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An Educational Resource for Women and Their Families

What Is Celiac Disease And How Do I Know If I Have It?

“Our professionals keep things running smoothly, Choose Revera.” See pages 20 & 21


Stubborn Fat Has Met Its Match

Celiac Disease is a common disorder that affects 1 in 133 people. In this disease, individuals have a reaction to gluten, which is contained in certain food products.

Page 24

Freeze Your Fat Away With CoolSculpting®. A non-invasive, clinically proven procedure to selectively reduce fat layers in problem areas using a patented cooling technology.

Photo by Tracy Harman Photography

Combining advanced imaging techniques with kindness and compassion, the doctors at Toms River X-Ray, CT & MRI Center make a difference in their patients’ lives by diagnosing disease and directing treatment. Read more on pages 40 & 41.

Page 29


Visit Us

Sept./Oct. 2013

Please Take One

Publisher’s Note



An Educational Resource for Women and Their Families Since 2008



Publisher.........................................................Lynn K. Wolf • 609-929-4189 Regional Marketing Director............................... Jon Pruitt • 1-866-398-0898 PR Executive/Graphic Designer.................Katherine Githens • 856-885-8066 Professional Page/Graphic Designer............ Darlene A. Davis Graphic Designer, Real Grafix Design................. Cathy Tveici Graphic Designer, Golden Design, LLC............... Laura Golden Professional Copy Editors.......................Kristina Wheeler Joann C. Dearden Feature Cover Writer . .........................Gena Ansell-Lande Website Designer.............................................. P.J. Santos Distribution Manager......................................Mike Dziuba Regional Director of Distribution................... Jeanne Teller For advertising inquiries, please call Jon Pruitt:

1-866-398-0898 or email: All correspondence should be addressed to:

The County Woman P.O. Box 619 Turnersville, NJ 08012

The County Woman’s Newspaper is published bi-monthly and is available free of charge at display stands in approved private and public establishments and authorized distributors only, or by paid mail subscription. Trademark and U.S. Copyright Laws protect The County Woman’s Newspaper. No part of this paper may be reproduced without the written permission of the publisher. The County Woman’s Newspaper is not responsible for any editorial comment (other than its own), typographical errors from advertisements submitted as camera ready or any reproductions of advertisements submitted as camera ready. If an advertisement does not meet our standards of acceptance, we may revise or cancel it at any time, whether or not it has been already acknowledged and/or previously published. The advertiser assumes sole responsibility for all statements contained in submitted copy and will protect and indemnify the Woman’s Newspaper, its owners, publishers, and employees, against any and all liability loss or expense arising out of claims for libel, unfair trade names, patents, copyrights and propriety rights, and all violations of the right of privacy or other violations resulting from the publication of this newspaper or its advertising copy. The publisher shall be under no liability for failure, for any reason, to insert an advertisement. The publisher shall not be liable by reason of error, omission and/or failure to insert any part of an advertisement. The publisher will not be liable for delay or failure in performance in publication and/or distribution if all or any portion of an issue is delayed or suspended for any reason. The publisher will exercise reasonable judgment in these instances and will make adjustments for the advertiser where and when appropriate. The Woman’s Newspaper assumes no responsibility for unsolicited material or reproductions made by advertisers. This newspaper will be published by the 15th of every other month. Representations by The Ocean County Woman, LLCTM COPYRIGHT 2008.

Find us on the web! And follow us on Facebook and Twitter @TheCountyWoman

The County Woman Magazine

Welcome to the Sept./Oct. 2013 Issue Of Ocean County Woman

Up and down the Jersey Shore, families were enjoying the lazy, magnificent days of summer. Many of the owners on the boardwalks reported their businesses were doing well, some said even better than last year. Admittedly, there is still ongoing construction along the northern parts of the Jersey Shore, but overall, the Jersey Shore is amazing. The revitalization proves we are Jersey Strong! In addition to the high quality educational articles found in this issue, we want to bring your attention to several of the specials and events that you won’t want to miss. Now, our play giveaways are only available on Facebook. “Like Us” on Facebook and participate in our play giveaways as well as other offers during the issue. The equinox brings autumn on September 22 at 10:29 PM EDT. The fall and spring equinoxes are the only days of the year in which the sun crosses the celestial equator. Enjoy all the fall activities in New Jersey as you watch the landscape silently burst with vibrant colors of red, yellow and orange. On behalf of the staff at The Ocean County Woman, thank you for your continued loyalty, and for your comments, suggestions and support. We are the Media Partner with NJAWBO Happy Fall, Lynn K. Wolf, Publisher and the Staff of Ocean County Woman Events in Ocean County • AtlantiCare Center for Surgical Weightloss and Wellness (pg. 19) FREE Ongoing weight loss Seminars. • NJAWBO (pg. 67) Sept. 26 – Dinner Meeting Oct. 10 – NJAWBO State Meeting: “Salute To Women.” Oct. 16 – Open House and Networking • Alzheimer’s walk (pg. 65) Sept. 28 – Point Pleasant Beach. • Peppermint Tree (pg. 48) Oct. 2 – Open House – See the classrooms in action! • CMC Auxiliary Association (pg. 54) Oct. 3 – Gourmet Foods in Designer Kitchens Tour – Tour and sample foods from the professionally designed kitchens of 6 beautiful homes. • Toms River Chamber (pg. 72) Oct. 9 - Luncheon – open to members and non-members, discussing an overview of the region’s economy since Sandy. • Family Focus (pg. 53) Oct. 23rd – “Rescue Your Retirement” – speakers covering all facets of retirement and dinner. • MAC Events (pg. 73) Nov. 2-3 Women’s Expo – Giveaways, Makeovers, Cooking demos, fitness presentations and more.

Monmouth, Ocean, Middlesex Region. We are members of Toms River-Ocean County Chamber Of Commerce.

Exclusive Deals • The Ocean Club (pg. 13) Complimentary 7-day VIP Pass. • Ocean Plastic Surgery (pg. 25) Great coupons deals for Fractionated CO2 Laser Skin Rejuvenation ($1800) or Laser Hair Removal ($140 – 3 Treatments) Plus FREE consultation. • Total Hearing (pg. 42) $800 off any pair of advanced digital hearing aids. • Spring Oak Assisted Living (pg. 44) Ongoing – FREE tours. FREE strength, mobility and balance class, including a free evaluation. • Koehler Acupuncture (pg. 55) New patients can enter to win a free consultation and treatment (up to a $100 value.) • NJAWBO (pg. 67) *mention Ocean County Woman and receive admission to our events at member price. •MAC Events (pg. 73) Nov 2-3 NJ Women’s Expo – 2 for the price of 1 Admission. Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper!

Featured On The Front Cover: Dr. Cyrus Khorrami, MD, with his wife Ladi Khorrami, MD, along with his father, Parviz Khorrami, MD, and mother, Parvin Motemaden Khorrami, MD. Read more about their family practice on pages 40 & 41. Cover photo by Tracy Harman Photography. Tracy can be contacted for appointments at 732-797-0377. See more of her professional portrait work and custom designed holiday cards on pages 78 & 79.

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September/October 2013

Featured Articles


^ Senior Club

^ Whiting Business Association

^ Psychiatry

^ Adult Community

The Regency Club...........................................3

Whiting Business Association.......................10

Dr. Charles Meusberger.................................35

Fountainhead Properties...............................59

Medical Professionals Stephen L. Newman, MD, MBA......................4 AtlantiCare Neurosciences Institute Stroke Center.........................................................6 South Jersey Fertility Center...........................8 Premier Pain Centers......................................9 All Care Physical Therapy..............................11 NJ Community Spine and Pain.....................15 Shore Vascular & Vein Center........................16 AtlantiCare: The Center for Surgical Weight Loss & Wellness...........................19 Whiting Healthcare & Laurelton Village Care Center by Revera....................... 20-21 Gastroenterologists of Ocean County...........24 Ocean Plastic Surgery, PA.......................25, 38 New Jersey CyberKnife.................................26 Woman to Woman Obstetrics & Gynecology, LLC...........................................................28 Bella Derma Medi Spa...................................29 Ocean Hematology & Oncology....................32 Seaview Orthopedics....................................33 Nina J. Paonessa, DO, FACOS.....................37 Institute For Complementary & Alternative Medicine...................................................39 Toms River X-Ray, CT & MRI Center....... 40-41 Total Hearing Care................................... 42-43 Caring Heart & Brain Imaging........................45 Main Street Foot & Ankle...............................57

^ Health & Wellness

^ Home Care & Hospice

^ Home Improvement Contractor

Ocean Club............................................. 12-13 Ocean Health & Weight Loss.........................14 Jersey Shore Pharmacy................................52 Yoga Nine Mind/Body Studio........................56 RX Card.........................................................76

Holy Redeemer Hospice...............................36

RKA Construction..........................................60

^ Education

^ Real Estate

Ocean County College..................................38 Peppermint Tree Child Development Center................................48

Orrico Realty..................................................61

^ Contemporary & Rattan Furniture Heritage House Interiors.................................7

00 Senior Club

^ Business & Finance Copiers Plus, Inc...........................................16 Family Focus Financial Group.......................53 Toms River – Ocean County Chamber of Commerce................................................72

^ Title Company

^ Assisted Living Spring Oak of Forked River...........................44 Elder Life Management, Inc..........................49

Aesthetic Dental Creations............................17

Abstrax Hair Designs.....................................50

^ Precious Metal Buyer

^ Premier Consignment Center

Precious Metal Buyers, LLC..........................18

Yesterdays and Todays..................................51

^ Law

^ Florist

Jay Turnbach, Esq. LLC..........................22, 80 Matus and Connell........................................23 Daniel Straffi Jr., Esq.....................................31

Skip’s Florist..................................................54

^ Elder Law Rice Elder Law..............................................30

^ Fashion & Beauty

Homestead Nursery......................................69

^ Theatre & Entertainment

^ Community.......................... 54, 64-65, 67, 69-70, 71, 73

Buyer & Cellar................................................74 Lady Day-The Billie Holiday Musical.............74 iluminate........................................................75 Peter & The Star Catcher..............................75 Stomp............................................................75

^ Social Media Facebook.......................................................77

^ Acupuncture Koehler Acupuncture.....................................55

^ Fine Art Photography Tracy Harman Photography.................... 78-79

^ Yarn Shop A Stitch In Time.............................................56

Storage..............................................58 Senior Airship C lub

Wedding Belles..............................................34 Leisure & Lace...............................................46 Barbara’s Boutique........................................47 Permanent Makeup by Amy..........................66

Eileen Fox Jewelry.........................................68

^ Premier Nursery and Landscaping

^ Wigs & Hair Replacement

Brandywine Senior Living..............................27

Stewart Title..................................................66

^ Jewelry

^ Elder Life Management

^ Professional Dentistry

^ Alzheimer’s Care Community

^ Women of Ocean County................ 62-63

^ Footwear

Foot Solutions...............................................58

^ Business & Personal Storage

Please Take Advantage Of Our Many “Enter To Win” Contests Throughout The Paper! Visit us at

Alzheimer’s Disease – How To Fight Back

Submitted by: Bena Gulkowitz, Program Director, The Regency Club

Approximately every 70 seconds someone in this country is diagnosed with Alzheimer’s disease. To date, there is no cure for this disease. There are, however, drugs that can help the progression. All healthcare professionals agree that in addition to medication, mental and physical stimulation is critical in the fight back against Alzheimer’s disease. The mind is similar to a muscle, so the more one uses it the better it continues to function. Reading, crossword puzzles, scrabble, cards, chess, and checkers are all stimulating for one’s mind. TV is usually not very stimulating, yet we find so many seniors with memory loss spending so many hours during the day in front of the TV. Even conversations with friends and family can be very helpful as words begin to slip one’s mind. Simple, friendly conversation can help exercise the brain by the search for words instead of letting the words and sentence structure function of

The County Enter To Woman Win Magazine

the brain fade away without a fight. The Regency Club is a memory care club specifically designed to help improve memory skills. Our caregivers have told us that they find it very difficult to keep their loved one with Alzheimer’s disease engaged in activities for any extended period of time. The professional staff at The Regency has many different ways to keep people engaged in many mentally stimulating activities throughout the day. Another big challenge in fighting against memory loss is for the caregiver to get their loved one to agree to continue to be active and socialize. Depression is very common among those with beginning to moderate stages of memory loss, as they are noticing the changes in their mental capacity. The Regency Club helps those individuals remain active and really improves their quality of life. Countless family members have commented that after their loved one joins the club they see significant improvement in their communication skills. It is as if the Regency staff is dusting off sections of the brain that have begun to die, and keep them


alive as long as possible. Our mission at The Regency Club is to improve the quality of life for those suffering with Alzheimer’s Disease or related memory loss, and keep them living in the community as long as possible. Come join The Regency Club for one complimentary day (with the mention of this article) and see how we can help your loved one fight back against memory loss! Call 732-286-2220.

All you have to do is make the call, and we will help guide you the rest of your way to some respite!


Bena Gulkowitz

Live Entertainment | Trips | Beauty Services Daily Exercise | Dancing | Gourmet Meals Round Trip Transportation

Specializing in Memory Enhancement • We• are covered bybymany policies Specializing in Memory Enhancement We are covered manylong-term long-terminsurance insurance policies

1311 Route 37 West Toms River, 08755 1311 Route 37 West Toms River, NJNJ08755

September/October 2013

Medical Professionals


So I Snore . . . What’s The Big Deal? Q Q Q noring isn’t


just a nuisance to the person sleeping next to you it’s a health hazard.

Dr. Newman answers some frequently asked questions about this condition and what you can do about it.


Is Snoring Dangerous?


SNORING KILLS! It impacts not only the person who generates the sound but also the bed partner. Snoring may lead to hypertension, heart attack, stroke and sudden death in addition to sleepy driving. The interruption of sleep caused by snoring increases appetite and weight gain. Snoring is not just the sound - it can be a health hazard and a marriage breaker. MAKE IT A NEW YEAR’S RESOLUTION!


How much should I sleep?


Most people feel awake, alert and rested if they sleep from 7-9 hours.

So sleep medications work?


Both the short and long answers are resoundingly no! They are designed for use in select times and individuals who may respond to short-term prescription medications won’t be helped in the long term.


Are there alternative options to medications for insomnia?

Yes. The best therapies include learning how to sleep, relaxing and dealing with difficulties in falling and staying asleep, and awakening too early. Certain individuals respond to the exposure to bright lights at an appropriate intensity and timing. This process takes anywhere between four to six office visits.


What is a sleep study?


In the old days, (2011), you had to go to a hospital or sleep laboratory and have 25 electrodes , wires and tubes attached to your head and body. For some this is still needed but most people are easily studied in the convenience of their own home with a device ½ the size of a cell phone, a tube beneath their nose that measure airflow, a band aid like device on the finger tip and a soft belt around the chest. It is set up as you leave the office and interpreted the next day.

Dr. Stephen L. Newman, a graduate of Albert Einstein College of Medicine, is the first Board Certified Sleep Specialist in Ocean County. He also established the first Sleep Disorder Laboratory in Southern and Central New Jersey. A resident of Ocean County since 1986, he is married to Merrell Newman and has two children. The pride and joy of his life is his granddaughter, Madeleine.


How is sleep apnea or snoring treated?

The best news is that surgery is almost never needed. Sometimes simple natural nose and sinuses washes are needed. More often a device that is worn in the mouth at night overcomes snoring in most people. Sleep apnea, when someone stops breathing repetitively while asleep, is often treated with a device that blows air into the nose or mouth called CPAP.

◌ ◌ ◌ ◌ ◌ ◌ ◌ ◌ ◌

If snoring is a concern, call to schedule your appointment with Dr. Newman, 732-920-8022.

Sleep Apnea Ambulatory, at home, sleep studies Overnight in laboratory diagnostics Driving Evaluation Cognitive Behavioral Therapy of Insomnia CPAP/BIPAP therapy Provent therapy Mouth Devices Narcolepsy evaluation

35 Beaverson Blvd, Suite 7C Brick, NJ 08723 Phone: 732.920.8022

Pumpkin Apple Streusel Muffins Preheat oven to 350 degrees. Line muffin cups and spray paper liners to prevent sticking. In a large bowl, combine the first 5 ingredients and set aside. In a medium bowl, combine the eggs, pumpkin and oil. Add the liquid ingredients to the dry ingredients, stirring until just moistened. Stir in apples. Spoon batter into muffin cups, filling ¾ full. Make topping by combining flour, sugar and cinnamon. Cut in butter until the mixture is crumbly. Sprinkle the topping over the filled muffin cups. Bake for 35-40 minutes.

The County Woman Magazine

A sleep study should be considered if you awaken tired, fall asleep at work or while driving, feel fatigued, told you snore or stop breathing, are gaining weight or have high blood pressure.

Diplomat American Board of Sleep Medicine

Perfect Pumpkin Fall Dessert


Stephen L. Newman MD MBA

Fall Recipe

2 ½ cups flour 2 cups sugar 1 T pumpkin pie spice 1 tsp baking soda ½ tsp salt 2 eggs, lightly beaten 1 cup pumpkin ½ cup oil 2 cup apple, peeled and finely chopped Topping: 2 T flour ¼ cup sugar ½ tsp cinnamon 4 tsp butter

How do I know if my spouse, friend or family member needs a sleep study?


Stephanie was professionally trained at the Culinary Business Academy, is a Certified Personal Chef, a Certified Food Safety Manager, and a 2012 Finalist for the USPCA Personal Chef of the Year. Services are provided on a first come, first served basis and there are no contracts – EVER! For more information on our services or Gift Certificates, references, and fees, contact Stephanie at Cutting Board Creations, LLC today at 609-841-8567!

September/October 2013

Medical Professionals


VeinGogh: The Latest Treatment For Spider And Facial Veins Stephen Gosin, M.D. FACS

Jeffrey S. Gosin, M.D. FACS

Spider veins, known as telangiectasias, are small varicose veins that affect the surface of the skin. They usually appear as a cluster (or multiple clusters) of red, blue or purple lines just under the surface of the skin.

T skin of the legs, but also are

hey commonly occur on the

seen on the cheeks, nose and other areas of the body. Spider veins are

most commonly a cosmetic problem. However, on the legs, they can also occasionally cause burning pain, itching and in some cases may be prone to bleeding. Spider veins on the leg may also be an indication of a more significant underlying problem known as venous reflux. This occurs when the valves in the legs veins become incompetent, causing blood to abnormally pool in the legs, increasing the pressure in the veins and causing them to dilate. This can cause leg pain, swelling, leg heaviness and fatigue and other symptoms. Risk factors include prolonged standing, family history of varicose veins, pregnancy, increasing age and being over weight. Shore Vascular & Vein Center is now pleased to offer VeinGogh, the latest development in the treatment of embarrassing spider veins, facial veins, and telangiectasias elsewhere

Get Great Legs for Summer!

Varicose veins are not just a cosmetic problem. They can be an indication of an underlying abnormality in the vein valves, causing leg pain, swelling and other potentially serious problems.

You can experience the ultimate in vein care right here at the Jersey Shore. Eliminate the discomfort and appearance of most varicose veins with the latest state-of-the-art techniques.

Our Board Certified Vascular Specialists can get your legs looking and feeling great. Call us today for a consultation. Most health insurance accepted.

on the body. VeinGogh is fast, reliable, safe and effective. A small burst of high frequency energy, known as Microburst Technology, is administered directly to the vein through a hair thin probe. The energy is instantaneously converted to heat. This allows controllable heating of the vessel without damage to the surrounding tissue. It coagulates the blood within the vessel and collapses the vessel wall, while leaving the outer layers of the skin unaffected. The result is marked improvement or complete resolution of the appearance of the veins being treated. VeinGogh treatment typically takes about 10-20 minutes, depending on the size of the area being treated. There is minimal discomfort and it is very well tolerated. There are no physical restrictions following treatment, and unlike some other procedures, compression stockings do not have to be worn. Therefore, it may be an ideal therapy during the warm summer months for some people. On the face, results will be seen immediately. There will be some redness that typically will last for a couple of hours to a couple of days. On the legs, there will be some bruising that will

improve over a few weeks. If you are experiencing leg pain or notice the appearance of varicose veins, spider veins, or telangiectasias elsewhere on the face or body, help is available. The Board Certified vascular specialists of Shore Vascular & Vein Center offer the latest, most effective and safest state-of-the art treatments for venous disease. Call for more details and to schedule an appointment. 609-927-VEIN

The County Woman Magazine

VeinGogh is most effective for small spider veins. It can sometimes be used as a stand alone procedure to treat these types of veins. In some situations, VeinGogh is used in combination with other therapy to achieve the most complete results.

Treatment is administered through a tiny needle, about the diameter of a strand of hair. It is associated with a small pin-prick sensation. Most people rate the pain about a 2-3 on a scale of 1 to 10.


How long does treatment take?

That depends on the size of the area being treated. A treatment session can last from just a few minutes to about 15-20 minutes in some cases.


Are multiple treatments required?

An area only needs to be treated one time. Multiple visits may be needed to treat all areas, depending on how many different veins are being treated.


When will I see results? After

Stephen Gosin, M.D. FACS Dr. Stephen Gosin is a graduate of Jefferson Medical College, where he also completed his General Surgery Residency and was Chief Surgical Resident. He is Board Certified in Surgery. Dr. Gosin is a fellow of The American College of Surgeons, a charter member of the International Society of Endovascular Surgery, and many other professional societies.

Does VeinGogh work for all spider veins?

Does VeinGogh treatment hurt?

Jeffrey S. Gosin, M.D. FACS Dr. Jeffrey Gosin is a graduate of University of Pennsylvania and Jefferson Stephen Gosin, M.D. F.A.C.S. Jeffrey Gosin, M.D. F.A.C.S. Medical College. He completed his General Surgery Residency and an accredit442 Bethel Road, Somers Point, NJ 08244 ed fellowship in Vascular Surgery at Robert Wood Johnson University Hospital. 609-927-VEIN (8346) He is Board Certified in Surgery and Vascular Surgery. Dr. Gosin is a fellow of The American College of Surgeons and a member of The Society for Vascular Visit us on the Web Surgery, The Society for Clinical Vascular Surgery, and numerous other national surgical and vascular societies.

Frequently Asked Questions

On the face, results will be immediate. There will be some redness to the area for a few days following treatment. On the legs there will be some immediate improvement seen. However, there will be a longer period of redness and irritation that will resolve over a period of a few weeks.

Are compression stockings needed with VeinGogh? No. Unlike with sclerotherapy treatment, compression hosiery is not needed after VeinGogh treatment.

September/October 2013


738.2 WJ neuro_Layout 1 8/14/13 10:09 AM Page 1

Medical Professionals

Seek Care Right Away for a Suspected Concussion

The football field and hockey rink aren’t the only places where concussions happen. You could get a concussion in a fall at home, in a motor-vehicle collision, or in any other kind of accident that involves a bump or jolt to your head.

“Concussions in the AtlantiCare

Campus houses the area’s only Level

evaluating and diagnosing traumatic

across the United States, which is

prevalent diagnosis in this region,”

determining the best course of

service area mimic the prevalence estimated to be around 1.7 million

concussions annually. Also, because AtlantiCare Regional Medical

Center’s (ARMC) Atlantic City

II Trauma Center, head injuries are a

according to Lucienne Reid-Duncan, MD. Dr. Duncan is a board-certified


Neurosciences Institute at AtlantiCare

concussions may need neuro-

Group Neurology and the

co-director of the stroke program at ARMC.

Is their speech slurred?

Call 911 if you see any of these warning signs.

fall or impact. Children and younger

injury, patients should decrease their

than adults or an elderly person.

Duncan explains.

to further unlock mysteries as to why,

known as vestibular therapy may be

have longer-lasting effects of brain

dizziness, headaches or balance issues

or why certain individuals may never

syndrome.” In addition, patients with

others may have minimal symptoms,”

be prescribed medications to boost

Common Warning Signs

How Neurologists Help

In general, if you have a concussion,

initial consultation after a fall or

ARMC Mainland Campus, Pomona — State and Joint Commission designated Primary Stroke Center.

The County Woman Magazine

After a concussion, rest is an

region of the brain was injured in the

“In the first week to 10 days after the

people may have different symptoms

mental and physical activities,” Dr.

A type of outpatient rehabilitation

for example, kids and adolescents may

recommended for people who have

injuries and concussions than adults,

related to “post-concussive

fully recover from a concussion, while

mild and moderate brain injuries may

explains Dr. Duncan.

brain function.

of Concussion

Often, patients see a neurologist for an

• Have difficulty remembering or concentrating

• Experience a change in sleeping habits, either sleeping too much or not enough

• Have changes in mood or

disposition, maybe even depression

You also might experience: • Dizziness

• Balance problems

injury, or for follow-up care after they are treated initially at the hospital.

According to Dr. Duncan, the goal of

follow-up care is to:

• Ensure the best physical, psychological and social recovery for the patient

• Educate the patient’s family

regarding signs and symptoms

of brain injury and the expected course during recovery

“As a practicing neurologist and

• Excessive tiredness or lack of energy

having been actively involved in the

• Blurry vision

care for soldiers with brain injuries”

• Nausea or vomiting

ARMC City Campus, Atlantic City — State designated Comprehensive Stroke Center and Joint Commission designated Primary Stroke Center.

assess the level of function in different

important part of the healing process.

• Headache 1-888-569-1000

cognitive testing and balance testing to

person to person, and depend on what

• Find it hard to think clearly

Are they unable to raise both arms and keep them there?

diagnostic testing. We use CT scans,

brain areas.”

you might:


says Dr. Duncan. “More severe

What to Look For

“We are doing extensive research

Has their face fallen on one side? Can they smile?

“Even acute, mild concussions

require an evaluation by a physician,”

Symptoms of a concussion vary from

Now more than ever, adults of all ages are having strokes. The AtlantiCare Neurosciences Institute uses the most advanced technology to diagnose and treat stroke patients. AtlantiCare Regional Medical Center (ARMC) City Campus is the first and only approved Comprehensive Stroke Center in Southeastern New Jersey. And we are proud to be a part of the Jefferson Neurosciences Network. Learn more about the signs and symptoms of stroke at


neurologist with AtlantiCare Physician

Regional Medical Center. She is also


head injuries such as concussions and

Where to Find Help

The neuroscience specialists at

Department of Defense’s efforts to

she adds, “the most rewarding part of

my work is to see individuals recover and thrive!”

AtlantiCare are highly experienced in

September/October 2013

Contemporary &Rattan Furniture


We Carry American Manufactured High Quality Furniture Please visit Heritage House Interiors and sit on some of our new recliners and glider chairs. You’ll feel like you are on a cloud and won’t want to get up. We have recliners that not only recline in two positions, but some can swivel and/or glide. Do you have a media room? We have theater recliners with consoles to hold your drinks and snacks. But if are educating their children who will showroom. However, the majority is a recliner is too large for your space try not work in those menial positions. The made by American companies. Whenever a glider or swivel chair or even a glider/ “coolie labor force” is disappearing. In the possible we have tried to replace those swivel chair. Some are so compact that near future rattan furniture will be availforeign made products when an equivathey are perfect for a bedroom or small able to a handful of elites, handmade by lent item is also made here. This has been den. Some gliders and swivels are made for outdoor use around the pool or on the artisans. What has been manufactured for our business model since our inception in the past 100 years is now very collectible. 1974. porch. Heritage House Interiors has Let Heritage House Interiors For the past several years there has always tried to contract with help you get ready for the holibeen a growing concern about companies American manufacturers for our rattan days. We can spruce up your home inexthat look overseas to fulfill their supply and upholstered furniture when pospensively with fresh new art, faux trees, and service needs. The furniture industry lamps and other accessories. Maybe it is is equally guilty. Many US manufacturers sible. Today, the majority of our furnitime to repair and refinish that wonderful have established factories in China, the rattan rocker or liven up your sunroom Philippines and Southeast Asia while lim- ture collections are manufactured by with replacement cushion covers for iting their operations in the United States. American workers right here in the United States. Other furniture items are Thanksgiving. With the growing middle class in shipped here as parts, assembled and finplaces like China and India we are seeing the beginning of manufacturing returning ished in America because the raw material Call Heritage House Interiors is not grown in the U. S. A few items that for all of your furniture needs at back to America. Those overseas workare manufactured overseas but are request- (609) 698-7621! ers now have Smart Phones and PCs. ed by our clients are in Heritage House’s They are much better informed and are demanding fairer wages and better working conditions. This is bringing up the cost of manufacturing overseas and making our dollar and our workers much more competitive. Island Is Art During the past four La Lamps years China’s exports have declined. In order to keep production up, for the first time, China is creating products for the Chinese We Repair market. This in turn is Wicker & Recover creating a nation of conCushions sumers that is boosting the middle class. Those workA SHORE NATURAL ers that build electronics, 89 YEARS OF DECORATING EXPERIENCE OPEN 10-5 • THURSDAY • FRIDAY • SATURDAY • SUNDAY • MONDAY • TUESDAY • CLOSED WEDNESDAY sew clothing and assemble With N Night Light 408 N. MAIN ST. (RT. 9) • BARNEGAT, NJ - 609-698-7621 • CALL FOR DIRECTIONS furniture in sweatshops w w




The County Woman Magazine

Heritage House Exclusive

Customer Testimonial “A local Barnegat Business should be applauded for caring about its’ customers!

It seems I have extreme reactions to odors caused by either chemical and/or materials used in new furniture items. I thought that rattan framed furniture with removable zippered cushions would be a solution. I ordered a rattan loveseat from Heritage House after quite thorough discussions with the staff and owner about my issue. The loveseat was delivered by the owner’s staff, not subcontracted delivery people, Unfortunately, even after his staff had “aired” the cushions for a week prior to delivery I had a severe odor reaction. Upon advising the staff of Heritage House of my problem, this owner and businessman personally was understanding and concerned about a customer to call me and offer me a full refund return! I will not forget the quick reply and action Heritage House has taken. I will recommend this shop whenever the opportunity arises. I have a problem but other furniture shoppers should certainly support this shop. Isn’t it nice to know of a shop where the owner really cares about his customers’ satisfaction: and in my case, my health.” Very truly yours, C. A. Matthews

Written By: Wendy Miller

Sandy victims still receive special discounts and delivery allowances for their purchases over $1000.00.

September/October 2013


Medical Professionals

Irregular Periods? It Might Be Polycystic Ovary Syndrome (PCOS)

Fertility after Age 35

getting too thick. This can make periods lin and become even more lighter and reduce the risk for cancerous resistant to it. Women with By: Dr. Van Deerlin localtofertility specialist. Two ofhormonal these tests aged woman with(FSH). good eggThese reserve.shots spontaneously abort.those The common reason for similarly changes the lining. Another PCOS, particularly stimulating hormone require a tube of blood. One of these assays these miscarriages is a chromosomal imbalance But it doesnâ&#x20AC;&#x2122;t mean she has to give up hope. optionhasisbeen to give progesterone alone for who are overweight, are at an increased risk Itdirectly stimulate the ovaries, but must â&#x20AC;&#x153;My husband and I didnâ&#x20AC;&#x2122;t meet until I utilized for 20 years. It looks at still only takes one good egg. For those that is not compatible with further fetal 10-12 days each month, though this of diabetes and benefit most from losing be used nd rd was 38 years old. (PCOS) Now I amis40the and we are FSH and Estradiol, obtained on the 2 , 3 women whowith donâ&#x20AC;&#x2122;tcare wantbecause to settlepatients for a low with development. th option doesnâ&#x20AC;&#x2122;t prevent unintended pregweight. Change of diet and exercising more PCOS can have an excessive response ready to start a family, but my body doesnâ&#x20AC;&#x2122;t or 4 day of the menstrual cycle. A high chance of success, there is the option of using to It is also important to understand the mostseem common hormonalThis is a commonnancies. to be cooperating.â&#x20AC;? donated by a woman with atoo normal of your male partner. He can FSH means the body is struggling just a bit arefertility the usual recommendations for have such a eggs these medicines and make many eggs, refrainin wewomen, hear in theaffecting fertility world. Most reserve. Naturally, easier to become a sementoanalysis to identify ifand his lessen egg to polycystic find a nice egg to ripen thatmore month. The ovary makes tes-The woman lessendone her symptoms increasing the risk itâ&#x20AC;&#x2122;s of multiple pregnandisorder women are already aware of the sobering fact pregnant if a woman does not wait until her â&#x20AC;&#x153;swimmersâ&#x20AC;? are plentiful and moving well. other blood test is fairly new, but yields more tosterone than usual. High testosterone her risks. Medications can be tried to poscies including the possibility of triplets or 5-10% the declines femaleaspopulation. that of fertility their age advances late 30â&#x20AC;&#x2122;s or beyond. But in todayâ&#x20AC;&#x2122;s society consistent results in detecting mildly low egg There is a gradual decline in sperm numbers levels can lead to excess facial hair and sibly help control insulin and help with higher-order pregnancies. Therefore, past the 35 year mark. But weâ&#x20AC;&#x2122;ve all heard thatâ&#x20AC;&#x2122;s not always a choice. Egg reserve testingthese and quality as men age, but it is not as steep reserve. It is called Anti-Mullerian Hormone acne. Again, the birth control pill is an weight loss. One such medication is metmedicines besituations. monitored carefully by It is characterized irregular menstrual of examples ofby someone having a baby at age can often helpmust in these a decline as seen in women. Men donâ&#x20AC;&#x2122;t have (AMH). A small amount of AMH is secreted 44 orinfertility a similar age. is large an absolute reproductive cut-off by all of her remaining follicles. as So it a low formin treatment for thisegg symptom (Glucophage), which cananalogous result in a trained Fertility Specialist (Reproductive periods and due There to a lack of individual ovu- effective variability when it comes to signs reproductive to a regular womanâ&#x20AC;&#x2122;smenstrual menopause.cycles, Someovulation, men have number correlates with a low more lowersAMH testosterone levels. Itdirectly takes several Endocrinologist). Some patients will lation (release of an egg), and by of aging. The age-related decline depends on the number of remaining eggs. The third test is fathered children in to their 70â&#x20AC;&#x2122;s when they months to see improvement. Other mediand pregnancy. benefit from in Vitro Fertilization (IVF), excess male hormones overproduced byuterus. the It womanâ&#x20AC;&#x2122;s eggs, not the aging of her have a young wife (think movie stars like Tony a careful internal pelvic ultrasound to count cines that block testosterone production Infertility problems occur with PCOS where eggs are removed from the ovaries ovaries. Unwanted hair is tosometimes can be usefulfacial to a woman get an assessment the number of visible follicles (egg sacs) in the Randall). A man continues to make new such as spironolactone can be because of thedaylack of ovulation. after stimulation with fertility shots and her â&#x20AC;&#x153;egg reserveâ&#x20AC;? when she might be sperm every of their adult lives, The so most ovaries. The number(Aldactone) of such medium-sized a sign of of excess male hormones. The sympmaking decisions about when to reproduce. their reproductive cells are at most follicles correlates directly with the number of prescribed. A prescription facial cream, common treatment for inducing ovulation then introduced to sperm in a laboratoms usually start in adolescence, but can To understand ovarian reserve assessment wecalledtiny a few days old. One study (microscopic) follicles held in reserve that is only Vaniqa, is also available to help slow to give the fertility pill clomiphene cittory dish to create embryos. One or more appear in the 20â&#x20AC;&#x2122;s or 30â&#x20AC;&#x2122;s. Many patients must first review the workings of a womanâ&#x20AC;&#x2122;s have not yet begun the ripening process. reported a slightly higher facial hair growth. Electrolysis and laser rate (Clomid,). Eighty percent of patients embryos then can be placed into the uterwith PCOS are overweight, but not all of ovaries. risk of schizophrenia in Just because a woman is over 40 years hair removal can also will half of those who ovulate us. Any remaining embryos can be frozen, them. The ovaries are isusually enlarged and A woman born with all of the eggs she theovulate offspringand of new of age doesnâ&#x20AC;&#x2122;t meanbe sheused needstototemporargive up all ily remove the hair, once the testosterone will ultimately conceive within several if desired, to limit the risk if higher order will ever have. New ones cannot be made fathers over age 50. hope of having a baby. Many women have contain multiple small cysts seen on an later â&#x20AC;&#x201C; but eggs do need to ripen before they A woman who fears that their chances of having a baby with levels are suppressed. attempts. There is a modest increase in multiple pregnancies (triplets or more) and ultrasound exam. The small cysts are actucan ovulate and have a chance of getting hasrisk a diminished Downâ&#x20AC;&#x2122;s Syndrome orPCOS other chromosomal Many women with are relatively the of having twins (7%) with clofor use in future fertility attempts. ally follicles (2-8 mm sized small fluid sacs fertilized by a sperm to then become an number of abnormalities is outrageously high. In fact, resistant to their own bodyâ&#x20AC;&#x2122;s insulin. The miphene. Some patients do not respond that house the eggs) that not organs grownin the embryo. Other cellshave in other remaining eggs at age 40, the chances of having a pregnancy In Summary . . . levels of insulin promote tohas clomiphene and may require other large enough tobody release egg. human are their replaced with new ones as resulting a lower withhigh such an abnormality reach the 4th There is hope for women affected by making it hard lose3%. therapies. we age, but not so for the egg cells in the the storage chance ofOne option is metformin to month of of fat, pregnancy is fairly lowto â&#x20AC;&#x201C; only this common syndrome called PCOS to Causesovaries. of PCOS So a 40 year old has only 40 year- weight. conceiving a One however, IS increased is the A risk, vicious cyclethat is created because help the ovaries ovulate. Another option old eggs. NotofallPCOS eggs areisperfectly normal. overweight chance women of miscarriage. with shots that contain follicle regulate their periods or to conceive a baby. make On evenaverage more40% insu-of is pregnancy to use fertility The actual cause unknown. The eggs that ripen earlier in her life have her own eggs than a pregnancies in women over the age of 39 will It appearsa that women are genetically higher chance of being normal. And prone to since this disorder. of it a womanâ&#x20AC;&#x2122;s Female supply ofrelatives eggs is limited a patient eventually with PCOS chance runshave low. aAs50% the reserve of eggs low, the percent eggs that are of havingbecomes it themselves. Certainoflifestyle 'LYLVLRQRI5HJLRQDO:RPHQ¡V+HDOWK*URXS//& normal (perhaps factors such as adrops highconsiderably calorie, high carbo-to 10% or so). Menopause marks the time when no Â&#x2014;Â&#x17D;Â&#x17D;Â&#x2021;Â&#x201D;Â&#x2DC;Â&#x2039;Â&#x2026;Â&#x2021; Â?Â&#x2C6;Â&#x2021;Â&#x201D;Â&#x2013;Â&#x2039;Â&#x17D;Â&#x2039;Â&#x2013;Â&#x203A;Â&#x2021;Â?Â&#x2013;Â&#x2021;Â&#x201D;Â&#x2039;Â&#x2013;Â&#x160;ÇŁ hydrate diet and inadequate exercise may more usable eggs remain. The average age of Č&#x2030;Â&#x17D;Â&#x17D;Â&#x2C6;Â&#x160;Â&#x2021;Â&#x2018;Â&#x2026;Â&#x2013;Â&#x2018;Â&#x201D;Â&#x2022;Â&#x201D;Â&#x2021;Â&#x2018;Â&#x192;Â&#x201D;Â&#x2020;Â&#x2021;Â&#x201D;Â&#x2013;Â&#x2039;Ď?Â&#x2039;Â&#x2021;Â&#x2020; Â?Â&#x2021;Â&#x2019;Â&#x201D;Â&#x2018;Â&#x2020;Â&#x2014;Â&#x2026;Â&#x2013;Â&#x2039;Â&#x2DC;Â&#x2021; 6287+-(56(<)(57,/,7<&(17(5 worsen many of theissymptoms. PCOS menopause 50. Â?Â&#x2020;Â&#x2018;Â&#x2026;Â&#x201D;Â&#x2039;Â?Â&#x2018;Â&#x17D;Â&#x2018;Â&#x2030;Â&#x203A;Â?Â&#x2020; Â?Â&#x2C6;Â&#x2021;Â&#x201D;Â&#x2013;Â&#x2039;Â&#x17D;Â&#x2039;Â&#x2013;Â&#x203A; LVQRZRIIHULQJDGLVFRXQWIRU,9)WR causes a woman not tohas ovulate reliably.300,000 By A woman approximately Č&#x2030;Â&#x2018;Â&#x2019;Â&#x2018;Â&#x2026;Â&#x2013;Â&#x2018;Â&#x201D;Â&#x2122;Â&#x192;Â&#x201D;Â&#x2020;Â&#x2022; Â&#x2018;Â&#x201D;ÍšÂ&#x2021;Â&#x192;Â&#x201D;Â&#x2022; Â?Â&#x2018;Â&#x2122; 8 $&7,9(0,/,7$5<$1'9(7(5$16 immature eggs, eachher in abody tiny follicle not ripening an egg fully, fails in her Č&#x2030;Â&#x192;Â&#x2019;Â&#x192;Â&#x201D;Â&#x2018;Â&#x2022;Â&#x2026;Â&#x2018;Â&#x2019;Â&#x2039;Â&#x2026;Â&#x2014;Â&#x201E;Â&#x192;Â&#x17D;Â&#x2021;Â&#x2DC;Â&#x2021;Â&#x201D;Â&#x2022;Â&#x192;Â&#x17D;Â&#x2022; ovaries, at puberty. So what became of those &DOOH[WIRUPRUHLQIRUPDWLRQ to make an important female hormone, Č&#x2030;Â&#x2018;Â?Â&#x2021;Â&#x203A;Â&#x192;Â&#x2026;Â? Â&#x2014;Â&#x192;Â&#x201D;Â&#x192;Â?Â&#x2013;Â&#x2021;Â&#x2021;Â&#x2DC;Â&#x192;Â&#x2039;Â&#x17D;Â&#x192;Â&#x201E;Â&#x17D;Â&#x2021; Â&#x2018;Â&#x201D; Â&#x2DC;Â&#x2C6;Â?Â&#x2020;Â&#x2018;Â?Â&#x2018;Â&#x201D;Â&#x2030;Â&#x2030; egg follicles between puberty and menopause? progesterone. Progesterone protects the Č&#x2030; Â&#x2014;Â&#x17D;Â&#x17D;Â&#x2021;Â&#x201D;Â&#x2DC;Â&#x2039;Â&#x2026;Â&#x2021; Â&#x2021;Â&#x201D;Â&#x2013;Â&#x2039;Â&#x17D;Â&#x2039;Â&#x2013;Â&#x203A;Â&#x2021;Â?Â&#x2013;Â&#x2021;Â&#x201D; Were they all released during the once-auterine lining overgrowth daVinci Robotic Surgery Available Č&#x2030;Â&#x2018;Â&#x201E;Â&#x2018;Â&#x2013;Â&#x2039;Â&#x2026;Â&#x2014;Â&#x201D;Â&#x2030;Â&#x2021;Â&#x201D;Â&#x203A;Â&#x2DC;Â&#x192;Â&#x2039;Â&#x17D;Â&#x192;Â&#x201E;Â&#x17D;Â&#x2021; monthfrom ovulation process? and No. from Usually only potentially changes. onecancerous egg will reach the fully mature state necessary ovulateisduring each menstrual A woman withtoPCOS not necessarÂ&#x2018;Â&#x201E;Â&#x2021;Â&#x201D;Â&#x2013;ǤÂ?Â&#x192;Â&#x2C6;ÇĄ   cycle. The average woman has menstrual ily going to exhibit all of the aspects450 of the Â&#x2021;Â&#x2013;Â&#x2021;Â&#x201D; ǤÂ&#x192;Â?Â&#x2021;Â&#x2021;Â&#x201D;Â&#x17D;Â&#x2039;Â?ÇĄ 

cycles during her lifetime. The other 299,550 syndrome. Some may be lean and others Â&#x2013;Â&#x2021;Â&#x2019;Â&#x160;Â&#x2021;Â?ǤÂ&#x192;Â&#x2122;Â&#x2039;Â?ÇĄ 

or so eggs slowly degenerate over time at a rate may not of have any25unwanted hair growth. about per day. Fertility medications will

Â&#x192;Â&#x201D;Â&#x203A;ǤÂ&#x192;Â&#x2026;Â?Â&#x2039;Â?ÇĄ  ÇĄÂ&#x2039;Â&#x2022;Â&#x2013;Ǥ Most, however, menstrual cycles that Some not alterhave this rate of egg degeneration. Â&#x192;Â&#x201D;Â&#x201E;Â&#x192;Â&#x201D;Â&#x192;Â&#x17D;Â&#x2039;Â&#x2026;Â&#x2021;ÇĄÇŚÇĄ are known speed up from the loss of eggs, frequentlythings go longer thanto40 days Â&#x201D;Â&#x192;Â&#x2026;Â&#x203A;Â&#x201D;Â&#x192;Â&#x2014;Â&#x2022;Â&#x2021;ÇĄÇŚÇĄ such chemotherapy or radiation for treatments one period toasthe next. The treatment a used to fight cancer. Smoking cigarettes also woman with PCOS is directed toward alleappears to hasten the depletion of usable eggs. viating her particular symptoms limitIn fact, menopause typicallyand arrives one or two ing her risk developing of the yearsfor earlier in womencancer who smoke. The assessment egg reservefor involves uterus. The most commonoftreatment Â&#x2039;Â&#x2022;Â&#x2039;Â&#x2013;Â&#x2014;Â&#x2022;Â&#x2018;Â?Â&#x2018;Â&#x2014;Â&#x201D;Â&#x2021;Â&#x201E;Â&#x2022;Â&#x2039;Â&#x2013;Â&#x2021;Â&#x2122;Â&#x2122;Â&#x2122;ǤÂ&#x2022;Â&#x152;Â&#x2C6;Â&#x2021;Â&#x201D;Â&#x2013;ǤÂ&#x2026;Â&#x2018;Â? the number irregular attempting periods is to themeasure birth control pill.of eggs /LSSLQFRWW'ULYH +DUERU3DYLOLRQV $WODQWL&DUH/LIH&HQWHU in the ovaries. Most experts agree that 6XLWH (JJ+DUERU5GÂ&#x2021;6XLWH% â&#x20AC;&#x153;The pillâ&#x20AC;?leftprovides both estrogen and pro(QJOLVK&UHHN$YHÂ&#x2021; a combination of 3 different tests gives the 0DUOWRQ1- 6HZHOO1- (JJ+DUERU7ZS1- gesteronebest to regulate menstrual estimate. the These tests can beperiods done by a    and to protect the lining of the uterus from Presented by: South Jersey Fertility Center

Polycystic Ovary Syndrome


The County Woman Magazine

September/October 2013

Medical Professionals


Live A Pain-Free Life Thanks To Premier Pain Centers An Interview With Dr. Michael O’Hara About The Practice

Ocean County Woman recently sat down with Dr. O’Hara to learn more about this fascinating field of medicine.


Michael O’Hara, DO, Premier Pain Centers

iving with pain is something that, unfortunately, many of us do on a daily basis. It is an invisible, subjective symptom that can lead to anxiety and even depression. When pain interferes with daily activities, it can rob a person of an important part of their life.

OCW: What are the most common types of pain conditions that you treat? Dr. O’Hara: The majority of pain conditions that we treat involve spinal pain problems, low back pain, neck pain, sciatica, herniated discs, arthritic conditions in the spine, motor vehicle accidents and workman’s compensation injuries. OCW: What are some typical causes of these conditions? Dr. O’Hara: Back pain can be caused by a variety of things such as discs that are herniated or pinching spinal nerves, arthritic or inflammatory problems, spinal stenosis (narrowing of the spinal canal), or musculoskeletal problems. It is our job to find the primary cause of the pain and direct treatment to reduce or eliminate it. OCW: What are some successful methods of treatment? Dr. O’Hara: Treatment is individualized depending on the cause of the problem and how each person presents. When a

patient arrives for an appointment, a complete history and problem-focused physical exam is performed. Pertinent studies are reviewed to assist in the diagnosis of the problem. Treatment can involve a combination of therapeutic or diagnostic injections, physical therapy, psychological counseling, medications or minimal surgical interventional techniques. We utilize different diagnostic injections guided by X-ray or ultrasound to determine the nerve, joint, or disc that causes the pain. These procedures may be followed by guided injections to reduce inflammation or desensitize painful areas. OCW: Discuss some of the latest cutting edge treatments that are on the rise. Dr. O’Hara: These new treatments are available for different pain conditions: Herniated discs can be decompressed through a needle or small endoscope (Nucleoplasty, Dekompressor). Spinal Stenosis can be treated with minimally invasive techniques (MILD procedure). These procedures are minimally invasive and performed on a same day, outpatient basis. Most importantly, they can provide lifechanging improvement.

Dr. Michael O’Hara has devoted his career to the specialized field of Pain Management. As an expert in his field, he treats various pain conditions like spinal stenosis, degenerative disc disease, whiplash injuries, facet joint syndrome and sciatica. “We treat all types of acute and chronic pain problems and are the largest pain management group in NJ with eight offices spanning over three Our Mission is to provide quality medical care to our patients in counties,” he explained. an atmosphere of warmth, professionalism and integrity. “Because of our superior training, cutting edge technology, and compassionate care, we set the bar for pain management at the highest possible level. We get results.” As a graduate of the University of Medicine and Dentistry he finished in the top 5% of his class and later completed an Anesthesiology residency from the Hospital of the University of Pennsylvania. He later continued his studies as a Fellow in the field of Pain Management. Dr. O’Hara currently resides Front seated: Scott E. Metzger, MD; Peter S. Staats, MD, MBA; John Mak, MD; (middle row) in Monmouth County Carmen Quiñones, MD; Michael O’Hara, DO; Cherie Weiss, PA-C, ATC, CSCS; (back row) with his wife and three Renee Wolf, PA-C; Sean Li, MD; Kulbir S. Walia, MD and Mark Cattell, RPA-C. children.

The County Woman Magazine

OCW: What sets your practice apart from other pain management practices? Dr. O’Hara: All of our physicians are double board certified and fellowship trained in pain management. They have been trained at the finest institutions in the country (University of Pennsylvania, Harvard, Johns Hopkins, Emory, University of Michigan). We treat each patient as an individual—just as we would our own family members. OCW: What are the long-term goals of your treatments? What can a patient expect? Dr. O’Hara: The long-term goal of treatment is to reduce pain, improve function and return people to a purposeful level of activity. Patients participate in the formulation of their care plan and are active participants in their treatment. We reassess the benefits of treatment at every visit to ensure the patient is progressing in the correct direction. OCW: How did you become interested in this field?

Dr. O’Hara: During my anesthesia residency at the University of Pennsylvania I became interested in pain management. It is a natural evolution from anesthesia because of the knowledge of pharmacology and the various nerve blocks utilized. I became interested in the detective work necessary to find the root cause of the patient’s pain syndrome. The patient’s examination, MRI studies, and history became pieces of a puzzle to solve in order to help them. OCW: What is the most challenging? What is the most rewarding part about your profession? Dr. O’Hara: The most challenging part is trying to get some patients involved as an active participant in their own care. The most rewarding part of my profession is getting patients back to a normal life. It is the job of every physician to ease human suffering. I have the privilege of doing that every day!

September/October 2013

Whiting Business Association


Perfect Fit Ortho is a medical back and knee bracing company focusing on patient service in their home. The bracing helps patients continue a normal and active lifestyle, while providing better posture and balance.

Whiting Business Association The bracing requires a prescription from the patient's Fighting Osteoporosis Physical is committed to Through medical doctor and an appointment is set Therapy up at the patient's home. Medicare and Horizon Blue Cross Blue Replacement Therapy was the calcium consumed in foods such These exercises, in conjunction by preventing bone destroy serving the needs re you one of most common intervention. as dairy products, oatmeal, tofu, with manual therapy techniques osteoclasts from digesting b Shield networks. the 44 million soy seaweed, dark green vegetables, Currently, Selective Estrogen to elongate muscle tissue and The final class of thecompression community. Receptor Modulators (such as fish and some types of nuts. For forces on the Americans suffering of reduce pharmacological treatment


Nolvadex, Evista, Fareston) are those who are lactoseSame intolerant bone, can drastically reduce the bone forming medication k day and emergency service is available. more commonly recommended (meaning they are unable to incidence of fractures. A physical as Forteo. This is generally for the prevention and treatment therapist can determine if a simple breakdown calcium into a bone prescribed for those osteopo Rich Tyas of osteoporosis in postexercise program can alleviate your building product) lactase drops patients at high risk for frac Device Specialist Through research, the medical menopausal women. may be utilized. symptoms. Currently the FDA only community has discovered Antiresorptive medications or 3. Pharmacology: 2. Nutrition: recommends the utilization National Sales Director methods not only to combat Biophosphates (such as Fosamax, One of the biggest developments Nutrition and lifestyle play a key class of drug for 2 years due Ph: 908-907-1316 Osteoporosis, but also prevent it. Boniva, Actonel, Reclast, Fortical over the past 20 years in the role in bone loss. Individuals potential side effects. Fax: 732-894-3291 In order to treat this condition, treatment and prevention who are not receiving adequate and Miacalcin) are now commonly Whiting Branch • Donna Gould, Branch Manager, let’s discuss the facts. nutrition (low calcium or Vitamin of Osteoporosis has been in Specialized Treatment utilized in the treatment of Email: Member of the Whiting Business Association pharmacology. Initially, Hormone osteoporosis. Biophosphates work At All-Care Physical Therap Founding • Osteoporosis is a condition D) or an excessive intake of that causes bones to become thin specialize in the treatment a Back prevention & KneeofBracing 732.350.9500 and porous, decreasing bone• Visit Osteoporosis strength and leading to increased Diabetic Shoes Osteopenia. We are one of risk of breaking a bone. Ocean Cou Activitiesonly Offacilities DailyinLiving • During their lifetime 50% of that have been certified in t In Homeof Service all women and 25% of all men treatment Osteoporosis. Medicare over the age of 50 will have an essentialAccredited that a physical the osteoporosis related fracture. is aware of the risks of treat • Fractures from osteoporosis Phoebe Shagan, Reliable Health Solutions is a one-stop Osteoporosis and understan are more common than heart office where you can find the answers to the most optimal therapeut attack, and breast canceryour health insurance questions. Because RN,stroke CCM interventions to not only p combined. the progression, but comba there are many options, understanding the • Women and men alike begin disease itself. Phone: (732) 784-7017 differences can be very overwhelming for to lose bone in their mid-30s. As theyLocations: approach menopause, women most people. If you need any type of health Written By:River, Michael yorke, MPt lose bone at aJackson, greater rate, from Our family-owned outpatient facilities in Brick, Toms Whiting, Whiting, NJ { NJ insurance Phoebe is the right person for 2-3% per year due to hormonal Yorke graduated with honors from by a practicing physical you. She will speak with you to quell Barnegat, and Manchester, NJ are directedMichael changes. Gettysburg College in 1997, majoring in Ex your fears and discuss your concerns. therapist, Michael Yorke. Our primary goal is to provide optimal pain-free Science with a focus in Athletic Training. physical therapy for all patients. Pain is a physiological response to damage Risk Factors: Age, sex, tobacco/ RHS is where there is always an He continued his education at Hahnemann or injury. The old adage “No Pain- No Gain” could not be more incorrect alcohol use, vertebral compression answer, never a fee. earning Master’s therapy degree in Phys fracture, fragility fracture, family in the field of rehabilitative medicine. We University stress hands on amanual Reliable H ealtH S olutionS Therapy in 1999. history of hip fracture, medical * Affilliated with Lonestar to help as well as consistent therapist/patient interaction. Michael has continued to expand his conditions or use of medications you get low-cost medications. Here’s how we differ from other physical therapy facilities: knowledge through continuing education hours with focus in that inhibit absorption of nutrients or contribute to bone loss. ( Free Transportation Orthopedics as well as Geriatric Medicine. He has completed cour the treatment of osteoporosis and postural changes. In 2005, Mich Help Is Out There: ( Innovative, pain-free approach to physical opened All-Care Physicaltherapy Therapy Center with a focus on personal Over the past 20 years, treatment on-one, care.inMichael been a member of the Americ ( Our large, cozy facilities offerhands-on the utmost patienthas comfort and satisfaction and prevention of osteoporosis For all of your Estate Planning, Physical Therapy Association since 1997. Michael’s experience has have come a long way. Solutions ( We’re family owned sohim we to aredevelop not harnessed by a pain-free approach to physical thera an innovative, Estate Administration can be broken down into 3 corporation categories. and Elder Law needs. 1. Physical Therapy: ( Our energetic, family-like staff and upbeat atmoprotein, sodium and caffeine By far the most conservative are considered at increased risk. sphere supports rapid rehabilitation 108 Lacey Road, Ste. 2 treatment for Osteoporosis is Interventions such as calcium Whiting, NJhave ( We provide one-on-one personalized care exercise through Physical Therapy. or vitamin supplements With the correct exercise program, 1622-A been recommended for many Beaver Dam Road ʓʐʚʗʗʐʕʣʮʮʥʣʴʧ the human body has the ability individuals, as research has Point Pleasant, NJ not only to prevent the loss of indicated that 1200-1500mgs of ComeExecutive Experience The All-Care Jim Yorke Director, All Care Physical Therapy Center bone density, but also increase calcium a day along with 7-80 Membership Director, Whiting Business Association bone strength via the S.A.I.D. IU of Vitamin D reduced the Difference For Yourself! Principle (Specific Adaptation fracture rate in post-menopausal ʹˊˋ˖ˋːˉ͙ʶˑˏ˕ʴˋ˘ˇ˔͙ʤ˔ˋ˅ˍ to Imposed Demands). By The County Woman Magazine women by 50%. This is generally September/October 2013

from Osteoporosis or Osteopenia?

We are proud to support the Women of Ocean County


Lynnette E. Brennan Attorney at Law


Perfect Fit Ortho

ting Osteoporosis Through Physical Therapy 11 Medical Professionals

These exercises, in conjunction one of with manual therapy techniques million to elongate muscle tissue and reduce compression forces on the suffering bone, can drastically reduce the porosis or incidence of fractures. A physical etween 200,000 and 300,000 hip ? therapist can determine if a simple

Replacement Therapy was the calcium consumed in foods such by preventing bone destroying most common intervention. as dairy products, oatmeal, tofu, osteoclasts from digesting bone. soy seaweed, dark green vegetables, Currently, Selective Estrogen The final class of Receptor Modulators (such as fish and some types of nuts. For pharmacological treatment is a Nolvadex, Evista, Fareston) are those who are lactose intolerant bone forming medication known more commonly recommended (meaning they are unable to as Forteo. This is generally while walking and exercising. To address this problem, for the prevention and breakdown calcium into a bone osteoporotic paintreatment medication willprescribed be orderedfor by those the doctor as needed. replacement operations are perof osteoporosis in postbuilding product) lactase drops exercise program can alleviate your risk for fracture. • Gait training – Thepatients patient at willhigh be encouraged to sit , the medical Metallic acetabular formed in the United States each menopausal women. may be utilized. symptoms. Currently the FDA only up and try to walk with crutches or a walker soon after component iscovered Antiresorptive medications or 3.cupPharmacology: recommends utilization of this surgery. This will likely happen thethe same day as your year, most of them2.inNutrition: patients over the age y to combat Enlarged view Biophosphates (such as Fosamax, One of the Nutrition and lifestyle play a key class of day. drugThis for 2notyears to surgery or on the following onlydue promotes Plasticbiggest liner developments of 60. Oneit.expertrole estimates annual t also prevent Boniva, Actonel, Reclast, Fortical over the past 20 years in the of acetabular in bone that loss. the Individuals potential side effects. range of motion and strength but is also important for cup Metallic number of hip replacements in the United his condition, treatment and prevention who are not receiving adequate and Miacalcin) are now commonly endurance and stamina. Weight bearing will depend femoral head The acetabular cts. of Osteoporosis has been in calcium or Vitamin Metallic Treatment utilized in cup themay treatment femoral States will rise to nutrition 600,000(low by 2015. on theofnature of the Specialized implant fixation. It is critical for have a pure titanium coating stem is a condition pharmacology. Initially, Hormone which D) or an excessive intake of osteoporosis. Biophosphates patients to work adhere toAt All-Care Physical Therapy, we the weight bearing status given to allows a high surface to become What is athin Posterior Hip Replacement? roughness, therefore specialize in the treatment and them following surgery. increasing implant stability easing bonereplacement is a surgical procedure that replaces A hip prevention Osteoporosis • Exercise goals –Increase muscle of strength, range ofand to the host bone. ing increased thetopainful hip joint with an artificial hip joint. In a Osteopenia. We are one of the motion, blood circulation, and overall fitness. What to Expect After Surgery: bone. hip replacement, the head of the femur (the bone that only facilities in Ocean County Home recovery that andhave follow-up care:in the lifetime 50% of • Blood- Thinning Medication/Pressure extends from the hip to the knee) is removed along with been certified • Continuation of either home care physical therapy 5% of all men application: Your surgeon may prescribe an the surface layer of the socket (called the acetabulum). treatment of Osteoporosis. It is or outpatient physical therapy recommended. A Physical 0 will have an injected or oral blood thinner after surgery. essentialisthat a physical therapist • The head of the femur, which is situated within the therapist at All Care Physical Therapy Center can deteredpelvis fracture. is aware of the risks of treating Both during and after surgery, you may wear socket, is replaced with a metal ball and stem. This mine the best outpatient treatment plan to achieve m osteoporosis Osteoporosis and understand your elastic compression stockings or inflatable air stem fits into the shaft of the femur. goals following a hipthe replacement. n than heart most optimal therapeutic sleeves, similar to a blood pressure cuff, on your • The socket is replaced with a plastic or a metal and • About six to eight weeks after surgery, have a breast cancer interventions to not you’ll only prevent lower legs to help prevent blood from pooling in plastic cup. follow-up appointment with your surgeon to make sure the progression, but combat the the leg veins, reducing the chance of clots. Signs • There are many different shapes, sizes, and designs men alike begin your hip is healing properly. If recovery is progressing disease itself. of artificial components of the hip joint. Most common- of blood clotting are pain or swelling in your calf, foot, eir mid-30s. As well, most people resume their normal activities ly, the parts are composed of chrome, cobalt, titanium, or thigh or hip. enopause, women by this time — even if in a limited fashion. ceramic materials. • Hip Precautions: Avoid bending hip beyond 90 Written By: Michael yorke, MPt ater rate, from Call 1-855-3ALLCARE to schedule an appointment. degrees, crossing surgical leg over non-surgical leg, and When Is A Hip Replacement Needed? e to hormonal Michael Yorke graduated with honors from avoid turning the operated leg inward, i.e. pigeon-toed. A hip replacement can benefit individuals suffering Written By: Lauren Anzalone-Baranyay, Manager All-Care Gettysburg College in 1997, majoring in Exercise from a variety of hip problems resulting from either wear • Physical Therapy will Address: Physical Therapy, Barnegat, NJ. For more information on the Science a focus in Athletic and tear from a lifetime of activity or from disease and author pleasewith see the “Women of OceanTraining. County” section. e, sex, tobacco/ Circulation – The physical therapist in the hospital He continued his education at Hahnemann injury. Some of the common hip problems leading to a bral compression instructs the patient to move the ankles up University earning a Master’s degree in Physical hip replacement fracture, family are: and down to promote circulation and prevent Therapy in 1999. cture,• Osteoarthritis medical clots. Michael has continued to expand his • Rheumatoid arthritis of medications Strengthening/ Range of Motion – The • Traumatic arthritis knowledge through continuing education hours with focus in ption of nutrients physical therapist will improve range of • Vascular necrosis bone loss. motion to the hip as well as initiate muscleOrthopedics as well as Geriatric Medicine. He has completed courses in The most common cause of severe hip damage result- strengthening through specific exercises. the treatment of osteoporosis and postural changes. In 2005, Michael ing in surgery is osteoarthritis. Osteoarthritis causes pain, This will progress the patient into becoming re: opened All-Care Physical Therapy Center with a focus on personal, oneyears, treatment swelling, and reduced motion in your joints, all of which independent in walking, going up and down on-one, hands-on care. Michael has been a member of the American f can osteoporosis interfere with your daily activities. If other treatstairs, and getting in and out of bed. During Physical Therapy Association since 1997. Michael’s experience has led Barnegat way. mentsSolutions such as physical therapy, walking aids (such as a this time, patients may experience discomfort him toLocation develop an innovative, pain-free approach to physical therapy. wn into 3

Posterior Hip Replacements: Putting It All Together


cane), pain medicines, and exercise haven’t helped, hip replacement surgery might be an option for you.

erapy: protein, sodium and caffeine What Are The Risks And Complications? onservative are considered at increased risk. As withisall major surgical procedures, complications eoporosis Interventions such as calcium can occur. Some of the most common complications folPhysical Therapy. or vitamin supplements have lowing hip replacement are: exercise program, been recommended for many the • Deep venous thrombosis has ability individuals, as research has nt the(DVT) loss of indicated that 1200-1500mgs of • increase Infection also calcium a day along with 7-80 • Dislocation the S.A.I.D. IU of Vitamin D reduced the • Loosening c Adaptation fracture rate in post-menopausal ands). By How To Prepare women by 50%. This is generally for Surgery: ing the strain or a conservative approach • Preparing for a total hip replacement oftenand begins one groups, we may help in the prevention several weeks prior to the actual surgery. Emphasis is te bone mass of Osteoporosis in the postplaced upon the individual maintaining good physical ch activities menopausal female. and education. It is best to learn what to expect lyhealth designed to Research has shown that the before, during, and after surgery by asking the doctor for afe manner. body is better able to utilize reference materials such as booklets.

The County Woman Magazine


Come Experience The All-Care Difference For Yourself! ʹˊˋ˖ˋːˉ͙ʶˑˏ˕ʴˋ˘ˇ˔͙ʤ˔ˋ˅ˍ ʯ˃ː˅ˊˇ˕˖ˇ˔͙ʤ˃˔ːˇˉ˃˖

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September/October 2013



& Wellness

Fall Back Into Fitness: Busy Moms Lead By By: Julianne Dods, Vice President, The Ocean Club


iving well and proactively taking care of your body throughout all stages of life is important. One key component to a healthy lifestyle lies in regular physical activity. However, adhering to a structured fitness program often has it challenges, especially for mothers of young children. While more and more mothers are taking on full-time careers, their commitment to more traditional female roles, such as managing the household and providing childcare, has not diminished. So, how do these busy moms manage to juggle it all and still find time for the gym? Michelle Verdi, a 41-year-old mother of two from Stafford Township and Debbie Romero, a 47-year-old mother of three girls from Manahawkin, are a part of a growing trend of mothers who also carve out time from their demanding schedules to make health and fitness a priority. As a Board Certified Pediatrician, Michelle understands the importance of committing to a healthy, active lifestyle. “Exercise has a multitude of physiological benefits, many of which we will


never notice,” says Michelle. “For me, exercise helps to relieve stress while also increasing my energy levels and sleep quality.” Between juggling domestic and professional responsibilities, there are legitimate reasons why working mothers find it difficult to maintain a regular exercise routine. Add in sleep deprivation and the guilt that generally comes along with indulging in recreational activities outside of the home, working mothers often find that their increased stress levels actually inhibit their exercise behavior. That is not that case for Debbie, who aside from carrying out her responsibilities as a wife and mother is also a successful hair stylist and fitness enthusiast. It may not be surprising that, according to recent studies, the most commonly reported barrier to physical activity for working mothers was lack of what is perceived to be leisure time. While Debbie may not always have time for fitness, she makes time for fitness, which is her key to success. When her three girls (ages 17, 8 and 6) are out of school, coordinating childcare becomes difficult. But, with the help of her husband and the babysitting services offered

Busy mom, Michelle Verdi works with Ocean Club Personal Trainer Wendi Melendez twice a week.

The County Woman Magazine

through The Ocean Club, Debbie has been able to stick with her training regimen. “No matter what scheduling conflicts arise, I made a commitment to myself and to my family to be healthier,” says Debbie.  According to Jennifer Nash, Personal Training Director at The Ocean Club, Debbie is one of her hardest working clients. “Debbie made the decision a long time ago that she wanted to change and never took her eye off her goal, which is why she has had such great results. I am constantly challenging her to push harder, lift heavier and give more, and she never complains.” Although some of women may view exercise as another chore to add to their growing list of obligations, Michelle and Debbie find that exercise allows them to make more positive contributions to their families as well become more productive and satisfied at work. However, they admit that their success in maintaining a regular fitness routine would not be possible without spousal support. “For the longest time, I complained about my weight and being out of shape after having children,” says Michelle. “I didn’t believe that I had the time to invest in hour long cardio sessions

Michelle credits her success to the support she’s received from her husband, Fran, and their family.

and trips to the gym, but my husband signed me up for a gym membership at The Ocean Club and set me up with Wendi Melendez, a Personal Trainer.” Michelle no longer had any excuses.  While Michelle’s desire to change enabled her to develop a fitness goal, she attributes much of her success to her husband, Fran, who is a fishing charter captain, and Wendi. “Wendi is the mastermind behind my results. She constantly challenges me and makes me want to push myself harder than I ever imagined possible.” Since joining The Ocean Club almost three years ago, Michelle continues to meet with Wendi twice per week and takes Group Fitness class to supplement her routine when her schedule permits. “Last summer, Michelle dropped to one session per week and, while she didn’t gain a significant amount of weight, her overall fitness suffered,” says Wendi. Since then, the pair has learned that revising Michelle’s schedule to work around her children’s athletic schedules, as well as her own work obligations, and being flexible are much more beneficial to her long term fitness goals. “I am very much still a work in progress, but I now find the time to not only exercise daily but run 5K’s and adventure races,” says Michelle. She has also recently completed a Tough Mudder, a feat that 3 years ago she never would have believed herself capable of.  “My next challenge is still a mystery to me, but I know it will be something big.” Although Michelle and Debbie both have professional careers, their families continue to be their top priority and view their commitment to becoming and staying active as a means of keeping the entire family healthy and happy. “Between working and running the household my time is very valuable,” says Debbie. “The one thing I have always focused on was nutrition and cardio, but I was still unhappy with the way my body was looking. I knew I needed a change.” With the support of her husband, Debbie hired Personal Trainer Jennifer Nash to give her exercise purpose and make the most out of her efforts outside the home and office. Since starting with Jennifer last

September/October 2013


Their Example October, Debbie has lost 30 lbs. and numerous inches off of her body. “My fitness has improved drastically. I am able to exercise at a higher intensity level and focus more on weight training, which elevates my heart rate just as much as my old cardiovascular routine used to but with added results. My next big goal is to do an unassisted pull-up,” she says. Debbie firmly believes that the psychological effects of exercise have greatly improved

her mental state and selfconfidence. “Not only do I feel better, but I look better and I find that I am genuinely more satisfied in everything I do, including work, and that is a great accomplishment.” If you are interested in changing your life through fitness, as Michelle and Debbie have done, be sure to contact The Ocean Club at (609) 9782244, or visit us on the web at, TODAY!

& Wellness



Month-to-Month & Student Memberships Available. 50+ Group Exercise Classes Each Week Small Group Fitness Aquatics TRX Hot Yoga Boxing And More!


7-Day VIP Pass Present this pass at the Ocean Club to activate. (above) Debbie Romero has lost 30 lbs. with Ocean Club Personal Training Director, Jennifer Nash. (at right) Despite her hectic schedule, Debbie continues to make her family and fitness a priority.

The County Woman Magazine

(609) 978-2244

700 S. Main Street (RT. 9)

Stafford Twp.

*Must be 18 years of age or older. Local Residents Only. First Time Users. ID Required. See club for details.

Julianne Dods Vice President, The Ocean Club

For more information on how The Ocean Club can help you change your life, call (609) 978-2244, or visit

Join The Ocean Club’s social networking followers on

September/October 2013



& Wellness

HCG Diet May Be The Answer You’ve Been Looking For

Written by: Jill Houston, Clinical Director Ocean Health & Weight Loss


he sexes may have been created equal, but when it comes to weight loss women certainly face different challenges than men. Those pounds probably crept up on you slowly over the years.

A on the go while shuffling few pregnancies, eating

the kids to their activities, a high stress, sedentary job and a habit of caring for others and putting yourself last—all add up to extra pounds. And despite your best efforts, the bathroom scale won’t seem to budge. Before you try to lose another pound, get a better understanding of your endocrine system and how it impacts your weight gain and your weight loss. Your hypothalamus is a vital part of the brain, which controls all automatic functions of the body including breathing, heart-

beat, digestion and the complex functions of the endocrine system. One of the many functions of the endocrine system is regulation and control of hormones that impact your metabolism. That busy, stressful life you’ve been living—your endocrine system will release high levels of the stress hormone cortisol in response to it. Cortisol not only increases your appetite, but it also makes you crave foods high in fat and sugar. Talk about a double whammy! This means that adding a few, simple stress reducing activities into your routine will help any weight loss program. Here a few ideas: • Walk 10 minutes a day. • Breathe deep 10x a few times a day. • Find a quiet place to meditate. • Get 8 hours of restful sleep. • Enjoy a weekly therapeutic massage. As we age, Mother Nature plays a cruel trick on women. Estrogen levels drop and metabolism slows down. As a result, women lose muscle and gain fat, especially around the middle. That’s where a diet that resets your metabolism, like HCG, comes in handy. HCG has another distinct advantage—it helps the body to get rid of the “abnormal” fat and preserves muscle. HCG appears to act on the hypothalamus, signaling the body to release stored fat into the bloodstream where it is then

available to be used by the cells for nourishment. This alone will not cause weight loss—you will need to reduce your food intake. This forces the body to use the mobilized fat from the blood stream. HCG causes the release of abnormal fat without affecting structural fat and muscle tissue, which means you lose in those stubborn areas—hips, thighs, buttocks and upper arms! (Very low calorie diets without HCG typically cause you to lose normal fat, structural fat and even muscle.) The HCG diet is balanced, unlike many “fad” diets. A vast majority of clients report not feeling hungry, feel in control and have lots of energy. Perhaps most appealing for busy professionals, exercise is not a mandatory part of the

program. In fact, strenuous activity is avoided until you are finished with the HCG regimen and are back on a regular diet. THIS IS NOT A 500 CALORIE DIET!

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The County Woman Magazine

September/October 2013

Medical Professionals


NJ Community Spine And Pain Introduces Cutting Edge Concussion And Balance Center Have you ever suffered a concussion? How would you know?

An estimated 1.7 million people sustain a Traumatic Brain Injury every year. Of them 52,000 die, 275,000 are hospitalized and nearly 80% are treated in an emergency room; that is a staggering 1,365,000 people each year. Almost 500,000 of these traumatic brain injuries are suffered by children 0 – 14 years old.

Balance Disorders

People with balance disorders face other challenges. The statistics show that 90 million Americans go to health care providers because of vertigo, dizziness or balance problems. It is the second most common complaint heard in doctor’s offices, and will occur in 70% of the nation’s population at sometime in their lives. Nearly 20% of Americans 65-75 years of age currently have a balance disorder with that number increasing to 25% by age 75. Falls are the leading cause of injury deaths among people over 65. The costs to the Medicare and Medicaid programs and society as a whole from falls by elderly persons continue to climb much faster than inflation and population growth. Balance disorders are the number one health complaint of patients over age 70. Falls account for 50% of accidental deaths in the elderly, and 10% of falls result in hospitalization. By not addressing your Balance Disorder you stand to fall into the category of people that suffer from Traumatic Brain Injuries. NJ Community Spine and Pain has created a cutting edge Concussion and Balance Center. We will do baseline testing to determine what your balance issues are and create a customized treatment plan to address your issues. If your problem is a Traumatic Brain Injury, our medical staff will identify the problem and, like our Balance Program, create a custom program to keep you safe from further injury.

Baseline Testing

For the average person a Baseline Test should be run prior to injury. This is done at NJ Community Spine’s Concussion and Balance Center. We save all results and in the event of injury we can see how much change has occurred within the brain. If you have a family member that plays any sport I would suggest getting a Baseline Test immediately. A baseline test is run with people suffering from Balance Disorders to track their progress. This will show how much improvement they are getting during treatment.

What is a Traumatic Brain Injury?

A TBI is caused by a bump, blow or jolt to the head or a penetrating head injury that disrupts the normal function of the brain. Not all blows or jolts to the head result in a TBI. The severity of a TBI may range from “mild,”

The County Woman Magazine

i.e., a brief change in mental status or consciousness to “severe,” i.e., an extended period of unconsciousness or amnesia after the injury. The majority of TBIs that occur each year are concussions or other forms of mild TBI.

What is a Concussion?

A concussion is a type of traumatic brain injury, or TBI, caused by a bump, blow, or jolt to the head that can change the way your brain normally works. Concussions can also occur from a fall or a blow to the body that causes the head and brain to move quickly back and forth. Health care professionals may describe a concussion as a “mild” brain injury because concussions are usually not life-threatening. Even so, their effects can be serious.

What Should I do If a Concussion Occurs?

People with a concussion need to be seen by a health care professional immediately. If you think you or someone you know has a concussion, you need to contact NJ Community Spine and Pain’s Concussion and Balance Center. Our comprehensive screening and treatment plans will help you get well quickly and safely. Getting help soon after the injury by trained specialists is crucial.

What Are the Potential Effects of a TBI?

TBI can also cause epilepsy and increase the risk for conditions such as Alzheimer’s disease, Parkinson’s disease, and other brain disorders that become more prevalent with age. About 75% of TBIs that occur each year are concussions or other forms of mild TBI. Repeated mild TBIs occurring over an extended period of time (i.e., months, years) can result in cumulative neurological and cognitive deficits. Repeated mild TBIs occurring within a short period of time (i.e., hours, days, or weeks) can be catastrophic or fatal.

New Jersey Concussion and Balance Center One of the biggest problems we face in this country is people with Traumatic Brain Injuries and Balance Issues. The New Jersey Concussion and Balance Center has been created to help combat this healthcare crisis. Our medical staff will address your conditions quickly and with care. Our drug-free non-surgical approach to healthcare separates us from many other doctors’ offices.

Make your appointment today and let us change your life. 732-503-4079.

According to the CDC the severity of a TBI may range from “mild,” i.e., a brief change in mental status or consciousness, to “severe,” i.e., an extended period of unconsciousness or amnesia after the injury. TBI can cause a wide range of functional short- or long-term changes affecting thinking, sensation, language, or emotions. • Thinking (i.e., memory and reasoning); • Sensation (i.e., touch, taste, and smell); • Language (i.e., communication, expression, and understanding); and • Emotion (i.e., depression, anxiety, personality changes, aggression, acting out, and social inappropriateness).1

Article written By : Dr. Vincent Giardina, D.C., President, NJ Community Spine and Pain

WE ACCEPT ALL INSURANCES To Set Your Appointment CALL NOW: 732-503-4079 864 Route 37 West Toms River NJ 08755

September/October 2013



& Finance

Copiers Plus Expands Printing Services Division Copiers Expands Their Printing Services Division…Part Division…Part Two! CopiersPlus Plus Expands TheirTheir Printing Two!

print aredesigned designed to to produce produce printfrom fromtheir theirsmart smartphones, phones, are Copiers Plus Copy Center Ocean City mainly and mainlyoutdoor outdoor work work such andsend sendand andreceive receivefaxes. faxes. asasvinyl Our vinylbanners banners and and signs. signs. Ourprinting printingservices services CPI Custom Graphics With this equipment we will division has developed quickly division has developed quickly With this equipment print from their smart phones, are designed to produce 935 West Ave, Ocean City.Ocean N.J. 08226 Copiers Plus Copy Center City and beexpanding expanding our our services services andoffers offersa awide wideranging ranginglist list be mainly outdoor work such and send and receive faxes. into motor vehicle and boat ofofcommercial and personal into motor vehicle and commercial and personal 609-398-7676 as vinyl banners and signs. 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September/October 2013

738.2 WJ Bariatric_Layout 1 8/8/13 4:22 PM Page 1

Medical Professionals


Making Every Meal Count after Surgical Weight Loss Nutrition counseling with a registered dietitian is an essential part of the personalized care provided to patients at the AtlantiCare Center for Surgical Weight Loss & Wellness. Weight-reduction surgery – also known as bariatric surgery – is a treatment option for people who want to improve their health through weight loss that they otherwise would not be able to achieve without surgery. People with a body mass index (BMI) of at least 40, and those with a BMI of 35 to 39.9, plus at least one weight-related medical problem (such as type 2 diabetes or high cholesterol) may be good candidates for bariatric surgery. “Adhering to the program’s dietary and nutrition regimen, as explained by the dietitian before and after surgery, is essential to both losing weight and making sure your body gets the nutrients it needs. For the best outcomes, patients must make a lifetime commitment to making changes in their daily eating habits,” says Alexander Onopchenko, MD, FACS, medical director of the AtlantiCare Center for Surgical Weight Loss & Wellness. Before weight-reduction surgery, patients meet individually with the dietitian for a nutrition consultation. During the consultation, patients receive helpful meal plans, practical strategies for dining out and meal planning at home, and in-depth education about dietary guidelines specific to the type of surgical procedure they are having. “For example, sleeve gastrectomy reduces the capacity of the stomach to hold food. I teach patients how to choose the right foods to meet their nutritional needs after this

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type of procedure,” says Allen Beier, RD, a registered dietitian at the AtlantiCare Center for Surgical Weight Loss & Wellness.

Strategies for Success

Pump up the protein. A diet high in protein and low in fat, sugar and starchy foods is recommended after bariatric surgery. “The protein is essential because it fuels your muscles and keeps your body performing the way it should,” explains Beier. Skinless chicken or turkey, fish, eggs, beans, and low-fat cottage cheese are good sources of lean protein. Protein drinks such as Ensure® and homemade smoothies

can be added to supplement basic nutritional needs. Wet your whistle. Keeping the body well hydrated is an important part of recovery from weight-reduction surgery. Avoid all beverages sweetened with sugar, carbonated beverages and fruit juices. Reach instead for water, unsweetened or diet iced tea, and low-fat or fat-free milk. “One helpful tip is to keep a water bottle with you at all times so you are keeping hydrated throughout the day. If you have a smartphone, set up a repeating reminder to take a sip every hour,” Beier suggests.

full-size dinner plate for a bread plate or the saucer of a teacup for every meal, and use a food scale to measure portions so you know how much to eat,” suggests Beier. “At a restaurant, share your entrée or put some of it on a bread plate to eat and take the rest home. Or, order from the appetizer menu.” For more information about the Center for Surgical Weight Loss & Wellness, visit or call 1-888-569-1000. The Center for Surgical Weight Loss & Wellness at AtlantiCare Regional Medical Center is designated as a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery.

Downsize your plate. Trade in your


“Minimally Invasive Bariatric Surgery” Join us to learn about these minimally invasive surgical procedures for weight loss: • Laparoscopic Sleeve Gastrectomy • Laparoscopic Biliopancreatic Diversion (BPD) with Duodenal Switch (DS) • Laparoscopic Gastric Bypass Roux-En-Y • Laparoscopic Adjustable Gastric Banding (LAP-BAND®) For more information, or to register for a Weight Loss Surgery Seminar near you, please call 1-888-569-1000 or visit


View our weight loss webinar at

September/October 2013


Medical Professionals

Our Professionals Keep Things Running Smoothly Diane Delaney, LNHA Executive Director/Administrator, Whiting Healthcare Center Diane has been a licensed nursing home administrator for over 18 years, and is currently an Executive Director with Revera Health Systems at Whiting Healthcare Center. She holds a BA in psychology and began her career as a Social Worker. In 1993 she moved to Ocean County and started working as a Social Worker in a nursing home, a career choice that changed her life. In 1995 she received her nursing home license and has worked in the healthcare industry since. Diane has enjoyed seeing her center grow and progress over the past year; she is especially proud of the center’s pulmonary / cardiac unit which recently partnered with a local hospital system. Diane states that she “is fortunate to work with great professionals, both at a center level and at a corporate level.” In her free time, Diane enjoys being with her two teen-agers, going to the beach, and working with local shelters to foster pet rescues.

Nanetta Malone, LNHA, CALA, MSA Executive Director /Administrator Laurelton Village Care Center Nanetta is a New Jersey Native and has been in the Healthcare business for over 26 years. She is currently the Executive Director at Laurelton Village, a Nursing and Rehabilitation facility located in Brick N.J. Nanetta started her career with JFK Health Systems in Edison, N.J. where she became an Administrator in 1995. Nanetta helped open one of the first certified ventilator units in a Long Term Care Facility along with a Head Injury Unit in 1988 within JFK Health Systems. She also served as the Administrator of the only NJ certified Huntington’s disease Unit in a nursing facility. In addition she was the Administrator of the first and largest hospital based sub-acute unit in NJ at Muhlenberg Hospital in Plainfield N.J. Nanetta is now enjoying working for a great company Revera Health Systems and continuing her career providing quality care and services to her patients’/residents at Laurelton Village. Nanetta has been married for 28 years to her husband Derious and has two wonderful children Shaun, 25 and Daria, 21. Nanetta enjoys reading and traveling with her family.

It’s All About Service


ously the first criteria. But today, more and more families are doing their homework. They already know which centers offer great care. So excellent customer service – including all the little ‘extras’ and personal attention that enhanced the care experience – is critical.”

Without honest feedback, a business has no chance to improve a product or service that is failing. That’s why so many companies today conduct customer surveys: they want to know how they’re doing so they can keep creating products or services that people will want to buy -- and recommend to friends and family. Customer surveys have been part of the healthcare world for decades now. At Laurelton Village Care Center in Brick, the “Aim to be Excellent” customer service program provides valuable insights into what residents and families value most. “Why do people choose one health care center over another?” asks Nanetta Malone, Executive Director of Laurelton Village. “Great care is obvi-

Aiming to be Excellent: A Customer Service Program

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Revera VP of Operations Regina Figueroa is leading the 9 Revera Health Systems (skilled nursing) centers in the state of NJ. The centers in Ocean County are: Bey Lea Village and Assisted Living Center in Toms River, Laurelton Village and Alzheimer’s Unit in Brick, and Whiting Health and Pulmonary Center in Whiting. Regina has been a leader in the long term sub-acute profession for over 15 years and is very proud to see the accomplishments despite our struggles with reimbursement. Regina is a member of NJ College of Administrators, Health Care Association of NJ and the American Health Care Association. Regina lives in North Jersey with her husband Leo and 5 children. She enjoys spending time with her family and was introduced to the profession through her mother - a nurse in long term care. Regina believes there will always be a need for nursing homes and encourages the positives in this profession. “Long term care is better than what is portrayed by the media; we are the most efficient health care provider and we are proud of the care we provide to our seniors.”

How Laurelton Village Ensures Quality Customer Service

very good business knows that customer satisfaction is the key to long-term success. But sometimes it’s not easy to know if customers are satisfied. Most of us simply stop buying products – or patronizing businesses -- if they fail to meet our expectations.

Regina Figueroa, CNHA, MHSA

Several years ago, Laurelton Village instituted a customer service campaign, called “Aim to be Excellent.” The premise of the program is that every patient who walks through the doors of the center has the right to an excellent stay, and that staff must be equipped to offer patients exceptional customer service at all times. “We’ve really promoted the program to our staff, residents and families,” says Malone. “We communicate through posters, flyers and brochures that let everyone know we’re committed to excellence. We’re continually asking for honest, constructive

feedback through our customer surveys – and if a patient feels we don’t deserve a rating of ‘excellent’ we’ll do whatever it takes to earn that. By taking a proactive approach, Malone feels that Laurelton Village can adapt and change quickly when problems arise. As a result, the center regularly achieves an “excellent” rating of 90% or higher.

Whiting Healthcare Center 3000 Hilltop Road, Whiting, NJ 08759


Laurelton Village Care Center 475 Jack Martin Blvd., Brick, NJ 08724


September/October 2013

Medical Professionals


Because you have choices and you deserve the best. Choose Revera. When you need short-stay rehab, you deserve STAR treatmentâ&#x20AC;&#x201D;Specialized Therapy And Rehab units at our Laurelton and Whiting centers offer award-winning rehab in a luxurious setting.

More than just rehab. Our services also include Extended Residential Care, Respite Care, and Hospice Care. Our Whiting location also offers Adult Day Care and a Pulmonary Rehab program, and our Laurelton location offers a specialized Congestive Heart Failure program.

475 Jack Martin Blvd., Brick, NJ 08724 732-458-6600 n

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3000 Hilltop Rd., Whiting, NJ 08759 732-849-4400 n

September/October 2013



THE MARITAL PARTNERSHIP Written by: Jay Turnbach, Esq.


onsidering divorce requires an understanding of how the court thinks about marriage. To begin with, it is, and should be, the public policy of the State of New Jersey to respect marriage. With few exceptions, the divorce court will consider the marriage from its beginning (the day on which the vows are exchanged and the marriage license is executed by the officiant) until its end (the day on which a complaint for divorce is filed in the Superior court). The time before the marriage is “premarital” and the time after the complaint is talked of as “postcomplaint.” Assets and debts held at the time of your divorce are divided between spouses according to New Jersey’s equitable distribution statute (N.J.S.A. 2A:34-23.1). The length of the marriage is the first factor mentioned in that statute. Because of its primacy in the statute, a reasoned conclusion can be drawn that it is a very significant

consideration in deciding the outcome of divorces. In the simplest terms, the property a spouse owns before a marriage should remain their property after the marriage ends. This is almost a certainty when such assets are passive savings accounts, brokerage accounts, IRA’s and other retirement savings accounts. It is slightly more muddy when discussing premarital real estate or business interests, but the general principal is that the less you and your spouse had to bother with a premarital asset, the more likely it is to be exempt from distribution (so if you owned it before the marriage, you keep it). On the other hand, if it required considerable marital effort to manage or preserve, it may have become marital property along the way, despite its having starting out as an exempt asset. During the marriage, the court considers all labor, efforts, sacrifices, entrepreneurial efforts, luck and ingenuity to be the product of the marriage. The court does not weigh individual efforts or sacrifices; it merely presumes that whatever efforts were put forth by both parties were done by mutual agreement. To overcome that presumption (to prove extreme laziness, malingering or waste) is theoretically permissible but is, in practice, very, very difficult.

Jay Turnbach has 18 years’ experience handling family law matters in Ocean and Monmouth

The statute reads that the court should consider: [t]he contribution of each party to the acquisition, dissipation, preservation, depreciation or appreciation in the amount or value of the Marital Property, as well as the contribution of a party as a homemaker; N.J.S.A. 2A:34-23.1(9).

efforts are deemed no more valuable or meaningful than the domestic and child rearing activities of a non-working spouse, or a part-time worker. The lessons here are twofold. First, if you are considering divorce, you can have some confidence that the fruits of your joint endeavor are every bit as much yours as they are your spouse’s. No one need listen to a spouse threatening to “take it all” or confidently stating “I earned it, it’s mine.” Such sentiments ignore the reality. No spouses’ efforts are considered by the court paramount to that of their partner. The second lesson that comes from understanding how the court views the martial partnership is that if you are uncomfortable with the efforts or support of your spouse, be very wary. Such misgivings or feelings that you are not being

From that, one might infer that the court will weigh your efforts verses that of your spouse. Nothing could be further from the truth. The reality is that such arguments are rarely taken with any level of seriousness by the court. It is more likely that the court sees all income, acquired assets, savings, investments and pensions earned during the marriage to have been equally earned by both parties. The court views accumulated assets as the joint product of one spouse’s direct labors, and the other spouse’s indirect domestic and emotional support of the earner. The working spouse’s

treated fairly by your marital partner will return to haunt you during your divorce. With very few exceptions, the court will not consider, years later, complaints that your spouse did not meaningfully support you in the acquisition or preservation of assets. If you let your spouse coast through the marriage without keeping up his or her end of your partnership, you stand to be disappointed by the court. Your spouse and you are each accruing a share of the marital enterprise everyday and no court is likely to award more or less of that marital estate to you or your spouse based upon arguments about effort or malingering, whether physical or emotional.

Schedule an appointment with Jay Turnbach, Esq., to further discuss your concerns. 732-286-4860


Jay Turnbach, Esq., LLc

Free Telephone ConsulTaTion

Divorce Mediation, Litigation, Collaborative Divorce Post-Judgment Divorce Enforcement of Divorce Judgments, Child Support and Alimony Modifications, Out of State Relocations with Children General Family Law Child Custody/Parenting Time Issues, DYFS Matters Domestic Violence Restraining Order Hearings, Motions to Vacate Old Orders

Counties. He is certified by the Supreme Court of New Jersey as a Certified Matrimonial Law Attorney. He is qualified as a divorce mediator pursuant to Rule 1:40 of the New Jersey rules of Court. He is the immediate past president of the Jersey Shore Collaborative Law Group, and a former chairman of the Family Law Committee of the Ocean County Bar Association.

The County Woman Magazine

Certified by the Supreme Court of the State of New Jersey as a Certified Matrimonial Attorney

229 Washington Street Toms River, NJ 08753

September/October 2013



How To Plan For Your Special Needs Child hand the need to have the right estate planning and lifetime planning that should be in place.

New Jersey Law ...

Written by: Christine L. Matus, Esq.


ore than 41 million Americans or almost 15% of the population, have some type of disability. In addition, 6.2% of children ages 5 to 15, or 2.8 million kids, have disabilities according to 2007 Census survey data. As a result of the survey, it could mean that many disabled children will outlive their parents who provide them with financial support. Many of these children would qualify for governmental benefits, such as Medicaid or SSI.

Speaking From Experience... As a mother of a child with Down syndrome, I know first

In New Jersey, a person receiving Medicaid or SSI must not have more than $2,000.00 in assets in their name. If this child were to receive an inheritance or an Award from a personal injury settlement, they may place receiving these benefits in jeopardy.

A “Trust” Is Important... In order to assist persons with special needs who qualify for government benefits, a special needs trust is highly recommended. A special needs trust or a supplemental benefits trust is designed to supplement the assets of a person receiving government benefits. It could provide a better lifestyle for the special needs person from anything to a residential treatment program, movie tickets, haircuts or vacations while not cutting off access to government benefits. Funds transferred to a trust are not considered to be assets of the special needs individual as long as there is an independent trustee who controls distributions of the money and

Fall Recipe

the disabled person doesn’t have direct access to the funds. The terms of the trust will determine whether the trust fund is countable as a resource or income for Medicaid eligibility. The trust also appoints a trustee, qualified individual, to watch over the funds of the disabled children, a major concern for families since these individuals cannot manage the funds on their own. There are different ways to fund a trust such as in life insurance, which said funds can be used to pay expenses beyond what Medicaid or SSI could pay for. In all it is strongly encouraged that any family with a child with exceptional needs establish a trust. A special needs trust can allow a person with disabilities to receive government benefits and continue to have a source of funds to pay for other goods and services that the government programs will not provide. And this gives every parent such a great peace of mind.

If you have questions and need assistance in protecting the future of your special needs child, call Matus and Connell at (732) 281-0060.

Two Attorneys, One Mission: to provide professional, efficient legal counsel and representation

Do you have someone in your life with a Disability? are they financially protecteD? • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies • Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts

Perfect Fall Drink DRINK

Cranberry Almond Punch – Serves 4 1 can jellied cranberry sauce 2 ¼ cup water ½ cup lemon juice ¾ cup orange juice 1 tsp almond extract 1 cup ginger ale, chilled

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Visit us at (732) 281-0060 250 Washington St. Suite C-1 Toms River, NJ 08753


With a fork, crush the cranberry sauce. Process cranberry sauce, water, lemon juice, orange juice and almond extract until smooth and chill. At serving time, combine the mixture with the ginger ale. Garnish with lemon slices.

Stephanie was professionally trained at the Culinary Business Academy, is a Certified Personal Chef, a Certified Food Safety Manager, and a 2012 Finalist for the USPCA Personal Chef of the Year. Services are provided on a first come, first served basis and there are no contracts – EVER! For more information on our services or Gift Certificates, references, and fees, contact Stephanie at Cutting Board Creations, LLC today at 609-841-8567!

September/October 2013

Medical Professionals


What Is Celiac Disease And How Do I Know If I Have It? Q

Written by: Jill Collier, MD, Chairperson of Department of Gastroenterology at Community Medical Center


eliac Disease is a com-

mon disorder that affects 1 in 133 people. In this disease, individuals have a reaction to gluten, which is contained in certain food products. This reaction injures the lining of the digestive system and causes a wide variety of symptoms.


What are the symptoms of Celiac Disease?

The most common symptoms of Celiac Disease are diarrhea, bloating and abdominal pain. Some patients may experience weight loss, anemia or other vitamin deficiencies. There may be delayed growth or puberty in children. Other symptoms may include fatigue, bone pain, headaches and muscle aches. Some people with the disease may have no symptoms at all. The disorder is often attributed to Irritable Bowel Syndrome or Fibromyalgia as the symptoms are so varied.


What causes Celiac Disease?

Certain individuals have a genetic susceptibility to Celiac Disease and something then triggers the disease to develop such as stress or other illness. If you have a parent or sibling with this disorder, you will have a 1 in 20 chance of developing the disease. Celiac Disease may be diagnosed in childhood. Others may not find out about the disease until adulthood either due to later onset of the disease or a delay in the diagnosis.

Celiac Disease can be detected with blood testing. Blood tests can show elevated antibody levels in affected patients. The blood tests are very specific and if positive almost certainly reflect the underlying disease. Some patients with immune deficiencies may have the disease even with negative blood testing. Genetic testing is also available. Once positive blood tests are identified, your doctor will need to obtain a biopsy of the small intestine to confirm the disorder. A procedure called an upper endoscopy can be scheduled to obtain the necessary tissue. This procedure takes only about five minutes and is performed by a gastroenterologist with the patient asleep with intravenous sedation.

What is Gluten and what foods contain it?

Gluten is a mixture of proteins contained in wheat, rye, barley and malt. Due to cross contamination, oats may also contain gluten if not labeled strictly gluten free. As you might imagine, gluten is therefore in many food staples such as bread, pasta, cakes and pizza.


How does gluten affect the bowel in Celiac Disease? When patients with Celiac Disease eat products containing gluten, an inflammatory reaction started by their body’s own immune system takes place in the digestive system. This reaction causes the surface lining of the small intestine to become damaged. An injured small bowel cannot function properly and absorb the nutrients in food. This causes the patient to develop malabsorption or the inability to process food products.




How is Celiac Disease diagnosed?

Once a patient is diagnosed, it is important to meet with a nutritionist to learn about a gluten free lifestyle. Patients and family members can educate themselves about the disease from numerous books and websites. Local support groups are also available.

Conclusion . . .

As you can now understand, Celiac Disease is a common dis-

How is Celiac Disease treated?

order, which may lead to diarrhea and abdominal pain. It is often misdiagnosed as other common illnesses. It can be diagnosed with lab and endoscopic testing. Treatment is available in the form of diet modification. If you think you may have Celiac Disease, contact your gastroenterologist to initiate the proper testing. Call to schedule your appointment at Gastroenterologists of Ocean County.

Patient Testimonials

“Procedure went smoothly. Dr. Collier was very informative regarding procedure, as well as communicating results. Felt very comfortable with Dr. Collier and am thankful to have her as my physician for this process.” ~ JoAnn, 65, Forked River “What stood out to me was the patience and kindness that everyone at your facility exhibited. Your front desk staff was knowledgeable and patient on explaining everything and answering questions, and very pleasant. You can tell that everyone likes working there because their happiness comes through. Dr. Jill Collier gave me all the information I needed and made me feel at ease. This was an excellent experience.” ~ Jennifer, 39, Brick


Who helps to manage Celiac Disease?

Celiac disease is treated with a gluten free diet. This diet means avoiding all foods that include wheat, barley, rye, malt or oats (unless specified gluten free oats). All prepared foods are labeled and required to list these ingredients, which makes shopping easier


Gastroenterologists of Ocean County

Meet The Doctors Of Gastroenterologists Of Ocean County.

(Sitting l-r) Omar Tamimi, MD , Jill Collier, MD, and Allan Cohen, MD. (Back row l-r) Jai Mirchandani, MD, Edgar Bigornia, md and Kenneth Glazier, MD. We perform endoscopic procedures in the convenience of our two office based endoscopy centers. We aim to provide the highest quality of compassionate medical care and perform endoscopies in a convenient, friendly, non-threatening office setting. We serve patients from many different backgrounds which is mirrored in the diversity of our physicians.


Board Certified Gastroenterologists

Allan Cohen, MD • Omar Tamimi, MD • Jill Collier, MD • Edgar Bigornia, MD • Kenneth Glazier, MD • Jai Mirchandani, MD • • • •

Colonoscopy and colon polyp removal Colon cancer detection & screening Rectal bleeding evaluation Ulcer pain evaluation and treatment

• • • •

Swallowing disorders Endoscopic treatment of hemorrhoids Capsule Endoscopy Bravo pH Monitoring

Hospital Privileges at Community and Kimball Medical Centers Endoscopy Center of Toms River Endoscopy Center of Ocean County •

473 & 477 Lakehurst Road Toms River, NJ 08755 732-349-4422

7 Sherwood Drive Lakewood, NJ 08701 732-367-3338

Medicare, HMO’s and most insurance accepted.

than it had been in the past. Many foods are also clearly marked as gluten free. Foods such as meats, eggs, fruits, vegetables and cheeses are naturally gluten free. There are many gluten free prepared foods now available in the local supermarket and many restaurants have gluten free menu options.

The County Woman Magazine

Now you can have your Colonoscopy, Polypectomy and Upper Panendoscopy in our tranquil and private endoscopy centers. You will receive intravenous sedation, which will make you sleepy and comfortable. Our colonoscopy preparation does not require you to drink a gallon of solution of Golytely or Colyte.

939 Lacey Road Forked River, NJ 08731 609-971-5949

355 Route 9 Bayville, NJ 08721* 732-349-4422 * Limited hours by appointment.

Now seeing patients in our NEW office in Cherry Tree Plaza!

2360 Route 9 South Howell, NJ 07731* 732-349-4422 * Limited hours by appointment.

September/October 2013

Medical Professionals


Skin Rejuvenation After A Summer Of Fun

Submitted by: Dr. Stephen E. Small, Board Certified Plastic Surgeon


t has been another great summer at the Jersey Shore and while enjoying those beautiful days you may have used sunblock, a hat and maybe even an umbrella to protect your skin.

Despite these measures, you might be noticing some changes to your skin, including changes in texture (roughness or unevenness), prominent pores, fine lines, wrinkles and discoloration (brown and red spots). These

changes are the most noticeable in our face, chest décolleté and hands. As we age, the collagen production in our skin decreases and the structural support diminishes, causing visible changes. Ultraviolet light from the sun and other factors, such as smoking contribute to these changes. Good skincare and skin protection help you maintain youthful skin but are not 100% restorative or protective. Advances in fractionated CO2 laser skincare now offer treatments with little to no downtime while enhancing the skin strength and elasticity. The result is more youthful, smoother skin with better texture and color. This laser technology works by placing a grid pattern of tiny pulses of light with a column of energy into the second layer of the skin resulting in new collagen formation and skin renewal. The fractionation (untreated areas of skin) between these pulses accelerates recovery. Recovery that once took weeks now takes a few days with the Matrix Fractionated C02 Laser.

At Ocean Plastic Surgery, P.A. and Laser Center, Dr. Small has extensive laser experience and utilizes the Matrix Fractionated C02 Laser for a personalized, precisely controlled treatment with an intensity of treatment to meet your specific needs and allotted downtime.


Am I a candidate?

Matrix Fractionated Laser Treatments are safe, effective, affordable and proven treatment for virtually all skin types except very dark skin. A personalized consultation will determine if this treatment is right for you.


How long will the treatment take?


Is the treatment painful?

Treatment length depends on how many areas are treated but an average treatment takes about 30 minutes.

A topical anesthetic is applied before the treatment to reduce any discomfort. During the treatment, the skin will feel warm and also feel tighter and firmer. You may feel as if you have sunburn for a couple of days following the

Artistry • Beauty • Rejuvenation Non Invasive Botox Juvederm Radiesse Boletero

Full Aesthetician Services Microdermabrasion Facials Chemical Peels Acne Treatment Waxing & Tweezing


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You will see an appreciable improvement in as little as one week. The full benefits of the treatment will continue to be appreciated even months from the treatment as the skin renewal process from the new collagen formation continues to restore your natural beauty.


Can I have other treatments?

We personalize your treatments according to your needs and desires. Other procedures that will compliment the laser treatment are neck liposculpture, fat transfer, upper and lower eyelid lifts as well as face and neck lifts. These additional procedures can be discussed during your initial consultation.


This treatment can be performed anytime and the downtime tailored to your lifestyle. However, sun exposure after treatment needs to be minimized making this skin rejuvenation treatment ideal after a summer of fun at the Jersey Shore. Dr. Small’s goal is to help his patients achieve a beautifully natural appearance. He understands that undergoing plastic surgery is very personal, and strives to provide an exceptional experience by attending to your unique needs and expectations. You will be cared for in a comfortable, compassionate setting with a staff that is ready to serve you. Call to schedule your appointment, 732-255-7155.

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Disclaimer: Offer subject to change without notice. Void where prohibited by law. Must be 18 years of age or older. Treatments are Non-transferrable or divisible. Offer subject to change without notice. All treatments must be redeemed in one year of forfeited. The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, or treatment that is performed as a result of and within 72 hours of responding to the advertisement for free, discounted fee, or reduced fee service, examination, or treatment.

Great Prices and Packages for other laser hair removal areas Offers expires Oct 31, 2013


780 Route 37 West Suite 240 Toms River, NJ

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Photo Courtesy of Sandstone Medical Technologies, LLC and R. Weiss, MD Photo Courtesy of Ben Light, MD and Sandstone Medical Technologies, LLC • 732-255-7155


What should I expect from the treatment?

When should I have this treatment?

Call Today! Complimentary Consultation

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procedure depending on the your specific treatment.

September/October 2013


Medical Professionals

Cancer doesn’t fight fair. Neither should you. No pain. No incision. No hospital stay. The CyberKnife® is revolutionary technology in the fight against cancer. It treats tumors and lesions throughout the body by focusing pinpoint beams of radiation that destroy cancerous cells with minimal effect to the surrounding healthy tissue. For you, CyberKnife means an outpatient procedure that requires five treatments or fewer with no pain. You can then focus on what’s most important — living your life. Call or visit our website for more information. 732-557-3120

Intracranial Kidney Liver Lung Pancreas Prostate Spine Community Medical Center • 99 Route 37 West • Toms River, New Jersey 08755

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8/7/13 9:07 AM

September/October 2013

Alzheimer’s Care Community


“Irish Eyes Are Smiling” When you first enter Charlotte Hurley’s apartment at Brandywine Senior Living at The Gables, you’re senses are immediately struck by a sea of whiteness and lace and accented by a smattering of colonial blue. Since moving to Brandywine six (6) years ago, Charlotte has transformed her apartment into a Victorian blend of whites, crèmes and blues, including a lace canopy bed and white wicker chairs and mirrors. Her ocean blue necklace matches her basket of blue and white hydrangeas. Her surroundings are indeed a feast for the eyes and it makes one feel as though you can hear the voices of neighbors and close friends. And her talent for décor is matched only by her irrepressible charm, wit and intellect. To say that Charlotte Hurley is an extraordinary woman is truly an understatement. Like saying Babe Ruth was a great baseball player. Charlotte was born and remained, most of her life, in the small town of Perth Amboy. Married to the famous Pulitzer Prize winning photographer Frank Hurley, her room is decorated with many of her husband’s award winning photographs; they raised four (4) children and managed to travel the United States and the world. She can spend days spinning yarns about her world travels, including her attendance at the wedding of Grace Kelly and the Prince of Monoco! And she enjoys every minute of it! One of her favorite stories that Charlotte loves telling is how she knew that Frank was the one for her. They both attended St. Mary’s High School where Frank was an outstanding athlete. When Charlotte was only in high school her dad passed unexpectedly. At her father’s wake many of her friends and classmates attended. “But”, she says, “Of all the boys who attended her father’s wake, Frank was the only boy who had a tear in his eye. That’s when I knew he was meant for me.” Their life together had spanned seventy (70) “wonderful” years before Frank passed.



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Although she modestly refers to her career as a “homemaker” and considers her hobby as a “socialite” (she says with an unmistakable twinkle in her Irish eyes), her courage has clearly been demonstrated over the years. About eight (8) years ago, her husband Frank died and she was living alone. One day she fell, broke her hip and shoulder. After hospitalization, and surgery, a decision was made to move to Brandywine. Although it was a frightening time in her life, she made the choice to embrace her new home, and the other residents and the entire Brandywine team have embraced her in return. She enjoys playing cards, Bingo and Pokeno and never misses an activity! She says it’s “keeping my mind sharp.” Her attitude toward life remains nothing short of amazing. She approaches each day with poise and dignity, despite life’s daily challenges. She aims for what is full and rich and whole. But if you really want to know Charlotte Hurley, you’ll have to look a little deeper. For it’s not just her endless stories that have the power to endow us with inspiration; it’s her crystal blue eyes and her smile. Therein lays the inner illumination of her star.

Brandywine Senior Living at The Gables Brick, NJ | 732-836-1400 Brandywine Senior Living at Reflections Brick, NJ | 732-785-3370 Brandywine Senior Living at Toms River Toms River, NJ | 732-240-0043

September/October 2013

Medical Professionals


Understanding PMS And PMDD Disorders 3 to 8 percent of women. This condition can affect women of any socioeconomic, cultural, or ethnic background.

Written by: Aliona Maxwell, M.D.


he premenstrual syndrome (PMS) is characterized by the presence of both physical and behavioral symptoms that occur repetitively in the second half of the menstrual cycle and interfere with some aspects of the woman’s life. PMS is common, affecting up to 30 percent of women with regular menstrual cycle. Premenstrual dysphoric disorder (PMDD) is the severe form of PMS. Common symptoms include anger, irritability, and internal tension that are severe enough to interfere with daily activities. PMDD affects only

Causes Causes are unknown, but studies suggest that rising and falling levels of hormones (e.g.estrogen and progesterone) may influence chemicals in the brain, including a substance called serotonin, which affects mood. However, it is not clear why some women develop PMS or PMDD and others do not. The most likely explanation is that women who develop PMDD are highly sensitive to changes in hormone levels. Common symptoms The most common symptoms of PMS and PMDD are fatigue, bloating, irritability, and anxiety. Other symptoms include the following : • Sadness, hopelessness • Tension, anxiety • Variable moods with frequent tearfulness • Decreased interest in usual activities

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Lesley P. Furman, MD • Deborah Bieter-Schultz, DO • Lisa S. Vernon, MD

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• Persistent irritability, anger • Difficulty concentrating • Fatigue, Changes in appetite • Difficulty sleeping • Breast tenderness or swelling, headaches, joint or muscle pain, weight gain

Disorders that mimic PMS   Other conditions have symptoms that are similar to those of PMS, including depression, anxiety disorders, and perimenopause (the four- to five-year period before menopause).  It is important to distinguish between underlying depression (which often worsens before menses) and true PMS because the treatments are quite different. Women with underlying depression often feel better during or after menses, but their symptoms do NOT resolve completely. On the other hand, women with PMS have a complete resolution of symptoms when their menses begin. Some women who think they have PMS or PMDD actually have depression or an anxiety disorder. There are other medical disorders that worsen before or during menstruation, such as migraines, chronic fatigue syndrome, pelvic and bladder pain, or irritable bowel syndrome. A careful medical history should be able to distinguish among these disorders.    DIAGNOSIS — There is no single test that can diagnose PMS. The symptoms must occur only during the second half (luteal phase) of the menstrual cycle, most often during the five to seven days before the menstrual period, and there must be physical as well as behavioral symptoms. Blood tests are not necessary to diagnose PMS. A blood count may be recommended to screen for other medical conditions that cause fatigue, such as anemia. Thyroid function tests can detect hypothyroidism (an underactive thyroid gland) or

hyperthyroidism (an overactive thyroid gland), both of which have similar signs and symptoms to PMS.

Recording symptoms Although a woman’s symptoms may suggest PMDD, a clinician may request that she carefully record her symptoms on a daily basis for two full menstrual cycles. TREATMENTS Conservative treatments for PMS may be recommended first, including regular exercise, relaxation techniques, and vitamin and mineral supplementation. These therapies relieve symptoms in some women and have few or no side effects. If these therapies do not bring sufficient relief, prescription medication can be considered as a second option. • Exercise can help to reduce stress, tension, anxiety, and depression. • Relaxation therapy can help to ease the stress and anxiety of daily life and may include techniques such as meditation, progressive muscle relaxation, self-hypnosis, or biofeedback.  • Vitamin and mineral supplements such as Calcium is an inexpensive treatment with few side effects and is a reasonable option for women with mild to moderate symptoms of PMS. Vitamin B6 might also have a small benefit for women with mild PMS. No more than 100 mg of vitamin B6 should be taken per day. • Pharmacologic intervention should be considered if these therapies do not provide sufficient relief. Because of their proven efficacy and safety profile, serotonin reuptake inhibitors (SRIs) are the first line therapy. SRIs can be administered as a daily therapy or luteal phase-only treatment. Women who desire contraception in addition to treatment of PMS can consider an oral contraceptive with a shortened pill-free interval.

• Gonadotropin-releasing hormone agonists • (Lupron®) are a type of medication that causes the ovaries to temporarily stop making estrogen and progesterone. This causes a temporary menopause and improves the physical symptoms (e.g. bloating) and irritability. However, the medication results in extremely low estrogen levels, which causes severe hot flashes and bone loss over time. Although this treatment is very effective, it is complicated and expensive, and is only used if other treatments do not work.

Ineffective treatments Several treatments are of no proven benefit in relieving the symptoms of PMS. These treatments include progesterone, other antidepressant drugs (tricyclic antidepressants and monoamine oxidase inhibitors), and lithium. There is also no proven benefit of several popular dietary supplements, including evening primrose oil, essential free fatty acids, and ginkgo biloba. Woman to Woman Obstetrics & Gynecology, LLC is Ocean County’s first and only all-female Obstetrics and Gynecology practice. • Lesley P. Furman, M.D., • Aliona Maxwell, M.D. • Angela R. Jones, M.D. As female healthcare providers, the staff of Woman to Woman Ob/Gyn bring a unique sensitivity to the health issues and wellness challenges that women face throughout every stage of life. Our staff has the experience, expertise and critical firsthand knowledge concerning women’s healthcare issues that enables us to care for you with a level of empathy and understanding you won’t find elsewhere.

September/October 2013

Medical Professionals


Stubborn Fat Has Met Its Match

Freeze Your Fat Away With CoolSculpting

About CoolSculpting . . . ®

CoolSculpting® is a non-invasive, clinically proven procedure to selectively reduce fat layers in problem areas using a patented cooling technology. It is a safe procedure cleared by the FDA and CE marked in Europe that gently cools unwanted fat cells in the body to induce a natural, controlled elimination of fat cells. This reduces bulges in treated areas of the body without harming surrounding tissue.


Key Benefits of CoolSculpting


It involves no needles, surgery or downtime.

• Since CoolSculpting® is non-invasive, patients can resume daily activities including work and exercise, immediately following treatment

It’s safe.

• Patients can generally sit or lie comfortably and read, work on their laptop or even nap during the procedure. The procedure is performed in a medical office, under the supervision of a physician specializing in cosmetic procedures.

It’s convenient.

• Procedures last about one to two hours, so treatment can easily be performed during a lunch hour or without major disruption to the day.

The results are dramatic.

• On average, each CoolSculpting® Procedure results in a 20% reduction of fat in the treated areas, and patients can start to see results as soon as three weeks following treatment, with the most dramatic results occurring over a period of two to four months in most patients.

How CoolSculpting Works ®

During the CoolSculpting® Procedure, a non-invasive applicator delivers precisely controlled cooling to the treatment area to specifically target underlying fat, leaving surface skin tissue unaffected. When fat cells are exposed to extreme cold, a process of natural removal is triggered, which gradually reduces the thickness of the fat layer. The result is a visible reduction in fat bulges.

Target Patient

CoolSculpting® is not intended as a weight-reduction program for overweight individuals. The best candidates for the procedure are people near their ideal body weight who eat well and exercise regularly and have pockets of fat that have not responded to a healthy lifestyle. They are seeking spot reduction for specific areas of fat but are not considering a surgical procedure.

Treatments Starting At $750 & Up To schedule your personal consultation, contact:

Bella Derma Medi Spa

1430 Hooper Avenue, Suite 204 Toms River, NJ 08753

(732) 281-1988


On average, CoolSculpting® results in a 20% reduction of fat in the treated areas, and patients can start to see results as soon as three weeks following treatment, with the most dramatic results occurring over a period of two to four months in most patients. Clinical studies1 involving hundreds of patients show that, for properly selected patients, CoolSculpting® is an effective way to reduce fat without the risk and recovery time of surgical procedures. The result is noticeable, natural-looking fat reduction in the treated areas.

1. Clinical data on file. ZELTIQ Aesthetics, Inc. Pleasanton, CA. 2. Manstein D, Laubach H, Watanabe K, Farinelli W, Zurakowski D, Anderson R. Selective cryolysis: a novel method of non-invasive fat removal.a Laser Surg Med. 2008,40:595-604. Disclaimer: In the U.S., non-invasive fat reduction is cleared only for the flank (love handle). CoolSculpting® and the CoolSculpting® logo are registered trademarks of ZELTIQ Aesthetics, Inc. The snowflake mark is a trademark of ZELTIQ Aesthetics, Inc. Copyright (c) 2011, ZELTIQ Aesthetics, Inc. The products described in this document may be covered by U.S. Patent 7,367,341. Other patents and patent applications pending worldwide. IC0185-A

To learn about all of our services, visit our website at:

The County Woman Magazine

Dr. Christopher P. Godek

M.D., F.A.C.S. - Certified by the American Board of Plastic Surgery Dr. Christopher P. Godek and the Staff at Bella Derma Medi Spa are committed to you.

September/October 2013

Elder Law


Will Contests: How Do They Work? Written by: Nancy M. Rice, Esquire, CELA

In New Jersey, the probate of a Will and the appointment of an Executor is most commonly not a formal procedure. If a Will is properly executed and has two Witnesses and a Notary, the Will can be admitted to probate by the Surrogate’s Office of the County in which the deceased resided. No court proceeding is required, and the Surrogates Offices are set up to make the Probate process simple and cost-efficient. If a beneficiary of an estate has reason to think that the Will to be submitted to probate is not valid, it is critical that he or she contact a lawyer immediately following the death, as New Jersey law provides that the Will cannot be admitted to probate by the Surrogate until the eleventh (11th) day following date of death. During that 10-day period, anyone seeking to challenge the Will may file a Caveat, a simple statement of objection, which prevents the Surrogate from probating a Will for that Estate. If a Will is presented, the Surrogate advises the

named Executor under the Will that he or she must file a Complaint and Order to Show Cause in the Superior Court, Chancery Division, Probate Part to have the Will admitted to probate by the Court. If no Caveat is filed, and the Will is in proper form, the Surrogate may admit the Will to probate and issue Executor “Short Certificates” to the person appointed as Executor in the Will. Because an Executor of the estate has tremendous power, it is critical to prevent the appointment of the Executor from the outset if there is a basis to challenge the Will, as most judges are hesitant to “remove” an Executor after he or she is appointed unless there is clear evidence that he or she has acted improperly. If the Will has already been admitted to probate, you must still act promptly if you want to challenge a Will because in New Jersey a resident who has received Notice of Probate of the Will has only four (4) months to contest the filing of the Will; non-residents have only six (6) months. The reasons to challenge the validity of a Will, include: (A): The Will was subject of a fraud; (B): The Will was not properly executed; (C): The person who signed the Will (Testator) did not have “testamen-

tary capacity” to understand or sign the Will; (D): The Testator was coerced or unduly influenced to sign the Will.

A. Fraud

It is fairly unusual but possible that a Will was signed as a result of someone’s fraudulent conduct. For example, if a Testator is beguiled into signing a document without knowing what it is, what it says, or even that it is a Will. Other situations include where a beneficiary induces a Testator to execute a Will based on false facts (i.e. a suitor promises to marry the Testator if he is made a beneficiary under the Testator’s Will, where the suitor has no intention of marrying the Testator). In the context of a Will contest, fraud will not be presumed. Moreover, if the Testator learns of the fraudulent conduct and does nothing to change the Will over an extended period of time, it may be argued that the Testator affirmed the contents of the Will and, as a result, it may be upheld.

B. Due Execution

In New Jersey, a typewritten will must be witnessed by two (2) persons, over the age of eighteen (18) years, both of whom witnessed the Will signing. It is helpful

Nancy M. Rice Esquire, CELA

Certified as an Elder Law Attorney by the National Elder Law Foundation

Estate/Trust Administration Guardianships Will Contest

Special Needs Trust Medicare, Medicaid, Long-Term Care & Disability Planning

200 Asbury Avenue • Ocean City, NJ 08226 • 609.398.3447 1236 Brace Road, Suite F • Cherry Hill, NJ 08034 • 856.673.0048

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Part 1 of 2

(but not necessary) for the Will to have a “self-proving affidavit” attached, which is signed by the Testator, the Witnesses, and a Notary. If a Will is entirely in the handwriting of the Testator (called a “holographic” Will), New Jersey requires no Witnesses but it cannot be admitted to probate to the Surrogate; it must be admitted by the Court, upon filing of a Complaint and Order to Show Cause. In the next issue, we will discuss the other two grounds to challenge a Will listed above: Lack of Testamentary Capacity and Undue Influence. In the meantime, if you believe that a Will should be challenged because it is defective, for one reason or another, you should hire a seasoned attorney, who has significant experiences in this area of law. Do not delay with your decision to engage an experienced attorney because the law allows only a narrow window of time during which a caveat and/or a Will contest may be filed.

Nancy Rice can answer your questions and concerns, Call 609-398-3447.

Nancy Rice has been practicing Estate Planning and Elder Law in New Jersey and Pennsylvania  since 1986. She was Certified as an Elder Law Attorney in 1997, and has maintained offices in Camden and Cape May counties, specifically in Cherry Hill and Ocean City.

Call 609-398-3447.

September/October 2013



Moving Forward: When Enough Becomes Enough

Presented by: Daniel Straffi, Jr. Straffi & Straffi, Attorneys At Law

“Normalcy” is defined as being within certain limits that define the range of normal functioning. How we each come to define those limits over time is a whole other story.

For many of the people I work with, a “normal” day starts at 8 am, when they are arisen by a cacophony of debt collectors ringing their house phone and/ or cell phone, harassing them for money they simply do not have. A normal day may include a similar call made to their workplace, or in some cases a neighbor or relative. A normal day usually ends with a trip to the mailbox, where various forms of threats against one’s home, wages and belongings await. Of course, all of the aforementioned say nothing of the other daily stresses that we all know broaden our limits of normalcy by the day. The Breakiing Point

There is a breaking point for everyone. The symptoms of approaching this breaking point can manifest in any number of

emotional and physical ways, all of which I have heard and seen in my daily interactions with clients. The question is whether or not a person can identify these symptoms and be proactive in addressing them, so that the limits of normalcy can, once again, become more defined. REDEFINING THE LIMITS

My answer to anyone seeking to redefine these limits is simple: it is never too late, and it is never too early to investigate one’s options. Bankruptcy is no longer a “four letter” word (alas, math was not my finest subject in school). Rather, it stands for a fresh start - an opportunity to redefine the normalcy in your own life.

ing what it encompasses and whether or not it is an option for you takes nothing more than being proactive. It is the will to move forward that one must find within themselves to take that next step of investigating their options. I hope this article proves


Bankruptcy is not for everyone. However, understand-

helpful in realizing that a new normalcy is always within reach.

Protect Yourself Against Foreclosure,

Daniel Straffi,Judgments Jr. was admitted to& practice in the States ofCreditors New Jersey and Harassing Pennsylvania, as well as the District Court of New Jersey in 2001. A graduWe are a debt agency that ate of Boston College in 1998 andrelief Rutgers-Camden Schoolhelps of Lawpeople in 2001, he began his legalfile career in 2001 serving as a judicial law clerk for the for relief under the bankruptcy code Presiding Judge of Family Law in Mercer County, the Hon. Lee Forrester, Chapter 7& P.J.F.P. After completing his clerkship, Mr. Straffi was13 an associate at the law firm Cooper Levenson for two years where he concentrated his practice on Individual, Business and Creditor the area of negligence defense. InRepresentation 2004, he joined his father's law practice. He has focused his practice on representing individuals and businesses in the Payment Plans areas of bankruptcy, divorce and criminal defense.Available He is further an active member of the NJ and Ocean County Bar Associations.

Bankruptcy • Criminal Defense

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Protect Yourself Against Foreclosure, Contact Straffi & Straffi today for a free consultation.732.341.3800 732-341-3800.

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The County Woman Magazine


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Pulse cranberries in a food processor until coarsely chopped. Transfer to a medium bowl. Stir in sugar and ginger. Way Gently stir 670 Commons in raspberries; it is fine if some of them are Toms River, NJ crushed. Cover and refrigerate at least 3 Conveniently Located Directly Off Of the Parkway hours to allow the flavors to combine. This is lovely served with crunchy toasted bread and cheese.


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Stephanie was professionally trained at the Culinary Business Academy, is a Certified Personal Chef, a Certified Food Safety Manager, and a 2012 Finalist for the USPCA Personal Chef of the Year. Services are provided on a first come, first served basis and there are no contracts – EVER! For more information on our services or Gift Certificates, references, and fees, contact Stephanie at Cutting Board Creations, LLC today at 609-841-8567!

September/October 2013

Medical Professionals


Diagnosed With Breast Cancer: What’s Next? breast is removed surgically, there is a risk of cancer growing back in the same breast or spreading to other organs, a process called metastasis. The risk of metastasis is based on a number of factors. Age, menopause, the stage of the cancer and characteristics of the tumor cells (grade, hormone receptors called ER and PR, and Her-2) all determine the risk of relapse or metastasis.

Age Submitted by: Dr. Sarah J. Easaw, MD, FACP Ocean Hematology & Oncology


he biopsy shows that you have breast cancer. In addition to the shock and emotional turmoil, a thousand questions go through your mind. “The surgeon said that he took everything out, so why do I need chemotherapy?” “What are my chances?” “Am I going to die from cancer?” “My friend only needed to take a pill, why am I not getting that?” No Two Tumors Are Alike Not everyone diagnosed with breast cancer is treated the same because no two tumors are alike. Even after the lump in the

In general, young women tend to have more aggressive tumors and are more often treated with chemotherapy than older women.


Breast cancer is staged from Stage 0 to Stage IV; Stage 0 is pre-cancerous and is also known as carcinoma in situ (DCIS or LCIS). Stage 0 cancer does not metastasize and does not require chemotherapy. Stage I is a small tumor (<2cm) confined to the breast; when the tumor has spread to the lymph nodes or if the tumor is >2cm it is Stage II. Stage III includes tumors that have spread to lymph nodes in the neck, have affected more than 4 lymph nodes, or have spread to the skin and chest wall. When the cancer has metastasized to other organs (commonly to the bones, lungs or liver), it is Stage IV. The higher the stage, the higher your risk is of relapsing; chemotherapy, hormonal therapy or both are recommended to reduce that risk.

Tumor Characteristics

Certain features on the cancer cells can predict the aggressive-

ness of the cancer. Cancer cells are graded from I to III, grade I being the least aggressive and grade III being the most. The tumor cells are also tested for hormone receptors on the surface of cancer cells, called ER and PR (estrogen and progesterone). Tumor cells are also checked for a protein called Her-2. About 25-30% of all breast cancers are Her-2 positive. Her-2 positive patients are treated with a drug called Herceptin.

Who Needs Chemotherapy?

the collarbone. This is temporary and can be removed after treatment is completed.

Side Effects Chemotherapy can cause nausea, fatigue, vomiting, hair loss, mouth sores, low blood counts and numbness in the extremities. These are all reversible and improve once treatment is discontinued. With the use of newer medications, nausea and vomiting can be prevented considerably. To learn more about treatment of breast cancer or other cancers, contact Dr. Sarah J. Easaw, 732-961-0010

Even if the visible tumor is removed surgically, you may have cancer cells floating around in your system that can deposit in different parts of the body. This can happen a few months to several Compassionate Cancer Care, Close to Home years later, producing metastasis. Research has shown that this risk can be reduced by giving chemotherapy for a few months. In addition, hormonal therapy and Herceptin are used in appropriate patients. After surgery, your surgeon will refer you to a Medical Oncologist who will then determine the kind of treatment you may need. Women who have very early stage breast cancer may not need any treatment and should be observed periodically. Most women with ER and W We offer a full range of Hematology & Oncology services. PR positive tumors are W We are dedicated to providing state-of-the-art cancer care in a treated with Tamoxifen warm and personalized manner. (before menopause), or W Our newly renovated, spacious infusion room provides a Arimidex (Anastrazole) peaceful and friendly atmosphere to patients while they receive

We now hold Group Therapy sessions for cancer patients and caregivers, led by certified psychotherapists.

Patient Testimonials

or Femara (Letrozole) (after menopause). In addition, your medical oncologist may advise you to get chemotherapy based on the other factors mentioned above. The most commonly used chemotherapy drugs are Adriamycin, Cytoxan, Paclitaxel (Taxol), Docetaxel (Taxotere), and 5 Flurouracil (5 FU). The type of chemotherapy and duration used are also based on the risk of metastasis. Chemotherapy is given for approximately 4 to 6 months, starting about 3 to 4 weeks after surgery. Chemotherapy is often administered as an intravenous infusion. To minimize damage to the veins and to ensure proper administration, a device called a port-a-cath can be inserted below

thank God every day that Dr. Easaw became an oncology doctor and that I was lucky kIenough to have found her… Donna, Toms River. Dr. Easaw took the time to answer every one of my questions and guided me to make the best kdecision for my Mom’s care… Melissa, Howell. and her staff became an extension of my family and I feel so fortunate that she kDr.movedEasawher office to Ocean County just when I needed her the most… Dorothy, Toms River.

chemotherapy and other infusions. W Our staff is highly qualified, experienced and compassionate.

Sarah J. Easaw MD, FACP Diplomate of the American Board of Hematology, Oncology & Internal Medicine

Ocean Hematology & Oncology 1255 Route 70, 31S Easily Accessible Location, Near Exit 88 on GSP

Lakewood, NJ 08701

732.961.0010 Accepts Most Insurances Affiliated with Kimball Medical Center, Ocean Medical Center and Community Hospital Access to Clinical Trials

To Learn More, Visit

The County Woman Magazine

September/October 2013

Medical Professionals


Treating Pediatric Orthopaedic Fractures Q Q Q Q Why are broken bones (fractures) and other orthopaedic injuries in children different than those of adults?

Written By: Dr. Paul T. Haynes II, MD Pediatric Orthopaedics

Football, field hockey, soccer, basketball, ice-skating, wrestling, cheerleading, etc… The variety of sporting and recreational activities available to children abounds.

Mamazing energy and arry that with their

indefatigable appetite for fun, one can certainly understand how their propensity for injury is elevated compared to adults. Indeed, approximately 40% of boys and 20% of girls will experience an injury that may result in a broken bone. In terms of orthopaedic injuries, children are not considered “little” adults. As such, their orthopaedic treatment is as unique as they are.

There a few reasons why children’s fractures behave differently than those in the adult. Children’s bones possess unique anatomy and physiology, compared to adults, that predisposes them to distinctive injuries. At the ends of the majority of children’s bones are growth plates. These specialized structures allow for the bulk of longitudinal growth – arms and legs to grow. Growth plates are comprised of a small, complex cluster of specialized cartilage cells that regulate and generate skeletal growth. Because they are made of cartilage, they are weaker or softer than mature bone. During an injury, energy often finds the “weakest-link,” which results in fractures in and around the growth plate. Surrounding every bone is a thick layer of supportive tissue – periosteum. This structure is considerably thinner in the adult. The robust periosteum in children allows for accelerated bone healing and may also help keep fractures better aligned. The anemic adult periosteum does not possess the same ability to constrain fractures from displacing (the broken bones moving from their normal position) nor allow them to heal at the same pace. Lastly, as children mature, their muscular development may outpace their bony development. Muscles, and their bony insertions into bones (tendons), and liga-

ments (structures that often connect bones) may be stronger than the bone they are acting on. In adults, ligaments, muscles and tendons are usually the “weak-link.” It is this unique arrangement that may lead to fractures in children as opposed to ligament, tendon or muscle tears in adults.

What types of fractures occur in children?

As the growth plate is a relatively weaker structure within the pediatric bone, it is frequently involved in fractures. The most commonly used classification system for growth plate fractures is the Salter-Harris fracture classification. It accounts for the most common types of growth plate fractures and injuries. In general, as the growth plate fracture level in the Salter-Harris classification is elevated from I to V, so is the potential damage to the growth plate itself. This may have an impact on the bone’s or limb’s normal development. In addition to fractures involving the growth plate, children may incur other distinct fracture types. As their bones are softer or weaker than adults, children may have buckle (torus) or greenstick fractures. In buckle or torus fractures, one side of the child’s bone literally buckles under pressure while the opposite side remains intact. These types of fractures most often occur after a fall on an outstretched hand within one of the bones near the end of the forearm. Greenstick fractures are likened to a young tree

branch being bent – one side splinters while the other side contorts. These types of fractures often occur in the forearm.

How are children’s fracture treated?

Ironically, the characteristics that make children prone to certain types of fractures also allow them to heal uniquely. The majority of fractures that happen in children are amenable to conservative treatment – casts, splints or slings. Also, treatment times are often reduced with fractures in children as opposed to adults. A fracture in the lower leg or thigh bone of a child will often heal in a cast in a relatively short period of time whereas, a similar fracture in an adult will require a lengthy time in a cast or an operation. Special consideration is warranted regarding fractures involving the growth plate. There are times that fracture in and around the growth plate requires manipulation or surgical intervention. Manipulation (to move the fracture fragments into acceptable position) may be accomplished with local but may also require general anesthesia in the emergency or operating rooms. Alternatively, some fractures require an operation that will secure the fracture fragments in better position using smooth pins, screws or thin rods. A unique treatment plan is created for each child and fracture – this often is devised in consultation with a pediatric orthopedist.

What types of complications can occur with pediatric fractures?

Complications may certainly happen with any fracture but there is a higher likelihood of complications with fractures in and around growth plates. The more the growth plate is disturbed, the higher the potential for complications. Growth plates allow for longitudinal growth – their disruption may lead to deformity (limbs growing in a bent fashion) or for limb length discrepancy (the opposite limb being shorter or longer than the injured extremity). For this reason, fractures involving the growth plate warrant closer and often longer observation after injury. Approximately 2-8% of fractures involving the growth plate result in complications. If such a complication arises, there are many treatments devised to correct the issue.


What should be done if you suspect a fracture in a child?

A fracture will often declare itself as pain, swelling, redness, tenderness and/or deformity. Immediate treatment should ensue. An evaluation by an orthopaedic surgeon should be sought in a timely fashion particularly with regards to fractures involving the growth plate.

Official Team Doctors Of:

Seaview Orthopaedic & Medical Associates

Official Team Doctors Of:


Call one of our convenient locations to schedule your appointment.

Board Certified And Fellowship Trained Physicians

Specializing in:

Spinal Surgery/Scoliosis • Hand & Upper Extremity Total Joint Replacement • Trauma/Fracture Care Bone Density Testing • Osteoporosis Management ■ FREEHOLD OFFICE ■ MONROE OFFICE ■ BARNEGAT OFFICE Workers’ Compensation • Independent Medical Exams 222 Schanck Road 294 Applegarth Road, Suite C 500 Barnegat Blvd, Bldg. 200 Freehold, NJ 07728 Monroe• Twp., NJ 08831Orthopaedics Barnegat, NJ 08005 Foot & Ankle General

Dr. Paul Haynes is a general orthopaedic surgeon, specializing in Pediatric Sports Medicine, Limb & Pediatric Spine Deformity as well as General and Pediatric Orthopaedics/Surgery. He is an attending physician at Jersey Shore University Medical Center, Ocean Medical Center, Monmouth Medical Center and Saint Peter’s University Hospital. Seaview has physicians specializing in General Orthopaedic, Pain Management and Rehabilitation, Sports Medicine, Pediatric Orthopaedic and Independent Medical Evaluations.

STEVEN BERKOWITZ, M.D., P.A. ■ OCEAN OFFICE ■ BRICK OFFICE ROY D. MITTMAN, M.D., P.A. 1200 Eagle Avenue 1640 Route 88 West ARTHUR P. VASEN, M.D., PH.D., P.A. Ocean, NJ 07712 Brick, NJ 08724 Ph: (732) 660-6200 Ph: (732)P.A. 458-7866 Ph: (732) 462-1700 Ph: 609-495-1888 Ph: 609-488-3988 KENNETH Y. CHERN, M.D., Patriot’s Park HARALAMBOS DEMETRIADES, M.D., P.A. • 732-660-6200 222 Schanck Road • Freehold, NJ ARTHUR K. MARK, M.D., P.A. The County Woman Magazine September/October 2013 CHRISTOPHER J. SPAGNUOLA, M.D., P.A.


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September/October 2013



Opioid Addiction And Treatment – The Role Of Suboxone About Opioids

Opioids are effective in managing pain, so they are used as treatment for individuals experiencing pain that may be caused by injury or disease. Most patients do not get addicted to opioids with monitored management but in some cases, intractable pain treated with opioids can result in dependence over a period of time. Opioid dependence can be described as a dependence on opioids such as painkillers or heroin. The body’s reaction to opioids is the same as with opium; in fact, morphine and codeine come directly from opium while other synthetic or manmade opioids like fentanyl, oxycontin, vicodin and percocet are chemically similar to opium. Heroin is an opioid as well.

The Effect of Opioid Dependence

Opioid tolerance occurs when the brain is used to the drug and loses its sensitivity to it. As a result of the loss of sensitivity to the drug by the brain, the opioid effect is lessened which requires an increased dosage in order to get the “desired” effect. There are actual changes in the brain that create craving for opioids and without it, the individual experiences withdrawal symptoms. The psychological dependence can be

described as continued opioid use despite the possible negative consequences. The danger signs of opioid dependence are the need to take more to get the same effect, withdrawal symptoms without the drug, increased dosages over longer periods of time, a desire to quit and/or unsuccessful attempts to quit; increased time in acquiring, using and recovering from opioids; working less, missing work, or not actively seeking work if unemployed and disassociation from non-using friends, even not going to social events. Such dependence can wreak havoc and cause serious damage to oneself, family, job and community.

Treatment of Opioid Dependence

The World Health Organization (WHO) and the National Institute on Drug Abuse (NIDA) have defined opioid dependence as a “long-term brain disease.” The World Health Organization has also published guidelines for the psychosocial and pharmaceutical treatment of opioid dependence for clinicians. Because of the significant psychological influence of opioid dependence, it should not be treated by pharmaceuticals alone. Treatment is aimed at disrupting the dependence on illicit drugs and the associated consequences and improving one’s

quality of life. According to available literature on opioid abuse, there are disturbing trends in the United States that indicate “significant increase of prescription opioid abuse compared to illicit opiates such as heroin.” The implications of this trend are very important when addressing “prevention and treatment” of opioid dependence. • Cognitive Behavioral Therapy is a treatment for many mental and behavioral disorders; examples of such disorders are anxiety, depression and obsessive behavioral disorders. CBT is used in addiction treatment because the fundamental principle is based on the belief that behaviors are learned and can be modified away from faulty cognitions and promote positive cognitions that result in changed behaviors. • Pharmacological Treatment includes but is not limited to Methadone, Buprenorphine (Suboxone), Naltrexone and Subutex. Prior to 2002, there was a legal precedent based on a series of Supreme Court rulings that said maintenance and detoxification treatment was not a form of medical treatment. This long held precedent was overturned by the Drug Addiction Treatment Act of 2000. In October of 2002, the US Food and Drug Administration approved Buprenorphine (Suboxone) and Subutex sublingual preparations for the treatment of opioid dependence. These can be given in an out patient, office-based format. Opioid dependence is a challenging medical condition with significant psychological implications. Therapy should only be provided by a trained clinician and coordinated with all health care providers involved in the individual’s care. Family members need to be knowledgeable about opioid dependence and engaged in the treatment plan as desired, therapeutic and appropriate. The participation of family members not only enhances the effectiveness of treatment, but provides valuable support along the journey to regain control over one’s addiction(s) and a return to health, choice and trust.

“Ode of a Slave” Day flips to night Night flips to day. I change all the way. Fear becomes real My dears decay to insincere. All is wrong but I do it my way. Healthy to hostage. Viable to fatal. Slaves are us all. Where is there an out? I see - no way, no way. Fun caves, life has no meaning. I don’t dare balk – that sick is more than I can bear. So, I dare fate, hell and sacrifice myself another day. Lie, cheat, steal – nothing is real. Drift in to zero and out to never. What of it? I don’t care about me- yeah. Nothing so lonely, nothing so numbAll is never forgiven- dark everywhere. Trust gone, worthless – I am today. Freedom I need, Courage I seek. Peace amongst the living – with help on the way. Breathe real air. Basque in integrity. Shine through within and without – hurray! Don’t suffer alone…… For a thorough, confidential, psychiatric evaluation and individualized treatment plan tailored to fit your specific needs with appropriate treatment(s), please call our office at (609)-484-0770 to set up, by appointment, this comprehensive and compassionate, confidential assessment. Don’t suffer in silence any longer. We can help!

For a thorough, confidential, psychiatric evaluation and an individualized treatment plan tailored to fit your specific needs with appropriate treatment(s), please call our office at 609-484-0770 to set up, by appointment, this comprehensive and compassionate confidential assessment.

The County Woman Magazine

Charles Meusburger, m.d.

Don’t suffer in silence any longer. We Can Help! September/October 2013

Home Care


& Hospice

Age In Place: Tips For Boomers By Terry Giannetti, MSN, MBA, RN Holy Redeemer HomeCare and Hospice

Although it might be tougher moving around than it used to be, most of us want to stay in our own homes as long as possible, even if we need assistance or skilled medical attention. The disruption of moving and the cost of any form of long-term care community are tough to swallow, even without the sadness that might come with giving up our comfortable homes and relative independence. When aging moves beyond aches and pains and requires ongoing medical care, there are more options than moving to a specialized long-term care community. Home care is a cost-effective option for many older adults. Periodic home care visits from nurses, as well as physical and occupational therapists, can extend time at home with less financial impact. In addition to cost benefits, technology allows home care patients to receive high level medical care. These include caregivers’ use of tablets and electronic medical records that allow access to patient information with real-time updates, and telemonitoring devices that remotely send patients’ vital signs back to caregivers. Holy Redeemer HomeCare also has a very specialized program for cardiac patients called HeartAssess™ which allows remote monitoring of patients with heart disease, along with personal home visits from a visiting nurse. Home care is a vital piece of the new aging in place model. Baby boomers can take the following steps now to fully benefit from these services.

Choosing an agency You are entitled to choose your own home care agency. Often, your doctor

or a hospital staff member will provide a list of regional home care providers. Take the time to read the list and verbalize your choice of agency, otherwise you may end up working with a provider that you didn’t choose. How do you decide? Look for agencies whose patients have a high percentage of increased mobility and improved daily living skills, and stay at home after health care ends. Home care agencies can supply references and answer questions, from billing practices to nurse-to-patient ratios. You can usually find this information by calling the agency or by checking their website.

Paying for home care While planning for retirement, boomers also should factor in the costs of medical care and identify the best ways to pay for it. A good financial plan includes a monthly budget with income and expenses (large and small), a review of assets and debts, and comparisons of health insurance plans. While many costs for home care are out-of-pocket, some HMOs and health and long-term care insurance plans provide coverage. Home care also is subsidized by Medicare, based on specific situations. And for low income seniors, Medicaid programs support home care services as an alternative to nursing homes.

Staying healthy Good habits in place today will pay large dividends later. It’s never too late to exercise and incorporate a healthy diet. Staying connected in the community, particularly through volunteerism, also can play a vital role in living independently and potentially prevent health problems from developing and going untreated — a serious issue with many older adults. And,

being social has health benefits: recent studies have shown that interaction with others keeps your mind alert and active.

Selecting key decision-makers Many older adults pass important medical decisions to children or younger

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Home. Being there is critical to your state of mind and your state of health. And with the right care, it can bring you one step closer to the life you knew before. That’s what we want for you. Your home and our care. That’s HomeCare from Holy Redeemer.

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Terry Giannetti, MSN, MBA, RN, Vice President, NJ- Shore, Holy Redeemer HomeCare & Hospice Terry Giannetti is vice president of Holy Redeemer HomeCare & Hospice, Shore Division. She has earned a Bachelor of Science Degree in nursing, a dual Masters in nursing and business administration, and is a member of Sigma Theta Tau, an international nursing honor society. Terry has held a variety of positions ranging from a critical care nurse, home infusion nurse, and insurance case manager. In recent years she was a director of home infusion, home care, and case management/ social work in Pennsylvania. She has published several articles on caring for patients with heart failure. Additionally, she is an adjunct faculty member for Immaculata University. Terry is responsible for Holy Redeemer’s services in Atlantic, Cape May, and Ocean Counties. She is dedicated to promoting and supporting quality and compassionate care for patients in their homes, believing that home is the optimal place to recover from illness or to achieve a peaceful end to life in hospice care.

The County Woman Magazine

loved ones. This includes future health care decisions, such as the appointment of a health care advocate and do-not-resuscitate orders. By taking the appropriate steps and planning ahead, baby boomers’ golden years can be filled with activity and independence.

About Holy Redeemer HomeCare and Hospice . . .

2/18/13 1:28 PM

Holy Redeemer Home Care and Hospice is the largest nonprofit provider of home health and hospice services in New Jersey, and serves 12 counties including Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Mercer, Middlesex, Ocean, Salem, Somerset, and Union. Holy Redeemer Home Care and Hospice is part of Holy Redeemer Health System, and has been caring for residents of New Jersey for nearly 30 years. For more information call 1-888-678-8678 or visit us on the web at

September/October 2013

Medical Professionals


Colon & Rectal Condition Q&A With Dr. Nina Paonessa Chances are you or someone you know has experienced a colon or rectal condition such as colon cancer, inflammatory bowel disease or diverticulitis. Although it may be uncomfortable to discuss these conditions, let alone experience them, it’s important to recognize the symptoms and know where to find help should you, a friend or family member ever require it. Nina Paonessa, DO, FACOS, an established colorectal surgeon at Barnabas Health Medical Group, a multi-specialty physician practice affiliated with Community Medical Center, a Barnabas Health facility, answers some of the most commonly asked questions about colon and rectal conditions. 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. 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 for six consecutive years, and is on the HealthGrades Honor Roll. Q. What are some of the most common conditions of the colon and rectum? A. Common colon and rectum conditions include irritable bowel syndrome, Crohn’s disease, diverticulosis, hemorrhoids and colorectal cancer. As the severity of colon and rectal diseases can range from mildly uncomfortable to life threatening, early detection and diagnosis is crucial for treating these conditions. Many have very similar symptoms, so misdiagnosis and mistreatment can be common if not brought to the attention of a colorectal surgeon who specializes in the surgical and non-surgical treatment of these diseases. Q.How are colorectal conditions diagnosed? A. Since many conditions have similar symptoms, a thorough examination is required. Diagnosis can include an overview of symptoms, an extensive medical and family history, physical abdominal examination, and sometimes a colonoscopy, blood work or a CT (computed tomography) scan of the abdomen and pelvis. I believe in integrated healthcare, so in addition to tests and examinations, I will coordinate with your other physicians to ensure the most thorough care possible. Q. Do all conditions require surgery? What are some other treatment methods? A. No, not all conditions require surgery. Other treatment methods include antiinflammatory medication, antibiotics,

Nina J. Paonessa, DO, FACOS Colon and Rectal Surgery

Board Certified in General Surgery and Proctology 67 Highway 37 West Riverwood I, 1st Floor Toms River, NJ 08755 732.557.2153 � 732.557.2159 fax Office hours: M–F 9AM to 5PM laparoscopic surgery abdominal/pelvic surgery � fecal incontinence � endoanal/rectal ultrasound � anorectal manometry/physiology

colonoscopy anorectal surgery � pelvic floor disorders � office proctology

The County Woman Magazine

dietary restrictions and stool softeners, or minimally invasive procedures performed in the office, depending on the condition. Treatment also depends on the cause of the problem you have and what is most suited to your lifestyle. Q. If surgery is required, what is the recovery process like? A. My hope is for every patient to return to his or her previous level of functioning as quickly as possible. The recovery time is contingent upon the severity of and type of procedure. Typically, major abdominal surgery requires general anesthesia and an overnight hospital stay. Recovery often includes follow-up visits and post-surgical testing. Minor, anorectal surgeries, are usually outpatient procedures which are performed using intravenous sedation and local anesthetic. I remain closely connected with my patients throughout the entire postsurgical 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. Q. How can you prevent colorectal cancer and other conditions of the colon/rectum? A. There is no foolproof way to prevent colorectal cancer, as well as other conditions of the colon/rectum. However, there are a few preventative measures you can take to reduce the chance of acquiring these diseases. One of the most important preventative measures you can take is regular screening. With regular screening, polyps can be found and removed before they become cancerous. When colorectal cancer is caught at such an early stage, it is curable. Another preventative measure you can take is to maintain a healthy diet that includes a variety of fruits, vegetables and whole grains. Maintaining a healthy weight will also help prevent colorectal and other types of cancers. Q. What is the difference between functional conditions and structural conditions? A. Functional disorders are those when the bowel looks like a normal bowel but doesn’t work properly. Structural disorders on the other hand, are those where there is something visually wrong that may need to be removed, altered or repaired by operation. Simply put, there is something wrong in both functional and structural conditions, but you can only visually tell with structural disorders.

Q. What are polyps? How do they become cancerous? A. While polyps are the first sign of colorectal cancer cases, not all polyps are cancerous. A polyp is a benign growth that may or may not become cancerous, usually described as a mushroom like growth protruding from the tissue lining the large bowel. The growth is slow, usually taking a few years to become cancerous. The most important type of polyp is a neo-plastic or adenomatous polyp. They start out as benign growths and over time develop into cancer. Generally, the larger the polyp, the more likely it is that it is cancerous.

Patient Testimonials Ella S. “Dr. Paonessa is such a caring person and really knows how to speak to a patient. Everything she says comes from her heart. She made me feel at ease and treated me like a human being. Dr. Paonessa is an excellent surgeon. I’m so pleased that I don’t need a colostomy bag following colon resection surgery for diverticulitis.” Patricia E. “I credit Dr. Paonessa for saving my life. Her thoroughness and attention to detail made the difference for my recovery. I’ve never met a doctor like her—so attentive and caring.” Bio: Board-certified in general surgery and proctology and a fellow of the American College of Osteopathic Surgeons, Dr. Paonessa specializes in colon and rectal surgery. She has been in practice for 9 years. She completed her colon and rectal surgery fellowship at Lehigh Valley Hospital in Allentown, PA. She is co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition. Dr. Paonessa believes in patient-centered care and preserving each patient’s independence, well being and dignity. She provides the latest, up-to-date treatments and tailors each plan of care to the individual patient’s needs.

September/October 2013



Earn Your Associate Degree Online Through E-Learning At Ocean County Looking for a flexible way to complete your education? Online learning is a simple, exciting route to earning college credits at Ocean County College. Without having to make any trips to campus, you can actively participate in online classes that can be taken as part of a complete degree program or on an individual course-by-course basis. Through OCC’s e-learning online courses, you can earn an associate degree in 12 majors including business, computer science (with options in game development & design, information systems, and information technology), criminal justice, engineering, environmental science, general studies, homeland security, liberal arts, and public service. In addition, you can complete a certificate program in accounting, criminal justice, information technology, legal secretary, paralegal studies, teacher


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aide, and small business management. You can also sign up for individual online classes in business, computers, education, fine arts, humanities, literature, mathematics, science, social science, and more. OCC’s e-learning programs are designed for students of all ages. Our easy-to-use online software includes tutorials, tutoring assistance, learning resources, and a 24/7 Help Line for technical support to assist you to succeed in your online studies. Chat, active discussions, and email support are also available.

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Maintain Your Great Looks By Joining Brilliant Distinctions Welcome To Brilliant Distinctions

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Enroll in the rewards program by going to and enroll. It will only take about a minute. The next step is scheduling a treatment. At Ocean Plastic Surgery, P.A., we offer Juvederm, Botox and Latisse treatments. After your first treatment of Botox, Juvederm or Latisse you will receive points. These points result in instant savings for future treatments.

To redeem your points you go to your Brilliant Distinctions Program page and redeem the points you want for a coupon for saving on your next treatment. Coupons must be used in 60 days of creation. Coupons can also be used to make a charitable donation to the Make A Wish Foundation or Dress For Success.

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Learn more about Dr. Stephen Small and what Ocean Plastic Surgery can do for you on page 25.

The County Woman Magazine

September/October 2013

Medical Professionals


WHO HAS ADRENAL DYSFUNCTION? The real question is who doesn’t! In today’s stressful society nearly 90% of all my patients have some form of adrenal dysfunction. The most commonly “recognized” form of adrenal dysfunction is primary adrenal insufficiency, also known as Addison’s disease. This occurs in both sexes and affects nearly 1 in 100,000 people. The adrenal glands, two triangle-shaped glands that sit over the kidneys, are responsible for regulating the body’s response to stress by controlling the hormones released during stress. When stress becomes chronic or is not well managed, the adrenal glands are unable to function optimally. Over a prolonged period of time, symptoms associated with adrenal insufficiency develop and if severe enough and not addressed, may become fatal. Because symptoms of Addison’s disease progress slowly, they may go unrecognized until a physically stressful event, such as another illness, surgery, or an accident, worsen symptoms quickly. When this happens, it’s called an Addisonian crisis. An Addisonian crisis is considered a medical emergency. Not unlike many other missed or undiagnosed conditions presenting with disabling symptoms, adrenal dysfunction perhaps tops the list. The reason so many patient’s symptoms linger for months or even years (and in some, decades) is because the current trend in traditional medicine is to only treat a diagnosis that can be found to fit into a pre-established cookbook list of signs and symptoms that can also be attached to an ICD 9 diagnostic code and an “acceptable” and established abnormal lab test! One of the problems here is that symptoms of adrenal dysfunction are exactly those of Addison’s Disease just

to a lesser degree. But, because adrenal dysfunction – that in itself has seven phases or degrees if you will, does not meet the criteria for the average doctor’s diagnostic abilities, millions of patients suffer with “pre-Addision’s” disease (adrenal dysfunction) without even knowing it. They are then left being “labeled” as having CFIDS/ CFS, EBV, LYME, or DEPRESSION. What’s more is the doctor goes on (unknowingly) making the situation worse by telling the patient they are “lucky” that they do not have anything wrong with them! The danger in missing the signs and symptoms of adrenal fatigue is that a patient suffers needlessly and the long-term symptoms that should and could have been avoided lead to end stage adrenal disease, surgical complications and death. Think about this —

BOTTOM LINE: If the brakes on your car are

squeaking, do you wait to go to the repair shop? Once you get there does the mechanic tell you the breaks are wearing down but to wait until they stop working to have anything done? It is precisely this scenario that makes me ashamed at times of our world-class healthcare rank of 37.

What can you do? Find another mechanic! You

keep searching until the complaint, symptom, problem or condition is diagnosed and fixed or treated! Unfortunately, at least for now, you have to be the knowledgeable player on your healthcare team until more doctors open their eyes and ears to ongoing complaints of chronic illness. Just as you don’t wait for your brakes to fail, don’t wait for your healthcare provider either. Take a stand by learning more about your own health and illness. Demand, pursue and obtain the best care you can receive by being an active member of your own healthcare team.

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

Mark James Bartiss, M.D.

A Doctor That Specializes In You!

A Different Approach To Your Medical Needs Dr. Bartiss is a medical writer, lecturer and author and has keen interest in Women’s Health issues. Whether you are feeling ill or think you are well, Dr. Bartiss offers therapies that will keep you healthy and set back your biologic (aging) clock ten to fifteen years. Hundreds of patients have already utilized his services and have found internal peace with their newly gained health and youth. You too can recapture this dream and live a healthier, happier and more fulfilling life with minimal effort by following his protocols. For those interested in inquiring about lectures for your group/ organization, or for information about ICAM and Dr. Bartiss, contact our office, or visit our website:

The County Woman Magazine

Common Symptoms of Adrenal Fatigue • Unable to fall asleep • Anxiety • Depression • Midday Fatigue • Reduced tolerance for stress • Chemical sensitivities • Allergies to things you were never allergic to before • Chemical sensitivities • Weakened immune function • Inability to sleep through the night • Depression • Aching joints • Diminished sex drive • A tendency to feel cold (many individuals and doctors often misdiagnose hypothyroidism) • Craving for salt and sweets • Erectile dysfunction • Loss of muscle mass and strength • Many more

REMEMBER: The lack of symptoms does not mean that you are not ill. Stress is abundant and all types: mental, emotional, physical, financial, good, bad and indifferent will lead to adrenal dysfunction. Prevention is key.



Remember… If you ignore your health, It Will Leave You.

Institute For Complementary & Alternative Medicine Mark James Bartiss, MD

Welcomes you to his Alternative Medical practice, specializing in the following: • • • • •

Alzheimer’s/ Memory Disorder Coronary Artery Disease/ Stress Fibromyalgia Anti-Aging Medicine Preventive Medicine

• • • • •

Hypothyroidism/ Endocrine Disorders Vitamin and Herbal Therapies IV Therapies Bio-Identical Hormone Replacement Therapy Bio-Oxidative Therapy

24 Nautilus Drive, Suite 5 • Manahawkin, NJ 08050 • 609-978-9002 504 Hamburg Tpk, Suite 205 • Wayne, NJ 07470 • 973-790-6363

Call for new location in Monmouth County.

September/October 2013

Medical Professionals


Why Are You Squeezing My Breasts? Q A

Cyrus Khorrami, M.D.

Besides lung cancer, breast cancer causes more deaths among American women than any other form of cancer. A woman’s chance of developing breast cancer in her lifetime is 1 in 8. Each year about 240,000 new cases of breast cancer are diagnosed (that is one for every 2 and a half minutes). Sadly, 40,000 women die from breast cancer each year (one death every 13 minutes). Screening mammography reduces breast cancer mortality by 25-30% for women ages 50-70 and by 18% for women ages 40-50. Early detection is incredibly important. The 12-year survival rate is 95% for cancers detected that are less than 1 centimeter in size. Despite these statistics, many women still do not consistently have their yearly mammograms. The major complaint is discomfort. Here are some of the more common concerns with mammograms and the explanations as to why they occur.

Why do you have to squeeze my breasts?

When a patient undergoes a mammogram the breasts are placed in between two paddles on the machine. The paddles compress the breast and an x-ray is taken. The paddles apply pressure on the breast. This serves two purposes. First, it holds the breast still. The slightest movement can blur the images. This can limit the sensitivity of detecting tiny calcifications that can be a sign of cancer. The second reason is to displace breast tissue. Breast tissue looks white on mammograms. Unfortunately, cancers also look white on mammograms. Finding cancer in breast tissue can be like finding a snowball in a snow bank. One thing that helps improve detection of cancer is trying to spread out the breast tissue as much as possible. This is performed by the pressure applied by the paddles.


Why do you have to pull my breasts?

Mammograms are all about early A breast cancer detection. Breast cancer can form in any portion of breast

tissue. Therefore, it is important to have as much breast tissue imaged as possible. So our technologists need to physically pull the breast onto the x-ray film so all of the breast tissue is included in the mammogram. Many women do not know breast tissue extends up to the collar bone. It is also very important to image the lymph nodes in the armpits to detect potential early cancer spread. This is why we image and compress high to the level of the shoulder.


Why do you have to take so many images?

The standard way to image the breast is top to bottom and A side to side. Typically, each breast is imaged twice (four x-rays total). Occasionally additional views are needed to better image all the breast tissue from various angles. This helps improve detection of potential breast cancer.

breast cancer detection. Although mammograms can occasionally be uncomfortable, they often save lives. As always if you have any question, please do not hesitate to contact our staff, 732-244-0777.


Sometimes when I am asked to return for more images, the technologists use a paddle that squeezes my breast even more. Why does that happen? The breast is made A up of many layers of overlapping breast

tissue. Occasionally, the radiologist will see an area on the mammogram which is suspicious. It must be determined whether this is truly cancer or overlapping breast tissue. A specialized paddle will be used to press on the area that is suspicious. If the area of concern disappears with the compression, it is likely an artifact and represents overlapping breast tissue. If this area persists with compression, cancer must be considered and additional imaging or a biopsy may be performed. Mammograms are extremely important for



Small suspicious lesion in the breast disappears with compression. This was not cancer, but overlapping breast tissue



Suspicious lesion in the breast that did not disappear with compression. This proved to be a solid mass

As always, contact our office where our staff will be more than happy to assist you.



you can count on.

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

The County Woman Magazine

September/October 2013

Featured On The Cover


Dr. Cyrus Khorrami: Changing Lives ~ One Patient At A Time! Radiologist and founded Toms River X-Ray, CT, and MRI Center. The practice began in 1981 when his father decided to leave the hospital system and open his own practice. He opened a small office on Route 37 with a single X-ray machine. Dr. Khorrami has slowly built his practice up over the last 30 years to now having over 40 employees and offering all imaging modalities. “We are the oldest and the largest privately owned imaging center in the area,” he says. Dr. Khorrami enjoys the field of radiology because w there are constantly new technologic breakthroughs and advances in imaging happening. He adds,  “It is

Dr. Cyrus Khorrami and his wife, Ladi Khorrami, M .D.


s a Radiologist, Dr. Cyrus Khorrami is a medical doctor who specializes in diagnosing and ultimately directing the treatment of disease and injury by using medical imaging techniques such as X-rays, CT, MRI, mammography, and ultrasound.

extremely important to have the most state of the art methodologies and to hire and retain the best staff.” He makes it a priority to keep in close contact with the referring physicians he works with. “All doctors should work together as a team to provide the very best and most complete care for our patients.” Part of his responsibility involves working with other referring physicians to help guide diagnosis and treatment for his patients. Once he is able to help figure out the cause of a patient’s symptoms, he can quickly direct appropriate treatment. This can potentially result in catching life-threatening illnesses in a timely fashion.

Patients will immediately feel a different level of comfort when treated at Toms River X-Ray, CT, and MRI Center. “Large corporations or hospitals run most radiology practices,” he explains. “Ours is a family run practice, which is very unusual in radiology. My father founded our practice. My mother has been the office administrator for many years. I serve as the medical director.  As with any family run business, we take pride in what we do and work hard to provide the very best service possible. We care deeply for our patients and strive to treat each and every one like they are a part of our family.” All of their radiologists are highly trained and have many years of experience. Almost all of them have advanced subspecialized training from top academic centers.  This allows them to provide the type of quality care seen at any university hospital while still providing the personal attention and level of service of a family run business. Dr. Khorrami was married a little over a year w ago to Ladi, whom he refers to as “the girl of his dreams.” Ladi is originally from New York and now works for Meridian Health. Together they enjoy traveling to see new places and cultures, along with ballroom dancing.

Born into a family of physicians, w he has been surrounded by medicine his entire life. “Growing up, I would

hear fantastic stories my parents told about how they were able to change people’s lives. I knew this was what I wanted.” He adds, “Radiology answers the question of why someone is sick or why they are in pain.  We work closely with all types of medical professionals to diagnose and treat patients. Every case is unique, which makes this field challenging. Reading hundreds of studies a week, I potentially diagnose and help hundreds of patients each week, which makes my job extremely rewarding.”  After graduating from George Washington University he moved to Philadelphia and conducted research at the University of Pennsylvania in creating a melanoma vaccine.  He stayed in Philadelphia and attended medical school at Temple School of Medicine. After obtaining his medical degree, Cyrus spent the next four years at Cooper University Hospital for his radiology residency.  After becoming a Board Certified Radiologist, he went on to Johns Hopkins Medical Center in Baltimore for a Cross Sectional Body Imaging Fellowship. Although his work has taken him all over the tri-state area, he moved back to Ocean County last year and enjoys living close to his family. Both of Dr. Khorrami’s parents are physicians. His father Parviz Khorrami is also a

The County Woman Magazine

Dr. Cyrus Khorrami (second from left) of Toms River X-Ray, a family business since 1981, enjoys this beautiful day with his wife Ladi Khorrami, M.D.; his mother Parvin Motemaden Khorrami, M.D. and his father Parviz Khorrami, M.D.

September/October 2013

Medical Professionals


Be Passionate About Your Hearing Health! you would think only Baby Boomers would have hearing loss. Not true! While hearing loss is a normal part of aging, the largest age group with hearing loss are people between 18 and 64 – about 19 million people compared to 14 million at retirement age!

a gerontologist, I am an expert in the study and trends of aging. I am a researcher, Emmy award winning journalist, and a passionate spokesperson for mature adults. I became associated with Total Hearing Care, a leading hearing health care provider, because they are also passionate about providing unsurpassed hearing health care and support to the mature adult. I recently turned to Elizabeth Cook, M.A., FAAA, Total Hearing Care’s Chief Audiologist, to learn more about how each of us should be managing our hearing health as we move through life.

Why is hearing loss becoming more prevalent Gerontologist and at an earlier age? One Total Hearing Care reason is the use of Spokesperson hand-held music players and headphones. major retirement Today, one in five wave began in 2011 teens has some form of hearing when the first of the Baby Boomers turned 65. loss – a rate that is 30% higher than The number of Americans in the 1980s and aged 55 and older will 1990s! Overall, more than almost double by 2030— 10 million Americans are from 60 million in 2000 to experiencing hearing 107 million. The number loss due to irreversible of Americans over 65 will damage to their hearing more than double, from from noise. 34.8 million in 2000 to 70.3 million in 2030. Regardless of your age, be passionate about With statistics like that, your hearing health! As

Dr. Alexis Abramson


What I’ve learned is that you are never too young (or old) to get a hearing screening. Hearing loss is an inevitable part of aging, but approximately 95% of people with hearing loss can be helped with hearing aids. According

wore. Today, hearing aids come in a variety of sizes and colors. They can rest behind the ear or sit invisibly in the ear canal. Today’s hearing devices are also fully digital and some even use Bluetooth technology to turn your hearing aids into a wireless headset so you can more easily hear your TV, listen to music, and even take phone calls directly through your hearing device!

to Ms. Cook, “Only about 15 percent of general practitioners routinely screen for hearing loss during a physical exam. Total Hearing Care offers free hearing screenings at all of our clinics, and we encourage people to make annual hearing screenings part of their overall health care.” She recommends that people schedule their free annual hearing screening while making their annual physical appointment.

Whether you are part of the older I took Ms. Cook’s generation now, recommendation and I had will be in the not my hearing tested by Total too distant future, Hearing Care. It took just a or think as a young few minutes, was painless, adult may have and now I have a hearing hearing difficulties, baseline as part of my plan on having a medical records history. hearing screening as part of your Hearing devices today overall health care. Taking can be considered a control of your hearing fashion statement! No means taking control of longer are hearing aids your life. the big clunky analog devices your grandparents

Editor’s Note: Total Hearing Care has more than 37 locations in New Jersey, Delaware and New York. Learn more at or by calling 1-855-YOU-HEAR (968-4327). Dr. Alexis Abramson can be reached at Learn more about Dr. Abramson at her website





any pair of advanced digital hearing aids Offers Expire October 31, 2013

Whatever your hearing needs may be, we invite you and a guest to our special events where you will receive:


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Elizabeth W. Cook, M.A., FAAA, Chief Audiologist, NJ Hearing Aid Supervising Dispenser Lic. #697

The County Woman Magazine

September/October 2013

Medical Professionals


Let Total Hearing Care bring you back to the world of better hearing.






At Total Hearing Care, we are committed to delivering unsurpassed hearing health care by placing your individual needs first. We pledge to provide affordable, custom-tailored solutions supported by our R ALEXI TO professional and dedicated D staff. OVE s ww .alexisabram

Total Hearing Care invites you and a guest to join us for our special events to learn more about hearing loss and the tremendous strides hearing technology has made in the past few years. The following events are FREE but space is limited. Call today to reserve your seat! September Events - FREE Educational Seminar and Luncheon Date: Luncheon: Location:

Thursday, September 19th 10:30 am Tuscany Restaurant & Bar 1490 Rt. 88 W., Brick

Date: Luncheon: Location:


Thursday, September 26th 10:00 am Brennen’s Steakhouse 62 W. Sylvania Ave., Neptune City


October Events - FREE Special Hearing Workshop Date: Time: Address:

Tues., October 15th & Wed., October 16th 9:00 am - 5:00 pm Total Hearing Care 525 Jack Martin Blvd., Suite 104, Brick

Date: Time: Address:


Thurs., October 24th & Fri., October 25th 9:00 am - 5:00 pm Total Hearing Care 444 Neptune Blvd., Suite 1, Neptune


Please call early to make an appointment. Appointments are available on a first-come, first-served basis and are FREE OF CHARGE. TOTAL HEARING CARE’S SOUTH JERSEY LOCATIONS BAYVILLE • BRICK • CAPE MAY • HOLMDEL • MANALAPAN • MONROE NEPTUNE • NORTHFIELD • VINELAND • SEA GIRT • SHREWSBURY • WHITING 1-855-YOU-HEAR (968-4327) Elizabeth W. Cook, M.A., FAAA, Chief Audiologist, NJ Hearing Aid Supervising Dispenser Lic. #697

The County Woman Magazine

September/October 2013


Assisted Living

When Is It Time For Assisted Living?


o one wants to move from their home into assisted living. However, in some cases, it is the best option to keep elderly or aging parents safe and healthy. To determine if it’s time for assisted living, or if your elderly parent can safely remain at home, take a good look at the present housing situation, health status and medical needs. Ask yourself these questions.

Signs that may indicate it’s time for assisted living:

• Is your parent wearing the same clothes when you go to visit? Can they bathe themselves, groom adequately and launder clothes? • When you look around the house or yard, is it as neat and clean as it used to be? • Is your aging parent remembering to take medications correctly, with the right dosages and at the right time? Are medications expired? • Are they able to operate appliances safely? Do they remember to turn appliances off when they are finished cooking?

• Are there stacks of papers and unpaid bills lying around? • Do they have friends, or are they isolated from others most of the time? • When you really look at your parent, do you see the bright and vibrant person from years ago, or do you see a more limited person who needs some help one hour a day, or even around the clock?

Fall Fridays! Open House Every Friday 9 am to 4 pm FREE TOURS

• Is the home equipped with safety features such as grab bars and emergency response systems?

• Is your parent telling you that he is eating, but you’re seeing food go bad in the refrigerator?

• Do they have a plan in place to contact help in case of an emergency?

• Is your parent falling? To determine the answer, is your parent covering up bruises he or she doesn’t want you to see?

• Are they driving? Should they be driving? Do they have alternate means of transportation?


Call Cathy today for your free tour at 609-607-6002.

Assisted Livin of Forked Rive

Call for an Appointment Today


Fall Recipe

601 N. Main St. (Route 9)

Awesome Autumn Main Dish 2 T olive oil 1 cup onion, diced 1 med red bell pepper, diced 1 med green bell pepper, diced 5 garlic cloves, minced 2 med shallot, minced 2 med jalapeno, minced 2 – 3 T chili powder, depending on your personal taste 1 cup roma tomato, diced 4 cup chicken broth, low sodium, reduced fat 4 cup butternut squash, peeled and diced 12 oz cod (or other white fish) cut into bite size pieces 1 lb shrimp, peeled and deveined 3 cup pinto beans, drained and rinsed Juice from one lime

The County Woman Magazine

Autumn Seafood Chili In large stock pot, heat olive oil and sauté the onion, bell peppers, garlic, shallots and jalapeno peppers for about 5 minutes. Add the chili powder add tomatoes and continue to sauté for 2 more minutes. Add the chicken stock and squash. Bring to a boil and then reduce to a simmer for 15 minutes. Stir in the cod, shrimp and beans. Cook for about 10 more minutes, until the seafood is opaque and the squash is tender. Stir in lime juice.

Lanoka Harbor, NJ


Stephanie was professionally trained at the Culinary Business Academy, is a Certified Personal Chef, a Certified Food Safety Manager, and a 2012 Finalist for the USPCA Personal Chef of the Year. Services are provided on a first come, first served basis and there are no contracts – EVER! For more information on our services or Gift Certificates, references, and fees, contact Stephanie at Cutting Board Creations, LLC today at 609-841-8567!

September/October 2013

Medical Professionals


Most Parents Would Do Anything To Help Their Children…

Lorraine Catalano, CNMT and Imaging Director If you are experiencing memory loss, and/or have a family history of Alzheimer’s disease, the Amyvid PET Scan could help you do just that… help your children. Alzheimer’s disease affects the entire family. Help protect your children by getting an early

diagnosis. Early detection and treatment can help slow down the progression of Alzheimer’s disease. Having the Amyvid PET Scan can give you and your family correct information about the cause of your cognitive impairment. Until this scan was available, the only definitive way of knowing if a person had Alzheimer’s disease was by an autopsy. Many doctors have been treating patients with medications used to treat Alzheimer’s, without the benefit of knowing definitively if that patient really has Alzheimer’s. Using these medications may not be beneficial to patients, and, in some cases, could be detrimental to their health. This scan will give the information needed for doctors to make appropriate treatment decisions.

Amyvid, a radioactive diagnostic agent for Positron Emission Tomography (PET) imaging of the brain is used to estimate beta-amyloid neuritic plaque density in adult patients with cognitive impairment who are being evaluated for Alzheimer’s disease and other causes of cognitive decline. • A negative Amyvid scan result reduces the likelihood that a patient’s cognitive impairment is due to Alzheimer’s disease at the time of image acquisition. • A positive Amyvid scan result indicates moderate to frequent amyloid neuritic plaques; neuropathological examination has shown this amount of amyloid neuritic plaque is present in patients with Alzheimer’s disease. Amyvid is an adjunct to other diagnostic evaluations.


Caring Heart & Brain appropriate pharmaceutical the appropriate pharmaceutiImaging is aring the firstHeart imaging& treatments and therapies to cal the treatments and therapies center in New Jersey to slow progression of these Brain Imaging to slow If theweprogression of perform the Amyvid PET diseases. can slow down is the first imaging center in thethese progression Scan. This fantastic imaging diseases.ofIfAlzheimer’s we can to perform the toolNew can Jersey diagnose and disease, we can give patients of slow down the progression Amyvid PET Scan and and families the time to plan differentiate the forms of we Alzheimer’s disease, we can have completed moreages. Amyvid ahead. It also allows the person dementia at even earlier give patients and families WePET can address cognitive Scans than most medical with Alzheimer’s to participate the time to plan ahead. It changes andthroughout impairment centers the Unit- in health care, financial and also allows the person with because we know ed States. This what meansis that our legal decisions, as well as giving Alzheimer’s participate them precioustoquality time in attributing to the diagnoses. reading expert has interpreted Diagnosing and staging is vital with theircare, loved ones. and legal health financial many,toif prescribe not more,the Amyvid for as doctors decisions, as well as giving PET scans than most nuclear them precious quality time radiologists. with their loved ones. This fantastic imaging tool can diagnose and differentiate 2414 Manasquan, NJ 08736 the formsHighway of dementia35, at even earlier ages. We can address Phone: cognitive changes and impairE-Mail: ment because we know what is attributing to the diagnoses. Diagnosing and staging is vital for doctors to prescribe

Caring Heart & Brain Imaging 732.292.1008

At Caring Heart & Brain Imaging, you are in our caring hands.

Cardiac Breakthrough Slipping Away at the Jersey Shore… The Jersey Shore has suffered some great losses in the recent past due to Super Storm Sandy and the Nor’easter…and Caring Heartgreat & Brain now, another loss seems Imaging is the first imaging inevitable. Caring Heart center in New Jersey to & Brain Imaging has made perform the Amyvid PET the latest cardiac technology Scan. This fantastic imaging tool can diagnose andof the available to residents differentiate Jersey Shore, the whoforms couldofonly dementia at even earlier ages. benefit from this same testing We can address cognitive ifchanges they traveled to New York and impairment City, Philadelphia or Northern because we know what is Jersey. Unfortunately, attributing to the diagnoses. Diagnosing and staging is vital educating patients and doctors doctors to prescribe the isfortaking time, and not enough

patients are aware that they can ask their family practice doctor or cardiologist to write a script for the test that will appropriate pharmaceutical accurately and specifically treatments and therapies to determine if your heart muscle slow the progression of these is receiving adequate blood diseases. If we can slow down flowprogression and if thatofblood flow is the Alzheimer’s disease, we can give patients evenly distributed. The test and families time to plan to ask for is the called a Cardiac ahead. It also allows the person PET Perfusion study with with Alzheimer’s to participate Rubidium. in health care, financial and CardiacasPET legalThe decisions, well Perfusion as giving study is the newest version them precious quality time with their loved ones. of a cardiac stress test. For those people who have had the

To Help Their Children…

Caring Heart & Brain Imaging Just call

2414 Highway 35, Manasquan, NJ 08736

732 292-1008 Phone: 732.292.1008

or visit E-Mail: our website at

The County Woman Magazine

old test, the most compelling reasons for having the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging are: • Speedier Scan Times – approximately 45 minutes as opposed to 2-1/2 to 4 hours for the old SPECT scan, • Patient Exposure to Radiation is cut in half - the Attrius scanner reduces patient exposure to radiation, and Rubidium, the agent used in the scan, has a short half-life, so the amount of radiation exposure is substantially less than a chest x-ray. • Improved Images – PET provides clearer, more precise 2D images better suited for detection of disease. • Avoidance of Unnecessary Procedures – Test images are

so accurate, procedures such as stent implantation and even coronary bypass surgery might be avoided. • We will provide transportation, if necessary. If you have some, or all of the risk factors mentioned below, you should see your family practice doctor and ask if you would benefit from the Cardiac PET Perfusion study performed at Caring Heart & Brain Imaging. • Smoking. • High LDL, or “bad” cholesterol and low HDL, or “good” cholesterol. • Uncontrolled hypertension hypertension (high blood pressure). • Physical inactivity. • Obesity (more than 20% over one’s ideal body weight). • Uncontrolled diabetes.

• Uncontrolled stress and anger. • Family history of heart disease • Post-menopausal • Race (African Americans, American Indians, and Mexican Americans are more likely to have heart disease than Caucasians) Don’t let this opportunity to receive the best and most accurate technology for cardiac care slip away from you. Tell your doctor you want only the best. We are happy to answer any questions you or your doctor may have. We can be reached at 732-292-1008, or visit our website at At Caring Heart & Brain Imaging, you are in our caring hands!

September/October 2013





retty and feminine lingerie seems to be permeating the bridal scene once again. Leisure and Lace has had a very hectic season of bridal lingerie sales and new merchandise is arriving regularly. As usual the mother of the bride enjoys the traditional gift of lingerie to their daughter for the wedding shower. Our customers tell us viewing pretty lingerie is such a pleasant break between the looking at pots and pans! Boudoir photography is another trend boosting the sales of more sexy and feminine items. New bride or seasoned bride women are having a fun time with this. However bra sales remain the backbone of our business. The plus size market continues to grow and so does our inventory. Many of our bras are European which are manufactured to be sturdy and comfortable. Low back, no back, plunge, long line strapless brings your problem garment in and we will help you. We have the solution to end visible bra lines and back bulges. It is amazing! Another innovative breathable body shaping garment, which has a silicone boarder, so the garment stays in place. People will wonder what is under. Our customers enjoy the personal attention they receive at Leisure and Lace. We have experience not often found in a larger store. Fall merchandise is arriving daily. Our softies sleepwear line combines fashion and function. They are designed for women experiencing night sweats or hot flashes due to menopause, chemotherapy, diabetes or sweltering summer nights. Snuggle up in cuddly pieces made from a fabric called marshmallow that's as soft and cozy as it sounds. A total luxury for your office or bedroom, you will wonder how you did without it! ■

“The perfect fitting bra might as well be a myth, unless you shop at Leisure & Lace!”

199 New Road, Suite 9 • Central Square • Linwood, NJ 08221 • 609 927 5572

The County Woman Magazine

September/October 2013





fter a brutally hot summer –fall is finally on the horizon. Among the many hot trends for the cooler weather, leather is a “must.” Fall’s hottest fashion trend is ready to make its debut. Treated more like a fabric than ever before, leather is practical and wearable by anyone. The options are endless –on a full skirt leather is very ladylike and as a blazer it dresses up slacks or skinny jeans. Whether you’re sporting it to the office or out on a Saturday night, remember to go for a neutral or rich—not bright—color. Whether it’s real or faux wearing leather just feels good and is the ideal transition fabric that can carry you from fall into winter and seamlessly into spring. This chic texture must be a fixture in your wardrobe for fall 2013! The fashion runways were also filled with the “in between” colors from charcoal to slate. In some fashion circles it has even been called the “new neutral.” Another item that should make up your fall wardrobe is the classic, crisp long sleeve white shirt. This will go perfect with the new line of Miraclebody jeans now at Barbara’s. Miraclebody will fit both your lifestyle and your unique shape. The jeans are crafted in premium super stretch fabrics that will keep you looking flawless without sacrificing comfort. Each pair of jeans features a patented tummy-flattening panel. Stop by and try on a


pair and you will witness the miracle! If you are looking for a fresh look in today’s cashmere market, Barbara’s is featuring Kokun sweaters. The company is from New York and their sweaters are designed for years, not just seasons. You will enjoy the modern comfort, simplicity with detail, and luxury feel, which is a perfect combination. You will also find the highest quality sweatshirt line, with clean, simple lines, luxuriously soft fabrics and vibrant colors by Allen Allen. They make a great gift for a friend or family member to enjoy those casual times of curling up with a good book, traveling out of town or exploring new places. Make your “go-to” look a super sexy tailored jacket. This is a must have item and one any trendsetter should never be without. Most are fitted to show off those feminine curves and can be paired with anything from work trousers to jeans. These jackets are flattering on all body types and add structure to your figure. Select traditional fall fabrics like tweed, corduroy or denim. At Barbara’s you can be sure you will be getting one of a kind selections since she only buys one size in each item. You are guaranteed to look like an original! n

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September/October 2013



Why Choose The Peppermint Tree?


e provide a warm and nurturing home-like setting, filled with passionate, loyal, long-term teachers that truly become an extension of your family. We take a personal interest in each child, and in your family. Your child will feel right at home.

child captivated and motivated to learn throughout the school year. We respect the unique individuality of each child, and therefore we teach each child, based on their unique style and interests. Another reason we say...Your child will feel right at home.

“Family-Like Environment” “Peppermint tree is a great place for your child to start school. The staff and feeling is so comforting and family like! The teachers go 110% to keep up with the newest, latest fun activities for the kids to do as well as keep them interested in learning. My experience with Peppermint Tree has been amazing and I’m glad I chose this school.” -Bethany Landero

“An Atmosphere of Fun, Active Learning” “The Peppermint Tree School has created an atmosphere in which children actively participate in the learning process and have fun while learning. My children are always excited to discuss the day’s lessons and activities and I love hearing about the new things they learn each day. Thank you for giving my children such a wonderful learning experience!” -Mary Bell

Our Curriculum and Teaching Philosophy Research shows that children learn best in an environment that allows them to explore the world and learning materials in their own way, at their own pace. For our Preschool and Pre-K programs we use the research-based The Creative Curriculum ® as our guide, which is the same curriculum that the Toms River School System has chosen for it’s preschool initiatives. The curriculum is comprehensive and aligned to essential early learning standards, using exploration and discovery as a way of learning. • We believe that children deserve individual attention, and that they do not thrive as well with a “canned” approach that you may see at larger centers. Our teachers are skilled at tailoring The Creative Curriculum ® to each of our students to assure that every child enjoys learning and grows in all areas of development. Our goal is to keep your

• Academically gifted children are never bored, as we do not “drill” on learning facts, instead, our curriculum is infused with hands-on activities, where critical thinking skills such as predicting and analyzing are required. In addition, children engage in discussions about the books the class is reading, such as “What would you do?” and “What do you think will happen next?” and making connections to their lives such as “What does your family do at the beach?” • Children who need extra help get the support needed, as our experienced teachers differentiate the instruction and spend time one-on-one to assure each child is taught at their appropriate developmental level.

Valerie Frost-Lewis, MS Ed.

to the children and have made teaching young children their life’s work. Their length of employment at Peppermint Tree not only shows their dedication, it also provides your child with a stable, consistent environment where mutual trust and respect abounds. The depth of our teachers’ experience is reflected in our students, who are confident, happy and motivated learners. Our warm, nurturing and experienced staff will help your child feel right at home. “Exceptional Staff ” “I am a full time working mom and often struggle with the reality that I am often not home during the week to spend time with and teach my children. It makes me feel very comfortable to know that both of my children are not missing out on any learning experiences from me not being home during the week, because I have watched them grow so much since they have been at Peppermint Tree. All of the staff at Peppermint Tree are exceptional and Miss Val should be very proud of all of them. She has an outstanding team on her hands.” -Krista Sipe

Join us at our

Back to School Open House

Wednesday, October 2nd, 6:30 p.m. – 7:30 p.m. Children and parents welcome!

See the classrooms in action. Learning centers will be set up for your child to participate.

Kids enjoy fun activities like cooking (above) and doing the “bean bag dance” (below).

Our Staff Our passionate and energetic teachers have been with Peppermint Tree on average over twenty years. They are dedicated

If this sounds like the kind of environment you would like to see your child in, please call or email Valerie to find out more about our programs for children from 2.5 years of age through fifth grade at 732-929-2500 or

The County Woman Magazine

September/October 2013

Elder Life Management


7 Myths Of Long Term Care Planning Written By: Judith S. Parnes, L.C.S.W., C.M.C., Executive Director, Elder Life Management

What is Care Planning all about - and more specifically Long Term Care planning? No one wants to think about the time in one’s life when we may find ourselves physically or cognitively incapacitated? This is the time when we will need assistance on a daily basis not for a short-term problem, but for chronic long term medical conditions. Needing care daily is not about being old, but about quality of life and minimizing the need for being dependent on others to provide the support needed. Here in the USA, it is true that we are living longer, more active and healthier lives. However, the facts remain that 1 in 2 people over the age of 85 do need help in some way, on a daily basis.

MYTH 1: I am healthy and

probably won’t need help when I am older. As much as we may like to believe we are invincible, odds are high if we live long enough, each of us will one day need help

with some aspect of our living.

MYTH 2: Long-term care

means living someplace other than home. Long Term Care is not a place; it is a type of care. This care can be provided at home, in assisted living, or in a nursing home. Most often, individuals think of Long Term Care as a Nursing Home only. Many people do prefer to stay in their own home, and with assistance and some modifications, staying at home may be possible even as abilities decline. Environmental obstacles, such as stairs, or narrow doorways, etc would need to be evaluated. If a move is being considered, assisted living facilities may be a wonderful option, as increased socialization opportunities are many. And as needs progress, a skilled nursing facility may be the best environment for long term care.

MYTH 3: Medicare and my

Supplemental Insurance pays for long-term care. Medicare and supplemental health insurance pay for treatment of “acute” illnesses only. Hospitalization, and post hospitalization in a skilled nursing home, typically called “SubAcute” Rehab, will be covered by Medicare and sometimes supplemented by the secondary insur-

ance, for a finite period of time. However, the chronic, long-term care costs are not covered by Medicare. Medicare does not pay for continued help with activities of daily living (ADLs) such as getting in and out of bed, walking, bathing, dressing, or assistance with feeding.

Therefore, many individuals with considerable assets, if they live long enough and need significant supportive care for long periods of time, may need the government to pay for this Long Term Care. The reality is that Medicaid is how long term care is financed in the United States.

MYTH 4: My wife and I have

MYTH 6: My family will help

saved enough money should we need long-term care. The cost of providing fulltime long-term care assistance to one person can exceed $110,000 year. Individuals who need limited assistance will be able to stretch their retirement savings, but long-term care costs over a long period can deplete bank accounts quickly. Savings can be greatly reduced by the needs of one spouse, leaving the other spouse with fewer financial resources available when they also need care at a later point in time.

MYTH 5: Medicaid is only for “poor people.” Long Term Care Medicaid is only available to individuals who have already “spent down” their assets. It does not replace Medicare or individual Supplemental Insurance, but acts as the “third insurance” that can pay for what the traditional insurances do not cover.

me with whatever I may need. Unpaid family members, typically daughters, are the most common source of long-term care assistance. However, even the most hands-on families typically need outside assistance, utilizing home health aides, adult day care, assistance with transportation to appointments, and professional care management services to help supplement the care they can provide.

MYTH 7: My parents live in

a different state, so there is little I can do to help them. In fact, there is a lot you can do for family members living at a distance. Arranging for a professional geriatric care manager in your parents’ area will allow you to have an experienced elder care consultant working just for your family. This care manager will become your eyes, ears and most importantly be the advocate for your loved one, just as you would if you lived nearby. Geriatric Care Managers are: • Knowledgeable about community resources • Able to coordinate all aspects of necessary medical care • Can apply for public entitlements including Medicaid when appropriate • And sometimes even help to mediate when adult children

Judith S. Parnes, L.C.S.W., C.M.C., Executive Director, Elder Life Management, 931 West Park Avenue, Ocean, New Jersey, 07712

The County Woman Magazine

have differing opinions about what to do. Care Managers do the work, allowing the family to be lovingly involved without the stress of all the day to day elder care management obligations. It is the Professional Geriatric Care Manager who will dispel the common myths of long term care. To locate a care manager to be your family’s elder care expert, go to

Testimonials Say It All . . .


Without your assistance in helping me to get my dad Medicaid approved, I would not have been able to maintain my sanity. I’ve enjoyed our friendship and want to say, simply, but sincerely, thank you!. M.N. ~ Clifton, NJ


I will always be grateful to you for guiding me through the dreadful process of getting my mother on Medicaid. The people you help next will never know how lucky they will be! With much appreciation. ~ P.C., Somerset, NJ


I just wanted to say thank you. I don’t know what I would do without you. You are the one that keeps me going. It is so difficult to manage my parents and try to work. I don’t live near my mom and she get so confused. I would lose my sanity without your help! A long overdue thank you! ~ LC, Toms River, NJ

Judith S. Parnes, L.C.S.W., C.M.C., Gerontologist and Elder Care Consultant is Executive Director of Elder Life Management, Inc., Ocean, NJ. Elder Life Management provides quality elder care planning, management and Medicaid application services to older adults and their families. Please visit or call (732) 493-8080 for more information.

September/October 2013



& Hair


Hair Systems That Work For Both Men And Women

Written By: Gerri Hergert Abstrax Hair Designs


hair System is the best hair loss solution to restore your natural appearance. Whether the cause is genetics, medication or stress, the loss of hair can be addressed in many ways. Medications such as Rogaine and Propecia work for some. Hair transplant surgery might, or might not, be right for you. And among your non-surgical hair loss treatments are hair systems, also known as a “hair replacement” or a “toupee.” The techniques and technologies of 21st-century hair systems

have redefined what it means to fight Alopecia. Baldness is now truly just an option, in part because the hair replacement application is semi permanent. There is a broad range of what you can do to address thinning, patches or even advanced hair loss and the solutions can be finely adapted to your head, your individual hair loss condition and your style preferences. A modern hair system is also about common sense. The hair system that works for a 28-yearold will be quite different from what is right for a 58-year-old. There is a more natural, more realistic way of giving people back the hair they once had through a quality hair integration system. Just as important, this approach to managing hair loss is non-invasive. Maintenance and cost questions can be answered upfront. Are you athBrenda was letic? Then suffering from the type of significant bond you hair loss and turned to choose will Hair matter. Like to Abstrax Designs for change styles? help. She is It is possible. now a happy On a budget? client!

Investigate which hair replacement plan fits your available resources. When you understand more about your options, you’ll be better able to work with a stylist as well. At Abstrax Hair Designs our professional stylists understand both technical and aesthetic features of good hair systems. When hair systems stylists are really good, they understand you and your needs. Gerri says, “You definitely want to make an appointment for a free consultation with our specialists before you make your decision. Go to your appointment and explain your hair loss situation. Make a list of questions you have and ask them all! We can evaluate your specific needs and recommend several solutions depending on your budget and lifestyle.”

Donate Your Hair For Children With Hair Loss Abstrax Hair Designs is proud to partner with Children With Hair Loss, a Non-Profit Organization. Children With Hair Loss (CWHL) was created as a resource for ALL CHILDREN who have medicallyrelated hair loss. It is their mission to empower these children to become whole again by making hair replacement available to those who may be financially challenged and might otherwise not have a means of obtaining the hair they want and need. To this day, Children With Hair Loss has never charged a child. Currently, they provide a customized human hair replacement and care kit to over 300 children a year. Abstrax Hair Designs provides the Free service of shampooing, cutting, styling, and blowing dry the hair. Then we package the hair and ship it out to CWHL. The donor then receives a letter from CWHL thanking them for the donation along with a certificate of appreciation. Visit to learn more about what they provide at no cost to the child. Abstrax Hair Designs is not affiliated with Lock’s of Love.

To schedule an appointment or with questions call:


You can email Gerry at or visit us online at

Tenants Wanted

Please join our new venture. Professional space available with three options: 720 sq. ft. and 1200 sq. ft. Current tenants are a Medical Billing Firm and a Dentist. Utilities are all separated, with plenty of parking and video surveillance both inside and out. We enjoy convenient access to Hooper Avenue, as we are across the street from Mulligan’s Restaurant on Moore Rd.

Our new home: 2494 Moore Rd. Toms River,NJ 08753 All Inquirers for the office space dial 732-600-6035

The County Woman Magazine

September/October 2013

Premier Consignment Center


An Experience You’ll Not Soon Forget:

“Don’t Give Your Treasures Away, Consign Them Today!” Not only can you enjoy shopping in the 10,000-square-foot showroom, you can also be a seller.

Written by: Melody Tektas, Owner

Don’t Give Your Treasures Away ~ Consign Them Today!

If you love antiques or collectibles and home décor, you will love Yesterdays and Todays. It is a place to linger, a place in which to amble down the lacquered woodplanked floors. Many customers just can’t leave without buying something. Head right for fine china, vintage kitchen tins and utensils, Asian vases, quilts, hand-painted items, antique dolls, Depression glassware, dishes, candles, quilts and lace. Enjoy the sun-drenched furniture showroom that invites you to seat yourself at a dining set and be transported back to Christmases at Aunt Mildred’s. Sink into a Queen Anne sofa and remember being a child sitting in the same kind of chair, legs dangling impatiently, waiting for Grandma to bring out the tin of Ritz crackers, like the one you saw back in the country kitchen room. Try to find the rainbows cast by prism-laden lamps, just like you did years ago. Ambiance matters. You’ll not hear Lady Gaga in this shop! Instead, you’ll peruse to the sounds of Dean Martin, Neil Diamond and other musical greats. Senses shift from the music to the sights…the lighted glass counters hold everything from Royal Doulton figurines to Fenton art glass to toy RC Cola cars. Tiffany lamps hang from ceiling fixtures. Oil paintings of every style adorn the walls and vintage jewelry galore. Melody credits her husband, Moonstar Painting owner and contractor Seyithan Tektas, with translating her vision of Victorian elegance fused with country charm into the reality that customers and consigners experience. (Family and friends also volunteer their time to man the registers

and help assemble and arrange consignments as they come in.) “People love it. I have people who hang out in here for hours,” Melody said. “They say, ‘Oh my God, my mother had this, my grandmother had this.’… It’s like walking down memory lane….Things go fast, though. If you want it, you have to buy it.” Stroll back the other way and explore the offerings: vintage handbags for the ladies, and with the men who accompany their women, fishing rods, Hess trucks, vintage magazines, bar signs and the requisite John Wayne posters. “We have quality furniture at reasonable prices. Why pay $5,000 for a new dining room set when you can get better quality for $1,000 or less? You get great things for little money. There really is something for everyone. This isn’t a thrift store; we sell quality items at affordable prices.”

Yesterdays and Todays accepts all Quality collectibles, jewelry, antiques, new and old furniture, vintage items, toys, magazines, art glass, figurines, paper, military, jukeboxes, slot machines, bar signs, pocketbooks, hats, furs, and much, much, more! She does buyout antiques and estates. Vendor space is also available. Home delivery for customers is available. Call for details.

About the Business…

Melody Tektas is passionate about antiques and treating customers and consigners well. Yesterdays and Todays Consignment Center is her love letter to those who share that passion, and includes vintage collectibles along with select modern items. It took three years of researching antique and vintage markets, and two years of seeking the perfect location before she settled on the 200-year-old Siperstein’s building on Toms River’s Main Street to create Yesterdays and Todays Consignment Center. The center is as rare as many of the items it holds. It’s the only consignment store of its kind in New Jersey. With the success of the Toms River location, a second location in Brick is opening in July.

Our dedicated and experienced staff is ready to serve you!

Yesterdays and Todays

New Jersey’s 1st Premier Consignment Center Antiques • Furniture • Estate Sales 3 Princeton Avenue 812 Main Street Brick, NJ Toms River, NJ


The County Woman Magazine

Consignments are taken at the Toms River location on Monday and Tuesday from 9:30 am to 2 pm. Our Brick location accepts consignments on Wednesday and Thursday from 9: 30 am to 2 pm.


We buy your unwanted treasures or furniture, and also can have your Estate Sale.

Vendor Spaces Available At Our New Brick Location!

Customers aren’t the only ones who benefit. Melody deals with nearly 2700 consignors and has several vendors renting out space. Consignors receive 50 - 60 percent of the sale price; for antiques a higher percentage; and consignors get paid once a month. “People trust me,” Melody said. “We try to get fair prices for all our consignors. We are honest, and have a knowledgeable and personable staff that is great with all our customers.”

Tues-Sat 9am-5pm Sun 10am-4pm

732-608-0413 Mon-Sat 9am-5pm Sun 10am-4pm

September/October 2013



& Wellness

Be Ready For Health Problems That Spread At School

Jay Greco, RPh


ids should learn to share, right? But, gee whiz…. When it comes to bugs and other contagious health problems in school, does your kid have to get everything that’s passed around?

Packed into a classroom and messing around on a playground or locker room, kids do tend to share lots of health problems in school. What can you do about it? And when should you be concerned? Here are a few things to think about. • Does head lice top your list of concerns? Although these creepy insects might disgust you, it may help to know that they don’t cause diseases or other health problems – other than maybe a red, rash-like reaction. Of course, that doesn’t mean you want to ignore them since they spread really easily. Follow up with the doctor if your child complains of an itchy scalp or you catch sight of tiny white eggs firmly attached at hair roots. These are often confused with dandruff.

Your child’s doctor may prescribe a treatment and other over-thecounter (OTC) shampoos or rinses. Follow directions closely and be sure to ask me if you have any questions.1 • Viral infections such as chicken pox are common, too. Many are contagious before skin lesions appear. But be sure to keep your child home until the sixth day after the rash appears unless all lesions are dry and crusted over. To prevent this infection, have your child vaccinated.1 • Fifth disease is another viral disease. It causes a lacy rash on arms and redness on cheeks that looks like the result of a well-placed slap. Unless your child feels too sick, there’s no need to stay home. That’s because the disease only spreads before symptoms appear. However, tell the school so female employees of childbearing age can be notified. Fifth disease can severely hurt a developing fetus.1 • Hepatitis A Although there are many kinds of hepatitis, hepatitis A is the most common type in children. This virus is in blood and bowel movements, so hand washing is really important to prevent its spread. A child with hepatitis A should stay home until

a week after the onset of illness and until any jaundice (yellowed skin) disappears. Another disease spread through bodily fluids is HIV/AIDS. Although it can cause anxiety among parents, remember that casual physical contact – such as hugging, holding hands, or sharing a glass – does not transfer this virus.1 • Colds and Flu ... Then, there’s the run-of-the mill colds and flu. Deciding whether or not to send your child to school can be a challenge. General rule of thumb? If there’s a fever, keep ‘em home – until the fever’s been gone for at least 24 hours.2 If there’s no fever, more than likely it’s a cold and it’s okay to go to school. When in doubt, check with your child’s doctor. And, don’t forget the flu vaccine, which is recommended for everyone 6 months and older.3

Stop by, and I can advise you on the best way to keep your child comfortable while the cold or flu runs its course. I can also give you a brief overview of prescription or OTC treatments for the more common childhood viral infections.

Sources 1. American Academy of Pediatrics: “Contagious Health Problems in Schools.” Contagious-Health-Problems-in-Schools.aspx 2. WebMD: “Your Child: Too Sick for School?” http:// 3. American Academy of Pediatrics: “The Flu: A Guide for Parents.” health-issues/conditions/chest-lungs/Pages/The-Flu-AGuide-for-Parents.aspx

Being a compounding pharmacy, we are able to provide personalized and tailor-made solutions for physicians and patients with special needs. • We Easily Transfer Your Prescriptions For You. • Diabetes Life Center • Do You Need Medical Equipment? Wheelchairs, Walkers, Canes, Hospital Beds And More … If you have any questions about our services, please call us at 609-660-1111.

Restoring Hormone Balance

answers Women have questions! We have answers! Interest in Customized Hormone Replacement Therapy surged after Oprah’s recent guests, including doctors Christiane Northrup and Prudence Hall, discussed the science behind customized HRT. Dr. Phil’s wife Robin McGraw described how through extensive research and with the help of a compounding pharmacist and her physician, she found natural ways to battle menopausal symptoms and turned the "change of life" into a positive experience.

For more information on customized For morecall information on customized hormones, hormones, our professional call our professional compounding pharmacy. compounding pharmacy.

Jersey Shore Pharmacy ships prescription orders, within 300 miles of the Jersey Shore Pharmacy, by UPS. Arrival Next Day! Call 609-660-1111


We also offer a 609.927.8900 medication disposal program.

Jay Greco, RPh Jersey Shore Pharmacy JSRX Holdings LLC, Rx Development LLC , 580 North Main St., Barnegat, 08005 Phone: 609-660-1111

The County Woman Magazine

September/October 2013


& Finance


Don’t Give Up On A Successful Retirement


verywhere you look today, Anything is possible. DREAM BIG! there are articles, newscasts, Traditional retirement is around ages and predictions of how 62-65; women who are reasonably healthy are expected to live at least 25 to 35 years unprepared most people are for retirement.  Well doom and gloom beyond that. That’s two to three decades longer than our predecessors.  It can be never gets you anywhere.  The great, a second chance at a really good facts are the facts. life, or it can be miserable.  The choice is yours. The question is, what are you You have a team at Family Focus that going to do about them? In my book, The Ultimate Success Guide, co-authored with Brian Tracey and other professionals from around the world, my message, especially to women, is quite clear.  “Don’t Be an Ostrich! Be a Swan.” Keeping your head in the sand, and not dealing with your concerns will keep you right where you are.  When you are fearful and worried, this will also have a negative impact on your spirit and physical well-being.  Like it or not, it’s all connected.  Ever wake up at 2 am with your mind going in all directions while your body is begging for sleep? Sometimes it can really drag you down.

So how do you pick yourself up? You have a plan. Action is surely better than inaction. Swans are always moving forward with determination and purpose.  What’s your purpose? Start with the end in mind.  What is it that you want for your own personal happiness?  After years of working, personal sacrifice, raising families, doing for others, retirement is a time for you.  It doesn’t necessarily mean you quit working.  Instead, think of it as a time of change- one of life’s transitions, new experiences and adventures. Perhaps the best way to move forward is to first think about what retirement means to YOU.  It is different for everyone.  Some may like to be done with their current job or occupation.  For others, it may mean simplifying your life, like downsizing your home or getting rid of clutter.  Or do you have a more exotic dream like moving to a foreign country, or starting a new business or career?

wants to help you determine your purpose, encourage your dreams, and set you on the right path by providing knowledge through our SAVVY WOMEN’S CLUB educational classes, our SMART MONEY STRATEGIES Group discussions, our Social Security Decisions program, and much more. Since having enough income throughout retirement is the main concern for most boomers, let’s explore the four main sources of income: Social Security, pensions, retirement accounts, and personal savings.  There are two others we will look at also.

1st ~ Social Security

How do you collect the highest possible benefit that you are entitled to after contributing for a lifetime of working years? There are many strategies available, especially for married couples.  Making the wrong decision could cost you thousands in potential benefits. We want to help - visit our website or call our office at (732)364-5462.

It is usually a good idea to transfer your retirement account into an IRA that you can control and have more flexibility amongst investment choices. You can even do this while still employed if you’re over 59½. If you are not extremely investment savvy, hire a professional that is a fiduciary, with whom you can connect and communicate. You wouldn’t operate on your own heart, so don’t do it alone here either. It’s that important. Also, be very cautious when it comes to the amount of risk you accept. There is no “do over” in retirement.

4th ~ Personal Savings

If you have been a disciplined saver, this bucket of money may allow for things beyond your basic needs like travel or entertainment or creating a legacy for the kids and grandkids. The last two income sources are a bit different.  One is the equity that may have built up in your home.  Is it time to downsize and cut expenses and use that extra equity to create a supplemental income or investment plan?  The other is; who says you can’t work at something? Just working part time at something you truly enjoy may be a great solution to staying mentally and physically active as well as socially engaged.  It also won’t hurt to have a few extra dollars to enjoy a good life, or make charitable contributions.

RESCUE YOUR RETIREMENT Hosted by Kathy Nolan, President of Family Focus Financial Group Featuring several other professionals who will give their advice on this topic. Come meet an Attorney, CPA, Realtor, Mortgage Broker, Home Health Care Service Providers, Licensed Psychologist in Family Issues, Spiritual Counselors, Nutrition and Wellness Professional, Holistic Massage Therapist and many more.

  THE WHITE SANDS    1205 Ocean Avenue Point Pleasant Beach, NJ  6:00 – 9:00 p.m. Wednesday October 23rd

A complimentary dinner will be served. Reservations are required as seating is limited. Call Family Focus Financial Group to RSVP

(732) 364-5462

Visit online

2nd ~ Pensions

If you are lucky enough to have one, the decisions you make on what option is best for you and your spouse is crucial.  We are happy to help you explore and weigh all the options to find the right fit.  If you don’t have a pension - you need to create one.  Sometimes this may be a better option with added benefits like long term healthcare or naming your children as contingent beneficiaries.  These benefits are not available on traditional pensions.

3rd ~ Retirement Accounts

Here is where many people make costly mistakes.

Kathy Nolan Investment Advisor Representative President/Founder

WE SUPPORT CASA of Ocean County. See how you can help a child in need of your support.

Our philosophy at FFFG is to provide intelligent solutions for you, our clients, Call your friends at Family so that you have confidence and security in knowing that your Focus Financial Group at 732-276-1429 strategies are consistent with your objectives and values. visit them at 2042 West County Line Road, Jackson NJ 08527 Financial & Estate Planning Strategies • Income Solutions Charitable Giving • Investments Under Management


2042 West County Line Road • Suite #8, Jackson, NJ 08527 The County Woman Magazine Phone: 732.364.5462 •


Kathleen A. Nolan is an Investment Advisor Representative. Investment Advisory Services offered through Global Financial Private Capital, LLC, an SEC Registered Investment Advisor. Neither Kathleen A. Nolan nor Global Financial Private Capital gives tax or legal advice.

September/October 2013




othing can compare to the beauty of fresh flowers. Exciting new cultivars and improved vase life provide a wealth of choices for lovers of nature. But for someone who is allergic to pollen, loves varieties that are not in season, or wants a bright spot of color to last indefinitely, permanent botanicals are a perfect choice. To have realistic and lifelike flowers and foliages means buying the best in the industry. Stella Skolnik, owner of Skip’s Toms River Flowers buys permanent flowers by the stem, “And they are sometimes 3 times as expensive as their real counterpart,” she explains. Obviously we stay away from the types you see in discount stores; the garish colors and cheap quality. Silk Flowers lend themselves to design styles that are used in fresh arangements. For example, an Oriental inspired design may feature sophisticated Dendrobium Orchids with their curvy roots, punctuated by mixed foliages like staghorn fern, lily grass and Spanish moss. A linear arrangement may get its panache from lush Cymbidium Orchids,

natural lotus pods, and Ti leaves. Tropicals, like Ginger, Anthiriums, Birds of Paradise and Pin Cushion Proteas give a license to disregard conventional design and color scheme. Bending and twisting at unnatural angles gives these blooms an artistic flair impossible with fresh exotics. Wildflower and opulent English Garden-style arrangements use Larkspur, Iris, Roses, Peonies, English Ivy, Astromeria, English Ivy, Creeping Charlie and grass foliages that need to be touched to make certain they are not real. Stella says, “We have Peonies and Roses on display and I always see people leaning in to smell them.” At Skip’s florist we create custom designs within our customers’ budget. We redo and clean arrangements even if they were bought someplace else. For all of your flower needs, fresh and permanent, give Skip’s Florist a call at 732-270-5900 or visit us on line at n

“We have Peonies and Roses on display and I always see people leaning in to smell them.”

Community We are pleased to offer a variety of options including a whole house tour as well as the opportunity to sample foods from several area food The members of the White Pine establishments. The TWIG, a branch of the Commufood samples will be served in pronity Medical Center’s Auxiliary fessionally designed kitchens in six Association, are pleased to anbeautiful homes. Local florists will nounce our Sixth Annual “Gour- again add their artistic embellishmet Foods In Designer Kitchens” ments. Tour on Saturday, October 3rd. Our popular 50/50 cash raffle is

The County Woman Magazine

available on the day of the tour. The tour runs from 10 am to 3:30 pm. Tckets are $25 in advance or $30 the day of the tour, and may be purchased from any TWIG member at the business locations listed, at Community Medical Center’s Gift Shop, 99 Rt. 37 West, Toms River, NJ, or by mail c/o The White Pine TWIG, 425 Edken Avenue, Toms River, NJ 08753. All proceeds directly benefit Community Medical Center Foundation. For information, phone the CMC

Foundation (732) 557-8131, or email You may also visit the foundation’s website at www.cmc-foundation. org (choose fundraising calendar) for additional details and ticket reservation forms. Thanking you so much for your support,

Patti Larkin McMackin Event Chair

September/October 2013



Acupuncture For Pain meridians (pathways) throughout the body. This flow can be disrupted by a trauma, like a fall or a car accident, or a repetitive strain, like carpal tunnel or tennis elbow, or even stress, like tight shoulders or tension headaches. To correct the flow and ease the pain, an acupuncturist inserts small needles into the skin at specific points. Many patients experience relief Submitted by: while on the treatment table or Keith Koehler, MAOM, CA shortly after completing the treatKoehler Acupuncture & ment. The amount and duration of Chinese Herbal Formulas relief varies from patient to patient cupuncture is one of and is affected by the severity and the oldest forms of medicine duration of the pain. Most patients in the world, yet it has only feel a consistent, noticeable change recently been getting atten- in three to five treatments.

Low back pain is one of the most


Pain management is

the number one acupuncture treatment medical attention. I have treated that is covered by health insurance. many cases of low back pain. Most of these people are dealing Plans vary, but the ones that cover with chronic pain and have tried acupuncture do cover acupuncture for pain management. The best way all that conventional medicine to find out if you have coverage is to has to offer. Many people find come in for a consultation, and let acupuncture as a last resort to hopefully avoid surgery, or to deal the acupuncturist verify your benefits with pain that is not fully relieved with your insurance company. by a surgery. Usually, I can help to decrease the person’s pain and increase his or her quality of life enough to avoid surgery or significantly decrease pain medication. Acupuncture can also be used for acute back pain, like when someone throws out their back after tion here in America. In conventional medical terms, raking leaves or shoveling snow. acupuncture has a natural antiPatients who receive So what are people using inflammatory effect on the body, acupuncture within acupuncture for? PAIN. The most Commonly Treated Conditions: a day or two of common reason for Americans to which helps to calm inflamed injuring their back, receive acupuncture is low back nerves, and strained or sprained • Allergies • Insomnia pain, followed by neck pain, joint tendons and ligaments. Acupunc- can usually see 50 • Anxiety & • Menopause ture also releases endorphins and – 75% relief from pain and headache/migraine. Depression • Migraine increases serotonin levels, which just one treatment. In Traditional Chinese Medi- helps the body to relax and feel These kinds of re• Arthritis • Muscle cal terms, pain is caused by a • Asthma Spasm better. Acupuncture also increases sults are typical, not disruption in the natural flow of • Bronchitis • Prostate blood circulation, which helps the just for back pain, the body’s Qi (pronounced chee). • Back Pain Disorders body heal from injury or surgery at but for any pain. Qi is the life force or vital energy, • Carpel Tunnel • Sciatica an accelerated rate. which flows through a series of common reasons why people seek


Enter to Win a Consultation & Treatment at Koehler Acupuncture Name: ________________________________________________________________ Address: ______________________________________________________________ City: ________________________________ State: _________ Zip: _______________

Syndrome • Cold & Flu • Constipation • Diarrhea • Earache • Fatigue • GYN Disorders • Headache • High Blood Pressure

• Sinusitis • Smoking • Sprains & Strains • Stress • Tendonitis • Weight Control • Whiplash

Phone: (______)______________________ Email: ____________________________ Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012 ❏ Check Here to Receive Specials from Koehler Acupuncture


One entry per person. Valid for new patients/clients only. Value not to exceed $100. Multiple entries will be disqualified. Entries will be accepted through September 30, 2013. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

The County Woman Magazine

Koehler Acupuncture 128 Drum Point Road • Brick, NJ 08723


September/October 2013



& Crocheting

For The Love Of Yarn A Message From the Owner…


started A Stitch in Time as a result of my reaching the end of one career, and my need to begin another. After having spent 25 years in Corporate Americathe last 16 of those in Human Resources – I was Michele Vail, Owner ready for a change. One day, my best friend called A Stitch In Time and asked me if I wanted to take knitting lessons with her. This was a learning experience that forever changed my life. At the time, I didn’t know “yarn shops” existed. However, my inspiration/ education came from a local yarn shop in Colts Neck and its owner. The experience was such a positive one, that I promised myself someday I’d have a new career. Several years later that promised was fulfilled.

^I opened A Stitch in Time on Nov.15, 2011.

It truly has been a labor of love. I’ve learned many facets of owning my own business, and I consider myself very lucky to have so many years of corporate experience

... being still does not mean don’t move. It means move in


- E’yen A. Gardner

Photo by Paul Dempsey

Practice your passion.

The County Woman Magazine

Organic Cosmetics, Green Products & Therapeutic Massage

Unique Jewelr y, Bags & Gif ts From Around t he World

Health & Wellness

to fall back on. It’s a constant source of amazement to me how often I still use my Human Resource and negotiating skills. I have made a lot of new friends, and have broadened my needle art knowledge (not to mention my new-found addiction to spinning fiber!). I could not have accomplished any of this on my own. I owe a great deal to my very supportive friends and family, including those who scratched their heads and said, “You want to open a WHAT?” Thank goodness they all allowed me the opportunity to be creative and take the risk. A Stitch in Time is located in historic Farmingdale, NJ. A charming yarn shop for knitting and crocheting enthusiasts, we offer brand name yarns knitting and crocheting needles and hooks, published patterns, notions, inspiration and guidance for all levels of knitters and crocheters. Our shop is easily accessible from Route 34, the Garden State Parkway, and Route 9. Join in for a lesson, monthly sales/events, or daily open knitting and crocheting. Additional information can be found on my website: or by calling the Shop directly at 732-938-3233. There is a wooden sign next to the cash register that reflects the true nature of A Stitch in Time. It states simply: Enter as strangers, leave as friends. Here’s hoping that I will have the opportunity to make many more friends for many more years to come.

Brand name yarns, knitting and crocheting needles & hooks, published patterns, and various supplies, notions, lessons and guidance for all levels of knitters and crocheters. 93 Main Street, Farmingdale, NJ

732-938-3233 Hours: Tues. - Thurs. 10 am to 6 pm Fri. 11 am to 7 pm • Sat. 10 am to 6 pm

Easily accessible from Route 34, Garden State Parkway, and Route 9.

Long Beach Island Yoga Nine Studio OPEN ALL YEAR ROUND 7 DAYS A WEEK SEPT - OCT 2013 Upcoming Events Fri 11/29 - Sun 12/1 Jim Bennet : Tantric Immersion (Smithville) Sept 250 and 500 hour Teacher Training begins (Smithville) call for information

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Sessions Start Sun, Weds or Thurs September 15, 18 or 19 Smithville & Hammonton

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Live Music & Flow in Smithville Thursday Nights 6:00pm

Smithville 9/26 Sharon Sable Smithville Coming Bob Fowler & Melanie Rice $5 At The Door For Our Fabulous Artists Gift Certificates Available for Classes or Massages


609.404.0999 609.481.2455 609.494.9299 SMITHVILLE



September/October 2013

Medical Professionals


It’s Time To Start Wearing Shoes Again! You know summer vacation is over when the flip flops and sandals come off and the sneakers and cleats go on.

turf toe, and arch pain. Most of these injuries can be prevented by gradual increase in athletic activities with an intensive stretching program performed during practice and each athletic event. It is crucial to properly prepare for whatever sport you have chosen, to prevent unnecessary injuries which could sideline a young athlete for the season.

Falls arrival is signaled by the cooler, drier air and the start of school sports, most notably football, track, soccer, cheerleading, and basketball. Unfortunately for young athletes, their poor choice of shoegear, or lack thereof during the warmer summer months will lead to many different kinds of overuse injuries. And, although not an injury, is the appearance of plantar warts, which have been picked up by walking barefoot and take about two to three months to appear.

Early Diagnosis Whenever the first signs of injury occur, whether it is pain, swelling, inability to move a joint or an increased temperature gradient in the affected area, make sure the athletic trainer is advised of the problem and if necessary see your Podiatrist or Orthopedist for in depth treatment. The early diagnosis and detection of overuse injuries will allow a young athlete to continue to play during the regular season without too much time lost.

Common Injuries The most common overuse injuries to look for are stress fractures, plantar fasciitis, Achilles tendinitis, heel pain, shin splints,

The RICE Program As with any injury, early

application of the RICE program can be the difference between sitting on the sidelines and playing in the game. RICE stands for Rest, Ice, Compression, and Elevation. A visit to your sports medicine doctor is always appropriate and can make the difference in healing by days instead of weeks. Proper Athletic Shoes When purchasing new cleats, running shoes, or sport specific shoegear, before wearing the shoes, an evaluation by the athletic trainer or Podiatrist should always be considered. The shoegear manufactured today is so sport specific that proper fit is mandatory, with no room for ill-fitting shoes left on the field. If orthotics or custom inserts have been fabricated for a young athlete, it is extremely important to wear the inserts as intended in the cleats or specialty shoegear. Your Podiatrist can have custom inserts made especially

About Dr. Majeski . . . Dr. Majeski is a native to the Toms River area and

attended St. Joseph High School. Over the past 20 years, he has developed Main Street Foot and Ankle Care into the premier podiatric practice in the area. He is a consulting doctor for the local newspaper and is well known for his weekly columns discussing problems of the foot and ankle. Dr. Majeski is board certified in foot surgery and is a Fellow of the American College of Foot and Ankle Surgeons. He received his doctorate from the New York College of Podiatric Medicine and completed his surgical training in Philadelphia. He is a member of both the state and local Podiatric Medical Associations, as well as a member of the American Academy of Pain Management and the American Academy of Practice Management. Dr. Majeski is married to his wife, Debra, for 28 years. He is the father of 20 year-old triplet girls and a 13-year-old son. He enjoys fishing, boating, photography, and riding his motorcycle. He is a champion trap shooter and participates in national competitions.

Position Available Atlantic Celebrating Our 5th Year

Is It tIme For A mommy mAkeover?

Has having children and breast-feeding changed the appearance of your breasts and abdomen? This is not due to decreased physical activity slow metabolism, or poor eating habits. Page 15


An Educational Resource


Celebrating Ou 5th Year r

AdjustIng to LIFe FInAncIALLy AFter A dIvorce

Why see A speechLAnguAge pAthoLogIst?

There’s no doubt about it— going through a divorce can be an emotionally trying time. In addition to the emotional impact, however, it’s important to know how your financial position will be affected. Page 22

for Women and Their



EnhancE Your SummEr Glow

DaDS . . . ThEY’rE noT JuST ThE “oThEr” ParEnT!

You can enhance your beauty while enjoying the Jersey shore and every-

Page 28

Ce leb ra

Page 49



Dr. Mark A. Majeski

618 Main Street Toms River, NJ (732) 349-0114 • Ankle Sprains

• Heel Pain

• Fractures

• Flat Feet

• Diabetic Wounds • Ingrown Toenails • Hammer Toes

• Fungal Toenails

• Bunions

• Athlete’s foot

• Warts

• And much more...

Evening and Saturday appointments available

Part-time publication distributors needed throughout Atlantic, Ocean & Monmouth Counties.

Home shoppers age 55 and up are finding Fountainhead At Jackson a “must see” community on their search for pre-owned home. a new or

pros and cons and decided in favor of writing about it once some basic research.I had conducted

Page 15



Our 5th Year An Educa

tional Resour ce for Wome

n and Their

This car

ing and compas Dr. Sop sionat Photo By Donna L. Andrews Photography Voted NJ’s Top Docs since 2010, Dr. Karen Callaghan and her husband Dr. Anthony Holvick are the chiropractors behind hia Nic the Atlantic County Family Spine and Rehab Center. Read more on pages 38 & 39. hols, and e dentist, will staff July/August Rea leave you sm iling. d more @TheCountyWoman on pag 2013 es 8 & 9. Visit Us Please Take One

Seaview Orthopaedi c & Medical Associates We have over 30 is committed to years of experience, providing quality and our patients care in Monmouth are our number and Ocean Counties. one priority. Read more on pages 38 & 39.

Photo By Annette

untyWoman Visit Us Online @TheCountyWoman ...www.TheCo untyWoman.c om

Photo by



What is a Plantar Wart? Page 6

Finally! A Real Solution For Dry Eye Page 10

Talking Your Daug to hter About Her Changing Body Page 16

Jenkins Photography

July/August 2013

Please Take One

Photograph y

facebook.c om/T

ine ... www heCountyWoman .TheCou ntyWoman

@TheCoun tyWom




w us on Visit Us Onl

Most Insurances Accepted


FounTainhEaD’S SPEcTacular SummEr SavinGS

Before making the decision to address this topic in a publication that is geared towards women, I weighed the

thing the summer has to offer with treatments that have NO downtime.

If you need to schedule an appointment, call Dr. Majeski at 732-349-0114.

Publication Distributors NEEDED


Speech language pathologists, or speech therapists, as they are more commonly known, provide speech, language, and swallowing therapy to children and adults who may be experiencing speech difficulty. Page 40

If any questions concerning footwear, foot pain, or possible plantar warts are present, a visit to your local Podiatrist before starting in sports is a good way to begin the season.

Part-Time Delivery Position Available



An Educational Resource for Women and Their Families

for any given sport and and can be custom fitted to the cleats or specialized shoegear. If plantar warts are detected, the earlier they are treated the better off for the athlete. Warts are a skin virus and can spread very fast if left untreated. Also plantar warts can become so painful that a young athlete cannot participate in their sporting event because of the pain experienced. Early detection and treatment will ensure continued participation of the athlete in their sport.


July/Aug ust 2013




The County Woman Magazine

Qualities required are:

Mature, responsible, and enjoy talking to people. Must dress presentable to deliver in professional offices. Must have own vehicle.

Email resume to: Or mail to:

The County Woman P.O. Box 619 Turnersville, NJ 08012-0619

Approximately 10 - 30 hours a month.

September/October 2013



We Accept Medicare!

When was the last time you had your feet measured?!

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ATTENTION Medical Reps & Vendors

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The County Woman Magazine

Small Units & Shelving Available For Your Convenience

FALL INTO WINTER! 5’ x 5’ Up To 10’ x 25’ Units

Yearly $$$ Compare and Save! Easy access for you at the intersection of Rt. 37 West and Rt. 70, behind the Lakehurst Diner.

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2420 Ridgeway Boulevard • Manchester

Off Route 70 • Central to Jackson, Manchester, Lakewood, Toms River, Route 37 September/October 2013

Adult Community


Land Lease Communities Are Perfect Match For 55+


and lease communities are a perfect blend of the independence of owning your own home within your financial means and living in a comfortable neighborhood.

Usually several homes to the acre, life in a land lease community is somewhat like the familiar days of enjoying the changing seasons on the stoop of the old homestead. Land leased communities often offer the camaraderie of shared life experiences where most people on the block know each other. Another fact that makes this home ownership choice so appealing is the lower cost of buying the home. Leasing the lot is as financially efficient as any other leasing experience; lower cost, paying for exactly what you need and owning a home that is just the right size. Some land-leased communities advertise with the accent on the origin of the home- usually a manufactured home of one type or another. This type of construction is very durable, energy efficient and easily maintained. Economies in bulk material purchases by the builder yield a more economical offering to the homeowner. Terms can be misunderstood if a potential homeowner’s thinking is not up to date. Manufactured homes include modular homes, manufactured homes and even the older origin of the term mobile homes. As this type of construction has been fine-tuned over the nearly 100 years since its introduction, the actual homes have changed as dramatically as other homes built in the early 1900’s compare to today’s new home. Energy, light, openness of floor plans, and the physical construction are much improved even in the most recent 10 years. Yet, as in

any home comparison, the originals are still viable useful homes that are readily bought, sold and occupied. There are many offerings in the land lease communities; some are age-qualified, some are not; some are gated, some are not. Amenities differ from location to location just as any community. Leasing the land keeps the purchase price of the lot out of the financing and buying transaction, making it affordable to all income levels. The monthly lease cost can vary from one community to another just like any other location-based expenses. Find out what is included in any lease and compare what is offered to what you need and the services you expect to enjoy.

v Fountainhead in Jackson NJ is a land lease community for people at least 55 years of age. The

neighborhood design is often cited as an important and favorable aspect of residing at Fountainhead. With mature trees, off the street parking, enjoyed by responsible homeowners displaying pride in their investments it is a great place to retire. All homes are owner-occupied. The lease fee includes the property tax among other services, and yet it is still very affordable. It can be the perfect solution for people starting over from the tragedy of last fall. Homes from approximately 900 square feet to 1,450 square feet offer many solutions to retiring in comfort. Dining rooms, front porch, carport, walk-in closets, great energy efficiency and natural gas heat are just a few things to select in planning the new home purchase at Fountainhead. Jackson, recently voted one of the best communities in NJ, offers bits of everything that is good about living between 2 major metro areas. Fresh air, great schools,

excellent recreation areas, good roads and all the services are easily accessible to all the residents of this 100 square mile township. The Fountainhead location is just off the major artery in town- County Line Road, 2 miles from I-195, and 5 miles to Route 9. v The three Viviano siblings own and continue to build the Fountainhead community. Nancylu Viviano and brother-in-law Clem Caldarise manage the office, sales and construction while a friendly staff of service and production people complete the team. Nephews and nieces are stepping in as their skills develop. New homes and pre-owned homes are always available, sometimes for immediate occupancy. The future homebuyer knows what they want and need today- and the manufactured home is easily customized to satisfy. Optional room designs, and levels of upgrades and an open-minded developer can be found at the Fountainhead office to please the buyer. Pricing is very clear; beginning at $85,000 for a very basic modestsize home to approximately $160,000 for a deluxe home that can be enhanced up to $175,000. It’s a good idea to call ahead for a visit, but not necessary, home consultants are available Monday thru Friday 10-4:30 and Saturday from 11 a.m. For more information please visit the website or like us on facebook- FountainheadNJ.

Submitted By: Nancy Viviano Fountainhead Properties

The Best Home Choice For 55+ Population Location ~ Great Homes ~ Long Term Affordability

Pets: You Luv ‘Em, We Luv ‘Em Too!

• New Homes

Fountainhead Properties 1 Rose Drive (Just Off County Line Rd.) Jackson, NJ 08527 Call 732-928-3100 and schedule a free consultation. Please visit our website for directions and to download or request a free brochure.

• Pre-Owned Homes • Rental Homes

The County Woman Magazine

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September/October 2013

Home Improvement Contractor


Inspect Your Home In The Fall For The Winter Months The cooler temperatures and colorful foliage give it away. Fall is here which means winter is just around the corner.  Inspecting your home’s siding and exterior elevations is an important step homeowners should take in the fall.

Siding can take a beating during the cold winter months and should be checked to make sure that it is in good condition and able to keep the home warm and dry. In addition, while inspecting the siding one should also check the auxiliary components of the exterior elevations including the doors, windows, fascia and soffit. The objective of this fall maintenance check up is to uncover basic signs of damage or areas where potential damage may occur, if left unattended.



How to Inspect Siding And Exterior Elevations • Trim Or Remove Vegetation:

Clear any trees, shrubs or other vegetation that may be touching the siding. Winter wind or ice storms can quickly turn a seemingly harmless branch too close to the home, into an unnecessary midwinter repair.

• Loose Siding: Check all elevations for loose siding. If any loose siding is found, check to make sure that it is fastened securely to the home before snapping it back into place.

Ryan K. Apel, Owner

609.287.5841 230 S. New York Road Galloway, NJ 08205

Construction, LLC Additions



Position Available Atlantic Celebrating Our 5th Year

Is It tIme For A mommy mAkeover?

Has having children and breast-feeding changed the appearance of your breasts and abdomen? This is not due to decreased physical activity slow metabolism, or poor eating habits. Page 15


Why see A speechLAnguAge pAthoLogIst?

There’s no doubt about it— going through a divorce can be an emotionally trying time. In addition to the emotional impact, however, it’s important to know how your financial position will be affected. Page 22

An Educational Resource


Celebrating Ou 5th Year r

AdjustIng to LIFe FInAncIALLy AFter A dIvorce

for Women and Their



EnhancE Your SummEr Glow

DaDS . . . ThEY’rE noT JuST ThE “oThEr” ParEnT!

You can enhance your beauty while enjoying the Jersey shore and every-

Page 28

Ce leb ra

Page 49


• Weather Stripping: Another

way to save on winter heating bills is to check that all the weather stripping on the windows, doors and garage doors are in good condition. If yours is crumbly or has gaps, it should be replaced.

• Roofing: Your roof is your

home’s first defense against the elements. It is very important to check your roof for cracked shingles, curling shingles, missing shingles, storm damage and wear and tear from old age.  If you are uncomfortable getting on your roof-DON’T! Often roof issues can be seen from the

Our 5th Year tional Resour ce for Wome

n and Their

ing and compas Dr. Sop sionat Photo By Donna L. Andrews Photography Voted NJ’s Top Docs since 2010, Dr. Karen Callaghan and her husband Dr. Anthony Holvick are the chiropractors behind hia Nic the Atlantic County Family Spine and Rehab Center. Read more on pages 38 & 39. hols, and e dentist, will lea sta ve you July/August Rea smiling. ff d more @TheCountyWoman on pag 2013 es 8 & 9. Visit Us Please Take One

Seaview Orthopaedic & Medical Associates We have over 30 is committed to years of experience, providing quality and our patients care in Monmouth are our number and Ocean Counties. one priority. Read more on pages 38 & 39. untyWoma

Visit Us Online ...www.



Photo by

Photo By Annette




What is a Plantar Wart? Page 6

Finally! A Real Solution For Dry Eye Page 10

Talking Your Daug to hter About Her Changing Body Page 16

Jenkins Photography

July/August 2013

Please Take One

Photograph y

facebook.c om/Th

eCountyWom ine ... www an .TheCou @TheCount ntyWom yWoman



w us on Visit Us Onl

your gutters can easily divert water onto the roof or siding, setting the stage for mold and rot and dramatically shortening the lifespan of shingles and paint. Inspect your gutters for proper functionality.

A little routine maintenance now will reduce the chance of big problems later. Call RKA Construction at 609-287-5841 for a fall maintenance check-up today!


An Educa

This car

• Clean your gutters: Debris in

Ryan K. Apel is a licensed home improvement contractor who has been working with clients in southern New Jersey for over 10 years. He can be reached at 609-287-5841.

Part-time publication distributors needed throughout Atlantic, Ocean & Monmouth Counties.

Home shoppers age 55 and up are finding Fountainhead At Jackson a “must see” community on their search for pre-owned home. a new or

pros and cons and decided in favor of writing about it once some basic research.I had conducted

Page 15


ing on all major seams or areas where each elevation of siding is interrupted. For example, where two walls meet, a roof slope meets the siding, or items protrude from the siding (i.e. dryer vents, around windows, doors, etc.). Look for loose, cracked or missing caulking and re-caulk as needed.


FounTainhEaD’S SPEcTacular SummEr SavinGS

Before making the decision to address this topic in a publication that is geared towards women, I weighed the

thing the summer has to offer with treatments that have NO downtime.


• Caulking: Check the caulk-

Publication Distributors NEEDED


Speech language pathologists, or speech therapists, as they are more commonly known, provide speech, language, and swallowing therapy to children and adults who may be experiencing speech difficulty. Page 40

License Number: 13VH06765100

Siding: Siding that is cracked, chipped or broken should be repaired to ensure that water cannot penetrate behind it and cause further problems.

ground. Another alternative is to call a professional who will come out to your home and check your roof for issues and make recommendations based on your roof ’s current condition. In addition to checking your shingles for damage you should also make sure that the flashings around chimneys are in good condition.  This can often be a point of entry for water and ice melt.  You may also want to go in your attic and look for evidence of moisture on your rafters. Make sure all soffits are not broken, blown-in, sagging, or otherwise unsecured. When inspecting fascia, it is most important to ensure they are not loose enough for a heavy wind or strong gust to pull them off.

Part-Time Delivery Position Available




An Educational Resource for Women and Their Families

• Cracked, Chipped or Broken

July/Aug ust 2013




The County Woman Magazine

Qualities required are:

Mature, responsible, and enjoy talking to people. Must dress presentable to deliver in professional offices. Must have own vehicle.

Email resume to: Or mail to:

The County Woman P.O. Box 619 Turnersville, NJ 08012-0619

Approximately 10 - 30 hours a month.

September/October 2013

R Real eal E Estate state




Thanks to the great work of our sales team, we are selling out of our inventory! Please call us for a complimentary market analysis of your home. At Orrico Realty, we take care of your home as if it were our own. We are a company dedicated to providing the very best service to our clients. Having a very professional staff that is dedicated and determined to meet all clients’ professional needs has helped our company grow into what it is today. We attribute Orrico Realty’s success to our staff’s hard work and dedication, and especially, the leadership of our inspiring Broker and Mentor, John Orrico.

Meet The Orrico Family . . . John (Broker)

COLT’S NECK Bretwood Mallet HillDrive

COLT’S NECK 6 Cypress Way

COLT’S NECK Hockhockson Road Rivers Edge Drive

Beautiful PoloPrestwick Estate home StunningRancho 5 bedroom model on 4 acres National with 5 bedrooms and 5.5 at Trump Golf Course locatbathrooms. Finished walkout basement ed on the 5th hole with great views! and Gunite pool. $2,399,000 $2,599,000 $1,525,000.

Large 6700+ Sq. Ft. estate has 5 bedrooms and 5.5 baths with a very spacious and open floor plan on Trump National Golf Course. Priced to sell! $1,524,000.

The curb Rivers appealEdge of this home5 isbedBeautiful Estate! magnificent! Look no further than this rooms, 4.5 bathrooms, very quiet loca4 bedroom move in condition that tion in the upscale reservoir section. is sure to in-ground please any pool! potential buyers. Gunite $1,399,000.

Amy (Secretary) Jason (Salesperson) Joseph (Broker Salesperson) Josephine (Salesperson)

Reduced $739,000

Benny (Salesperson)

About Us . . .

John Orrico, broker and owner of Orrico Realty has lived and sold real estate in town for over 18 16 years. He has vast financial knowledge and knows the town very well. “The best thing to have in this business is a good reputation and you can’t do that unless you treat everyone fairly and with mutual respect.” John Orrico is a firm believer in the code of ethics set forth by the Real Estate Commission and values his relationships with clients. Our office is located at 415 Route 34, suite 211 in Colts Neck, NJ 07722 . Colts Neck is a wonderful town filled with horse farms, recreational parks, golf courses, and most importantly: great people. We have a highly acclaimed school system from grades K-12. We are considered a suburb of New York City; about fifty minutes by train and car.

COLT’S NECK Kathleen Drive

(732) 303-0050

COLT’S NECK Koala Court Bretwood Drive

This bedroom designed This 7home has a custom wonderful view of home has it all! Finished walkout Trump National Golf Course, 2.78 basement, in-groundlarge gunite pool,w/ acres, 4 bedrooms, kitchen and much more. $2,499,000 granite, center island, and walk-in pan-

try. Great room has vaulted ceiling and a gas fireplace. $1,459,000.

COLT’S NECK Hambletonian Drive Construction under way! This luxurious 6 bedroom, 7500 Sq. Ft. estate is set on 3 acres in a premier development. $2,599,000.

Foundation In!! This 5800 Sq. Ft. masterpiece will have the highest quality construction and amenities. Top of the line kitchen! $1,350,000.

COLT’S NECK Stone Hill Road

Priced to sell! Lots of has amenities, This beautiful home 10 foot10 ft ceilings, bedrooms, many new ceilings on6the first floor, Maple updates, inground pool, finished Brookhaven kitchen, 5 bedrooms, basement. $995,000 5.5 bathrooms, full finished basement.



The County Woman Magazine The County Woman Magazine

May/June 2013 September/October 2013

Women Of Ocean County

62 Diana Alikas

Events Coordinator, Ronald McDonald House of Long Branch & New Brunswick, NJ

Jersey Shore native Diana Alikas joins Ronald McDonald House of Long Branch and New Brunswick to coordinate a broad spectrum of fundraising events for the organization. Diana lived in Santa Monica for 25 years where she produced, managed and art-directed Hollywood feature film and television events, political fundraisers and corporate business meeting retreats held throughout the USA and Canada. She holds degrees from NYU, UCLA and Fashion Institute of Technology. Diana served on the Assil Eye Institute of Beverly Hills Investigative Review Board and as a member of the American Red Cross of Santa Monica Disaster Action Team. Her previous non-profit affiliations include Make A Wish Los Angeles, Break the Cycle, This Little Light/Children’s Hospital Los Angeles, The Japanese American National Museum and the Environmental Media Awards. Diana travels whenever possible, practices Transcendental Meditation and relaxes at home with friends who share a passion for food and wine, art, music, classic film and feline family members. Diana is based at the Ronald McDonald House Long Branch office and may be reached at 732-222-8755 or

Regina Figueroa, CNHA, MHSA

Revera VP of Operations

Regina Figueroa is leading the 9 Revera Health Systems (skilled nursing) centers in the state of NJ. The centers in Ocean County are: Bey Lea Village and Assisted Living Center in Toms River, Laurelton Village and Alzheimer’s Unit in Brick, and Whiting Health and Pulmonary Center in Whiting. Regina has been a leader in the long term sub-acute profession for over 15 years and is very proud to see the accomplishments despite our struggles with reimbursement. Regina is a member of NJ College of Administrators, Health Care Association of NJ and the American Health Care Association. Regina lives in North Jersey with her husband Leo and 5 children. She enjoys spending time with her family and was introduced to the profession through her mother - a nurse in long term care. Regina believes there will always be a need for nursing homes and encourages the positives in this profession. “Long term care is better than what is portrayed by the media; we are the most efficient health care provider and we are proud of the care we provide to our seniors.”

Photo by Annette Jenkins Photography

Sarah J. Easaw, MD, FACP

Dr. Sarah Easaw is a board certified Oncologist and Hematologist who has been practicing in Lakewood since 2006. She completed her internship and residency in Internal Medicine at Harlem Hospital, affiliated with Columbia University, followed by a fellowship in Hematology and Oncology at New York Medical College in Valhalla, New York. Before moving to Ocean County, she practiced Hematology and Oncology in Westwood, New Jersey for 10 years. Dr. Easaw founded Ocean Hematology & Oncology, a medical practice focusing on the treatment of cancer and blood disorders. She received Star Career Academy’s Excellence in Healthcare Award in 2010. Her clinical expertise is equal to her ability to treat each patient as an individual with care and compassion. “Dr. Easaw is the most wonderful, compassionate woman and doctor that I have ever met,” says a patient. Dr. Easaw is a member of the American Society of Clinical Oncology and the American Society of Hematology and is a fellow of the American College of Physicians. She is affiliated with Kimball Medical Center, Ocean Medical Center and Community Medical Center. She resides in Monmouth County with her husband and two children. To learn more about Dr. Easaw and her practice, call 732-961-0010 or visit

Photo by Tracy Harman Photography

Mary Mease

Mary Mease was born and raised in Southhampton, Pennsylvania. She graduated from LaSalle University with a degree in Management and Marketing. For the last 27 years, Mary has resided in Ocean Gate, NJ, living and raising her three children. Her husband, Gary, owns and manages a local marina. Mary began her Podiatric career with Main Street Foot and Ankle in 1993 as a receptionist. She very quickly realized she enjoyed working with patients and soon cycled and mastered every position in the office, from podiatric medical assistant to assistant office manager to office manager and eventually becoming the practice administrator. Besides managing the day to day activities of the office, Mary has become the expert in billing, coding, and management of the practice overall. Mary also obtained her certification as a Podiatric Medical Assistant. Mary has been the office administrator at Main Street Foot and Ankle for over 16 year and prides herself on running a very efficient practice. Mary also is the office administrator for Ocean Gate Yacht Basin, which takes up a good part of her weekend time. In her spare time, Mary enjoys spending time with her children, sailing, crossfit, and reading on the beach.

Photo by Tracy Harman Photography

The County Woman Magazine

Photo by Tracy Harman Photography

September/October 2013

Women Of Ocean County

Lauren Anzalone-Baranyay, DPT

Debbie Moriarty

CyberKnife® Program Nurse Manager, New Jersey CyberKnife®

Debbie Moriarty dedicated her career to oncology after being inspired by care given to a family member. Her 26-year career has spanned inpatient medical oncology, radiation oncology, oncology research, inpatient hospice and home care hospice. Born in Orange, N.J., she currently resides in Toms River where she serves as the CyberKnife® program nurse manager for New Jersey CyberKnife at the J. Phillip Citta Regional Cancer Center, a service of Community Medical Center. As a CyberKnife program nurse manager, Debbie provides clinical support and care coordination for cancer patients. Though her career path was inspired by her experience with nurses, her current motivation comes from witnessing the spirit of her patients and working with the experienced New Jersey CyberKnife team. She has been a member of the Oncology Nursing Society for more than 20 years, serving as president of the Central New Jersey chapter in previous years. In her spare time, Debbie enjoys gardening and spending time with her grandchildren. New Jersey CyberKnife treats malignant and benign tumors throughout the body using CyberKnife technology. The center offers the only CyberKnife treatment in Ocean County. For more information visit

All-Care Physical Therapy

Lauren Anzalone-Baranyay is a manager at All-Care Physical Therapy’s Barnegat location and practices physical therapy in both the Barnegat and Manchester locations. She holds a Doctorate degree in Physical Therapy from Quinnipiac University which she received in 2009. Lauren also earned her Bachelor of Science in Health and Science Studies from Quinnipiac University in 2006. Lauren’s extensive research led to the publishing of an article in the journal of Sports and Exercise entitled “Rearfoot and Forefoot Kinematics in Injured and Non-injured Runners.” Lauren believes in utilizing manual therapy techniques, manipulation, myofascial and trigger point release, joint mobilizations, muscle energy techniques, vestibular rehabilitation as well as whole-body strengthening. As a Physical Therapist, Lauren believes in individualized care for each patient including education about their diagnosis in order to improve function and overall quality of life. Lauren was recently married and looks forward to traveling with her husband. For more information about All-Care Physical Therapy, please visit our website at HYPERLINK “” or call 1-(855)-3ALLCARE.

Photo by Tracy Harman Photography

Jill Collier, M.D.

Jill was born in Newark and raised in East Brunswick, graduating East Brunswick High School in 1982. She attended college at the University of Pennsylvania, graduating with a degree in Biology. She was Phi Beta Kappa and graduated Magna Cum Laude. Jill earned her medical degree at The Mount Sinai School of Medicine in New York in 1990. She was a member of the honor society Alpha Omega Alpha. She completed her medical residency at Mt. Sinai. Her gastroenterology training was completed at Albert Einstein/Montefiore Medical Center in the Bronx. She was one of the first two women accepted into the gastroenterology program at Montefiore. She joined Gastroenterologists of Ocean County in 1995. She is currently medical director of the Endoscopy Center of Toms River. She has been chosen as one of America’s Top Physicians for the past five years. She has performed over 15,000 procedures during her career. She is on staff at Community Medical Center and Kimball Medical Center, and has offices in Toms River, Lakewood and Forked River. Dr. Collier is currently chairperson of the Department of Gastroenterology at Community Medical Center. Jill has been married to her husband, Douglas for over 20 years. They have two beautiful children. Dr Collier and her family reside in Toms River, where they are very active in the community. She enjoys skiing and traveling with her family and being involved with her children’s activities. Dr. Collier can be reached at 732-349-4422.

Photo by Tracy Harman Photography

Shannon Fattizzi, C.M.A.

Patient Intake Manager, NJ Community Spine and Pain

Shannon Fattizzi is the Patient Intake Manager at New Jersey Community Spine and Pain in Tom River. Shannon had started her career in banking but found her true calling in the health care industry. After being certified as a Medical Assistant (C.M.A.) she started her medical career with NJ Community Spine and Pain. As Patient Intake Manager she prides herself on knowing all of the patients personally and making them feel at home. She works with each patient on their first visit getting them through the intake process. Working at a facility that has chiropractic, physical therapy, acupuncture and many other services can be challenging. But Shannon keeps the patient flow going smoothly throughout the day. “I love coming to work each day. To see patients get well and back on their feet is the most gratifying part of my job.” Having this positive outlook helps NJ Community Spine keep their patients happy and healthy. Shannon likes to spend time with her husband Mike, and their sons Jonathan and Shane. She also volunteers her time with various charities to continue her dedication in getting people well. Shannon can be reached at 732-503-4079.

Photo by Tracy Harman Photography

The County Woman Magazine


Photo by Tracy Harman Photography

September/October 2013



Are You Ready To Stand Up For A Child Who Needs You? children in the foster care and child welfare system. A system full of devoted and deeply caring people that is simply too overAbused and neglected burdened and under resourced children need more than to protect the rights and needs of the system can provide vulnerable children. • A six-year-old girl rescued The solution is a CASA volfrom an abusive father only to be unteer—a specially trained advobounced around to eight foster cate, appointed by a judge, who homes and six different schools fights for the rights of children over the course of two years. during the most vulnerable time • Four children separated from of their young lives. A trusted one another and placed in differadult empowered to ensure that ent locations after their mother each child is well cared for—able was jailed. to find a safe, loving, permanent • A young boy prescribed 12 home. different psychotropic medicines But nearly 90% percent of by healthcare professionals who the children in our community have no access to his medical who need a CASA volunteer do records or ability to follow-up on not have one. Over 600 children his care. in Ocean County don’t have the • A teenage girl kicked out of hope a CASA volunteer can offer. her house, and forced to sleep on We won’t rest until every a cot in the hallway of a group home until she turned 18—when child has a CASA volunteer. Stand up for these children. all her possessions were handed Stay connected as we fight to to her in a garbage bag as she ensure every child has a safe, perwas officially “aged out” of the manent, loving home. Volunteer system. These are not isolated stories. Your Time to Change a Child’s Life! They are everyday realities of Submitted by: CASA of Ocean County, Inc.

Nobody longs for a safe and loving family more than a child in foster care. As a CASA volunteer, you are empowered by the courts to help make this dream a reality. You will be the one consistent adult in these children’s lives, vigilantly fighting for and protecting their fundamental right to be treated with the dignity and respect every child deserves. You will not only bring positive change to the lives of these vulnerable children, but also their children and generations to come. And in doing so, you will enrich your life as well.

What Do CASA Volunteers Do?

CASA volunteers listen first. Then they act. Volunteers get to know the child by talking with everyone in that child’s life; parents and relatives, foster parents, teachers, medical professionals, attorneys, social workers and others. They use the information they gather to inform judges and others of what the child needs and what will be the best permanent home for them.

Who Can Be a Volunteer?

You do not have to be a lawyer or social worker to be a volunteer. We welcome people from all walks of life. We are simply looking for people who care about children and have common sense. As a volunteer, you will be thoroughly trained and well supported by professional staff to help you through each case. You must pass a background check, participate in a 30-hour pre-service training course and agree to stay with a case until it is closed (a year and a half on average).

Interested in helping children but not ready to commit to becoming an advocate? Then consider sponsoring a child and providing them with a CASA of their own. Please call our office today to become a volunteer or sponsor a child. Please call the Executive Director, Vicki Weiss, at 732-797-0590 or visit our website at

Thank you to our corporate sponsors that support the CASA program

Like us at Ocean County CASA

With your contributions, CASA was able to serve 122 children during the 2013 program year. It is our goal to serve over 150 abused and neglected children in Ocean County for 2013. If you would like to sponsor a child and would like more information, please call the Executive Director, Vicki Weiss, at 732-797-0590. Tax ID Number 4350731. Your donations are tax deductible as allowed by law.

EVERY 35 seconds a Child is Abused. Time is Precious and So am I.

Sponsors for 2013: • Provident Bank • Ocean First Bank • Lakewood Rotary • Lakewood Co Gen • Novins Jacobus and York • Gannett Foundation • Lakewood Rotary

The County Woman Magazine

• Wells Fargo Bank Foundation • Family Focus Financial • Soroptomist Club of Central NJ Coast • Lakewood Co Gen • Roots Hair Lounge


Vicki Weiss Executive Director CASA of Ocean County 34-38 Main Street Suite B Toms River, NJ 08753 Phone: 732-797-0590 Fax: 732-797-0594

September/October 2013






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For my Nana





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SATURDAY, SEPTEMBER 28, 2013 Southern Regional Walk Point Pleasant Beach, NJ (corner of Arnold and Baltimore Avenues) Registration begins at 9 a.m., and the Walk begins at 10 a.m.


The County Woman Magazine

September/October 2013



& Beauty

Without Eyebrows What Do You Have?


our eyebrows have such an important role in “framing” the face. Besides helping to give you expression, they can give you a mini face-lift. That’s why so many of us are spending valuable time penciling them in every day. If you did not catch my article last month, “waking up with makeup” can become VERY addicting! To look refreshed every morning with brows and eyeliner already accenting your eyes and a colorful pigment giving your lips a healthy glow is a gift that never stops giving! It also allows freedom from having to re-apply your makeup every 30 minutes.

Amy Druding, F.A.A.M, c.p.c.t Board Certified, Licensed by the Atlantic and Cape May County Health Departments

Who Would Most Benefit from Permanent Makeup? • Alopecia clientele • Those with uneven facial features • Parkinson’s clients

Permanent Makeup by Amy

Please remember: Permanent Makeup is designed to ACCENT your beauty and to enhance how you already look “Only Better” with a little more color.

Lips Before

Lips After

Brow Before

Brow After

With your referrals you can earn money towards your own procedure.

Follow us on Facebook for Weekly and Monthly Specials!

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(valid through Oct. 2013)

(valid through Oct. 2013)

(free lash coloring or eyebrow waxing)

Purchase any cosmetic procedure and receive 2nd procedure 10% OFF. TEACHER APPRECIATION

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We’ve spent the last 120 years helping to make wishes come true.

Our longevity is one more reason why Stewart Title is the right title company for you. We opened our doors in Galveston in 1893; and, ever since, we’ve been helping people secure their piece of the American dream. Over the years we’ve gone on to expand across Texas, throughout the United States and around the globe to become one of the largest title companies in the world. But no matter how big our company has become, we’ve never lost sight of what’s made us so successful – you. For 120 years Stewart Title has been dedicated to providing exceptional customer service, expertise and peace of mind to all our customers. And we plan on doing so for at least 120 more. Contact us for more information on the outstanding service you’ll receive at Stewart Title. 1201 New Rd., Suite 129 Linwood, NJ 08221 (609) 601-7180

© 2013 Stewart.

The County Woman Magazine

For 120 years we’ve known the key to our success is yours. Visit to find out more about our history.

September/October 2013


The County Woman Magazine


September/October 2013



Sifting Through The Sand For Hidden Beach Gems With Eileen Fox Allen will bend down and scoop up the most beautiful piece of glass, perfectly shaped for a pendant or earring.

Where exactly does “beach glass” come from?

Written By: Eileen Fox Eileen’s Beach Gems

How did you get involved with jewelry making? I’ve always enjoyed arts and crafts – pottery, weaving, candle making, painting - you name it; I’ve dabbled in it. At one point, I started making beads out of the pottery clay, and from there, I moved into jewelry making. I’ve made hundreds of necklaces, earrings and bracelets out of a variety of materials, from chunky pieces of wood and clay to tiny crystals and pearls. But recently I started using materials that can be found on the beach, which not only saves on material costs but also offers the added attraction of the “hunt.”

What specifically are you looking for on that hunt? Shells, glass, pebbles, anything that might look good hanging from a silver or gold chain. As a Jersey shore native, I have been collecting seashells since I was little, and I’m still always on the lookout for especially pretty or unusual shells. But I never really took much notice of sea glass until I started dating a guy who has a knack for spotting the stuff a mile away. We can be walking along what appears to be a completely clean, empty beach, and suddenly

Also referred to as sea glass, it’s just broken bits of bottles, glasses, tableware and other household items that have been discarded or lost in natural disasters, often many years ago. These pieces have been worn down by wind, water and sand until the edges are smooth and the surfaces are frosted. Most of the glass you find locally is green or brown – which may have something to do with the color of beer bottles. But I’m partial to the blue or white pieces, which are much harder to find.

And how do you turn that from a piece of glass into a piece of jewelry? Allen, my glass-hunter and partner in crime, also happens to be a dentist with a set of drills that can make perfect little holes in glass and shells. After he drills them, I use them as I would any type of bead, pairing them with crystals, pearls and other materials to create necklaces, earrings and bracelets. Of all the crafts I’ve tried, this has been among the most enjoyable – the seaside walks are good exercise, the jewelry making is good therapy, and each finished piece is a memento of my favorite place, the Jersey shore.

Beach Gems can be purchased online at, and at Anchor Arts, an art studio in Ventnor that offers classes as well as a venue for local artists to showcase their work (

Eileen Fox was born and raised in Absecon. After earning a BA in Anthropology and Communications from the University of Pennsylvania, she went into publishing, where she worked for 20 years as an editor and writer. Moving from Philadelphia to Washington to New York, she finally circled back to South Jersey to raise a family and continue her career. She has spent the last ten years as a marketing and public relations consultant for a variety of clients, writing brochures, newsletters, articles, news releases, postcards, ads, marketing plans, and website content. When she’s not at her computer, she can often be found at her workbench making jewelry or on the dance floor doing the salsa and meringue. She also enjoys hiking and biking, and does volunteer work for Hadassah. Although she lives in Cherry Hill, Eileen spends almost every weekend at the shore, where she has a wonderful network of friends with whom she travels, does Pilates and shares good times.

The County Woman Magazine

September/October 2013

P Nursery ursery & &L Landscaping andscaping Premiere remier N

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Community Space &Design Planning

Space Planning, Renovation, New Construction and Interior Design…What to do?

Choc’ N’ Roll

the unknown territory of building a home, the overwhelming feeling of all the choices, including selections of exterior and interiors is quite an ordeal, even with the Space Planning… most reputable Builder. Function is the most important It’s even better to consult during attribute in space planning and the design process with the is usually overlooked because of Architect. Then we can guarantee choices made without a game plan. that every electrical outlet needed is in the correct place, our island 700pendants NewareJersey Renovating…. positionedRoute perfectly 71 Susie DiGironimo Everyone has renovated someSpring type or Lake that the bedroom walls can Heights, NJ 07762 decisions to be An hour of Owner/Interior Designer of project and knows the details accommodate the bed and made. consulting can help you needed to have the spacebased planned dishes nightstandto sizes. Devour chocolate your heart’s content the Somethingwhile as simplerocking as the decide how much help you will for the new look: the preparation How about making sure your correct paint color can affect the need, and give you a guideline night away with one of the Jersey Shore’s favorite retro bands... ave you ever renovated a for removal of existing, and kitchen and bathroom designs complete outcome since it is the and direction for your project. room, built a new home, installation of the new. Every meet all of your dreams and Sponsored by basis of all to come in the room. All Interior Design Services and or furnished and accessorized a detail must be thought out. Even expectations? There are so many Does the room face the morning Consultations are in accordance full house? Did the final outcome if the Contractor is running the new items available for kitchen or afternoon sun? Or, is it on the with the codes and ethics of the turn out NOT to be your vision? show, you will still need toGift make Baskets, and baths.2hr Items Open like a microwave Prizes, Raffles, bar (beer and wine) and I American Society of Interior darker side of the house. Should Did your incorrect decisions end and decisions the drawerAll in the kitchen island, to benefit Everythingselections Chocolate toalong purchase! proceeds of of Ocean County. invest in CASA wipeable grade paint? Designers (ASID). Call today! up being costly mistakes? way. shower body sprays or the massage Should I use flat, matte or eggshell? 609-601-2280 You can achieve the results bubble jet tub are just a few For More Information Contact or 732-797-0590. you want when professional New Construction… assistance is in your corner! If you Are you having a new house built 609-601-2280 are proceeding with this important for you and your family? This Email: investment to begin with, why not should be a very exciting, The County Woman Magazine September/October 2013 strategies in line? An investment in your home is worth protecting with an investment in an Interior Designer.

Friday, October 4th, 2013 7pm-11pm

Doolan’s Shore Club


The Jersey Shore Roustabouts!



Ocean County Animal Facilities Ocean County Health Department ANIMALS FOR ADOPTION

360 Haywood Road, Manahawkin, NJ

Public Hours: Daily- 1PM-4PM Wednesday- 1PM-6:30PM


615 Freemont Avenue, Jackson, NJ


“Give A Homeless Pet A Second Chance” Why not start your pet search at our local Northern or Southern Ocean County Animal Facilities? Critter Corner featured pets Marla, Momma, Egypt, and Squiggles are located in our Northern Facility. For more information call 732-657-8086. To see more great cats and dogs visit their website, Adopt a Pet, Save a Life! Did you know that all of our pets are vaccinated, neutered, and micro-chipped before being adopted to their furever homes? Spring is here and we’ll soon have many more cats. If you want a cat or kitten, now is great time. Adopting a pet from the Ocean County Animal Facilities is not only a great way to find your new best friend; it’s also a great value!

Critter Corner ~

A 5-Year Effort Continues; Thank You For Your Support.

JemmaGray Tiger DMH ~ “Loves People! ” Jemma is a young adult, female, gray tiger, domestic medium hair (DMH). Jemma is a truly beautiful cat. She is very affectionate and she loves people. Jemma is a friendly easy going cat that will be a great addition to a loving home. Call 732-657-8086 to find out more.

Donovan, Tiana, & MalibuBlack & White DSH Kittens ~ “Trio of Fun!” Donovan, Tiana, and Malibu are young domestic short hair (DSH) kittens ready for their forever home! They are two females and one male and are sweet, playful, little bundles of joy! They can be adopted together or separately. Call 732-657-8086 to find out more.

This submission is an independent publication provided to the press by Mitch Geier and Betsy Lane and is not meant to be construed as an official publication of the Ocean County Health Department.

The County Woman Magazine

September/October 2013



THIS IS  THE  PLACE  TO  BE! 4th Annual Wine Tasting

On Friday, September 20, 2013 the Ronald McDonald House (RMH) of Long Branch and New Brunswick will host their 4th Annual Wine Tasting from 6:30 p.m. to 10:30 p.m. at the Robert B. Meyner Reception Center at the PNC Bank Arts Center, Holmdel. Indulge and discover a variety of fine wines from all over the world, cheeses and chocolates while browsing a collective array of items in the silent and live auctions. This year’s Grand Prize Raffle is a trip for two to the Harvest Inn in Napa Valley, California with round trip airline tickets on Southwest Airlines. Tickets are $75 per person. For more information on the Wine Tasting or the Ronald McDonald House, log on to our website, or contact Lynne Siedentop at 732-222-8755 ext 30.

Giving is Fashionable - Family Runway Show On Friday, October 18, 2013 the Ronald McDonald House (RMH) of Long Branch and New Brunswick will host their Giving is Fashionable Family Runway Show from 7:00 p.m. to 11:00 p.m. at the The Hyatt Regency in New Brunswick. The RMH Fashion Show celebrates designers, celebrity models, our community & our supporters, but most importantly our families for the purpose of making a difference in our children’s lives. Join us for an evening of fun, fashion, food and festivities. Mingle with friends & celebrities, and bid on exciting travel packages while supporting the families staying at RMH. Tickets are one ticket for $125 or two tickets for $200. For more information on the Fashion Show or the Ronald McDonald House, log on to our website, or contact Lynne Siedentop at 732-222-8755 ext 30.

The County Woman Magazine

September/October 2013



Toms River - Ocean County Chamber of Commerce News

Welcome New Members Social5 Skylar Wilson 700 S. Bayview Avenue, Seaside Park, NJ 08752 201 602-2316 801 373-8024 Internet & Web Services American Advisors Louis Sorrentino 46 East Water Street, Toms River, NJ 08753 732 823-6964 Financial Services Pure Water Technology Joseph Lyndell Debbie Williams 1555 Route 37 West, Suite 10, Toms River, NJ 08755 888 514-5945 732 341-8097

A message from the TR-OC Chamber President:

Maureen Stankowitz, President

Dina M. Vicari, Esq. Chairwoman

“GENERAL MEMBERSHIP LUNCHEON” Guest Speaker: Michael Dolega, TD Bank, Economist Topic: An overview of the regional economy & what the business community might look forward to seeing in the year ahead particularly in the aftermath of Sandy. WEDNESDAY, OCTOBER 9, 2013

ACCE Mick Fleming, President 1330 Braddock Place, Suite 300, Alexandria, VA, 22314-64100 703 998-0772 703 212-9512 Organizations/Charities/Non Profits

Elite Club USA John Pepe Adam Salamon Mary Marra 575 Fischer Boulevard, Toms River, NJ 08753 732 504-7100

The Chamber had a very busy summer! On August 12th, we hosted our 20th Annual Golf Outing, at the prestigious Pine Barrens Golf Course, Jackson. Our Open House event, hosted at the Chamber office, was a huge success and allowed members and prospective members to meet and mingle. Our Economic Development luncheon on August 14th at Woodlake Country Club was well attended and very informative to all business owners. We encourage you to continue to check our Chamber website for the most up to date information on Chamber events. Have a great fall!


Window Genie Richard Carlson 1919 Fiddlers Run, Toms River, NJ 08755 732 736-7352 Construction & Home Services

Ellis, Ged & Bodden, P.A. Dana Rhinesmith 1101 Richmond Avenue, Suite 201, Point Pleasant Beach, NJ 08742 732 892-5161 732 892-5161 Attorneys & Legal Services

& Finance


Clarion Hotel & Conference Center, 815 Route 37 West, Toms River, NJ REGISTRATION 11:30 A.M. ~ LUNCHEON 12:00 P.M. Luncheon Cost: $25.00 Members / $30.00 Non Members Sponsored by: To Register please call: 732 349-0220 Fax: 732 349-1252 Email: Go to to view our Calendar of Events

**GENERAL MEMBERSHIP - Economist Forecast Luncheon R.S.V.P - October 3, 2013**


COMPANY NAME:________________________________________________________________________________

ADDRESS:_________________________________________________________________________________________ PHONE:_________________________________________EMAIL:__________________________________________ # ATTENDING:_______________VISA____M/C_____:#______________________________________________

EXP. DATE:______________________TOTAL AMOUNT:$____________________________________________ LUNCH CHOICE: (please circle) Chicken Marsala / Tilapia / Vegetarian



Welcome New Members First Atlantic Federal Credit Union George Fisher Patricia Hankins 1580 Lakewood Road, Toms River, NJ 08754 732 380-3600 732 240-3732 Banks/Credit Unions/Mortgage Companies Green Acres Manor Robert Lapid 1931 Lakewood Road, Toms River, NJ 08755 732 286-2323 Hospitals & Health Care Smart Jack Bruno Dova Scott Waldrop 201 Sumner Avenue, Toms River, NJ 08753 732 820-7001 Construction & Home Services Challoner & Associates, LLC Stuart C. Challoner, P.E., P.P 201 Main Street, 2nd Floor, Toms River, NJ 08753 732 818-9980 732 818-9981 Engineers & Engineering Consultants Bahama Breeze Island Grille Jose Cazares 1201 Hooper Avenue, Toms River, NJ 08753 Restaurant Pandora Peter Amerosi 1201 Hooper Avenue, Toms River, NJ 08753 Shopping/Retail Re/Max Real Estate, LTD. Dana N. Mauro 337 Drum Point Road, Brick, NJ 08723 732 920-1900 732 920-6888 Real Estate

Visit us at for additional information and events (732) 349-0220.

The County Woman Magazine

September/October 2013



Fun For You & Your BFF ENJOY A FUN FILLED DAY OUT WITH YOUR BEST FRIEND! Get a Head Start on Holiday Shopping with Unique Vendors, Fashion Shows, Beauty Makeovers, Samples, Giveaways, Drawings, Psychic Readings, Fitness Presentations, Cooking Demos, Health & Wellness Seminars & Much More!

Don’t Miss the 3rd Annual



Brookdale Community College Lincroft, NJ • Exit 109 Garden State Parkway




November 2-3, 2013

For more information call or visit our website.


OCW913 •(732) 449-4004 ADULT ADMISSION

At The Door With This Coupon Or Online At

The County Woman Magazine

September/October 2013




dee dee bridgewaTer


T he F inal C omebaCk oF a l egend T he b eginning oF a l egaCy ZPerformances Begin september 19thY

“stunningly good!” -BBC “Marvelous theatre!” -Daily Telegraph

“you feel as if you are in a Billie holiday concert.” -Financial Times PHOTO: JOAN MARCUS 2 212-239-6200 2 The Little Shubert Theatre 422 W. 42nd St. 2 Betw. 9th & 10th Aves.

The County Woman Magazine

September/October 2013




A Mesmerizing Story Told Through Music, Dance & Technology

“BEST NEW ACT IN AMERICA!” -Piers Morgan, America’s Got Talent 212-239-6200 | New World Stages, 340 West 50th St.

The County Woman Magazine

September/October 2013



& Wellness

H ealth & W ellness H ealth & W ellness H ealth & W ellness H ealth & W ellness H ealth & W ellness

XCut PrescriptionCard CardOffers OffersSignific Signifi Cut Prescription

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Standard Medicare PrograM Beneficiary pays first What Use primary Medicare Standard Medicare What PrograM Part d Benefit to USe Part(deductible) d Benefit to USe $275 provider program Beneficiary payspays first first Use Use primary Medicare Beneficiary primary Medicare Beneficiary pays 25% Use primary Medicare $275$275 (deductible) provider program (deductible) provider program

Cut helps by providing discounts drugs used for anorexia, of the next $2,235 (25% provider program from 15-75 percent on medicaweight gain, weight loss, Beneficiary payspays 25%25% Use Use primary Medicare Beneficiary primary Medicare of $2,235=$558.75) Cut helps by providing discounts tions at your local pharmacy. drugs used used for anorexia, Cut helps by providing discounts erectile dysfunction, cosmeticof the drugs for anorexia, next $2,235 (25% provider program of the next $2,235 (25% provider program from from 15-7515-75 percent on medicagain,gain, weight loss, loss,etc.), percent on medica-weight weight weight purposes (hair growth, of $2,235=$558.75) Medicare part D tions ofonce $2,235=$558.75) your plan has Use rxcut to save 15%Have you at your local reached pharmacy. erectile dysfunction, tions at your local pharmacy. erectile dysfunction, cosmetic barbiturates, andcosmetic benzodiazhe“doughnut Medicare hole?” Part hole?” D cov“doughnut purposes (hair growth, etc.), spent $2,510 ($275 + 75% on the cost of your purposes (hair growth, etc.), theHave “doughnut epines. With the RxCut Pre- onceonce erage gap, often referred Have youryour planplan has has Use Use rxcut to save 15%-15%youyou reached rxcut to save reached barbiturates, and benzodiazbarbiturates, and benzodiazhe Medicare Part D covhe “doughnut Medicare Part D cov-hole”? $2,235= $2,510), medications scription Savings Program, spent to as the $2,510 ($275 + 75% on the cost of your spent $2,510 ($275 + 75% on the cost of your the “doughnut epines. WithWith the RxCut Pre- Preepines. the RxCut erageerage gap, gap, oftenoften referred referred the “doughnut Beneficiary pays 100% there are no limited drug lists. ole,” istoaasperiod of time dur$2,235= $2,510), medications $2,235= $2,510), medications Savings Program, Usehole”? the RxCut Prescription scription scription Savings Program, theas“doughnut to the “doughnut hole”? You receive discounts on Beneficiary of thepays next $3,216.25 *Be sure to submit receipts to nghole,” thehole,” coverage year (Jan.100% Beneficiary pays 100% there arecan no limited drug lists.lists. there are no limited drug is a period of time dur- durSavings Program to maxiis a period of time Use the Prescription UseRxCut the RxCut Prescription your PdP the drug that works best for Dec.) when you will be rediscounts on on of the $3,216.25 submit receipts to to Youreceive can receive discounts of next the next $3,216.25 *Be sure *Beto sure to submit receipts ing the year year (Jan.-(Jan.- Savings ingcoverage the coverage mizeSavings your savings during thisYou can Program to maxiProgram to maxiyou! Ourworks Individual program your PdP your PdP ponsible forwhen paying drug the drug that best for the drug that works best for Dec.)Dec.) when you will be re-be re- mize “catastrophic coverage” Use primary Medicare youall will difficult when you yourperiod savings during thisare mize your savings during this has two features: you! you! Our Individual program osts out of for pocket. When Our Individual program sponsible paying all drug sponsible for paying all drugdifficult “catastrophic coverage” Use primary Medicare begins aftercoverage” the provider program “catastrophic Use primary Medicare left without Medicare period whenwhen youcovare difficult period you are has l two has two features: out pocket. When oucosts fallcosts intoofout this ofdoughnut pocket. When left Afeatures: National Retail begins afterafter the thehas spent provider program without Medicare covbegins provider program erage. use the card leftSimply without Medicare covbeneficiary youyou fall into this youare fallresponsible into doughnut this doughnut ole, for l Al National Retail A National Retail erage. Simply use the Discount Prescription beneficiary has spent erage. Simply usecard the beneficiary has spent when you’ve reached thecard $4,050 much does it cost you for forwhen How you are responsible hehole, fullhole, costare of responsible prescription Discount Prescription Discount Prescription you’ve reached the when you’ve reached the Savings Card: All FDA$4,050 $4,050 “doughnut hole” and continue How much does it cost How much does it cost the full of prescription thecost full cost of prescription Savings Card:Card: All FDAMedications not Use rxcut to save to participate? Savings All FDA-are rugs, plus you must continue “doughnut hole” and continue hole” and continue approved medications until“doughnut your “catastrophic covedrugs, understand that famiMedications not not Use Use rxcut to save to participate? plus you must continue Medications rxcut to save to participate? drugs, plus you must continue approved medications are approved medications are until your “catastrophic cove understand that famio pay your Part D premiuntilkicks your in. “catastrophic coveyour understand that famicovered under Medicare 15%-75% on your eligible to receive up to covered erage” The Prescription Savings to pay Part D premito pay your Part D premiunder Medicare 15%-75% on your covered under Medicare 15%-75% on your lieslies across the nation eligible to receive up toup to eligible to receive erage” kicks in. erage” kicks in.Prescription The Prescription Savings ms even though you arenation notcan The Savings across the nation can medications. a 75 percent discount at lies across the can ums ums eveneven though you are though younot are not medications. a 75 apercent discount at at medications. 75topercent discount program a free service all ng from uncontrollable eceiving benefits! AreAre your prescribed program isis a is free service to alltothan more 54,000 pharmaprogram a free service all 54,000 With rxcut there ring from uncontrollable receiving benefits! Are your prescribed uffering from uncontrollable receiving benefits! your prescribed more than 54,000 pharmaWithWith rxcut there are no more than pharmarxcut there are noare no families and individuals that wish cies, including all major conditions as well as the medications not families and individuals that wish excluded medications families and individuals that wish cies, cies, including all major mic conditions well as notnot including all major nomic conditions as well as medications the medications excluded medications RxCut isishere to excluded medications RxCut here to RxCut isashere tothe chains. to save on their prescription. chains. chains. to save on their prescription. covered by Medimaking ends meet and to save on their prescription. covered by Medimaking ends meet and sshelp of making ends and covered by Medihelp you fill in the youyou fill inmeet the help fill in the llOur Maill Our Maintenance Mail-MailOur Maintenance Maintenance care? care? care? ng a healthy lifestyle. ning a healthy lifestyle. ntaining a healthy lifestyle. hole! hole! hole! Order Program: Designed Order Program: Designed Order Program: Designed When does the When does the When does the While Medicare does not ncerns ofreaders readers are always While Medicare does not concerns of readers arehelping always While Medicare does not erns of are always RxCut dedicated to helping to maximize your your savings RxCut is dedicated to tomaximize maximize savings RxCut is isdedicated to helping to your savings card expire? card expire? have an established formuhave an expire? established formu- on all of your maintenance card have an established formuiority, and the The County people priority, and the The County people caught in the Medipeople caught in the Medion all of your maintenance rity, and the The County caught in the Medion all of your maintenance lary, Part D coverage Part D drug coverage Part Ddrug drug coverage care Part “doughnut hole” The card has nono expiration medications through homehome care Part D “doughnut hole”lary,lary, The card has noexpiration expiration medications through nman Magazine has partnered Magazine has partnered are Part DD “doughnut hole” The card has medications through home Magazine has partnered excludes certain categories excludes certain categories certain categories their pharmacy needs.needs. Rx- Rx-excludes with wi delivery. th their pharmacy delivery. date and can be used each time date and can be used each time th their pharmacy needs. Rxwi eeRx-Plus to offer this delivery. hRx-Plus FreeRx-Plus to offer this of medications, for example, ofdate medications, for example, andfor can be used each time to offer this of medications, example,

What is the Medicare part D What is Woman the What is the ounty “doughnut hole?” Medicare part D

County Woman County he County Womana a azine is Woman gazine isoffering offering gazine is offering a a Magazine is offering ost savings card cost savings card cost savings card o-cost savings card ding FREE access viding FREE access viding FREE access roviding FREE access nificant savings gnificant savings gnificant savings oescriptions. significant savings prescriptions. n prescriptions. prescriptions.


e understand that famiW W W lies across the nation can

How much does it cost to participate? The Prescription Savings program is a free service to all families and individuals that wish to save on their prescription.

ring from uncontrollable mic conditions as well as the f making ends meet and ning a healthy lifestyle. ncerns of readers are always When does the riority, and the The County card expire? you have a aprescription. cancan have a prescription. You can resource thathas provides The card has noYou expiration able resource that provides neesource Magazine partnered youyou have prescription. You that provides even share the same card with even share the same card with oeeRx-Plus upto to 75 percent sssavings toRequest savings up to 75 percent Fill out and return to time receive your FREE savings card! date and cansame be used each offer this even share the card with Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ 336.587.3370. Or Fill OutOut AndAnd Return Request Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ 336.587.3370. Or Fill Return avings up to 75 percent THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING family and friends. All cards family and friends. All cards criptions, lab and Request Cards Through Email: Rxplus@Thecountywoman.Com ~ Phone: 856-881-0302 ~ Or Fill Out And Return prescriptions, lab and Or go to our website or email you have a prescription. You can THIS IS THE SAVINGS CARD WE WILL SEND YOU BY CALLING 336.587.3370. family and friends. All cards egging resource that provides Call between the hours of 9-5 Monday through Friday. Call between the hours of 9-5 Monday through Friday. ptions, lab and distributed are active andand ready distributed are active ready services. services. Call between the hours of 9-5 Monday through Friday. even share the same card with distributed are active and ready oervices. savings up to 75 percent for use. for use. Request Cards ThroughforEmail: Rxplus@Thecountywoman.ComNumber ~ Number Phone: ~ Or Fill Out And Return Name: of856-881-0302 Cards: Name: of Cards: use. and family friends. All cards satthis program andand howhow is this program criptions, lab and Name: Number of Cards: program elp me?me? and how What is Medicare D and itservices. help What is Medicare Part D ready distributed are Part active Return to: to: Return ghis Address: hole”? Address: pFreeRxPlus me? What is Medicare “doughnut hole”?Part D TheThe County Woman Prescription County Woman Return to: The FreeRxPlus Prescription “doughnut for use. Name: Number of Cards: The Medicare Part D coverPO Box 619 The Medicare Address: POCounty Box 619Woman hole”? Part D coverProgram will benefit the the “doughnut Program will benefit The reeRxPlus Prescription sngs this program and how Turnersville, NJ 08012-0619 age gap, often referred to as the Turnersville, 08012-0619 age gap, often referred to as the ed, the under insured, andand What nsured, under insured, The Medicare PartPart D coverPONJ Box 619 rogram will benefit the help me?the is Medicare D Return to: “doughnut hole”, is a period of “doughnut hole”, is a period of id Part D participants. dicaid Part D insured, participants. Turnersville, NJ 08012-0619 age“doughnut gap, often hole”? referred to as the d, the under and Acc Ac Address: The County Woman FreeRxPlus Prescription time during the coverage yearyearof time during the coverage take the card to a participly take the card to a partici“doughnut hole”, is a period Part D participants. Thewhen Medicare Part youyou will be DbecoverPO Box 619 P (Jan-Dec) when will Program will benefit the (Jan-Dec) pharmacy when you dropdrop ng pharmacy when you time during the coverage year ke the card to a participaying all drug responsible for paying alltodrug Turnersville, NJ 08012-0619 age gap,for often referred the red, prescription and receive a a responsible your prescription and receive the under insured, and (Jan-Dec) when you will be asyou armacy when you drop coasts out-of-pocket. When you coasts out-of-pocket. When on your medication. ngs on your medication. “doughnutforhole”, is aallperiod of id Part D participants. responsible paying drug rescription and receive a fall intointo thisthis doughnut hole,hole, youyou fall doughnut The The County Magazine 36 36 March/April 20102010 time duringforthe coverage year County Magazine March/April take the cardWoman to Woman a particicoasts out-of-pocket. When you nwuch your are responsible the full costcost are responsible for the full of amedication. Walmart Walgreens much of a Walmart Walgreens (Jan-Dec) when will pharmacy you drop offallprescription into this doughnut drugs you plus hole, you beyou nt will I get? ount will Iwhen get? The County Woman Magazine of prescription drugs plus you 36 March/April 2010 Costco Duane Reade Costco Duane Reade allcost drug continue tofor pay yourfull Part D D areresponsible responsible for the rounts and receive must continue topaying pay your Part depending on ona must hprescription of avary,vary, Walmart Walgreens Discounts depending Target CVS Target CVS premium even though you areyou not out-of-pocket. When premium even though you are you not of coasts prescription drugs plus dication and pharmacy. on your medication. medication and pharmacy. will I get? Costco Duane Rea receiving benefits! receiving benefits! nts typically range from must continue to pay your Part D fall into this doughnut hole, you counts typically range from unts vary, depending on The County Woman Magazine September/October 2013

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