my procedure.” ~ Dolores, Lakewood, NJ
Meet The Doctors Of Gastroenterologists Of Ocean County.
(Sitting l-r) Omar Tamimi, MD, Jill Collier, MD, and Allan Cohen, MD. (Back row l-r) Jai Mirchandani, MD, Edgar Bigornia, md and Kenneth Glazier, MD. We perform endoscopic procedures in the convenience of our two office based endoscopy centers. We aim to provide the highest quality of compassionate medical care and perform endoscopies in a convenient, friendly, non-threatening office setting. We serve patients from many different backgrounds which is mirrored in the diversity of our physicians.
Who should have a colonoscopy?
Anyone with symptoms of bleeding, abdominal pain or altered bowel habits should speak Hospital
Gastroenterologists of Ocean County
|
“This was my best experience at any medical facility I was ever at and believe me I am the biggest chicken. I am going to recommend this place and these doctors to everyone. Thank you so very much. You are the best.” ~ Robert, Bayville, NJ
Board Certified Gastroenterologists
Allan Cohen, MD • Omar Tamimi, MD • Jill Collier, MD • Edgar Bigornia, MD • Kenneth Glazier, MD • Jai Mirchandani, MD Hospital Privileges at Community and Ocean Medical Centers
• • • •
Colonoscopy and colon polyp removal Colon cancer detection & screening Rectal bleeding evaluation Ulcer pain evaluation and treatment
473 & 477 Lakehurst Road Toms River, NJ 08755 732-349-4422
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• • • •
Swallowing disorders Endoscopic treatment of hemorrhoids Capsule Endoscopy Bravo pH Monitoring
7 Sherwood Drive Lakewood, NJ 08701 732-367-3338
Medicare, HMO’s and most insurance accepted.
promptly treated as soon as they are identified. The tube inside the colon can rarely cause a perforation, or a hole being placed in the intestine. That could require surgical correction. Bleeding can occur if a polyp is removed so your doctor may ask you to stop certain medications like Aspirin before your exam to minimize this risk. Risks of the examination are lowered by having an experienced, board certified gastroenterologists perform your exam. All of our doctors meet these requirements. In addition be sure to have your examination performed at a certified endoscopy center. All endoscopy facilities are required to be inspected by the State of New Jersey Department of Health. Our centers have also
355 Route 9 Bayville, NJ 08721* 732-349-4422
* Limited hours by appointment.
Now you can have your Colonoscopy, Polypectomy and Upper Panendoscopy in our tranquil and private endoscopy centers. You will receive intravenous sedation, which will make you sleepy and comfortable. Our colonoscopy preparation does not require you to drink a gallon of solution of Golytely or Colyte. 939 Lacey Road Forked River, NJ 08731 609-971-5949
1617 Route 88 West Now seeing Brick, NJ 08724 patients in our new 732-249-4422 Brick office location!
www.GastroOfOcean.com
www.TheCountyWoman.com
July/August 2014
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ARMC’s Center for Surgical Weight Loss & Wellness Helping patients lose weight, gain better health Patients who have had weight loss surgery at AtlantiCare Regional Medical Center (ARMC) are losing more than weight. Many are losing the need to take medications and gaining a better quality of life. “Weight loss surgery can positively reduce obesity-related comorbidities,” explained Alexander Onopchenko, MD, FACS, FASBS, medical director, Center for Surgical Weight Loss, AtlantiCare Regional Medical Center Atlantic City Campus. “Our patients’ experiences confirm what studies have shown about the impact of weight loss surgery on type 2 diabetes, hypertension, metabolic syndrome and cardiovascular disease risk. “This has meant reducing the amount of, or eliminating the need for medication to control diabetes or lower blood pressure for many patients,” said Onopchenko. “Some patients experience benefits in the first few days after surgery.” Onopchenko added patients who are most successful in eliminating; controlling or preventing co-morbidities are those who are committed to making and maintaining healthier behaviors. The Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center is an American Society for Metabolic & Bariatric Surgery (ASMBS) Bariatric Surgery Center of Excellence (BSCOE). Founded in 2002, the Center has
The County Woman Magazine
performed more than 2,700 weight loss surgeries. The bariatric team includes two board certified bariatric surgeons, certified bariatric nurses, and clinical and support staff specially trained to care for and treat surgical weight loss patients. In addition, some members of the care team have personal experience with weight loss surgery. They assist patients based on professional and personal experience. ARMC’s Center for Surgical
Weight Loss & Wellness, based at the George F. Lynn Harmony Pavilion at ARMC Atlantic City Campus, offers a multidisciplinary approach to the management of obesity and customizes treatment plans specific to each patient based on the following areas: behavior and lifestyle modification; diet, nutrition and metabolism; exercise options and pharmacotherapy. Weight loss surgery options at
ARMC include gastric bypass surgery; laparoscopic adjustable gastric banding procedure or “lap-band,”; laparoscopic sleeve gastrectomy; and laparoscopic biliopancreatic diversion with duodenal switch. For more information about ARMC’s Center for Surgical Weight Loss & Wellness or other AtlantiCare services, visit www.atlanticare.org or call our Access Center at 1-888-569-1000.
FREE WEIGHT LOSS
SURGERY SEMINARS To register call 1-888-569-1000.
“Minimally Invasive Bariatric Surgery” Join us to learn about these minimally invasive surgical procedures for weight loss: • Laparoscopic Sleeve Gastrectomy • Laparoscopic Biliopancreatic Diversion (BPD) with Duodenal Switch (DS) • Laparoscopic Gastric Bypass Roux-En-Y • Laparoscopic Adjustable Gastric Banding (LAP-BAND®)
REGIONAL MEDICAL CENTER The Center for Surgical Weight Loss & Wellness
View our weight loss webinars at www.atlanticare.org/bariatricseminars www.TheCountyWoman.com
July/August 2014
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Protect Yourself Against Foreclosure, Judgments & Harassing Creditors
Chapters 7 & 13 Individual, Business and Creditor Representation
We are a debt relief agency that helps people le for relief under the bankruptcy code. Payment Plans Available
BANKRUPTCY
732.341.3800
www.straffiandstraffi.com
670 Commons Way • Toms River, NJ Conveniently Located Directly Off Of the Parkway
FREE CONSULTATIONS
Daniel Straffi Jr., Esq.
TheCounty CountyWoman WomanMagazine Magazine The
www.TheCountyWoman.com www.TheCountyWoman.com
November/December 2013 July/August 2014
Business Spotlight
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~ Interview with Daniel Straffi, Jr. ~ Straffi & Straffi are the Key to Your Financial Health
Straffi & Straffi Attorneys At Law Daniel Straffi, Jr. 670 Commons Way Toms River, NJ 732-341-3800 www.straffiandstraffi.com
You could say that Daniel Straffi Jr. has bankruptcy law in his blood. After joining his father’s law practice in 2004 his own knowledge and expertise in the field grew. Daniel’s father is a Chapter 7 Bankruptcy Trustee and his background has been invaluable in assisting Daniel with his own personal practice. He has focused his practice on representing individuals and businesses in the areas of bankruptcy and criminal defense. Filing for bankruptcy is a serious and sometimes very emotional step. It is critical to have the right representation as well as someone you feel you can really trust. Personality, as well as professionalism matter and you must believe the person you hire is working to service your best interest. Why did you select bankruptcy law as your specialty?
I enjoy bankruptcy work because I am able to truly set a course for navigating clients from what is usually the most difficult time in their lives to a path of hope and rebuilding.
What are the most challenging aspects of your profession?
There are many challenging aspects to the legal profession. As any attorney will attest, time management usually requires the most work and attention.
What are your top three tips for financial “health” for young families?
My advice to any young family starting out is to communicate with each other about your respective finances. Openness about spending, bills, and income can help find or address problems before they become too difficult. With good communication comes greater financial health in terms of budgeting and spending.
What are the primary reasons the average person files for bankruptcy?
The majority of people I represent are hard working individuals accustomed to paying their bills. With the cost of living in the state of New Jersey being so high, it does not take much to fall behind. The primary reasons for filing bankruptcy are loss of income, medical reasons and divorce or separation.
What are the average fears or anxieties surrounding filing for bankruptcy?
Most clients are very concerned with the effect a bankruptcy will have on their credit. They view it as an “end” rather than (what it is) which is a “new beginning.” It is the intent of the courts to provide the honest debtor with a fresh start. This includes the ability to rebuild one’s credit over time.
Protect Yourself Against Foreclosure, Judgments & Harassing Creditors We are a debt relief agency that helps people file for relief under the bankruptcy code Chapter 7 & 13 Individual, Business and Creditor Representation Daniel Straffi, Jr. Payment Plans Available
Bankruptcy • Criminal Defense
Why is there so much incorrect information out there about bankruptcy?
Unfortunately some people wait too long to get accurate information they need from a reputable attorney. Some fall prey to the misinformation spread by debt consolidation companies, banks or other creditors that have an interest in preventing debtors from obtaining the powerful relief that bankruptcy can provide.
How long will the “average” bankruptcy be on a person’s credit report?
Usually it will be on a credit report for a period of ten years. Generally speaking, it takes folks about two years to rebuild their credit. In the interim, the cash that will be freed up from not having to pay the exorbitant minimum fees from credit cards will help most debtors operate their households while simultaneously rebuilding their credit.
How do you like to relax after a long day at the office?
I’ve never been opposed to the occasional cocktail or “three.”
Please tell us about your family.
Daniel Straffi Jr., Esq. www.straffiandstraffi.com The County Woman Magazine 670 Commons Way
I have been married since 2002 to my wife, Danielle. My wife is an art therapist with a private practice in Mt. Laurel. We reside in Medford, with our 9-year-old daughter, Emma, dog, Tinkerbell, and guinea pig, Scarlet. For the record, I was not involved in the naming of said pets, nor is the guinea pig red in color.
www.TheCountyWoman.com
July/August 2014
Law
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Pension Considerations And Divorce Written by: Jay Turnbach, Esq.
P
ensions, more than anything else these days, define the middle class. For the wealthy, pensions are rarely significant contributors to their wealth or income, and for the struggling few, subsistence level jobs come with pensions. However, pension promises permit the middle class to direct more of their resources to lifestyle rather than retirement savings. Not having to devote substantial portions of your after tax income to retirement savings (because of the expected pension benefits) allows for a much higher standard of living than would otherwise be possible.
Pensions Are Often The Largest Asset In Divorce
Across the country, and particularly here in New Jersey, pension system payouts have grown. They provide a measure of security (and indicia of success) which ensconces the recipients firmly in the coveted “middle class” that all of the politi-
cians talk about. Because of this, they are often the single biggest asset distributed between the parties in any divorce. Consider, if you will, that a million dollars saved will earn $50,000.00 a year in investment income without touching the principal (assuming it can be successfully invested to provide 5 percent returns each year). Currently, several big annuity companies offer products designed to guarantee a 5 percent return, so that rate of return is not unreasonable. Now consider a pension paying $50,000.00 a year. That pension has a value to the recipient of $1 million. Maybe the recipient can’t spend their million dollars all at once, but the guarantee of $50,000.00 per year is, nevertheless, the equivalent of having one million dollars in the bank and living off the investment income therefrom. The Daily Record, a Gannett Company, recently published some of the average salaries of New Jersey’s public employees. Firefighters average $95,040.00 a year, police officers average $90,695.00 a year and teachers average $69,231.00 per year. (Here, it is important to remember that the pensions of
Jay Turnbach, Esq., LLc Divorce Mediation, Litigation, Collaborative Divorce Post-Judgment Divorce Enforcement of Divorce Judgments, Child Support and Alimony Modifications, Out of State Relocations with Children General Family Law Child Custody/Parenting Time Issues, DYFS Matters Domestic Violence Restraining Order Hearings, Motions to Vacate Old Orders
www.NJFamilyLawyer.net
Certified by the Supreme Court of the State of New Jersey as a Certified Matrimonial Attorney
these workers are not computed on their average wages, but on formulas related to their higher earnings later in their careers). With pensions amounting to anywhere between 45 percent and 60 percent or more of the employees’ salaries, it is not uncommon for annual pension payments per worker to be anywhere between $30,000.00 a year to $100,000 or more per year. The same Daily Record article points out some New Jersey employees who are eligible for pensions topping $150,000.00 per year. Taking a $75,000.00 a year pension (not at all uncommon among retiring law enforcement officers or school administrators) and applying the 5 percent formula as discussed above, that pension payment is the equivalent of giving the retired employee the benefit of the investment earnings on $1,500,000.00 (A far superior retirement benefit to the proverbial gold watch). Now this is not, strictly speaking, the correct math. The actuarial computation would include considerations of life expectancy and the time value of money – but as a shorthand way 732.286.4860 of understanding the Free Telephone substantial value of these ConsulTaTion pensions, this explanation can suffice. Indeed, for an employee without a pension, the values mentioned are reasonable estimates of assets needed to be assured of investment income of $50,000.00 or $75,000.00 annually (particularly in light of the fact that the constitution of the State of New Jersey essentially guarantees the pensions, whereas the retiree with his or her own savings is always at risk of market losses eroding their income). 229 Washington Street Toms River, NJ 08753
With that background, three things are noteworthy for consideration.
1
First, the middle class of New Jersey is being buoyed by these pensions. Without these pensions, the demographics of our State would look very different. Secondly, the employees receiving these pensions earned the right to enjoy them. They sacrificed potentially more lucrative career options in business, law, politics, medicine, engineering and the like, largely because of the promise of these retirement benefits. Thirdly, as the spouse of a pension earner, you are deemed by the divorce laws of the State of New Jersey to have earned that pension right along with the employee. You are entitled, upon divorce, to receive your share of those assets upon the retirement of your spouse. The marital partnership extends to these employment benefits – and you should be careful not to underestimate the value of these pensions to those that hold them. As an aside, if your family is benefiting from the higher earnings generally associated with careers in business, law, politics, medicine, engineering and the like, and you are not on pace to save some of that higher income in accordance with the figures set forth in this article, be prepared to have your lifestyle in retirement surpassed by your public servant neighbors.
2 3
Schedule an appointment with Jay Turnbach, Esq., to further discuss your concerns. 732-286-4860
Jay Turnbach has 19 years’ experience handling family law matters in Ocean and Monmouth Counties. He is certified by the Supreme Court of New Jersey as a Certified Matrimonial Law Attorney. He is qualified as a divorce mediator pursuant to Rule 1:40 of the New Jersey rules of Court. He is the immediate past president of the Jersey Shore Collaborative Law Group, and a former chairman of the Family Law Committee of the Ocean County Bar Association.
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Medical Professionals
25
Live Life Dry: Treating Urinary Incontinence
I
t would be difficult to watch an hour of primetime television today without seeing an advertisement for overactive bladder medication or adult diapers.
The fact is more than 37 million adults in the United States – one in six – suffers from overactive bladder, urinary frequency, or urgency. Unfortunately, many people dismiss such urinary symptoms to be a part of “getting older” and do not seek medical intervention. The fact is, overactive bladder and urinary retention (the inability to completely empty the bladder) are not a normal part of the aging process, can cause embarrassment, and can diminish the quality of daily living dramatically. Facts: Women are twice as likely as men to experience urinary incontinence. This is due to pregnancy, childbirth, menopause and the structure of the female urinary tract. Older women experience urinary incontinence more often than younger women. Bladder control problems may also affect younger people, especially women who have just given birth. In fact, a recent study found 25% of women over 18 years old has experienced episodes of leaking urine involuntarily, and one-third of men have experienced loss of bladder control during their adult lives. Only one in eight Americans who have experienced loss of bladder control have been diagnosed. Recent data has shown that women wait and average of 6.5 years from the first time they experience symptoms until they obtain a diagnosis for their bladder control problems. People experiencing bladder control issues often suffer diminished social lives. Even mild symptoms affect social,
sexual, interpersonal and professional function. People with bladder control problems often struggle with simple everyday activities, such as working, shopping, or seeing a movie, for fear of embarrassing wetting episodes or not being near a restroom. Also, overactive bladder sufferers are two to three times more likely to regularly experience disturbed sleep, overeating, and poor self-esteem.
the cause of symptoms such as blood in the urine (hematuria), painful urination (dysuria), urinary incontinence, urinary frequency or hesitancy, an inability to pass urine (retention), or a sudden and overwhelming need to urinate (urgency) and much more.
Diagnosis: Bladder control issues can be caused by a multitude of factors. In certain cases, pregnancy and childbirth, obesity, weak pelvic muscles or diabetes can contribute to overactive bladder. Additionally, certain medications or inactivity also can contribute to such issues. In some people, bladder control problems are caused by miscommunication between nerves. Specifically, the brain and sacral nerves, which control the bladder, do not communicate properly, causing the nerves to tell the bladder to release urine at the wrong time. The first step towards treatment is diagnosing the type of incontinence and then pinpointing the underlying cause or causes. We ask our patients to complete a “voiding diary” which provides great insight and aids in diagnosis. The gold standard for diagnosing urinary issues, including incontinence, is called Urodynamic testing or Urodynamic study. This series of tests, all done in one visit, along with the data from your voiding diary will give the physician objective data related to bladder functions. Additionally, physicians often perform a cystoscopy to further assess the urinary tract. A cystoscopy is a test that allows the doctor to look at the inside of the bladder and the urethra using a thin, lighted instrument called a cystoscope. This study helps find
Treatment: In some instances, behavior modification may be sufficient to deal with urinary incontinence. You may be asked to limit fluid intake, avoid bladder irritants such as caffeine and alcohol, and do pelvic floor exercises – “kegels”. There are also medication commonly used to treat overactive bladder (OAB) and are sometimes prescribed to treat stress urinary incontinence. In certain cases of incontinence involving the miscommunication of nerves to the bladder, a neurostimulator (commonly called a Bladder Pacemaker) may be the best treatment option. Incontinence is a not a hopeless problem. There are many treatment options available, however, only proper diagnosis will lead to proper treatment. Although behavior modification and pharmaceutical therapy work for some, they may be ineffective or poorly tolerated by other patients. It is definitely possible to live life dry.
Mukaram Gazi, MD, FICS, FACS
Director, Robotics & Laparoscopic Surgery Board Certified Urologist Assistant Clinical Professor, Rutgers RWJ Medical School -New Brunswick NJ Monthly Top Docs Consumer Research Council, America’s Top Urologist: 2008-2013 Consumer Research Council, Compassionate Physician Award: 2010-2013
Alexander Gotesman, MD Adult & Pediatric Urology Specializing in Ambulatory Urology 5 Years of Post Graduate Clinical Research Experience Membner - Alpha Omega Alpha Medical Honor Society Vitals - 2014 Compassionate Physician Award
Types of Incontinence
• Stress Urinary Incontinence (SUI) – Leakage on effort, exertion, sneezing, or coughing. • Urge Incontinence – Leakage accompanied by or preceded by urgency (an overwhelming need to For more information, urinate…”Gotta go, gotta go!”) call 609-581-5900, • Mixed Incontinence – Leakage associated with (732)928-5300 urgency AND effort, exertion, sneezing, or coughing. or visit www.uuanj.com
University Urology Associates of New Jersey was established in 2003
and is proud to be serving Mercer, Monmouth and Ocean Counties. Our mission is to be a solutions based practice, maximizing the value of the service we deliver our patients with commitment to excellence, integrity, innovation and treatment. We continually strive to provide comprehensive state of the art urological services with emphasis on patient education and shared decision making. Treating patients with compassion, dignity, mutual respect, and trust remains out steadfast goal.
LOCATIONS:
Hamilton 1374 Whitehorse Hamilton
1
Square Road Hamilton, NJ 08690
2
Robert Peterson, DC, PA-C
Board Certified Physician Assistant Professor - Physician Assistant Program, Philadelphia University
Howell 2364 Route 9 South 3
Lakewood 900 Route 70 East
Dominique Etienne, PA-C Board Certified Physician Assistant Howard University Physician Assistant Program, Cum Laude Honors College of Pharmacy, Nursing and Allied Health: Dean’s List, 2008-2013 Trustee Scholar, 2009-2011
Lakewood, NJ 08701
FOR APPOINTMENTS: (609) 581-5900 (732) 928-5300 UUANJ.COM
Adult Urology • Pediatric Urology • Urologic Oncology • Male Infertility Sexual Dysfunction • Urodynamics • Stone Disease • Female Urology Laparoscopic Surgery • Robotic Surgery • Reconstructive Urology
The County Woman Magazine
Howell, NJ 07731
www.TheCountyWoman.com
July/August 2014
IT Services
26
Purchasing Computer Equipment From A Big Box Store Is Not A Bargain
L
ast month’s article on mobile devices had users commenting on the difference between business environments and home usage. Many began to ask whether these differences also pertain to computers and other devices.
The answer is most definitely yes. Business Computer Operation Needs Are Different Then Home Users Purchasing computers and other equipment from a big box store, office supply or other retail consumer entity is not recommended for your business environment. These stores feature consumer products which are not intended for business operation.
Why you may ask? What is the difference? In the Windows world Microsoft® produces two lines of desktop operating system software; Home and Professional. Almost every computer you can buy from any of the places mentioned above will most certainly have the home versions of the operating system. Without getting too deep into a technical explanation, the professional versions are designed to be part of a Windows Domain model that allows for connectivity and management of the desktop from a server(s) and sophisticated network interoperability. The home versions are not. The hardware usually contains differences as well with additional capacity, performance, management, reliability and warranty features not available in the home consumer line. You can purchase some true business class products at these locations, knowing the difference is the question.
Are you really saving money? Every time a client wants to purchase a hardware device and says “I can purchase it online for X dollars” I am confronted at the prospect of trying to explain that your idea of what you need and what you want are not the same. More often than not, that bargain device turns out not to be a bargain at all, resulting in higher setup and installation costs, performance issues or worse, being useless altogether due to its inability to be integrated into a business environment properly. Enter To Win
Trust A Professional How often have you been confronted in the delivery of your professional services by, “I read this online” or “my friend said”. Building and maintaining a business computer network requires the skills of a technical professional, which will result in lower cost of ownership, reasonable ROI, a higher degree of security and reliability. Purchasing modern computing equipment is a task that should not be taken lightly, and the expectation that “I should just plug it in and expect it to work” is not reasonable. Business class computers, routers, printers, and the software that runs on them require installation and configuration to operate properly.
What about Servers? Servers are a different story that I will address in the future. Some other topics for discussion will be network security, virtualization, cloud computing, wireless and storage technology. You can drop me a line at robert@rsts.com on what topic you would like to see addressed next.
For a free consultation, please call Robert Schwartz at 732-792-0707.
*RS Technical Services provides computer and networking support to small business. All brand name and product specific references belong to the product owners.
Robert Schwartz,
President and CEO RS Technical Services, Inc. Robert Schwartz received his education in Electrical Engineering Technology from MSOE with additional training in Electronics courtesy of the US Navy. Prior to creating RSTS in 1993 Robert spent 15 years as the CEO of American Instruments, Inc. A scientific instrument company providing equipment and support to organizations like, AT&T, IBM, NASA, Intel, the DOD, other government, research facilities, universities and large enterprise companies. Robert brings to our clients strong analytical and problem solving skills. His technical experience spans more than thirty five years in Electronics, Computer Science, Physics, and Chemistry.
Testimonial from a long-time client: “We have used RS Technical Services for the past seven years. Robert’s level of knowledge and expertise impressed us from the get go. He literally changed the way our infrastructure was constructed within days of a major internal IT disaster. My company could not function without the prompt care and dedication of Robert and RS Technical Services. He is always there when called upon within minutes, and I know that I can rely on his advice at all times. It is a rare occurrence these days to find someone as competent and trustworthy as Robert.” ~ Stewart Lenner, President, Arrow Environmental Services
Ente r to Wi n a Pa ir of T ick ets to Se e On e of Fou r Great Sh ows! Theatre
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p 50 Shades p Iluminate p Sistas p Gazillion Bubble Show Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012
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SINGLE LADIES NOTOT Times Square Chronicles I AM HA IR MYAM N AIR STOP IN THE T SINGLE LADIEI SMY H NAME OF LOVE EC “Spectacular! MILY F WE A SINGLE LADIES DIES FASP ERE NOT AM RE LA PEC TYRONEMagical! TYR I AM HA WE AR IL IR GLE Y T ONE MY SIN CYTHTTYRO NE E E “A Winner!” E W Dazzling!” R IN P S A E I ILY DIERES -NY NAM TOP IN P IN THEOHE HAPPYWDAY S PECTR ESTPPPSOPBeacon OH YREDAOF LOVE TYROENEARE FA ONE HAP The New M GLE LAYork Times E OF TSTO FAMMY ASIN OH HANALME CIOU H OF LOV PY ORDOH HAPPY S THDAY LOVNAEME TYRMILY DAY E E HAIRNOOTT E NOW NLIVE in the heartP INof LBROADWAY! OTV OH H HAPPY DAY RES AY RESPSINECT O OEC S I AM NOT AOHPP TOT GLE I AM IOHAUIR SNRE PY D E FiLuminate.com PEC RES YD GO212-239-6200 LATelecharge.com ECY TYROMYNEHAIR AMSP HAP DIEPRM D I AM RESP T PEC S LORD New TIEWorld ECTW 50th St. AY TOH Y HN AIR340 HS BLEStages, T T RESPEC HILDSSM 308 W 46th LAD EYCTheatre, C TYR I LELuke’s St. St E A DA ECT G T Y P M NO ENSO www.TheCountyWoman.com ONThe IA Telecharge.com SINOH HAPPS212.239.6200 Woman Magazine • SistasTheMusical.com I AMMHA ESP Y RHIRA T E County R ES MY M NO BL Special call MY 212.977.5925 IR OH HAIR T GOD E rates E ILD for groups HAP OT TH CHRESPYRECONT PY DAY T M N AIR A E I H TH E Y RES MY P IN LOV Y DA PEC STOME OF APP T NA OH H
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The County Woman Magazine ECT
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Or Visit www.Facebook.com/TheCountyWoman to Enter Online! One entry per person. Multiple entries will be disqualified. Entrants may enter for tickets to multiple shows. Entries will be accepted through July 31, 2014. Some shows will be drawn sooner based upon run date. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be provided. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent. May/June 2014
www.TheCountyWoman.com
July/August 2014
Financial Management
27
A Financial Review Can Pay Off At Year End
T
oday, many people find themselves bombarded by a constant stream of financial news from television, radio, and the internet. Yet, does all this, information age, data really help you manage your finances any better than in the past? Often the old fashioned practices, such as performing periodic financial reviews, lead to greater success in the long term. Why not spend a few hours reviewing your finances? The changes you make today could result in increased savings.
Maximize your contributions to retirement accounts. And if possible make catch-up contributions. In accordance with the Economic Growth and Tax Relief Act of 2001, taxpayers who are 50 and older, are allowed to make additional contributions (catch-up) to their retirement plans. In 2014, traditional IRA and Eligible Roth IRA holders can save an additional $1,000 a year bringing the contribution limit to $ 6,000. Those with eligible 401K, 403B, or 457 plans can save an additional $ 5,500, bring their total contribution to $ 22,500 in 2014.
Consider the following important items:
v Analyze your cash flow: When your income is greater than your expenses, the
v Minimize income taxes: Consider taking advantage of all income tax deduc-
v Develop a plan for special goals: For every financial and retirement goal you
v Beat inflation: Your income and retirement savings must keep pace with infla-
v Boost your retirement savings: Pensions and Social Security may not provide
v Manage unexpected risks: Without warning, a disability, death or unexpected
excess is called positive cash flow. When your expenses exceed your income, the shortfall is termed a negative cash flow. A positive cash flow means that you may have funds you can set aside as savings. A negative cash flow indicates that it may be time to reorganize your budget to minimize unnecessary expenses. establish, identify a projected cost, a timeline, and a funding method (through savings, liquidating assets or taking a loan). Consider your goals in terms of hierarchy of importance. The bottom or foundation tier may include emergency money to cover at least six months of expenses. The middle tier may include essentials, such as your children’s education. Place less importance goals, such as home renovations, on the top tier. sufficient income to maintain your current lifestyle in retirement. Thus, it is essential to identify your retirement needs and plan a disciplined savings program for the future.
Mark S. Rushwald
Certified Financial Planner™
(732) 505-4422 msr@rushwald.com
700 Hooper Avenue, Suite 201 • Toms River, NJ
www.rushwald.com
SecuritieS Offered thrOugh cOmmOnwealth financial netwOrk, member finra/SiPc
Full Landscaping Service
Mike Meiners NJ HIC# 13VH06777800 Fully Insured
The County Woman Magazine
tions to which you are entitled and exploring ways of reducing your income taxes. For instance, under appropriate circumstances, losses or expenses from prior year may be carried over to the next year. A qualified tax professional can help you implement a tax strategy that meets your needs. tion in order to maintain your buying power. This means that if the inflation rate is currently 3%, you need to achieve at least a 3% annual increase in income just to break even. If your long term savings plan fails to keep pace with inflation, your buying power will actually be decreasing. You will not be able to maintain your current standard of living. calamity (Sandy) can cause financial hardship. Review your insurance, it is important to have adequate coverage.
v Consult your financial professional: In today’s complex financial world, everyone needs help making informed decisions. Planning can help ensure that your financial affairs are consistent with your current needs and long term goals.
Please contact us with any questions or to set up a complimentary initial consultation: Mark S. Rushwald 700 Hooper Avenue, Suite 201, Toms River, NJ 08753 Telephone: (732) 505-4422, Fax: (732) 240-4797 E-mail: msr@rushwald.com
Let me put my professional expertise, experience and client commitment to work for you and your family. I will do the heavy lifting so you can focus on what you prefer to do best and stop spending time and worrying about what you haven’t done. Let me show you how I can help you.
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July/August 2014
M P HORMONE IMBALANCES: WOMEN DON’T SUFFER ALONE.Testing ICAM Offers Affordable Non-Invasive edical
28
rofessionals
ning growth hormone and other anti-aging Hello patients and readers! therapies. This too is an affordable test at Today, I would like to present to $125. Coronary Artery Disease youwith the various non-invasive testing ping your symptoms isn’t controlling your symptoms! Coronary Artery Disease (CAD) is still procedures performed at ICAM. n’t let... the number one killer of men and women
HOT FLASHES • NIGHT SWEATS • INSOMNIA in• America ANXIETY today. As eluded to above, it With the rising costs of healthcare, it is becoming DEPRESSION • JOINT PAIN • HEADACHES • would LOSSbeOF SEXUAL DESIRE very useful and comforting to more difficult to obtain “necessary” diagnostic tests and VAGINAL DRYNESS • BRAIN FOG • WEIGHT GAIN... procedures in attempts to control healthcare costs. Don’t know the actual underlying condition of your blood vessels without undergoing the come the ‘new norm’! get me wrong, I agree this is a problem that needs to be expensive and risky procedures utilized addressed. But an even bigger concern lies in the “need” today. Cardiovision testing fulfills this (at times) to perform these tests for the sole reason to symptoms Take contol and solve your at their need as a completely non invasive proce“cover the butts” of physicians from frivolous lawsuits. source for natural, lasting relief through dure to help the practitioner diagnose as Our litigious society is in large part a contributing factor wellTherapy as follow CAD. Bio-Identical (BHRT). in rising healthcare costs. Hormone Replacement ease. Until the invention of CardioVision®, there was no What’s more, many of the tests that are ordered in easy, inexpensive or quick way to determine if a person’s CARDIVISION: THIS IS A mainstream medicine truly don’t give the provider the vessels had lost flexibility. Many people are never aware NONINVASIVE PROCEDURE TO HELP necessary, valuable or correct information required to act that they are walking around with this “silent killer” until upon in formulating a treatment plan. For example, an DETERMINE YOUR UNDERLYING they experience their first heart attack from occluded vesexercise stress test and cardiac catheterization are often RISK FOR HEART ATTACK, STROKE sels. It has been estimated that 60-70 million Americans misleading causing more unwarranted testing and ultiAND OTHER CIRCULATORY DISEASE harbor this “silent killer” and should make both life-style mately unnecessary procedures. Another example is a changes, such as getting more exercise, changing their STATES. PSA testing in which people, now has beenthe discouraged by ormenmost first thought that comes to mind regarding hormone diet, quitting smoking, and reducing their cholesterol. many medical societies for this reason. In addition to blood pressure and pulse information, While everyone needs to adopt these changes, sometimes women menopause. A decline in a woman’s hormone levels Invasiveimbalance procedures are is notaonly costly butin often very the CardioVision® also generates information on the life-style changes alone are not enough. CardioVision® risky in(estrogen, terms of immediate death, complications involv- stiffness or of theseen brachial Called progesterone and testosterone) is flexibility generally atartery. a stage inthelife known identifies people who don’t even think they have a cardioing organ damage and the need to take these risks again Arterial Stiffness Index (ASI), the ASI is a number that vascular menopause. The decline is usually correlates rapid and dramatic, and is accompanied by problem because they are non-smokers, exercise toas verify that the procedure that follows the examination with arteriosclerosis. Because arteriosclerosis regularly, watch their diet and worse, they don’t have was successful. such as hot flashes, mood swings, symptoms weight gain, the sleep loss Consequently, the ASI can be viewed as reduces flexibility in arteries, higherdisorders the ASI, the and asymptoms!!!. more likely someone is to have hardening of the arteries, Dementia and Memory another cardiovascular “risk factor”, just like high blood ofICAM sexoffers drive, to nameLoss a few. the lower the number, the less likely. state of the art testing for dementia and pressure or a cholesterol level above 200. Additionally, we Why is it important to know how flexible arteries are? think that the ASI can be used to follow cholesterol lowmemory lossUnbeknownst through a computerized program known as to most of us, however, men too go through a period or phase Arteries are responsible for moving the majority of the MCI-CANS. It is probably the most reliable and accuering therapy and other “risk factor” changes. similar a woman in menopause as andropause. sometimes blood through the vascular tree.Andropause, Consequently, non-flexrate cognitiveto testing program available today at a mere known iblecrisis,” or hardened cause the heart work much cost of $125. to as “man-o-pause” or “midlife For more information on these tests and other referred is arteries experienced bytonearly every male harder when it is forced to push blood through partially We have another extensive battery of tests aimed at services offered by ICAM, please call or visit us on at someones point in age their as hormone levels decline, the and onset occluded vessels. This extra although strain on the heart the is much determining biologic versuslifetime their chronologic the web at www.ICAMBartissMD.com. resultingnot blockages are a root cause of cardiovascular dis- sympage. At ICAM this is used on all prior to beginmore gradual than inpatients women and therefore as readily noted as are those
F
toms affecting women in menopause. Mark James Bartiss, MD is a medical writer, lecturer, and author, REMEMBER…. When and isMD recognized as awriter, top ten specialist in the and fieldis of Bio-Identical it comes to your health, Mark James Bartiss, is a medical lecturer, and author, recognized as a top ten specialist in the field of Bio-Identical Hormone Replacement (BHRT). He has helped numerous take their lives backyou anddoreclaim their health. have options HormoneTherapy Replacement Therapy (BHRT). He hasindividuals helped numerous
individuals take their lives back and reclaim their health.
and a choice.
Institute for Complementary and Alternative Medicine
24 Nautilus Drive, 5 • Manahawkin, NJ and 08050 Alternative | 609-978-9002 Medicine Institute for Suite Complementary 50424Hamburg Tpk, Suite Suite5205 • Wayne, NJ NJ08050 | 973-790-6363 Nautilus Drive, • Manahawkin, | 609-978-9002
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www.ICAMBartissMD.com www.ICAMBartissMD.com
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Law
29
A Major Reason Why Commercial Property Tax Appeals Are Denied
I
t is summer where we are enjoying the warmth and long days but it is also the time that commercial owners and tenants of New Jersey properties should pay close attention to Chapter 91 requests issued by municipal assessors. Timely Responses Are Important
Chapter 91 is a state law that has been used to deny worthy appeals filed with the Tax Court and the County Boards of Taxation over the years. We recommend that any taxpayer contemplating tax relief and seeking a reduction in property taxes for non-residential property timely respond to Chapter 91 requests.
Income And Expense Statement
The municipal assessor will mail a request to the addressee of record requesting completion of a summary of the income and expenses for an income-producing property – the so-called Income and Expense (I&E) statement. The I&E statement comes in a prescribed format. It is geared to capture information from incomeproducing properties, but even owners of owner-occupied commercial properties must comply to preserve the right to appeal an assessment. It is not a defense in a tax appeal that the property is not income producing – the key is whether the property is capable of producing income. I&E statements must be filled out completely; there are no shortcuts. Incomplete requests are deemed evasive as intending to defeat the law’s goal of gathering information for use by the assessor to establish the correct assessment for a property. They must also be filed with the assessor within 45 days of mailing.
Don’t Overlook Opportunities To Save
Opportunities to reduce real property taxes should not be overlooked in New Jersey with its high real estate taxes. While the deadline for filing a standard tax appeal to challenge next year’s assessment is April 1, 2015, please note that there are other deadlines throughout the calendar year for other types of appeals. Assessors send their Chapter 91 requests now. But Opportunities to reduce real property taxes should not be wary - the inattentive taxpayers may lose out on a strong overlooked in New Jersey with its high real estate taxes. appeal if the request is ignored. Failure to file an I&E statement will invariably result in a dismissal of a tax appeal petition or complaint as assessors use Chapter 91 noncompliance as a tool in defending tax appeals. Accordingly, be on the alert for the assessor’s Chapter 91 request. Even if responses to an I&E statement were not filed in previous years, filing a response this year may pave the way for o you have someone in your life prospective tax relief by appeal or negotiation in a future year.
D
If you have questions and need assistance with your Chapter 91 request, call Matus and Connell at (732) 281-0060.
Two Attorneys, One Mission: to provide professional, efficient legal counsel and representation
with a Disability?
are they financially protecteD? • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies • Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts
Visit us at www.matusandconnell.com (732) 281-0060
Article Written by: Christine L. Matus, Esq.
Community
250 Washington St. Suite C-1 Toms River, NJ 08753
2014 Lakehurst Farmer’s & Specialty Market
The 3rd season of the Lakehurst Farmer’s & Specialty Market, sponsored by the Lakehurst Revitalization Association, will kick off on Sunday June 22nd 2014 and run through August 31st 2014. The location and hours of operation will be Sundays 8:30 a.m. to 1 p.m. at Lakehurst’s beautiful Lake Horicon on the corner of Lake and Church Streets. We are welcoming back several vendors from the past successful seasons which include, but are not limited to: Krowicki Farms, Cedar Post Market, Trapper’s Honey, and High Mountain Foods. New vendors include: Pickleliscious, Arbonne, Mary Kay, Scentsy, and various food trucks such as Cajun Jax BBQ etc. If you, or anyone you may know, would be interested in purchasing a weekly or seasonal vendors space please feel free to contact Denise by phone at 732-674-2957 or email: lra08733@gmail.com, or you can find us via our Facebook page at www.Facebook.com/LRAOC.
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Health
30
& Wellness
THE HCG DIET EXPLAINED
• The Human Corionic Gonadatrophin (HCG Diet) is not something that we created. • It is not the next new celebrity diet fad being pushed by someone trying to make a quick buck.
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The HCG Diet is probably the easiest and safest way to lose a quick 30-40 pounds. Â
What makes dieting difficult is the anxiety and hunger associated with muscle burn. Over the years our bodies have accumulated old fat that has become so grizzly that our bodies find it easier to metabolize muscle than old fat. The solution to this problem is. “The HCG Diet!�  When new patients come to us and say “tell us about the HCG diet�, we immediately ask them, “Have you done any research on it, Googled it, YouTubed it, anything at all?� The diet sounds too good to be true. I studied with doctors and pharmacists for 2 years and losing a friend to a gastric bypass I knew there had to be a safer way to get people healthy and lose weight.  We urge you to do your own research! We are confident that you not only will come to believe that the HCG Diet is an easy, effective and safe diet, but that Ocean Health & Weight Loss is the place to do it.  History of the HCG Diet The HCG is not a new concept, in the 1950’s, Dr. Simeons discovered that by injecting small doses off the pregnancy hormone HCG into obese patients, their appetite decreased and they had consistent weight loss results. By using the hCG injection in conjunction with a very low calorie diet, Dr Simeons discovered his clients could more easily maintain the restrictive
diet and lose significant amounts of weight especially around hips, thighs, buttocks and stomach.  Dr. Simeons experimented with injecting various levels of HCG into men and women and discovered that at an extremely low dose combined with a very specific low calorie diet; people burned fat at an incredible rate and did so without the hunger or anxiety normally associated with dieting. HCG Is Very Safe & Effective Doctors prescribe HCG to help lower cholesterol, maintain a person’s Diabetes, or control weight loss, whether it is 10 lbs. or 100 lbs.  The standard therapeutic dose is 8,000 units per 40 days, however you’re going to get a daily dose of 150 units on the HCG Diet. HCG is very benign. You’re never going to hear of someone dying from HCG, it’s a natural human hormone. Realize that 10,000 HCG units is a dose a person would take to increase ovulation and during pregnancy a woman’s HCG level could be 200,000-300,000 units. Statistically, HCG is safer at 10,000 units, than aspirin, flu shots, or any antibiotic. Take a look at the dose were prescribing, only 150 units. That’s 150 units versus 10,000 units, which is 1/60th of the FDA
approved dosage. The safety at 1/60th of the FDA approved dosage should not be questioned. What doctors might be concerned with is not the safety of HCG, but “How can you safely diet on only 500 calories per day? Won’t your muscle be burned?� At Ocean Health and Weight Loss we do not believe in doing 500 calories a day. We up the ante with calories from 800 to1500 a day depending on your life style. The muscle everyone is concerned with is the heart. Well, the fact is that when a person experiences muscle burn they feel hungry or anxious, that’s what typically makes dieting difficult. This is Mother Nature’s mechanism for survival. With the HCG Diet, muscle burn is almost non-existent compared to other diets. The HCG causes your body to tap into the fat that typically can’t be accessed. Since you burn 2,000-3,000 calories a day in fat on the HCG Diet, which are composed of the exact combination of nutrients your body needs.
MJ doing well after 2 years weight loss.
Call 732-608-9681. Join the hundreds Before & After of men and women who have dropped the hCG Diet . . . 20 to100 lbs. at I’m proof that it Ocean Health!
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Though HCG has been in the headlines for then last couple of years, it is by no means a â&#x20AC;&#x153;newâ&#x20AC;? diet. Itâ&#x20AC;&#x2122;s roots go back almost 60 years to Dr. Simeon research into malnutrition for expectant mothers as well as obesity causes and effects; especially for patients with pituitary disorders. HCG or Human Chorionic Gonadtropin is a hormone produced within pregnant women. Dr. Simeon discovered that this hormone actually regulates the hypothalamus. The result for you and me is that when we eat a calorie restricted diet, our bodies burn fat for fuel while leaving the lean muscle tissue untouched. And it does this faster than anyone would have ever believed possible.
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The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Medical Professionals
Medical Professionals
26
Premier Pain Centers Participates In Clinical Trial
31
To StopPain Chronic Lower Limb Pain In Its In Tracks Premier Centers Participates Clinical Trial To Stop Chronic Lower Limb Pain In Its Tracks
damage, which occurs in up For more information, or called the dorsal root ganglion to 35 percent of patients who to see if you qualify for the (DRG). The Dorsal Root undergo hernia surgery and 50 Ganglion (DRG) plays a critical ACCURATE study, please visit 85 percent patients whoalwaysrole www.ACCURATEstudy.com or in the development and lower annually.toChronic painofcan be an effective long-term limb pain. The investigaOthertreatment callAxium™ 888-978-8397. maintenance impact aundergo sufferer’samputations. ability to lead option. of chronic pain, tional Neurostimulator causes include nerve as it processes pain signals as System is the only spinal cord To qualify for the ACCURATE a productive working, social damage caused by trauma or diseases they travel to the brain. By and family life. patients stimulation system that targets a study, must fit the What is the DRG, the such as Many Complex Regional Pain stimulating Dr. Peter Staats is a Board Certified Painpatients Management undergo Syndrome years of testing and branch of spinal cord called the following inclusion/exclusion neurostimulation Specialist practicing at Premier Pain Center with locations in (CRPS). Neuropathic Axium System interrupts pain Shrewsbury, East Brunswick, and Brick. He has been consistently doctors’ visits dorsal root ganglion (DRG). The pain iswithout difficultatolongterm treat. Strong signals before they travel to therapy? criteria: recognized as one of the country’s foremost pain management medications like opioids can the brain. Recently published solution. Dorsal Root Ganglion (DRG) For many years, neurostimuMale or FemaleTop between doctors.This includes being named •one of America’s Doctorsthe provide relief, but may not European data from a nonplaysbya U.S. critical role inWorld the devellation has been a well-accepted, Written by: News and Report for the last decade, noted as ages of 22 and 75. What alwayscauses be an effective long-term randomized study found that 78 opment and maintenance ofof pain management physicians in the effective, and safe method to being among the top 1% Peter StaatS, MD treatment option. percent of patients experienced neuropathic pain? Written By: Peter Staats, MD had painTop affectcountry. been acknowledged as one of chronic New Jersey’s pain,Heashas it processes pain • Have PreMier Pain Center treat neuropathic Mostlimbs. chronic pain relief inpain. the lower NeuropathicWhat pain isis Premier Pain Centers ing lower limbs for at least Doctors from Newto Jersey Monthly magazine for the past seven six signals as they travel the brain. popular is Premier stimulation the spiPain of Center is induced by an neurostimulation injury or disease years. Dr. Staats was also the recipient of the Outstanding Pain months. nowLeads enrolling patients By stimulating the DRG, the nal cord. (small wires)for are It’s no secret that Physician award, a national recognition as selected by his peers in of the nervous therapy? system. A the ACCURATE study, a Axium interrupts pain implanted in the epidural space, • Have not seen lasting success many years, the System interventional pain medicine community. causeFor of neuropathic chronic pain iscommon a randomized, neurostimulation has been an areaprospective, signals before they travel to around the spinal cord. with other treatments and; nerve multi-center, controlled trial CAUTION: The Axium Neurostimulator System is an investigational device growing healthpain is post-surgical a well-accepted, effective, the brain. Recently published A neurostimulator sends pulses and is limited by United States law to investigational to determine the safety and • Have not use. previously used spidamage, and which intouptreat safeoccurs method issue in the U.S. European data from a nonran- nal cord stimulation for chronic to the efficacy leads. Itofisthe implanted in Axium™ to 35 percent of patients who neuropathic pain. Most popular domized study found that 78 Neurostimulator System the abdominal wall or buttock, today. pain. stimulation the spinal undergo ishernia surgeryofand 50 for chronic neuropathic percent of patients experienced I see chronic pain patients and is controlled via an external cord. Leads (small wires) are to 85 percent of patients who affecting their For more information, or everyday my practice at I see chronic paininpatients pain relief in the lower limbs. in the epidural space, remotepain control. undergo implanted amputations. Other lower limbs (such as Premier Pain Center. Defined an area around the spinal cord. everyday in my practice at Premier Pain Center is to see if you qualify for the include nerve damage the leg, foot, or groin). as pain lasting longer than causes six A neurostimulator sends pulses Premier Pain Center. Defined now enrolling patients for the ACCURATE study, please visit To qualify for the What is the or Itdiseases months after an injury has caused bytotrauma the leads. is implanted in as pain lasting longer six that such ACCURATE study, a prospecACCURATE study, ACCURATE study? healed, it isthan estimated more as Complex www.ACCURATEstudy.com or Regional the abdominal wall Pain or buttock, patients must fit the months after an 100 injury has AmericansSyndrome tive, randomized, multi-center, than million My practice in Shrewsbury, and is controlled via an external (CRPS). Neuropathic call 888-978-8397. following inclusion/ healed, it issuffer estimated that more from chronic pain controlled trial to determine the remote control. East Brunswick, and Brick is pain is difficult to treat. Strong exclusion criteria: annually. Chronic pain can than 100 million Americans participating inFemale a national study safety and efficacy of the Axium™ What is the medications like opioids can • Male or impact a sufferer’s ability to lead *CAUTION: The Axium suffer from chronic pain Neurostimulator System for along with nearly ACCURATE between thetwo agesdozen of 22 sites provide relief, but may not study? a productive working, social Neurostimulator System is an My practice in and country 75 across the to evaluate a chronic neuropathic pain affectand family life. Many patients investigational device and is Shrewsbury, East Brunswick, potential • Have chronic undergo years of testing and newhad therapy for chronic ing their lower limbs (such as the limited by United States law to and Brick is participating in pain affecting lower leg, foot, or groin). doctors’ visits without a longinvestigational use. a national study along with limbs for at least six term solution. nearly two dozen sites across the months What causes Staats a Board Pain Management Specialist practicing at Premier Pain Center with country to evaluate a potentialDr. Peter • Have not isseen lastingCertifiedStanding L-R: Renee Wolf, PA-C, Sean Li, MD, neuropathic pain? new therapy for chronic lowerlocationssuccess in Shrewsbury, East Brunswick, and Brick. He has been consistently recognized as one of the country’s with other Carmen Quiñones, MD, Kulbir Walia, MD, Mark Cattell, RPA-C, Neuropathic pain is limb pain. The investigationalforemosttreatments pain management doctors.This includes being one Cherie of America’s TopPA-C. Doctors by U.S. News and Michael O’Hara,named DO, and Weiss, induced by an injury or disease Axium™ Neurostimulator • Have not previously and World Report for the last decade,Seated: noted as Scott being among the top 1% of pain management physicians in the Metzger, MD, Peter Staats, MD, MBA, of the nervous system. A System is the only spinal spinal Mak, MD. country.used He has beencord acknowledged asand oneJohn of New Jersey’s Top Doctors from New Jersey Monthly magazine for common cause of neuropathic cord stimulation system that the past stimulation seven years. for Dr. Staats was also the recipient of the Outstanding Pain Physician award, a national recpain is post-surgical nerve targets a branch of spinal cord painby his peers in the interventional pain medicine community. ognitionchronic as selected
Q
Q
It’s no secret that chronic pain is a growing health issue in the U.S. today.
Q
Q
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732-380-0200
www.premierpain.com The County Woman Magazine
The County Woman Magazine
www.TheCountyWoman.com
www.TheCountyWoman.com
January/February 2014
July/August 2014
eading HealthH & Wellness
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D
o you generally fall asleep within a few minutes of plunking your head on the pillow – or, do you twist and turn, and reflect or worry for a long while before drifting off ? Do you wake up during the night and have trouble falling back to sleep? When you wake up in the morning do you feel light and free, recharged and refreshed? Or, do you feel like a heavy sack of potatoes that just doesn’t want to budge? Given the challenges we’ve all faced in this area over the past few years, it’s no surprise that there’s been a significant uptick in the number of clients complaining about sleep problems. Life is definitely more taxing when you’re walking around feeling foggy and have less energy than a 19-year-old cat. Unfortunately, the solution for a lot of people is to take some sort of sleep aid. But that is not without its risks and side effects. Besides, who really wants to be on drugs for something that should – and can - come naturally? If you’re having sleep problems, you’re probably already aware of “sleep hygiene” tips. This refers to suggestions like establishing calming bedtime routines, creating a comfortable sleep environment, avoiding late-night news, etc. They can be helpful, but for many people, they are not enough. So, what to do besides improving sleep hygiene? It’s helpful to use other techniques – not just at night as you’re trying to sleep – but during the day, as well. Stress is cumulative, so it’s in your best interest to be aware of the signs of stress and use approaches that allow it to dissipate before it builds and builds – and ruins your sleep patterns – and your entire sense of well-being.
Here are a few techniques to practice . . . Do deep belly breaths. Most people are in the habit of shallow chest breathing, which bumps up feelings of stress and fogginess. Practice inhaling through your nose, making your belly expand; do a long hold, and an even longer exhale through your mouth, as though you’re blowing up a balloon. Breathe in calm and exhale tension. Do this at least four or five times each day, each time doing four or five breaths. This is also good to do as you’re lying in bed preparing for sleep. As you’re lying in bed, do several belly breaths, then imagine the most calming scenario you can – and put yourself in it. Maybe you’re in a gorgeous place in nature, or you’re floating on a cottony cloud, or you’re a child wrapped in the arms of a loving parent or grandparent. Notice the details - maybe colors, shapes, sounds, fragrances. If any other thoughts flow in, imagine them flowing out – and go back to your calming scenario. If you would like customized assistance that is effective, drug free, and empowering, consider coming in for hypnosis coaching sessions. Using this approach, you are able to reprogram your mind to relax your body, drift into a comfortable sleep, and wake up feeling refreshed and ready for a new day. Many people have been able to wean off of sleep medications, as a result.
Make Your Mind Work FOR You – Instead of Against You!
Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, and is a 2004 graduate of N.J.’s first state-licensed hypnosis school. She earned a B.S. degree in Biomedical Communications from Richard Stockton College of N.J., has an academic background in nursing, and 20+ years’ experience in community health education and coaching. Rhoda adheres to strict ethical standards of the National Guild of Hypnotists
Hair Replacement Systems
Attention: Hair Replacement Specialists Hello, my name is Lisa Ruane and I am the sole proprietor of DW Wholesale Hair Systems, located in Jackson, NJ. DW Wholesale has been in business for over 8 years, striving for perfection, as well as always satisfying the consumer. We can handle all your hair replacement unit needs. We take pride in offering you the finest quality, custom and stock hair replacement units. It isn’t any problem repairing your existing hair replacement units, extensions, and wigs. Our factories can duplicate any item you want. DW Wholesale is dedicated to providing you with a superior
TheCounty CountyWoman WomanMagazine Magazine The
product, quick production, and personalized attention. Our quality and prices can’t be beat! Please contact us for a brochure or allow us to answer any questions you may have in regards to hair systems, extensions and wigs. Lisa A. Ruane DW Wholesale Hair Replacement, President Email: dwwholesalehair@optonline.net 232 New Central Avenue Jackson, NJ 08527 Phone: (732)-492-5344 • Fax: (732)-961-3440 www.TheCountyWoman.com www.TheCountyWoman.com
May/June2014 2014 July/August
Medical Professionals
33
Leading Ob/Gyn Group Offers Ocean County Women Convenient, Comprehensive Care Barnabas Health Medical Group (BHMG) Ob/Gyn, in partnership with Community Medical Center, offers women across Ocean County access to the high quality continuum of care provided by Barnabas Health in the convenience of their local communities. With six talented and compassionate physicians practicing out of three convenient locations in Forked River, Toms River and Manahawkin, BHMG Ob/Gyn provides an array of leading-edge services based on the most current research while making patients feel comfortable from the moment they walk in the door. From routine obstetrics and gynecology and complete pregnancy care to minimally invasive gynecologic surgery, BHMG Ob/Gyn provides comprehensive care for women at every stage of life, from adolescent gynecology to menopause and beyond. “This practice offers a continuum of care to address a variety of issues throughout
a woman’s lifecycle,” said Lesley P. Furman, MD, a board-certified obstetrician and gynecologist who practices at the Toms River office with Aliona Maxwell, MD. BHMG Ob/Gyn’s experienced physicians recognize that some health problems affect women differently than men. For instance: • Sexually transmitted diseases can be more harmful to women. • Signs of depression and anxiety are more likely among women. • Osteoarthritis affects more women than men. • Urinary tract problems are more common among women. • Women are more likely than men to die from a heart attack. “Thoroughly understanding the unique health concerns and risk factors among women allows us to provide comprehensive, targeted care to ensure
Barnabas Health Medical Group Ocean County Ob/Gyn locations include:
Toms River Office Lesley P. Furman, MD Aliona Maxwell, MD 615 Main Street Toms River, NJ 08753 732.797.1510
Forked River Office George G. Trim, MD, FACOG, FACS 34 Manchester Avenue, Suite 102 Forked River, NJ 08731 609.489.4492
Manahawkin Office James P. McDermott, DO Robert O’Donnell, DO, FACOG Amadi Rezai, MD 602 Route 72 East, Suite 1 Manahawkin, NJ 08050 609.978.9870
To make an appointment with Barnabas Health Medical Group Ob/Gyn, please call one of the practices above or visit www.barnabashealthmedicalgroup.org.
The County Woman Magazine
About Barnabas Health Medical Group Barnabas Health Medical Group is a multi-specialty group practice comprised of highly trained and experienced world-class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting-edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of Barnabas Health, the largest not-for-profit integrated health care delivery system in New Jersey and one of the largest in the nation, its physicians and expertly trained supporting staff continuously strive for clinical excellence. For more information visit www.barnabashealthmedicalgroup.org.
the overall health and wellbeing of each of our patients,” said George G. Trim, MD, FACOG, FACS, who practices at the Forked River office. Dr. Trim is board certified in gynecology, the therapeutic and cosmetic use of Botox and the cosmetic use of facial fillers. “Every woman should visit her gynecologist annually to help prevent or detect any medical issues. Early treatment can be vital – enabling you to stay as healthy as possible,” said board-certified obstetrician and gynecologist Amadi Rezai, MD, who practices with board-certified obstetricians and gynecologists James P. McDermott, DO and Robert O’Donnell, DO, FACOG out of the Manahawkin office. For more information about Ob/Gyn or BHMG’s other services, please visit www.barnabashealthmedicalgroup.org.
www.TheCountyWoman.com
July/August 2014
Wigs
or eczema
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Hair Replacement
YOUR SCALP IS TALKING TO YOU
ry or oily dandruff
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The County Woman Magazine
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We are now seeking new hair stylists: full or part time. To apply, please call Abstrax at 732-255-1733 for more info.
July/August 2014
Medical Professionals
35
The “Angels At Acuity” Written by Claire Brown, BSN, RN, Director of Provider Relations, (609) 534 3734.
M
r. Victor Ramirez, age 36, walked into the Emergency department at a local hospital on 1/6/14 with a slight cough and fever. He was admitted for IV antibiotics and respiratory treatments. However, he started to deteriorate rapidly and had to be placed on a ventilator as he was unable to breathe without assistance. Victor was found to have a multi-drug resistant strain of pneumonia. He was transferred to Acuity Specialty Hospital in Atlantic City on 2/10/14 for aggressive ventilator weaning (withdrawal from the ventilator), management of his infection and severely debilitated medical condition. The entire team at Acuity worked hard to resolve his infection and was able to bring him to a successful recovery. Victor said it was the excellent care provided to him by the “Angels at Acuity” that saved his life. Victor was discharged to home on 3/19/14, able to ambulate and ready to return to work.
Q
What is Acuity Specialty Hospital of New Jersey? How does it differ from a regular hospital? Acuity Specialty Hospital is a Long Term Acute Care Hospital (LTACH) located inside AtlantiCare Regional Medical Center (Atlantic City Campus). Although physically located on the city campus, Acuity Specialty Hospital of New Jersey is a 30-bed facility operating as a separate and distinct “hospital-within-
(l-r) Dr Nwotite, patient Victor Ramirez and Kathy Hoffman RNCM. a hospital” with its own leadership team and employees. Acuity Specialty Hospital provides intensive acute care services to medically complex and critically ill patients requiring an extended hospital stay averaging 25 days. Acuity is not an acute rehabilitation unit or a long term ventilation unit or nursing home. Patients are transferred from different facilities and must meet acute care criteria. Patients are usually discharged from Acuity to acute rehab centers, skilled nursing facilities, and home.
Q
Why choose Acuity Specialty Hospital of New Jersey?
Meet the staff at Acuity Specialty Hospital of New Jersey Top row (left to right): Kim Faust RN, Kathy Hoffman RNCM, Alex Tempongko RN, Dr. Edward Hamaty. Front row: Jo Ann Sackett LSW, Cathy Reedy RNCM and Nancy Fitzgerald LPN.
The County Woman Magazine
We know that acute injury or illness can be a terrifying, overwhelming and often unexpected time for patients and their loved ones. We have the experience and compassion to assist with this potentially devastating time in a person’s life. Traditional hospitals are equipped and staffed to manage critically ill and medically complex patients for a limited amount of time. Acuity Specialty Hospital is specifically designed to manage these same patients over a longer period of time. Acuity Specialty Hospital is able to provide an enhanced quality of care with concentrated services allowing improved outcomes for high acuity patients. Our hospital offers open visiting hours to family and friends. We involve the family in the care of the patient right at the start of the patient’s admission. We recently renovated our
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Victor and staff (l-r) : Irene Cabrera, PCT, patient Victor Ramirez and Niesha Mosely RRT. private rooms and have state of the art equipment and monitoring.
Q
What clinical conditions are treated at Acuity Specialty Hospital of New Jersey? We provide innovative programs for conditions including major traumatic injuries, ventilator dependent respiratory failure and other pulmonary problems, cardiovascular disease, infectious diseases, complex and severe wounds, and post-operative care.
Q
Who makes up the Acuity Care Team?
Q
How does a patient get admitted to Acuity?
The physician-led, multi-disciplinary care team includes dedicated respiratory care practitioners, critical care nurses, patient care technicians, rehabilitation therapies including speech and physical therapy, a wound care nurse and a dietitian to 30 patients. The care team also includes our admission and discharge staff, experienced clinicians who expertly manage patient’s needs across the continuum of care. The team has significant expertise in the care of the critically ill patient with specialized needs.
A potential patient is usually referred by a Physician/ Nurse or Case Manager in another facility. However, patients and family can also call and ask if the patient can be assessed for future care.
Please call our Admissions office for further information or a tour of our facility at 609-441 -8123 or visit www.acuityatlanticcity.com. July/August 2014
Education
36
Fast-Track Training For A Future In Health Care Interested in a stable, well-paid career? In today’s economy, many people are looking to either start a new career or enhance their current resume, and the healthcare industry is one of the largest employers in Ocean County.
Many healthcare jobs are in high demand … and you can train today for a great career in just three to twelve weeks! Ocean County College’s (OCC) Department of Continuing & Professional Education offers opportunities for fast-track career training, leading to the possibility of immediate employment upon successful program completion. Classes start in the fall, spring, and summer semesters. Register today!
Physical Therapy Aide Join one of the fastest growing entry level jobs and become a Physical Therapy Aide. This course prepares you for employment in hospitals, orthopedic clinics, nursing homes, and sports rehabilitation centers. Job duties include preparing treatment areas, answering phones, ordering supplies, and transporting patients under the direct supervision of a physical, occupational, or speech therapist.
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Business & Finance
Medical Assistant
Another job in great demand is a Medical Assistant. As a Medical Assistant, you’ll be on a career track to work in the offices of physicians, podiatrists, chiropractors, and other health practitioners. Through lecture, lab practice, and skills testing, you’ll become proficient in all aspects of the medical office including administrative and clinical tasks. This course will prepare you to sit for the Certified Clinical Medical Assistant certification through the National Health Career Association (NHA).
Other Career Options . . .
You can also expand your career options through OCC’s fast-track certificates to become a Patient Care Technician; EKG Technician; Dental Assistant; Medical Coding, Medical Billing, or Medical Office Specialist; Medical Scribe; Paramedic; Personal Trainer; Pharmacy Technician; and Phlebotomy Technician; among other opportunities. Start your career and become part of one of the fastest growing fields in the nation! For more information on health careers and training, call the Ocean County College Department of Continuing and Professional Education at 732-255-0404 or visit www.ocean.edu to view the latest catalogue.
Business
Start a new career in less than six months! OCC offers training in some of the fastest growing areas of employment. • Physical Therapy Aide • Medical Assistant • Patient Care Technician • EKG Technician • Dental Assistant • Medical Coding/Billing Specialist • Medical Office Specialist • Medical Scribe • Paramedic • Personal Trainer • Pharmacy Technician • Phlebotomy Technician
& Finance
Call us for more information or visit us online! www.ocean.edu/cpe.htm 732-255-0404
OCWoman_Health_Cert_July-August_2014_4x5 ad.indd 1
5/27/2014 2:13:32 PM
Typing, Copy, Fax & Notary Services
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Patty Shannon, Owner
he Wordstation, Ltd. celebrates its 25th year in business at the Jersey Shore with the grand opening of its new office at 391 Brick Blvd. in Brick. Co-located with Copy Fax + in Drum Point Plaza.
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The County Woman Magazine
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The often-neglected art of proofreading is practiced daily at The Wordstation. We provide contract services to advertising agencies, publishers and independent writers and journalists, ensuring the perfect end product for all those who write and disseminate their writing to the world.
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We are co-located with Copy Fax +, Brick’s most convenient copy and fax facility. Do it yourself at our self-service copier, fax and computer terminals, or let us do it for you. B&W and color copies, single or double-sided, up to 11″ x 17″.
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www.TheCountyWoman.com
July/August 2014
bhmg2587 Paonessa advertorial NovDec v4
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Health Literacy: When Words Count Nina Paonessa, D.O., F.A.C.O.S., a fellowship trained colorectal surgeon and the only female colorectal surgeon in the area, understands that some patients may feel uncomfortable or embarrassed asking their physician to explain medical terminology – especially when it relates to colorectal issues. “But when it comes to your health, it’s important to be able to ask your physician questions, no matter how uncomfortable you may feel,” says Dr. Paonessa. Below, she explains some of the most commonly confused medical terms she encounters in her Toms River practice. A recent study conducted by Emory University and published in Cancer, a peer-reviewed journal of the American Cancer Society, revealed the public’s lack of understanding when it comes to medical terminology. According to
the study, only 15 percent of people understood the term “incontinence,” with 29 percent and 32 percent understanding “urinary function” and “bowel habits” respectively. Bowel incontinence is a common issue that is described as the weakened ability to control gas or stool. The most common cause of incontinence is a tear or weakness in the anal sphincter, the muscles that control the anus. Some common causes of a damaged/weakened anal sphincter are: obstetric injury, pregnancy, and trauma. Another important term to understand is urinary function, which refers to urination habits, including how often or how much. Two terms that tend to confuse people are bowel and intestine. They both refer to the same thing; however, there are two types: the small and the large intestine or bowel. The colon refers to the large intestine only. One issue that Dr. Paonessa encounters nearly every day is an ostomy or stoma. This refers to a bag on the outside of the body that connects to the small intestine, large intestine or urinary tract. When the bag connects to the small intestine,
it is referred to as an ileostomy. When it is connected to the large intestine, or colon, it is referred to as a colostomy. When connected to the urinary tract, it is called a urostomy. Other terms that are often confused are tumors and polyps. A tumor is any abnormal growth on the body, but does not necessarily refer to cancer. A benign tumor is a mass of cells that cannot spread to neighboring tissues, meaning they are noncancerous. A malignant tumor, however, has the ability to invade adjacent or even distant tissues and are therefore classified as cancerous. A polyp is also an abnormal growth, but they project from a mucous membrane. They are commonly found in the large intestine, and while most are benign, there can be a relationship between polyps and cancer. “Medical terminology can be difficult to understand for the common patient, but it’s important that you stop your doctor and ask specific questions if you become confused,” says Dr. Paonessa. “Knowing exactly what’s going on with your body is key to understanding and taking control of your health.”
Nina J. Paonessa, DO, FACOS Paonessa Colon and Rectal Surgery, P.C. Colon andJ.Rectal Surgery DO, FACOS Nina Paonessa,
Board Certified in General Surgery and Proctology Colon and Rectal Surgery Board Certified in General Surgery and Proctology
67 Highway 37 West Riverwood I, 1st 34 FloorSouth, Suite H • Wall, NJ 07719 2101 Route Toms River, NJ 08755 732.557.2153 � 732.557.2159 732-282-1500 • OfficefaxHours: M-F 9AM to 5PM Office hours: M–F 9AM to 5PM ¢ � laparoscopic surgery ¢ colonoscopy laparoscopic surgery � colonoscopy ¢ � abdominal/pelvic surgery ¢ anorectal surgery abdominal/pelvic surgery � anorectal surgery ¢ � fecal incontinence ¢ disorders pelvic floor disorders fecal incontinence � pelvic floor ¢ � endoanal/rectal ultrasound ¢ office proctology endoanal/rectal ultrasound � office proctology � anorectal manometry/physiology ¢ anorectal manometry/physiology
The County Woman Magazine
www.TheCountyWoman.com
Patient Testimonials Danny Q.
“Dr. Paonessa is one of the nicest doctors I have ever come across. She has taken such good care of me and is very smart. A friend recommended her to me, and right after my first appointment with her I knew that she was the doctor I wanted to work with. My procedure went so smoothly and is healing up very nicely. Dr. Paonessa always took the time to make sure I was doing okay and visited me every single day I was in the hospital. She is the first doctor that I can honestly say I enjoyed going to see.”
Patricia E.
“I credit Dr. Paonessa for saving my life. Her thoroughness and attention to detail made the difference for my recovery. I’ve never met a doctor like her—so attentive and caring.” Bio: Board-certified in general surgery and proctology and a fellow of the American College of Osteopathic Surgeons, Dr. Paonessa specializes in colon and rectal surgery. She has been in practice for 9 years. She completed her colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA. She is co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition. Dr. Paonessa believes in patient-centered care and preserving each patient’s independence, well being and dignity. She provides the latest, up-to-date treatments and tailors each plan of care to the individual patient’s needs.
July/August 2014
Medical Professionals
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Women and Cancer:
PART II
Cancer Of The Uterus
Submitted by: Dr. Sarah J. Easaw, MD, FACP, Ocean Hematology & Oncology
U
terine cancer, also known as endometrial cancer is the most common cancer of the reproductive organs among women in the US. It is estimated that about 52,000 women will be diagnosed with endometrial cancer this year. Uterine cancer is rare in women 45 and under. Most cases are diagnosed in women over 55. Risk Factors: Hormonal factors: Prolonged exposure to the female hormone estrogen is directly linked to developing endometrial cancer. Women who had more menstrual cycles during their lifetime have an increased risk of getting cancer of the uterus. For example, if you started your period before age 12, and you have your menopause in the late fifties, you have an increased risk of endometrial cancer. Women who take estrogen alone as hormone replacement therapy also have a high risk. The number of pregnancies a woman had plays a protective role. In women who never had children, the risk of uterine cancer is high. Tamoxifen, a drug used in the treatment of breast cancer, may lead to endometrial cancer in a minority of patients. Obesity: Endometrial cancer is common among overweight women than those who are lean. Estrogen, the female hormone produced in the ovaries, is also made from fat cells. Having more fat tissue increases the amount of estrogen in the body and thus increases the risk of endometrial cancer.
Diet and exercise: Diets high in fat will increase the risk of uterine cancer. Exercise has a protective effect. Women who exercise regularly are less likely to develop endometrial cancer than those with sedentary habits. Diabetes: Uterine cancer is four times more common in women who have diabetes; this is true for those who are obese as well as those with normal body weight. Family History: Some genetic mutations, which are hereditary, can lead to endometrial cancer and colon cancer.
Treatment: Hysterectomy is the main treatment for cancer of the uterus. In addition to removing the uterus, both ovaries and surrounding lymph nodes will be removed. Depending on the stage of the cancer and a few other factors, some women may require Radiation Therapy and/or Chemotherapy after surgery.
As with any other cancer, prevention, early detection and treatment are three important steps in reducing the fatality of uterine cancer. Lifestyle modifications, including eating a low fat diet, and daily exercise are key in lowering your risk. Awareness of the symptoms and seeking prompt attention is equally essential. For details about treatment of endometrial cancer or for any other cancerrelated questions, contact Dr.Sarah J. Easaw MD at 732-961-0010
Compassionate Cancer Care, Close to Home
Signs and Symptoms of Endometrial cancer: Bleeding: Most patients diagnosed with endometrial cancer have abnormal vaginal bleeding. It could be a change in their periods or bleeding between periods or after menopause. It is important to seek medical attention for any irregular bleeding immediately. If you have gone through menopause, it is especially important to report any vaginal bleeding, spotting, or abnormal discharge to your doctor. Non-bloody vaginal discharge may also be a sign of endometrial cancer. Even if you cannot see blood in the discharge, it does not mean there is no cancer. In about 10 percent of cases, the discharge associated with endometrial cancer is not bloody. Any abnormal discharge should be checked out by your doctor.
Patient Testimonials: • “I am so appreciative and grateful that I was put in contact with Dr. Easaw and staff. They are so compassionate about your treatment and personal well being… the doctor gave me the confidence and reassured me. They certainly kept me lifted even when I would get so depressed that I would want to quit. Something about the doctor and staff always gave me an uplift, even when things got very tough.” ~ Cecile , Brick, NJ • “Dr. Easaw has continued to monitor me with regards to my Hodgkin’s Disease in a very professional yet compassionate manner. From the moment I enter her office I am greeted warmly by her staff, and I know I will be well cared for by someone who cares.” ~ David , Manchester, NJ
Visit www.oceanhemonc.com
Lower abdominal pain, pressure sensation, feeling a mass or lump in the lower abdomen and unexpected weight loss are some of the other symptoms of uterine cancer. Diagnosis is made by doing a biopsy of the lining of the uterus. Before doing a biopsy, an ultrasound of the pelvis can be done to evaluate the size of the uterus and the thickness of the endometrial lining.
The County Woman Magazine
W We offer a full range of Hematology & Oncology services. W We are dedicated to providing state-of-the-art cancer care in a warm and personalized manner. W Our newly renovated, spacious infusion room provides a peaceful and friendly atmosphere to patients while they receive chemotherapy and other infusions. W Our staff is highly qualified, experienced and compassionate.
Sarah J. Easaw MD, FACP Diplomate of the American Board of Hematology, Oncology & Internal Medicine
Ocean Hematology & Oncology 1255 Route 70, 31S Easily Accessible Location, Near Exit 88 on GSP
Lakewood, NJ 08701
732.961.0010
www.oceanhemonc.com Accepts Most Insurances Affiliated with Kimball Medical Center, Ocean Medical Center and Community Hospital Access to Clinical Trials
www.TheCountyWoman.com
July/August 2014
Medical Professionals
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Pain Is Not Normal . . . What Can I Do? Article Written By: Dr. Vincent Giardina, D.C., President, NJ Community Spine and Pain Serious, chronic pain affects at least 116 million Americans each year, many of whom are inadequately treated by the health-care system, according to a new report by the Institute of Medicine (IOM). The report offers a blueprint for addressing what it calls a “public health crisis” of pain.
What is pain?
In medicine, pain relates to a sensation that hurts. If you feel pain, it hurts. Depending on the severity of the pain, you may feel discomfort, distress, or perhaps even agony. Pain can be steady and constant, in which case it may be an ache. It might be a throbbing pain - a pulsating pain. The pain could have a pinching sensation, or a stabbing one. Only the person who is experiencing the pain can describe it properly. Pain is a very individual experience.
How do you measure pain? It is virtually impossible to measure a person’s pain objectively. Most experts say that the best way to find out how much pain a patient is suffering is by a subjective pain report. A comprehensive assessment of pain should include: • The identification of all pains. This must include the most important ones. • The site, quality and radiation of pain. • What factors aggravate and relieve the pain. • When the pain occurs throughout the day. • What impact the pain has on the person’s daily function. • What impact the pain has on the person’s mood. • The sufferer’s understanding of their pain. There are many different methods for measuring pain and its severity. Health care professionals say it is important to stick to whatever system or tool you chose for a specific patient all the way through. If a patient is unable to report their pain, such as an infant, or a person with dementia, there are a number of observational pain measures a doctor can use.
Dangers of OTC Medications for pain?
Over the Counter medications (OTC) are used for pain by approximately 36 million people. The average person only finds temporary relief by taking these medications. Unfortunately there are many dangers associated with these drugs.
Dangers of NSAIDs: NSAIDs are found in aspirin, Advil, Motrin, Aleve, and other medications. The biggest risk with NSAIDs are severe and sometimes fatal gastrointestinal bleeding. They can trigger an increase in stomach acid and, at the same time, reduce the stomach’s normal protective mucus layer. In some patients, these widely used drugs can also make high blood pressure worse. They can cause reversible damage to the kidneys in people over 60; those with high blood pressure, heart disease, or pre-existing kidney disease; and people taking water pills. Dangers of Acetaminophen: Acetaminophen is found in Tylenol and a number of generic pain relievers. Acetaminophen is considered safe if used according to the directions. However, taking more than the recommended dose can cause liver disease, liver failure, and death. Often, liver damage occurs before any symptoms show up. Shockingly, acetaminophen has replaced viral hepatitis as the leading cause of acute liver failure in the United States. The risk is greatest in people who already have liver problems, such as hepatitis or cirrhosis. But anyone who takes too much of the drug for too long faces danger.
Call 732-503-4079 to schedule your appointment. www.njcommunityspine.com
Prescription Pain Killer Epidemic
Kills more Americans than heroin and cocaine combined
The death toll from overdoses of prescription painkillers has more than tripled in the past decade, according to an analysis in the CDC Vital Signs report released today from the Centers for Disease Control and Prevention. This new finding shows that more than 40 people die every day from overdoses involving narcotic pain relievers like hydrocodone (Vicodin), methadone, oxycodone (OxyContin), and oxymorphone (Opana). If this doesn’t catch your attention I don’t know what will. Too many doctors prescribe prescription drugs as a mask to pain rather than a treatment. There are some cases where they may be necessary to get someone started on a treatment program. But continued use could cause internal damage and death. There are alternatives to taking prescription drugs. You will first need to identify a facility that can best treat your condition. You should look for a facility that has the tools needed to get you out of the pain you suffer from. At NJ Community Spine and Pain we offer a full service pain management program. We offer the services of a medical doctor, chiropractor, physical therapist, acupuncturist, Nutritional Counseling, Reiki, Exercise Therapeutics, and Free Educational Seminars. Having so many methods of treatment, we are able to focus on a drug-free, non surgical, integrated approach to pain relief. With so many people getting hooked on prescription pain medication, give yourself a chance. Find a safer and healthier method to pain relief.
we accept MOST insurances Like us on Facebook
“Drug Free, Non-Surgical Approach To Pain Management”
“Call Us Today Today to Start Living Free Tomorrow” Call Us LivingAAPain Pain-Free Tomorrow
All Services Under One Roof At NJ Community Spine and Pain we pride ourselves on our One on One commitment to all of our patients. Our Drug Free, Non Surgical approach to pain management will get you on the path to wellness without the dependency of prescription drugs
Suffering From Pain ? Get 50% to 80% Pain Relief After One Visit With Our New Pain Management System Call Today For Details
Patient Testimonials “I was treated by 3 other Pain Management Facilities and had no results. Once I was treated at NJ Community Spine and Pain my pain disappeared.” - Barbara P. “ I had chronic back pain and knee pain. The doctors at NJ Community Spine and pain are caring, passionate, motivated and they give you the tools to move ahead and lead a fulfilling life.” Christine S.
864 Route 37 West, Toms River NJ 08755 • 732-503-4079
The County Woman Magazine
OurServices Services Include Our Include
MedicalDoctor, Doctor, Chiropractor, Chiropractor, Acupuncture, Acupuncture, Physical Medical PhysicalTherapy, Therapy, Nutritional Fitness Classes Classes,Kinesio KinesioTaping Taping Nutritional Counseling, Counseling Fitness
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Here is what our patients have to say:
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“When I first started treatment, my back, neck and knees ached. After going through a treatment plan with the doctors, I have improved by 90%. I feel great.” - Maureen E.
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“My shoulder was in constant pain. After being treated by Dr. Giardina, I am virtually pain free.” - Joe F. “I am an avid mountain biker and had an accident about 1 year ago. I had seen multiple doctors with no results. After 4 weeks of working with the doctors at N.J. Community Spine and Pain, I am not only back on my bike, I am living life with less pain than ever before.” - Frank M.
July/August 2014
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Medical Professionals
Part II: Dental Implants Are A Perfect Solution
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If I am only missing one tooth, isn’t it easier to just get a dental bridge? While the dental bridge option may seem like an easier solution to replacing a missing tooth, it usually is not the best option... The primary cause of failure of a bridge is dental caries followed by endodontic therapy. To make a dental bridge, one or more of the neighboring teeth surrounding the missing tooth site are shaved down with a high speed drill. This prepares the neighboring teeth for the fitting of a fabricated three unit bridge that is cemented in place. However, bone loss soon occurs in the area of the missing tooth or teeth, and plaque build-up is common below the margins of the bridge. Since a significant amount of the tooth structure of the neighboring teeth has been removed these teeth are susceptible to decay and therefore root canal infections. Because the bridge design doesn’t allow you to floss properly between the teeth, the neighboring teeth are also prone to develop periodontal disease. A dental implant can be used to replace just the missing tooth, without requiring any preparation of the neighboring teeth, and can even last longer than a natural tooth. A dental implant is not susceptible to tooth decay or root canal infections. The dental implant option closely mimics the design and function of your natural tooth and is the most secure option with a solid foundation of bone that keeps it stable, withstanding the forces of biting and chewing. An implant feels and functions like a natural tooth and it is proven to outlast all other tooth replacement options.
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I am missing a few teeth, why don’t I just get a partial denture made?
A partial denture sits over the gums with a framework that hooks onto some of the remaining teeth to provide minor stability. The partial denture lacks a secure connection to the jaw and without tooth roots to stimulate the bone underneath, the jaw bone in that area will begin to shrink. The changing shape of the jawbone results in a partial denture that is loose, and that moves and shifts during function. Over time this movement and shifting will usually loosen and weaken the remaining teeth and irritate the surrounding gums, causing pain and discomfort, and sometimes additional tooth loss.
The County Woman Magazine
A better solution is to replace the missing teeth with dental implants. The dental implants can usually have individual crowns which allows Dental Implants you the ability to brush and floss . The implants provide stability and stimulate the surrounding bone to prevent significant bone loss. The improved distribution of biting forces prevents unnecessary overloading of the remainning natural teeth, and generally will have a higher long term success rate when compared to partial denture treatment. The most important feature of this option is that you have a stable treatment that most closely resembles the design of your own natural teeth.
Schedule your appointment with Dr. Banks by calling 609-488-2325.
Dr. Banks is a graduate of Rutgers University College of Arts and Sciences, Camden with a B.A. in biology, and Temple University School of Dentistry, Philadelphia. She completed a one year Kathy A. Banks, DMD My dentures are hard to wear, will Advanced Education in implants help me? General Dentistry Residency Implants can replace removable bridges or dentures, Program at the University of Medicine and Dentistry or they can be used to stabilize and secure the denture, of New Jersey in Camden and Stratford, NJ, and making it much more comfortable.There are exciting then completed a four year Post- Graduate Residency new techniques that make it possible for a patient to Program in Oral and Maxillofacial Surgery at the transition from a full denture to a permanent restoration in a short period of time; commonly referred to as University of Medicine and Dentistry of New Jersey “Teeth in a Day” or All on Four” and “Diem 2”. There in Newark. She is a Diplomate of the American is not enough time to fully explain this process so you Board of Oral and Maxillofacial Surgeons and the will have to look for my future article to learn more. American Board of Dental Anesthesiology. She is a member of the dental staff at Jersey Shore I was told I don’t have enough University Medical Center in Neptune, New Jersey bone for dental implants. and is involved with teaching the postgraduate Can you help me? GPR residents in the clinic and in her private Yes. Bone loss is not uncommon for people who office setting. She has been instrumental in the have lost teeth, or who have suffered from periodontal development of several New Jersey State Board of disease or traumatic injuries. Oral and maxillofacial Dentistry approved continuing education courses surgeons are trained and experienced in a multitude of techniques which may be used to reconstruct defects offered by J.S.U.M.C Department of Dentistry of the jaw bone and ridges in order to place implants. Continuing Education Department for dentists, These techniques include bone grafting such as “guidhygienistsLimited and dental assistants. Practice To Oral & ed bone regeneration”, “sinus lift” grafting, “titanium Maxillofacial surgery mesh grafting”, distraction osteogenesis, and so on. 249 S. Main Street, Unit 4 Often the patient will need a Barnegat, NJ 08005 sophisticated diagnostic and treatment planning work up which may Tel: 609-488-2325 require 3D cone beam CT scanning and virtual cad-cam technology. Kathy A. Banks, DMD kbanks@drbanksoms.com Practice Limited To Oral & Maxillofacial Surgery Once the foundation of bone is 249 S. Main Street, Unit 4 reconstructed, then dental treatment Kathy A. Banks, DMDBarnegat, NJ 08005 Fellow of The American Association Practice Limited To Oral & Maxillofacial Surgery may proceed. of Oral & Maxillofacial Surgeons Tel: 609-488-2325
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KATHY A. BANKS, DMD
Whether you are a young, middle-aged or older adult, whether you need to replace one tooth, several teeth or all your teeth, there is a dental implant solution for you.
249 S. Main Street, Unit 4 Barnegat, NJ 08005
Diplomate of The American Board Fax: 609-488-2342
Fellow of The American Associationof of Oral Oral && Maxillofacial Surgeons Maxillofacial Surgery Diplomate of The American Board of Oral & Maxillofacial Surgery Specialty Permit # 4070 Specialty Permit #4070
Tel: 609-488-2325 Fax: 609-488-2342
Fellow of The American Association of Oral & Maxillofacial Surgeons Diplomate of The American Board of Oral & Maxillofacial Surgery Specialty Permit # 4070
KATHY A. BANKS, DMD
www.TheCountyWoman.com
Practice Limited To Oral & Maxillofacial surgery
249 S. Main Street, Unit 4 July/August 2014
Business Spotlight
41
~ Interview with Dr. Kathy Banks ~
Kathy A. Banks, DMD Practice Limited to Oral & Maxillofacial Surgery 249 S. Main Street, Unit 4 Barnegat, NJ 08005 609-448-2325 kbanks@drbanksoms.com
A. BANKS, DMD
ce Limited To Oral & llofacial surgery
249 S. Main Street, Unit 4 Barnegat, NJ 08005
Tel: 609-488-2325 Kathy Banks, DMD Kathy A.A.Banks, DMD kbanks@drbanksoms.com
Practice Limited To Oral & Maxillofacial Surgery
249 S. Main Street, Unit 4
athy A. Banks, DMDBarnegat, NJ 08005
Fellow of The American Association Limited To Oral & Maxillofacial Surgery
249 S. Main Street, Unit 4 Barnegat, NJ 08005
of Oral & Maxillofacial Surgeons Tel: 609-488-2325 Diplomate of The American Board Fax: 609-488-2342
Fellow of The American Associationof of Oral Oral && Maxillofacial Surgeons Maxillofacial Surgery
Diplomate of The American Board of Oral & Maxillofacial Surgery Tel: 609-488-2325 Specialty Permit # 4070 Specialty Permit #4070 Fax: 609-488-2342
The American Association of Oral & Maxillofacial Surgeons te of The American Board of Oral & Maxillofacial Surgery Specialty Permit # 4070
The County Woman Magazine
Dr. Kathy Banks Is Dedicated To Patients In Need of Oral & Maxillofacial Surgery For Dr. Kathy Banks, becoming a dentist was something she dreamed of for as long as she can remember. When she began dental school one of her first clinical rotations was in the Oral and Maxillofacial (OMS) Department and she became hooked right away. She adds, “It was the one discipline of dentistry where I was really challenged clinically and mentally. The surgical specialty of OMS bridges the gap between medicine and dentistry.” Because she provides surgical treatment for patients of all ages, she has to have a good understanding of pediatrics, adolescents, adults and geriatrics. She adds, “Most OM’s like myself have extensive training in general anesthesia and provide those services in our offices. Therefore we are able to cover the whole spectrum of pain and anxiety management. Additionally, many of our patients have medical conditions that affect their ability to tolerate surgery and anesthesia. This requires that we have a current understanding of medicine and the competency to manage the surgical and anesthetic needs of our patients.” Kathy graduated from Rutgers University College of Arts and Sciences, Camden with a B.A. in biology, and received her degree of Doctor of Medical Dentistry from Temple University School of Dentistry, Philadelphia. Following dental school, she completed a one year Advanced Education in General Dentistry Residency Program at the University of Medicine and Dentistry of New Jersey in Camden and Stratford, NJ, and then completed a four year Post- Graduate Residency Program in Oral and Maxillofacial Surgery at the University of Medicine and Dentistry of New Jersey in Newark ( Rutgers School of Dental Medicine). She is a Diplomat of the American Board of Oral and Maxillofacial Surgeons and the American Board of Dental Anesthesiology. There are many rewarding aspects of this specialty but for Kathy the best part is that everyday is different. OMS encompasses a wide scope of procedures. “The modern, Board Certified Oral and Maxillofacial Surgeon who is currently competent should have comprehensive training and expertise to safely provide general anesthesia in their office as well,” she adds. Additionally, they are likely to have training and expertise in the following areas: • Treatment of oral and dental conditions, such as removal of wisdom teeth, bone grafting and dental implant surgery. • Pathology and trauma involving the facial bones, jaws and related soft tissues. • Reconstruction of defects resulting from pathology, trauma, or congenital (from birth) conditions such a cleft lip and plate. • Orthognathic surgery (surgery to correct the alignment of the jaws and teeth). • Cosmetic surgery and other cosmetic procedures such Botox treatment and “fillers” such as Juvederm. • Surgical management of temporomandibular joint disorders Part of what makes her job so interesting is the variety of techniques she uses on any given day. For instance, in the same 24 hours she can be in her office sedating a pediatric patient to biopsy a benign lip lesion, perform a dental implant bone grafting procedure on an adult; and be in the hospital that afternoon with an adolescent patient for corrective jaw surgery. However, for Kathy the most rewarding part is the opportunity it provides to use her knowledge and skills as a surgeon to improve the quality of life for her patients. She says, “ I can eradicate a pathologic condition, extract painful teeth, perform a surgery to improve esthetics and function, or just give reassurance to someone who may need it. I am fortunate that it’s my job to help people.” Kathy is also heavily involved in patient advocacy. “Every year in April I travel to Washington DC with colleagues from all over the country. I meet with Congressmen and Senators and educate our lawmakers on the impact of their legislations in the care I provide for my patients. Although this is a source of personal enrichment for me, I have also learned the importance of being an active participant in the democratic process,” she says. Like most medical professionals in today’s healthcare climate the most challenging part for her is the insurmountable amount of paperwork and insurance claims that need processing. Of all the different ailments Kathy encounters the most devastating is oral cancer. She says the most critical piece of advice she can offer to improve oral health is the following: “Don’t smoke! Smoking negatively affects every aspect of being…growth, development, healing, breathing, longevity . . . and the list goes on and on.”
www.TheCountyWoman.com
July/August 2014
Medical Professionals
42
Diabetic Foot Care: Innovative Treatment and Prevention Submitted By: Dr. Manooj Prasad Garden State Foot & Ankle Group
A
n ulcer is a breakdown of skin that may extend to involve the subcutaneous tissue or even the muscle or bone. These lesions are common, particularly on the lower extremities. Ulcerations associated with diabetes are the most common type of foot ulcers. Most of these ulcers are a direct result of loss of sensation secondary to neuropathy. Approximately 85% of lower limb amputations are preceded by non-healing foot ulcers, making the prevention of diabetic foot ulcers and their recurrence the most important topic in diabetic foot disease. Prevention of Diabetic Foot Ulcers is the Best Medicine The diagnosis of diabetes does not have to lead to future lower limb amputations. A large percentage of these problems may be preventable through routine
podiatric care, and by implementing prevention measures before these wounds occur. The very best time to see a podiatrist is before these wounds occur. Discuss with your podiatrist simple procedures that can be performed in-office to optimize foot health. There are proactive surgical steps, for example, correcting the foot deformity to relieve pressure, which can be taken to prevent future ulcerations or amputations. Patients with diabetic ulcers need to be treated aggressively with the latest technology to get the ulcers to heal. There are many new advances in treatment now available, including artificial skin grafts that stimulate the body to heal, different types of off-loading walking boots, hyperbaric oxygen therapy, and surgical debridement of the ulcer to get the wound to heal faster, just to name a few. The faster a wound heals, the sooner one gets back to an improved quality of life.
To learn more about diabetic foot care, and the latest treatment options, or any other foot concerns, call Dr. Manooj Prasad at (732) 557-9900.
Offering Expert Care For Lower Extremity Disorders
Foot Ulcer
Patients with diabetic ulcers need to be treated aggressively with the latest technology to get the ulcers to heal.
Diabetic Ulcer Testimonial . . . “I started
with an ulcer, and what I went through until I found Dr. Prasad. I went to three, four, or even five doctors for over a year and a half, and all they were doing was debriding my ulcer but it never actually healed. Dr. Prasad operated on me twice, and asked me if I would try this new boot. He recommended it because I’m a diabetic and it’s so hard for me to heal. He even came to the rehab and changed it for me. This boot was the best treatment for my ulcer, it wasn’t too uncomfortable, and it actually healed me. I can’t praise Dr. Prasad enough. I feel like he actually knows what he’s doing which makes him fantastic. I would never let anyone else touch my feet again. If I have a problem, I call his office and I feel like they know my voice. Dr. Prasad is a great doctor, and I truly believe he saved my foot!” ~ Mary Bowbliss
Call us today 732.557.9900
Comprehensive Services Include:
20 Hospital Drive, Suite 9 Toms River, NJ 08755
The County Woman Magazine
• Diabetic Foot Care • Diabetic Shoes/Custom Orthotics • Non-Healing Wound/Ulcer Care • Bunion and Hammertoe Corrections • Non-Invasive to Minimally-Invasive Treatment for Heel Pain • Corn, Calluses, Fungus, and Wart Treatment • Foot and Ankle Trauma • Fracture Care
www.TheCountyWoman.com
July/August 2014
Business Spotlight
43
~ Interview with Dr. Manooj Prasad ~
Garden State
Foot & Ankle Group Surgery • Medicine • Trauma
How would you describe your practice philosophy? My practice philosophy is simple. I treat my patients the way I would want to be treated as a patient myself. I acknowledge the “fear of the unknown” when patients are having a problem, so I always allow time for questions, they are never rushed, and I listen to whatever they need to talk about to relieve their tension. What inspired you to become a Doctor of Podiatric Medicine?
Dr. Manooj Prasad 20 Hospital Drive, Suite 9 Toms River, NJ
(732) 557-9900
What inspired me to become a foot doctor originally was in medical school when I realized the feet are often overlooked until there’s a serious problem. People don’t often take the feet seriously, and I like to joke about it by saying, “Let’s face it- you can’t walk on your hands!” What sets your practice apart from others in the area? I believe my willingness to learn and use the latest treatments available for the benefits of my patients is what sets me apart from other practices in the area. I feel it’s best not to get set in my ways because there are innovative treatments that really do benefit the patients. When should a person seek the care of a podiatrist? A: A person should seek podiatry for several types of concerns. If one’s feet hurt while walking or participating in activities, if there is a presence of bunion or hammertoes, swelling of the feet or a slow healing or non-healing wound which could be signs of other problems, then it would be a good time to see a podiatrist. Also, for anyone who is diabetic, routine care with a podiatrist is equally as important as a routine eye exam. Tell us something that most people wouldn’t know about the care of a sprain, fracture, or any other foot/ ankle related problem. A: Although I see many men and women in my practice for fractures, many people might not know that female athletes are more prone to foot fractures due to repeated trauma, osteoporosis, and Vitamin D deficiency. Besides treating the fracture, there are other medical conditions that should be further investigated for overall health and wellness. What is the biggest challenge you face today as a doctor/ podiatrist? A: My biggest challenge I face today as a doctor is keeping up with the changing landscape of healthcare in general. How do you keep current on new developments in your field?
Call today Dr. Manooj Prasad Care Offering Expert A: I keep current in myus field by setting aside time to read current podiatric jour732.557.9900 nals and attending several new educational courses and conferences annually. For Lower Extremity Disorders What do you like to do in your leisure time?
Comprehensive Services Include: My leisure time is dedicated to taking my older son to lacrosse practice, spend-
20 Hospital Drive, Suite 9 Toms River, NJ 08755
The County Woman Magazine
ingFoot timeCare with my baby boy who is just starting to walk, riding quads with my son • Diabetic and daughter, and Orthotics teaching my oldest daughter to drive. Basically, my leisure • Diabetic Shoes/Custom time is Wound/Ulcer family time! Care • Non-Healing • Bunion and Hammertoe Corrections • Non-Invasive to Minimally-Invasive Treatment www.TheCountyWoman.com July/August 2014 for Heel Pain
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Weaving A Strong Safety Net For Seniors Whiting Health Care Center demonstrates the importance of forging connections among businesses and nonprofits to support people in our communities as they age.
Does health care seem a circus to you sometimes? There’s information coming at you from every direction, so much to keep track of, and a world of choices to make. But for you and the people you care about, it shouldn’t be a highwire act. You should never feel like you’ve been pushed out onto the tightrope to make your Pam Montemurno way across alone, without a net. Especially when you’re Regional Director of Cenus getting older, you should have as many hands as possible Development for Revera holding you up and helping you through. That’s why Nursing and Rehab the staff at Whiting Health Care Center is committed to reaching out to local healthcare providers, hospitals, businesses and nonprofit service organizations across Ocean County and beyond. By helping to build a local network of caring, they help to ensure that you and your loved ones can navigate each stage of aging securely, with a safety net beneath you. “Often, when people come to us following a hospital stay for rehabilitation or nursing care, what happens next is an important question,” says Jennifer Causer, Executive Director at Whiting Health Care Center, a 200-bed skilled nursing center in Whiting, New Jersey that is part of the Revera Nursing and Rehab family. “When our patients leave here to go home, we believe they should have more than a packet of information and well wishes.”
Reaching Out To Businesses And Nonprofits To help support older people as they make the transition to home and independent living, Whiting Health Care has reached out to area businesses and nonprofits. Pam Montemurno, Regional Director of Cenus Development for Revera Nursing and Rehab, has been instrumental in helping centers like Whiting build bridges with local volunteer service organizations such as the interfaith Caregiver Volunteers of Central Jersey. “We care about the continued well-being of the people we serve, even after they’re no longer here,” says Montemurno. “We consider it part of our mission. When people get home following hospital and rehab or nursing care, they often need an advocate to make sure they’re not lost in the system, and they need assistance with the activities that make daily living possible.” Montemurno calls Caregiver Volunteers of Central Jersey “a lifeline for people over 60 who need extra help with shopping, getting to doctors’ appointments, engaging in fun activities, or who just need a friendly person to talk to and some joy in their lives. We’re proud to support their efforts.”
about us.” Montemurno says that recent events at Whiting to support Caregiver Volunteers of Central Jersey have included a Women of Distinction “Hollywood Glam” Fashion Show & Gift Auction featuring PIX11 News anchor Kaity Tong and other women who have made a difference; a Caregiver Canines variety show to support a special program in which volunteers visit clients weekly with therapy dogs; and most recently an “Antiques Roadshow” held at the center on June 17th. Open to the public, the event featured estate liquidation expert Mark Csik of North River Antiques evaluating family heirlooms and other items in return for a suggested donation to Volunteer Caregivers of Central Jersey.
Important Connections
The Antiques Roadshow event was made possible by another important community connection forged by Montemurno, this time with the Senior Resource Alliance, (SRA) a network of local enterprises dedicated to providing older people with high quality services. The SRA was founded in 2006 by Liz Dorick, Business Director for Van Dyke Hospital, and Robert Novy, Esquire of Novy & Associates, a Manchester-based elder-focused law firm specializing in estate planning, explains Novy & Associates Director of Marketing Jake Mason. “Serving people in Ocean and Monmouth counties, the Senior Resourse Alliance is comprised of elite organizations each representing the best in their fields,” says Mason, “from financial planning to realty, hospice services, physical therapy, reverse mortgage services, and in Whiting Health Care Center’s case, skilled nursing and rehab.” Montemurno calls her nomination to the group among the highest honors of her career, and adds, “It’s a privilege and responsibility to be part of such a powerful referral network, dedicated to providing the highest level of service for the people we serve. We work together as much as possible to connect resources for best practice—the Antiques Roadshow event is a perfect example of our collborative spirit. And we all recognize the importance of Caregiver Volunteers of Central Jersey to our communitiies and to the quality of life for the people in our care.” Working together with a common purpose, the people of Caregiver Volunteers of Central Jersey, the Senior Resource Alliance, and member organizations like Whiting Health Care Center have woven a strong safety net to support elders as they strive to maintain independent, joyful lives.
Spreading The Word
That ongoing support comes in the form of regular events designed to raise awareness of the volunteer organization, and to raise funds, says Caregiver Volunteers of Central Jersey Executive Director Lynette Whiteman. “We currently serve more than 1,000 local people. We need to recruit up to 250 new volunteers each year to meet demand for our services, and those recruits require orientation, background checks, and special training for those who work with people who experience the symptoms of dementia. Those things cost money, and we’re delighted that Whiting Health Care is looking out for those we serve by getting the word out
Whiting Healthcare Center 3000 Hilltop Road, Whiting, NJ 08759
The County Woman Magazine
www.TheCountyWoman.com
732-849-4400
Visit www.reverawhiting.com
For more information about the extraordinary care at Whiting Health Care Center, call 732-849-4400 or visit them online at reverawhiting.com. To learn more about supporting Caregiver Volunteers of Central Jersey as a volunteer or with a donation, visit caregivervolunteers.org. Whiting Healthcare Center is part of Revera Health Systems, which has an outstanding network of skilled nursing facilities across New Jersey, including Bey Lea Village in Toms River, Hamilton Plaza in Passaic, Laurelton Village in Brick, Linwood in Linwood, Meadow View in Williamstown, Neptune in Neptune, Oak Ridge in Wayne, and Willow Creek in Somerset. July/August 2014
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Hear What You’ve Been Missing! Your sense of hearing is precious. Hearing contributes to personal safety, emotional well-being, and independence. Through your hearing you are able to communicate directly with others and experience the sounds in your environment. Did you know more than 10% of the US population has hearing loss that affects everyday life? That’s more than 31 million people. A surprising fact is that 65% of individuals with hearing loss are below retirement age. About 15% of Baby Boomers, age 41-60, and more
than 7% of Gen Xers, age 29-40, already have significant issues with their hearing.
their teeth checked on a regular basis, so why not look after your ears too?
Hearing loss occurs gradually and its effects are sometimes not immediately obvious. People get their eyes tested and
Awareness is the first step. People with hearing loss often do fairly well in quiet, face-to-face situations and signs of hearing
loss often may not be obvious to the doctor. Only a small percent of doctors routinely screen for hearing loss. It’s up to you to be alerted to the signs and tell your doctor if you suspect that your hearing may be changing.
Do you suspect that your hearing is not as good as it used to be? The following questions will allow you to make a quick assessment. 1. Do you have trouble hearing over the telephone? 2. Do you have a problem following the conversation when two or more people are talking at the same time? 3. Do people complain that you turn the TV volume up too high? 4. Do you have to strain to understand conversation?
Yes
No
If you have answered “yes” to one or more of these above questions you will benefit from a hearing consultation.
If you, a spouse, a parent, or someone you care about is wondering if they have a hearing loss:
Call Total Hearing Care Today!
Schedule an appointment for a FREE hearing screening and consultation.
Neptune: 732-474-8977 444 Neptune Blvd., Suite 1
Brick: 732-474-8949
525 Jack Martin Blvd., Suite 104
Sea Girt: 732-800-4581 700 Brooklyn Blvd.
Call today and you will also receive a: • Check for ear wax using a fiber optic video otoscope. • Demonstration of the latest Multi-Channel Digital and Open Fit hearing solutions. • An expert hearing assessment. • Adjustment, cleaning, and check of your current hearing aids at no charge.
Like us on Facebook/Total Hearing Care Follow us on Twitter/Total_Hearing Enjoy Hearing Again! www.njhearingaids.com ACCREDITED BUSINESS ®
Elizabeth W. Cook, M.A., F-AAA, Chief Audiologist, NJ Hearing Aid Supervising Dispenser Lic. #697
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Assisted Living
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Not Ready For Assisted Living, But Need A Little Help? Spring Oak of Toms River has the answer... ALP.
3
What is ALP? The only Assisted Living
Program in Ocean County designed to provide on-site personal, social and health care services to residents of the Independent Living community. This daily 8am to 8pm program is an affordable option that could be an alternative to regular Assisted Living. In addition to receiving all the amenities that Independent Living Residents receive, the services include assistance with personal care, nursing, wellness, medication administration, nutritional counseling and the peace of mind of a personal emergency response system. The activities are a big hit, ranging from trips to the shops and local restaurants to antique car shows and performance art shows. Movies, sports and Wii games can be enjoyed on the new “larger than life” cinema projector screen in the theater. This valuable combination of housing and optional services provides a home-like setting with the right balance of health and wellness without compromising an individual’s choices, dignity, or independence. Call Tara Heisman to schedule a visit to Spring Oak of Toms River and learn more about what they have to offer.
Spring Oak of Toms River Testimonials “If I knew it was going to be this good, I would have gotten here sooner. Everyone at Spring Oak has been so good to me. I have always been a family person and everybody here is like family. It is a beautiful place just like home. I am always doing things, I have been to the aquarium and went on a boat ride. They have the library, the theater, and pool table. Everybody is right there to help you.” ~ Mary E. “I love it here. I do not want to leave ever. It is the best place for me. Thank God for my concerned children. They have helped me feel alive again. I thank you from my heart.” ~ Mary M.
3 3
Tara Heisman has been working with seniors and their families in assisted livings in NJ since 2003. She enjoyed being an Activities Director before becoming a Marketing Director. A resident of Toms River since 2007 , Tara is married to her husband Steve and has a 4 year old boy named Lucas. Please call or email Tara to schedule a tour. 732-905-9222, theisman@springoak.net
Spring Oak residents Marie P. and Dayle M. return home after an enjoyable lunch at Charlie Browns.
Always smiling, Evangeline A. stops to smell the roses in one of the many courtyards. She proudly turned 102 years young in June. She says, “My secret to happy aging is staying busy with Spring Oak’s exercise classes, Jackpot BINGO, communicating with my family on the library computer and making people smile.”
The County Woman Magazine
Ms New Jersey Senior America Cameo Club sang exclusively to the residents in the spacious theater. Senior America, Inc. is a Non-Profit corporation designed not only to enrich the lives of seniors but also to tap their energy to enrich the lives of others. They pride themselves on enhancing and empowering women who have reached the ‘Age of Elegance’ 60 years and better. www.TheCountyWoman.com
July/August 2014
Medical Professionals
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Care Close to Home As part of The Children’s Hospital of Philadelphia Care Network, our practices, conveniently located in Cape May, Smithville and Somers Point, provide comprehensive primary care for children from birth through age 21. We accept most insurance plans, and our doctors have staff privileges at local hospitals, in addition to The Children’s Hospital of Philadelphia. We look forward to partnering with you to help your children stay their healthiest. We are accepting new patients, as well as children vacationing with their families. CHOP PRIMARY CARE LOCATIONS AND HOURS: Harborview/Cape May Harborview/Smithville 1315 Route 9 South 48 South New York Road Cape May Court House, NJ 08210 (Route 9) 609-465-6100 Smithville, NJ 08205 609-748-2900 Monday – Friday 8:30 a.m. – 5 p.m. Monday – Friday 8:30 a.m. – 5 p.m. OUR CLINICIANS: George P. Bross Jr., D.O. • Yasmin D. Deliz, D.O. • Christopher W. Drexler, D.O. • Sharon L. Held, D.O. • Mark P. Jacobson, D.O. • Christopher J. Keenan, D.O. • Courtney G. Kivel, C.R.N.P. • Lisa J. Share, M.D. • Andrea R. Thorp, D.O. • Gerald E. Vekteris, D.O.
Health
©2014 The Children’s Hospital of Philadelphia, All Rights Reserved. 9363/NP/06-14
00
Health & Wellness
Harborview/Somers Point 505 Bay Ave. Bayside Commons Somers Point, NJ 08244 609-927-4235 Monday and Friday 8:30 a.m. – 5 p.m. Tuesday, Wednesday and Thursday 8:30 a.m. – 7:30 p.m. Saturday 8:30 a.m. – Noon
& Wellness
Each Day Is A New Beginning!
www.chop.edu/locations
We offer:
SUP | Paddle-Yoga | Paddle Fit classes Aqua Lodge SUPnSpa retreats Holistic RN Wellness Coaching
What do SUP benefits include? SUP offers many health benefits. As the board is floating on water, the paddler must constantly recruit deep stabilizing muscles of the pelvis and spine “Each day is a new beginning!” just to stand on the board and paddle it. Taking it further, adding core-based exercises such as Yoga and Pilates to the www.SusanCastiglia.com board will enhance the recruitment of such muscles and provide cardiovascular benefits. This core balance challenge increases core Ongoing! strength, improves muscle mass and increases endurance. SUP n’ Spa Holistic Retreat SUP provides an opportunity to reclaim your life’s purJersey Shore • Scottsdale, Arizona pose, re-balance and re-connect to nature.
609-209-0107
When we first went SUP we weren’t sure what we were doing. Then Sue showed us how to! It was a great experience for the whole family and was a great way spend time with the family. We all loved it so much that we had to go twice in three days! Our family learned from the best! -NJ Family
What is SUP (Stand Up Paddle Boarding)?
Stand-up-paddle boarding (SUP) originated in Hawaii/ Polynesia and is a year-round global water sport. SUP provides a replenishment of body, mind, and spirit for health and well-being. SUP is easy to learn and most people are standing up within 10 minutes. SUP lessons are offered by our certified instructors throughout the Jersey Shore. SUP offers many positive benefits such as “decompressing from technological stress (leave your cell phone on shore) and a fabulous head-to-toe workout in Nature!
The County Woman Magazine
What SUP programs do you offer at Holistic Care Services? The SUP programs offered are private and group lessons, Sup n’ SPA Retreats, Adaptive Paddling programs, and excursions for special occasions/celebrations. Some upcoming events that are being offered include paddle yoga/fitness classes and Full Moon Paddle Boarding. Check out our webpage for details www.SusanCastiglia.com and our meet-up “Jersey Shore Holistic Stand Up Paddle, Yoga & Fitness” http://meetu.ps/4kzJK where we have been offering SUP lessons/events at the Jersey Shore since 2010! Best of Health, Susan Castiglia, RN, BSN, HNC-BC, CHHP, HTP www.TheCountyWoman.com
Susan Castiglia graduated with a BSN from the College of New Jersey, Certified Holistic Nurse, Healing Touch Practitioner, Certified Holistic Health Practitioner, Certified Stand Up Paddle Yoga, and Susan Castiglia RN, Certified Yoga Teacher. BSN, HNC-BC, CHHP, HTP
July/August 2014
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The Doctors Of Seaview Orthopaedic & Medical Associates • STEVEN BERKOWITZ, MD, PA, FAAOS • KENNETH CHERN, MD, PA, FAAOS • VINAY Chopra, MD • HARALAMBOS DEMETRIADES, MD, PA, FAAOS • JOEL FECHISIN, MD • KEIRON GREAVES, MD • ARON GREEN, MD, PA, FAAOS • PAUL HAYNES II, MD • ARTHUR MARK, MD, PA, FAAOS • KEVIN MCDAID, MD, PA, FAAOS • ADAM MEYERS, DO, FAAPMR • ROY MITTMAN, MD, PA • HOAN-VU NGUYEN, MD, PA, FAAOS • ROBERT PANNULLO, MD, FAAPMR • CHRISTOPHER SPAGNUOLA, MD, PA, FAAOS • SUNIL THACKER, MD, PA, FAAOS • ARTHUR VASEN, MD, PhD, PA, FAAOS • PRAVEEN YALAMANCHILI, MD
{Steven Berkowitz,
MD,
FACS, FAAOS, CIME
Dr. Berkowitz attended medical school at the College of Medicine, SUNY Health Science Center at Brooklyn, NY and completed a residency at NYOH/ New York (Columbia) Presbyterian Medical Center. He is board certified by the American Board of Orthopaedic Surgery, as well as the American Board of Independent Medical Examiners. He is an attending physician at Jersey Shore University Medical Center and Ocean Medical Center.
{Kenneth Chern,
MD,
FAAOS
Dr. Chern is a graduate of the College of Physicians and Surgeons Columbia University, NY and completed his residency at NY Orthopaedic Hospital/ Columbia Presbyterian Medical Center, NY. He completed a Fellowship in sports medicine at Southern Sports Medicine and Orthopaedic Center in Nashville. He is board certified by the American Board of Orthopaedic surgery with a subspecialty certification in sports medicine. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Vinay Chopra,
MD
Dr. Chopra earned his undergraduate degree from Rutgers University, and medical degree with honors from Ross University School of Medicine. He completed his residency in Family and Community Medicine at University of Maryland Medical Center in Baltimore, and completed his fellowship in Sports Medicine at Atlantic Health, Morristown Medical Center, in affiliation with the prestigious Mount Sinai School of Medicine. Dr. Vinay Chopra specializes in non-surgical orthopaedics, concussion management, sports performance, and rehabilitation.
The County Woman Magazine
Dr. Chopra is the head team physician at Felician College and school physician for Manalapan and Feehold High Schools. He is certified in Combat Medicine and appointed by the New Jersey State Athletic Control Board as a ringside physician. He has covered numerous mixed martial arts events such as Cage Fury Fighting Championships, Ring of Combat, and Dead Serious.
{Haralambos Demetriades,
MD, FAAOS
Dr. Demetriades attended Mt. Sinai School of Medicine in New York and completed his residency training at Mt. Sinai Medical Center. Dr. Demetriades continued on to obtain a Fellowship in Spinal Surgery Fellowship at Beth Israel Medical Center. He is board certified by the American Board of Orthopaedic Surgery. His specialties are spine surgery, spine trauma and deformity and scoliosis. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Joel Fechisin,
MD, PA
Dr. Fechisin is a graduate of UMDNJ-Robert Wood Johnson Medical School. Following a one-year surgical internship at Abington Memorial Hospital in Abington, Pennsylvania, he completed his residency in orthopaedic surgery at Monmouth Medical. He went on to earn his Fellowship in Adult Reconstruction at Insall Scott Kelly Institute in New York, NY. Dr. Fechisin specializes in all disorders and injuries of the knee, total joint replacement, and also has subspecialty training in arthroscopy and cruciate ligament reconstruction. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Keiron Greaves,
MD
Dr. Greaves graduated UMDNJ Robert Wood Johnson Medical School. He completed his residency in Anesthesiology at SUNY Downstate Medical Center in 1993. Dr. Greaves completed his Fellowship training in Pain Management at SUNY Heath Science Center at Brooklyn University Hospital, Kings County Department of Anesthesiology, and Long Island College Hospital Veterans Administration Hospital in Brooklyn, NY. Dr. Greaves is board certified in pain management. He is an attending physician at Monmouth Medical Center.
{Aron Green,
MD, FAAOS
Dr. Green is a graduate of the University of Medicine and Dentistry of New Jersey/New Jersey Medical School. He also completed a Foot and Ankle Fellowship at Allegheny General Hospital in Pittsburgh, PA. He is board certified by the American Board of Orwww.TheCountyWoman.com
thopaedic Surgery and is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Paul Haynes II,
MD
Dr. Paul Haynes completed medical school at UMDNJ/New Jersey Medical School in Newark New Jersey. Following medical school, he completed internship and residency at Albert Einstein College of Medicine at Montefiore Medical Center, Waters Place, in Bronx New York. He went on to complete his fellowship in Orthopaedic Surgery and Pediatric Sports Medicine, Limb & Pediatric Deformity at Albert Einstein College of Medicine Montefiore Medical Center at Waters Place, in Bronx New York. He also completed an Arthroscopic Fellowship at Staten Island Orthopedics & Sports Medicine, in Staten Island, New York. Dr. Haynes is a general orthopaedic surgeon, specializing in Pediatric Sports Medicine, Limb & Pediatric Spine Deformity as well as General and Pediatric Orthopaedics/Surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.
{Arthur Mark,
MD, FAAOS
Dr. Mark is a graduate of Temple University School of Medicine. He completed his residency training at Albert Einstein Medical Center. Dr. Mark then obtained a Fellowship at Massachusetts General Hospital in Adult Reconstruction. He presently is a Clinical Assistant Professor of Orthopedic Surgery at Drexel University College of Medicine. His specialties are general orthopaedic surgery and total joint replacement and revision. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Kevin McDaid,
MD, FAAOS
Dr. McDaid is a graduate of Thomas Jefferson University in Philadelphia, Pennsylvania. He completed his residency at Monmouth Medical Center and his Fellowship training in upper extremity/hand surgery at The Hand Center of San Antonio in Texas. He specializes in general orthopedic surgery and upper extremity and hand surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center. ABOUT SEAVIEW ORTHOPAEDICS: At Seaview Orthopaedic & Medical Associates, we have been committed to providing you with quality orthopedic care for over 30 years! Our patients’ total experience with our practice is our number one priority.
July/August 2014
Medical Professionals
49
Seaview Orthopaedics is committed to providing quality care in Monmouth and Ocean Counties. We specialize in surgical and non-surgical care of orthopaedic-related injuries.
{Adam Meyers,
DO, FAAPMR
Dr. Meyers received his medical degree from the University of Health Sciences College of Osteopathic Medicine and also trained at the University of Pennsylvania and the Hospital of the University of Pennsylvania. He completed his residency training at The Hospital of the University of Pennsylvania and is certified by the American Board of Physical Medicine and Rehabilitation and the American Academy of Electrodiagnostic Medicine. He is an attending physician at Monmouth Medical Center.
{Roy Mittman,
MD
Dr. Mittman attended Albert Einstein College of Medicine in New York. He completed his residency at Montefiore Medical Center in New York. He specializes in general orthopaedic surgery, total joint replacement and arthroscopic surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Hoan-Vu Nguyen,
MD, FAAOS
{Robert Pannullo,
MD, CIME, FAAPMR
Dr. Pannullo is a graduate of Wayne State University School of Medicine and also trained at KDV Orthopaedics and Rehabilitation in York, PA. He completed his residency at New York Hospital/Cornell Medical Center (currently NY Presbyterian Hospital) and completed an Interventional Spine Techniques and Pain Management Fellowship at KDV Orthopaedics & Rehabilitation, LTD. He is a specialist is Physical Medicine and Rehabilitation and EMG Testing. He is certified by the American Board of Physical Medicine and Rehabilitation and the American Board of Independent Medical Examiners. He is an attending physician at Jersey Shore Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Christopher Spagnuola,
MD, FAAOS
Dr. Spagnuola is a graduate of The University of Medicine and Dentistry of New Jersey. He completed his residency at Monmouth Medical Center. He received his Fellowship at Thomas Jefferson University in Sports Medicine. He completed further training at Monmouth Medical Center and Children’s Hospital of Philadelphia. He is board certified by the American Board of Orthopaedic Surgery with sub-specialty certification in sports medicine. Dr. Spagnuola worked as an Assistant Team Physician for the Philadelphia Phillies and Wings organizations. He specializes in arthroscopic surgery. He is presently a Clinical Assistant Professor of Orthopaedic Surgery at Drexel University College of Medicine. He is an attending at Jersey Shore University Medical Center, Ocean Medical Center, and Monmouth Medical Center.
Dr. Nguyen is a graduate of Temple University School of Medicine and completed his residency training at Penn State Milton S. Hersey Medical Center. From there he obtained his Fellowship in spine surgery at San Diego Center for Spinal Disorders. He specializes in general orthopaedic surgery, neck and back surgery and disc replacement. He is an attending physician at Jersey Shore University Medical Center, TEAM APPROACH: We encourage you to become part of your healing process by asking questions and actively participating in you doctor’s instructions. Your confidence Ocean Medical Center and and trust in your doctor will ultimately lead to a quicker recovery period to put you back Monmouth Medical Center. on track with your daily activities and pleasures. Should you require medical treatment for orthopaedic injuries or bone disease, please give us a call. We would be happy to be there for you in your time of need.
Seaview Orthopaedic & Medical Associates
Call one of our convenient locations to schedule your appointment.
Board Certified And Fellowship Trained Physicians
If you have questions or concerns, call Seaview Orthopaedic & Medical Associates, 732-660-6200.
{Sunil Thacker,
MD, FAAOS
Dr. Sunil Thacker is a graduate of UMDNJ-New Jersey Medical School. He also completed his residency at UMDNJ-New Jersey Medical School. He went on to earn his Fellowship in sports medicine at the University of Pennsylvania in Philadelphia, PA and is board certified by the American Board of Orthopaedic Surgery. His practice also focuses on joint preservation arthroplasty in active adults. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.
{Arthur Vasen,
MD, PhD, FAAOS
Dr. Vasen attended the University of Medicine and Dentistry of New Jersey- Robert Wood Johnson Medical School. He completed his residency at Case Western Reserve University Cleveland, OH. He earned his Fellowship at Brigham and Women’s Hospital in hand and upper extremity surgery. His specialties are general orthopaedics, trauma surgery, hand and upper extremity surgery and arthritis surgery. Dr. Vasen is board certified by the American Board of Orthopaedic Surgery. He is presently an Assistant Clinical Professor at Drexel University College of Medicine. Also, he is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center and Monmouth Medical Center.
{Praveen Yalamanchili,
MD
Dr. Yalamanchili attended medical school at UMDNJ - Robert Wood Johnson Medical School and completed his orthopaedic residency at UMDNJ- New Jersey Medical School. He specializes in the treatment of spinal disorders including degenerative, deformity and trauma and has particuOfficial Doctors lar interest inTeam cervical (neck) surgeryOf: as well as minimally invasive and motion sparing procedures. Dr. Yalamanchili is a fellowshiptrained Spine Surgeon, who completed his training at Emory University in Atlanta, Georgia. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.
Specializing in:
Spinal Surgery/Scoliosis • Hand & Upper Extremity Total Joint Replacement • Trauma/Fracture Care Bone Density Testing • Osteoporosis Management Workers’ Compensation Independent MedicalOFFICE Exams ■ FREEHOLD OFFICE ■ MONROE•OFFICE ■ BARNEGAT 222 Schanck Road 294 Applegarth Road, Suite C 500 Barnegat Blvd, Bldg. 200 Foot & Ankle • General Orthopaedics Freehold, NJ 07728 Monroe Twp., NJ 08831 Barnegat, NJ 08005
Official Team Doctors Of:
STEVEN BERKOWITZ, M.D., P.A. ROY D. MITTMAN, M.D., P.A. ■ SATELLITE ■ OCEAN OFFICE ■ BRICK OFFICE OFFICE ARTHUR P. VASEN, M.D., PH.D., P.A. 1200 Eagle Avenue 1640 Route 88 West IN Ocean, NJ 07712 Brick, NJ P.A. 08724 KENNETH Y. CHERN, M.D., LAKEWOOD Ph: (732) 660-6200 Ph: (732) 458-7866 Ph: (732) 462-1700 Ph: 609-495-1888 Ph: 609-488-3988 Patriot’s Park HARALAMBOS DEMETRIADES, M.D., P.A. www.seaviewortho.com • 732-660-6200 222 Schanck Road • Freehold, NJ ARTHUR K. MARK, M.D., P.A. CHRISTOPHER J. SPAGNUOLA, M.D., P.A. www.TheCountyWoman.comSeaview The County Woman Magazine July/August 2014 Pavilion
Home Improvement
50
Transform Your Kitchen With New Countertops In 4 Easy Steps… 1. Get an estimate 2. Pick out your slab 3. Get a template 4. Install countertop …all in 7 to 10 days! Progressive Dimensions Countertops, now entering
its 17th year in business, has been built by following a simple model of offering premium products at competitive price points, providing speedy digital fabrica-
tion and installation by highly trained professionals, and above all, excellent customer service. To this day, most of the business we do still comes from referrals. We offer a wide selection of granite, marble, and quartz on site, along with a showroom that shows design ideas and also examples of sinks and faucets. No appointment is necessary. Just bring in a drawing with rough measurements to get the process started. Your consultation and estimate is free. To make choosing your countertops easier, bring
in a drawer or a cabinet door so you can see how your cabinets will look with your new countertops. Here are some questions most frequently asked by our customers:
Q
How is quartz different from granite?
Quartz is a man-made product engineered by grinding quartz into a powder and adding in color to make beautiful pattern designs. Granite is a natural stone made when the earth was formed millions of years ago.
PROGRESSIVE
DIMENSIONS
Granite
Business &Personal Storage
Granite comes in patterns with flowing motion, movement, and color variations. Both are attractive, strong and resistant to heat and moisture.
Q
Is granite difficult to maintain?
Q
Do you sell remnants?
Yes. We can sell you a piece of granite at any size. You can also use these for bath vanities, fireplace surrounds, windowsills and other projects.
Q
Are your countertops warrantied?
No. It is very resilient to heat and won’t scratch or chip. You can easily clean it with soap and water on a daily basis. The only thing to remember is to have it sealed every year. We will apply the first sealant at the time of install.
Yes. We offer a full 1-year warranty. Stop by our showroom today and we’ll get you on your way to beautiful countertops!
COUNTERTOPS Slab Yard & Showroom
44 Flint Road Toms River, NJ
Marble
732.244.0109
Quartz
Mon-Fri: 8am to 8pm Sat & Sun: 9am to 4pm
www.progressivedimensions.com
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Friendly • Clean • Affordable
We Offer:
• Drive-Up Units • Climate Controlled Units • RV/Trailer Storage • Competitive Pricing • Video Camera Monitoring • 24/7 Access to Units
Not sure what size you need? Call us, we will help you determine what you need.
2 Reserve your storage space.
By phone or stop by and take a tour!
3 Move your stuff.
You can access your unit anytime you like.
*Offered only on selected units and subject to availability. Applies to first month’s rent only. Promotions good for new customers only. Not available on transfers or additional spaces. Pricing subject to change. Reservation required to guarantee price. Restrictions, taxes and fees may apply. Actual unit sizes may vary from approximate size estimate. Please inspect any unit before renting.
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Carpet
&
Flooring
t $ e B CARPET &
51
Interest-Free Financing Available.
Lowest Prices & 100% Satisfaction
Guaranteed
FLOORING
50% OFF All Remnants!
Absolutely FREE* Senior Discount Offered! • Heavy Duty Commercial was $1.15
Now 89¢ Sq. ft.
• Berber Fanatastik was $1.99
Now $1.39 Sq. ft.
• Tone-On-Tone Multicolored was $2.29
Now $1.66 Sq. ft.
• Rip Up Old Carpet • Upgrade Pad • Measuring • Normal Stairway Installation • 48 Hour Installation • 35 Installers • Personalized Service
Laminate & Hardwood
• Red Oak Natural Laminate 99¢ Sq. ft. (While supplies last) • Kronoswiss Laminate Commercial Grade Starting at $2.99 Sq. ft. • Shaw Wood & Ceramic Laminate Starting at $1.99 Sq. ft. • Solid Hardward & Engineered Floor Starting at $3.99 Sq. ft.
• Thick & Luxurious Saxony was $2.39
Linoleum Starting at $1.09 Sq. ft.
Now $1.88 Sq. ft.
• Long Lasting Textured Twist was $2.59
Now $1.99 Sq. ft.
• Kitchen Cabinets: Lowest Prices in Town!
45-65% OFF AREA RUGS
3324 Route 37 E. Toms River, NJ
732-929-9200 FREE 5X7 AREA RUG
EXTRA 10% OFF
With any order over $500.
On Already Reduced Sales Prices with a minimum purchase of $1000.
With this coupon. Not to be combined with any previous orders or sales. Offer expires August 31, 2014.
Fischer Blvd.
*Only with carpet installation and actual purchase. Excludes remnants. t& nd pe e nt ar g Sa C On ra st rin un & el er au e B loo S ot Pi est R F M
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Hardwood • Vinyl • Carpet • Laminate • Hardwood Exotic Wood • Area Rugs • Tile • Rolls & Remnants
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Retractable
52
Awnings
Retractable Awnings So Many Benefits For Your Home!
Shade when you need it, Sun when you want it
OUTDOOR COMFORT With A Retractable Awning
With a Sunesta Retractable Awning, you control the shade. Enjoy your outdoor living area more than ever with the convenience of total shade control. Extend and retract your Sunesta Awning with the turn of a handle or push of a button - it's that simple. Your awning can be extended fully, partially, or retracted depending on the amount of shade you need or how much sun you want.
Block the sun, Keep your view
Our strong, streamlined designs eliminate the need for support poles, so our awnings block only the sun or light rain, and not your view. Maximize your usable shaded outdoor living space and your view with the addition of a Sunesta Retractable Awning to your home.
$250
OFF
the purchase of any motorized awning, screen, or shelter. Offer expires 6/15/14
Beautify your home
Your home is one-of-a-kind and your awning should be too. That's why we offer total customization so that each Sunesta is made to the distinct needs and style of each homeowner. And Sunesta Retractable Awnings don't just add beauty and space to your home, they also add equity - your covered outdoor space increases living area and value.
Expand your space
Without protection, you can't fully enjoy your outdoor living area. A Sunesta Retractable Awning allows you to expand your home's livable area, effectively adding a customized outdoor room.
Control room brightness
Authorized Partner Since 1981
Unlike permanent patio awnings, roofs, and enclosures, Sunesta Awnings can be retracted during darker times of the day, or on cloudy days, to brighten the interior of your home naturally.
Protect your indoor furnishings
The sun's UV rays can severely damage and fade furniture, carpet, upholstery, drapes and flooring. You can protect your valuable interior furnishings and prolong their life with a retractable awning from Sunesta.
Save on your utility costs
Our awnings help lower energy costs year-round. On warm days, extend your awning to block the sun from entering your home. Shading your interior will naturally cool your home and reduce air conditioning costs up to 25%. On cold days, you can retract your awning, allowing the sun to help heat your home. In snowy and stormy climates, your Sunesta Awning can be retracted, eliminating the need for expensive awning removal and reinstallation which are necessary for permanent-frame awnings.
Giglio Awnings also offers:Retractable
Awnings • Hurricane Shutters • Sun Covers • Free standing Canopies • Door Hoods & Domes
609-494-3004
• Furniture Covers …and more!
www.giglioawning.com
David Voris
Authorized Partner Since 1981
Visit Our Showroom 7802 Long Beach Blvd. Harvey Cedars Mon-Sat 9am-4pm Sun 10am-2pm
David Voris, owner and operator of Giglio Awnings, is a life long resident of LBI. He is a lifetime member of the Beach Haven Volunteer Fire Company (Station 15). He is also a member, Lieutenant and Training Officer of Barnegat Light Volunteer Fire Company (Station 13). “We are truly excited,” explains David, “because our partnership with Sunesta is solid, and they continue to develop several new products that can truly bring shade, comfort, to the outdoors. We are looking forward to the future and serving all our loyal customers for a long, long time.” About the company… Giglio Awning has been serving Long Beach Island and its surrounding areas since 1976. The showroom is located in historic Harvey Cedars, and is open year round. The company’s mission is to serve their new and existing customers with exemplary service and quality products. As a dealer of Sunesta brand products since 1981, Giglio Awning has been fortunate to be nominated Dealer of the Year in the United States for the last four years! Sunesta prides itself on quality, quick lead times and a family business atmosphere. This is a perfect complement to Giglio’s dedicated and skilled staff of 20, who are much like a family themselves.
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Elder Life Management
53
Why Older Adults Often Refuse to Accept Help • They don’t want to forgo their privacy. Allowing and accepting someone new into your home is not easy and it’s even harder for a generation that puts so much value on privacy. It can also put you at risk when vulnerable.
By Judith S. Parnes
I
t isn’t easy for most people to accept help, even when it’s needed, but it can be particularly challenging for older adults to accept care. While many of us understand the need for temporary help, many older adults need help due to declining health. They typically realize that the need for elder care may be permanent. Many mistakenly believe the longer they wait to seek and accept care, the longer they preserve their independence. Present seniors grew up considerably different than the generations following them and the generations helping them. They are the generation who experienced some part of the Great Depression; they worked hard, stayed in their jobs for decades, and saved their money. Asking for help has not been part of their vocabulary and accepting it is even harder. When providers and family members notice a loved one’s decline, they commonly find their offers of help are refused. Below are listed some reasons why older adults are reluctant to accept help, followed by proven concrete suggestions as to how to intervene: • Distress about loss of independence. Accepting support is frequently interpreted as being synonymous with losing control and independence. How profoundly significant this factor is was validated in past studies, one, which spe-
cifically found that many seniors, fear losing their independence more than they fear death. • How to help.It is often the services being suggested that will maintain the independence of your loved one. The older adult needs to feel empowered to make the decision to accept assistance as a means to an end of remaining independent “with supports.” Discuss ways accepting help can allow the person to continue to participate in their community and stay at home. If possible give the older adult choices so that he/she can contact the organization directly. • Denial: Nobody likes to admit that their health is failing. Being faced with that eventuality can also make it clear that things potentially are not going to get better. Denial can prevent someone from taking a very necessary action. • How to help. Be realistic about the situation, without judgment. Help them to understand that this health issue requires a proactive approach, and that accepting assistance in the process can make the situation more manageable for your loved one and the family.
• How to help. If privacy is a key issue for your loved one, it may be advantageous to start by suggesting service options that are out of home options. Enrolling in an adult day program can offer care away from the home, and not impact personal living space. Medical alert systems offer monitoring from a distance. • Money: Even those older adults who have the financial resources to pay for some of the services that they need, often state that they can’t afford it. The thought of paying someone $20 an hour to come in and clean their house, or shovel their walk is often incomprehensible. Many often worry about spending funds on a regular basis as they will have nothing left to leave their children. • How to help.Discuss the fact that many of the services you are recommending can ultimately help them spend less in the long run. Bringing in supportive services at home can delay long term care placement and maintain independent living. Sometimes it is necessary to actually use the old guilt comments “Mom, please do this for me as I cannot sleep at night knowing you may fall.”
• Cognitive Impairment may be clouding the individual’s judgment: Even if the person doesn’t officially have a diagnosis of dementia, mild cognitive impairment may cause the individual to be unable to understand and/or acknowledge that there is a need for any assistance. Or, if they are aware that their memory is failing, some individuals want to keep family at arms distance so as not to allow anyone to really see what is happening. • How to help.Try to identify the best time of day to discuss things with your loved one, as well as the best person to initiate this dialogue. Having a comprehensive assessment of cognitive and decision making abilities may also be helpful at this time. Most importantly, identifying the older adult’s physician as the source for these recommendations is often a key factor contributing to successful acceptance of services. Physicians remain in charge of health care needs, in the minds of many older Americans and it is the Geriatric Care Manager that will work in conjunction with the physician to coordinate the necessary care plans.
Call Elder Life Management, 732-493-8080.
• Judith S. Parnes, L.C.S.W., C.M.C., Gerontologist and Elder Care Consultant is Executive Director of Elder Life Management, Inc., Ocean, NJ. ELM provides quality elder care planning, management and Medicaid application services to older adults and their families. Please visit www.elderlifemanagement.org or call (732) 493-8080 for more information. 931 West Park Avenue, Ocean, New Jersey, 07712.
3
Testimonials Say It All . . .
On behalf of my entire family, I would like to express my most heart-felt appreciation to Elder Life Management. The services provided to my mother were invaluable.” “I would also like to thank your Care Manager Sue H. Her professionalism was evident in every aspect of the care she provided. She always listened very carefully and her responses were always constructive and positive. Her attentiveness and availability was very comforting. Sue’s genuine compassion and concern were always present. — Anne D., Middletown, NJ
3
There really are no words to express the thankfulness we all feel. This would have been such a monumental task without you, if we could have done it at all. Knowing my mother is safe in her new environment and the Medicaid process was handled so efficiently is more than we could have ever hoped for. ~ Carol D., Stuart, FL
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Medical Professionals
54
Treating Pediatric Orthopaedic Fractures
Part II of II
Written by: Dr. Paul Haynes
Seaview Orthopaedic
Baseball, field hockey, soccer, basketball, football, wrestling, cheerleading, etc… The variety of sporting and recreational activities available to children abounds.
& Medical Associates
Call one of our convenient locations to schedule your appointment.
In part I of this article we spoke about why fractures and other orthopaedic injuries in children are different than those of adults, as well as, what types of fractures occur in children. Now we will go further into the treatment options, what types of complications can occur, and what to do if you suspect a fracture.
Q
How are children’s fractures treated?
Ironically, the characteristics that make children prone to certain types of fractures also allow them to heal uniquely. The majority of fractures that happen in children are amenable to conservative treatment – casts, splints or slings. Also, treatment times are often reduced with fractures in children as opposed to adults. A fracture in the lower leg or thighbone of a child will often heal in a cast in a relatively short period of time whereas; a similar fracture in an adult will require a lengthy time in a cast or an operation. Special consideration is warranted regarding fractures involving the growth plate. There are times that a fracture in and around the growth plate requires manipulation or surgical intervention. Manipulation (to move the fracture fragments into acceptable position) may be accomplished with local but may also require general anesthesia in the emergency or operating rooms. Alternatively, some fractures require an operation that will secure the fracture fragments in better position using smooth pins, screws or thin rods. A unique treatment plan is created for each child and fracture – this often is devised in consultation with a pediatric orthopedist.
Q
What types of complications can occur with pediatric fractures?
Complications may certainly happen with any fracture but there is a higher likelihood of complications with fractures in and around growth plates. The more the growth plate is disturbed, the higher the potential for complications. Growth plates allow for longitudinal growth – their disruption may lead to deformity (limbs growing in a bent fashion) or for limb length discrepancy (the opposite limb being shorter or longer than the injured extremity). For this reason, fractures involving the growth plate warrant closer and often longer observation after injury. Approximately 2-8% of fractures involving the growth plate result in complications. If such a complication arises, there are many treatments devised to correct the issue.
Q
What should be done if you suspect a fracture in a child?
A fracture will often declare itself as pain, swelling, redness, tenderness and/or deformity. Immediate treatment should ensue. An evaluation by an orthopaedic surgeon should be sought in a timely fashion particularly with regards to fractures involving the growth plate. Dr. Paul Haynes is a recent addition to the staff at Seaview Orthopaedics – one of the oldest and best-known orthopaedic groups in Monmouth and Ocean Counties. Seaview Orthopaedics has physicians representing many of the orthopaedic subspecialties including: general, adult reconstruction, foot and ankle, hand and upper extremity, spine, sports and pediatric orthopaedics as well as pain management.
Board Certified And Fellowship Trained Physicians
Spinal Su Total Joi STEVEN BERKOWITZ, M.D., P.A. Bone Den ROY D. MITTMAN, M.D., P.A. Workers’ C ARTHUR P. VASEN, M.D., PH.D., P.A. Fo ■ OCEAN OFFICE KENNETH Y. CHERN, M.D., P.A.■ BRICK OFFICE 1200 Eagle Avenue 1640 Route 88 West HARALAMBOS DEMETRIADES, M.D., P.A. Ocean, NJ 07712 Brick, NJ 08724 ARTHUR K. MARK, M.D., P.A. Ph: (732) 458-7866 Ph: (732) 660-6200 CHRISTOPHER J. SPAGNUOLA, M.D., P.A. HOAN-VU T. NGUYEN, M.D., P.A. ARON M. GREEN, M.D., P.A. SUNIL R. THACKER, M.D., P.A. KEVIN C. MCDAID, M.D. PAUL T. HAYNES II, M.D. 294 JOEL P. FECHISIN, M.D. ROBERT P. PANNULLO, M.D. ■ MONROE OFFICE ■ FREEHOLD OFFICE 222 Schanck Road D.O. 294 Applegarth Road, Suite C ADAM M. MEYERS, Freehold, NJ 07728 KEIRON W. GREAVES, M.D. Monroe Twp., NJ 08831 Ph: (732)GARLA, 462-1700 Ph: 609-495-1888 SUDHA M.D. Official Team Doctors Of:
■ BARNEGAT OFFICE 500 Barnegat Blvd, Bldg. 200 Barnegat, NJ 08005 Ph: 609-488-3988
■ SATELLITE OFFICE
IN LAKEWOOD
Seaview Orthopaedic & Medical Associates has provided the highest quality of care in Monmouth and Ocean Counties for over 30 years.
Dr. Paul Haynes completed medical school at UMDNJ/New Jersey Medical School in Newark New Jersey. Following medical school, he completed internship and residency at Albert Einstein College of Medicine at Montefiore Medical Center, Waters Place, in Bronx New York. He went on to complete his fellowship in Orthopaedic Surgery and Pediatric Sports Medicine, Limb & Pediatric Deformity at Albert Einstein College of Medicine Montefiore Medical Center at Waters Place, in Bronx New York. He also completed an Arthroscopic Fellowship at Staten Island Orthopedics & Sports Medicine, in Staten Island, New York. Dr. Haynes is a general orthopaedic surgeon, specializing in Pediatric Sports Medicine, Limb & Pediatric Spine Deformity as well as General and Pediatric Orthopaedics/Surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital.
www.seaviewortho.com • 732-660-6200
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Medical Professionals
55
Breast Health Q&A with Dr. Sumy H. Chang Breast cancer is indiscriminate, affecting women of different races and ages. According to the American Cancer Society, in 2013 alone, more than 39,000 women in the U.S. were expected to die from breast cancer. However, by taking matters into your own hands and educating yourself and taking action, you can help detect early breast cancer. Fellowship-trained breast surgeon Sumy H. Chang, M.D., FACS, a boardcertified general surgeon dedicated to breast health, recently joined Barnabas Health Medical Group (BHMG), in partnership with Community Medical Center, to provide Ocean County women with access to the latest prevention, detection and treatment options for breast-related issues. Dr. Chang addresses some of the most common questions about breast health. What’s your general breast health advice? Know your breasts! Pay attention to how your breasts normally look and feel, and report any changes to a health care professional immediately. While most breast changes and lumps are not cancer, we can only know for sure after assessing it. What are your thoughts about breast self-exams?
Breast self-exams (BSE) are critical. First, it forces you to pay attention to how your breasts typically look so you’ll be more aware of any irregularities. Monthly breast self-exams - beginning at age 20 and throughout your life - will help detect early breast cancer. The best time to examine your breasts is when breasts aren’t tender or swollen- typically after a menstrual cycle. How do I conduct a BSE? There are three ways to conduct a BSE. Select the method that works best for you. • In Front of a Mirror – Stand in front of a mirror with your hands pressed firmly down on your hips. Look at your breasts for any changes of size, shape, contour or dimpling, or redness or scaliness of the nipple or breast skin. Also pay attention to the symmetry of your breasts and nipple. • In the Shower – Using the pads of the tips of your fingers, gently press and feel around the entire breast in a circular pattern moving from the outside to the center. Check both breasts and armpit area for any lump, thickening or hardened knot. • Lying Down – Lie down on your back and place a pillow under your right shoulder and put your right arm
Sumy H. Chang, MD, FACS Breast Surgeon Board Certified in General Surgery
Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center 300 Second Avenue Long Branch, NJ 07740 732.923.7702
The County Woman Magazine
Barnabas Health Medical Group is a multi-specialty group practice comprising highly trained and experienced world class primary and specialty care physicians. Barnabas Health Medical Group physicians provide compassionate and innovative cutting edge care for people at every stage of life at easily accessible facilities conveniently located throughout New Jersey. Backed by the vast continuum of resources of Barnabas Health, the largest not-for profit integrated health care delivery system in New Jersey and one of the largest in the nation, our dedicated physicians and expertly trained supporting staff continuously strive for clinical excellence. To learn more, visit barnabashealthmedicalgroup.org.
above your head. When you lie down, the breast tissue spreads out evenly along the chest wall and is as thin as possible, making it easier to feel all the breast tissue. Reach over with your left hand and gently press the pads of your fingers around your right breast, moving in small circular motions. Use light, medium and firm pressure along the entire breast and armpit area. Repeat these steps for your left breast. What am I looking for during a BSE? Look for changes in your breast such as: • A lump • Skin irritation • Dimpling, puckering, bulging, or ridges of the skin on the breast • Nipple retraction (nipple turns in) • Redness, warmth, swelling, or pain • Itchy, scaly sore or rash on the nipple • Nipple discharge other than breast milk • Change in color, shape, size or texture of a breast Contact your physician right away if you see any of these changes!
Dr. Chang is affiliated with Community Medical Center in Toms River and the Jacqueline M. Wilentz Comprehensive Breast Center at Monmouth Medical Center in Long Branch. To schedule an appointment with Dr. Chang, contact: Community Medical Center 67 Highway 37 West Riverwood 1 Building, First Floor Toms River, NJ 08755 732.557.2153
About Barnabas Health Medical Group
What is a mammogram and why is it so important? A mammogram is the best screening tool we have for early detection of breast cancer! It’s an X-ray exam of the breast that’s used to detect and evaluate breast changes. Today’s mammograms expose the breast to much less radiation compared with those in the past and are more accurate than ever before. The standard recommendation is an annual mammographic screening for women beginning at age 40. What are the different types of mammograms? Screening mammograms are used for
www.TheCountyWoman.com
women who are at “average” risk and have no breast symptoms. The goal is to find breast cancer when it’s too small to be felt by a woman or her physician to greatly improve her chance for successful treatment. If you have a strong family history, be sure to tell your primary care doctor as you may need to be referred to a specialist or require more imaging. Diagnostic mammograms are performed if abnormalities are found in a screening mammogram or if there are noticeable breast problems. It’s still an X-ray of the breast, but more images are taken to carefully study the area of concern while the patient is waiting. A diagnostic mammogram may also provide a closer look and clarify that an area that appeared abnormal on a screening mammogram is actually normal. A diagnostic mammogram could also show that an area of abnormal tissue is probably not cancer. In this case, the radiologist may require the woman to be re-checked. Conventional (Film) Mammography MMC • Uses X-rays to produce an image of the breast • Image is stored directly on film Digital Mammography • Uses X-rays to produce an image of the breast • An electronic image of the breast is stored as a computer file • The image can be enhanced, magnified or manipulated for further evaluation
If an abnormality is detected during a mammogram, what happens next? The physician may request additional views of the mammogram and an ultrasound. Barnabas Health Medical Group accepts most major insurances.
July/August 2014
Health
56
& Wellness
Mindful Movement Article Written by: Laurie Greene, Owner, Yoga Nine, Smithville & LBI
Mindfulness is synonymous with awareness or attention. When we
T
practice mindfulness, we engage in the process of observation, deep focus and reasoned analysis.
Mindfulness is a keystone of yoga practice. Without it, at best
T
we may be exercising the body, at worst we may injure ourselves, but in either case we are not practicing ‘yoga’. Yoga teaches that we should cultivate awareness (master our senses) in each of the four categories of “postures” which are meant to represent all the activities of life: sitting, standing, walking, and lying down. We do this by maintaining focused awareness in the stillness of meditation or relaxation and in the intensity of movement. This skill translates easily from the “practice mat” to the world, and helps us to live our lives fully. The desire to experience things without the discipline to focus can be equated to the tourist more intent on snapping pictures than simply enjoying their vaca-
tion. We are in danger of missing so much when we simply narrow our focus to the lens of a camera. The photograph is just an image. It is only able to evoke memories later in so much as we take the time to really be present in our lives here and now.
what can cultivating TSomindfulness do for you? In the
purely physical sense it can allow you to get the most out of your movement. The “exercise” you do is more efficient and safe, and you can realize the wonder of your abilities. There is nothing more satisfying as a teacher than watching a student “achieve” something they did not believe they could do simply by letting go of their expectations and fears and taking themselves step by step through a challenge with focused observation. Mindfulness allows you to observe yourself without the “pressure” to perform, whether this originates from others, or from within yourself. Athletes look to sports psychologists for mindfulness techniques but anyone can learn these through the practice of yoga. Mindfulness teaches us to move through our lives with grace and courage.
Intellectually, mindfulness allows
T us to practice what yoga calls “right thinking” and “right view”-reasoned anal-
ysis free of preconceptions, the dictums of pundits and our own fears. It teaches us to “trust” our own judgment because we have thoughtfully and clearly observed. It asks us to reflect on our behaviors and to act, purchase, vote, work and speak with conscience. It improves our relationships by making us aware of the impact we have on others. Mindful living means using these insights to live fully and responsibly. To every action there is a chain reaction. We live and work in a world where the apparently simple acts of buying and selling have repercussions on people’s lives around the globe. The implications of driving a car or drinking a cup of coffee have social, environmental, and economic consequences far beyond the limits of our immediate experience. Mindfulness empowers us to be an agents of change in this complex world, making choices based on knowledge and caring. Every action does count. Wangaari Maathai, the 2005 Nobel Laureate for Peace said it best,
T
“You plant one tree, you set in motion a series of changes that save a nation, and could save the world”. That is mindful movement-to act with reasoned thought and focused purpose.
“Mindfulness can be summed up in two words: pay attention. Once you notice what you’re doing, you have the power to change it.”
~ Michelle Burford
2014 Upcoming Events WORKSHOPS - TRAINING - COMMUNITY
“ Re -you-venate”
September 26-28 David Sirgany An Iyengar Intensive
S SE K S A EE CL W A N PE YS O ge DA sa s n 7 ga tio Ma
October 17-19 Andrey Lappa Universal Yoga Workshop
MIND/BODY STUDIO
Yo dita utic ces • pe r vi Me • hera ic Se g T list nin dule • i o i a H h r • ai C er T ss sche M la h T • eac ite for c E.CO 99 T • e webs IN 4.92M LBI
s ge sa s 9 N Se 4 TO a GA 609I.P BOT s or M O SH asse .Y Cl W 999 W 4.0 LE le for W .40 VIL ilab 9 TH va 60 SMI tes A ca tifi r Ce ft Gi
2014 Teacher Training 200 and 500 Levels Begin September 2014 Registration Now Open Call for information or go to www.yoganine.com
Shop In Our Fair Trade Store for Gifts That Give Twice
Organic Cosmetics, Green Products & Therapeutic Massage Unique Jewelry, Bags & Gifts From Around the World
Photo by Paul Dempsey
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Ultimate Day Spa
57 BACK TO SCHOOL SPECIAL FOR TEENS!!!
Summer Time For You! It’s the heat of the summer and you have a little time on your hands to take care of YOU. What can you do?
Begin with a full body massage to increase circulation, untie the knots you have tied into muscles of your tense body and remind your muscles of the condition they should be in. How about a whole body Sea Salt Glow? So many pretty summer clothes require baring skin. It needs to look soft and touchable. Allow us to give you back your soft supple skin! Next a Vitamin C Facial to deep cleanse your skin, infuse vitamin c serums deep into the skin and increase circulation in your skin. Increasing circulation in your facial skin brings all nutrients applied, further into the epidermal layers. Let’s finish with good sunscreen protection using a 50 SPF but more importantly, the ingredients of zinc oxide and titanium dioxide in a light textured
lotion AND tint to appear as foundation. It doesn’t get much easier to protect your skin. Now that we are into wearing open shoes for a few months now…take a close look at your feet. So they need some serious exfoliation and hydration? I bet they do. We can help with our Intensive Sea Pedicure, using sea minerals to exfoliate and nourish your skin on your feet. Nice and soft, not catching on the sheets! In addition to these wonderful spa services please visit our website www.simplysdayspa.com. We also carry a full line of homecare products to compliment the services that we do. Come and visit to see for yourself. Spa Gift Certificates are the perfect gift. Help people you love take care of themselves. See our online gift certificate program on our website or come into the spa for gift-wrapped certificates.
Client Testimonial . . . “Absolutely loved my manicure and spa pedicure!!! This is by far my favorite spa. I always go here for my massages and facials, too! Staff are always friendly and professional. I love the atmosphere and the prices are reasonable. I would recommend anyone to go here! “ Tara
Written By: JoAnn Juralewicz, owner, Simply Skin. A Day Spa Experience
Community
Please call to make your appointment.
Simply Skin A Day Spa Experience
We are located at:313 West Water Street, Toms River, NJ 08753 (Just a quarter mile east from Exit 81 of the Garden State Parkway.) A DAY SPA EXPERIENCE
Be ready to look your best with a teen facial here at Simply Skin. All teens can receive a complimentary brow shape with a teen facial from Aug. 18, 2014 - Sept. 12, 2014
313 W.Water Street Toms River, NJ
www.simplysdayspa.com
732-505-9448
Please call Simply Skin at 732-505-9448 to make your appointment.
www.simplysdayspa.com
Letter From NJAWBO Shore Region President Liz Milio I am honored to be the new Shore Region president of NJAWBO, the oldest woman business owners’ organization in New Jersey. We (NJAWBO) were born 36 years ago, at a time when a woman had a difficult time borrowing money, purchasing cars or homes, without a man’s signature on the documents with hers. Women were not recognized as business leaders. NJAWBO was, and still is, the answer to this problem.
If you have never attended one of our meetings before, I invite you to attend one or more of the following events.
Women in Business Group. ONLY $10 TO MEMBERS AND ON-MEMBERS. Location: Appliance Brokers Ltd., Manalapan, NJ.
July 18, 2014 • 5:15 pm to 7:15 pm Co-Sponsoring Happy Hour with Lawyers For Charity FREE food. Happy Hour 6-7pm with $1 specials. Please bring a donation of canned food for St. James Food Bank Hands of Hope.
August 22, 2014 • 11:30 am to 4:30 pm Day at the Races Location: Monmouth Race Track, Oceanport, NJ Join NJAWBO members from all six regions for an exciting day of networking and fun with a relaxing lunch in the Grove Region at Monmouth Race Track. A full buffet lunch is included. Cash bar will be available. Event will take place rain or shine. Register at www.njawbo.org or click through our www.njawboshore.org site.
NJAWBO is dedicated to the success of New Jersey women business owners. We help them grow by providing the best learning and collaborative environment through all stages of business development.
July 22, 2014 • 5:00 pm to 8:00 pm Hispanic Business Expo NJAWBO will have a table at this FREE Event This is largest Hispanic showcase in New Jersey to both Hispanic and Non-Hispanic business leaders. Grow your list of clients through networking while enjoying live music, entertainment and the Latin American Food Festival.
NJAWBO is THE professional organization providing skills and solutions to all stages of women-owned businesses in New Jersey, through educational workshops, executive roundtables, and local meetings.
July 24, 2014 • 6:00 pm to 9:00 pm Networking/Dinner Meeting & BBQ Join us for a fun networking evening with NJAWBO Shore Region members and friends, along with the Greater Monmouth Chamber
The County Woman Magazine
www.TheCountyWoman.com
Liz Milio
President, NJAWBO Shore Region (Monmouth/Ocean/Middlesex) emilio@innovativebusiness. net • 732.682-0092
Non-members are invited to attend a Shore Region event at member price – mention this article! To register, visit NJAWBOShore.org Limit one per person. Valid for NJAWBO Shore Region (Monmouth/Ocean/Middlesex) events only.
July/August 2014
Consignment Shop
58
Treasures From Heaven... A Very Special Place iColleen Pisacreta
has a keen eye for spotting affordable, quality merchandise and she has turned that talent into an amazing business. In fact, this ability to procure unique merchandise is the backbone of Treasures from Heaven – The Consignment Connection and is what makes it such a success. She fully understands the old adage of how “beauty is in the eye of the beholder” each day when a customer discovers beauty in someone else’s “trash.” Her business is an upscale designer consignment Colleen Pisacreta, shop where you can buy or sell new or gently used Owner, Treasures From Heaven furniture, housewares, clothing, jewelry and so much more. Colleen is also a partner with her husband Joe at Il Giardinello Ristorante. She adds, “My husband and I have both been blessed with the gift of hospitality and it comes easy to us.”
An interview with Colleen About ‘Treasurers From Heaven’ . . . CW: How did you become involved in this type of business?
CP: When I moved into the area to start a new life and business I went to garage sales and thrift shops to furnish 85% of my home. I noticed the things I spent the most money on were the things I didn’t really appreciate knowing how quickly they lost their value. I believe I was blessed with a keen eye for “great treasures” and furnished my house with a very eclectic style. I turned it into a home any decorator would be proud of.
CW: What is your philosophy on giving back to the community?
CP: I believe strongly in the idea and feel that I have a duty to give back. I donate 20% of our business proceeds to charity. One organization I am particutraly proud of is Samaritans Purse. I saw them in action during Hurricane Sandy and personally witnessed an army of volunteers come up from the South to help our neighbors when they were in complete devastation mode. They mobilize staff, equipment and enlist thousands of volunteers to provide emergency aid to victims of tornadoes, hurricanes and other natural disasters in the United States. They often stay behind after their initial response to rebuild or restore houses for needy families. Another very important not-for-profit charity I support is Harvest Home in Holden, Missouri. These fine people are dedicated to helping women and children who have been sexually abused and/or rescued from sex trafficking. These precious girls receive personal encounter sessions, equine ministry, creative art, music and lots of loving care by their very dedicated staff.
CW: What do you hope to accomplish locally?
own abilities. However the most “expensive” commodity is our time and our love. Those are the only things people don’t give away so easily. So I will start where I am and pray God will continue to grow me and help me in this community.
CW: What is your best selling merchandise?
CP: Clothing, jewelry and furniture are always in high demand. We also have a wide variety of formal wear, evening gowns and prom dresses. Our customers appreciate the designer brand clothing and evening bags as well. Of course the popular brands like Michael Kors, Coach and Dooney & Burke are always favorites. We also do very well with our jewelry, some of which is vintage. I believe it is our vast array of merchandise that truly sets us apart. We have artwork, home goods including fine china, crystal, linens and lamps.
CW: What makes your shop different from others?
CP: I believe our customer service is what makes us so unique. It is something that cannot be found at your local department store. We know many of our customers by name. Best of all, we are building trust and relationships with our consignors which now consists of over 150 people. Our goal is to have a spirit of excellence operating here at all times.
CW: What is the best part about your line of work?
CP: The best part of this business is that it doesn’t feel like work although a great deal of time and energy does go into it. We have plans to take it to the next level. One of the joys of owning a store is being able to see the variety of people that come in and out everyday. When they actually find a “treasure” that is just the added benefit that comes along when leaving here.
Treasures From Heaven ~ The Consignment Connection is seconds away from the Garden State Parkway entrance in Toms River.
20% of all business proceeds go to charity! Visit us on Esty: www.etsy.com/shop/TreasuresConsignShop
CP: I believe we must be good stewards of our “things.” I want to be more focused on helping others do the same. We live in a world that is so focused on ourselves and our
The store is open: Monday, Tuesday and Wednesday 10am-6pm Thursday & Friday 10am-8pm • Saturday 10am-6pm Closed on Sunday.
1240 Rt. 166
(Stella Towne Center)
Toms River, NJ
Phone:(732) 505-0150 Find Us On Facebook! Fb.com/TreasuresFromHeaven
We offer new, gently used, and designer clothing, furniture, housewares, jewelry, handbags, shoes and more!
Spend $100.00 or more during the month of July or August and you will receive $15.00 off one future purchase
www.TreasuresFromHeavenConsignment.com
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Acupuncture
59
Getting Straight to the Point about Acupuncture FAQs What is acupuncture? Acupuncture is a treatment involving the insertion of fine needles into the skin to relieve symptoms (such as pain), strengthen the body’s immune system and balance the body to facilitate healthy body function.
How does it work? Acupuncture works by stimulating the body’s qi (pronounced chee). Qi is the body’s life energy. It flows throughout the body in a series of channels. Each channel is connected with a specific organ and has specific physiological functions, as well as emotional and spiritual components. When the qi flow is disrupted the body can experience dysfunction, ill health and/or pain. When the qi is flowing freely through the channels all body functions, such as Sleep, Digestion, Energy, Immunity, Concentration, and Mobility are enhanced.
Does it hurt? Submitted by: Keith Koehler, MAOM, CA Koehler Acupuncture Acupuncture, and Chinese Herbal Formulas
The insertion of the needle is generally painless. Many patients do not even realize when the needle has been inserted. This is because acupuncture needles are solid and hair- fine, unlike a medical hypodermic needle, which is thick and hollow. Once all of the needles are in place, the patient usually becomes very relaxed. The lights are dimmed and gentle music is played. Many patients fall asleep during the treatment.
How long is a treatment? During a treatment needles are retained for twenty to forty minutes, depending on the patient and the condition being addressed.
How many treatments does it take to feel relief? Some patients feel some relief after the first treatment. Typically, patients feel some consistent relief after three to five treatments. It is usually recommended to receive two to three treatments for two to three weeks, followed by an evaluation to determine the need and/or frequency of further treatment. Complete relief varies from case to case. In general, acute symptoms resolve quicker than chronic or complex conditions.
Is it safe? Yes. All needles are pre-sterilized, and packaged for single used. During treatment, the acupuncturist opens the needle packages and inserts the needles, using proper clean needle technique. When the treatment is over, the needles are removed and placed in a biohazard container, just like at a hospital or doctor’s office.
Does insurance cover acupuncture? Most insurance companies have plans that cover acupuncture, though coverage varies from plan to plan. The best way to find out if you have coverage is to come in for a consultation, and let the acupuncturist verify your benefits with your insurance company.
Who can be treated with acupuncture?
Koehler Acupuncture 128 Drum Point Road Brick, NJ 08723
732-262-0637
www.KoehlerAcupuncture.com
Everyone from infants to seniors can be treated with acupuncture. Treatments vary accordingly. Infants and toddlers may be treated with acupressure techniques or acupuncture with no needle retention. Children tend to respond very quickly to very little stimulus. With adults and seniors, sensitivity and response to treatment varies, therefore different treatment techniques can be used to achieve the best results for each individual.
What is the most common condition people get treated with acupuncture? For adults and seniors, pain is the most common complaint. Low back pain tops the chart, followed by neck, hips and knees. For children, the two most commonly treated complaints are digestive (colic) and respiratory (asthma and allergies) conditions.
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Health & Wellness Health & Wellness
60 40
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580 St, Accessed April 18, 2012. 580 St., Barnegat, ded. For North example,Main if changes.aspx. JSRX Holdings LLC,Main Rx580 Development , 08005 display.aspx?itemid=2637. Accessed April 18, 2012. Arrival Next Day! CallNorth 609-660-1111 North Main St.,LLC Barnegat, 08005 3. Hungtington Medical Foundation: "Making lifestyle changes that the stick." Available at: http://www.huntingtonmedical.com/aboutBarnegat, 08005 2. American Council for Exercise: "Reaching Your Goals SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ 3. Hungtington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/abouto lose weight, you can display.aspx?itemid=2637. Accessed April 18,Accessed your home or office! www.jerseyshorepharmacybarnegat.net Phone: 609-660-11 2012. hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. April 18, 2012. hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. www.jerseyshorepharmacybarnegat.net Phone: 609580 North Main St., Barnegat, 08005 ody mass index (BMI)3. Hungtington Medical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/aboutWe also offer a hmf/hmf-newsletter/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. www.jerseyshorepharmacybarnegat.net Phone: 609-660-1111 can Competitive get the zipper up Jersey Shore Pharmacy ships Pricing! medication disposal program. prescription orders by UPS pair of Call pants.For Quote!
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or Fed Ex. Jay Greco, RPh Jersey Shore Pharmacy essed April 18, 2012. JSRX Holdings LLC, Rx Development LLC , Arrival next day! cil for Exercise: "Reaching Your Goals the SMART Way." Available at: http://www.acefitness.org/fitfacts/fitfacts_ d=2637. Accessed April 18, 2012. 580 Northcompounding Main St., agency. Barnegat, 08005 www.jerseyshorepharmacybarnegat.net www.jerseyshorepharmacybarnegat.com * For more information on customized hormones, call our professional dical Foundation: "Making lifestyle changes that stick." Available at: http://www.huntingtonmedical.com/aboutwww.TheCountyWoman.com r/making-lifestyle-changes-that-stick/. Accessed April 18, 2012. The County Woman Magazine www.jerseyshorepharmacybarnegat.net Phone: 609-660-1111 January/February
609.660.1111 ological Association: "Making lifestyle changes that last." Available at: http://www.apa.org/helpcenter/lifestyle-
The County Woman Magazine
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July/August 2014
Medical Professionals
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Lorraine Catalano, CNMT
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aring Heart Coronary Imaging is proud to provide non-invasive, your family correct information about the cause of your cognitive impairment. neurological testing to help diagnose Alzheimer’s disease and =V\QT \PQ[ [KIV _I[ I^IQTIJTM \PM WVTa LMÅVQ\Q^M _Ia WN SVW_QVO QN I dementia. PET is a fantastic tool for distinguishing between person had Alzheimer’s disease was by an autopsy. Many doctors have been types of dementia and for identifying pharmaceuticals to slow treating patients with medications used to treat Alzheimer’s, without the the progress of the disease. Recent academic journals have JMVMÅ\ WN SVW_QVO LMÅVQ\Q^MTa QN \PI\ XI\QMV\ ZMITTa PI[ )TbPMQUMZ¼[ =[QVO reported that PET is the most accurate test for differentiating between \PM[M UMLQKI\QWV[ UIa VW\ JM JMVMÅKQIT \W XI\QMV\[ IVL QV [WUM KI[M[ KW]TL Alzheimer’s disease, front-temporal dementia, multiple-infarct-dementia be detrimental to their health. and normal aging in the early stage patients. <PQ[ [KIV _QTT OQ^M \PM QVNWZUI\QWV VMMLML NWZ LWK\WZ[ \W UISM At Caring Heart Coronary appropriate treatment decisions or Imaging, there is reduced radiation QLMV\QNa \PM TQSMTQPWWL WN LM^MTWXQVO exposure to the patient. The Positron Alzheimer’s disease later in life, at a This scan will give the information needed for doctors to Attrius Scanner does not use CT time when more treatment options make appropriate treatment decisions or identify the likelihood of in obtaining brain images. This is will be available. developing Alzheimer’s disease later in life a huge factor for our patients who Caring Heart & Brain Imaging may have had substantial exposure Q[ \PM ÅZ[\ QUIOQVO KMV\MZ QV 6M_ to radiation in the past. Jersey to perform the Amyvid PET If you are experiencing memScan and we have completed more ory loss, and/or have a family Amyvid PET Scans than most history of Alzheimer’s disease, the medical centers throughout the Amyvid PET Scan could help you United States. This means that do just that… help your children. our reading expert has interpreted as Alzheimer’s disease affects the many, if not more, Amyvid PET entire family. Help protect your Scans than most nuclear radiolchildren by getting an early diagogists. If we can slow down the nosis; the neuritic plaque that is a progression of Alzheimer’s disease, precursor to Alzheimer’s disease we can give patients and families can be present in our brains years the time to plan ahead. It also before symptoms occur. Early allows the person with Alzheidetection and treatment can help mer’s to participate in health care, slow down the progression of ÅVIVKQIT IVL TMOIT LMKQ[QWV[ I[ Alzheimer’s disease. Having the well as giving them precious quality Amyvid PET Scan can give you and time with their loves ones. Q
The County Woman Magazine The County Woman Magazine
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May/June 20142014 July/August
Fashion
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Beauty
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ummer is in full force along the Jersey Shore. While you are stocking up on SPF, preparing for your annual beach/pool party and planning your summer vacations, you should also be putting the finishing touches to your summer wardrobe. The perfect place to complete and/or accessorize your summer wardrobe is Barbara’s Boutique in Linwood. This season, for example, you’ll see lots of bold graphic prints, stripes, and floral patterns. The most popular items in our store this upcoming season are leather totes, cool belts, fashion jewelry, and fun funky dresses that can take you to many places. At Barbara’s you will find anything from midi skirts and peplum tops to slacks of every length. It’s amazing how the tanks, summer cashmere sweaters, and soft-colored tops lend themselves to a one-of-a-kind outfit. There are innumerable reasons why Barbara’s Boutique is considered the “crème-de-la-crème.” The professional staff at Barbara’s will show you how to put together power-clashing prints of different sizes to create a stylish new look. Karen or Stephanie will help you accessorize your existing wardrobe with a fabulous scarf, bright designer handbag, jewelry, sweater or jacket. How many people can say they have walked into a boutique and had a professional image consultant waiting for them. As the buyer for Barbara’s Boutique, Karen gave us a quick glimpse of what Fall 2014 has in store for us. This Fall is all about putting together timeless, stylish items for a modern, new look – clothes that you want to be come your new classics, not throwaway trends. The colors will lean towards dark and deep shades of red, teal, violet, charcoal and gray, and, of course, always-in-fashion black. In the upcoming fall season, floral prints, flannel shirts, sweaters with leather trim, and tons of jeans will hit the sales floor at the end of August. Since only one size of each item it provided in the store, you will want to be one of the early shoppers to seize the perfect piece to compliment or enrich your fall wardrobe. Be sure to pick up a copy of the Sept/Oct issue to see and read about the highlights of the 2014 fall fashions featured at Barbara’s Boutique! Building a casual, elegant summer wardrobe should not involve spending countless hours at the mall when your summer days are so precious. Think Barbara’s in Linwood for your fashion experience. n
National Simplify Your Life Week
Simplify Your Life Week The first week in August is National Simplify Your Life Week, a week to get organized and de-clutter for a more stress-free lifestyle. Doing something new each day of that week will help reduce the stress in your life and start enjoying life more.
The County Woman Magazine
1. Show the importance of love by identifying the most important people in your life. Spotlight ideas for new adventures with your loved ones. 2. Read Life’s Too Short or Life’s Little Relaxation Book for some super fun ideas on how to start savoring life - it’s not as hard as you think. 3. Your filing system should have current items only. Go through your paperwork or mail everyday. Create action items to hold things such as bills or “to do” items.
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4. Keep an artificial long-stemmed rose on your desk, dashboard, or kitchen counter to remind yourself to stop and smell the roses. 5. Plan the night before. Before you go to bed each night, prep things for the morning. 6. Keep a “to-do” list. Prioritize what needs to be done each day.
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Leisure and Lace is ready Dreamy Holiday Gifts for from summer . . . isLeisure yourand lingerie? Lace
Does your new outfit have no back, a low a plunging Do you need push upand or aLace pushisin? Notback, sure orwhat to get? neckline? A gift certificate from aLeisure always Does that clingy dress need to lay just right? We can minimize, smoothwrapped, or slim. No, magic, are a winner. Hand writtenmaximize, and beautifully our it’s giftnot certificates it’s simply years and years of experience. more personal than your average plastic card. Bathing suit season is around the corner and what better than Takeouts... the better boob job, and Swim Shapers to a give you a pick me up and add a cup size to your bust. Leisure and Lace has the solutions to your summer fashion problems. oday’s sleepwear has a Whatever your preferred workout, there is a sports bra designed for that activity. GWe for the Bride to Be... ifthave great bras ready to wear look. RelaxNow on te to support youCin every activity and a ertific your front porch in your We carry everything a bride could during intensive sports. Whether need for her special day. Your dress PJs and no one will ever have to know! is in, your fitting is near and we it’s yoga, pilates, a barre workout have the undergarments to make or cross trainit all work. While you’re here, you ing just jog on will notice we offer bridal chemises, over to check onsider giving a peignoir sets, and bridal sleepwear anky Panky robe for a gift that out has the sports adorned with “Bride” in rhinebecome a bras staple inwe everyhave does not look like stones that can be customized woman's wardrobe, from your grandmothers. Today 's styles are selected. for your entire bridal party. sleepwear to the most computer jackets, sleeveless vests, cocoon
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comfo comfortable thongs and panties on the market. A Hanky Panky gift is always appreciated.
and hooded styles that are marshmallow soft and cozy. PJ Salvage robes are creative with cute, fun prints. Now for the grandmother on your list, we offer zip front robes too!
Quality, Durability, Comfort
Tawayoday’sfrombusythe woman has moved long gown to the pretty above the knee chemise. The chemise is cute, more contemporary and much easier to move about in.
Personal Attention
We also carry playful Hanky Panky thongs in a rainbow of colors, a treat for the groom and much more exciting than a toaster!
Paddi Murphy softies combines
We pay special attention to excep- fashion with function, they tional support and comfort. We make you look and feel beautiDid you get a good deal on the bra you are look for superb fit in the front while ful. They are designed especially wearing, but look like you are hanging in two eliminating ride up in the back and for women experiencing hot fabric bags? Quality, durability and comfort are solving the infamous “double bub- flashes, menopause, chemowhat we are aiming to achieve. Buying good is ble.” Always remember that finding therapy, pregnancy or diabetes. cheaper in the long run. Before you come, take the correct fit can be challenging, a critical look at the bra you are wearing. What but with help from theplace womento get all of your Don’t forget, Leisure andtheLace is the many women do not realize is that a properly of Leisure properly holiday outfit needs, from and brasLace, andtheshape wear to hosiery and fitted undergarment will make a dramatic change fitting bra and undergarment is no accessories that will make you look your very best. longer a myth. in the appearance of your clothes.
“ You will see such a difference in your clothing with a good bra.” – A quote from one woman in the dressing room to another.
Before: A Bra that does not fit properly is unflattering and uncomfortable.
“The perfect fitting bra might as well be a myth, unless you shop at Leisure & Lace!”
After: A visit to Leisure & Lace Assures a proper fit every time. See for yourself!
Betty Vasser (Seated) Owner, Phyllis Doran, 24 Year Employee
199 New Road, Suite 9 • Central Square • Linwood, NJ 08221 • 609 927 5572
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The County Woman Magazine
Adult Community
www.TheCountyWoman.com
July/August 2014
Woman’s Golf Membership
65
FORE WOMEN ONLY Membership
Includes
A Brand New Set of Clubs
A Logo Golf Bag
An Individual Golf lesson
Professional Women & Men Instructors
Course Instruction
A Group Golf Clinic
A Calendar Year Social Membership
Includes Six Rounds of Golf
Restaurant & Dining Privileges
Aggressive Social & Networking agenda
Golf & Business Networking
Offered at $1000.00 Plus Tax
100 School Rd. East Marlboro NJ 732.308. 4600 www.Bellavistacc.com
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Business
& Finance
At Copiers Plus ~ Custom Work Is Our Specialty!
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Copiers Plus Copy Center Ocean City ing, sign fabrication, vehicleExpands wraps, vinyl banners, signs, and window Copiers Plus Their Printing Services Division…Part CPI Custom Graphics Two! graphics continues to grow from their Ocean City location. print from their smart phones, are designed to produce 609-398-7676 EmailCopy rpm@copiersplus.com Copiers• Plus Center Ocean City Their services have expanded to vehicle and boat lettering. They pride opiers Plus’ expansion into specialized large format print-
mainly outdoor work such and send and receive faxes. themselves on versatility and innovative design coupled with cutting edge techas vinyl banners and signs. Our printing services nology and are able to meet the needs of a wide of customers. division hasbase developed quickly With this equipment we will
935 West Ave, CPI Custom Graphics Ocean City, N.J. 08226 935 West Ave, Ocean City. N.J. 08226 609-398-7676 Email rpm@copiersplus.com
be expanding our services and offers a wide ranging listcut-outs Custom work is their specialty and they enjoy creating life-size for Truck into motor vehicle and boat of up commercial and personal special events, scanning and touching original artwork, along with custom Before lettering, along with full and printing services including: greeting cards, photo collages, and much more. partial vehicle wraps. • business cards Robert and Debra Matthews founded Copier’s Plus in 1986. Their goal is What really works out • real estate postcards to continue growing their company by•educating their customers and maintaingreat is that we use many direct mail ing the loyalty they have experienced for many years. of the products we sell in • letterheads As your business grows, Truck and Trailer After Vehicle Wrap Copiers Plus is able to meet your needs• in all areasand including copier salesthe or equipment leasdivision to booklets binding Written ing, service,By: repairs, supplies and all of•your regular commercial and personal produce the work created in invitations and Vehicle Wraps Are A Great Way To Advertise Robert P. Matthews our copy centers. This enables announcements printing needs. President, Copiers Plus Inc. us to become experts on • promotional items As a reminder, their printing services include: the capabilities of all of the • format banners and Business cards, real estate postcards, direct mail, letterhead, booklets and products we represent and posters binding,e invitations and announcements, promotional items, blue prints, graph-extremely competitive had just finished remain • blueprint new shredding. with our pricing. • reprographic services ic designrenovating services andour document store in Ocean City when • graphic design services Lastly, Copiers Plus sells andcian services the award winning linesof of weather, Lanier, format copiers and printers; black & may encounter in terms bert P. Matthews Hurricane SandySr. hit. So NEW JERSEY • document shredding “Custom work Ricoh, Samsung, and Kyocera office products. They offer traditional office Look for future white and full color multi-function prod- is our specialty!” traffic or any unforeseen event that may here we are a year later to s Plus Inc. Custom work is our Copiers Plus is your placephoto when everyone else says no. From announcements we drawn copiers, large our format copiers and printers; black & white and full color multiFromas hand invitations to go lifetosize COPY PRODUCTS reintroduce newest I find this part ofproblem. ucts, printers, scanners, fax machines, delayspecialty. the resolution to their hand drawn invitations to life size photo cutouts to elaborate function products, printers, scanners, fax machines, and all the software necesexpand our service cutouts to elaborate memorials…..we do it all. Let printing services location. business to be the most and all the software necessary to improvedo it all. Let our expert staff help you create your Asthea medium sized office products memorials…..we 1-800-834-3598 saryCopiers to improve workflows.rewarding. Plusbusiness is now offering ourprocesses. expert staff help you create your next project. offerings. We gethas to the be very Look for future announcements next project. business dealer, Copiers Plus advantage printing services at our newest creative with theasvarious weagreements, continue to expand to offer custom service billAdditional Services... location at 935 West Ave. requests we get. Things ourlike offerings. Draw ing and financing programs tailored Ocean City, N.J. scanning and touching up In addition, we attention to any businesses’ individual With this latest addition, to fitoriginal artwork, creating life-needs. are an Authorized your we are bringing much neededDecisions are made locally,events, speeding up size cut-outs for special DocStar Dealer, proservices to the businesses, along with custom greeting the entire process - from the acquisition business viding a variety of residents, and tourists of cards, photo collages, almost of equipment, to billing - timely and with electronic document ndent Oceanoffice City. equipment anything you can imagine. accurately. Life Size storage and retrieval We have a very compecomfortable Out latest capabilities onstantly battling We have implemented all the same Cut-Outs retail store solutions. include a 64” wide eco-solvent ronts. Fromwhere large customers nationtools and programs that the large compaRobert come P. and use our PC’s plotter, a 64” laminator and Copiers Plus now rscan and chaininMatthews stores, to the use to analyze overallproducts copy and print offers our products to send and receive e-mails, nies contour cutter. These
Business
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hyper-competitive imate, it is important nies to distinguish s in order to survive er.
Boat Graphics
out of their garage, we ng for ways to differentiy to bring value to our
usage so that we can make educated and services to all of recommendations for new equipment or southern and central redeploy assets so they are better utilized New Jersey, with in our customers’ environments. offices located in Egg now MFP’s), laser printCopiers Plus recently celebrated 23 Harbor Township, chines have become years in business. Our goal is to continue Palmyra, and our latcommodity, the service growing our company by educating our est affiliation with quired to maintain uptime customers and maintaining the loyalty New Jersey Copy aximum efficiency is now we have experienced for many years. We Products in Old ofessional service. With are very proud to say that we still have Bridge. ming an integral part of many of the same clients that started operations, it is imporwith Convenient us from the beginning.Locations! Three nderstand this and posiJust The Right Size... or success in the future. 935 West Ave Fire Road, Unit 21 East Broad Street At 3112 Copiers Plus, we are justC,the right part ... Egg Harbor NJcopying, 08234 print-Palmyra, N.J. 08065 Ocean City, N.J. 08226size to handle all Twp., of your Plus, we believe that local ing, and overall document management1-800-834-3598 609-398-7676 609-645-7587 the ability to be nimble needs. m the Wal-Mart strategy in 1986 by Robert and Visit usFounded at www.copiersplus.com ealers and manufacturer Debra Matthews, . Copiers Plus Inc. www.TheCountyWoman.com The County Woman Magazine services such as physi-
Window Graphics
“Custom July/August work is our2014
Business Spotlight
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~ Interview with Robert Matthews ~ Keeping it in the Family . . .
Copiers Plus Robert P. Matthews Three Convenient Locations: 935 West Ave, Ocean City, N.J. 08226, 609-398-7676 3112 Fire Road, Unit C, Egg Harbor Twp., NJ 08234, 609-645-7587 21 East Broad Street, Palmyra, N.J. 08065, 1-800-834-3598 www.copiersplus.com
Copiers Plus Epitomizes a Family Business When Robert and Debra Matthews started their business, Copiers Plus, they knew that customer service would be a priority. In fact, their company slogan: “Service is our Specialty,” also became words to live by for their staff. Serving as a traditional and specialty digital office equipment company, they represent over 28 years in the field selling and servicing equipment. Bob adds, “We continue to grow as a result of our loyal customers who refer our company to others. Our customers are the most important people in our business. We are dependent on them.” Tell us about your newest printing services location. We opened a new printing business two years ago at 935 West Ave. in Ocean City. Our primary objective was to offer both, retail services along with traditional commercial printing with a focus on large format color printing. Tell us about the three main services you provide. We have a walk-in retail business for copying, blueprint copying, PC rental, fax service and scanning. We also offer commercial printing for letterheads, business cards, forms, invitations and graphic design. Finally, we have a large format color printing business for banners, posters, indoor and outdoor signs, and vehicle lettering and wrapping. What is the single most important aspect of your business that sets it apart from others like it? We provide a super fast turnaround from our courteous and knowledgeable staff. We take a “can do” attitude to every single request. It really comes down to good old fashion service. How did you become involved in printing services? About 12 years ago we relocated into a larger facility on Fire Rd. in Egg Harbor Township. Being as we are located on a major highway and surrounded by retail businesses, we decided to create a new division focused on retail and commercial printing. Already in the digital copier equipment business, it seemed like a natural transition. I felt that we would be able to leverage our experience in the equipment industry to lower our costs on the machines and the maintenance. Boy was I way off! The printing business is nothing like the equipment business; deadlines, communication breakdowns, typographical errors, problems getting paid, the list goes on. Frankly, I almost gave up. However, as my mother can attest, I was an extremely stubborn child. I stuck to it and we finally crossed the ten year hump and things began to fall into place. What are some of the best aspects of owning your own business? The timing of this question could not be any worse as we just received our health insurance renewal. The premium has been increased by an average of 80%. However, this is part of owing your own business. I thrive on challenges and creative problem solving. I am very fortunate because I love what I do. I enjoy the interaction with my staff and the overall culture that has been created in my work environment. Additionally, owning my own business gives me a little flexibility on the hours I work which enables me to enjoy my hobbies. How does it feel to have your children follow in your footsteps? Was it a natural progression for them? It’s one of the best feelings in my life. I think most fathers would love to have their children follow in their footsteps especially if they own a business. The most important thing is that your children are happy and content. I feel very fortunate to have both of my sons working in the business.
Robert P. Matthews
Tell us about the vehicle wrapping services you offer. We have provided vehicle wrapping and lettering for almost two years with over 40 projects completed. They are mostly advertising wraps along with partial wraps and a few full color changes. This is an extremely labor intensive and technical procedure. We provide a complete solution from concept and design, through production and installation. We also provide vinyl lettering and magnetic signs. Are there any unique projects you are working on? Yes. We were recently involved with producing and installing two murals in Castaway Cove at Playland on the Ocean City boardwalk. One was 10 feet tall by 150 feet long, and the other was 20 feet tall by 50 feet long. If you are in need of a printer for your business or home, call Copiers Plus, 609-645-7578 and schedule an appointment with one of their excellent service personnel. Visit their website at www.copiersplus.com and like them on Facebook.
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Community
Volunteer Training Is Underway At CASA Submitted by: CASA of Ocean County, Inc.
and protecting their fundamental right to be treated with the dignity and respect every child deserves. You will not only bring positive change to the lives of these vulnerable children, but also their children and generations to come. And in doing so, you will enrich your life as well.
Abused and neglected children need more than the system can provide • A six-year-old girl rescued from an abusive father only to be bounced around to eight foster homes and six different schools over the course of two years. • Four children separated from one another and placed in different locations after their mother was jailed. • A young boy prescribed 12 different psychotropic medicines by healthcare professionals who have no access to his medical records or ability to follow-up on his care. • A teenage girl kicked out of her house, and forced to sleep on a cot in the hallway of a group home until she turned 18—when all her possessions were handed to her in a garbage bag as she was officially “aged out” of the system. These are not isolated stories. They are everyday realities of children in the foster care and child welfare system. A system full of devoted and deeply caring people that is simply too overburdened and under resourced to protect the rights and needs of vulnerable children. The solution is a CASA volunteer—a specially trained advocate, appointed by a judge, who fights for the rights of children during the most vulnerable time of their young lives. A trusted adult empowered to ensure that each child is well cared for—able to find a safe, loving, permanent home. But nearly 90 percent of the children in our community who need a CASA volunteer do not have one. Over 600 children in Ocean County don’t have the hope a CASA volunteer can offer.
We won’t rest until every child has a CASA volunteer. Stand up for these children. Stay connected as we fight to ensure every child has a safe, permanent, loving home. Volunteer Your Time to Change a Child’s Life! Nobody longs for a safe and loving family more than a child in foster care. As a CASA volunteer, you are empowered by the courts to help make this dream a reality. You will be the one consistent adult in these children’s lives, vigilantly fighting for
The County Woman Magazine
What Do CASA Volunteers Do?
CASA volunteers listen first. Then they act. Volunteers get to know the child by talking with everyone in that child’s life; parents and relatives, foster parents, teachers, medical professionals, attorneys, social workers and others. They use the information they gather to inform judges and others of what the child needs and what will be the best permanent home for them.
Who Can Be a Volunteer?
You do not have to be a lawyer or social worker to be a volunteer. We welcome people from all walks of life. We are simply looking for people who care about children and have common sense. As a volunteer, you will be thoroughly trained and well supported by professional staff to help you through each case. You must pass a background check, participate in a 30-hour pre-service training course and agree to stay with a case until it is closed (a year and a half on average).
Interested in helping children but not ready to commit to becoming an advocate? Then consider sponsoring a child and
providing them with a CASA of their own. Please call our office today to become a volunteer or sponsor a child. Please call the Executive Director, Vicki Weiss, at 732-797-0590 or visit our website at www.casaofoceancounty.org
Vicki Weiss, Executive Director CASA of Ocean County 1108 Hooper Ave. Bldg. 1 Suite C Toms River, NJ 08753 Phone: 732-797-0590 • Fax: 732-797-0594
www.casaofoceancounty.org www.TheCountyWoman.com
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Community
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You don’t want to miss the return of our Fabulous Handbags for Hope Twilight Cocktail Reception and Handbag Auction on Tuesday, August 5th (6pm-8pm) being held at the Turf Room, Monmouth Park, Oceanport, NJ. This year’s event features an expanded collection of designer handbags gently used pocketbooks with the addition of designer costume baubles & bling. The evening is a heartfelt celebration of friendship, laughter and fun with a silent auction of coveted handbags. Our 2012 silent auction featured new and “pre-owned” designer and celebrity handbags including Prada, Fendi, Gucci, Chanel, Judith Ripka, Louis Vuitton, Hermes, Marc Jacobs, Kate Spade and many others who were kind enough to donate to our auction. All handbags are priced reasonably and there’s something for everyone! For more information on attending, sponsoring or donating please contact Diana at 732-222-8755 (ext. 31); Diana@rmh-cnj.org or visit us on the web www.rmh-cnj.org. Become a fan on Facebook. https://www.facebook.com/RMHCNJ
Our 5th Annual Wine Tasting will be held at the Robert B. Meyner Reception Center in PNC Bank Art Center on Friday, October 24, 2014 at 6:30pm. For more details contact Diana Alikas at 732-222-8755 x. 31 or email Diana@rmh-cnj.org Tickets are $75/person
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Women Of Ocean County
Christine L Matus, Esq.,
Matus and Connell L.L.C
Christine is an attorney that resides in Toms River, New Jersey. She was born in New York City but raised in Toms River, New Jersey. Her parents had moved here in 1975. With a degree in Economics from Rutgers and then a Juris Doctorate from Touro Law School, she started her legal career in Toms River, New Jersey. She worked for an insurance defense firm early on and then worked for a law firm primarily located in Cherry Hill, New Jersey but at their satellite office in Northfield, New Jersey. During her legal career, she has had vast experience in real estate and estate planning. Her and her husband Steven, who is a civil engineer, have two children. Being a mother of a special needs child, Christine has seen the incredible relationship created between her older child and the lessons learned by being a parent of a child with special needs. As a result, a large portion of her practice is devoted to protecting the assets of special needs children and adults so that they can have the lifestyle they deserve. She is a board member with many nonprofit organizations such as 21 Plus, Incorporated, MOCEANS, Inc., Ocean YMCA, The Jersey Shore Down syndrome Association, a member of the Central Ocean Rotary, former board member of the American Cancer Society. She is also dedicated to helping her fellow Filipinos by being a Board Member with the Filipino American Cultural Development Center of Toms River, New Jersey, legal advisor for the Filipino American Medical Society, as well as the Philippine Nurses Association of Ocean County. Christine greatly enjoys spending time with her family. You can reach her at 732‑281‑0060. Her email is clmatus@matusandconnell.com.
Jennifer Vadas, DPT
Jennifer Vadas is a physical therapist at the Whiting facility of All-Care Physical Therapy Center. Jennifer graduated in 2006 with a Bachelor’s degree in Psychology from Rider University; she then continued on to UMDNJ/Rutgers to earn her doctorate degree in physical therapy in 2009. She has worked in a variety of physical therapy settings over the past 5 years. These include hospital-based inpatient and outpatient, sub-acute rehabilitation, and private outpatient orthopedics. Jennifer has had the opportunity to work with an assortment of patients with differing diagnoses, including post-surgical, stroke, vestibular deficits, cancer, and generalized deconditioning/orthopedic issues. Her clinical interests include balance training and fall prevention, as well as utilization of manual therapy for reducing pain and increasing mobility. Jennifer believes strongly in treating each of her patients as an individual versus a diagnosis; and strives to tailor each program to focus on their distinct deficits and goals. She is proud to be part of the team at All Care Physical Therapy, where this is a common belief amongst all of the therapists. Jennifer currently resides in Monmouth County with her husband, Mike, and their dog, Goose. To contact Jennifer, please call 1 -855-3ALLCARE or visit www.AllCarePTC.com.
Photo by Tracy Harman Photography
Donna Belbey
McDonald’s Owner Operator
Donna Belbey was born and raised in Northern New Jersey. Before relocating to Ocean County, Donna owned a very successful hair and nail salon for twelve years. Since moving to Ocean County twelve years ago, she became the owner operator of two McDonald’s Restaurants and is a member of the Women’s Operators Network. Donna places the customer experience at the core of everything she does and was recently honored with a “Putting People First” award for training and mentoring the young adults in her organization. She is married to her husband Kevin for the past 25 years and is the proud mom of three young men. In her spare time she enjoys long walks on the beach. Donna gives back to her community by hosting Ronald shows at local schools and McTeacher Night events at her restaurants. She volunteers her time and is an active Board Member of the Ronald McDonald House in Long Branch & New Brunswick. The Ronald McDonald House provides a warm, supportive “home away from home” to families of seriously ill children undergoing treatment at area medical facilities. To get involved or learn more please visit: www.rmh-cnj.org or call the Long Branch House at 732-222-8755 or the New Brunswick House at 732-249-1222.
Physical Therapist at All Care Physical Therapy
Photo by Tracy Harman Photography
Laurie Moody-Tidcombe, RN, MSN, APN-C
AtlantiCare Regional Medical Center
Growing up in Audubon, New Jersey, Laurie Moody-Tidcombe was always interested in sports medicine — and also wanted to become a mom. “Nursing was a profession that could potentially give me a balance of home life and a career. Nursing has given me the flexibility to do both,” says Laurie, who lives in Absecon with her daughter, son, and the family’s two cats. Laurie worked as a registered nurse for 11 years before she became a certified nurse practitioner at AtlantiCare Regional Medical Center (ARMC). In her current role with AtlantiCare’s Center for Surgical Weight Loss and Wellness, she sees patients in the medically supervised weight-loss program, as well as patients who have had bariatric surgery. In addition to that role, Laurie works as an advanced-practice nurse at ARMC, where she manages plans of care for acute care patients while they are hospitalized and any follow-up needed after discharge. Quality family time is a priority for Laurie outside of work. “I enjoy watching my children’s sporting activities. We love going to the beach and make the most out of living near the Jersey Shore,” she says. To learn more about AtlantiCare, visit www.atlanticare.org.
Photo by Annette Jenkins Photography
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
Women Of Ocean County
71
Lisette Cassidy
Micki Cosentino, LPN
Lisette is Vice President in charge of Advertising & Marketing at Progressive Dimensions Countertops in South Toms River. She has co-owned the company for 17 years with her husband, Edward Cassidy, who is President. Lisette launched her career by using her degree in Communications from Rutgers University to land freelance jobs in various production and post-production houses in New York. Through creative networking and a lot of luck, she was hired by PBS and worked in the Marketing and Program Administration departments where she guided the umbrella series and independent film projects from development to broadcast including the sale of ancillary materials. After moving to New Jersey, she worked as a freelance feature and entertainment writer for local and national publications such as Asbury Park Press and Latina Magazine and wrote copy for various radio stations including 94.3 The Point. Through Progressive Dimensions, Lisette fulfilled her dream of owning a business and still finds it fun to work by her husband’s side. Lisette and Ed live in Toms River with their 5-year-old son, Ethan. They enjoy traveling, riding quads, and absorbing the culture of the city by catching shows, going to the movies, and dining out. She especially likes swimming with her son to stay fit. Lisette also satisfies her love of writing by penning poems and short stories in her spare time. If you would like to find out more about Progressive Dimensions Countertops, please call 732-244-0109 or e-mail lee@progressivedimensions.com
Micki is an LPN at Ocean Plastic Surgery, P.A. in Toms River. After living in Pennsylvania, Ohio, and New York, she now calls New Jersey her home. She worked in various settings in her field before discovering the plastic and reconstructive specialty. She enjoys working at Ocean Plastic Surgery, P.A. because it offers a wide range of cosmetic treatments ranging from lasers and non-invasive procedures to full cosmetic surgery and insurance based reconstructive surgery. “It is very rewarding to be in a position where I can be a support for someone recovering from elective surgery or a patient coping with a life-altering reconstructive surgery. I love being able to work with such a diverse range of patients.” Micki currently resides in Howell with her husband of four years and her two boxers. When she is not working, you can find her hiking with her dogs or singing at her piano. She is an avid sports fan and loves the Yankees and the New York Rangers. For more information on Ocean Plastic Surgery, P.A. please call 732-255-7155 or visit www.opsnj.net
Photo by Tracy Harman Photography
Photo by Tracy Harman Photography
Vice President of Advertising & Marketing at Progressive Dimensions
Vicki Weiss
Executive Director for CASA of Ocean County
Originally from Tampa, Florida, Vicki Weiss has lived and working Ocean County since 1993. She is happily married to her husband, Ed Weiss, and enjoys spending time with her three beautiful children. Vicki is the Executive Director for CASA for Ocean County and works to lead the volunteer driven, non-profit organization that advocates on behalf of abused and neglected children placed in foster care. Vicki has over seven years experience in non-profit management and fundraising. Vicki successfully raised over $8 million for vital health and community improvement projects that assist the most vulnerable and needy people living in our community. Vicki spends her free time volunteering for faith based organizations such as the America’s Keswick Celebration Choir and she is an active member of the Tom’s River Baptist Church. Vicki enjoys gardening, reading, and has been singing gospel music since she was seven years old. Vicki, also a child of adoption and fostering, is proud to use her skills and talents as a fundraising professional to help those children of our community that need a voice in a very complicated child welfare system. To contact Vicki, or for more information on CASA for children, please visit www.casaofoceancounty.org or call 732-797-0590 today!
Ocean Plastic Surgery, P.A. in Toms River
Monica Titus, MBA, BSN, RN
CEO, Acuity Specialty Hospital, Atlantic City, NJ
Monica Titus, MBA, BSN, RN, of Williamstown, New Jersey became CEO of Acuity Specialty Hospital – Atlantic City in June of 2013. Since that time she has made innovative changes with her astute business acumen and passion for the improvement of patient care. “Nothing makes me happier than to see a critically ill patient recover and return to a normal quality of life.” With more than 20 years of progressive leadership experience in the health care industry, Titus was a natural selection for the post. Before joining the Acuity team, Titus served as Trauma Program director and Neurosciences Institute Director for Atlanticare Regional Medical Center. Titus began her career as a clinical registered nurse, providing care at the bedside. Monica was born and raised in New Jersey and currently resides with her spouse, Glenn (“Tite”) and two children, Gabriella 6, and Adriana 3, 2 dogs and a parrot. She spends her free time enjoying FITx and just recently completed her 1st 5k run. Monica is well known for her down to earth attitude and approachable style of leadership. She is well liked and respected by her colleagues and employees alike. Contact Acuity for info or a tour of our facility at 609-441 -8123 or visit www.acuityatlanticcity.com.
Photo by Tracy Harman Photography
The County Woman Magazine
www.TheCountyWoman.com
July/August 2014
72
Fashion
&
Beauty
Upcoming Events & Trunk Shows
at Trunk Shows are special events when designers send their newest collection. A lot of the gowns are not in the boutiques, yet. It is also a great opportunity to see the whole collection that otherwise may not be in our boutique. Trunk Shows are the perfect time to find your dream gown.
January 9-11
Aire By Rosa Clara Trunk Show Sparkler Sale
July 1-5
Stella York 2014 Fall Collection Trunk Show July 24, 25, 26
February 13, 14, & 15
Select in stock bridal , special occasion and mothers 40-60 percent off.
March 6-82014 Fall Collection Maggie Sottero
10 Percent new orders on Stella York StellaoffYork Trunk Show Bridal Gown during trunk show only.
Trunk Show MontageBridal Mothers of the Occasion Show Aire Trunk Barcelona and Soft By Rosa
July 11-13th
Clara Trunk Show August
8,9
$100.00 Wedding Belles Gift Certificate with pur10 Percent off new order on either collection chase Call of a Maggie during241-0134 trunk show usSottero at gown (609) for antrunk appointment during show weekend only. only. New orders only, excludes previous sales.
to one of our fabulous trunk shows.
Special incentives, and refreshments and giveaways during trunk show only. Special incentives during show only. Appointments are required during trunk show.
Call us at (609) 241-0134.
The
Difference
The Difference
is in theDetails Details is in the
The Plaza • 1205 Tilton Road Northfield, NJ 08225 Phone: (609) 241-0134 www.weddingbellesboutique.com
Bridal • Special Occasion • Mother of Bride/Groom Jewelry • Accessories
Community
Your NEW DESTINATION FOR LAUGHS & CONVERSATION
Your NEW Afternoon Drive Show: Mon. - Fri. PM 3:00 - 6:00
ALSO AVAILABLE ON
News Headlines • Traffic • Weather
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The County Woman Magazine
New York Times Best Selling Author, Gannett Columnist, TV and Radio Personality
Bob Ingle
www.TheCountyWoman.com
July/August 2014
Community
73
OCEAN COUNTY LIBRARY Visit www.theoceancountylibrary.org for information about other great programs and library resources
Step Aboard The Carousel of Music Did you know that the Ocean County Library and the Ocean County Parks Department have teamed up to bring free concerts to the community at the Toms River branch (101 Washington Street) every weekend this summer? Here is a listing of the concerts that are free and open to the public. All you need is to bring your own chair and you are all set. July 3 Thurs 7:30 PM 63rd Army Band
Aug 1 Fri 7:00 PM Toms River Municipal Band
July 4 Fri 7:30 PM Garden State Philharmonic
Aug 2 Sat 7:00 PM Sentimental Journey
July 5 Sat 7:30 PM Toms River Municipal Band
Aug 7 Thurs 7:00 PM North Jersey Philharmonic Glee Club
July 6 Sun 7:30 PM Eric Mintel Quartet
Aug 8 Fri 7:00 PM Toms River Municipal Band
July 11 Fri 7:30 PM Toms River Municipal Band
Aug 9 Sat 7:00 PM Brass Tacks Orchestra
July 12 Sat 7:30 PM Pat Mash Big Band Express
Aug 10 Sun 7:00 PM The Roustabouts
July 13 Sun 7:30 PM The Briartones
Aug 15 Fri 7:00 PM Toms River Municipal Band
July 18 Fri 7:30 PM Toms River Municipal Band
Aug 16 Sat 7:00 PM Bob Hermanâ&#x20AC;&#x2122;s Swing Sextet
July 19 Sat 7:30 PM Wilbur Wittemann Orchestra
Aug 17 Sun 7:00 PM The Tone Rangers
July 20 Sun 7:30 PM Merry Sisters of Fate
Aug 22 Fri 7:00 PM Toms River Municipal Band
July 25 Fri 7:30 PM The Spampinato Brothers
Aug 23 Sat 7:00 PM Lakewood Jazz Ensemble
July 26 Sat 7:30 PM The Odessa Klezmer Bank
Aug 29 Fri 7:00 PM Powerhouse Big Band
July 27 Sun 7:30 PM Sounds of the Street
Aug 30 Sat 7:00 PM The Tenors On Stage
SUMMER READING AT THE LIBRARY!
Have you signed up for summer reading yet? There is still plenty of time! Everyone and the family--kids, teens and adults-has a chance to participate in the fun! Stop by your local branch of the Ocean County Library today to sign up!
The County Woman Magazine
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July/August 2014
Theatre
74
&Entertainment
“PURE UNADULTERATED HUMOR.”
“Sweet & Sassy!”
- The Daily Beast
- NY Times
The
ORIGINAL
PARODY
n o i t a r b y! e l e c l l i a m c i a s and f u m l yfu , love o j A f life o
I AM NOT MY HAIR
of
Fifty Shades of Grey Directed by
Al Samuels Rob Lindley
RESPECT
photos of original Off Broadway Cast.
I AM NOT MY HAIR OT SINGLE LADIES I AM HNNAIORT MAYM AIR SINGLE LADIE STOP IN THE I S YH NAME OF LOVE PLEYCT W M LADIES S S I E M R E A TYRONE M NOT F A DIE F E SINGLE R R A A A L E M A E I HAIR W ILY GLE N T I T MY T Y S R EC HE ONE “A Winner!” W E ARE OPP INYT E
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IRNO
“VERY FUNNY” and “WITTY” - Chicago Tribune
TYROENARE FA ONE
TYRYMILY
“HILARIOUS!”
IN LOVE OH H HAPPY DA P AY RESPSINEGCLT I AM OAUISR I NAME NOT - Cosmopolitan O T D F H T C A T O E O O Y P S P N P E LA RECYIHTYROM GO PY D E S E P M M R A A DIPE M RD Y HTAIR D B I RHNEAAIR AY HH S LO O S S P L E Y H C E T E I M T ECT Call 866-811-4111 or Visit 50SHADESTHEMUSICAL.COM HILDSS 308 W 46th LAD EAYCTheatre, P T S C E E I R C L St. Luke’s St E A D E G T RON Telecharge.com Y P OM THE SINOH HAPSPS212.239.6200 • SistasTheMusical.com SP ELEKTRA THEATRE at Times Square Arts Center I AMMHNYARHIRENSOT E E R E L D for groups call M212.977.5925 Y AIR 300 W. 43rd St. Special GOD Brates E IL
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2/4/14 12:46 PM July/August 2014
Theatre
&Entertainment
75
“Move over Blue Man & Stomp, iLUMINATE
is in the house!”
Times Square Chronicles
“Spectacular! Magical! Dazzling!”
The New York Times
NOW LIVE in the heart of BROADWAY! Telecharge.com 212-239-6200 iLuminate.com New World Stages, 340 W 50th St.
The County Woman Magazine
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July/August 2014
Business
76
& Finance
Toms River - Ocean County Chamber of Commerce News A Letter from the President: Summer has arrived! The Chamber has many exciting events scheduled for this summer. Please remember to check our website www.oc-chamber.com on the New & Events tab, for the most up to date list of events. We encourage all to register online! Maureen Stankowitz, President
Dina M. Vicari, Esq. Chairwoman
Looking ahead to September, the Chamber is thrilled to be celebrating our 50TH Annual Awards Reception, on Wednesday, September 17, 2014 at Eagle Ridge Golf Club, 2 Augusta Blvd, Lakewood. We are so honored to announce this year’s “Distinguished Organization of the Year” award to the Jay & Linda Grunin Foundation, who has been improving lives in Ocean and Monmouth Counties through the Arts, Education and Human Services. Please do not miss this exciting event. Visit our website for more information. We wish you a happy & safe summer at the Jersey Shore! As always, we encourage you to SHOP LOCAL & DISCOVER WHAT OCEAN COUNTY HAS TO OFFER!
TOMS RIVER-OCEAN RIVER-OCEANCOUNTY COUNTY CHAMBER OF CHAMBER OFCOMMERCE COMMERCE WEDNESDAY, WEDNESDAY,SEPTEMBER SEPTEMBER17,17,2014 2014 EAGLE RIDGE RIDGE GOLF NJNJ EAGLE GOLF CLUB, CLUB,22AUGUSTA AUGUSTABLVD, BLVD,LAKEWOOD, LAKEWOOD, Special Recognition Award: Special Recognition Award: ~ Business Beautification of the Year ~ Non-Profit Partner of the Year ~ Business Partner of the Year ~ Business Beautification of the Year ~ Non-Profit Partner of the Year ~ Business Partner of the Year Sponsorships-Submit by AUGUST 28, 2014 Sponsorships-Submit by AUGUST 28, 2014 ( ) COCKTAIL RECEPTION SPONSOR - $2,500.00 ( Tickets ) COCKTAIL RECEPTION SPONSOR $2,500.00 *10 Reception *your name on signage as Cocktail-Reception host at Event *10 Reception Tickets *your name on signage as Cocktail Reception hostadatjournal Event *special recognition at dinner *premium location full page color ad in virtual *special recognition at dinner *premium full page adand in virtual ad journal *listed on ad journal recognition page location *recognition in allcolor media newsletters *listed on ad journal recognition page *recognition in all media and newsletters ( ) FLASH DRIVE SPONSOR - $2,000.00 ( ) FLASH DRIVE - $2,000.00 *4 Reception Tickets *your name onSPONSOR signage as Flash Drive sponsor at Event *4 Reception Tickets *your signage Flash Drive sponsor at Event *name on event flashname drive on *Full page as color ad in virtual journal *listed on ad journal recognition *name on event flash drive *Full page colorpage ad in virtual journal *listed on ad journal recognition page ( ) HORS D’OEUVRE SPONSOR - $1,500.00 *6 Reception *your name on signage as Dinner Sponsor at Event ( Tickets ) HORS D’OEUVRE SPONSOR - $1,500.00 *listed*6 asReception Dinner sponsor in *your virtualname ad journal *Full page color ad in virtual ad journal Tickets on signage as Dinner Sponsor at Event *listed as Dinner sponsor in virtual ad journal *Full page color ad in virtual ad journal ( ) DESSERT SPONSOR - $1,500.00
*6 Reception Tickets *your nameSPONSOR on signage -as$1,500.00 Dinner Sponsor at Event ( ) DESSERT *listed*6 asReception Dinner sponsor in *your virtualname ad journal *Full page color ad in virtual ad journal Tickets on signage as Dinner Sponsor at Event ) MAJOR - $1,000 *listed as Dinner sponsor in( virtual ad SPONSOR journal *Full page color ad in virtual ad journal *4 Reception Tickets *your name on signage as Major Sponsor at Event ( ) MAJOR SPONSOR - $1,000 *listed on ad journal recognition page *Full page black & white in virtual ad journal *4 Reception Tickets *your name on signage as Major Sponsor at Event *listed on ad journal recognition page SPONSOR *Full page black & white in virtual ad journal ( ) AWARDS - $500.00 *your name on signage as Awards Sponsor at Event *half page black & white ad in virtual ad journal ( ) AWARDS - $500.00 *listed as AwardsSPONSOR sponsor in ad journal *your name on signage as Awards Sponsor at Event *half page black & white ad in virtual ad journal ( *listed ) SUPPORTING SPONSOR $250.00 as Awards sponsor in ad journal *your name on signage as Supporting Sponsor at Event *quarter page black & white ad in virtual journal ( ) SUPPORTING SPONSOR - $250.00 *listed as supporter in ad journal *your name on signage as Supporting Sponsor at Event *quarter page black & white ad in virtual journal *listed as supporter#inofadTickets: journal________________ ( ) RECEPTION TICKETS ~ $125.00 per person
(Guest(s) ) RECEPTION TICKETS ~ $125.00 per person # of Tickets: ________________ Name:______________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ Guest(s) Name:______________________________________________________________________________________________________ Company Name:_____________________________________________________________________________________________________ Address:______________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ Phone:_________________________________Email:________________________________________________________________________ Company Name:_____________________________________________________________________________________________________ PLEASE REGISTER ONLINE: WWW.OC-CHAMBER.COM Address:______________________________________________________________________________________________________________ AGREEMENT DEADLINE FOR ADVERTISING: AUGUST 28, 2014 Phone:_________________________________Email:________________________________________________________________________ PAYMENT ENCLOSED $_____________ PLEASE EMAIL YOUR AD IN PDF FILE to PLEASE REGISTER ONLINE: WWW.OC-CHAMBER.COM Payment Type (circle one): Check/Visa/MC danielle@oc-chamber.com AGREEMENT DEADLINE FOR ADVERTISING: AUGUST 28, 2014 Card #:_________________________________________ PAYMENT ENCLOSED $_____________ TOMSPLEASE RIVER-OCEAN COUNTY OF COMMERCE EMAIL YOURCHAMBER AD IN PDF FILE to Exp. Date____/____ 1415 Hooper Avenue, Suite 301, Toms River, NJ 08753 Payment Type (circle one): Check/Visa/MC danielle@oc-chamber.com Phone: 732 349-0220 Fax: 732 349-1252 info@oc-chamber.com Sec. #:_________________________________________ Code______________ Card TOMS RIVER-OCEAN COUNTY CHAMBER OF COMMERCE Exp. Date____/____ 1415 Hooper Avenue, Suite 301, Toms River, NJ 08753 Phone: 732 349-0220 Fax: 732 349-1252 info@oc-chamber.com Sec. Code______________ www.TheCountyWoman.com The County Woman Magazine
Welcome New Members Comfort Inn Das Patel 2215 Route 37 East, Toms River, NJ 08753 732-929-2900 732-929-9090 www.comfortinntomsrivernj.com Hotels & Accommodations Ocean’s Harbor House Jhanna Even, Director of Development 2445 Windsor Avenue, PO Box 622, Toms River, NJ 08753 732-929-0096 732-929-1748 www.oceanharborhouse.org Organizations/Charities/Non Profits United Teletech Financial Federal Credit Union MaryDianne Krause 205 Hance Avenue, Tinton Falls, NJ 07724 732-530-8100 x3038 732-530-3919 www.utfinancial.org Organizations/Charities/Non Profits Toms River Drug, LLC Mike Keane 1250 Route 166, Toms River, NJ 08753 732-341-1500 732-341-1515 www.tomsriverdrug.com Health, Beauty & Wellness Hope Sheds Light, Inc. Ron Rosetto Stephen Willis Arvo Prima 81 E. Water Street, #3c Toms River, NJ 08753 732-503-4537 732-557-0114 www.hopeshedslight.org Organizations/Charities/Non Profits
New Members Always Welcome
Matus and Connell, LLC Joseph A. Connell, Sr., Esq., Ph.D 250 Washington Street, Suite C-1, Toms River, NJ 08753 732-279-3929 732-279-3918 www.matusandconnell.com Attorneys and Legal Services Atlantic IT Solutions Bob Garrison 317 Silver Bay Road, Toms River, NJ 08753 609-306-6978 www.atlanticits.com Information Technology & Telecommunications Balic Winery at Creative Chocolate & Design Larry Semigran 1182 Fischer Blvd. #2, Toms River, NJ 08753 732-929-CHOC(2462) 732-929-2499 www.creativechocolatedesign.com Winery Leaftree Real Estate Kurt Palermo 1 South Main Street, Toms River, NJ 08757 201-638-2190 732-281-2410 www.leaftreerealestate.com Real Estate Lansing & Hannum LLC Eric B. Hannum 2095 W. County Line Road, Unit 4, Jackson, NJ 08527 732-370-9596 732-370-8153 www.lansingandhannum.com Attorneys & Legal Services Red Lobster Dan Friendly 1298 Hooper Avenue, Toms River, NJ 08753 732-914-0183 732-914-8180 www.redlobster.com Restaurant
Visit us at www.oc-chamber.com for additional information and events (732) 349-0220. July/August 2014
Community
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EVERYONE HAS A REASON TO END ALZHEIMER’S.
SATURDAY, SEPTEMBER 27, 2014
SOUTHERN REGIONAL WALK POINT PLEASANT BEACH, NJ (corner of Arnold and Baltimore Avenues) Registration begins at 9 a.m. Walk begins at 10 a.m.
REGISTER TODAY! PLEASE GO TO ALZ.ORG/NJ/WALK
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The County Woman Magazine
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July/August 2014
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