Ocean County Woman - March/April 2020

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WHAT IS PATELLOFEMORAL PAIN SYNDROME? Patellofemoral pain syndrome is a broad term used to describe pain in the front of the knee and around the Page 3 patella.

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March/April 2020

Medical Professionals

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What is Patellofemoral Pain Syndrome?

by Maria Kminski

Patellofemoral pain syndrome is a broad term used to describe pain in the front of the knee and around the patella, or kneecap. It is a very common cause of knee pain; it is the source of 25-40% of all knee problems. It is sometimes called “runner’s knee” or “jumper’s knee” because it is common in people who participate in sports, but patellofemoral pain syndrome can occur in non-athletes as well.

Specific populations at risk for developing patellofemoral pain syndrome include runners, bicyclists, basketball players, cheerleaders, and females. The pain and stiffness it causes can make it difficult to climb stairs, kneel down, or sit for prolonged periods of time.

What causes it?

Patellofemoral pain syndrome can be caused by overuse from athletics, training, or activities that put repeated stress on the knee such as jogging, squatting, and climbing stairs. It can also be caused by a sudden change in activity or a change in footwear.

Patellofemoral syndrome may also be caused by the kneecap moving abnormally as you bend and straighten your knee, which causes irritation of soft tissue surrounding the kneecap. Factors that contribute to the kneecap moving abnormally include problems with alignment between the hips and ankles and weak or tight muscles surrounding the knee joint, especially the quadriceps muscle. The quadriceps muscle is located in the front of your thigh and helps to keep the kneecap in place as it moves when you bend and straighten your knee. Tight calf and hamstring muscles as well as a tight IT band may also contribute to the abnormality. The IT band is a thick band of tissue that runs from the outside of your hip to the outside of your knee.

The structure of your feet can play a role in patellofemoral pain syndrome as well. Having flat feet can contribute to increased knee pain by creating additional stress on the knee joint when running. Therefore, it is important to wear footwear with adequate arch support while exercising.

surrounding your knee. The initial goal is to decrease pain and inflammation through activity modification and through the use of pain-relieving modalities, such as ice. You will be advised to take a break from any activity that is increasing your pain or to reduce the amount of time spent performing that activity. You will also receive specific strengthening and stretching exercises to address muscles in your leg that may be weak or tight. Typically, strengthening exercises of the knee and hip are provided to help support the knee. Your therapist may also apply tape around your kneecap to help maintain the kneecap in position to move properly and reduce knee pain during exercise. In addition, your therapist may prescribe exercises and interventions to address foot abnormalities, such as with flat feet or feet with high arches, or recommend the use of an orthotic. You will receive a specifically designed home exercise program to get you started after the physical therapy examination is completed.

What are the symptoms of patellofemoral pain syndrome?

The most common symptom of patellofemoral pain syndrome is a dull, aching pain in the front of the knee. The pain often cannot be pinpointed. Other common symptoms include: • Pain during exercise and activities that repeatedly bend the knee, such as climbing stairs, running, jumping, or squatting.

• Pain after sitting for a long period of time with your knees bent, such as one does in a movie theater or when riding on an airplane.

• Pain related to a change in activity level or intensity, playing surface, or equipment.

• Popping or crackling sounds in your knee when climbing stairs or when standing up after prolonged sitting.

• Swelling around the kneecap.

How can physical therapy help?

Your physical therapist will conduct an examination to determine the cause of your knee pain, which includes testing the strength and flexibility of the muscles

How can I prevent patellofemoral pain syndrome from reoccurring?

Patellofemoral pain syndrome may be prevented by: • Wearing shoes appropriate to your activities; make sure to have proper arch support • Warming up thoroughly before physical activity • Incorporating stretching and flexibility exercises for the quadriceps and hamstrings into your warm-up routine, and stretching after physical activity • Increasing training gradually • Reducing any activity that has hurt your knees in the past • Maintaining a healthy body weight to avoid overstressing your knees At All-Care Physical Therapy the physical therapists have the knowledge and the skills to help with your patellofemoral pain syndrome. They will develop an individualized treatment plan to alleviate your pain and help you return to your normal daily activities!

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Maria graduated with a Bachelor’s Degree in Biology from the College of New Jersey in 2011. She continued her education at Rutgers/UMDNJ Graduate School where she received her Doctorate in Physical Therapy in 2014. Maria has completed affiliations at HealthSouth of Tinton Falls and Jersey Shore Medical Center, where she studied cardiac and pulmonary rehab, orthopedic rehab, and neurologic rehab post-CVA. Her main focus has been in the outpatient orthopedic setting where she completed a clinical affiliation at AllCare in Toms River.

Her areas of interest include manual therapy techniques, post-op orthopedic and cardiac surgery, and the geriatric patient population. Maria believes in patient centered practice and that truly listening to your patient is the key to successful outcomes. She has continued her education by taking a course in rehab for post-spinal surgery.

March/April 2020

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The County Woman

Monmouth County Monmouth2020 County Welcome to the March/April Issue of the Ocean County Woman!

Woman Woman Hello Readers and Happy Spring!

Since 2008

Since 2008

Although New Jersey experienced quite a mild winter this year, warmer temperatures are always welcome. In fact, winter practically passed us right by this year with not only mild temperatures, but also very little snowfall. The reason for this is something we have all been hearing much about: the polar vortex. This circulating stream of air forms over the Arctic during winter months and this year it has stayed in place. This keeps its cold air locked up north. Lucky for us we have felt very little of that brutal bone-chilling air.

I am particularly excited about the coming of spring. For one thing, it means I get to enjoy the fresh outdoors with my pup and soak up some much needed Vitamin D. Did you know that our State is home to 11 National Parks? The list includes Ellis Island, Thomas Edison’s Essex County residence, and even a section of the 2,185- mile long Appalachian Trail which stretches across 14 states.

Spring is also synonymous with flowers and after the April showers we can Fine Art Photography enjoy the blooms at one of the many public gardens across our state. Interestingly Tracy Harman Photography.......................................... 2 enough, many mental health professionals are using plants and gardening to help Medical Professionals patients of all ages recover from a variety of ailments. Horticulture therapy can be All-Care Physical Therapy Center LLC.......................... 3 used to improve the overall quality of life. Specifically, the lessening of stress and Toms River X-Ray, CT & MRI Center............................. 5 even reduction in some pain.

Reproductive Science Center of New Jersey............... 6 March is also all about the Green – St. Patrick’s Day! New Jersey Hematology Oncology Associates............ 7 Did you know that the reason we wear green on this day is Personal Enhancement Center...................................... 9 because legend has it that St. Patrick’s revelers thought Ocean Otolaryngology Associates.............................. 12 wearing green made one invisible to leprechauns. These Shore Vascular & Vein Center...................................... 13 fairy creatures would pinch anyone they could see not Intuitive Womens Health.............................................. 17 wearing green.

Kathy A. Banks, DMD.................................................. 18 All correspondence beAll addressed Ourshould area is filled with parades to: so get out should and correspondence be addressed to: Advanced Dermatology. .............................................. 21 enjoy the day with family and friends!

Gastroenterologists of Ocean County......................... 24 The County Woman The County Woman Advanced Memory Research Institute........................

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Medical Medical Professionals Professionals CORONAVIRUS 3D Mammography

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Every flu season, civilians and healthcare professionals are worried about their health and

suspicious, patients need to be called Breast cancer is the second leading cause of death are taking preventive measures to stay This year, backhealthy. for additional views.

The though, multiple we have an extra dose of among women. One in 8 women will develop breast the varietythat of coronavirus. images created by 3D mammograms Cancer in cancer in her lifetime.pressure: Each year it isnew estimated over have such increased accuracy that this breast 252,710 women in the United States will be diagnosed Cyrus Khorrami, M.D. your recovers. there is decreased need for this. On is body difficult to with breast cancer and more than 40,500 women will

Fortunately, most people with average 3D mammograms reduce detect on die the disease. This is why early detection is so coronavirus have recovered smoothly with To befrom clear, “coronavirus” callbacks by up to 40% compared to this standard important.

With early detection, the five-year survival supportive medical care. is a general term that refers to traditional mammograms. This means mammogram. rate isofnearly The latest weapon in the fight against a group viruses100%. that have less radiation exposure, increased Q: Preventive Measures for the breast cancer is 3D mammography (also known as breast convenience for our patients, and more similar structures. The group isn’t 2019 Coronavirus Outbreak new, but like any virus, has technology has increased early tomosynthesis).

Thisit new peace of mind.

Your chances of contracting the 2019 changed and over branched out mammograms, especially in detection traditional Ccoronavirus while going about your life Q: What can I expect when are incredibly small. Even among those over time. The outbreak we’re Greater accuracy means women with dense breasts. seeing now is merely the latest better breast cancer detection. having a 3D mammogram? who contract the virus, the vast majority are

branch of that family tree.

The clinical name for this new Q: What is a 3Dbut mammogram?

How is it different from virus is COVID-19, for ease of understanding, we’ll call it regular mammograms? the 2019 coronavirus.

A: 3D mammogram--also called breast tomosynthesis--is one of the most

A: The process of having a 3D

recovering smoothly.

mammogram is the same as a conventional 2D exam. The technologist will position you, compress your breast, and take images advanced forms of breast cancer detection. It uses a very low level of radiation to from different angles. There’s no Q: Did pictures the 2019 takeHow multiple of the breast. The x-ray tube movesAover breast an chestadditional CT the scan ofinthe of a patient withrequired, and it compression Coronavirus Start? images of each breast from different angles. A computer arc, capturing multiple only takes a few extra seconds. cornavirus shows infection in both lungs reconstructs Most peoplethese knowpictures that thistocoronavirus create a 3-dimensional picture of the breast. A regular outbreak started in Wuhan, China, but they Above all, though, the issue is that we Q: You Diagnosise the mammogram takes a single picture of the breast.

Q:How Do Do insurance companies don’t realize how. don’t know if there are other mysteries and 2019 Coronavirus?

The illness started among vendors at a problems with the 2019 coronavirus that Q: What is the advantage of 3D mammogram? fish market in Wuhan. It appears that this are undiscovered.

A: One challenges interpreting mammograms is normal dense breast virus usedof tothe circulate in the of animals that tissuesold hiding cancer.

Additionally, areasYou of normal dense breast were in thebreast market, most likely snakes. overlapping Q: How Do Tell the tissue can look suspicious. is why breast cancer in women In December, though, it madeThis a change wedetecting Difference Between the with 2019dense rarely seeisinmore viruses: it jumped and breasts difficult.

Thespecies 3-dimensional images of breast tomosynthesis help Coronavirus and the Common began affecting humans. decrease the tissue overlap that can obscure cancers. It also helps distinguish normal

Cold or the Flu? overlapping breast tissue from breast cancer. The 2019 coronavirus is a respiratory Q: Why Is the 2019 Coronavirus Studies have shown that 3D mammograms improve theare very virus.significantly That means its symptoms Dangerous? detection of breast cancer, especially in women with denser breast tissue.

It also similar to the common cold and the flu.

The problem with this new coronavirus The most reliable way to know which picks up breast cancer at an earlier stage, which may be missed by traditional is the word “new.” While researchers know illness you may have is through your travel mammography.

3D mammograms much about how other viruses in the find 20-65% more invasive breast cancers history or average that of someone to you. compared to traditional 2D mammograms, with an increaseclose of 41%. coronavirus family behave, we don’t yet

While there are a few 2019 coronavirus know how different the 2019 coronavirus cases in the United States, Q: Is there increased radiation performing a 3Dyou’re highly may be. unlikely to contract it unless you’ve recently mammogram?

We already know some concerning been to China, especially around Wuhan. facts about the virus. We know that it’s This coronavirus also The tendslevel to cause A: Mammograms expose patients to very low levels of radiation. of contagious before the symptoms appear so shortness of breath, body aches, and chills. radiation exposure from a 3D mammogram is the same as that from a traditional it’s difficult to contain. We know it spreads While these can also be present with a cold mammogram.

So a patient from person to person and thatreceives the virusall the benefits without any increased risk. the flu, theyfinds do increase chances that mammograms, when aorradiologist an areathe that is may With be abletraditional to live on non-human surfaces you have the 2019 coronavirus. for 24 hours or more.

Of course, it never hurts to take preventative measures. In fact, many of the tips to avoid the 2019 coronavirus are the same measures you can take to avoid other illnesses. They’re good habits to have allaround.

Using 3D mammogram 1. Keep Your Hands the Clean. technology, Hand wash often! cancer was able to be 2. Avoid touching others when it isn’t clearly seen. necessary. cover 3D mammograms?

That’s especially true for people you don’t There is overlap between this disease you may In notthe realize A: Medicare, private insurers, coverknow 3D because mammograms. past,they’re not and flu or a badand cold.many Doctors use clinical sick. all private insurance companies covered 3D mammograms.

However, in August symptoms including travel history to help 3. Clean Surfaces Often. with theNew diagnosis. andaCT findingsrequiring nearly all the major health insurers 2018, JerseyX-ray enacted mandate Especially areas that are touched by show disease the lung. Today, the only to cover 3Dinmammograms. multiple people. organization that can test for the 2019 4.

Stay Home if You’re Ill. Toms isRiver X-ray has been performing mammograms coronavirus the Centers for Disease The rule of thumb is to stay home until Control and Prevention (CDC). and serving the community for over 30 years. Our 3D you’ve been fever-free for 24 hours. mammogram If you think you may have the virus,on the market and has the most is the latest 5. Pay More Attention to Your Overall call ahead to a medical office so theyItcan advanced technology. is our mission Health. to provide the very prepare the facility and alert the CDC. Common mistakes like sleeping too little, best for patients.

We thank Explain yourour symptoms and whether you’ve you for trusting us with your eating an unbalanced and non-nutritious health and the orhealth your loved visited China recently have hadof close diet, having excessive stress, or exercising contact who has. to offering ones.with Wesomeone look forward too little can make your immune system you this significant advance in breast less effective. During this outbreak and Q: How to Treat the 2019 cancer screening. other high-illness times, make your Coronavirus healthy habits a priority.

For the 2019 coronavirus, as with many viruses, there is no direct treatment for the For more health tips, check out virus itself. The primary treatment is to Cyrus Khorrami, M.D. other articles on our healthcare blog. relieve symptoms and prevent the illness Medical Director from spreading to those around you while PARVIZ KHORRAMI, M.D. CYRUS KHORRAMI, M.D. Founder Medical Director PARVIN MOTEMADEN KHORRAMI, M.D.

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March/April 2020 September/October 2018

Medical Professionals

6

Helping Small Miracles Happen

Recurrent Pregnancy Loss Pregnancy loss is a devastating yet common event that occurs in about 15-25% of pregnancies. Most of these losses take place before the end of the first trimester.

However, fewer than 5% of all women will experience two consecutive losses. About 1% of women may be afflicted by three or more losses. Recurrent pregnancy loss (RPL) is defined as having more than two pregnancies identified by ultrasound which did not result in a live birth. The most common cause of these losses, or as more commonly called, “miscarriages,” is an embryonic chromosomal abnormality such as Down syndrome. Other conditions that may contribute to RPL include the antiphospholipid syndrome and anatomic factors. Less likely causes include hormonal or metabolic factors, infections, or clotting disorders. Although the overall prognosis for patients afflicted by RPL is quite good, this diagnosis is emotionally difficult to deal with for the patient. The immense sense of hopelessness that patients may experience can be devastating. For this reason, it is important to understand the patient’s feelings and concerns in order to provide adequate care.

As a woman gets older, her chance of miscarriage increases. This happens mainly because age affects the machinery responsible for genetic recombination within her eggs. In women under 35, the risk of sporadic miscarriages is at most 12%. For women over 40, this risk is close to 50%. In a small proportion of cases, the cause for pregnancy loss is due to abnormality. Preimplantation genetic screening can be done to reduce the chance of a chromosomally abnormal pregnancy.

Another entity responsible for RPL is called antiphospholipid syndrome. In this case, the mother carries antibodies which can affect the ability of the

embryo to adequately grow and be nourished within the uterus. Blood tests on the mother can be done to identify these antibodies, and a blood thinner may be indicated to improve on the chance of a live birth.

Uterine abnormalities are anatomic factors which are responsible for up to 37% of all RPL. The most common uterine abnormality is a uterine septum. Other conditions, such as doubling of the uterus or defects in the shape of the uterus, are less common. Nonetheless, a sonohysterogram or a hysterosalpingogram can be done to evaluate the shape of the uterus. These abnormalities are more commonly associated with second trimester losses.

Surgical interventions can lead to very successful pregnancy outcomes.

Hormonal problems such as thyroid, prolactin, and poorly controlled diabetes can account for a small proportion of RPL. A blood test can identify these conditions. Depending on the results, medications can be used to optimize these problems.

Other inherited clotting disorders are less likely to contribute to pregnancy losses. A thorough history from the patient can help identify if there is a need for additional blood tests to identify a propensity to blood clotting.

In summary, it is imperative to provide a diligent investigation of RPL as well as give emotional support in the form of psychological counseling. These patients deserve a caring provider who can listen and help reduce anxiety by clearly communicating and answering all questions and concerns in a timely fashion.

For more information call our Toms River office number at 732-240-3000 or visit www.FertillityNJ.com.

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March/April 2020

Medical Professionals

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Colon Cancer Dr. Apurv Agrawal

Colon cancer is the third most common cancer globally. In the United States colon cancer accounts for 8% of total cancer deaths.

It is seen more often in men than women. The incidence of colon cancer in the United States has been decreasing. Risk factors for developing colon cancer include genetics, inflammatory bowel disease, consumption of processed and red meat, obesity, as well as cigarette smoking and alcohol use.

One of the likely causes of the decreasing incidence of colon cancer in the United States is screening.

Screening improves prognosis by making an earlier diagnosis, which renders the cancer easier to treat.

Also, treatment prior to developing symptoms offers an improved survival rate. Screening helps by detecting pre-cancerous polyps, which can be removed before they progress to cancer. Screening methods include a colonoscopy or a stool test, among others.

Treatment of colon cancer depends on the stage at diagnosis. The diagnosis is most often made by a colonoscopy. Following a colon cancer diagnosis, CT scans or a PET/CT scan is typically ordered to see if the cancer has spread out of the colon. Stages I-III have no spread outside the colon, and surgery is the first step in management. At the time of surgery the colon tumor is removed, along with a minimum of twelve lymph nodes around the colon. Stage I means that the cancer has spread through the first or second layer of the colon with no involvement of the lymph nodes. Stage I patients do not receive additional treatment after surgery. Stage II colon cancers typically extend deeper through the colon layers with no involvement of local lymph nodes. Stage II patients are usually monitored without additional treatment, though in some cases certain clinical features may lead the oncologist to recommend treatment with chemotherapy. Stage III patients have involvement of the local lymph nodes. Stage III patients are offered 3-6 months of chemotherapy to decrease the risk of recurrence of the cancer and improve survival rates. Stage IV colon cancer patients have spread of the cancer outside of the colon. Most often their cancer has spread to the liver

and/or lungs. Treatment in stage IV patients involves chemotherapy and/or targeting treatments based on certain molecular features seen in the cancer itself. In some cases the tumor can be removed not only from the colon but also from the involved part of the liver or lung.

There are a number of good treatment options for colon cancer. Nothing, however, is better than regular colon cancer screening, which typically leads to an earlier diagnosis and better survival rates.

For more information, call 732-840-8880 or visit www.NJHOA.com.

New Jersey Hematology Oncology Associates

Girish Amin, M.D. Apurv Agrawal, M.D. Jayne Pavlak-Schenk, D.O. Randi Katz, D.O. Brick • 1608 Route 88 West, Suite 250 • (732) 840-8880 Toms River • 508 Lakehurst Rd., Suite 1-B • (732) 244-1440 Whiting • 63D lacey Rd. • (732) 606-4060 Neptune • 19 Davis Ave. • (732) 206-6226 Fax • (732) 840-3939 • www.NJHOA.com

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March/April 2020

Cake Shoppe & Tea Room

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Committing to ‘Memory’ – Designer Turns Her Baking Hobby Into a Full-Blown Career

AnnMarie Cooney AnnMarie Cooney did not grow up dreaming of becoming a baker. Visions of sugar plums and intricately decorated cakes were not dancing through her head as a young girl. By trade, Cooney was a kitchen designer, but retired early to raise her daughters. “With three girls, my job was to raise good women,” Cooney says. It was a special request from her daughter that would eventually turn her into a highly sought-after cake designer and baker.

“It all started because my daughter wanted a cake,” Cooney says with a smile. Cooney’s middle girl, was born with health issues that resulted in special needs. So when she wanted a circus cake for her fifth birthday, Cooney made her the best circus cake around. That was 14 years ago, and her girls quickly caught on to their mom’s special talent.

At every birthday, they requested a special cake. “It became, ‘what can we do next’ and ‘how can we top that,’ Cooney says.

Then she began making cakes for friends. Cooney’s husband had to build an additional kitchen at her house just to accommodate all of the special cake requests. When Cooney’s youngest daughter entered kindergarten six years ago, Cooney decided she wanted to go back to work. “But, I needed to figure out what I was going to do,” Cooney says.

Sadly, Cooney’s grandmother, with whom she was very close, passed away during this time. “I was sitting at home, just very sad, and my cousin called me to meet her at the park with her kids,” Cooney says. However, in the midst of grief, she didn’t feel up to it.

“My cousin sad, ‘come on grandma would want us to.’ So I went, Cooney says. On the way to the park, she saw the real estate sign.

She checked it out and immediately knew that it would be the perfect location for her bakery, A Sweet Memory Cake Shoppe & Tea Room. “My grandmother left each of her grandchildren a small inheritance and it was just enough for me to open my business,” Cooney explains.

Cooney spent about five years at that location before moving to another larger space six months ago just two miles down the road in Waretown. A beautiful picture of her grandmother has watched over her since the day she opened. It’s difficult to simply call Cooney’s creations “cakes.” Some designs are so intricate that they look like art. Cooney and her team created a three-dimensional depiction of Van Gogh’s “Starry Night” that captured the essence of this masterpiece with sweet, swirly curves and lines of vividly hued icing.

Then there’s the adorable panda birthday cake that could easily be mistaken for a cuddly toy. The list of unique, edible masterpieces goes on and on, That’s because they average a minimum of 30 specialty cake orders per week, mostly by working with different

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American Girl teas, unicorn teas and more. They even carry a line of tea geared towards little ones. “We even have a dress up section that ladies and little ladies love,” Cooney says.

A little help from above has turned Cooney’s one-time hobby into a business that brings customers joys bite by bite. The business that Cooney started out of her home has grown into a full-time operation with a staff of eight. “We work hard and we work a lot, but we really do love each other,” Cooney says. She says they have become a great team and she couldn’t do all of this without them.

Cooney’s brother-in-law, Paul Cooney, recently joined the team as chef and baker. There’s also Sarah Rod, the head decorator, and Cindi Reider, head fondant who works in fine detail. “Sarah and Cindi are so talented, they really are the best around, they’re artists,” Cooney says. Together, what they create can easily be considered art, but at the end of the day-or party or wedding or afternoon tea- and after the last bite, their masterpiece has been turned into a sweet memory.

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Our tea room serves lunch Wednesday to Sunday 11am to 4pm.

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catering and special event venues in and around Long Beach Island.

However, they also have a long list of loyal customers.

“Some of our customers started with a gender reveal and now we’re doing their fifth birthday cake,” Cooney says. Customer Kathy Helm of Waretown got her grandson’s birthday cake from Cooney close to five years ago. “It was perfect, I brought a couple pictures of what I wanted and they just did their thing,” Helm says. And she has been coming here ever since. “I’m in sales, so I bring my clients treats from here all the time,” Helm says. She’s also brought her granddaughter to Sweet Memory’s princess tea parties.

“Our clients really do become our friends,” adds Cooney. In addition to the special-order cakes, A Sweet Memory, has a selection of seasonal cakes, mini desserts, cookie sandwiches and other baked goods readily available daily. Other creative creations include their cake pies; cakes topped with pie filling and decorated to look exactly like a pie. “Our baking is very seasonal,” Cooney explains.

Winter flavors includes a tasted snowball cupcake, which is a chocolate cake filled with marshmallow and chocolate fudge, frosted with coconut buttercream, rolled in toasted coconut, drizzled with chocolate and topped with marshmallows. Or their gingerbread scone with maple cream. Or the orange, cranberry Christmas scone with orange cream.

“My grandmother used to always have her ‘lady friends’, as she called them, over for tea,” Cooney explains, adding that she wanted to honor her grandmother by adding a high tea to her bakery. “We squeezed one table in our previous location and began hosting afternoon teas.” They were all so well-received Cooney has expanded her operation to include a full-time tea room. Decorated with a lovely mix of china and flowers, the tea room serves tea, lunch and snacks from 11 a.m. to 4 p.m. Wednesdays through Sundays. They also offer a high tea, but reservations are required.

“Our clients have really created the charm of this place,” says Cooney, who adds almost of her china, platters and place setting have been donated by her customers. High tea ($27.95) is served on tiered platters and begins with an individual pot of tea, chosen from their selection of more than 50 teas. Followed by seasonally inspired salad and homemade soup, four varieties or tea sandwiches, freshly baked scones served with their specialty creams, and completed with a selection of their miniature desserts. “Everything from our meats to spreads, our dressings and chutneys, our soups are all made fresh in-house,” Cooney says.

Cooney also places an emphasis on healthy fare. “We source organic whenever possible and offer a large selection or vegetarian friendly dishes,” she says. With the extra space the tea room has added to A Sweet Memory Cake Shoppe and Tea Room, Cooney is able to host special events. “We’ve done cake-decorating classes and other ladies events,” Cooney says. They’ve also hosted princess teas,

Specialty Cakes • Wedding Cakes Cupcakes • Cookie Favors Loose Leaf Tea • Vintage & New Tea Pots Tea Related Gifts & Baskets 609-242-0153 • www.asweetmemory.net 521 Route 9 • Waretown, NJ • asweetmemorycakeshop@gmail.com

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March/April 2020

Medical Professionals

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March/April 2020

Legal Professionals

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HELPING PEOPLE PROTECT ASSETS FOR SPECIAL NEEDS CHILDREN AND CONDUCT SMOOTH REAL ESTATE CLOSINGS FOR OVER TWO DECADES. • Special Needs Trusts • Wills & Estate Planning • Guardianships • Health Care Proxies • Long Term Care • Powers of Attorney • Inheritance Tax Planning • Trusts 81 East Water Street Suite 2C, Toms River NJ 08753 732.281.0060 www.MatusLaw.com 125 Half Mile Road, 200 Red Bank, New Jersey 07701 This office by appointment only.

Christine L. Matus, Esq.

Estate Planning: Not Just for the Rich or Elderly!

By Christine L. Matus, Esq.

When you think of estate planning, you probably imagine an older couple with a large amount of wealth and possessions.

It makes sense that they need to get their affairs in order to properly allocate their assets after they have both passed, but what role does estate planning have for you if you’re young? Even if you’re single with no children and few assets, an estate plan is still essential for you to have. Let’s understand why: Power of Attorney

If you’re young and healthy, chances are you aren’t thinking about what might happen if you get in a serious accident. However, if you’re injured to such an extent that you are not able to make decisions about your own medical care, someone will have to do so on your behalf. If you don’t have a power of attorney, this could be a tricky situation.

Essentially, a power of attorney is someone who can make decisions on your behalf. Part of your estate plan will name your POA and can even specify guidelines for them to follow.

You might state you do not want to be kept in a vegetative state, or you might give specific instructions for how to handle your finances.

What Happens to Your Children?

Lack of assets is no reason to avoid estate planning, especially if you have children. If both you and your spouse are incapacitated or have died, you will want to have the final say

regarding who raises your children. In certain situations, there might be an estranged family member who decides they want to be involved, and without a plan in place, it could become a legal nightmare.

Naming a Beneficiary

You might not own a home or even your car, but naming a beneficiary is crucial for any adult.

Whether you’re married or not, you will need to name a person to be the one who receives your assets and handles your financial matters if you’re unable to. Again, having this set in place ahead of time avoids lengthy legal issues regarding who receives what.

If you are married, your spouse might not automatically receive everything if you pass away, despite that being a logical conclusion. You might want to specify a certain division of assets between your spouse and your children as well, and here is where estate planning will be key.

No matter your age or financial status, it’s necessary for you to undertake estate planning.

If you’re not sure where to begin, contact The Matus Law Group today. We can take an inventory of your assets and help you figure out the best plan for your situation.

The Matus Law Group can help make sure all documents are properly changed along the way.

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March/April 2020

Pediatric Services Torticollis: Tackling the Tilt Written By Julia McGlynn, PT, DPT Seashore Pediatric Therapy Center.

To all new and expecting parents,

Congratulations on welcoming your new little one into the world! I’m here to inform you of a common condition that affects up to 16%1 of newborn babies and possesses a critical timeline for intervention during the first months of life in order to yield maximal, faster results. If you have developed concern over your baby holding his or her head tilted or rotated to one side, a flat spot on your child’s head, facial asymmetry, your baby tracking your face or toys to a certain extent and then stopping abruptly, nursing exclusively on one side, or your child suckling on one hand or playing with toys in one hand more so than the other, then this article may be for you!

What is Torticollis?

Congenital muscular torticollis, or CMT, refers to tightness in the muscles of the neck causing a head tilt with rotation of the neck. The chief muscle involved is the sternocleidomastoid muscle, or SCM. This muscle is responsible for bringing your chin to chest, bending your head to the side of the muscle contracted, and rotating away from the muscle being contracted. You may have heard alternative names for CMT, such as ‘wry neck’ or ‘head tilt.’

CMT can be acquired before or during birth, or may develop within the first few months of life due to various factors. CMT can cause a limitation in your child’s range of motion to fully rotate the head, be able to symmetrically tuck the chin to the chest, and the ability to bring the ear to the shoulder. These limitations can impact the ability to establish midline, develop hand-eye coordination appropriately, develop gross motor skills, and coordinate each side of the body symmetrically if not addressed.

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existing conditions such as flattening of the skull as seen in plagiocephaly and brachycephaly, brachial plexus injury, facial asymmetry, hip dysplasia, and scoliosis.

Plagiocephaly and brachycephaly specifically can alter the length of the muscles of the head and neck, which can further contribute to CMT presentation. Babies who are of multiparous births, longer in length, delivered via forceps, breeched during birth, exposed to opioids, or first-born are more at risk for developing CMT.1 With the advent of the Back-to-Sleep Campaign, children have been exposed to less supervised tummy time and lack of positional variety during awake hours, contributing to a rise in CMT. The use of ‘containers’ such as swings, recliners, and car seats has also contributed to the rise secondary to lack of active movement as well as poor posturing of the head and neck while utilizing them.

Importance of Early Physical Therapy

If any of the characteristics mentioned in the beginning of this article resonated with you, it’s recommended you reach out to your pediatrician as well as a physical therapist in order to ensure CMT is the cause of your child’s head and neck positioning. Early detection and implementation of a treatment program is imperative to yield quick results and allow your child to continue developing their gross motor skills appropriately. When CMT is detected and treatment commences within the first month, CMT can resolve in as early as six weeks; whereas when CMT is addressed outside of this window, CMT and its effects on gross motor skill development may not resolve until six months to almost a year.1 Failure to address CMT can result in shortening of musculature on the same side of the body as the muscle affected, which may cause the child to only roll to one side, crawl asymmetrically, present gait abnormalities while walking, and make it difficult to coordinate negotiating stairs.

Physical therapists have the knowledge and tools to establish a positioning program, stretch the affected musculature, strengthen the head, neck, and core, and ensure that your child rolls, crawls, walks, and develops balance reactions symmetrically.

They are also trained to know when to refer out to other medical disciplines when other conditions may seem to be causing your child’s neck posture, or to a cranial specialist in cases involving plagiocephaly and brachycephaly when the use of a cranial orthosis may be beneficial for your child.

Why Seashore Pediatric Therapy Center?

What Causes CMT?

CMT can have many causes, including lack of movement in utero, ‘container’ use, lack of positional variety during the first few months of life, birth injury, and can also be associated with similar and co-

In addition to employing treatment interventions for your child, the physical therapists at Seashore Pediatric Therapy Center find it is imperative to utilize a family-centered approach in the treatment of your child. Our physical therapists have you attend each session, provide you with hands-on strategies to utilize at home, and collaborate and problem solve with families in order to receive the maximal benefit during your child’s course of care.

Reference: 1Kaplan, et al. Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline from the APTA (Academy of Pediatric Physical Therapy). Pediatr Phys Ther. 2018 Oct. 30(4):240-290.

Toms River: 950 Hooper Ave • Unit 2 Toms River, NJ 08753 848-251-5355

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Manahawkin: 230 Division Street Manahawkin, NJ 08050 609-607-7400 March/April 2020

Medical Professionals

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Are You Tired Of Sinus Pain And Pressure?

Did you know that sinusitis affects 37 million people each year, making it one of the most common health problems in the U.S.? It is more prevalent than arthritis and hypertension and has a greater impact on quality of life than diabetes or congestive heart failure. Symptoms may significantly affect people physically, functionally and emotionally.

How is Balloon Sinuplasty performed?

The majority of Balloon Sinuplasty is performed under general anesthesia in an outpatient setting, however, some surgeons are choosing to treat certain patients in their office under local anesthesia. The reported complication rate for Balloon Sinuplasty is low.

Is this procedure painful?

In select patients, Balloon Sinuplasty may be performed in the office under local anesthesia.

Local anesthesia is first applied via cotton applicators inserted in the nose. Injections of local anesthesia follow, but the majority of patients have no discomfort due to already being “numb.” Post-procedure pain medicine is provided but few patients use more than two doses. Patients who suffer from chronic sinusitis and are not responding well to medications may benefit from seeing an Ear, Nose, and Throat (ENT) physician who performs Balloon Sinuplasty to determine if the procedure is right for them.

Balloon Sinuplasty Stages

What are the sinuses?

Sinuses are air-filled pockets in the areas surrounding the nose. There are four groups of sinuses on either side of your face.

What is Sinusitis?

1 2 Sinusitis is an inflammation of the sinus lining tissue cause by bacterial, viral or fungal infections. Allergies may also contribute to sinusitis. When there are anatomic obstructions, or when the sinus openings shut, normal mucous drainage is blocked and infection and inflammation develop within the sinus. Over the past year, the approach to treating patients with sinusitis has changed. Now, treatment can include Balloon Sinuplasty.

What is Balloon Sinuplasty?

Balloon Sinuplasty is a breakthrough procedure that relieves the pain and pressure associated with chronic sinusitis. It is used by surgeons to safely and effectively treats chronic sinusitis patients who are not responding well to medications such as 3 4 antibiotics, nasal steroids, or over-the-counter (OTC) drugs, and are seeking relief from uncomfortable and painful sinusitis. Similar to how angioplasty uses balloons to open blocked arteries, Balloon Sinuplasty, a system of FDA-cleared, catheter-based Testimonial: instruments, opens blocked sinuses. This procedure is less invasive than traditional Having suffered with chronic sinusitis for years, I was advised by Dr. Peters I needed nasal surgery. sinus surgery. It allows most patients to return to normal activities quickly.

Being 79 years of age, I was a bit reluctant and, truly, not looking forward to the surgery. The ease and

www.OceanENTFacialPlastics.com

Bruce W. Peters, DO, FACS

convenience of having Balloon Sinuplasty performed in Dr. Peters’ office lessened any anxiety I had.

I was very pleased with the outcome and had no complications. I am very grateful for the care and service I have received from Dr. Peters and his wonderful staff.

Blessings, Rev. Lorraine Merritt

In 1997, Dr. Peters started as a sole practitioner in Ocean County and laid the foundation for one of the area’s premier Otolaryngology practices. A graduate of Philadelphia College of Osteopathic Medicine and residency at Thomas Jefferson University Hospital, Philadelphia. Dr. Peters then completed his Fellowship in Facial Plastic Surgery and Reconstructive Surgery at the University of Miami Hospital. He specializes in functional and cosmetic nasal surgery, sinus surgery, thyroid surgery and skin cancer surgery. Dr. Peters is a Diplomate of the American Board of Otolaryngology, Head and Neck Surgery, A Fellow of the American College of Surgeons, a member of the Academy of Facial Plastic Surgery, the N.J. Academy of Otolaryngology, and the Academy of Otolaryngology, Head and Neck surgery.

He resides in Wall , N.J. with his wife and two daughters and enjoys golf and fishing in his leisure time.

Stephen Kupferberg, MD, FACS

Christina Gillespie, MD

Nurse Practitioner Rajat Sood, APN

54 Bey Lea Rd., Suite 3, Toms River, NJ 1707 Atlantic Avenue, Wall Township, NJ

For more information, call 732-281-0100 or visit www.Ocean ENT FacislPlastics.com.

Happy St. Patrick’s Day St. Patrick’s Day Recipe: How To Make Irish Potatoes Ingredients:

• 1/4 cup butter, softened • 1/2 package cream cheese • 1 teaspoon vanilla extract • 4 cups confectioners’ sugar • 2 1/2 cups flaked coconut • 1 tablespoon cinnamon

1. In a medium bowl, beat the butter and cream cheese together until smooth.

2. Add the vanilla and confectioners’ sugar; beat until smooth.

3. Using your hands, if necessary, mix in the coconut.

Roll into balls or potato shapes and roll in the cinnamon.

4. Place onto a cookie sheet and chill to set. If desired, roll potatoes in cinnamon again for darker color.

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May your pockets be heavy and your heart be light, May good luck pursue you each morning and night.

-Irish Blessing

March/April 2020

Medical Professionals

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Medical Professionals

13

Varicose Veins?

Painful Swollen Legs?And Help Answers Is Available!

The Most Common Questions

Concerning Varicose Veins

An Interview With Dr. Jeffrey S. Gosin...

is the cause of most varicose Varicose veins and their underlying cause, known as venous reflux disease, veins. We have now performed thousands of theseveins procedures are theare most circulatory aricose veins one ofcommon the most common vascular How are varicose and venous reflux diagnosed? and results have been excellent.” problems that affect individuals of all conditions affecting women...and men of all ages.

An experienced vascular specialist can make the diagnosis with “One of theofsignificant ages.

Treatment options have improved greatly in a combination a medical history, physical examination and a advantages to seeing a vascular These conditions are twice as common as recent years. In spite of these advancements, painless vascular test called a Doppler ultrasound (also known as surgeon for vein care is that coronary heart disease.

They occur when vein many people mistakenly still believe that treat- a venous duplex scan.) Making the correct diagnosis is essential we treat the full spectrum of valves in the legs become damaged, causing ment for this problem is difficult, painful, and in properly treating this condition. vascular diseases, from routine abnormal blood flow in the affected veins. simplyConsequently, considered “cosmetic.”

Other people How arecomplicated varicose veins ones”and saysvenous reflux treated? blood is allowed to pool in the to very may experience leg pain and other symptoms Sometimes stockings will be sufficient to control Dr. Gosin. “Wecompression have experience lower legs. This causes a variety of physical Jeffrey S. Gosin, MD, FACS but they don’t realize what is causing their with conventional opencomplications. surgery, symptoms such as leg pain, leg swelling, symptoms and prevent When procedures are needed, condition.

This article will answer some and aretechnology certainly prepared heaviness and fatigue, and skin itching. It can also cause the appearance of current and techniques, allow for treatment WITHOUT is thattreatments modern common to do that when necessary. unsightly varicose and spider veins.questions regarding varicose veins, the need for painful surgery. One The of thegood best, news most proven JeffreyPeople S. Gosin,who MD, FACS the associated symptoms, and such treatment. more and we areProcedure, have occupations that require standing, as casino vein care forHowever, venous reflux is themore Closure® nowallows referredfor to astreatment Venefit™. able to treat our patients with employees, food servers, school teachers, and many other similar jobs are many of these problems What are varicose veins?

This minimally invasive procedure of is performed right in the office in minimally invasive procedures. especially prone to these problems. In addition, people who have a family Varicose veins are swollen veins that can be seen through the skin. in less than 30 minutes, with no incisions, minimal discomfort, a far less invasive way than in This is especially true for history of varicose veins, who are overweight, or who have been pregnant They often have a bulging, twisted appearance. Some varicose veins and excellent results. the past. varicose veins and venous are at risk. It is also possible to have varicose veins without any of these risk may be very large and discolored.

Others may be smaller.

They can How long is the recovery from vein treatment? reflux.” factors. occur Venous anywhere on the legs, including the groin area.

If you are suffering from the appearance of varicose In most cases individuals cansymptoms return toortheir usual activities within reflux disease and varicose veins become more common veins, if you have leg symptoms that you think might be related to your withcauses age. Existing varicose What varicose veins?veins can also become more prominent or a day oforthe procedure. the Board Certified Vascular Surgeon at Shore Vascular & Vein symptomatic individuals get older. cases, Blood mustasflow up, against gravity,Intomore exitsevere the legs andpeople returnwith to long Is circulation, varicose vein treatment covered by health insurance?

Center is available to help. Most health insurance is accepted. standing varicose veins and chronic leg swelling can develop permanent loss the heart. Our leg veins have one-way valves that assist in this process.

Venous reflux disease is a medical condition. Therefore, in many of integrity andmalfunction discolorationand of the skin, leg wounds, andflow blood clots.

Those valves can leak, causing blood to in the

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cases, varicose vein treatment is covered by health insurance. An The good news The is that modern care allows treatmentthe of pressure many of wrong direction. blood thenvein pools in the legs,forincreasing Please for a center consultation or for additional experienced veincall treatment will have insurance specialists who these problems in a far less invasive way than in the past. in the veins. This is known as venous reflux disease or Chronic Venous will work with your insurance(609) company to confirm (8346) coverage. information.

927-VEIN Insufficiency (CVI). Venous reflux one of thesurgery most are common causes Hospitalization and painful veinis stripping not necessary. or visit us at www.GetGreatLegs.com.

VISIT www.GetGreatLegs.com Jeffrey Gosin, of varicose veins.M.D., a Board Certified Vascular Surgeon with Shore Vascular & Vein Center states, “In our practice, we have been caring for

What are the symptoms of varicose veins and venous reflux disease? individuals with vascular problems, such as varicose veins, for our entire People with varicose veins and venous reflux may feel leg pain, leg careers. In recent years there have been fantastic advancements in the heaviness, legoffatigue and/or legInswelling.

Itching of offer the skin the legs is treatment vascular disease. many cases we can theseofstate-of-thealsoarta treatments very common complaint.

Standing may worsen symptoms.

Many to our patients. As a result, we are able to treat most of the people will notice the appearance of bulging legs veins.

However, some vein problems that people experience with minimally invasive, outpatient people will only feel of discomfort but not notice cosmetic changes. procedures.

Many these are performed right any in the office. These procedures have the advantage very problem. safe and effective.

I thought varicose veins are justofabeing cosmetic Is that Patients true? usually experience minimal discomfort, are able to walk immediately It is important to understand that varicose veins and venous reflux following the procedures, and have fast recovery.” are NOT necessarily simple cosmetic problems. This can be a sign of One of the advancements in vein care is the Closure Procedure. This an abnormal condition in the circulation. In addition to pain, some indiprocedure treats varicose veins at their underlying source, by eliminating viduals may be atDr. riskGosin for chronic swelling, permanent skin venous reflux. states, “The Closure Procedure hasdiscoloration, greatly open wounds and even blood clots.

With early diagnosis and treatment, improved the way that we treat patients with varicose veins and venous long-term complications can usually be prevented.

Treatment often reflux disease. It is performed in a comfortable office setting. Generalhas theanesthesia added benefit improving even iniscases thatbyare not is notof necessary.

Theaesthetics, whole procedure guided ultrasound. considered Therefore,“cosmetic.” incisions and sutures are not needed. That means less pain and faster recovery forvaricose our patients.

Who is at risk for veins?The procedure takes about 20 minutes to perform and standing is over 95% successful venous reflux, which Prolonged or sitting on in oneeliminating place, family history of varicose veins,TESTIMONIAL and being overweight are all known risks. In addition, increasing age and are risk people may develop varicose “Mypregnancy legs look and feel factors. so muchSome better!

Making appointments was veinseasy without having any of these conditions. and they worked with myknown crazy schedule.

Dr. Gosin and his staff

• The The Venefit ClosureProcedure Procedure • Microphlebectomy

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

442 Bethel Road Somers Point, NJ 08244

(609) 927-VEIN (8346)

www.GetGreatLegs.com were very understanding about my care. Highly recommend!” - K.R. www.TheCountyWoman.com The County Woman Magazine

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

May/June 2016 2019 March/April 2020

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Nursing & Long-Term Rehabilitation EVENTS UPCOMING EVENTS UPCOMING EVENTS

Fountainview

Tallwoods Care Center Tallwoods Care Center April 18 18 - Spring Fling Brunch April - Spring Fling Brunch with Musical Entertainment with Musical Entertainment 11:00 amam to 12:15 pmpm with door 11:00 to 12:15 with door

Tallwoods Care Center Tallwoods Care Center A Premier Nursing, Rehabilitation, & Long-Term Care Center A Premier Nursing, Rehabilitation, & Long-Term Care Center 18 Butler Blvd., Bayville, 08721 18 Butler Blvd., Bayville, NJ NJ 08721 www.TallwoodsCareCenter.com www.TallwoodsCareCenter.com 732-237-2220 732-237-2220

Community ________ Bingo ________ Foutainview Care Center Foutainview Care Center April 22nd April - Community April 18 18 - Community Bingo 12:00 to 1:15 Bingo 12:00 pmpm to 1:15 pmpm 12:00pm

Fountainview Care Center Fountainview Care Center Discover Ocean County’s Fountain Youth Discover Ocean County’s Fountain ofof Youth 527 River Ave., Lakewood, 08701 527 River Ave., Lakewood, NJNJ 08701 www.FountainViewCareCenter.com www.FountainViewCareCenter.com 732-905-0700 732-905-0700

Tallwoods Care Center Celebrates Resident’s 109th Birthday On January 24, 2020, the staff and residents of Tallwoods Care Center came together to celebrate the 109th birthday of one of their residents.

Birthday balloons and decorations filled the room.

Local students from elementary school CBW of Bayville provided 109 individually written birthday cards in honor of the momentous occasion.

Hilda Brown is the oldest resident at Tallwoods Care Center and one of the oldest citizens in the state of New Jersey. Hilda was born on January 20, 1911 in Newfoundland, Canada. Hilda is the only living member from her family of 10. Hilda’s mother passed away at a young age, leaving her to help raise her young siblings. In the mid 1940s, Hilda moved to the United States and settled in Fort Lee. She worked as a waitress for more than 40 years, where she was loved and admired by all of her coworkers and clients alike. Hilda retired from her waitress job at the age of 70 and moved to Bayville, NJ. Hilda became an active member of the community and her church. She participated in all church functions, hosted church events and played the organ for church causes. She would knit scarfs, blankets and hats to be given out to needy members of the church and veterans. Hilda traveled the world with church missionaries, taking her to places as far as Jerusalem, Egypt and Africa.

At the age of 88, when most people are enjoying their retirement years, Hilda decided that she wanted to do more for the community. She joined a local senior resident center, where she worked as a housekeeper and helped the residents wherever and whenever possible, although most of the residents were a lot younger than she was.

In 2014, Hilda came to Tallwoods Care Center, where she now currently resides. When asked, “What is the single most important factor to your longevity?” Hilda answers with a smile, “The key to a long life is to be happy, stay positive and keep yourself busy,” adding, “I drink a black coffee every morning and receive excellent care at Tallwoods Care Center.”

Say Hello to Tallwoods Care Center Newest member Pet Therapy Dog “Dakota” Dakota is a well-trained, smart, caring, comforting Therapy Dog who loves people.

Dakota will be available the fourth] Thursday of every Month at 10:00am

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March/April 2020

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Hair Salon

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Health & Wellness

Dawn Ferrentino : Health & Wellness Coach Now Is The Time To Take Your First Step To A Healthier You!

Dawn Ferrentino

Health & Prosperity Specialist

Did you set a New Year’s Resolution for your health and you already broke it? How about we focus on results, not resolutions. Diets fail us. Living a healthy lifestyle is what works! Are you sick and tired of feeling sick and tired? Are you having trouble losing weight? Do you struggle to get out of bed when that alarm clock goes off? Or maybe an extra $500 a month would help relieve some stress. If you answered yes to any of the above, keep reading!

Dawn Ferrentino specializes in helping thousands of people achieve their desired physical goals and feel their absolute best they possibly can! If you are ready to make a healthy lifestyle change that will help you shed weight and be healthy at the same time, this is exactly what you are looking for.

Here are some main points to know about this program: • Easy, convenient and sustainable life style • Guaranteed results - get your body back or get your money back • Weight loss/energy/improved performance • One on one coaching • Customized packages to fit your needs.

Call: 908.208.0002 Email: dawnferrentino07@gmail.com Web: dawnferrentino.com

The County Woman Magazine www.TheCountyWoman.com

dawn.baronferrentino March/April 2020

Medical Professionals

What is International Women’s Day?

International Women’s Day, March 8th, is a global day celebrating the social, economic, cultural and political achievements of women.

The day also marks a call to action for accelerating gender parity.

What’s the history of International Women’s Day?

International Women’s Day has been observed since the early 1900s.

In 1908 great unrest and critical debate was occurring amongst women. Women’s oppression and inequality was spurring women to become more vocal and active in campaigning for change.

Then in 1908, 15,000 women marched through New York City demanding shorter hours, better pay and voting rights. In accordance with a declaration by the Socialist Party of America, the first National Woman’s Day (NWD) was observed across the United States on February 28, 1909. Women continued to celebrate NWD on the last Sunday of February until 1913.

In 1910 a second International Conference of Working Women was held in Copenhagen. A woman named Clara Zetkin (Leader of the ‘Women’s Office’ for the Social Democratic Party in Germany) tabled the idea of an International Women’s Day. She proposed that every year in every country there should be a celebration of Women’s Day on the same day to press for their demands.

International Women’s Day was honored the first time in Austria, Denmark, Germany and Switzerland on March 19th. More than one million women and men attended IWD rallies campaigning for women’s rights to work, vote, be trained, to hold public office and end discrimination. However, less than a week later on March 25th, the tragic ‘Triangle Fire’ in New York City took the lives of more than 140 working women, most of them Italian and Jewish immigrants. This disastrous event drew significant attention to working conditions and labor legislation in the United States that became a focus of subsequent International Women’s Day events.

So make a difference, think globally and act locally.

Let’s make every day an International Women’s Day!

International Women‘s Day is on Sunday, March 8th, this year — and it’s time to celebrate all of the amazing women. This holiday is all about encouraging women to actively choose to “challenge stereotypes, fight bias, broaden perceptions, improve situations and celebrate women‘s achievements.”

17

Intuitive Women’s Health is proud to announce that it will be opening its doors in March 2020.

“Embracing Your Inner Beauty with an Integrated Approach to Women’s Health.”

Natalia Rezvina , M.D., Fellow of the American Board of Obstetrics and Gynecology (FACOG) , member of American Association of Gynecologic Laparoscopists (AAGL) completed her residency at UMDNJ-Newark program.

Natalia Rezvina, MD, FACOG She is a well-seasoned and well-respected OB/GYN physician servicing patients from Ocean, Atlantic, and Cape May counties. She worked for Somers Manor OB/GYN practice, branch of Axia Women’s Health, in Southern NJ from 2009 to 2019.

During this last year of her working as Ob/Gyn hospitalist at Shore Medical Center she realized that there is an extreme need for female Ob/GYN providers in the community. Thus, she faced the fear and embraced challenges of opening her own practice. Her vision is to attract more female Ob/Gyn providers into our community, develop teaching opportunities for future women’s health providers.

Dr. Rezvina is a passionate advocate for women’s health from adolescence, the child-bearing years to postmenopausal care. No woman is too young or too old to be seen at her practice.

She believes that women should be treated beyond their physical complaint. “We have a body, soul, yet we are the spirit”, conflicts between spirit’s needs and body’s needs most often end up in the shift in our ability to function and heal, eventually leading to the “dis-ease “. Intuitive Women’s Health practice mission is about servicing women of the community according to their “body & spirit “needs, incorporating knowledge of traditional science of medicine with the alternative therapies, like Meditation, Yoga, Acupuncture, Massage, Physical Therapy, and many more.”

Dr. Rezvina is known as “baby whisperer” at the maternity unit at Shore Medical Center. Her primary C/S rates are the lowest among all Ob/Gyn providers in the department (13-25%).

Intuitive Women’s Health provides wide range of services to women: • Comprehensive prenatal care, childbirth and postpartum care • Family planning (preconception counseling, infertility, contraception) • Quick and easy “90 seconds” IUD placement • Routine women wellness exams • Menstrual abnormalities (fibroid uterus, adenomyosis, PMS, heavy periods) • Intractable pelvic pain, painful intercourse, painful bladder syndrome • Pelvic floor relaxation (bladder/uterine prolapse) • Evaluation and treatment of urinary incontinence, medical and surgical (TVTO sling) • Minimally invasive gynecological surgeries (laparoscopic hysterectomy, vaginal hysterectomy) • Laparoscopic treatment of ovarian cysts, endometriosis Dr. Rezvina is affiliated with Shore Medical Center in Somers Point, NJ, the only “Planetree Designated® Person-Centered Hospital” in South Jersey.

Open House March 8, 2020!

Let’s celebrate International Women’s Day!

12pm-4pm

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

18

Medical MedicalProfessionals Professionals

31

If You You HaveBeen BeenTold ToldYou’re You Are Not CandidateFor ForDental DentalImplants?

Implants: Have Not A ACandidate

SEE DR. BANKS! If So… Come And See Dr. Banks—There May Be A Solution For You!

Often, patients are told that they are not candidates for dental implants because they “don’t have enough bone” or their “sinus is too low.”

Both conditions are correctable problems in almost all patients, according to Dr. Banks.

What are the main reasons that How do I know if I need bone grafting?

When the gum ridge wherepatients teeth are missing is too thin to place a dental implant, are told they can’t have Dr. Banks: When you come in for your consultation, I will bone grafting can be performed to correct the problem. What that means is examine that a bone dental implants? you and review your medical and dental history. We may replacement product, or even the patient’s own bone, can be placed into the deficient area,dental cone beam scan. Using a virtual implant Dr. Banks: Most patients who come to perform a 3D stabilized, and allowed to heal.me Following healing, dental implants can be placed intosoftware, that for second opinions regarding dental planning I will show you right then where implants area and then restored with porcelain called implant teeth. surgeryThis haveprocedure been toldisthey can’t“ridge augmentation” would be ideally located in your jaws, and any bone grafting that and can be accomplished in both the top and bottom jaws. have dental implants because they “don’t would need to be done to make that happen. Also I will be able to have enough bone.”

Many of these patients you the neighboring teeth, sinus cavity, nerves, or any other When teeth are missing, the sinus that lies above the top jaw will expand show downward have boneThis at theis time of that problem structures that according we need to consider in planning the best treatment into the ridge and cause bone don’t loss in theenough gum ridge. a correctable as well, appointment, but if they are willing to for you. Then I will be able to discuss your options so you can make to Dr. Banks. “A Sub-Antral Sinus Augmentation – commonly called a ‘Sinus Lift Procedure’ – can be undergo a minor or major bone grafting the best choice for your treatment goals, lifestyle, and I hate to say performed, sometimes even at the time of implant placement. This procedure increases the amount of procedure first, they can become a candidate it, but your pocketbook. bone in the area where we would like to place a dental implant. Again, a bone replacement product or for dental implants.

Kathy A. Banks, DMD Is bone grafting painful? even the patient’s own bone can be used.”

Dr. Banks: Most bone grafting procedures can be performed safely and A common is thatmean? the bone is placed into the sinus. In reality, the sinus membrane What doesmisconception “bone grafting” comfortably in the office setting with intravenous sedation or general Dr. Banks: In up a nutshell, bone grafting means taketo bone from is actually lifted (hence to name “sinus lift”)toback where it one should be, and the bone graft anesthesia.

That way,material anesthesia medications as well as local anesthesia source,under and tothe graft thatmembrane, bone, or place it, into the an area is sinus contour is placed sinus restoring gumwhere ridgethere and the together in one (numbing the gums and bone) assure our patients a very comfortable a bone deficiency. This may be done for many reasons; for example, procedure. procedure. Minimal to moderate swelling and some discomfort can be to reconstruct the jaw when a large portion of bone is removed in the for aCT fewscanning days afterwards, and our patients are treated with Dr. Banks incorporates state-of-the-art diagnostic procedures, such as 3Dexpected cone beam treatment of pathology (e.g., cancer, cysts or tumors) or in the event of comprehensive of the face andinjury, jaws, or to aevaluate her (birth) patients for bonesuch grafting procedures. way, I canmedication accurately protocols to manage their post-treatment a traumatic congenital condition as cleft lip and “That phase. diagnose palate. the magnitude of the bone loss in the area where we would like to place implants and the quality of the patient’s bone ridge in that area, and pre-plan the surgery to ensure the bestthere possible outcome.” to grafting?

Are alternatives How does this relate to dental implant surgery?

She also prepares and uses advanced biologic materials into grafting procedures as Yes, L-PRF Dr. such Banks: there are implant options other than traditional implant.

Dr. Banks: Sometimes when a patient has bone loss due to longstanding There are narrow diameter implants that may be used in some situations (Leukocyte-Platelet Rich Fibrin) which are made right in the office at the time of surgery. periodontal disease, bone grafting done at the time of tooth extraction where the jawbone is thin. In the past these implants were called “mini Andreplace finally,orthere is athe preconceived notionofthat these procedures are painful procedures.

“There can restore height and width the bone.

Once the bone implants” and were intended for temporary use. The modern narrow aregraft multiple anesthesia for the surgical part ofSometimes, the bone grafting she says. “We offer has healed, then options dental implants can be placed. when a process,” diameter implants are now approved for permanent use. There are also intravenous general anesthesia and sedation, nitrous oxide and local anesthesia” so that all her patients can patient is missing teeth for a long time, the bone of the jaw undergoes a short body implants that may be used in some situations. These implants be process treated called comfortably. atrophy. This means that the size and bulk of the jawbone can be used in certain patient situations where the bone height is too in thecourse, area where teeth areitmissing is diminished time. Bone “Of I’m making sound easy but theseover procedures are grafting technicallyshort demanding and takeimplants. years for conventional on the lower ridge, also called “guided bone regeneration,” will correct of practice to gain the proper expertise. You only want your bone grafting procedures performed by a If you have been told that you are not a candidate for dental that problem. In the upper jaw, sometimes the sinus will dip down into well-trained, ABOMS-certified oral and maxillofacial surgeon.” implants, please see Dr. Banks. With extensive training, expertise and the area where teeth are missing. This is routinely corrected with another experience in bone grafting and dental implant treatment, she has the grafting technique called a “sinus lift” procedure. Grafting the tooth extraction’s socket at the same time as the tooth extraction procedure can solution for you! even prevent bone atrophy.

For more information, call 609-488-2325 or Call visit Dr.www.drbanksoms.com Banks Today! 609-488-2325 • www.drbanksoms.com

Kathy A. Banks, DMD Oral & Maxillofacial Surgery

Your Expert in the Face, Mouth and Jaws 249 S. Main Street Barnegat , NJ Specialty Lic #4070

609-488-2325 www.drbanksoms.com The www.TheCountyWoman.com TheCounty CountyWoman WomanMagazine Magazine www.TheCountyWoman.com

8 AM - 5 PM (Mon. - Fri.) Bone Grafting • Dental Implants General and Intravenous Anesthesia Jaw Pathology and Reconstuctive Jaw Surgery

November/December 2017 March/April 2020

Medical Professionals Legal Professionals

19 7 19

PERSONAL INJURY CLAIMS – WHEN YOU NEED A LAWYER When bad things happen to good people, a lawyer’s services are necessary to ensure that you get the most compensation for your injuries.

Why do I need a personal injury attorney?

Experience and expertise. Personal injury attorneys often have: • Trial experience (whereas other types of attorneys may not); • Negotiation experience; • An in-depth understanding of medical diagnoses and processes associated with personal injuries; and • An in-depth understanding of negligence law and other torts.

Factors to consider

When you begin the process of choosing a personal injury attorney, you will want to understand what makes a good lawyer. One important factor is trial experience. While not all cases go to trial and most settle out of court, you will want to hire an attorney who is a certified trial attorney and is not intimidated by a trial.

Know the facts of your case and have as much documentation as possible.

Before meeting with an attorney for an initial consultation, write down and know as many facts of your case as possible.

The attorney may want to see any or all of the following: • Police or incident report • Medical documents, including bills, diagnoses, and test results • Pictures of the location of the incident or accident, damage, injuries or anything from the scene • Written statements from witnesses • Your insurance policy (if applicable)

Feel comfortable with the attorney

You are going to be spending a good amount of time with your lawyer, so you want to make sure they make you feel comfortable, will be available to answer any questions you may have, and will have a positive outlook about your case.

TESTIMONIAL “I am a long-time client of Kevin Riordan. Among other things, he has represented my mother for a fall and me in a worker’s compensation case, with great results. Sometimes the process gets complicated, but I feel confident when he is battling on our side because I know he has a great reputation as a trial attorney.”— William H., Manahawkin

.

Size Matters

Law offices range in size from sole practitioners to firms with hundreds of lawyers. While large firms may be more attractive, there are undeniable benefits to hiring a smaller firm.

Small Firm

Small firms can be an excellent choice and so you may want to consider retaining one if it makes sense, given the nature of your legal problem. Although no two firms are the same, potential benefits of hiring a small firm include: • A more direct working relationship with your lawyer.

Your case is not going to get lost in the shuffle.

• Lower fees and costs. It is not unusual for a small firm to charge less than a big firm might charge for doing the same type of work.

• A more informal working relationship. You are likely to get to know everyone in your lawyer’s office if he or she is with a small firm. This can lead to a better working relationship, which may make you feel more comfortable.

For a free consultation, please contact Kevin Riordan, Esq., at 732-240-2250.

Kevin B. Riordan, Esq. With over 20 years of trying cases in New Jersey, you can rest assured that if you hire Kevin Riordan he will not settle for less than the fair amount. A lawyer’s services are necessary to ensure you get the most compensation for your injuries. Kevin attended Kalamazzo College and received his law degree from New York Law School. He is a member of the Ocean and American Bar Associations. He is certified by the Supreme Court as a Civil Trial Attorney.

Kevin B. Riordan

Certified by the Supreme Court of New Jersey as a Civil Trial Attorney

732-240-2250 kriordan@kbrlawfirm.com

.

20 Hadley Ave., Toms River, NJ 08753

www.kbrlawfirm.com

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Email:___________________________________________ 2 tsp lime zest • In smal bowl combine ingredients.

You Deserve To Feel1 Your BEST! Let’s Start Your 1/2 tspAbsolute dry mustard • •Transformation Place ribs• on grillToday! for Clip and Mail to: The County Woman P.O. Box 619 Turnersville, NJ 20-25 08012* minutes.

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The County Woman Magazine www.TheCountyWoman.com

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

March/April 2020 September/October 2018 November/December 2019

20

Legal Professionals Establish a plan, diffuse a crisis, or ask a question...

ANNEMARIE SCHREIBER, ESQ. Certified Elder Law Attorney*

has the knowledge and experience to help you!

Elder Law Attorneys – Not Just for Seniors Elder Law encompasses many different areas of the law. An attorney who specializes in elder law uses his or her legal knowledge to assist the needs of seniors and the disabled. Oftentimes, seniors face legal concerns that are different from what they faced when they were younger. Actions taken, or the lack of taking any action, may have unintended legal consequences. The advantages of utilizing the services of an elder law attorney benefit not only the senior but his or her family as well.

Many seniors mistakenly assume their family members will be able and willing to “take care of everything” if something goes wrong with their health or finances. This “no action” approach is risky and can lead to unnecessary problems for both the senior and his or her family members. Failing to plan for the future can wind up being far more expensive than just taking the time to put affairs in order. It’s common for seniors to put off making legal preparations.

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

Many seniors procrastinate because: • they are apprehensive about spending the money on the required legal services, or • they may not want to think about their mortality, or • they think their family members will be able to handle their affairs, or is also known as a health care proxy directive, • they may not want to how care unpredictable a durable power of attorneyface for health or an advance their directive. An remaining years amay be.person to be his or her representative in the individual appoints trusted

event the creator of the document can no longer make medical decisions for

Unfortunately, taking no action may result in far greater him- or herself. problems as the senior may no longer be competent to a legal document in which legal an individual states his or make informed isdecisions or to handle matters.

This her wishes regarding medical treatment andcostly end ofand life care.

An individual’s leaves the family members with the timepreferences task for medical treatment end authority of life care aretooften consuming of fighting forandlegal act included on theirin loved one’s behalf – known as a guardianship. Guardianship proceedings are expensive, time-consuming and often stressful.

It’s important to plan for the future. If you, or a loved one, are in need of guidance in the area of elder law, I can sit down with you and your family members to help navigate these issues.

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

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

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

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

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

Medical Professionals

21

EXPERTS

IN ALL AREAS OF

CUTANEOUS MEDICINE: Adult and Pediatric General Dermatology Mordechai M. Tarlow, MD, FAAD Clinical Assistant Professor of Dermatology University of Pennsylvania School of Medicine Diplomate, American Board of Dermatology Fellow, American Society of Mohs Surgery Fellow, American Society of Dermatologic Surgery

Oncologic Skin Disease (skin cancer) Surgical Treatment Cosmetic Dermatology Mohs Micrographic Surgery

Esther Stern, NP-C Fay Prag, NP-C Pesha M. Cohen, NP-C At Advanced Dermatology and Skin Surgery our goal is to provide you with the highest quality skin health care in a nurturing and compassionate environment.

Our experienced providers work side by side in an atmosphere of collaboration.

We look forward to creating a trusting relationship, in which we can work together to keep your skin looking and feeling its best!

Most major insurance plans accepted.

Visit our website at adssnj.com

CALL:732.905.9200 We are located a short five minutes from the Garden State Parkway: 456 Chestnut Street, Lakewood, NJ 08701

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The County Woman Magazine www.TheCountyWoman.com

BYOB - Bring Your Own Bag! March/April 2020

22

Financial Management The SECURE Act

By this time many of you may be aware that recently Congress enacted legislation that included the SECURE Act, taking effect January 1, 2020. SECURE stands for Setting Every Community Up for Retirement Enhancement. How is that for Washington speak?

As background, the SECURE Act [H.R. 1994] passed the House last year on a bipartisan basis, by a vote of 417 to 3, but then stalled in the Senate. A few Republican Senators objected to unanimous consent for the bill. In December, Congress enacted tax-and-spend legislation to which the SECURE Act was included.

The Act includes a number of liberalizations that should promote retirement savings. For example, the prohibition on contributing to a traditional IRA upon reaching age 70½ has been eliminated. Required minimum distributions from IRAs and qualified retirement plans may now be delayed to age 72, rather than age 70½.

To pay for the changes that result in delayed tax collections, the Congress changed the rules rather drastically for inherited IRAs. Under the old rules, one who inherited a traditional or a Roth IRA was allowed to take minimum distributions from the account over his or her lifetime. For example, a 50-year-old could spread the payments out over 34.2 years. If a great-grandchild inherited the account, the payout period could be as long as 80 years! This planning strategy was known as the “stretch IRA,” and it was understandably popular. To assure that the IRA was not invaded prematurely, some people paired the stretch IRA with a trust plan.

The SECURE Act largely eliminates the stretch IRA. The general rule now is that the IRA assets must be distributed over the ten years following the account owner’s death. Exceptions are made for these designated beneficiaries: • a surviving spouse; • a minor child or children; • a disabled beneficiary;

• a chronically ill individual; and • beneficiaries who are less than ten years younger than the account owner (such as a brother or sister).

The exception for the minor child lasts only until he or she reaches the age of majority, because then the ten-year rule kicks in. For the other categories of designated beneficiaries, the delay in distributions ends at death when a ten-year distribution must begin.

Eliminating the stretch IRA accelerates the taxes on the retirement savings, shortens the deferral period, and it also makes it more likely that the distributions will occur during the beneficiary’s high earning years instead of being delayed until retirement. If a large IRA will be a significant element of your estate, you should consider meeting with your estate planning advisors early this year. Or, you can contact one of the professionals at Garden State Trust Company.

Sample Questions and Answers

I turned 70½ in 2019, so am I excused from taking a required minimum distribution now?

Or next year? Sorry, the change does not affect you. Only those who turn 70½ in 2020 or later get the benefit of waiting to age 72 for required minimum distributions. You will have to take a minimum distribution for the 2019 tax year (if you haven’t already) as well as the 2020 tax year.

I inherited an IRA three years ago from a parent and have been taking minimum distributions over my lifetime. Does that have to change now, do I take the rest over ten years? Good news, the new law does not affect you. IRAs inherited from those who died after December 31, 2019, are the ones affected by the new law.

My children are adults, but my grandchildren are not. Can they get the benefit of waiting until they reach their majority for the ten-year rule to apply? Sorry, no. The exception only is for minor children of the account owner, not grandchildren, nieces, or nephews. These more remote relatives will need to withdraw everything from the account over ten years.

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

Our focus is where it should be…

Garden State Trust Company.

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

On You. On Your Family.

On Your Future.

1886 Hinds Road • Suite 2 • Toms River, NJ 08753

TOMS RIVER, NJ | CHERRY HILL, NJ | LEBANON, NJ | LINWOOD, NJ

The County Woman Magazine www.TheCountyWoman.com

732.255.5000 | gstrustco.com March/April 2020

Featured On The Cover

23 Kurt G. Talke, CTFA

Senior Vice President & Trust Officer ktalke@gstrustco.com Lebanon Office

With over 25 years of experience in this industry, Kurt continues to build and develop strong relationships with new and long-time clients through professional associations.

Meet the Garden State Team.

T

rue independence and understanding are at the core of our unique value proposition. Caring for and thoughtfully guiding our clients

has created the strong trusting relationships we have nurtured over many decades. That’s why so many people rely upon our independent company for wealth management and trust & estate services.

Ira J. Brower

Siobhan M. Connolly, CTFA

President & CEO

Vice President & Trust Officer

ibrower@gstrustco.com As Founder, President and CEO of Garden State Trust, Ira has grown the company with the simple premise that caring for and thoughtfully guiding clients develops strong trusting relationships that span generations.

In his professional activities, Ira is a Trustee and Chairs the Investment Committee of the 21 Plus Foundation.

He is also a member of the Central Ocean Rotary.

Barbara Kannheiser

sconnolly@gstrustco.com Toms River Office Siobhan develops relationships with investment management, trust, and charitable foundation clients. Her focus on Special Needs Trusts often requires navigating dilemmas faced by clients and their families.

Siobhan serves on the Board of Directors for SCAN which provides support for the senior population of Monmouth and Ocean Counties.

Executive VP & COO

Sean M. Rice, CTFA

bkannheiser@gstrustco.com Barbara is a principal of Garden State Trust Company with over 25 years of experience in fiduciary administration and operations.

Barbara oversees all facets of fiduciary activities and is responsible for all financial reporting for Garden State Trust Company. Barbara’s experience and dedication to problem solving promote a culture of quality within the company, as well as responsive service to clients.

Adam B. Brower, CTFA Vice President & Trust Officer

Vice President & Trust Officer

srice@gstrustco.com Cherry Hill Office Sean’s role is in expanding our professional network and cultivating new client relationships via professional associations, local community events, and a wide array of relationship building activities.

Sean is a member of the Estate and Financial Planning Council of Southern NJ, and the Moorestown Rotary Lunch Club. He is a non-lawyer member of the Board of Trustees for the Camden County Bar Foundation.

abrower@gstrustco.com Toms River Office Adam takes pride in finding solutions for client’s needs while developing strong and lasting relationships. He is a member of the Estate and Financial Planning Council of Central New Jersey and holds a Life Insurance and Property & Casualty Insurance license through the State of New Jersey. He also sits on the board for the SPCA of Ocean County.

www.gstrustco.com

John P. Ritter

Senior Vice President & Trust Officer jritter@gstrustco.com Cherry Hill Office John has worked in the trust and wealth management industry for the past thirty years in the South Jersey marketplace.

His extensive knowledge of trust administration, portfolio management and retirement planning has enabled John to provide guidance and maintain relationships with his clients for decades.

Toms River 732-255-5000

Lebanon 908-287-7188

Cherry Hill 856-281-1300

Linwood 888-323-5535

The County Woman Magazine www.TheCountyWoman.com

He is a Certified Trust and Financial Advisor (CTFA) through the American Bankers Association and is active in many local estate planning associations.

John M. Bonk, CTFA

Senior Vice President & Trust Officer jbonk@gstrustco.com Lebanon Office

John’s role is to expand our Investment and Fiduciary Service business. His approach has always been to provide trust, estate, investment and tax services in a coordinated manner to enhance the client experience.

He is a Certified Trust and Financial Advisor (CFTA) through the American Bankers Association and serves as Trustee of various foundations and associations within the community.

Mary Gonzalez

Assistant Trust Officer mgonzalez@gstrustco.com Toms River Office Mary works directly with clients in meeting their needs and account management.

Mary takes pride in working with our clients and helping them reach their goals and addressing their needs.

Emily Brower

Compliance Officer ebrower@gstrustco.com Toms River Office As compliance officer, Emily will be responsible for ensuring that Garden State continues to adhere to the highest industry standards through diligent oversight of policies and procedures necessary to properly manage and safeguard our client’s accounts.

Kerri Jablonski

Administrative Assistant kjablonski@gstrustco.com Toms River Office Kerri is responsible for client bill pay and other operational tasks.

During tax season she works directly with the Company’s COO to meet the tax needs of client accounts.

Elicia Salmons

Administrative Assistant esalmons@gstrustco.com Toms River Office Elicia provides administrative support for our trust officers assisting in meeting the needs of our clients. She also manages accounts payable procedures and internal office management.

March/April 2020

24

Medical Professionals

March Is Colon Cancer Awareness Month Written by: Jai Mirchandani, MD Gastroenterologists of Ocean County

What is a Cancer Screening?

A screening test is a recommended medical test to examine for precancerous lesions prior to the development of cancer.

Examples of those kinds of tests include: Mammography to detect breast cancer; Pap Smears to detect cervical cancer and a Prostate Exam, which examines for early prostate cancer. Colonoscopy is a screening test to detect and prevent colorectal cancer.

What is the colon and rectum?

The colon is a 6 feet long tube, which absorbs excess water and salt into the blood, and converts waster into stool. The rectum is the end of the colon, where waste/stool os stored until it leaves the body during a bowel movement.

What is a polyp and why are they important?

A polyp is a growth out of the wall of the colon. Polyps are either benign (noncancerous), or pre-malignant (pre-cancerous). Polyps are important because certain polyps can grow large over time into colon cancer. Usually patients have NO SYMPTOMS, if they have a polyp. Polyps are caused by genetic and hereditary factors, as well as dietary and environmental factors.

What is a colonoscopy?

A colonoscopy is a test where a flexible tube is inserted into the rectum. Through this tube, a gastroenterologist can visualize the inside of a patient’s colon. Using a colonoscope the gastroenterologist can identify small polyps, and remove them internally. The procedure takes approximately 30 minutes. Patients are given sedation to make them comfortable throughout the entire procedure. The day before the procedure patients must drink a solution to clean their intestines prior to the procedure. If a patient’s colonoscopy is normal, they most likely will not need another procedure for 10 years.

What happens to patients who develop Colorectal Cancer?

Patients who develop colorectal cancer must undergo further treatments, including possible surgery, chemotherapy and radiation. Ultimately they have a shorter life expectancy.

What is the most important thing to know about Colorectal Cancer?

The most important thing to know about colorectal cancer is that it is a common form of cancer, and all patients, including men and women are susceptible to developing colon cancer. Most types of colorectal cancer are preventable however, with appropriate screening.

Colonoscopy is covered as a screening tool by Medicare and most insurances. Make sure to talk to your doctor to see if you should be screened for colon cancer.

Call to schedule your appointment at gastroenterologists of Ocean County.

How common is Colorectal Cancer, and do I have to worry about it?

Colorectal cancer is the 3rd most common cause of Cancer in both men and women. It is estimated by the American Cancer Society that colorectal cancer will be the second most common cause of cancer death in 2016. The lifetime probability of developing colorectal cancer is approximately 1 in 20 for both men and women, making it very common.

Omar Tamini, MD Jill Collier, MD

What are some potential symptoms of Colorectal Cancer?

Symptoms of Colorectal cancer include blood in the stool, anemia (low blood counts), changes in bowel habits, abdominal pain and weight loss. Often, however, patients have no symptoms at all.

What are risk factors for developing Colorectal Cancer?

Family history and genetic factors are one of the biggest predisposing factors to the development of colorectal cancer. If you have a close family member who had either colorectal cancer or colon polyps, you are at an increased risk for developing colorectal cancer. Environmental or dietary factors, such as diets high in red meats, alcohol or tobacco use can predispose patients to colorectal cancer. Also patients who are overweight or have advanced diabetes are also at an increased risk for developing colorectal cancer.

What are protective factors for Colorectal Cancer?

Diets high in fruits, vegetables and fiber are protective for colorectal cancer. Also, a diet high in calcium has been seen to be a protective for colon cancer as well. Exercise has been seen to be a protective factor as well to prevent colon cancer.

Edgar Bigornia, MD Kenneth Glazier, MD Jai Mirchandani, MD Teresa Menadier, MD

• Colonoscopy and colon polyp removal • Colon cancer detection and screening • Rectal bleeding evaluation • Ulcer pain evaluation and treatment • Swallowing disorders

• Endoscopic treatment of hemorrhoids • Capsule Endoscopy • Breath testing • Esophageal and anorectal manometry

Who should be screened for Colorectal Cancer?

Any man or woman over the age of 50 years old should be screened for colorectal cancer. Patients with family members with a history of colorectal cancer, or colon polyps, as well as certain symptoms may need to be screened at an earlier age.

How do patients get screened?

A patient can get screened by stool tests to check for blood, X-ray or CT scan tests, as well as certain blood tests that can assess if patients are at risk for developing colorectal cancer. The best test for screening for colorectal cancer is a colonoscopy, as this test can visualize pre-cancerous polyps, as well as remove these polyps before they have a chance to grow and become colorectal cancer.

Patient Testimonials

“Dr. Mirchandani and his staff were very professional and caring. They made me comfortable and less apprehensive.” - Joan, age 49, Whiting “I felt comfortable and safe! The warmth I felt from Dr. Mirchandani and his team left me feeling relieved. ‘A piece of cake!’ Excellent!” - Dortha, age 84, Toms River

A Division of Allied Digestive Health

“ The Nursing and Technical staff displayed extraordinary compassion and put me at ease from the moment I arrived. Since I have no memory of the procedure, I commend Dr.Mirchandani and the staff. Overall, I was extremely satisfied.” - Joe, age 46, Toms River

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ty Woman Magazine

March/April 2020

March/April 2018

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Medical Professionals 10 Warning Signs of Memory Loss Is your memory loss disrupting your everyday life?

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31 Medical Professionals Reliance Medical Group For A Healthier Happier You!

Dizziness: Definitions, Causes and Treatments, Part II

In this issue, we will continue our discussion on dizziness. Dizziness is a term used to describe everything from feeling faint or lightheaded to feeling weak or unsteady. Dizziness that creates the sense that you or your surroundings are spinning or moving is called vertigo.

Dizziness is one of the most common reasons adults visit their doctors — right up there with chest pain and fatigue. Although frequent dizzy spells or constant dizziness can keep you from doing much of anything, dizziness rarely signals a serious, life-threatening condition. Treatment of dizziness depends on the cause and your symptoms, but is usually effective.

When To See a Doctor

See a neurologist if you experience any unexplained, recurrent or severe dizziness. Call 911 or emergency medical help or go to the emergency room if you experience new, severe dizziness or vertigo along with any of the following: • Significant head injury • A new, different or severe headache • A very stiff neck • Blurred vision • Sudden hearing loss • Trouble speaking • Leg or arm weakness • Loss of consciousness • Falling or difficulty walking • Chest pain or rapid slow heart rate

What You Can Do • Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there’s anything you need to do in advance, such as restrict your diet. If you’re scheduled for vestibular testing, your doctor will provide instructions regarding any medications to withhold the night before and what to eat on the day of testing.

• Be prepared to describe your dizziness in specific terms. When you have an episode of dizziness, do you feel like the room is spinning, or like you are spinning in the room? Do you feel like you might pass out? Your description of these symptoms is crucial to helping your doctor make a diagnosis.

• Write down any other health conditions or symptoms you have, including any that may seem unrelated to your dizziness. For example, if you have felt depressed or anxious recently, this is important information for your doctor.

• Write down key personal information, including any major stresses or recent life changes.  Make a list of all prescription and over-the-counter medications, vitamins or supplements that you’re taking.

• Write down questions to ask your doctor. Your time with your doctor is limited, so preparing a list of questions ahead of time will help you make the most of your time together. For dizziness, some basic questions to ask your doctor include: • What’s the most likely cause of my symptoms?

• Are there any other possible causes for my symptoms?

• What kinds of tests do I need?

• Is this problem likely temporary or long lasting?

• Is it possible my symptoms will go away without treatment?

• What treatment options might help?

• I have other medical conditions. How can I best handle these conditions together?

• Are there any restrictions that I need to follow? For example, is it safe for me to drive?

• Should I see a specialist?

• Is there a generic alternative to the medicine you’re prescribing?

• Are there any brochures or other printed material that I can take home with me? What websites do you recommend visiting?

What To Expect From Your Doctor

Your doctor will likely ask you a number of questions about your dizziness. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask: • Is your dizziness continuous, or does it occur in spells or episodes?

• If your dizziness occurs in episodes, how long do these episodes last? How often do your dizziness episodes occur?

• When do your dizzy spells seem to happen, and what triggers them?

• Does your dizziness cause the room to spin or produce a sensation of motion? Does your dizziness cause you to lose your balance?

• When you feel dizzy, do you also feel faint or lightheaded?

• Are your symptoms accompanied by a ringing or fullness in your ears (tinnitus) or trouble hearing? Does your vision blur?

• Is your dizziness made worse by moving your head?

• What medications, vitamins or supplements are you taking?

Your doctor can narrow down possible causes of dizziness after determining the type of dizziness you’re experiencing, reviewing your medical history and current medications, conducting a physical examination, and ordering further testing based on your signs and symptoms.

What You Can Do in the Meantime If you tend to feel lightheaded when you stand up, take your time making changes in posture. Drink plenty of fluids to avoid dehydration, which can cause or worsen lightheadedness.

In addition, if you have had episodes of dizziness while driving, arrange for alternate transportation while you’re waiting to see your doctor. Ask friends, family or colleagues to help you get to and from work and other activities, or look into public transportation.

If your dizziness causes you to feel like you might fall, take steps to reduce your risk. Keep your home well lit and free of hazards that might cause you to trip.

Avoid area rugs and exposed electrical cords. Place furniture where you’re unlikely to bump into it, and use nonslip mats in the bathtub and on shower floors.

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March/April 2020

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

55 63

Experience Primer

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Comprehensive Gynecology

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Millions of women experience changes to their gynecologic health that affect their personal lives as a consequence. Now there’s a solution! MonaLisa Touch® is a simple, proven laser to help you feel like yourself again.

MILLIONS OF WOMEN EXPERIENCE CHANGES TO THEIR GYNECOLOGIC HEALTH THAT AFFECT THEIR PERSONAL LIVES AS A CONSEQUENCE. NOW THERE’S A SOLUTION! MONALISA TOUCH® IS A SIMPLE, PROVEN LASER TO HELP YOU FEEL LIKE YOURSELF AGAIN.

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The SmartXide Touch Laser (MonaLisa Touch) is indicated for incision, excision, ablation, vaporization and coagulation of body soft tissues in medical specialties including aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology, neurosurgery, orthopedics, general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery. Use with the scanning unit is indicated for ablative skin resurfacing.

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Like all medical procedures, not all patients are suitable. Your medical provider will review the risks and benefits of MonaLisa Touch.

THE ONLY MONALISA TOUCH PROVIDER IN ATLANTIC AND CAPE MAY COUNTIES! THE LATEST NON-HORMONAL TREATMENT FOR VAGINAL HEALTH. TM

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

34

Health & Wellness

Jersey Shore Pharmacy

Customizing Medications From Juniors to Seniors to Pets Pain Management

Jay Greco, RPh

Owner, Jersey Shore Pharmacy

We specialize in making topical pain cream formulations (both prescription and over the counter). These creams incorporate many different medications in a propietary base that penetrates the skin directly to the painful area. The advantages of topical pain management are: Less side effects, no addiction and the creams can be applied where you need them.

Jay has been a pharmacist since 1992, after graduating from Northeastern University in Boston, MA. He moved to the Jersey Shore and then worked at Thrift Drug in Tuckerton, NJ. After working for several different chains and small independent pharmacies he decided to open his first pharmacy in Barnegat in 1999. After selling the franchise in 2007, Jay now owns and operates his own private retail pharmacy in Barnegat, NJ with his own compounding lab on site. Jay is a member of IACP, PCCA, NCPA, and NJPhA. Jay is an active member in the community and lives locally.

He is a Board of Directors member at Coastal Volunteers In Medicine, which is a free clinic located at 239 South Main Street in Barnegat, NJ. Jay & his partners also run Jersey Shore Pharmacies, one specializing in compounding and the other specializing in long-term-care facilities.

Hormone Replacement for Men & Women Hormone replacement involves treating menopausal symptoms (women), andropause (men) and thyroid deficiency just to name a few. Hormones can be made into many different dosage forms including creams, troches, injections and oral drops or capsules.

Veterinary

Since veterinarians treat animals as small as a mouse and as large as an elephant, the dose of medications vary greatly. With compounding, we can create a dosage form that treats the issue at hand and if necessary, make it taste great! We also specialize in veterinary flavoring so that your pet will not know it is getting medication. We have over 30 flavors to choose from!

580 North Main St., Barnegat, NJ 08005 P: (609) 660-1111

Podiatry

Podiatrists treat many different issues on a daily basis. Some examples of issues that compounding may help would include: wart treatment, painful feet, sweaty feet, callouses and nail fungus infections.

Wound Care/Scar Care

Wound care can sometimes be helped greatly with compounding.

We can incorporate antibiotics, steroids and medications that promote tissue growth into a gel that is applied topically. For scars, there are new products on the market that greatly reduce or eliminate scars appearance and/or color.

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Expires April 30,31, 2020 Expires August 2016

We have everything you need for a healthier tomorrow!

For more information, call 609-660-1111 or visit www.jerseyshorepharmacy

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

Medical Professionals

35

Colorectal Cancer: Are You Aware? What’s The Big Hype?

Nina Paonessa, DO, FACOS, an established colorectal surgeon practicing in Ocean and Monmouth Counties, answers questions about colorectal cancer, one of the leading cancers in both men and women.

How common is colorectal cancer and who is at risk?

Colorectal cancer is the second most common cancer in the United States among both men and women. It affects 140,000 people annually and causes 50,000 deaths. The average person has a one in 20 chance of developing colorectal cancer in his/her lifetime. This risk is increased if there is a family history of colorectal polyps or cancer, and is even higher still in those patients with a history of breast, uterine or ovarian cancer, and patients with a history of extensive inflammatory bowel disease such as ulcerative colitis or Crohn’s colitis. Additionally, a person’s risk for developing colorectal cancer increases significantly with age.

What causes colorectal cancer?

It is generally agreed that nearly all colon and rectal cancer begins in benign polyps, called adenomas. These pre-malignant polyps, or growths, occur in the wall of the colon and/or rectum and may eventually increase in size and become cancer, or medically speaking, carcinoma. This is known as the “adenoma-carcinoma sequence.” Several factors have been mentioned in the literature that may increase a person’s risk for developing colorectal cancer and include age, a diet high in fat and cholesterol, an inactive/ sedentary lifestyle, obesity, smoking and environmental exposures.

How is colorectal cancer treated?

Nearly all cases of colorectal cancer require surgery. Radiation and chemotherapy are sometimes required in addition to surgery. If the cancer is diagnosed and treated in the earliest stages, approximately 80-90% of patients are restored to their normal health. The cure rate decreases to 50% or less when the cancer is diagnosed in the later/advanced stages. Less than 5% of all colorectal cancer patients require a colostomy or “bag,” thanks to modern technology. Additionally, modern technology has made possible minimally invasive colorectal surgery using laparoscopic or robotic surgery techniques. Both laparoscopic and robotic colorectal surgery are types of minimally invasive surgery in which small incisions are made to perform major surgery. This allows for shorter hospital stays, decreased incisional pain and earlier return to work and other activities.

Can colorectal cancer be prevented?

Colorectal cancer is one of the few cancers that is preventable. Obtaining a screening colonoscopy at regular intervals is the single best way to prevent colorectal cancer. Your colorectal surgeon or specialist is able to review the guidelines for screening colonoscopy based upon your age, medical history and family history. Although not definitively proven, studies published in the literature mention additional factors that may lower your risk of developing colorectal cancer and include eating a high-fiber, low-fat diet, maintaining a healthy weight, and engaging in regular, vigorous exercise.

What are the symptoms of colorectal cancer?

Unfortunately, polyps and early cancers do not produce any physical signs or symptoms. Therefore, symptoms usually indicate late or advanced disease. The most common symptoms of colorectal cancer are rectal bleeding and changes in bowel habits such as constipation or diarrhea. These symptoms are common in many other disorders of the gastrointestinal tract, so it is very important to have a thorough examination should you experience them. NOT ALL RECTAL BLEEDING IS DUE TO HEMORRHOIDS. It is very important for patients to remember this and seek evaluation if they are experiencing rectal bleeding. Other symptoms, such as abdominal pain and weight loss, are usually late symptoms and quite possibly indicate advanced/extensive disease.

How is colorectal cancer diagnosed?

Evaluation of colorectal cancer is first begun with a complete history and physical exam, including a digital rectal exam and possibly testing the stool for blood. A colonoscopy is the most definitive test used to diagnose colorectal cancer. A colonoscopy is performed by a colorectal surgeon or other specialist in order to get a direct visualization of the inside of the colon and rectum. A colonoscopy is a safe, painless, outpatient procedure performed under a light sedation. Based upon the findings on colonoscopy, your colorectal surgeon or other specialist may recommend other testing such as bloodwork, a CT scan of the abdomen and pelvis, pelvic MRI and/ or ultrasound.

Colon and Rectal Surgery

Board Certified in General Surgery and Proctology • laparoscopic surgery • abdominal/pelvic surgery • fecal incontinence • endoanal/rectal ultrasound • anorectal surgery 603 Higgins Avenue Brielle, NJ 08730

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

1364 Route 72, Suite 5 Manahawkin, NJ 08050

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

292-9600

www.paonessacrs.com

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

36

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

Health & Wellness Release Your Fear of Medical / Dental Visits and Stop Putting Your Health at Risk It’s not unusual to feel a little apprehensive about going to visit the doctor or dentist. Most people just deal with the fear and go anyway – because they want to protect their wellbeing. But for many, just the thought of doing those things is enough to elicit a major stress reaction – or an all-out panic type response.

Instead of taking care of themselves, they avoid visits – potentially jeopardizing their health.

Or they keep the appointments, but make themselves sick with worry.

If you’re someone who avoids seeing medical professionals or is frightened at the prospect, know that you are capable of managing that fear and doing what you need to do. It doesn’t matter how great the fear is – or how long it’s been a problem for you. You can overcome it with the right tools and techniques.

The fear can stem from a variety of factors…

• Maybe you grew up in a family that dealt with many health issues.

• Perhaps as a child you had one or several scary experiences related to doctors/dentists, and that left an imprint.

• You’re concerned that the visit might involve pain – or you’re worried about getting an injection or having blood drawn.

• Maybe you tend to be a worrier and become consumed with the “what-ifs” related to your visit…i.e., what if the doctor finds something really awful?!

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

There are several simple things you can do on your own to allay the fear, if it’s not huge…

• Assess what it is you’re afraid of. How realistic is your fear?

• Relay your concerns to your doctor and his/her staff.

• Consider finding another practitioner if your doctor/staff don’t seem supportive.

Hypnosis For Women ❀ ❀ ❀ ❀

Weight Control Smoking Cessation Relaxation/Comfort Fear Release

• Bring someone with a calming demeanor along with you.

• Before the visit, find out what will be done, so there are no surprises.

• Listen to soothing music and practice centering breaths/meditation beforehand.

• Mentally rehearse your visit, always noticing yourself doing great.

• Distract yourself while waiting – i.e., read, play video games, email, etc.

If you’re someone whose fear is substantial, hypnosis and coaching can make a significant difference. At a conscious, logical level, you know the importance of seeing the doctor/dentist – or having testing or procedures done. But, at a deeper level, you’re emotionally overreacting and feel unable to control those extreme reactions.

Using hypnosis/coaching is a gentle, effective, and quick way to help you feel more calm, comfortable, and relaxed in all sorts of health-related situations.

Within several visits, you’ll “program” yourself to relax your mind and body, and address any healthcare issues you need to. Assorted techniques and suggestions are used to help you move forward, and one or several recordings are provided to help alter your response.

This approach is ideal for people who are motivated to change, believe that with the right tools and techniques they are capable of changing, and understand they need to be a partner in the process.

For a Free Phone Consultation, call me at 732-270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being.

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

PROFESSIONAL HYPNOSIS AND COACHING SERVICE ❀ ❀ ❀ ❀ ❀

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

❀ ❀ ❀ ❀ ❀

Athletics Public Speaking Flying/Driving Socializing Confidence

Make Your Mind Work For You – Instead of Against You

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

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

Medical Professionals

37

You Don’t Need Open-Back Surgery www.jaspermd.com • 732-262-0700 74 Brick Blvd., Bldg. 3, Suite 124 Brick, NJ 08723

4• After walking for a short time

you need to sit to relieve the pain.

• Leaning over the shopping cart at the grocery store helps with your pain.

• Weakness & difficulty walking up stairs without pulling yourself up by the bannister.

• You lean forward when walking.

• You are unable to stand straight up.

• You have been told by your Doctor/MRI that you have Spinal Stenosis.

4 4 4 4 4

You don’t have to be hunched over in pain!

SPINAL STENOSIS You Might Just Have It “My legs felt 30 lbs. lighter when I stand to work. I called Dr. Jasper from home the same day, excited. I was able to walk up the stairs without pulling myself up by the railing for the first time in months.” – Patient Vinnie Dr. Gabriele Jasper is now known as New Jersey’s leading pain physician due to his widespread reputation in the medical community here and abroad.

This status was established by the various presentations of advanced minimally invasive procedures he has perfected and taught to fellow physicians.

See why Dr. Jasper is known throughout New Jersey as the Master of Pain.

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

38

Business &&Finance Business Finance Business & F inance

#

25 23

Service Is Our Specialty Founded in 1986, Copies Plus takes pride in serving as South Jersey’s premier office equipment company with over 30 years of experience servicing clients just like you. Our continued success is the result of a total commitment to a customer satisfaction and loyal customers who refer Copiers Plus to others. We are grateful for their continued support and look forward to building new relationships well into the future.

Exceptional Equipment And Support Multi-Function Print Technology

A black and white or full color multi-function printer provides an excellent option for a company with limited space and a need to improve productivity.

• Print, copy, scan and fax from one device • Small footprint, physically and environmentally • Reduce overhead by investing in one MFP to do the job of multiple devices • Ideal for small and mid-sized businesses

Production Printing Equipment If you’re an organization that produces a high volume of critical communications, promotional pieces or general office documents then a high-speed print production solution from Copiers Plus will help you save time and money by boosting efficiency and lowering cost.

• Ownership advantages of flexibility and quality control • Enhance security • Reduce overhead by keeping it “in-house” • Advanced finishing options • Ability to run a broad spectrum of paper stocks

Large Format Print Equipment A large format printer from Copiers Plus will extend your in-house production capabilities by producing large blueprints, design plans, technical documents and more right from the convenience of your office.

• Reduce print cycle time • Get documents in the field faster • Eliminate production delays • Produce multiple designs quickly and accurately

Managed Print Services Managed Print Services from Copiers Plus allows you to take control of your print environment, save money and boost productivity by leveraging the power of FMAudit, the #1 MPS Solution in the market today.

• Optimize Print Output • Monitor • Automatic Supply Replenishment • Audit • Proactive Maintenance

Managed IT and Network Support With managed IT and network support from Copiers Plus, business owners can focus on the important core functions of their company.

• Simplicity • Accessibility • Flexibility • Reliability

Group Purchasing Organizations and Purchasing Alliances Copiers Plus proudly partners with some of the country’s premier GPOs and Purchasing Alliances to bring cost savings and efficiencies to government agencies, educational institutions, non-profits, healthcare providers and faith-based organizations.

Service, Support & Supplies Here at Copiers Plus “Service is our Specialty”. It’s what separates us from the competition.

• Professional installation and network connectivity • Rapid remote and on-site support • Comprehensive, all-inclusive maintenance agreements • Efficient and cost effective solutions for your office technology needs • Genuine OEM supplies and consumables

Document Management Solutions A customized document management solution from Copiers Plus will allow your organization to transition into a 21st century digital workflow.

• Store • Manage • Search • Collaborate • Secure

TWO GREAT LOCATIONS SERVING ALL OF SOUTHERN NEW JERSEY INCLUDING OCEAN AND MONMOUTH COUNTIES Equipment Showroom & Commercial Printing 3112 Fire Road/Unit C Egg Harbor Township, NJ 08234 Office: 609-645-7587 info@copiersplus.com

Commerical Printing 935 West Avenue Ocean City, NJ 08226 Office: 609-398-7676 RPM@copiersplus.com

For more info contact: Robert Matthews 609-645-7587 • info@copiersplus.com

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

March/April 2017 November/December 2019 September/October 2019 March/April 2020

39 M edical Professionals Medical Professionals Medical Professionals Medical Professionals M edicalIV P rofessionals Therapy Is Here!

Sick?

Tired?

Fatigued?

Nutritional 40 Heat Stroke Vs.Pellet HeatTherapy Exhaustion Reasons to Opt for Pellets Over Colonics Subcutaneous Forms BHRT? levels both in terms A popular trend is now sweeping across the coun- with both acute and chronic inflammatory conditions achieveOther optimal and of therapeutic

Medical Professionals

40 36

HeatForemost Stroke Vs.IsHeat Exhaustion First And To Listen To Your Body!

daily1.dosage weeks try that is utilizingColon a simple concept to assist body including but not limited to: fibromyalgia, heart dis-EQUAL NOT ALL FORMS ADMINISTRATION ARE CREATED Ease ofand administration-it is painlessly Colonic irrigation has of important benefits for your health.

Hydrotherapy isour referred toOF asHORMONE Colonics or colon versus months of time requiring in achieving our daily requirements through what implanted under the skin and lasts four to ease, depression, Lyme and other infectious diseases, HEAT STROKE: We all enjoy the summer season NOT the and uncomfortable Here are just a hormones? few: irrigation.

Thesebut are names hydrotherapy which for low Are humidity youfor currently receiving treatment or imbalanced six months. high-dosing some IV Nutrition. chronic fatigue, disc disease more.

Mostform patients Most severe of heat these related illness thatschedules. can lead It todoes death if not treated heatcall associated with record breaking temperatures. toany thebetter?

Centers AreAccording you feelingHydrotherapy Perhaps feeling worse? uses water forbut inner cleansing.

Colon isand a•you •are Improve bowel regularity, resolve constipation HEAT STROKE: We all enjoy the summer season NOT the humidity and uncomfortable come at a price, however—meaning 2.

No fluctuating levels as is seen with all after receiving IV Supplementation report increased new “FAD” has been sweeping across America as an emergency forADisease Control and Prevention, on average, over 600 people die from clean and comfortable treatment.

Whether you are atoman a woman, this month’s is going to set you straight • Most article severe form of heat related illness that can lead to death if notin treated heat associated with record breaking temperatures.

According theorCenters other forms of administration.

• stress Increase energy levels and improve mood out-of-pocket expense. Drips range energy, enhanced mood, and anxiety, • Same symptoms of heat exhaustion plus…… complications related to extreme heat each yearthe in the United States - more thandecreased that is opening the eyes and minds on of those suffering regarding most effective and safest “bio-available” form of hormone restoration as an emergency for Disease Control A and Prevention, average, over 600 people die from (See Diagrams). soothing flow of purified warm water is instilled gently intoenergy, the •heightened price from over $100 to as high temperature greater than 104 just degrees tornadoes, flooding, lightning oryear any other weather event combined. improved sleep, more immunity, with fatigue, hurricanes, generalized and • Improve digestion available in theStates world has Body been around since the 1930s.

This • Same symptoms of heat exhaustion plus…… complications related to malaise, extreme aches/pains heat eachtherapy in the United -today. morePellet thantherapy colon through a disposable colon cleansing nozzle (“size of a pencil”). as $400 highly heart specific formulations.

3.for Maintains constant levels throughout the if not • These temps lead tomuch brain, muscle, kidney, and total body failure improved hydration, anddrug time just about the everything inflooding, between.

From concept is similar toheat the once most prescribed in America -Premarin, but •quicker Body temperature greater thanlike 104 degrees tornadoes, hurricanes, lightning orexhaustion any other weather event combined.

What’s difference between heathousewives and stroke?

•recovery Clearer & after brighter skin complexion day avoiding the ups and downs seen with The system is designed to allow evacuation of the contents of the appropriately treated THE BOTTOM LINE: other bioidentical hormones, a lack approval thetemps FDA has leftto anbrain, unnecessary exercise. toWhat’s construction workers, actors to heat athletes, children These lead muscle, kidney, heart and total body failure if not Heat exhaustion is thebetween precursor to heatstroke and is aheat direct result of of the body •from the difference exhaustion and stroke? other forms of BHRT. • Boost your immune system colon during the administration of Colon Hydrotherapy. and unjustified public fearful of the “consequences” associated with their use. appropriately treated Once again ICAM is offering tooverheating. grandparents, literally thousandstoofheatstroke Americans areis a direct result HOW DO THESE IV’s WORK? Using medHeat exhaustion is the precursor and of the body ICAM’s Professional Colon Hydrotherapy devices monitorto and ICAM offersina weight variety ofbalancing intravenous medical drips that benefit many patients 4. Your body absorbs only what it requires In 2008, theical FDAgrade gave its blessing Slate Pharmaceutical’s Assist and shaping OPTIONS to andbody for your Healthcare self-searching answers to their medical needs and a HEAT EXHAUSTION: vitamins, minerals and • other chemicals, overheating. based on activity level andthink metabolic needs and conditions from “fatigue to fantastic”.

Whether you you healthy or regulate the pressure, temperature, and flow of water throughout the ICAM offers a variety of intravenous medical drips that benefit many patients Testopel, a bio-identical testosterone pellet therapy designed Needs. For more information, contact are • Heavy Sweating resolution to their troubling symptoms.

HEAT EXHAUSTION: •areAlkalinize your body these “custom-made” IV’s are similar to IV’s used in during the day. you not, IV supplementation is a quick and efficient way to promote exclusively for Ultraviolet men. (To date, the FDA has yet to admit the and conditions from “fatigue to fantastic”.

Whether think youhighly are healthy or health session. The water is purified with an Water Purification Rapid Pulse ICAM to speak toyou one of the •• Heavy WHYSweating IV NOT ORAL? IV Vitamin Drips deliver outpatient clinics and hospitals where the ingredients •combat Hydration you are IV supplementation a quick5.and efficient way to promote health andnot, illness. of the isbody Convenience - other of hormone System. There is no odor! NEED for testosterone in women).

•• Rapid Pulse Dizziness knowledgeable medical staffforms members vitamins, minerals and amino acids directly to the are based on desired outcomes and patients’ defiand combat illness.

During the summer season ICAM is offering our “Hydrator IV” for those who administration require a once or twice daily A colonic session is a comfortable experience for most people, and •• Dizziness • Much more Fatigue Yours in Health and Wealth, to isseeoffering how you may benefitIV” from body for maximal absorption, thus allowing for nourDuring the summer season ICAM our “Hydrator for those who ciencies/specific needs.

The IV route of medication dosing. wish to optimize their hydration either before and/or after extreme sun/heat •• Fatigue our certified colonics therapist uses techniques that allow a small Cool, Moist Skin IV the Nutrition. wish to optimize their hydration either before after between extreme ishment on a cellular level.ofInwater addition, higher doses allows for the a much higher dosageWhether of nutrients exposure. you choose IV orand/or oral route of fluidasun/heat administration, MarKthe •• Cool, Moist Skin 6. The difference medication and always to flow into colon, delivery gently stimulating colon’s Goose Bumpsamount When In The Heat exposure.

Whether you choose the IV or oral route of fluid administration, always Call today to schedule: can be given, providing higher, yet safe levels without be sure to keep hydrated.

This is especially important in the veryof old and the very Mark James Bartiss, MD to be administered safely and effectively while having •• Goose Bumps When In The Heat a poison is the dose.

Pellet form BHRT natural peristaltic action to release softened waste. The inflow of water Muscle Cramps be sure to keep hydrated.

This is especially important in the very old and the very •• Muscle Cramps young and of course our furry little friends! utilizes 1/20th the same dose of hormone the limitation these doses have upon the oral route Yours in Health and Wealth, potential of 100%the absorption63 on aLacey cellular level, Nausea and the release of waste may be repeatedthe many times. During Whiting, NJforms 08759 young and of course ourRd furry •little friends!

••PROCEDURE: Nausea that other would require to achieve (gastrointestinal side effects, etc.). which far exceeds that of the oral, sublingual and topHeadache session, most upper clothing can be kept on – you will be draped to optimal levels over the same time frame of • Headache is a simple non-invasive minimal surgery under anesthesia. A ¼” isthis madedecreasin the upper 609-978-9002 ical vehicles oflocal administration.

Forincision many, These symptoms mayin-office develop over time or come on suddenly, especially IVInsertion nutrition/supplementation has beenpainless used sucMarK Read the full article at www.Icamnj.Com always ensure your privacy. pellet therapy (3-6 months).

These symptoms develop oversmall timepellets or come onare suddenly, especially hip area or followed by may placement of which about half theADDRESSED, size of a Tic-Tac. No suturesRead are required incision is theas the full article at www.Icamnj.Com during following periods ofthe prolonged exercise AND IFthe NOT cessfully as following primary and adjunctive therapy for those Mark James Bartiss, MD amount of oral supplements one may need to Your dignity is always maintained! during or periods of prolonged exercise AND IF es NOT ADDRESSED,

First And Foremost Is To Listen To Your Body!

 

small and can be closed through the use of a butterfly bandage.

heatstrokecan canfollow. follow. heatstroke

Speech Therapy The County Woman Magazine The County Woman The County WomanMagazine Magazine Massage School Massage School

63Manahawkin Lacey Rd.,Manahawkin Unit C Wayne Medford Manahawkin Wayne Medford Wayne •• •Medford Medford Mark J. Bartiss • • • Wayne Whiting,609-978-9002 NJ 973-790-6363 609-654-5900 609-654-5900 609-978-9002 973-790-6363 973-790-6363 609-654-5900 609--654-5900 609-978-9002 973-790-6363 www.TheCountyWoman.com www.TheCountyWoman.com www.TheCountyWoman.com Business & Finance

November/December September/October 2018 January/February 2019 2017

Begin The Spring Season With A Fresh Start Make This Summer Worthwhile, Make This Summer Worthwhile, For You Or Your Loved One! Become A Massage Therapist!

Become A toMassage The spring season brings mind new beginnings, and Therapist! for many families of those with communication or

swallowing issues, spring can be a wonderful time to begin therapy. A speech-language pathologist evaluates and treats patients across the lifespan with a goal of maximizing functional speech, language, voice, cognitive or swallowing abilities. Therapy can focus on developing skills, regaining lost function, or compensating for The New Jersey School of Massage We strive to ensure that you will be trained to enjoy a abilities that are damaged or delayed within these domains.

The New Jersey School We strive to ensure that you will be trained to enjoy a offers extensive training withof a Massage personal succesful massage career upon graduation.

We not only prepare offers extensive training with a personal LANGUAGE SPEECH SWALLOWING & FEEDING massage career upon graduation. not only prepare touch. We care about YOU, YOUR life, yousuccesful in spa massage, sports, medical, prenatal andWe geriatric touch.

We care about YOU, YOUR life, butyou and YOUR We prepare YOUusing to Language isfuture. a system of communication, Speech is the ability to produce and Dysphagia is the medical term for impaired in spa massage, sports, medical, prenatal and geriatric we will also bring in Cheryl Chapman, a cancer massage and YOUR future.

We prepare YOU spoken or written words, pictures, or gestures. articulate sounds to express wants, needs and swallowing.

Dysphagia can be caused by a become a confident, professional and to therapist Cathleen but weand willtrainer also bring in Cheryl Chapman, a cancer massage Textbo Givney, for over thirty years. oks an MS, CCC-SLP Language disorders can impactprofessional both what is “said” Speech disorders can occur in both variety of diseases or disorders such as stroke, become a confident, andor ideas. s licensed massage therapist. c hoo T-e therapist and trainer over thirty years.

She has presented her for programs at four AMTA national xirtbodoak l T sh includ t re s and expressed,licensed or what is massage “heard” or understood. children and adults and result from muscle brain injury, or COPD. Dysphagia can result e s therapist.Delayed conventions d in cthhooa a authoredher articles on cancer andAMTA mastectomy She hasand presented programs at four national e -snhirt a includ tul itTio language is a failure to develop language weakness, discoordination such as in apraxia, inopen frequent pneumonia, weight loss, and loss . re e Newacquisition Jersey School of Massage offers d massage.

This cancer massage training is to existing in the conventions and authored articles on cancer and mastectomy tuitio skills correlated with 600 age-appropriate milestones. or delayed development of age-appropriate of interest in meals.

Feeding disorders occur primarily in children, and state approved hour therapists, in which they can earn 16 CEU credits.

New Jersey School ofmassage Massage offers massage massage.

This cancer massage training is open to existing NJSchoolofMassage.com Acquired language disorders,We suchcan as aphasia, sounds. An individual’s language skills may are often characterized by aversions to certain foods, lack of growth and certificate programs. try to state occur approved 600 massage massage therapists, in which they can earn 16correlated CEU credits. register online or call typically in adults andhour are often related to be intact, however impaired speech skills may weight gain with age, and significant meal time refusals andfor NJSchoolofMassage.com SINGLE MOMS OR SEMI-RETIRED ACTIVE adjust our program to meet your needs certificate programs.

We can try to more information stroke, brain injury, or degenerative diseases. make communication ineffective. tantrums. register online or call for The MOMS best thing about this career is that you can financially your life schedule.

SINGLE OR SEMI-RETIRED ACTIVE adjust our and program to meet your We needs ADULTS. 732-505-0055 more information your ownThe private and setthis up career your own schedule offer a full time which We have ADULTS. bestclients thing about is that you can financially and day yourprogram, life schedule.

Call Wise Words today – 848-235-3389 or work for a spa or treatment center. is three days a week, completed in 732-505-0055 Located On: have your own private clients and set up your own schedule offer a full time day program, which 6 - 7 months and a part time evening Corner of Route 37 & 166 Established in 1995, theor NJtreatment School of Massage or work for a spa center. has grown to be one of is three days a week, completed in Located On: program, which is two nights a week, the preeminent institutions for massage therapy education in the state.

NJ Corinne 270 Drum Point Road, Suite 102D • Brick, NJ Jewlers 08723 Plaza 6 7 months and a part time evening Corner of Route 37 & 166 completed in 10-12 months.

Established in 1995, the NJ owned Schoolby ofAlice Massage hasLMT, grown to be one of School of Massage is privately Marin, CMA. Toms River, NJ program, which is two nights a week, the preeminent institutions for massage therapy education in the state.

NJ Corinne Jewlers Plaza Phone: 848-235-3389 • Fax: 855-891-8305 completed in 10-12 months.

School of Massage is privately owned by Alice Marin, LMT, CMA. The County Woman Magazine SPEECH, LANGUAGE & FEEDING THERAPY

Wisewordstherapy.com www.TheCountyWoman.com

www.TheCountyWoman.com The County County Woman

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

•

Toms River, NJ wisewordstherapy@gmail.com July/August 2017

March/April 2020 2017 July/August March/April 2018

Women Of Ocean County

40

Ludys Katz

Patricia L. Morello Certified Medical Assistant Paonessa Colon & Rectal Surgery

Nurse Practitioner, Reliance Medical Group On a typical day at the office, Nurse Practitioner Ludys Katz provides care to approximately 15 to 25 patients. She performs full physicals, does follow up appointments, and handles sick visits. In addition, she also provides assessments and diagnostic and medical management of chronic diseases including Diabetes and Asthma. Ludys has vast experience working in hospitals, nursing homes, and private practices. Over the last 10 years she has also accumulated experience in diverse fields of nursing like Cardiology and medical gerontology.

Ludys is an Adult and Geriatric Nurse Practitioner who is Board Certified by the American Nurses Credentialing Center for Adult Gerontology. Fluent in Spanish and English, she received her degree in Nursing in 2014. She furthered her career by obtaining her Master’s of Science in Nursing Degree at Fairleigh Dickinson University in 2017. She adds, “I believe in building long lasting relationships with my patients and working together to accomplish a common goal.” In addition to caring for her patients, she loves spending time with her family and traveling.

Patricia L. Morello lived in Manhattan with her father and two siblings before moving to New Jersey. She was always outgoing and had a passion for helping others as such she has pursued a career in healthcare. She first began working with patients as a pharmacy technician. At the same time, she attended Brookdale Community College and then went on to Star Career Academy to become a certified medical assistant in 2012.

Patricia has a passion for caring for others, especially the elderly. As a certified medical assistant, Patricia has gained experience in the specialties of nephrology, cardiology, and most recently in colon and rectal surgery with Dr. Nina Paonessa at Paonessa Colon and Rectal Surgery. It is here that she has gained experience in office-based surgery and treating acute and chronic diseases of the colon and rectum.

She is directly involved in the care of patients. The patients recognize her dedication and commitment to providing excellent patient care and outcomes.

Throughout her career, Patricia has demonstrated her dedication and passion for working in healthcare. Her patients recognize her as being kind hearted, caring, friendly and compassionate. In her free time, Patricia enjoys cooking, baking, walking on the beach and drinking coffee.

For more information, call 732-2821500 or visit www.paonssacrs.com.

Photo by Donna Andrews Photography

Siobhan M. Connolly, CTFA

Vickie Sidwa

Vice President and Trust Officer Garden State Trust Company

Nurse Practitioner Institute for Complementary & Alternative Medicine

“The best way to find yourself is to lose yourself in the service of others”, Mahatma Ghandi. This is Vickie’s truth. Her journey as a nurse had a mission every step of the way. The patients that have touched her life, she has been emotionally moved more times then she can count. She has been blessed by this profession. Her name is Vickie Sidwa.

She is a Nurse Practitioner, a wife to an amazing husband and a mother to two beautiful daughters.

Vickie began her career as a Registered Nurse in 1991 at the young age of 21. She has an eclectic portfolio as a nurse beginning my career in cardiothoracic surgery. She has worked in all different realms of medicine, from emergency medicine and spending many years in oncology. In addition, she has received a master’s degree in the science of nursing and began a career as a Nurse Practitioner in 1999. As a Nurse Practitioner, she has worked part of the time as a provider for women’s health, part of her time in psychology and finally landing the job of my dreams at the Institute for Complimentary and Alternative Medicine. She is finally in an environment where “Wellness” is the focus. She is able to draw upon all of my experiences as a seasoned nurse to best treat the patients she has now. It took her twenty years to get to this amazing destination, but she wouldn’t change anything. She thanks God for this blessed journey.

For more information, call 609-9789002 or visit www.Icamnj.com.

Siobhan Connolly moved from New York with her husband and two girls to Howell, NJ in 2008 to be closer to her father who lives in Manasquan. While in New York she taught high school, worked with at risk students teaching career skills and employment preparation and owned a retail business.

Siobhan joined Garden State Trust Company, Toms River, NJ, in January of 2009. As Vice President and Trust Officer and senior relationship manager her responsibilities include meeting the needs of trust & estate, investment management and charitable foundation clients.

With a Master’s Degree in Education and as a Certified Trust and Financial Advisor Siobhan has found her passion focusing on Special Needs Trusts which often require navigating the dilemmas faced by special needs clients and their families. Siobhan is honored to work with these families and takes pride in helping them provide the best life possible for their loved one.

Siobhan currently serves on the Board of Directors for SCAN (Social Community Activities Network) serving the large retiree population of Monmouth and Ocean Counties providing education and resources to enhance their quality of life.

Siobhan resides in Howell, NJ with her husband and her daughters.

You can reach Siobhan at 732/255-5000 or Email: sconnolly@gstrustco.com.

Visit www.gstrustco.com to learn how Siobhan may be able to help you.

Photo by Tracy Harman Photography

The County Woman Magazine www.TheCountyWoman.com

Photo by Tracy Harman Photography

March/April 2020

Women Of Ocean County Cynthia B. Clark

Client Relations Coordinator The Matus Law Group

Cynthia is the first person to greet you at the firm with her warm and friendly personality. Cynthia is full of energy, has excellent inter-personal skills and is always willing to go that extra mile to assist clients and her co-workers. Her experience comprises 15+ years serving in the public sector.

She has been in customer service industries, including law enforcement, event planning and coordination as well as disaster case management for Superstorm Sandy.

Cynthia enjoys big family gatherings, spending time with her daughters, grandsons and going for motorcycle rides with her fiancé in her free time.

For more information, call 732-281-0060 or visit www.TheMatusLawGroup.com.

Rhoda Kopy, BS, CH Nationally Certified Consulting Hypnotist & Wellness Coach, Hypnosis for Women

As a hypnosis practitioner and wellness coach with specialty certification in Complementary Medical Hypnotism, Rhoda Kopy helps people break free of limiting habits, fears, and beliefs. She is celebrating her 15th anniversary as a Nationally Certified Consulting Hypnotist. Her private practice, Hypnosis for Women, in Toms River, serves primarily women, teens, and children, throughout the tri-state area.

After earning a B.S. in Biomedical Communications, she worked for various organizations providing community health education and counseling services. She later segued into career services and founded A Hire Image, which offered motivational coaching, marketing, and training.

As a result of success she achieved using hypnosis to improve her life, she completed an advanced training program and later opened her private practice. Rhoda co-founded Jersey Shore Hypnosis Practitioners, a peer support and networking group, and is a member of professional hypnosis organizations.

Born in Bayonne and raised in North Plainfield, she has lived in Toms River for most of her life. She enjoys coordinating Bookie Babes, attempting to draw, watching meteor showers, traveling with her husband, and playing with friends and family. She has a daughter, two grandsons, and an adopted goofy shih-tzu.

Rhoda can help you determine if hypnosis and coaching are appropriate for you. Call her at 732-270-0080 and visit www.HypnoForWomen.com.

Photo by Donna Andrews Photography

Maria Jerome

Certified and Registered Dental Assistant Aesthetic Dental Creations

Maria Jerome has been practicing as a dental assistant for 6 years.

She presently holds licenses as a Certified and Registered Dental Assistant. Maria currently works with Dr. Balaji Srinivasan at Aesthetic Dental Creations in Jackson, NJ. She enjoys the family atmosphere the office provides for the patients; they give every patient their full attention and time. Dr Balaji is one of the few dentists to treat TMJ disorders and its very rewarding for to watch patients’ lives improve. Such improvement in a patient’s life is one of the many reasons Maria began a career in the dental field. Maria resides in Brick NJ and has lived in Ocean County her whole life. In her spare time, Maria enjoys several crafting hobbies including crocheting, drawing and woodburning.

For more information, call 732-363-5370 or visit www.

AestheticDentalCreations.com.

Photo by Tracy Harman Photography

Megan Czaszynski Pediatric Therapist, Seashore Physical Therapy Center

Meg Czaszynski is a pediatric physical therapist at Seashore Pediatric Therapy Center. She received her Doctorate in Physical Therapy from UMDNJ. Meg has worked in a variety of settings, including outpatient orthopedics, inpatient rehab at Children’s Specialized Hospital, and in both private and public school settings. She specializes in treating children with Sensory Processing Disorders, Autism Spectrum Disorder, Cerebral Palsy, developmental delays, Torticollis, Spinal Cord injuries, and other neurological and orthopedic conditions.

Through each of her experiences, she has learned from the children and clinicians around her, helping to make her a diverse and well-rounded therapist. She utilizes both clinical expertise and continuing education course work in manual therapy techniques, NDT, myofacial release, Total Motion Release, and sensory integration to provide patients with comprehensive care to help them achieve their goals. She believes that healing and learning processes are specific to the individual and therapy should be fun.

Her positive attitude and creativity make her an exceptional pediatric PT. When Meg is not treating patients, she enjoys spending time with her two daughters, husband, and dog. She enjoys yoga, paddle boarding, riding her bike, and the beach.

For more information, call 848-2515355 or visit https://seashoreptc.com.

Photo by Tracy Harman Photography

41

The County Woman Magazine www.TheCountyWoman.com

Photo by Tracy Harman Photography

March/April 2020

42

Wigs & Hair Replacement

Are You Ready For Shedding Season?

All body cells, skin and hair cells are constantly renewed.

New hairs replace those that fall out on a daily basis. Humans lose a lot of hair during a certain time of the year, which is similar to the shedding season for animals: Fall – mid September to mid November; Spring – mid March to mid May. This hair loss may be temporarily heavier (max 3 months). During transitions between seasons, it is normal to see more loss of hair than at other times. The falling hairs are replaced by new hairs.

People who have a hereditary disposition to baldness or hair loss could lose more hair per day during the shedding season. They will be recycled at a percentage determined by their hereditary disposition.

Even if you have a full head of hair, it may be time to take your scalp health into consideration. We have solutions for the most common problems and conditions that can effect your scalp.

• Hair Loss in Women • Dandruff

• Itching

• Chemotherapy

• Localized Hair Loss

• Hair Loss in Men

• Oily Hair

• Radiotherapy

• Dry Hair & Scalp

• Skin Inflammation

• Pregnancy

• Scaly Plaques

The shedding season is an ideal time for scalp analysis and treatments. Treatments will help open the follicular funnels and help the scalp get rid of residues (medication and/or product build-up). As a result the shedding season will be shorter and the scalp will be entirely purified, which will then allow the scalp and hair to absorb all the vital, natural nutrients and vitamins for your hair’s optimal and healthy growth cycle.

We are your local Toms River, NJ certified experts and resellers of Head First products. Call 732-255-1733 for more information or to schedule an appointment with one of our certified specialists.

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March/April 2020

Health & Wellness

43

Burnout is Harmful to Your Health

B

urnout is a state of emotional, mental, and physical exhaustion that results from chronic, unrelenting pressure, work, overwhelming demands or stress.

People who experience burnout have often dedicated themselves completely to their work and tasks at hand. In fact, they likely push themselves, daily.

However, at some point they begin to question that it is no longer possible because the demands of the ongoing work are too large, or greater than can be accomplished within reasonable resources. Burnout oftentimes drives people – through dedicated, tireless, exhaustive measures – to begin to question the demands.

It can result in a complete loss of enthusiasm for everything and detachment from people as well as feelings of being ineffective. Signs and symptoms develop gradually and often can be subtle at first. As well, they can relapse and remit, or even smolder; but with time, they can get worse and worse if they are not managed or addressed properly.

What are causes?

Burnout can take place at work, home, school, or even related activities.

Here are some common factors identified by experts in the field: • Dedication to work (employment, home, school, community affiliation) to complete their tasks and goals with excellence – or “all they have to give it.”

Experiencing ongoing pressure, stress, demands with little to no relief. Add to this, it may be accompanied by a lack of appreciation, recognition, fairness, control, sense of community, or ethical behaviors by coworkers, associates, colleagues, administration or family members. And, too, working, studying or giving excessive hours to the cause, or having excessive demands.

• Personal life and lifestyle: Working in overdrive, or not taking or having “me time” or time for family and friends. Alternatively, having excessive obligations to family and friends (e.g., being a caretaker); lacking a support system; being sleep-deprived or having poor health habits.

• Personality: Very much aware of what they have to do along with great dedication and commitment to tasks. Get a lot done and can take care of a lot of work. May even press the bar a little higher for themselves as they work tirelessly to accomplish all the work.

What are symptoms?

• Early on, those with burnout may feel less energetic, but over time, they experience constant weakness or fatigue. Fatigue is excessive tiredness and your body’s way of telling you to slow down.

• Fatigue, combined with the stress, pressure or demands that trigger burnout, makes it less likely that you will engage in routine physical activity, consume a nutritious diet, and get good, quality sleep. Together, this can enhance burnout.

• Forgetfulness, difficulty concentrating, and a lack of focus or difficulty coping.

• Nervousness, worry, and anxiety. Over time, anxious thoughts can become debilitating, preventing you from performing optimally – and stealing your joy. Some people report having panic attacks – an abrupt onset of fear or discomfort.

• Detachment from friends, family, and job, which can eventually lead to isolation.

• Sleep disturbances.

• Physical manifestations such as headaches, fainting, chest pain, palpitations, shortness of breath, or nausea. And, too, increased susceptibility to germs due to a weakened immune system that results from stress, sleep deprivation, decreased physical activity, and poor diet.

• Resorting to unhealthy behaviors such as smoking, alcohol, drugs.

What are some tips?

• Manage stress, reboot, recharge, rejuvenate. Take time and figure out ways to make changes, and where possible, enlist help. Utilize vacation days or sick leave to allow time to rest. If self-employed, take the initiative to work fewer hours or consider taking on fewer projects. Parents, consider getting a sitter, an exchange system with another mom, part-time daycare, or family members to get a break.

• Plan R&R time weekly.

• Say goodbye to unnecessary obligations or deadlines – and be cautious about adding more to your “to-do” list.

• Reassess priorities with “me” and “family” time.

• Set healthy boundaries with your job, career, school or special project, and make changes when needed. Talk with a trusted source about the realities and resources to get help (or extensions) for certain assignments or projects.

• Connecting with loved ones for support is important. They may pick up on signs and symptoms of your burnout before you do. Listen to them.

• Walk it off. Consider starting with a 15-minute walk or jog to relieve stress and release endorphins.

• Get a good night’s sleep. Set a bedtime and stick with it. It’s easy to stay up late so we can catch up with the million trivial things we need to do.

However, being sleep-deprived can be a cause of burnout as well as slowing efficiency and perpetuating the cycle of being burnt out.

• Unplug and find another outlet: listening to music, gardening, photography, yoga, prayer, meditation, cooking, reading for pleasure, spending time with family or friends, or exercising.

• Be specific, write it down, then tell others about it. Saying that we will work less, exercise every day, and spend more time with the family and friends are great goals, but make them a reality. Being specific helps make it more likely to adhere to our goals and less likely to cut corners.

• Take a technology break – while a useful tool, it can be also be a harmful disturbance.

Nina Radcliff, M.D., is a practicing physician and a Board Certified Anesthesiologist.

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

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

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

44

Education

START YOUR NEXT CHAPTER WITH THE DISPLACED HOMEMAKERS PROGRAM AT OCEAN COUNTY COLLEGE

Imagine losing your primary source of income due to separation, divorce, disability, or the death of your family’s primary provider. Where would you go? What would you do? How would you cope? The Displaced Homemakers Program at Ocean County College is here to answer those questions.

For more than a decade, the Displaced Homemakers Program of Ocean County has been helping individuals who have lost their primary source of income by teaching them to become financially selfsufficient. The program is managed by Ocean County College’s Counseling and Student Development Services, and funded through a grant from the New Jersey Department of Children and Families. It provides educational and training support and helps participants seek out and secure employment.

Displaced homemakers are typically women who have experienced a life-altering event that requires them to obtain or upgrade their skills for transition into the paid labor market. As a displaced homemaker, you may even be working but are underemployed. Through support, counseling, and training, the Displaced Homemakers Program can assist you in working toward reaching your full potential.

Program services aim to enhance employability and earnings and to positively impact the quality of life for the displaced homemaker and the entire family. Services include career and life counseling, connection to social and community organizations, and help with becoming economically self-sufficient. Other available services include academic advising, educational and training opportunities, career planning, pre-employment counseling and training, health and wellness programs, supportive counseling, self-esteem and confidence building, and referrals to community resources and social services.

“OCC has been one of the most rewarding experiences of my life,” says Carmen Leyva, an OCC graduate and participant in the Displaced Homemakers Program. “At OCC, I learned to explore different fields and discover skills I never knew I had.”

If you have lost your primary source of financial support because of death, disability, or separation, the Displaced Homemakers Program may be able to help. If you are emotionally or vocationally unprepared to enter the job market or need additional training or education, the Displaced Homemakers Program is here for you.

For additional information on the Displaced Homemakers Program of Ocean County, call 732-255-0400, ext. 2297.

“I am proud to say I am a domestic violence survivor, and I have worked hard to get to where I am today, for myself and my children.”

-Carmen Leyva OCC Graduate & DHP Particpant

Displaced Homemakers Program at Ocean County College Have you lost your major source of financial support because of death, disability, separation or divorce?

The Displaced Homemakers Program can help!

To Learn More: 732-255-0400, ext. 2297 www.ocean.edu

Health & Wellness

Peace Within Studio

“Where Mediation and Peace Exist, Anxiety and Doubt Cannot.”

Christiane Valentine

RN, Yoga Teacher, Physical Education Teacher, Certified Massage Therapist, Certified Cranio-Sacral Therapist, and Intuitive Empath/Medium

In addition, I offer the following services: • Individualized Body Energy Diagnostics • Receiving Personalized Therapeutic/Medium Messages • Cranio-Sacral Therapy Treatment • Private Yoga Therapy Session • Create Home Support Program

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What my happy client has to say…

“Christiane is a highly talented healer, gifted with energy x-ray vision and an extraordinary ability to heal.”

– Dr. Mark Bartiss, ICAM

=

Through my personal healing journey and profound love and respect for the human heart and soul, I strive to heal and improve people’s health struggles. My main priority is to help treat chronic pain and offer profound stress relief.

609.661.5121 • christianevalentine953@gmail.com • www.facebook.com/peacewithinstudio

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

Women’s History

45

Mary Philbrook

I recently had the pleasure of attending a seminar hosted by the Atlantic County Bar Association wherein the topic was women in the legal profession. There was a panel of three New Jersey attorneys and two female judges. Everyone on the panel was dynamic and quite accomplished in their areas of expertise. I have Njwomenshistory.org. close friends (two were on the panel) who are amazing women attorneys who have been “mistaken” for secretaries and court stenographers. All of those positions noted are crucial for day-to-day operations in a law office. However, when you have attended literally seven years of school, three of which are in law school, and successfully passed the bar exam, a woman deserves the respect of reaching the status of being called a lawyer, an attorney or a counselor.

Part of the presentation included data on the first females in the legal profession in the State of New Jersey. As I began to research the notable and remarkable women, the first female attorney had a background that deserved the spotlight.

Mary Philbrook was born in 1892 in Washington, DC. Mary’s family relocated to New Jersey when Mary was in elementary school. Mary attended schools in Jersey City, New Jersey and ended up dropping out of school to become a stenographer. For those readers who are not familiar, a stenographer is an individual who types on a machine and manually records court hearings, depositions or other types of oral testimony.

It is interesting to note that back in the 1880s a person did not need to have a law degree to sit for the bar exam. Mary applied for admission to the New Jersey bar in 1894. Mary was initially rejected by the Bar Association, who cited, “[a] woman is not, by virtue of her citizenship, vested by the Constitution…with any absolute right…to practice as an attorney.” The news of the New Jersey Court’s ruling soon spread and female suffragists from New Jersey strongly advocated for women’s rights to become practicing attorneys in the State of New Jersey. By 1985 the legislature passed a law permitting female attorneys to practice law in New Jersey. Mary Philbrook became the first female sworn into the bar. Mary began her practice in a law firm in Jersey City before opening her own practice. Mary was a driving force in lobbying for the first women’s college in the State of New Jersey, which is now known as Douglass College and is affiliated with

Rutgers University. It is also noted that Mary had a lead role in the formation of Legal Aid services in the State of New Jersey. Mary Philbrook also earned the title as the first female attorney appointed to practice law before the State Supreme Court in 1906, a mere 12 years after her admittance to the state bar.

Mary Philbrook took Disasterpodcast.com. inspiration from Alice Paul after the passage of the 19th Amendment and became an activist in support of the passage of the Equal Rights Amendment. Mary was a true equal rights activist.

Mary is also known for her crucial activism in the changing of the New Jersey Constitution. At the age of 75 Mary led a group of lobbyists at the Constitutional Convention to change the word “he” in the New Jersey Constitution to “person.”

It would not be until 1979 that the New Jersey Supreme Court would rule “that sex discrimination was constitutionally prohibited in the State of New Jersey.” Interestingly enough, Mary may not have been aware that she was not just advocating equality for women but all members of society in her quest to secure equal rights.

There are a significant number of intelligent, hard-working women attorneys who make “lawyering” look easy. However, we must not take for granted that in addition to the day-to-day rigor of being a female attorney, there still remains the “second shift” in balancing families, children’s sporting events, school activities, homework, keeping up with social events and, if you get lucky, some self-care. It was quoted best by Eleanor Roosevelt: “No one can make you feel inferior without your consent.” I dedicate this feature to my dearest female attorney friends, who are extremely powerful and inspiring leaders in the legal profession!

Rutgers University

Rita King, LCSW is the Associate Director of Justice Involved Services at Jewish Family Service. In this role, Rita currently supervises a Re-Entry program for incarcerated individuals as well as a community based diversion program for consumers experiencing mental illness and involvement with the criminal justice system.

Rita is a “De-escalation for Individuals with Special Needs” training facilitator and has trained approximately 1,200 law enforcement professionals to date. Rita is also a CIT trained mental health professional. Rita has a strong passion for women’s history and in her free time she continues to raise awareness of the importance of women’s history through lectures and community speaking engagements.

What-when-how

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

46

Radio

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

Community

47

What’s Your Superpower?

Mine is being a CASA. Children in foster care need you to be their voice. CASA of Ocean County needs everyday people like you to be volunteer advocates for the hundreds of Ocean County children in foster care.

Are you ready to be a superhero?

As a volunteer advocate, you will be a real-life superhero as you advocate on behalf of a foster child.

No child should ever feel that they are alone and without a voice.

CASA volunteers provide these children with a consistent and steady presence as they navigate through the confusing and often tumultuous time in foster care. Visit us at www.CASAofOceanCounty.org to sign up now!

Dining For A Cause Thursday, May 21, 2020 CASA of Ocean County · 1035 Hooper Avenue, Suite 3 · Toms River, NJ 08753 · Tel. 732.797.0590 · www.CASAofOceanCounty.org

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

Community

48

Supervised Transitional Living Program (TLP)

~Ages 16-21~ 808 Conifer St., Toms River

Emergency Youth Shelter ~Ages 10-19~

2445 Windsor Ave., Toms River

For Over 30 years, Oceanâ&#x20AC;&#x2122;s Harbor House has been a Safe Haven for Youth in Ocean and Monmouth Counties.

If you know of a youth that is homeless or in crisis, please call our emergency 24/7 hotline 732-929-0096 Did you know we offer services besides housing programs?

đ&#x;? đ&#x;? Our Family Crisis Intervention Unit is available to the public (not just for residents), which is a FREE family counseling service. No health insurance necessary. đ&#x;? đ&#x;? Group Sessions are held weekly. Updates on topics and meet times are posted monthly on our website. đ&#x;? đ&#x;? Young Womenâ&#x20AC;&#x2122;s / Menâ&#x20AC;&#x2122;s Group đ&#x;? đ&#x;? Teen Rap Group đ&#x;? đ&#x;? Teen Clean Living Group đ&#x;? đ&#x;? Anger Management Group đ&#x;? đ&#x;? Family Workshops

For more information, please visit our website: www.oceansharborhouse.org

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

Theatre & Entertainment

49

2020 Season!

ADOPT A SAILOR

BY CHARLES EVERED

MAY 20-JUNE 26 HE FELL OUT OF A PLANE AND INTO THEIR LIVES

LAST OF THE RED HOT LOVERS

BY NEIL SIMON

JULY 1-AUG 7 THINGS ARE HEATING UP IN BARNEY CASHMAN'S LOVE LIFE..

JUST DON'T TELL HIS WIFE!

GUILTY PLEASURES

BY KEN LEVINE

AUG 12-SEPT 25 SOMETIMES A "FREE PASS" ISN'T ALL IT'S CRACKED UP TO BE

SHIRLEY VALENTINE

BY WILLY RUSSEL

SEPT 30-OCT 30

SPICE UP YOUR 2020 WITH CAPE MAY STAGE

EVERY WOMAN DESERVES HER DAY IN THE SUN

25 DECEMBERS: THE HANUKKAH HAM & OTHER CHRISTMAS TRAGEDIES

BY SHAWN FISHER

NOV 18-DEC 27 A WRITING TEAM AND FORMER COUPLE, REVISIT GROWING UP AND CELEBRATING THE MANY HOLIDAYS TOGETHER

CAPE MAY STAGE 405 LAFAYETTE ST. CAPE MAY, NJ 08204 609-770-8311 CAPEMAYSTAGE.ORG

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March/April 2020

50

Theatre & Entertainment

FEATURING DAVE DAMIANI AND THE NO VACANCY ORCHESTRA

SPONSORSHIPS AVAILABLE LIMITED VIP TICKETS

Sunday, Apr. 19, 2020 - 4pm

Midsummer Night’s Dream Season 37 Circus Maximus Theater • Caesars Atlantic City Tickets On Sale Now

www.acballet.org • 609-348-7201

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

Community

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10 Ways To Love Start now. It’s never too late or too early to incorporate healthy habits.

BREAK A SWEAT. Engage in regular cardiovascular exercise that elevates heart rate and increases blood flow. Studies have found that physical activity reduces risk of cognitive decline.

Your Brain

Growing evidence indicates that people can reduce their risk of cognitive decline by adopting key lifestyle habits. When possible, combine these habits to achieve maximum benefit for the brain and body.

HIT THE BOOKS. Formal education will help reduce risk of cognitive decline and dementia. Take a class at a local college, community center or online

BUTT OUT. Smoking increases risk of cognitive decline.

Quitting smoking can reduce risk to levels comparable to those who have not smoked.

FOLLOW YOUR HEART. Risk factors for cardiovascular disease and stroke — obesity, high blood pressure and diabetes — negatively impact your cognitive health.

Visit alz.org/nj or call (973) 437-3931 to learn more.

24/7 Helpline, (800) 272-3900.

Alzheimer’s Association Greater New Jersey Chapter 23 Vreeland Road, Suite 105, Florham Park, NJ 07932

HEADS UP! Brain injury can raise risk of

cognitive decline and dementia. Wear a seat belt and use a helmet when playing contact sports or riding a bike.

FUEL UP RIGHT. Eat a balanced diet that is higher in vegetables and fruit to help reduce the risk of cognitive decline.

CATCH SOME ZZZ’s. Not getting enough

sleep may result in problems with memory and thinking.

TAKE CARE OF YOUR MENTAL HEALTH. Some

studies link depression with cognitive decline, so seek treatment if you have depression, anxiety or stress.

BUDDY UP. Staying socially engaged may support brain health. Find ways to be part of your local community or share activities with friends and family.

STUMP YOURSELF. Challenge your mind. Build a piece of furniture. Play games of strategy, like bridge.

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January/February July/August 2019 2019 March/April 2020

Theatre & Entertainment

52

“Playwright Tony Meneses is “a distinctive voice worthy of attention.” – The Star-Ledger

WRITTEN BY

TONY MENESES

DIRECTED BY

ANNIE TIPPE

APR 11 – MAY 10

T H E W O R L D

P R E M I E R E

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March/April 2020

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Community

The County Woman Magazine www.TheCountyWoman.com

March/April 2020

Community Saturday,, May 9th with Scenic Beach Walk

10AM to 3PM

55 Windward Beach park

Brick,, NJ

Rain

or

Shine

The Fair is Free Admission and Open to the Public $10 Registration is Required for the Beach Walk - Includes T-shirt MENTAL, PHYSICAL AND SPIRITUAL FOR WHOLISTIC HEALTH

Vendors Yoga Sessions Beach Walk Health Screenings and

More...

Enter To Win Enter to Win a Pair of Tickets to See a great Show! “

A LIVE-ACTION DRUNK HISTORY .”

– Time Out

Name: _________________________________________________________________________ Phone: __________________________ Email: _________________________________________ RATED 5 STARS ON YELP, TRIP ADVISOR & FACEBOOK

“NEW YORK TIMES CRITICS’ PICK”

p Drunk Shakespeare

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p Gazillion Bubble Show

Mail To: The County Woman • P.O. Box 619 • Turnersville, NJ 08012 Or Visit www.Facebook.com/TheCountyWoman to Enter Online!

One entry per person. All winners will be emailed tickets. Multiple entries will be disqualified. Entrants may enter for tickets to multiple shows. Some shows will be drawn sooner based upon run date. Winners are responsible to redeem their tickets. No refunds or exchanges. Transportation or meals will not be provided. Company does not provide any personally identifiable information to these third party ad servers or ad networks without your consent.

for TICKETS

DRUNKSHAKESPEARE.COM

Followeth:

DS.NJCW10x11.5.4C.indd 1

2020-02-21 12:51 PM

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March/April 2020

56

Theatre & Entertainment

“

INGENIOUS BUBBLE ” WIZARDRY. -THE NEW YORKER

Telecharge.com or 212.239.6200

For groups or birthdays call 866.642.9849

New World Stages 340 W. 50th St.

GazillionBubbleShow.com

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March/April 2020

Theatre & Entertainment “

57

” A LIVE-ACTION DRUNK HISTORY .

– Time Out

RATED 5 STARS ON YELP, TRIP ADVISOR & FACEBOOK

“NEW YORK TIMES CRITICS’ PICK”

«««««

for TICKETS

DRUNKSHAKESPEARE.COM

Followeth:

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March/April 2020 2020-02-21 12:51 PM

58

Community

2019 Champion Lexi Thompson

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March/April 2020

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Medical Medical Professionals Professionals Medical Professionals Medical Professionals

59

THE UROLOGY GROUP OF CHOICE

Experienced Specialists. Compassionate Staff.

State of the Art Treatments.

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March/April July/August2020 2019 May/June 2019 May/June 2019

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March/April 2020