Monmouth County Woman - September/October 2021

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An Educational Resource for Women and Their Families

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THE MOST COMMON QUESTIONS AND ANSWERS CONCERNING VARICOSE VEINS.

MEET ANNEMARIE SCHREIBER, ESQ., ELDER LAW ATTORNEY.

Annemarie epitomizes what it means to be an advocate.

Varicose veins are swollen veins.

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Pages 12 & 13 Pae 32

We specialize in Frenectomy laser treatment for mothers with Page 16 nursing issues. Page 38

Photo by Tracy Harman Photography.

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OUR CARE BEGINS FROM THE START.

At All-Care Physical Therapy Center, their energetic, family-like staff and upbeat atmosphere allows patients to feel at home in their large, state-of-the-art facilities. They are the premier practice of Ocean and Monmouth counties with many locations! Stay tuned for more locations coming soon! Read more on pages 8 & 9.

Sept./Oct. facebook.com/TheCountyWoman

@CountyWomanMag

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Medical Professionals

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IF YOU ARE SUFFERING WITH NEUROPATHY, IT'S TIME TO GET BACK ON YOUR FEET! DO YOU SUFFER FROM PERIPHERAL NEUROPATHY? It is estimated that over 20 million Americans suffer from Peripheral Neuropathy and if you are one of them, you know firsthand what it feels like to be unable to do the things you enjoy due to the constant pain, tingling and loss of sensation in your feet.

There is nothing more discouraging than a disruption in your quality of life and maintaining an active lifestyle. Even worse, your ability to remain independent may be greatly diminished by the debilitating symptoms which seem to affect everything you do.

In addition to the physical limitations you may experience, we understand how mentally and emotionally challenging it can be when you are unable to enjoy the simple pleasures of life from walking and exercising, to playing with your grandchildren or simply getting a good night’s sleep! Many patients we see with this condition are also living in fear of losing their balance, or missing a step and falling, potentially leading to something worse. So, if you are sick and tired of the negative impact of peripheral neuropathy on your quality of life and worsening of symptoms, we are excited to offer our very unique treatment approach that has successfully helped countless people just like you!

SYMPTOMS • • • •

ADVANCED FDA-CLEARED VASCULAR TREATMENT PROVIDES NEW HOPE! Conventional treatments for neuropathy are generally unsuccessful since most focus on addressing the symptoms of the disease, not the cause – a lack of circulation to the peripheral nerves.

Often, underlying conditions and co-morbidities affecting blood circulation will reduce the nutrient and oxygen flow to that nerve, resulting in distress and damage.

MicroVas is an FDA-cleared, non-invasive vascular treatment system that delivers electromagnetic energy to targeted areas of the body, stimulating increased circulation to the surrounding tissues.

After several years of research, the technology was originally developed to treat NAVY SEAL divers for hypothermia, having the ability to promote fast, oxygen-rich blood flow in the extremities.

MicroVas' powerful, deeply penetrating waveform causes blood to circulate more effectively by elevating tissue oxygen levels. This process may also facilitate lymphatic drainage, helping to reduce the effects of swelling by stimulating the body's own natural immune response, while accelerating the healing process.

We have witnessed MicroVas' substantial therapeutic benefits and when combined with our extensive manual soft tissue massage and functional conditioning for strength and balance, our primary goal is to help you achieve optimal results for long-term relief!

NUMBNESS, ALTERED SENSATION TINGLING OR BURNING SHARP, SHOOTING PAIN MUSCLE WEAKNESS, CRAMPING

• LOSS OF BALANCE, COORDINATION • DIFFICULTY WALKING

"I was suffering with neuropathy for several years with little relief from medication. The Microvas treatments have lessened the burning in my feet and my balance has noticeably improved when walking and using stairs.” – Cathy C.

“The Rehability team did more hands on work than I have ever seen at any other facility. We saw a big improvement not only in leg strength, but most important in my balance. Thank you for helping me get back to doing yard work and projects around the house.” – Joe Z. *Most major medical insurances accepted, including Medicare.

PHYSICAL THERAPY | CHIROPRACTIC | ACUPUNCTURE | | MEDICAL PAIN MANAGEMENT | WWW.REHABILITYNJ.COM

CALL TODAY TO GET STARTED WITH OUR EXCLUSIVE NEUROPATHY PROGRAM!

732-780-6230

83 SOUTH STREET SUITE 204 FREEHOLD, NJ 07728

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Breast Cancer Awareness Month

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Have You Had Your Annual Mammogram?

Breast Cancer Awareness Month (BCAM), also referred to in America as National Breast Cancer Awareness Month (NBCAM), is an annual international health campaign organized by major breast cancer charities every October to increase awareness of the disease and to raise funds for research into its cause, prevention, diagnosis, treatment and cure. The campaign also offers information and support to those affected by breast cancer.

NBCAM wa\s founded in 1985 as a partnership between the American Cancer Society and the pharmaceutical division of Imperial Chemical Industries (now part of AstraZeneca, producer of several anti-breast cancer drugs). The aim of the NBCAM from the start has been to promote mammography as the most effective weapon in the fight against breast cancer.

In 1993 Evelyn Lauder, Senior Corporate Vice President of the Estée Lauder Companies founded The Breast Cancer Research Foundation and established the pink ribbon as its symbol, though this was not the first time the ribbon was used to symbolize breast cancer. In the fall of 1991, the Susan G. Komen Foundation had handed out pink ribbons to participants in its New York City race for breast cancer survivors.

A variety of events around the world are organized in October, including walks and runs, and the pink illumination of landmark buildings. In the United States, the National Football League promotes breast cancer awareness by incorporating pink on and off the field, and comic strip artists use pink on one day in October. (1) What are the key statistics about breast cancer?

Breast cancer is the most common cancer among American women, except for skin cancers. About 1 in 8 (12%) women in the US will develop invasive breast cancer during their lifetime. The American Cancer Society’s estimates for breast cancer in the United States for 2021 are: • About 281,550 new cases of invasive breast cancer will be diagnosed in women.

• About 49,290 new cases of ductal carcinoma in situ (DCIS) will be diagnosed (DCIS is non-invasive and is the earliest form of breast cancer).

• About 43,600 women will die from breast cancer After increasing for more than 2 decades, female breast cancer incidence rates began decreasing in 2000, then dropped by about 7% from 2002 to 2003. This large decrease was thought to be due to the decline in use of hormone therapy after menopause that occurred after the results of the Women’s Health Initiative were

published in 2002. This study linked the use of hormone therapy to an increased risk of breast cancer and heart diseases. Incidence rates have been stable in recent years.

Breast cancer is the second leading cause of cancer death in women, exceeded only by lung cancer. The chance that breast cancer will be responsible for a woman’s death is about 1 in 36 (about 3%). Death rates from breast cancer have been declining since about 1989, with larger decreases in women younger than 50. These decreases are believed to be the result of earlier detection through screening and increased awareness, as well as improved treatment.

At this time there are more than 2.8 million breast cancer survivors in the United States. (This includes women still being treated and those who have completed treatment.) (3) How can National Breast Cancer Awareness Month make a difference?

We can use this opportunity to spread the word about steps women can take to detect breast cancer early. Take action to increase awareness about breast cancer and breast cancer screenings.

• Ask doctors and nurses to speak to women about the importance of getting screened for breast cancer.

• Encourage women ages 40 to 49 to talk with their doctors about when to start getting mammograms.

• Organize an event to talk with women ages 50 to 74 in your community about getting mammograms every 2 years.

• Display posters about breast cancer screening in your organization’s break room.

• Ask health professionals from your local hospital or clinic to share information about mammograms and early detection with your employees or members.

• Distribute materials about breast cancer screening at a local health fair.

• Partner with local women’s organizations, community groups, and senior centers to reach women ages 40 and older with important information on breast cancer screening.

• Host a breast cancer walk with your organization’s members. (2) Sources: (1) Wikipedia: http://en.wikipedia.org/wiki/National_Breast_Cancer_ Awareness_Month (2) American Cancer Society: http://www.cancer.org/cancer/breastcancer/ detailedguide/breast-cancer-key-statistics (3) Susan G. Komen Foundation: http://ww5.komen.org/BreastCancer/ UnderstandingBreastCancer.html

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Financial Management

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Logins And Passwords……Oh My! I use an application on my iPhone to store all of my logins and passwords. Recently I was adding yet another new entry and decided to count the number of entries I had saved so far. To my amazement, I had more than 120 (many work related) logins and passwords! I imagine that many of you also have a list of passwords the length of your arm as well.

There is an overriding question with so many passwords, namely how can my heirs access my digital assets that are password protected?

In September 2017, the Uniform Fiduciary Access to Digital Assets Act, was enacted into New Jersey law. In general, the Act provides executors, trustees, guardians, and power of attorney holders (“fiduciaries”) the ability to access and control “digital assets” belonging to decedents, beneficiaries and wards.

Going “digital” may improve efficiency, access, storage, and ease of sharing but at death, those benefits disappear. For an estate’s executor and its beneficiaries, going digital can have the opposite effect, making assets more difficult to access or even entirely inaccessible and lost.

“Digital assets” encompass all electronically stored information, not just what’s on one’s computer. An estate plan today should include a digital inventory of assets such as:

Passwords for access to computers, phones, or tablets and user account passwords may be required so your executor or heirs can have your pictures, videos, writing, or other personal content. Don’t assume they can acquire this easily from providers either. For example, Facebook will not provide access to a member’s account to their family upon death, instead giving the family the option of closing the page or leaving it up as a memorial.

The law addresses questions such as: • As an executor, how do I obtain access to the decedent’s electronic communications?

• If I am a trustee, does a custodian of a digital account have to provide me access?

• Once I obtain access, am I treated as an “authorized user” under the law?

Our suggestion when reviewing your estate planning documents is to be sure that your Power of Attorney, Will and/or Trust addresses your digital assets. We have a printable version of our handout entitled “Your Digital Estate” by visiting https://gstrustco.com/assets/digital-assets.pd

• Passwords for devices, files, email, and social media accounts.

• Passwords for financial information, accounts, and digital tax records.

• Domain names, Web pages, Blogs, and other virtual property • Subscription services that would need to be cancelled or adjusted.

Ira J. Brower Founder

Lifestyle & Money Management Trust & Estate Planning Investment Services Caring for and thoughtfully guiding our clients creates the strong, trusting relationships we have nurtured over the decades. That’s why so many people rely upon our independent company for wealth management and trust & estate services. True independence and understanding are at the core of our unique value proposition.

Our focus is where it should be…

Garden State Trust Company To learn how we can focus on you and your family, contact Adam Brower or Siobhan Connolly.

On You. On Your Family.

On Your Future.

2101 Highway 34 South • Suite A • Wall, NJ 07719

WALL, NJ

| CHERRY HILL, NJ

| LEBANON, NJ | LINWOOD, NJ

The County Woman Magazine www.TheCountyWoman.com

732.255.5000 | gstrustco.com September/October 2021

Manager’s Note The County Woman The County 5Woman Welcome to the Fall Issue of the Monmouth County Woman!

All correspondence should beAll addressed to: correspondence should be addres

P.O. Box 619 Turnersville, NJ 08012

“I can smell Autumn dancing in the breeze. The sweet child of pumpkin and crisp sunburnt leaves.” - Unknown Welcome to fall and one of my favorite seasons. It was a Summer full of some uncertain times, however, the sunny weekends and the Jersey Shore made it feel a little calmer. As the sizzling season of summer draws to a close, we look forward to many different exciting events. On September 6th, we celebrate Labor Day to honor the achievements of American workers. Children will also start the beginning of the school year and shortly after is National Grandparents Day on September 12th.

Our theme this issue is, “Girls Rule.” I am sure Lauren, pictured with her family, we can all conjure up a few inspiring women in our and her two goats Butter & Biscuit lives, whether it’s a sister, friend, or your own Mother.

Women have had to take on so much more this past year and were (often times) in a state of limbo. We should never underestimate what we can do when put to the test.

The first few weeks in October is usually peak “leaf-watching” time – a great time for an Autumn getaway with family or friends. I know in my family; we love to enjoy a long weekend away camping with a bonfire and some hot chocolate. The Jersey Shore also offers a ton of Fall activities as the landscape bursts into a breathtaking scene that you can only catch in our beautiful Garden State.

It’s only a matter of time until the smell of pumpkin chai fills the air.

Best to you and yours!

Laren Shover, Production Manager, and the Staff at the Monmouth County Woman Publication.

P.O. Box 619 Turnersville, NJ 08012

woman

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Contents Medical Professionals

REHABILITY Pain and Injury Center.............................. 2 Shore Vascular & Vein Center...................................... 10 Gastroenterologists of Ocean County......................... 14 Relievus....................................................................... 15 Ocean Hematology & Oncology.................................. 17 Toms River X-Ray, CT & MRI Center..................... 18, 19 Reproductive Science Center of NJ............................ 21 University Urology Associates of New Jersey............. 24 Paonessa Colon & Rectal Surgery, PC........................ 25 Kathy A. Banks, DMD............................................ 26, 27

UM HomeWorks Communities.................................... 11

Elder Law

Carluccio, Leone, Dimon, Doyle & Sacks, LLC..... 12, 13

Pediatric Dentistry

Shore Children’s Dental Care...................................... 16

Advocacy

Certified Life Coach

Breast Cancer Awareness Month.................................. 3

Jessica L. Conrad........................................................ 20

Financial Management

Health & Wellness

Cosmetic & General Dentistry

Aesthetic Dental Creations........................................ 6, 7

Featured on the Cover

All-Care Physical Therapy Center, LLC..................... 8, 9

Women of Monmouth County........... 31 Travel Agency

Vagabond Travel Agency............................................. 32

Fine Art Photography

Tracy Harman Photography........................................ 35

Community............................................ 28, 30, 34

Advocates in Action.................................................... 20

Breast Cancer Awareness Month

Garden State Trust Company.................................. 4, 36

Home Health Care

Hypnosis for Women............................................. 22, 23 Nina Radcliff, MD........................................................ 33

Business & Finance

Copiers Plus, Inc......................................................... 29

Fabulous Food

Mini Pumpkin Pies....................................................... 30

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Cosmetic & General Dentistry

6

Aesthetic Dental Creations is Pleased to Offer the Following Services: • General and Family Dentistry • Free Cosmetic Consultations • Aesthetic Onlays and Inlays • All Porcelain Crowns (Non-Metal) • Invisalign® • Implant Crowns • Periodontal Therapy • Dentures/Aesthetic Partial Dentures • Facial Esthetics (such as Botox®) • Non-Invasive Facial Rejuvenation

Dr. Balaji Srinivasan

graduated from Creighton University School of Dentistry in Omaha, NE in 1994. He completed his residency in Advanced Education in General Dentistry at Temple University in Philadelphia, PA in 1995. He is the alumni of the world famous Las Vegas Institute for Advanced Dental Studies and member of the International Association of Physiologic Aesthetics.

He also lectures at Monmouth Medical Center.

Patient Friendly Financing Options

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Cosmetic & General Dentistry

The County Woman Magazine www.TheCountyWoman.com

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September/October 2021

Medical Professionals

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What To Expect After A Total Knee Replacement – A Physical Therapy Perspective Written by: Joel Maietta, DPT Does the idea of a Total Knee Replacement scare you?

While the thought of having a total knee replacement sounds daunting and arduous, there are many misconceptions regarding rehabilitation following the surgery. Often people run (not literally) from the idea of having this surgery because they hear horror stories of painful therapy sessions and a long grueling recovery period. However, with proper education, motivation, and the guidance of a skilled rehabilitation team, recovery should be nothing to worry about.

Why do people need Total Knee Replacements?

The primary reason people require a total knee replacement is to rid their knee of a painful condition called Osteoarthritis. Osteoarthritis develops when the smooth cartilage that cushions your joint starts to break down resulting in stiffness, pain, and that “grinding” sensation you feel in your knee. Unfortunately, our bodies are unable to reproduce adequate cartilage to repair the lost cushioning. As a result, a surgeon must often times perform surgery to replace these painful joint surfaces with artificial materials. This allows for the return of smooth, pain-free motion in your knee.

What does rehabilitation consist of after a Total Knee Replacement?

The key to a successful recovery is early exercise and activity to facilitate the healing process and prevent stiffness in the knee. Our bodies are amazing healers and immediately start repairing following the surgery with the production of scar tissue. However, movement directs the alignment of this new scar tissue, so the earlier and more often you begin moving, the easier your recovery will be!

Therefore, the rehabilitation process begins right away in the hospital following surgery when a skilled physical therapist begins showing you the proper technique for getting out of bed, getting up from chairs, and even walking with the use of a walker! Many are surprised that these once painful activities now feel easier and more comfortable!

Once the medical staff and rehabilitation team determine you can move around safely and have proper support at home you will be discharged from the hospital.

Most people only end up staying in the hospital for a few days. In some cases, additional medical monitoring is needed and you may be placed in a rehabilitation hospital in which you will receive guided Physical and Occupational Therapy while under the supervision of doctors and nurses. This stay usually lasts a few days to a week and then you are allowed to return to your household.

Your safety and health are our first priority

Barnegat Brick - Ramtown Brick - Silverton Forked River Freehold Jackson Manahawkin Manchester Toms River Wall Whiting New Specialty Service Centers

Once you have made it back to your home, your doctor may or may not request a therapist visit your home for a few days to continue with exercises and assist with daily activity training. Following a few home therapy sessions your doctor will direct you to begin Outpatient Physical Therapy at a facility of your choice.

How do I choose where to go for Physical Therapy following a Total Knee Replacement?

When choosing a facility for this phase of rehabilitation, it is important to research your options by talking to doctors and previous patients to find the place that is right for you. Outpatient Physical Therapy is your final step to a full recovery and also the longest step. That being said, it is important to find a place where you feel safe, comfortable, and where all your goals and needs will be heard and attended to.

What should I expect with my Outpatient Rehabilitation following a Total Knee Replacement?

You will be spending 2-3 days a week in physical therapy for sessions lasting around one hour, however it is expected that you perform home exercises daily because the time spent in therapy alone is not enough for a full and functional recovery. In the facility, a skilled Physical Therapist will work with you to further improve your ability to straighten and bend your knee as well as progress the strength of your whole leg. The greatest gift therapists have is our hands and we have been educated and trained on specific techniques to improve the mobility of your knee to allow you to move with the least amount of pain possible. Once your mobility and strength start to improve, other activities are included to improve your ability to walk without any assistive devices as well as exercises to allow you to walk up and down stairs. Most people are able to walk without a cane or walker as early as 4-6 weeks after their surgery! Your Therapist will also discuss any additional goals you may have including returning to activities such as golf, tennis, and swimming. These are all realistic goals which can be attained with proper guidance by your Therapist.

At All-Care Physical Therapy Center we specialize in innovative approaches to make your recovery from a Total Knee Replacement as painless and enjoyable as possible. Our friendly staff and skilled therapists will attend to your every need and get you back to your life, so fear not the dreaded Total Knee Replacement!

Joel Maietta, DPT

We’re open and here for you!

All-Care is following all CDC guidelines to keep you (and us) safe!

• Telehealth • In-Clinic • In-Home Therapy • In-Network

• Healthy Lungs for COVID Recovered Patients • LSVT Big Parkinson’s Treatment • Certified Hand Specialists

1-855-3ALL-CARE . www.AllCarePTC.com

The County Woman Magazine www.TheCountyWoman.com

Wall Facility Manager Joel is a Physical Therapist at All-Care Physical Therapy Center and manager of the Wall facility. He received his bachelor’s degree in Health Sciences in 2007 from Quinnipiac University in Hamden, CT and went on to receive his Doctorate of Physical Therapy from Quinnipiac in 2010. He has completed clinical rotations in acute care, inpatient rehabilitation, and outpatient orthopedic settings. Joel’s clinical interests include post-surgical rehabilitation as well as manual therapy techniques for the spine and extremities. Joel is also certified in Sole Supports custom foot orthotics for the treatment of a variety of pathologies including bunions and plantar fasciitis.

September/October 2021

Business Spotlight

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Patients Come First At All-Care Physical Therapy All-Care is not your average physical therapy facility. Besides being family owned, they are committed to treating each patient individually. Previous patients have said their care was nothing less than “exceptional.”

Brothers Jim and Michael Yorke have always made their patients a priority. Jim adds, “We are a patient first organization.

All the decisions made for the company are guided by optimizing patient care.

In today’s world of corporate healthcare, it is essential not to lose focus on our ultimate mission; to restore lives.”

When you combine that business modality with their family-like staff and positive atmosphere at their facility, it’s no wonder patients are satisfied. They also offer multiple services along what the Yorke brothers call the “Continuum of Care.” Michael adds, “This means that we can treat patients in their home, if needed, in comfortable and familiar surroundings; and then when they are able to, we can seamlessly transition them using our free transportation service to one of our eight outpatient facilities.”

outcomes while reducing pain levels. All of our therapists have been trained in the latest approaches to minimize pain and maximize recovery.

CW: Tell us about some of the benefits of being a regional training center for clinical students.

Jim: As we have continued to expand, it has given us the opportunity to train the therapists of tomorrow through clinical education. In doing so, it helps our therapists stay up to date on the latest research and interventions taught in the top programs in the area. We regularly host students from some of the best Physical Therapy programs in the Tri-State area including Stockton University, Drexel University, and Rutgers/UMDNJ.

CW: Tell us about some of the successful therapy used for treating arthritic conditions.

Jim and Michael Yorke

CW: What is the benefit of having your therapists be autonomous?

Why has this been successful for you?

Jim: Through autonomous care, a therapist is able to make clinical decisions based upon their extensive knowledge for what is best for their patient. As a company, we respect each therapist’s background and education. Allowing the therapist to make clinical decisions and assess progress creates better patient outcomes and contributes to their overall experience.

CW: Please explain the importance of treating the emotional part of recovery.

Mike: It is essential to address all aspects of recovery and we believe strongly in the continuity of care, meaning pairing every patient with one therapist. This allows the therapist to establish a strong bond with their patients and address any emotional barriers of recovery. Emotional barriers are important because we believe there is a direct correlation between chronic pain and depression. If the mental part is not addressed, recovery will be unsuccessful or short lived.

CW: What are some positive changes you have seen in the field in the last ten years?

Mike: There has been great progress in the manual (literally, hands-on) approaches used by physical therapists over the last ten years. Addressing soft tissue through Instrument Assisted Mobilization (IASTM) as well as improving range of motion through joint mobilization is essential to achieving optimal

Mike: As the baby boomer generation enters into their 60’s and beyond, we have noticed an increase in the diagnosis and incidence of arthritic conditions. In our model of physical therapy, we address restoring joint health through manual techniques and applicable modalities. Many people feel as if arthritic conditions are untreatable; well that is absolutely not true. There are a number of noninvasive treatments that not only reduce, but also alleviate arthritic pain.

CW: What is the one common characteristic that all staff members exhibit throughout the organization?

Jim: Our company is filled with people that demonstrate true compassion. It is essential for us to be invested in our patients’ recovery. Additionally, we look for individuals that are always seeking to improve their clinical skills and grow within the organization. Because physical therapy is an ever-changing field, it is essential to keep up with the latest interventions so that we can help more patients.

CW: What would you like All-Care to be known for as a company?

Mike: I would like All-Care to be known for providing the best overall physical therapy experience. Personnel in all positions are able to participate in the rehabilitation of patients. At the end of the day, knowing that we are helping individuals restore their lives, as well as furthering the field of physical therapy is a top priority for All-Care.

CW: Tell us about the dynamics of working with your family.

Jim: Working with family has been a rewarding experience on so many levels. Our father and stepmother have been a huge part of our success and continue to consult with us regularly. Their perspective has been invaluable in understanding our patient’s point of view, which has shaped our company’s decisions and values.

For More Information Or To Schedule An Appointment At One Of All-Care’s Locations, Call 1-855-3ALL-CARE Or Visit WWW.AllCarePTC.com.

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Medical Professionals Medical # Medical Professionals Professionals The Concerning Varicose Varicose Veins Veins The Most Most Common Common Questions Questions And And Answers Answers Concerning

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The Most Common Questions And Answers Concerning Varicose Veins

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They often How now referred to as Venefit™.

This performed right in the office in less are varicose veins and can be seen skin.

They often minimally invasive procedure is venous reflux treated? a bulging, twisted appearance. mayhave experience legthrough pain andthe other symptoms than 30 minutes,compression with no incisions, Sometimes stockings will be sufficient to control have varicose a bulging,veins twisted appearance. performed right in theand office in less may be very minimal discomfort, excellent butSome they don’t realize what is causing theirlarge symptoms and prevent When procedures are needed, Some varicose veins may be be very large than 30 minutes, with no complications. incisions, results. and discolored. may condition.

This articleOthers will answer somesmaller. current andexcellent techniques, allow for treatment WITHOUT minimaltechnology discomfort, and and can discolored.

Others may smaller.

They occurregarding anywhere onbe the legs, common questions varicose veins, How long is the recovery results. the need for painful surgery. One of the best, most proven treatments They canthe occur anywhere on the legs, groin area.

Jeffrey S. Gosin, MD, FACS the including associated symptoms, and treatment. vein treatment? forfrom venous reflux is the Closure® Procedure, now referred to as Venefit™. including the groin area.

V

Whatare causes varicose What varicose veins? veins? causes varicose What Blood must flow up, againstveins? gravity, to exit andthrough return tothe theskin. heart.

Varicose veins are swollen veins that canthe belegs seen Blood must flow up, against gravity, to exit the legs and return to the Our leg veins have one-way valves that assist in this process. Those valvesheart.

They have a bulging, twisted appearance.

Some varicose veinscan Ouroften leg veins have one-way assistininthe thiswrong process.

Those valves can malfunction and leak, causingvalves bloodthat to flow direction.

The blood may be very large and discolored.

Others may be smaller.

They can malfunction and leak, causing blood to flow in the wrong direction.

The blood then pools in the legs, increasing the pressure in the veins. This is known as venous thenanywhere pools inorthe legs, the pressure the veins.

Thisreflux is known occur on theincreasing legs, including the in groin area. reflux disease Chronic Venous Insufficiency (CVI).

Venous is oneasofvenous the refluxcommon disease or Chronic Venousveins.

Insufficiency (CVI). Venous reflux is one of the most causes of varicose What varicose mostcauses common causes ofveins? varicose veins.

Blood up, against gravity, to veins exit theand legsvenous and return to What aremust the flow symptoms of varicose reflux What are thelegsymptoms of varicose veins and venous reflux the heart.

Our veins have one-way valves that assist in this process. disease? disease?

Those valves can malfunction leak,reflux causing flow the People with varicose veins andand venous may blood feel leg to pain, legin heaviness, leg People with varicose veins and venous reflux may feel leg pain, leg heaviness, leg fatiguedirection. and/or leg The swelling.

Itching of the skin of the legs is also a very common wrong blood then pools in the legs, increasing the pressure fatigue and/or leg swelling. Itching of the skin of the legs is also a very common may worsen symptoms.

Many people notice the incomplaint. the veins.Standing This is known as venous reflux disease or will Chronic complaint.

Standing may worsen symptoms.

Many people will noticeVenous the appearance of bulging legs veins.

However, some people will only feel discomfort Insufficiency reflux is one of the most causes appearance of(CVI). bulgingVenous legs veins.

However, some people willcommon only feel discomfort but not notice any cosmetic changes. but not notice any cosmetic changes. of varicose veins.

I Ithought varicose veins are aa cosmetic problem. thought varicose veins arejust just cosmetic problem.

What are the symptoms of varicose veins and venous reflux disease?

IsIsPeople that true? with varicose veins and venous reflux may feel leg pain, leg that true?

It is important to understand that varicose veins and venous reflux are NOT It is important to understand varicoseItching veins and venous reflux are NOT heaviness, leg fatigue and/or legthat swelling. ofof the skin of the legs is necessarily simple cosmetic problems.

This can be aa sign an abnormal condition necessarily simple cosmetic problems.

This can be sign of an abnormal condition also a very common complaint.

Standingindividuals may worsen symptoms.

Many ininthe thecirculation. circulation.InInaddition additiontotopain, pain,some some individuals may may be be at at risk risk for for chronic chronic people will notice the appearance of bulging legs and veins.

However, some swelling, permanent skin discoloration, open wounds even blood clots. swelling, permanent skin discoloration, open wounds and even blood clots. With With early treatment, long-term complications usually be people will onlyand feel discomfort but not notice anycan cosmetic earlydiagnosis diagnosis and treatment, long-term complications can usuallychanges. be prevented. prevented.

Treatment often the benefit of aesthetics, even in cases Treatmentvaricose oftenhas hasveins theadded added benefit ofimproving improving aesthetics, cases that that I are thought are just a cosmetic problem.

Is even thatintrue? not considered “cosmetic.” areItnot considered “cosmetic.” is important to understand that varicose veins and venous reflux Who varicose veins? are NOT necessarily cosmetic problems. This can be a sign of Whoisisat atrisk riskfor forsimple varicose veins?

Prolonged standing or sitting on one place, family history varicose veins, and Prolongedcondition standing orinsitting on one place,In family history ofpain, varicose veins, and an abnormal the circulation. addition toof some indibeing overweight are all known risks.

In addition, increasing age and pregnancy being overweight are all known risks.

In addition, increasing age and pregnancy viduals may be Some at risk for chronic swelling, permanent skin discoloration, are arerisk riskfactors. factors. Somepeople peoplemay maydevelop developvaricose varicose veins veins without without having having any any of of open wounds and even blood clots.

With early diagnosis and treatment, these known conditions. these known conditions. long-term complications can usually be prevented. Treatment often has How are varicose veins venous reflux diagnosed?

How arebenefit varicose veinsand and venouseven reflux diagnosed? the added of improving aesthetics, in cases that aare not An experienced vascular specialist can make the diagnosis An experienced vascular specialist can make the diagnosis with with a combination combination considered “cosmetic.” ofofa amedical medicalhistory, history,physical physicalexamination examinationand andaapainless painless vascular vascular test test called called aa Doppler (also asasaavenous Who is atultrasound risk for varicose veins?

Doppler ultrasound (alsoknown known venousduplex duplex scan.) scan.) Making Making the the correct correct diagnosis is essential in properly treating this condition. diagnosis is essential in properly treating thisplace, condition.

Prolonged standing or sitting on one family history of varicose veins, overweight allvenous known risks. addition, increasing How are varicose veins and reflux Howand arebeing varicose veinsare and venous refluxIntreated? treated? and Sometimes compression sufficient to symptoms age pregnancy are riskstockings factors. will Some may develop varicoseand Sometimes compression stockings willbe bepeople sufficient to control control symptoms and prevent complications.

When procedures are needed, current technology and prevent complications.

When procedures are needed, current technology veins without having any of these known conditions.

How long is the recovery In most cases invasive individuals can This minimally procedure is performed right in the office from vein treatment? return to their usual activities within in less than 30 minutes, In of most individualswith can no incisions, minimal discomfort, a day thecases procedure. and excellent return to their results. usual activities within Is varicose vein treatment a day of the procedure.

How long is the recovery from vein treatment? covered by health Is In varicose veinindividuals treatmentcan return to their usual activities within most cases insurance? a covered day of thebyprocedure. health Venous reflux disease is a medical condition. Therefore, in many cases, varicose insurance?

Isvein varicose vein treatment covered by health insurance? treatment is covered by health insurance.

An experienced vein treatment Venous reflux disease is a medical condition.

Therefore, in many cases, varicose Venous reflux diseasespecialists is a medical condition. in many center will have insurance who will work withTherefore, your insurance company vein treatment is covered by health insurance. An experienced vein treatment to confirm coverage. cases, varicose vein treatment is covered by health insurance. An center will have insurance specialists who will work with your insurance company experienced vein treatment center will have insurance specialists who to confirm coverage. will work with your insurance company to confirm coverage.

Visit www.GetGreatLegs.com Visitwww.GetGreatLegs.com www.GetGreatLegs.com VISIT • The The Venefit Closure Procedure Procedure • Microphlebectomy

• Sclerotherapy for treatment of spider veins • Excel V Vascular Laser for treatment of spider veins and unsightly facial veins • IAC Accredited Noninvasive Vascular Laboratory on site • Enlighten(TM) Laser Tattoo Removal

442 Bethel Road Somers Point, NJ 08244

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

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

May/June2019 2016 September/October 2021 September/October

Home Health Care

11

Breast Cancer In Seniors

By: Deborah Walsh, low or no health insurance or Corporate Director of Home Care Service, United Methodist Communities because, with new technology like targeted MRIs, women

feel that mammography is no longer effective.

When detected early, breast

cancer is treated successfully 98% of the time. However, breast cancer in seniors remains a very potent disease that will only be eradicated if women follow the recommended schedule and undergo annual mammograms. Recent statistics suggest the women are skipping these.

80% of all breast cancer occurs in women over 50 and 60% are found in women over 65. The chance that a woman will get breast cancer increases from 1 in 233 for a woman in the thirties, to a 1 in 8 chance for a woman in her eighties. The average age of diagnosis is 62.

Cancer is affecting more and more women, yet they are screening less, says Doctor Constance Lehman, professor of radiology at the University of Washington State School of Medicine. This could be due to the cost of an annual mammogram for women with

Routine doctor visits can prove challenging if a senior can’t drive or doesn’t have anyone to take her to appointments. This is quite significant with cancer treatment, as the senior must make six to eight weeks of daily trips to the hospital for radiation therapy.

Seniors over the age of 75 years old do not always receive appropriate treatment, improper assessment of functional age as well as lack of available data in older adults with cancer contribute to this.

Whatever your age, make annual screenings and a mammogram a part of your wellness plan.

For more information, call 732-838-1950 or visit www.UMCHomeworks.org.

In-home care for seniors.

Call today for a free in-home assessment.

732-838-1950 • UMCHomeworks.org.

54 Olin St, Ocean Grove, NJ

Happy Halloween!

Halloween Safety Tips For Kids: • Look both ways before crossing the street.

• Carry a flashlight.

• Only go to homes that have a front light on.

• Only accept treats at the door.

• Do not eat candy without your parents’ permission.

• Do not eat opened candy.

For Parents:

• Decorate children’s costumes with reflective tape or stickers.

If possible, choose a light-colored costume for them and use face paint, as masks can obstruct vision. Make sure the costumes fit and are not too long to prevent tripping.

• Children under the age of 12 should be trick-or-treating with an adult. If kids are old enough to go out without supervision, make sure they stick to familiar, well-lit areas.

• Always check your children’s candy before they eat it!

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

12

Elder Law Establish a plan, diffuse a crisis, or ask a question...

ANNEMARIE SCHREIBER, ESQ. Certified Elder Law Attorney*

has the knowledge and experience to help you!

Women and Estate Planning Oftentimes, both men and women have similar goals related to their estate planning. However, there are some unique challenges that women may experience as they age. These challenges revolve around financial well-being, health, housing and long-term care.

Moreover, these challenges are magnified for woman because they tend to live longer and may serve in a caregiver role for family members.

It’s important to examine how women can make their later years golden instead of worrisome by taking a few key estate planning steps.

To protect their assets and lifestyle, women need to prepare for their elder years. Because we don’t know what the future will bring, it’s essential to take care of these documents before an emergency arrives. Preparing an estate plan under the weight of sudden death, divorce, or health issue can be overwhelming at best and impossible at worst.

Almost half of all women over the age of 74 live alone, and one in nine of these women need assistance with daily activities. These numbers make it clear that women need to start planning early. Talk with your spouse or family members

Certified Elder Law Attorney, Annemarie Schreiber answered questions and offered informaton on the Caregivers First TV show, hosted by Lynette Whiteman, Executive Director of Caregiver Volunteers Of Central Jersey. The episode aired last December 12th on local TV stations (visit www.scannj.com for listings). It is also be posted on www.CLDDS.com.

and start preparing with the idea that a long life awaits you.

Find someone you can turn to and trust regarding financial and estate planning. It’s best to have built this relationship and created an estate plan before the need strikes unexpectedly.

The basic estate planning documents, including a Will, a Power of Attorney, and Advance Medical Directive are important for everyone tois have in place but ascare noted is also known as a health proxyitdirective, particularly advantageous forhealth women thesedirective. documents a durable power of attorney for careto or have an advance An in individual place. appoints a trusted person to be his or her representative in the event the creator of thebasic document no longerdocuments, make medicalsince decisions In addition to the estatecan planning thefor him- or of herself. majority caregivers are women, it’s vital to set up an estate plan that can provide fordocument continuity of care should something is a legal in which an individual states his or happen to the caregiver. her wishes regarding medical treatment and end of life care. An individual’s Not surprisingly, most residents in assisted facility preferences for medical treatment and end of life careliving are often included in and nursing homes are women. Planning ahead and speaking to an estate planning attorney about long-term care can save thousands of dollars. Fortunately, there are financial and estate planning tools available that can help protect a family’s assets.

The key is to start planning early.

T he elder law attorneys at Carluccio, Leone, Dimon, Doyle and Sacks can help you develop an estate plan that covers your needs as well as your families well into your golden years.

Estate Planning, Probate, and Administraton Wills and Trusts Powers of Attorney Advance Medical Directives Disabillity Planning

Guardianships/ Conservatorships Medicaid/Medicare Planning Asset Preservation and Protection Elder Abuse Cases

Healthcare Decisions Nursing Home Issues Social Security Counseling and Document Preparation Estate and Gift Taxes ...and More.

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

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Elder Law

13

Meet Annemarie Schreiber, Esq., Elder Law Attorney As an attorney specializing in elder law, Annemarie Schreiber epitomizes what it means to be an advocate. Elder law is a unique type of practice that touches on critical areas of the law from financial planning, estate planning, and other laws that affect senior citizens. Additionally, they take care of the day-to-day issues affecting the care of seniors whether that is housing decisions or money management. Before you actually hire someone to assist you (or a loved one), be sure you feel comfortable and confident that they will represent you in a loving and sensitive manner.

It is also worth noting that the federal government and individual states all have laws designed to protect older adults from elder abuse. Sadly, in some nursing homes and long-term care facilities the rates of elder abuse have been increasing. The abuse can include anything from physical or emotional abuse, to financial or material exploitation.

Finally, an elder law attorney will partner with you to explore the myriad of options for your loved one relating to their health and future. Occasionally, families are split on the type of care they want for their elder family members, but a third party objective opinion can reduce any conflict. It’s about receiving the best advice without any emotions influencing the decisions.

CW: Were you always interested in Elder Law?

AS: Elder Law is a practice area that has always piqued my interest. The thought of helping families and the elderly plan for the future was something I found highly rewarding.

CW: What is the most fulfilling aspect about your line of work?

AS: The most fulfilling aspect of my work is helping a family in an emergency situation. For example, this could be as a parent dealing with a sudden health issue but having none of the necessary legal documents in place to allow the family to assist. To help a family through a crisis is a personally gratifying experience.

CW: What are some common misconceptions about needing a Power of Attorney?

AS: A common misconception about a Power of Attorney is that people think they don’t need a written Power of Attorney. People mistakenly believe that because they gave verbal authorization to someone that it is good enough. However, in New Jersey, the law requires a Power of Attorney to be in writing.

CW: What would you advise potential clients about protecting their elders (with regards to estate planning).

AS: When it comes to estate planning, people tend to procrastinate. Often times they may have an unpleasant association of illness or death when they think of estate planning which causes them to delay putting a plan in place.

Family members should encourage their elderly relatives to talk to an elder law attorney. It is the attorney’s responsibility to help alleviate such discomfort by focusing on the positive benefits of planning and preparedness.

732-797-1600 www.CLDDS.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

f Medical Professionals

14

My Doctor Says I Have Hepatitis!

Written By: Omar Tamimi, WRITTEN BY: OMAR TAMIMI, MD, Chair, Division of Gastroenterology GASTROENTEROLOGISTS OF OCEAN COUNTY Community Medical Center

Hepatitis is an often-misunderstood condition of the liver that can, at times, be fatal. Proper management in its early stages can prevent long-term injury and liver failure.

What does hepatitis mean?

Hepatitis is a general term used to describe an illness caused by the inflammation of the liver itself. The individual cells of the liver become inflamed, which results in the dysfunction of the entire liver.

How did my doctor discover that I have hepatitis?

Hepatitis is usually first diagnosed by routine blood tests that measure quantities of proteins (enzymes) that are normally produced by liver cells. When these levels are high in the bloodstream, this suggests the liver cells have been damaged and are leaking the enzymes into the blood. Hepatitis is defined as acute or chronic, based on how long the inflammation has been present. Inflammation lasting greater than 6 months is considered chronic. Not all causes of hepatitis are capable of causing a chronic condition, for example, Hepatitis A infection.

What causes hepatitis?

There are many causes of hepatitis—too numerous to mention here. The most common causes are viruses; thus the frequent description of the diagnosis refers to it as a viral illness. The viruses that designate Hepatitis A, B and C are the most prevalent. Other common causes include hepatitis from excess fat in the liver, alcohol consumption, as well as ingestion of prescription and over-the-counter medications, such as acetaminophen. Our own immune system can also cause hepatitis by producing antibodies against liver cells.

Can I have hepatitis without symptoms?

Many, if not most, patients with hepatitis have no symptoms or are unaware of the symptoms they may be experiencing, which is why patients may be suffering a chronic condition and not even know it. Common symptoms, when they are present, include fatigue, fever, vague abdominal pain, dark urine and yellowing of skin and eyes. Acute hepatitis will cause symptoms in the patient more often than chronic hepatitis.

What testing will I need to undergo?

The vast majority of the investigation will involve extensive blood testing. This will allow your physician to narrow down the potential cause of your hepatitis. An ultrasound of the liver is almost uniformly ordered to evaluate the anatomy for any structural defects or growths, as an early part of the investigation. A biopsy of the liver is frequently required to determine the severity of inflammation, help isolate and exclude the cause as well as scarring from chronic inflammation.

This is usually performed under ultrasound or CT guidance.

How serious is hepatitis?

Acute hepatitis that becomes overwhelming can lead to liver failure and possible death.

Chronic hepatitis can lead to extensive scarring of the liver called cirrhosis. This may eventually result in liver failure or possible liver cancer.

Is hepatitis curable?

There are many causes for hepatitis with just as many treatment options. Your doctor will advise you on the appropriate treatment for your individual condition. Some medications can clear viral infections from the bloodstream with eventual eradication. This results in resolution of the hepatitis. Other treatments slow the progression of hepatitis to cirrhosis and liver failure.

Therefore the appropriate detection, identification and treatment of hepatitis is mandatory for good health.

In summary, hepatitis is an inflammatory condition of the liver caused by a variety of factors. The exact cause must be properly identified to optimize treatment regimens. This will minimize the likelihood of the long-term complications of liver disease.

Call today to schedule your appointment at Gastroenterologists of Ocean County.

The County Woman Magazine

“I cannot say enough, how everyone was kind and understanding. This was my first time using Dr. Tamimi and I now have become a patient for life.

There was no judgment from anyone. Thank you all, for being so caring.” ~ Wayne, age 51, Bayville

www.TheCountyWoman.com

“Dr. Tamimi and his staff are as good as it gets!” ~ Joseph, age 72, Waretown

“Everyone was just wonderful! If every doctor and his staff were like Dr. Tamimi and his staff, there wouldn’t be any complaints!” ~ Judith, age 68, Toms River

OMAR TAMINI, MD JILL COLLIER, MD EDGAR BIGORNIA, MD KENNETH GLAZIER, MD JAI MIRCHANDANI, MD TERESA MENADIER, MD

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Medical Professionals

The County Woman Magazine www.TheCountyWoman.com

15

September/October 2021

16

Pediatric Dentist

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Medical Professionals Medical Professionals November Is National Lung Cancer Awareness Month

17

Prostate Cancer: What every man should know

What You Need To Know

What you should know:

• If you are a heavy smoker, and have been smoking for

Did you know that lung cancer is the leading cause of cancer several years, ask your doctor if you need to do an deaths in both menthe and womenthat in the U.S.?

Approximately Among cancers only affect men, the most X-ray or a CT scan.

200,000important new casesone are isdiagnosed each year and than 27 percent prostate cancer.

Other skin cancer, • Ask your MD about different methods to help you quit of all cancer deaths are from lung cancer. prostate cancer is the most common cancer among men. smoking.

• If you are diagnosed with lung cancer, ask about the type of cancer you have, One out of cancer? eight men will be diagnosed with prostate cancer What causes lung stage and other features such as EGFR mutation. moking. Smoking is the number onehis risk factor for lung cancer. Even though non-smokers sometime during lifetime.

o get lung cancer, the risk is much higher in those who smoke. The more you smoke, the • What is your treatment plan?

What is the prostate gland? your risk.Anatomy: The likelihood of getting lung cancer decreases after you quit smoking. Tobacco • What are the side-effects of treatment?

Observation (watchful waiting) damages cellsThe in the lungs, causing cells abnormally.organs Regularinexposure prostate gland isthe one of to thegrow reproductive males. Ittois a small• Are walnutthere support services available?

Prostate cancer often grows very slowly and some men, especially older men with from someone cigarettes, orthe pipes (calledbladder second-hand smoking) shapedelse’s gland locatedcigars below urinary and in front ofcan theincrease rectum. Seminal Immunotherapy in lung serious health issues,cancer. may never need treatment for early-stage prostate cancer. They on’s risk ofvesicles, lung cancer, even if that they are non-smokers. the glands produce semen, are located just behind the prostate. Urine Over the last few decades, immunotherapy have been in the treatment of xposure tofrom asbestos.

Certain jobs such as shipbuilding, asbestos mining, insulation or may be observed with periodicagents monitoring of studied PSA and rectal examination. the urinary bladder and semen from the seminal vesicles enter a hollowmany tube cancers, including lung cancer. Several immunotherapy drugs are now approved for use. # otive brake repair cause exposure to asbestos.

Asbestosthe fibers can irritate lungs gland.

Surgery called themay urethra.

The urethra goes through middle of thethe prostate Our immune system fights cancer cells normally, and thus reduces the chance of use cancer. When combined with smoking, the risk of developing lung cancer is much Removing the prostate and surrounding tissues by surgery is one of the common Enlargement of the prostate can cause a blockage in the passage of urine.transforming Tumors normal cells into cancer cells. But this does not work always, as people with . treatments for prostate cancer is confined to thetherapy prostate.

Thisonprocedure is called or cancers originating from prostate canand also giverocks. similar symptoms. normal immune systems also develop cancer.

Thethat principle of immune is based adon. Radon is an invisible, odorless gasthe released by soil some Exposure to radical prostatectomy andefficiently can only destroy be done by skilled What you should boosting the immune system soknow: that it can cancer cells. urologic oncologists with are thecancer, symptoms prostate cancer?

What Need To Know levels of What radon can cause especiallyof lung cancer.You •expertise.

If you are a heavy smoker, and have been smoking for The use of immune checkpoint inhibitors has been a major breakthrough in cancer research.

Did you know that lung cancer is the leading cause of cancer Common symptoms are: several years, ask your doctor if you need to do an deaths in both men and women in the U.S.? Approximately at are the types of lung cancer?

Radiation These drugs help to take the “brakes” off the immune system, so that they can recognize and kill X-ray or a CT scan.

• Difficulty in urination new cases are diagnosed each year and 27 percent • Askeffectively. your MD about different methods to help you quitsimilar results as surgery in early-stage prostate There are two different types of lung cancer: small200,000 cell and non-small cell.

This difference is cancer cells more Radiation to the prostate yields of all cancer deaths are from lung cancer.

• A weak stream of urine smoking. on the type of cancer cells. Most lung cancers are non-small cell. Among the non-small OPDIVO,•cancer.

KEYTRUDA, and TECENTRIQ some ofreason theyouimmune checkpoint inhibitors If surgery for any or if the patient does not want to do If you are diagnosed with cannot lung cancer,be askdone aboutare the type of cancer have, What causes lung cancer?

• Waking up many times in the night to urinate stage other features as EGFRthese mutation. ng cancers, there are several subtypes: adenocarcinoma, squamous celloneand largeforcell. thatnon-smokers are used insurgery, lungandcancer.

Evensuch though drugs don’t have the typical side effects of Smoking. Smoking is the number risk factor lung cancer. Even though radiation would be an option.

• Blood in the urine or semencan also get lung cancer, the risk is much higher in those who smoke. The more you smoke, the • What is your treatment plan? they stillthecan causeofreactions smoking. Tobacco •Hormone therapy What are side-effects treatment? such as inflammatory disorders. at are the symptoms and signs?higher your risk. The likelihood of getting lung cancer decreases after you quitchemotherapy,

Medical Professionals

November Is National Lung Cancer Awareness Month

• Erectile dysfunction

smoke damages cells in the lungs, causing the cells to grow abnormally. Regular exposure to

• Are there support services available?

The prostate gland is responsive to the male hormone testosterone. Giving mptoms and signs coughing, hemoptysis (coughing up blood), shortness smokealso from someone else’sin cigarettes, cigarsenlargement or pipes (calledof second-hand can increase Someinclude of these symptoms can be seen benign of thesmoking) prostate Immunotherapy in lung cancer.cancer and the treatment of To learn more about lung a person’s risk of lung cancer, even if they are non-smokers. , chest pain, fatigue and weight loss. medications that decrease testosterone will indecrease Over the last few decades, immunotherapy agents have been studied the treatmentthe of growth of prostate cancer cells.

(BPH). It is important to see a doctor ofCertain thesejobssymptoms are asbestos present.

Exposureiftoany asbestos. such as shipbuilding, mining, insulation or many cancers, including lung cancer.

Several immunotherapy drugs are now for use.therapy (ADT). other cancers, contact Dr. Sarah Easaw atapproved 732-961-0010 or This can be often, the symptoms do not manifest until the cancer advanced.

Sometimes lung cancer automotive brakeisrepair may cause exposure to asbestos.

Asbestos fibers can irritate the lungs This mode of treatment is called androgen deprivation If not diagnosed and treated early, prostate cancer can spread to other places such Our immune system fights cancer cells normally, and thus reduces the chance of and cause cancer. When combined with smoking, the risk of developing lung cancer is much detected as a shadow in the lung on an X-ray done for other reasons. visit www.oceanhemonc.com. transforming cells into cancergiven cells. Butonce this doesanot work always, with done bynormal an injection month orasatpeople 3-to-4-month intervals. Some patients, higher.

as the bones, urinary bladder, rectum, and lymph nodes. Bone pain, pain during

Radon. Radon is an invisible, odorless gas released by soil and some rocks. Exposure to w is it diagnosed? urination, bleeding from the rectum, back pain areespecially otherlungpossible symptoms in higher levelsand of radon can cause cancer, cancer.

nce your later doctorstages. suspects that you have lungWhat cancer, will beofsent CT scans and in areyou the types lungfor cancer?

There are twoaccurately different types of lung cancer: small cell and non-small cell. This difference is cases, a PET scan.

A PET scan can detect cancer more than other tests.

The Who gets prostate cancer? based on the type of cancer cells. Most lung cancers are non-small cell. Among the non-small osis is confirmed by taking the suspicious lesions on thecancer.

X-ray or cellrisk lung cancers, there areseen several subtypes: adenocarcinoma, cell and large cell.in Men over 50a biopsy are at aofhigher of getting prostate It CT is squamous very rarely seen The scans also help to see if the cancer has spread to the anysymptoms other organs, asigns? process called What are and men under 40 years of age. Sixty Symptoms percentandofsignsprostate cancer occurs afterup the of 65. include coughing, hemoptysis (coughing blood),age shortness of asis. breath, chest pain, fatigue and weight loss.

Having a father or brother with prostate cancer increases a man’s risk of developing

Most often, the symptoms do not manifest until the cancer is advanced. Sometimes lung cancer there different stages? prostate cancer.

There are somecaninherited changes willforincrease be detected as genetic a shadow in the lung on an that X-ray done other reasons.the risk

aging is different for smallprostate cell andcancer non-small cellislung cancers.Examples Small cellare lung has or BRCA2 itfamilies. diagnosed? of developing inHow some thecancer BRCA1 Once your doctor suspects that you haveoutside lung cancer,the you lungs). will be sent for CT scans and in wo stages:genes limited stage (confined within the lungs) or extensive (spread (commonly known as thesome breast cancer and Lynch syndrome. cases, a PET scan. Agenes) PET scan can detect cancer more accurately than other tests. The on-small cell lung cancer has four stages: stages I to IV. Stage I is aabiopsy small tumor that is seen on the X-ray or CT is confirmed by taking of the suspicious lesions Early diagnosis can leaddiagnosis to cure scans. The scans alsoLarger help to seetumors if the cancerand has spread other ed to the lung, that has not spread to the lymph glands. thoseto any that areorgans, a process called Diagnosing prostate cancermetastasis. at an early stage is very important in planning the to the lymph glands come under stages II and III. When the cancer has spread to other therefrom different stages? to other organs. A simple blood right treatment and to prevent Are cancer spreading , it is stage IV. Staging is different for small cell and non-small cell lung cancers. Small cell lung cancer has

normal immune systems also develop cancer. The principle of immune therapy is based on boosting the immune system so that it can efficiently destroy cancer cells.

The use of immune checkpoint inhibitors has been a major breakthrough in cancer research.

These drugs help to take the “brakes” off the immune system, so that they can recognize and kill cancer cells more effectively.

OPDIVO, KEYTRUDA, and TECENTRIQ are some of the immune checkpoint inhibitors that are used in lung cancer. Even though these drugs don’t have the typical side effects of chemotherapy, they still can cause reactions such as inflammatory disorders.

depending on the stage of cancer, may need these injections even after surgery or radiation.

Chemotherapy Chemotherapy is used to treat prostate cancer in the later stages, where it has spread to other organs. learn more abouttreatment lung cancer andsurgery the treatment of To After definitive with or radiation, blood PSA levels are checked other cancers, contact Dr. Sarah Easaw at 732-961-0010 or periodically. If PSA levels increase, more tests should be done to see if cancer has visit www.oceanhemonc.com. relapsed or spread to other organs.

By regular physical examinations, annual PSA tests and being watchful of any new urinary symptoms, prostate cancer can be diagnosed and treated early; early-stage cancer is curable in more than 95 percent of patients.

test called PSA (prostate-specific is used as a screening test for prostate cancer. onlyantigen) two stages: limited stage (confined within the lungs) or extensive (spread outside the lungs).

Non-small cell lung cancer has four stages: stages I to IV. Stage I is a small tumor that is at are the options? treatment Prostate-specific antigen is confined a protein made bynotthe cells the prostate gland.

A that very to the lung, that has spread to the in lymph glands.

Larger tumors and those are

eatment issmall basedamount on the stage andisthe type of lung Small cancer iswith mainly spread to thecancer. lymph comecell underlung stages II and III. When the prostate cancer has spread to other of PSA normally found in glands the blood.

In patients cancer, it is stage IV. d with chemotherapy. In limited stage smallorgans, cell lung cancer, radiation can be combined this level is elevated. Having a high level will raise suspicion about cancer and will What PSA are the treatment options? hemotherapy.

Treatment is based on the stage and the type of lung cancer. Small cell lung cancer is mainly have to be followed up with more diagnostic tests. rly stage non-small cell lung cancer is best treated surgical Inresection. treated withby chemotherapy. limited stage An small experienced cell lung cancer, radiation can be combined levels under 4 normal ng/ml are usually seenthe inlymph benignglands conditions.

If the PSA level is with chemotherapy. n removes thePSA tumor, surrounding lung tissue and around it.

Early stage non-small cell lung cancer is best treated by surgical resection. An experienced morethe than 10 ng/ml, the chance of having prostate cancer is more than 50 percent. It fter removing tumor, cancer cells can remain and cause recurrent either inthethe surgeon removes the tumor, surroundingcancer, normal lung tissue and lymph glands around it.

Evenlevels after removing the tumor,to cancer cells can remainisand cause recurrent cancer, either in the more important to followradiation PSA annually see ifsurgery there anreduce increase compared self or in isother organs.

Chemotherapy, or both are used after to lung itself or in other organs. Chemotherapy, radiation or both are used after surgery to reduce to the baseline ance of recurrent cancer. levels. the chance of recurrent cancer.

Advanced stage lung cancer is treated with chemotherapy. The types of chemotherapy drugs dvanced stage lung cancer treated can withalso chemotherapy.

The types of chemotherapy drugs Some otherisfactors elevate levels, asofbenign used are based PSA on the type of lung such cancer, age the patient, enlargement other medical illnesses,of etc.the There is re based on the type of lunginflammation cancer, age of the other medical illnesses, etc.lung There is ongoing research to improve theprostate, outcome in patients with cancer. prostate (BPH), or patient, infection of the strenuous physical activities What’s new in lung cancer? ng research to cycling, improve the outcome in patients with lung cancer. like some urological procedures, and certain medications.

Targeted agents: Medicines that target certain proteins or receptors on the cancer cells

are being developed for the treatment of various cancers. These targeted attack the the prostate through a digital rectal examination is also anagents important at’s new inExamining lung cancer? cancer cells specifically, sparing other cells. Targeted agents cause less severe side effects than

Compassionate Cancer Care, Close to Home Sarah J. Easaw MD, FACP Board Certified Hematology & Oncology specialist Serving Monmouth and Ocean Counties for more than 15 years • Clinical expertise in the treatment of Cancer and Blood Disorders • State-of the-art Cancer Care, in a warm and personalized atmosphere • Easily accessible location, close to GSP • Affiliated with RWJ /Barnabas Health Medical Group, a multispecialty physician network.

measure in diagnosing prostate cancer. is doneon asthe partcancer of ancells annual physical rgeted agents: Medicines that target certainchemotherapy. proteins This or receptors A few different targeted agents are found to be beneficial in lung cancer. Tarceva (erlotinib) ng developed for the treatment various cancers.

These targeted agents attack the examination in men of over 50. The size of the prostate gland as well as the shape, and is a drug that works in certain types of lung cancers carrying a mutation in a receptor called EGFR. A newbe drug called crizotinib wasside approved recentlythan for the treatment of lung cancer that cells specifically, cells.or Targeted agents cause less severe effects presencesparing of anyother nodules tumors can assessed through this. carries a gene called ALK fusion oncogene. therapy. Confirming the diagnosis requires Treating Patients and Families with Respect and Care… biopsy of Even theamong prostate gland.

This can be done No two tumors are alike! lung cancers, there are different distinguishing features.

Your oncologist chooses the type Tarceva of treatment(erlotinib) based on a number of factors, including few different targeted agents are found to be beneficial in lung cancer. by cystoscopy (tube through the urethra) or through the rectum. the cell type, stage, different biological markers on the cancer cells, and your other medical Ocean Hematology & Oncology ug that works in certain types of test lung cancers carrying acancer? mutation in a receptor called problems.

When should we for prostate . A new drug called crizotinib was approved recently for the treatment of lung cancer that The County November/December 2018 For those at average risk, screening forWoman prostateMagazine cancer should start at agewww.TheCountyWoman.com 50. a gene called ALK fusion oncogene.

Those who are at increased risk by having a first-degree relative with a diagnosis of o two tumors are alike! Even among lung cancers, there are different distinguishing prostate cancer undergoing at age 45 or even 40 if the risk is es. Your oncologist choosesshould the typestart of treatment basedscreening on a number of factors, including 1255 Route 70, 31S • Lakewood, NJ 08701 higher. l type, stage, different biological markers on the cancer cells, and your other medical Treatment of prostate cancer ms.

732-961-0010

Treatment depends on the stage of cancer, age of the patient, and other medical www.TheCountyWoman.com

County Woman illnesses that mayMagazine affect life expectancy.

Visit our website: www.oceanhemonc.com November/December 2018

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September/October 2021

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Medical Medical Professionals Professionals

37

3D Mammography Mammogram Recommendations Breast cancer is the second leading cause of death At whatwomen. age should getting among One Iinstart 8 women willscreening develop breast cancer in her lifetime. Each year it is estimated that over mammograms?

252,710 women inCollege the United States will be diagnosed The American of Radiology (ACR) and Society with breast cancer and more than 40,500 women will of Breast Imaging (SBI) recommend that women start die from the disease. This is why early detection is so getting annual mammograms agefive-year 40. The survival American important.

With early detection,atthe rate is nearly 100%.

The latest weapon in the fight against Cancer Society (ACS), US Preventive Services Task Force breast cancer is 3D mammography (also known as breast (USPSTF), ACR and SBI agree that this approach saves tomosynthesis). This new technology has increased early the most lives. detection over traditional mammograms, especially in women with dense breasts. Greater accuracy means better breast cancer detection. starting at age 50 and But the USPSTF recommended

only getting mammograms every other year?

Q: What is a 3D mammogram? is it different from Published analysis shows thatHow following these USPSTF regular mammograms? guidelines would miss approximately a third of cancers A: 3D mammogram--also called breast tomosynthesis--is one of the most and forms resultof in 6,500–10,000 breast cancer advanced breast cancer detection. additional It uses a very low level of radiation to deaths each year.” take multiple pictures of the breast. The x-ray tube moves over the breast in an

arc, capturing multiple images of each breast from different angles. A computer reconstructs these pictures to create a 3-dimensional picture of the breast. A regular What istakes screening breast ultrasound for? mammogram a single picture of the breast.

Many women, especially younger women, have Q: What is the advantage of 3D mammogram? dense breast tissue. This normal breast tissue can hide A: One of the challenges of interpreting mammograms is normal dense breast There are some cancers that cannot bebreast tissuesmall hidingcancers. breast cancer.

Additionally, overlapping areas of normal dense tissueseen can look This is why detecting breast cancer in with womenbreast with dense on suspicious. mammograms that can be detected breasts is more difficult. The 3-dimensional images of breast tomosynthesis help ultrasound. Women who have been told that they decrease the tissue overlap that can obscure cancers. It also helps distinguish normal have dense breasts overlapping breast tissue frommay breastbenefit cancer. from a screening breast Studies have shown that 3D mammograms significantly improve the ultrasound in addition to their annual mammogram.

This detection of breast cancer, especially in women with denser breast tissue. It also be discussed primary care physician. pickscan up breast cancer at anwith earlier your stage, which may be missed by traditional mammography. 3D mammograms find 20-65% more invasive breast cancers compared to traditional 2D mammograms, with an average increase of 41%.

Q: Is there increased radiation performing a 3D mammogram?

A: Mammograms expose patients to very low levels of radiation. The level of

Dr.mammogram Paul Fangis the same as that from a traditional radiation exposure from a 3D mammogram. So a patient receives all the benefits without any increased risk.

With traditional mammograms, when a radiologist finds an area that is

suspicious, patients need to be called back for additional views. The multiple images created by 3D mammograms have such increased accuracy that there is decreased need for this. On average 3D mammograms reduce callbacks by up to 40% compared to traditional mammograms. This means less radiation exposure, increased convenience for our patients, and more peace of mind.

Cancer in this breast is difficult to detect on this standard mammogram.

Q: What can I expect when having a 3D mammogram?

A: The process of having a 3D

mammogram is the same as a conventional 2D exam. The technologist will position you, compress your breast, and take images from different angles. There’s no additional compression required, and it only takesIa benefit few extra seconds.

Would from getting

Using 3D mammogram technology, the a 3D-mammogram? cancer was able to be Q:3D-mammography, or tomosynthesis, is a new type of Do insurance companies clearly seen.

digital mammography that produces 2D and 3D images. cover 3D mammograms?

Tomosynthesis hasprivate beeninsurers, showncover to noticeably increase A: Medicare, and many 3D mammograms.

In the past, not all private insurance companies covered 3D mammograms.

However, in August the ability of radiologists to detect cancers and reduce 2018, New Jersey enacted a mandate requiring nearly all the major health insurers the need return imaging for findings that turn out to cover 3D for mammograms. to be benign. All mammograms at Toms River X-ray are Toms River X-ray has been performing mammograms performed high- quality tomosynthesis and servingusing the community for3D over 30 years. Ourand 3D are interpreted isbythe our radiologists with the assistance of mammogram latest on the market and has the most advanced technology.

It istechnology. our missionAnd to provide thethe very computer-aided detection to get all best for our patients. We thank you for trusting us with your benefits of a 3D-mammogram, the patient doesn’t have health and the health of your loved to do anything differently at the visit compared with the ones.

We look forward to offering traditional mammogram! you this significant advance in breast cancer screening.

If you have additional questions or would like more information, Cyrus Khorrami, please callM.D. our Medical Director office at 732-244-0777.

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

732-244-0777

PET/CT Ultrasound CT Scan Diagnostic X-Ray

1.5 T and 3 T High Field Open Bore MRIs 3-D Mammography Nuclear Medicine Bone Densitometry

Deer Chase Professional Park • 154 Route 37 West • Toms River, NJ 08755 • Fax: 732-244-1428

www.TomsRiverXray.com5

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September/October 2021 September/October 2018

Medical Professionals

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September/October 2021

Advocacy

20

At Advocates in Action our mission is clear, being a voice for those who don’t have one.

We accomplish this through employment advocacy and encouraging everyone to embrace their story.

We have 4 main ways that we serve our mission:

Everyone Can Work or ECW. This is where all things employment services are done. We offer Supported Employment, Prevocational 1:1 and Career Planning services through ECW. Visionary Ink Studio, or The Studio as we refer to it, is AIA’s first Creative Retail Space. The Studio is printing with a purpose, and bringing Vision to Life with INK. We are committed to the mission of employment inclusion and bringing the creative workspace to individuals with a variety of abilities.

Innovative Learning Academy or ILA. All things learning happen here! ILA is home to our interactive Learning Management System, where we provide small group Pre-Vocational Training, along with self paced learning on a variety of topics from Leadership to Job Readiness.

34 Main Street • Suite 1A • Toms River, NJ 08753

The Influentials Podcast. Where we take our mission of Being the Voice to the Airwaves. The mission of the podcast is to share the groundbreaking stories that shape all of our lives.

Joy began her career working within the special needs community, she has dedicated her career to advocating for those who need support in finding their voice.

Joy founded Advocates in Action in 2016, with the mission to Be the Voice to those who don’t have one, via employment and learning services.

Joy

609-384-9309 • Info@Advocatesinaction.com

www.advocatesinaction.com • https://www.facebook.com/AdvocatesGlobal • https://www.instagram.com/advocatesglobal/ •https://soundcloud.com/theinfluentials

Certified Life Coach

Unfertility Coach

Helping Women Get Off The Hamster Wheel Of TTC (Trying To Conceive) In Order To Live Life Again!!!

Jessica Supports Those Who Feel Stuck In Life Find Clarity and Direction.

Jessica L. Conrad, M.A., B.A. Certified Professional Coach

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She Specializes in helping women with Infertility regain control of their lives by moving past the endless cycle of TTC. Jessica will help you remember who you were before the draining journey of TTC. Learn to Boost Your Confidence, Self Esteem, be Happy , and love yourself again. Learn what is holding you back so you can move forward.

Jessica L. Conrad, Certified Life Coach and Women’s Health Advocate, supports all women at a crossroads in life to find clarity and direction. With a specialization in Infertility, Endometriosis, and other Reproductive Diseases, Jessica works to discover what is standing in your way!

Jessica helps you figure out your goals and make a plan to reach them. She is your own personal Cheerleader! She holds you accountable!

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“ If you are seeking to restore and/or gain self-confidence, embark on and/or embrace change, and live a life of positive and present mindfulness, Jessica is the coach I would recommend to walk beside you.” ~ Alix

Jessica L Conrad, Life Coach M.A., B.A., Certified Professional Coach Jessicalconrad.com • Info@jessicalconrad.com • 888-934-5264 Jessica L Conrad, Life Coach

jessicalconradlifecoach

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Medical Professionals

Could I Have Polycystic Ovary Syndrome (PCOS)?

What is PCOS?

Polycystic Ovary Syndrome (PCOS) is a common reproductive disorder in women, affecting approximately 4-12% of reproductive age women. It is found in both normal weight and overweight/obese women and can present with varying symptoms—the most common of which is infrequent or absent menstruation. There is some evidence of a genetic predisposition to developing PCOS, as first-degree relatives of women with PCOS are at increased risk of having PCOS as well.

What are the symptoms?

PCOS symptoms include a history of irregular menstruation, varying degrees of male pattern hair growth (hirsutism), and acne. Menstrual changes can range from irregular, infrequent, to even absent menstrual bleeding. As the time between periods increases, so does the risk for developing precancerous changes and ultimately uterine cancer. Therefore, women with irregular cycles should consult their gynecologist so they may be properly evaluated for these potential conditions.

How is PCOS diagnosed?

Women with PCOS are diagnosed after obtaining a detailed medical history, performing a physical exam and pelvic ultrasound, and relevant blood testing.

Medical history is consistent with either irregular or missed menstrual periods, and/or increased male pattern hair growth and adult acne. Ultrasound findings may include enlarged ovaries with numerous small follicles (fluid collections). Blood testing may reveal high levels of male hormones such as testosterone.

What causes PCOS?

The exact cause of polycystic ovary syndrome is unknown. PCOS is thought to stem from alterations in ovarian hormone production which creates an increase in the level of male hormones. These hormones disrupt the feedback system to the brain and also result in insulin resistance.

What are the long-term health risks?

PCOS is associated with several long-term health risks including diabetes mellitus, high cholesterol, and cardiovascular disease. Therefore, it is recommended that women with PCOS be screened for these disorders, so that early intervention can be implemented.

How does PCOS affect fertility?

The fundamental fertility issue in women with PCOS is a lack of regular ovulation, which is a critical component to successful conception. Fertility medications can improve the chances of ovulation and achieving a successful pregnancy. In addition, weight loss in the overweight woman with PCOS can increase the chances of spontaneous ovulation and pregnancy.

How is PCOS treated in women not interested in pregnancy?

In women not attempting pregnancy, menstrual irregularity is often treated through the use of oral contraceptives. When abnormal hair growth is the primary concern, oral contraceptives, with or without the addition of anti-androgen medications, can directly inhibit hair growth. Excess hair can be removed through shaving, tweezing, waxing or the use of electrolysis and laser treatment.

In the case of insulin resistance, the use of metformin may be indicated to help restore normal glucose parameters, and this treatment option is also safe and acceptable in women interested in becoming pregnant.

At the Reproductive Science Center of New Jersey, we are available to answer your fertility questions, perform a complete fertility evaluation, and discuss individualized options for conception—all in a comfortable and caring setting. We are a full service fertility center experienced in all the latest technologies and look forward to helping you achieve success, whatever your goals.

For more information call our Eatontown office number at 732-918-2500 or visit www.FertilityNJ.com.

National Grandparent’s Day

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Helping Small Miracles Happen

• Comprehensive Fertility Care • InVitro Fertilization (IVF) • Intrauterine Insemination • Intracytoplasmic Sperm Injection (ICSI) • Preimplantation Genetic Testing • Egg Freezing • Donor Egg • Treatment for Recurrent Pregnancy Loss • Advanced Robotic Reproductive Surgery

The Compassionate Connection

Pictured (L-R): Dr. William F. Zeigler • Dr. Alan M. Martinez

We are Open and Offering Telehealth Appointments Eatontown • Toms River • Lawrenceville

732-918-2500 • FERTILITYNJ.COM

Personalized Treatment Plans Free Phone Consultations

National Grandparent’s Day Sunday, September 12th

Throughout our history, grandparents have guided their children and grandchildren through trial and triumph. For many of us, our grandparents were among our earliest teachers and caregivers. They have added immeasurably to the strength of our families, and with compassion and wisdom, they have enriched our lives with the stories of those who came before us. On National Grandparent’s Day, we give thanks to those who helped raise us and pay tribute to a generation that still inspires us toward brighter horizons.

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Health & Wellness

22

Easing The Challenges Of Cancer With Hypnosis And Coaching

Hypnosis for Women Professional Hypnosis & Coaching Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com

Hypnosis is often used as an adjunct to traditional cancer care to help create an overall sense of wellbeing and comfort. Having cancer can be life-changing, but it doesn’t have to be life-diminishing. The combination of hypnosis and coaching can significantly help individuals deal with the many aspects of their condition, and assist them in embracing life.

For many people, a diagnosis of cancer brings about feelings of fear, stress, and helplessness. It raises a lot of questions… What will happen to me? What doctor / hospital should I choose? What treatment should I select? How will my family cope?

What might the financial toll be?

Hypnosis and coaching can help ease the physical and emotional effects of cancer. It has been described as “the most potent non-pharmacological relaxant known to science.” Entering a hypnotic state creates feelings of calm and well-being. The more it’s practiced, the more positive the results. The National Institutes of Health, along with other major research and educational institutions, have demonstrated its ability to help patients by:

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

• Reducing stress and improving clarity • Minimizing the side effects of treatments • Enhancing the ability to manage discomfort • Releasing the fear of procedures, treatments, and surgery • Promoting a sense of empowerment and well-being In one study of 200 women undergoing breast cancer surgery, researchers found that pre-surgery

Hypnosis For Women ❀ ❀ ❀ ❀

Weight Control Smoking Cessation Relaxation/Comfort Fear Release

hypnosis reduced the amount of anesthesia required during the procedure, post-surgical pain, and the overall time and cost of the procedure. Patients reported less emotional upheaval, nausea, and fatigue afterward.

During meetings with a certified hypnocounselor, the client has the opportunity to share her concerns, and discuss goals and expectations with regard to her sessions. She will be gently guided into a hypnotic state, which creates feelings of relaxation and wellbeing, and a variety of techniques are used to further promote positive feelings and a sense of optimism.

Through the use of reinforcement recordings, selfhypnosis, and centering breaths, the client furthers her own ability to feel better.

Practitioners also help with pain management by using an array of techniques that train the subconscious mind to avoid anticipatory pain and alter the perception of pain. For some people, the side effects of treatments are difficult to handle.

As a person becomes proficient in entering a state of hypnotic relaxation, physical comfort tends to increase; and hypnotic suggestions make the treatments more tolerable and able to be viewed without fear.

Hypnosis is an efficient, holistic, and empowering modality. It works optimally for people who truly want to change, believe that with the right tools and techniques they are capable of creating change, and understand they need to be a partner in the process.

For a brief No-Charge Phone Screening Consult, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.

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

PROFESSIONAL HYPNOSIS AND COACHING SERVICE ❀ ❀ ❀ ❀ ❀

Focus/Concentration Sleep Improvement Studying/Testing Lifestyle Changes Interviewing/Auditions

❀ ❀ ❀ ❀ ❀

Athletics Public Speaking Flying/Driving Socializing Confidence

Make Your Mind Work For You – Instead of Against You

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

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Business Spotlight

23

Meet Hypnosis For Women Director, Rhoda Kopy CW: What are the most popular reasons people come to see you?

Rhoda: My clients are people dealing with ordinary life issues who have made a courageous decision to get unstuck, feel better about themselves, and move forward with their lives. Using this technique allows them to release the barriers that have been holding them back. Among the most common issues that bring people to my office are stress management, sleep quality, smoking cessation, weight management, pain relief, and life balance. People also come to release fears – like fear of flying, driving, public speaking, enclosed spaces, and socializing, to name a few. Enhancing performance (sports / academic) and building self-confidence are also areas that many people choose to work on.

CW: Can you explain how this technique works physically and mentally?

Pictured L-R: Annemarie Schreiber, Rhoda Kopy & Dr. Kathy A. Banks

Rhoda Kopy has always been fascinated with the inner workings of the mind, specifically with factors that influence behavior. As a young girl, she was shy, overweight, and terribly self-conscious. As she matured she began reading motivational books and started applying what she learned. She says, “I pushed myself to venture out of my comfort zone and embrace life more fully.” After college, Rhoda was drawn to helping others access their innate strengths, and provide them with techniques to help them move forward. She credits her positions in community health education and coaching with affording her that opportunity.

CW: What attracted you to this line of work?

Rhoda: About 18 years ago, I saw a hypnosis professional to help manage a nighttime eating issue. I was so intrigued with the results and the process that I completed a training program in Advanced Clinical Hypnosis, at a state-licensed school. Between my prior positions and academic background in health sciences and biomedical communications, I felt I had a solid foundation for a career as a consulting hypnotist and wellness coach. I’m delighted to say that I’ve become the mentor I wish I’d had – and it’s been an amazing, fulfilling journey.

Rhoda: After completing an intake process to understand challenges and goals, I gently guide the client into a state of hypnotic relaxation, which is very much like a daydreaming or pre-sleep state. The subconscious mind is then more accessible and receptive – the imagination more powerful. The logical, often limiting mind, moves to the background. Clients can more easily sense, feel, imagine, and accept what’s being suggested – which is always consistent with their stated goals.

A variety of different tools and techniques are used to release barriers and spur success. Physically, muscle tension decreases, blood pressure and pulse rate decrease, and brain wave activity slows down. Sessions are both relaxing and empowering, and clients leave each meeting with the sense that they are indeed capable of accomplishing their goals.

CW: How often do clients come back to see you? What is the recommendation?

Rhoda: People come to my office because they want to change something that’s been problematic to them for a long while. While this is an efficient modality, it requires reinforcement and repetition to neutralize negative patterns and instill smarter, healthier ones. I suggest that clients commit to at least three hypnosis sessions. Three to six sessions are effective for most people, although much depends on the client and her level of motivation and involvement in the process. This is a comprehensive approach; and each client is taught centering techniques, provided with one or several recordings for reinforcement, and is instructed in self-hypnosis.I always encourage clients to continue to practice what they’ve learned, in order to help them stay centered and effectively deal with challenges.

CW: What kind of personality does hypnosis work best for?

Rhoda: This works optimally for a person who is motivated to change and who has thought about the benefits of making that change. Someone who understands that this is a process and is willing to be a partner in the process is an ideal candidate. My first phone discussion with a potential client allows me to determine if she’s a good candidate. I want this to be a rewarding experience for every person who uses my services. .

732-270-0080 • www.HypnoForWomen.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Medical Professionals

24

New Wh iting er /Manchest Location in Ocean County!

University Urology Associates of New Jersey is Proud to welcome Nabet G. Kasabian, MD to the group.

Telehealth appointments available for your safety

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Medical Professionals

25

Paonessa Colon And Rectal Surgery Practice Announces A New Location For Our Manahawkin Office Nina Paonessa, DO, FACOS Highly Skilled. Thorough. Passionate.

Committed. Time and time again, patients of Nina Paonessa, D.O., F.A.C.O.S., a fellowship trained colorectal surgeon, describe her with these words.

It’s no wonder that droves of people from Ocean and Monmouth Counties and beyond are seeking out Dr. Paonessa for their colorectal care.

The only female colorectal surgeon in the area, Dr. Paonessa is known for her expertise and patientcentered care. She has quickly established herself as the area’s “go to” colorectal surgeon. Her private practice, is now pleased to announce the opening of a second office location in Manahawkin, NJ to better serve her patients. The office is conveniently located at 1301 Route 72 West, Suite 240 in the Health Village Building with ample parking. This office provides easy access for patients in Southern Ocean County. Simply call the main office number: 732-282-1500 to make an appointment.

Dr. Paonessa specializes in the evaluation and treatment of patients with colon and rectal conditions/diseases and frequently performs laparoscopic surgery for her patients. She also offers conservative and minimally invasive treatment options for many common anorectal disorders. Many of the treatments can be performed right in the office and are painless. Dr. Paonessa frequently explains to her patients that “just because I am a surgeon, doesn’t mean everyone needs a surgery. There are other options I can offer you.” Dr. Paonessa has been named Proctologist of the Year by the American College of Osteopathic Proctologists, awarded the Patient’s Choice Award and the Compassionate Doctor’s Award by Vitals.com for 13 consecutive years, and is on the HealthGrades Honor Roll.

Who should make an appointment with Dr. Paonessa?

People experiencing conditions or diseases including rectal pain or bleeding, colorectal cancer, fecal incontinence/pelvic floor disorders, hemorrhoidal disease, polyps, fissures, rectal prolapse, pilonidal disease, rectocele, or inflammatory bowel disease.

How can patients best prepare for the first appointment?

Patients will be asked to provide a medical history, which is carefully reviewed in conjunction with a comprehensive examination. Dr. Paonessa will review all previous records and x-rays. Based on this, your medical history, consultation with your other doctors, and careful evaluation, she will provide a diagnosis and recommend the best medical approach. Dr. Paonessa believes in integrated healthcare and will coordinate with all of your physicians throughout the entire process to ensure the most thorough care possible.

What is Dr. Paonessa’s philosophy on patient care?

As a solo-practitioner, Dr. Paonessa believes in patient-centered care and a personalized approach. Her staff knows all of their patients by name, and they are dedicated to maintaining the integrity and dignity of their patients. All of the examination rooms are very private and they strive to make all of their patients comfortable at all times. Although medical conditions related to the colon and rectum can be an awkward topic, it is an important issue that can’t be ignored. Dr. Paonessa is sensitive to her patients’ concerns and dedicates her full attention to everyone she treats.

Once a diagnosis and surgical recommendation is made to a patient, Dr. Paonessa and her staff handle the preparation arrangements. By the time the patient leaves the office, he/she will have everything required to take the next steps towards his/her surgery. If he/she needs to see a cardiologist or urologist or needs to get an x-ray or test, the office will coordinate those appointments. Dr. Paonessa is dedicated to supporting her patients through the entire colorectal surgery process so they are never overwhelmed.

Is a referral required in order to make an appointment? Although Dr. Paonessa gets many referrals from primary care physicians and other specialists, many patients schedule appointments on their own, without a referral, if they are experiencing any symptoms of the conditions listed above.

What insurance plans are accepted?

While most insurance plans are accepted, it’s best to check with your insurance company. Feel free to call Dr. Paonessa’s office at (732) 282-1500 for assistance.

What happens if it’s determined that surgery is recommended? Following the initial examination, Dr. Paonessa will arrange for a consultation with the patient and their family members, as she feels it is important for every patient to have a strong support system when he/she is facing a difficult medical issue.

Dr. Paonessa will explain the surgery in detail and draw a diagram to help the patient understand exactly what the surgery will entail.

What is the post-surgical recuperation like? While this is contingent upon the type of procedure, Dr. Paonessa’s goal is for every patient to return to his/ her previous level of functioning. Dr. Paonessa remains closely connected with her patients throughout the entire post-surgical process, including cancer patients, to conduct regular check-ups and post-surgical testing according to the guidelines of the American Society of Colon and Rectal Surgeons and the National Cancer Institute.

PATIENT TESTIMONIAL As an 80 year old man that spent years working in the medical field, I can say without hesitation that I have never met a more dedicated doctor in my entire life.

Dr. Paonessa is an outstanding surgeon and she literally saved my life when I was diagnosed with colon cancer. She even called me at home on a weekend after I was discharged to see how I was doing. She is a loving and caring person and if I had to undergo surgery again, Dr. Paonessa is the doctor I would choose. – Gordon F.

Colon and Rectal Surgery

Board Certified in General Surgery and Proctology • laparoscopic surgery • abdominal/pelvic surgery • fecal incontinence • endoanal/rectal ultrasound • anorectal surgery

603 Higgins Avenue Brielle, NJ 08730

The County Woman Magazine www.TheCountyWoman.com

• pelvic floor disorders • office proctology • anorectal manometry/ physiology

1301 Route 72 West, Suite 240 Manahawkin, NJ 08050

Phone: (732) 282-1500 • Fax: (732) Office Hours: M-F 9AM to 5PM

292-9600

www.paonessacrs.com September/October 2021

26

Medical Professionals

Oral And Maxillofacial Surgery In Dr. Banks’Medical Office:Profess It’s More Than Just Wisdom Teeth #

Wisdom teeth, or third molars, can be troublesome and painful if there is not enough space for the teeth to completely erupt into the mouth into a useful position. Wisdom teeth that have not surfaced out of the bone through the gums into the mouth are called impacted teeth and usually will need to be removed to prevent gum disease and other types of infections and cysts from forming.

Sometimes other teeth do not erupt into Kathy A. Banks, DMD the mouth properly, and this is generally noted when a child is in what we call the “mixed dentition” phase (when there are some baby teeth and some adult teeth).

Impacted teeth can occur anywhere in the mouth: incisors, canine teeth, bicuspids and molars. In most cases, once the child is under the care of an orthodontist, Dr. Banks will assess the position of the tooth in the jaw precisely with a cone beam CT scan in the office, and will show the patients and the parents where the tooth is and determine whether it is possible to move the tooth with orthodontic traction or whether the tooth is so badly positioned in the jaw that it must be removed.

If the impacted tooth is a candidate to be moved orthodontically, Dr. Banks will discuss and plan a procedure to expose the tooth crown and to bond a special orthodontic bracket with an attachment for the orthodontist to use to move the tooth into its correct position. These procedures are performed in the office with the comfort of sedation anesthesia.

If the unerupted or impacted tooth cannot be moved orthodontically, then Dr. Banks will discuss and plan a surgery to remove the unerupted or impacted tooth, and together with the orthodontist, Dr. Banks will discuss options for future tooth replacement.

Extra teeth: Some patient have extra teeth, called supernumerary teeth.

These can occur anywhere in the mouth and usually need to be removed, especially when the presence of the extra tooth is impeding the eruption or causing damage to the other teeth. The supernumerary tooth could be impacted, as in the case of a mesiodens, an extra tooth that forms in between the two upper front teeth. If the supernumerary tooth is impacted, Dr. Banks will assess the position of the supernumerary tooth in the jaws with a cone beam CT scan in the office, so that surgical removal can be discussed and planned. Dr. Banks removes supernumerary teeth in the office setting or the operating room, depending on the difficulty of the procedure.

Some patients have congenitally missing teeth; that is when all the teeth don’t develop. This condition is also called partial agenesis of teeth.

Upper lateral incisors and lower second bicuspids are common areas for this condition to occur, but it can occur in any area of the mouth. In some cases, the primary tooth, if present, will be retained until the patient matures and facial bone growth is complete. At this stage, using a cone beam CT for guidance, Dr. Banks will coordinate with the dentist and orthodontist, and a plan will be formulated to remove the primary tooth and place an implant restoration in the area to replace the tooth.

In all these situations, Dr. Banks will coordinate care with your orthodontist and your general dentist to ensure the optimal outcome and experience. As a Board-Certified Oral and Maxillofacial Surgeon and board certified by the National Dental Board of Anesthesiology, Dr. Banks is your surgical expert in conditions of the face, mouth and jaws.

Call Dr. Banks Today!

609-488-2325 • www.drbanksoms.com

Kathy A. Banks, DMD

www.drbanksoms.com

Board Certified Oral & Maxillofacial Surgeon

• Bone Grafting • Dental Implants • General and Intravenous Anesthesia • Jaw Pathology and Reconstuctive Jaw Surgery

Specialty Lic #4070

Your Expert in the Face, Mouth & Jaws 609.488.2325

249 S. Main Street • Barnegat , NJ • 8am - 5pm Mon. - Fri.

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

September/October 2021 www.TheCountyWoma

Medical Professionals

27

Meet Oral Surgeon, Dr. Kathy Banks conditions involving the face, mouth, teeth and Dr. Kathy Banks is considered jaws on patients of all ages. I am also trained a valued leader in her field of and licensed to provide sedation and general Oral and Maxillofacial Surgery anesthesia. I provide surgical care in my office among her peers. In 2017, she as well as in the hospital setting. Because of took the helm of the Oral and this wide scope of practice, every day presents unique challenges in patient care. This is Maxillofacial Surgery Foundation especially rewarding for me and one of the Board of Trustees, the nation’s only many reasons I love what I do. foundation strictly dedicated to funding research, innovation, and CW: What does a typical day look like for you? educational endeavors limited to Dr. Banks: There are no “typical days” but we improving patient care within the schedule surgery and consultations in the office specialty of oral and maxillofacial Monday through Friday. Most patients come to surgery. The Foundation raises our office for the special care and concern we have for our patients. I am also on-call for two funds and grants an average Kathy A. Banks, DMD hospitals, so things can be hectic at times. of $750,000 per year to worthy programs. Dr. Banks serves on CW: How has the pandemic changed many boards and continues to the way you work and your office protocols? educate herself in this constantly evolving field.

Dr. Banks: As for our infection control and PPE procedures, what we already were doing superseded the official recommendations.

She remains enthusiastic about continuing We added n-95 mask protection to our PPE, instituted practices education and also teaches comprehensive that would allow for social distancing; and included air purification courses for dental hygienists and assistants. systems to our units. We included temperature and travel screening Her expertise ranges from dental implant surgery, wisdom tooth removal, soft tissue and bone injuries to the facial and jaw region, and TMJ conditions and pathology.

However, she says the best feature of her office is the staff. “Our friendly, competent and knowledgeable staff make our patients feel extremely comfortable upon their arrival,” she adds. They actively try and make each visit as positive as possible under the circumstances. She says, “We understand that the prospect of needing surgery often evokes unpleasant feelings of anxiety but we make every effort to try and alleviate your fears.

CW: What attracted you to this line of work, specifically oral surgery?

Dr. Banks: The dental specialty of Oral and Maxillofacial Surgery bridges the gap between medicine and dentistry; treating most

for staff and patients, as well as encourage vaccination.

CW: How do you calm a nervous patient?

Dr. Banks: We understand the prospect of needing oral surgery can evoke unpleasant feelings of anxiety and trepidation. My well trained and friendly staff will put you or your loved one at ease, and we also offer sedation and general anesthesia for patients of all ages, in a safe and clean setting.

CW: What is the most satisfying part of your job?

Dr. Banks: I love every challenge that comes my way, whether it’s a frightened child needing teeth removed, or a patient in pain with a jaw or facial fracture. Sometimes our patients who need implant surgery or wisdom teeth removed can be quite anxious as well. My reward comes when my patient is happy, healthy, and healed.

249 S. Main Street •Barnegat , NJ • Specialty Lic #4070

609-488-2325 • www.drbanksoms.com

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

28

Community

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Business & Finance

29

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2021

30

Fabulous Food Easy Mini Pumpkin Pies ‘Tis the Season! And it’s pumpkin everything so along with fall, cozy fires and holidays looming, here is a fun pumpkin favorite to make with the kids!

YOU WILL NEED: • One large can of pumpkin • One bag of small marshmallows • One small bag of chopped pecans (optional) • 1 teaspoon cinnamon • 1 teaspoon vanilla • Qtr.-cup of brown sugar • 1 pkg. Crescent Rolls

DIRECTIONS: 1. Heat oven to 325 degrees and spray a mini muffin pan with cooking spray (a regular muffin tin is fine also).

Line each with crescent roll dough (you may need some flavor to help handle the dough as you form it and line the muffin cups, cutting and shaping as needed).

2. Bake until just golden brown, about 10-12 minutes, remove from oven and sent set to the side to cool.

3. Combine the pumpkin, cinnamon, vanilla, pecans, and brown sugar in a bowl. Spoon on top of the cooked crescent roll pie crusts in your muffin tin and top with marshmallows.

4. Pop back into the oven just until the marshmallows brown and the mixture is heated through, about five minutes or so.

5. Enjoy!

Community

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September/October 2021

Women Of Monmouth County Kathleen Nolan, CRPC®

31

Dr. Mukti Rana Tallwoods Care Center

Family Focus Financial Group

Kathleen Nolan, CRPC®, is the president and founder of Family Focus Financial Group, which she started in 2007 with her son, Sean. Over the past 40 years, Kathy has dedicated herself to helping others write the next chapter of their lives by guiding individuals and families toward a financial plan that matches their personal and family values. By creating retirement strategies that are straightforward, tailored to clients’ individual needs and designed to help provide them with lifetime income in retirement, Kathy and her team help retirees and preretirees achieve the independent retirements they deserve.

Kathy recognizes that in today’s investment world, a team approach is the best way to help you protect and manage your life savings. She has the ultimate respect for the years of hard work it takes to acquire one’s wealth.

Kathy is a Chartered Retirement Planning Counselor® and maintains her insurance practice and Investment Adviser Representative with AE Wealth Management. She has been published and quoted in Kiplinger, Newsweek and The Wall Street Journal.

In addition, Kathy has always been especially passionate about empowering other women to become engaged in their financial lives.

For more information, or to set up a time to speak with Kathy directly, please contact 732-364-5462 or visit www.fffgonline.com.

Dr. Mukti Rana is a pediatrician specializing in the treatment and care of patient’s ages newborn to 21. She offers comprehensive school, daycare, & sports physicals as well as management & treatment of acute and chronic medical conditions. She is board-certified with the American Board of Pediatrics as well as Subboard of Pediatric Infectious Disease.

Since completing her postdoctoral training in 1997, Dr. Rana has been a fixture in the Pediatric community, she is married to Dr. Satyendra Singh, a board-certified internist who has been practicing for 25 years in Lakewood, NJ & has two beautiful children.

Currently working in Jackson at Hackensack Meridian Medical Group-Pediatric Dr. Rana is affiliated with Jersey Shore Medical University Medica Center in Neptune, NJ.

Dr. Rana is fluent in English, Hindi, & Gurjarati, please call (732) 363-1424 if you would like to make an appointment for your child or children.

Photo by Tracy Harman Photography

Shannon Brown

Laurie Zaleski Funny Farm

CASA of Ocean County

A truly remarkable, accomplished, self-determined, and inspirational woman living in Southern New Jersey is Laurie Zaleski.

Not only does she have an endless positive energy, when you think about all she has accomplished, and how many animals she’s saved, you can’t help but wonder how does she do it all?

Rising out of the ashes of a crumbled family because of an abusive father, with nothing to her name, and losing her mother at such a young age due to cancer, Laurie built one of the largest animal rescues in the Northeast.

Tell her she can’t do something and she will prove you wrong every time.

She has dedicated her life to helping those who can’t help themselves. She finds homes for those who desperately need them. She feeds animals and provides plenty of love to those who once never knew love.

Not only does she have over 600 rescue animals and a team of volunteers, Laurie created Art-Z Graphics, a successful graphic design, photography and multimedia company that contracts with the Federal Government.

Laurie proves to women everywhere that the only real limits are those you place on yourself.

Shannon Brown is a realtor at Clayton & Clayton Relators in Bay Head and is happily married to her high school sweetheart, Scott Brown. They have two sons, ages six and two, which is a large part of the reason that Shannon was drawn to CASA. Shannon expressed feeling helpless knowing there were children out there that needed the stability and love that her children were able to receive.

Shannon said, “The children CASA advocate for have been through so much in their lives and had a level of inconsistency that no child should. It is truly fulfilling when the child realizes they can trust their CASA after seeing them consistently showing up with a smile. I look at it as a privilege to be able to be a part of their lives as well as a huge responsibility to report my findings to the court.”

Last year, Shannon had the opportunity to see her CASA child be adopted by a loving family and has already begun advocating for another family. Shannon works tirelessly advocating for her CASA children and is a great role model for other CASA volunteers as well as women in general.

Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

ROMANCE TRAVEL Travel ravel

“Create Lasting Memories” 32 River Cruising: An Extraordinary “Create Lasting Memories” Travel Taking With A Packing More fun, more memories! PartIt of raising a family You: is making memories that

55 63

Experience Primer

your children will cherish Whether you’re dreaming of a romantic escape or celebrating an anniversary or wedding, forever. A family vacation is part of those memories.

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19 Specialty restaurants and children’s dining areas provide great choices. villages that traditional big ships usually can’t access.

3 days in England Countryside, and special tour and to one of the world’s most acclaimed golf destinations, Pebble Beach, assist you in planning a vacation surrounded by blue waters, and where happiness is a way of life. Top choices The real beauty behind a great honeymoon, is to places amenities and intriguing itineraries ocean-going tryside you can renew your vows and have a candlelit Dinner over the Arno River.

Now the big question is: 2 cover-ups are Kauai, Maui, and Big Island. the charming cottages nearby inland to It•choosing will be a great family vacation memory. with the mostfamous value andof added of the house.

BLUFF, ANTIGUA feelsCarmel-by-the-Sea. both country-club and Then cozy atventure the same a destination that fitsvessels your as can’tpersonality reach. ✿ RiverCURTAIN cruises are luring experienced What do you take Sonoma further north to “Austrian Napa for fine dining and wine-tasting with sleeves forendless evenings dining onocean the beach 1 mega-ships Pareo) touches to make your experience aforValley cruisers off&the andyou? onto intimate time.

This charming resort anand Alain Ducasse-trained wonderful dining has Ocean views •with Avalon Waterways Highlights” from with a(1couple.

With options, the couple would If you’re cruisingchef in the Caribbean riverboats with focus on current themes. experiences. from every room, a game room and the Ceebee Kids memorable one.•diving WithWatersports so many new including fees and • Yoga pants and 2 tank tops AddMunich aand fewwaterskiing, more tee shirts and another of shorts Vienna to highlighting apair Beer theme. families Greece , think Santorini or Mykonos with small fishing benefit from the extensive knowledge of Club. working ships were built with in A deluxe family Ocean view restrictions themind. airlines have The beach is beautiful leading to a turquoise Caribbean Sea. The river cruising destinations, like a 12-day Bordeaux , the “Jewel of the Atlantic,” Our dedication to our clients during after everybags vacation • Lightweight sweater,before, rain poncho, and and zippered plastic • 2 shorts and 2 tees Costa Rica imposed for baggage, you will have tovillages, stunning beaches, accentuated by whitewashed buildings. consider leaving your entire closet • Tauck offers riverfor cruises with its Tauck with a Travel Professional, especially with all the River cruise, or 7-day Danube, offer cruise guests the local for wetfamily suits. stateroom with Verandah is perfect for a family of 4 or 5.

There’s a 3 story AquaDunk body slide kids makes a world of difference. at enjoy beautiful weather, pink sand beaches home from now on.without Some airlines are charging carry-on now, for luxury ecotourism, Costa Rica is known for its Pura Vida From Abags haven • 3 sundresses experience the long tourof busforrides.

April’s •program, Whatever you forget you can purchase on cooking board or at the Bridges including family changing protocols in past year and half.

Some and other airlines let you board first if you have no carry-on bags.

So what created ✿ BEACHES, TURKS & CAICOS was to be the ultimate getalong both the Atlantic and Pacific, with no fearFlip onflops, deck,flat or for the younger set, there’s the AquaLab with a looping waterslide. lifestyle.

Featuring stunning beaches tulips to December’s Christmas Markets, hundreds of • SHOES: sandals, wedges, sneakers ports or resorts. warm friendly people.

Conde’ Nast Traveler areand the essentials to pack? lessons. the top Honeymoon destinations our professionals together getaway, where everything is Included and unlimited.

The white sand beaches Enjoy Your Travel Experience. riverboats and barges glide along Europe’s historic rivers Aprotected few years from now what Costa Rica is also home to multiple active volcanoes (Arenal, Poas and Here is a packing primer from Carole Kaiman, Travel Professional that Disney destinations vary from Caribbean cruises with Disney’s own private island or cruising Europe  Barbados , with beautiful beaches and great • Pashmina Readers have voted Bermuda “Best Island in the Caribbean” 17 times! (rated the best in the Caribbean by Travel & Leisure) exciting watersports and unlimited scuba diving you will remember is the total and canals, which span thousands of miles of Continental Examples of some the best suggest are: might help with the process.

Tenorio).

Romantic activities, such asof mineral volcanic There are several brand new River cruisemassages, lines surf classes restaurants to rekindle your spirit and feed the soul. experience of your Virtuoso vacation, NOT Advisor • Sunglasses (for to certified divers).connecting North Sea to BlackYour with special highlights for the kids enjoy. waterways, Sea. Vagabond Travel River Cruise Line Themes: and luxurious tented accommodations to sleep under the stars. For a full the things you forgot to pack.and Islands are about Amazing waterparks with body slides, lazy rivers surf entering the market such as through Emerald Waterways ForBEACHES a week inresorts the River Caribbean: •Hawaiian Packable sun and foldable beach bag hat A Travel Professional with years of expertise will work for you, A Europe Cruisechildren. is one of the bestFor ways we • Viking River Cruises, partnership with known for over 25 years, *Remember, your Vagabond* Pura Vida experience, ask your travel professional for a property Hawaii has consistently kept its place among the best honeymoon simulator are a favorite of the kids.

The Caribbean Adventure with Sesame Street and the XBOX play • 2 swimsuits know to explore inland Europe, visiting cities, towns and PBS “Downton Abby” offers Viking cruise andresorts, Scenic cruises to fill can the demand. Eachguests line Virtuoso Travel Professional The gocarry-on on towith Mexican all-inclusive exciting travel to areas • Costume jewelry, (leave the realoptions jewels home)  Italy where in a private chapel in Florence’s counand her only objective is to give you the best experience possible and open-air suites facing the rainforest. (put a1 cultural in your so you can goand right to the beach) Carole Kaiman are so popular children families.

19access.

Specialty restaurants dining provide great choices. villages that traditional big ships usually can’t destinations for couples. The islands lounges offer and sensory experience days inchildren’s England Countryside, and special tour assist 3 you inand planning a vacation tryside you can renew your vows and have a candlelit Dinner over the Arno River. has its highlights, such as the long ships and the and an evening 2Africa cover-ups It•will be a great vacation memory. withsummer the mostfamous valuevacation) andhouse. added for families, tours (Perfect for of the to help you realize your romantic dreams. unlike anything elsepurse in the US. South Just don’t forget thefamily pua (flower)Alaska on your left Vagabond Travel (1 with sleeves for evenings dining on the beach & 1next Pareo) touches to make your experience a generation Space-Ships.

• Avalon Waterways “Austrian Highlights” from Vagabond Travel’s affiliation with Virtuoso, Must Haves: ear—since it signifies you’re taken. and •fabulous Tauck tours of Europe. memorable one.to Munich highlighting a Beer theme.

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Bermuda , the “Jewel of the Atlantic,” Our dedication toconsortia our clients before, during and after every vacation •Mid-Coast 2(with shorts andleast 2 tees 30 Napa, Sonoma and California • Tauck offers family river cruises with its Tauck stateroom with Verandah is perfect for a family of 4 or 5.

There’s a 3 story AquaDunk body slide for kids Start your unforgettable vacation by contacting Travel Advisor & Romance Specialist makes a world of difference. enjoy beautiful weather, pink sand beaches • 3 sundresses • Facial and body moisturizer companies, allows us toat unlock incredible value, www.virtuosolife.com Bridges program, including family cooking Start your unforgettable vacation by contacting Travel Advisor Carole Kaiman, at Vagabond A morning drive in Big Sur along with Highway 1onoffers unparalleled views Contact Carole Kaiman Vagabond Travel no fear deck, or for the younger set, there’s the AquaLab with a looping waterslide.

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Enjoy Your TravelorExperience. for our Digital Magazine the rugged California coast with amazing Redwoods framed the cruises Disney destinations vary fromagainst Caribbean Disney’s own private island cruising Europe • Pashmina Virtuoso Agency for latest information and Readers have voted Bermuda “Best Island in the Caribbean” 17 times!

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amenities.

732-222-2792 or 732-842-2600. Create memories that will last a lifetime.

Create memories that will last a lifetime.

Little New Jersey LittleSilver, Silver New Jersey07739 07739

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The County Woman Magazine

The County Woman Magazine e County Woman Magazine The County Woman Magazine e County Woman Magazine

Carole Kaiman, Travel Specialist 732-859-5513 732-222-2792 Direct Vagabond Travel Virtuoso Agency 732-842-2600 Office 542 Prospect Ave.

Over 25 Years

Little LittleSilver, Silver New NewJersey Jersey07739 07739 website: www.vagabondtvl.com 732-222-2792 Direct

732-842-2600 Office

November/December 2016 May/June 2014 2014 November/December May/June 2014 2015 January/February www.vagabondtvl.com

*Check www.TheCountyWoman.com out www.virtuosolife.com *Check out www.virtuosolife.com for our Digital Magazine and some www.TheCountyWoman.com foramazing ourwww.TheCountyWoman.com Digital Magazineand some travel ideas. www.TheCountyWoman.com www.TheCountyWoman.com amazing travel ideas.

website:

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

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September/October 2021 November/December 2016 May/June 2014 2014 November/December

Health & Wellness

33

Vitamin D – Right Amount is Essential to Your Health are generally subtle. You may not notice them easily, even if they are having a significant negative effect on your quality of life.

Signs and symptoms of deficiency include: frequent infections; fatigue/ tiredness; bone loss; bone/back pain; depression; hair loss; and impaired wound healing.

Diseases and Conditions Linked to Vitamin D Deficiencies:

Research is revealing more about the importance of Vitamin D in protecting you against a host of health problems. With that note, Vitamin D deficiency is incredibly common and most people are unaware of it.

Dr. Nina’s What You Need To Know: About Vitamin D

Actually a hormone, Vitamin D receptors are found in every tissue in our body! While there is still much we do not know, what we do know is that it is so important, our bodies are capable of making it by itself.

Sources include:

• Vitamin Rich D-Foods: It is found naturally in fatty fish such as salmon, mackerel, and sardines. Because there are a limited number of foods that contain sufficient amounts of this fat-soluble vitamin, it makes it difficult to get enough from your diet alone.

• Fortified foods: This means that Vitamin D is added to these items--it is not originally found in the food (like milk, cereal, orange juice, and yogurt).

• Supplements: Come in either a prescription form or an over-the-counter version.

• Safe Sun Exposure: Direct sunlight converts a chemical in our skin into an active form of Vitamin D. A surprising fact is that people get most of their Vitamin D from the sun.

• Obesity. Research has shown that carrying excess weight in your abdominal area is associated with lower levels of Vitamin D, compared to normal waist lines. At this time, it is unclear if having a deficiency causes you to gain weight, or if having the extra weight lowers your body’s Vitamin D levels.

• Heart Disease. The ‘sunshine vitamin’ has been shown to preserve heart health.

A leading study out of the University of Copenhagen found that those with low levels of Vitamin D (versus the optimal level) were 64% more likely to have a heart attack.

• Bone Health. Vitamin D helps to maintain skeletal calcium balance by promoting calcium absorption. Children who lack Vitamin D can develop a condition called rickets, which causes bone weakness, bowed legs, and other skeletal deformities, such as stooped posture. A deficiency can also lead to bone weakening, osteoporosis. And, studies show that calcium and Vitamin D together can build stronger bones in women after menopause.

• Depression and Mood. During the winter months when the days are shorter and there is less sunlight, we may experience depressive symptoms. It is believed that drops in Vitamin D levels are the reason.

Getting the right amount?

Many people assume they’re getting enough but, unfortunately, Vitamin D deficiency is still a widespread problem.

• Get some safe sun. Experts state that just a few minutes of sunlight each day to the face, neck, hands, and arms is all that is necessary to get your adequate dose of Vitamin D. There are several variables: how much pigment you have in your skin, distance from the equator and the time of day. If your skin is darker in tone, you live further from the equator, or only catch the sun after it rises or right before it sets, you may need a longer period of sun exposure. Additionally, there is good reason to be worried that sun exposure can increase risk for skin cancer. And, sun protection procedures (e.g., sunblock, sun avoidance) decrease sun hitting our skin and Vitamin D conversion. It is important to find a healthy balance, as some sun exposure is important for health.

• Increase consumption of fatty fish and foods fortified with Vitamin D.

Who’s at risk for a Vitamin D Deficiency?

Because the majority of this vitamin comes from safe sun exposure, those that live north of the equator, live in heavily air polluted areas that block the sun’s rays, remain indoors often, and have darker skin (melatonin pigmentation can block the sun’s rays) are at risk of being deficient. Other common risk factors for Vitamin D deficiency include being elderly, overweight or obese and not consuming Vitamin D-rich or fortified foods.

Additionally, if you have had obesity surgery, you may not be able to properly absorb Vitamin D rich foods and oral supplements.

How to know if you have low levels?

Routine checks of Vitamin D levels are not currently recommended. However, your healthcare provider may want to check your level if you have risk factors or certain medical conditions.

Mild Vitamin D deficiency is not necessarily associated with any symptoms.

In fact, most people don’t realize that they are deficient, because the symptoms

Nina Radcliff, M.D.,

is a practicing physician and a Board Certified Anesthesiologist.

Often called upon by media to speak to medical health topics impacting our lives today, Dr. Nina is passionate about sharing truths for healthy, balanced living as well as wide preventative measures.

This article is for general information only and should not be used for the diagnosis or treatment of medical conditions and cannot substitute for the advice from your medical professional. Dr. Nina has used all reasonable care in compiling the current information but it may not apply to you and your symptoms. Always consult a doctor or other health care professional for diagnosis and treatment of medical conditions.

The County Woman Magazine www.TheCountyWoman.com

September/October 2021

Community

34

We’re

HIRING JOIN OUR TEAM

Answering Needs. Advancing Potential.

Are you looking for a rewarding career where you can really make a difference?

We have many full time and part time Direct Support and Therapy positions available in Monmouth and Ocean Counties.

We offer a comprehensive Benefits Package: • Medical, Dental, Vision • Generous Paid Time Off • Employees Discounts • 403B Retirement Plan • Staff Appreciation Events • Staff Development Days • Tuition Reimbursement • Continuing Education

Visit our careers page at https://www.ladacin.org/careers and apply today!

Sign on Bonus for Direct Support and Therapy Positions UPCOMING EVENT October

16 &17

NJ Marathon

Saturday, October 16, 2021

5K Race

Sunday, October 17, 2021

Full Marathon and Half Marathon

We hope that you will be a part of Team LADACIN 2021 by running in the marathon (full or half), or in the 5k, fundraising to support LADACIN, or taking a sponsorship. Your participation will help make a difference in the lives of infants, children, and adults with disabilities or delays.

If you are fundraising for LADACIN, contact us for a code to receive a 10% discount on your registration.

Visit LADACIN.org Events page for more information

For More Information

Email communityrelations@ladacin.org or call Community Relations at 732.493.5900 ext. 263 LADACIN Network • 1703 Kneeley Boulevard • Wanamassa, NJ 07712 • www.ladacin.org www.LADACIN.org

/LADACIN

@LADACIN

The County Woman Magazine www.TheCountyWoman.com

@LADACIN

September/October 2021

Fine Art Photography

www.TheCountyWoman.com TheCounty CountyWoman WomanMagazine Magazine www.TheCountyWoman.com The

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September/October 2021

WE’VE MOVED TO

MONMOUTH COUNTY

Garden State Trust Company is proud to announce the opening of our new headquarters in Monmouth County.

We are excited to expand our focused, responsive and personalized service to our Monmouth County community.

Let us show you how a Locally Based Independent Trust Company can work with you to achieve peace of mind for you and your family for generations.

Garden State Trust Company offers • Individualized Investment Management • Trustee Services including expertise in special needs trusts • Estate settlement services.

Please call us at (732) 255-5000 to arrange a complimentary Will and Retirement Plan Review with our experienced team. In-person and virtual meetings are available.

2101 Highway 34 South, Suite A Wall, NJ 07719

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Garden State Trust Company

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The County Woman Magazine www.TheCountyWoman.com

September/October 2021